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Faculty of Medicine Ain Shams University

Postgraduate Studies

Master of Science in Internal Medicine

درجة الماجستير في المراض الباطنة العامة

Program Code: GIM600

Program Guide and Logbook 2 C a n d i d a t e C u r r i c u l u m v i t a e

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TABLE OF CONT ENTS:

5 Page I – Welcome Statement II - Mission Statement III – Senior supervisor and affiliated departments and Hospitals IV – Program specifications 1 - Basic Information 2 - Professional Information 3 – Academic standards 4 – Curriculum structure and contents 5 - Program courses. 6. Program admission requirements 7. Regulation for progression and program completion 8. Appendix: course specifications Physiology course specifications Pathology course specifications Pharmacology course specifications Clinical biochemistry and Molecular biology course specifications Clinical micobiology course specifications Internal Medicine course specifications Hospital management course specifications Infection control course specifications V - General information VI – Your log book 1 – Introduction 2 – Supervisors 3 - Tables for training records 4 – Log book preview VII - Head of department approval for the exam entry

Detachable forms:

VIII – Thesis follow up IX - Evaluation forms

I – Welcome Statement:

6 The Department of General Internal Medicine department welcomes you to the Degree of Master of science in Internal Medicine. As a department we are committed to medical student education and continuously strive to improve your educational experience.

This handbook presents information guide and logbook activity of this master degree administered by the General Internal Medicine department, Faculty of Medicine, Ain Shams University.

II - Mission Statement: The mission of the Faculty of Medicine, Ain Shams University is • The preparation of a competent graduate, who is able to compete on both national and regional levels, capable of life long learning, training and tutoring, while adhering to the codes of practice of medical health services and ethics.

• The college as well, seeks continuous development of programs and courses. It also enhances expansion of applied scientific research and health programs for community services and environmental development.

The mission of this degree is to provide practicing clinicians in in Internal Medicine with a comprehensive training program both at a basic science and clinical level. Furthermore, to provide extensive training in research design and methodology, to facilitate candidates’ career development in clinical and basic research of Internal Medicine.

III – Senior Supervisor and A ffilated Departments and Hospitals

Senior Supervisor

Prof. ------E-mail:

A ffilated Departments and Hospitals

Internal medicine departments, Faculty of Medicine, Ain Shams University. ------

7 IV – Program Specifications A- Basic Information 1. Program title: Master of Science in Internal Medicine 2. Program type: Single Double Multiple 3. Faculty Ain Shams University – Faculty of medicine 4. Department General Internal Medicine department. 5. Assistant coordinator …………………………………………………………. 6. Coordinator ………………………………………………………….. 7. Last date of program approval: ……………………………………………………………

B- Professional Information: 1. Program aims: 1. Program aims: This program should be able to: 1-Facilitate the development of a physician able to function as an independent consultant in General Internal Medicine. A General Physician is a Physician who specialises in the assessment, diagnosis and management of general medical problems; particularly those involving non- specific symptoms, atypical presentations, multiple problem or system disorder. General physician is skilled in the management of acute unselected medical emergencies and the management of patients in a holistic way, considering all psychosocial as well as medical factors for enhancing quality of life. General physician values the continuing care of all patients irrespective of the nature of the patient’s complaint. In view of the breadth of experience required to manage acute unselected medical emergencies general physician is trained in common diseases in the following systems or sub-specialities i.e. Cardiology; Respiratory medicine; Gastro- enterology and Liver disease; Infectious diseases; Endocrinology and Diabetes; Neurology; Geriatrics; Rheumatology and Rehabilitation; Medical Oncology; Palliative medicine; Genito-urinary and Renal medicine; Dermatology; Clinical Pharmacology, Therapeutics and Toxicology ; Psychological medicine and Intensive care. In addition general physician is trained in some aspects of related specialities

8 e.g. Haematology and Clinical Biochemistry ;Immunology and Microbiology; Radiology and Nuclear medicine etc. In most cases treatment is non surgical but it is essential that general physician should be able to make a total evaluation of the patient and prioritise treatment which may include surgery. Although triage is one important aspect of the General Physician’s role he/she is notsimply a triage officer who transfers patients on to the most appropriate specialistbut continues to co-ordinate the care for all patients involving other specialists as required. General physician will function in a number of roles including clinical, counselling, educating, leading and managing. Thus the aims of training are to develop the necessary competencies to perform these roles. 2- Respond to the educational and research training needs of doctors with a special interest in Internal Medicine. 3- Meet the needs of MSc candidates whilst they are completing their clinical training or working in clinical practice. 4- Provide study modules designed to give candidates a sound understanding of concepts and research. 5- Provide trainees with additional advanced modules, this will allow them to undertake more indepth studies of specific areas in Internal Medicine according to individual interest. 6- Support evidence-based Internal Medicine practice. 7- Give trainees an opportunity to produce a detailed dissertation on a special topic of interest. 8- The program will also provide an opportunity and encouragement for appropriate candidates to apply for a MD Degree in Internal Medicine .

2. Intended learning outcomes (ILOs): a. Knowledge and understanding: By the end of this program the student should be able to: a1- Recognize physiology, pathology, cellular and molecular biology, microbiology and pharmacology relevant to Internal Medicine diseases. a2- Describe different types of Internal Medicine Diseases and emergencies in adult and geriatric age groups. a3- Identify the role of imaging techniques in the investigation of the diseases. a4- Recognize different types laboratory investigations needed for the diagnosis of diseases. a5- Know the place of measurement techniques using imaging (bone densitometry and ultrasonography) in the investigation diseases. a6- List the drugs used in the disease tratment, their indications, actions and monitoring.

9 a7- Outline the role of allied medical specialties (such as Rehabilitation) a8- Outline the role of patient education. a9- Recognize the socioeconomic and legal aspects diseases. a10- Identify the role of non-conventional medicine in treatment of diseases. a11 – Know the basis of hospital management. a12 – Understand the basis of infection control. b. Intellectual capabilities: By the end of this program the student should be able to: b1- Classify different medical disorders. b2 – Differentiate different medical from each other. b3 - Assess multi-system disease. b4 - Select appropriate laboratory tests. b5 - Interpret appropriate laboratory tests. b6 - Select appropriate imaging technique for diagnosis of different medical disorders. b7 - Interpret radiological imaging. b8 - Select the proper line of treatment. c. Professional and practical skills: By the end of this program the student should be able to: c1- Obtain a proper, reliable history c2- Perform an adequate clinical examination for the patient and elicit abnormal physical signs. c3- Interpret the patient data (history and examination) in an organized and informative manner. c4- Perform Procedural Skills (Central venous line placement, horacentesis, Lumbar puncture, Abdominal paracentesis, Arterial puncture for blood gas analysis and Nasogastric intubation…….etc). c5- investigate clinical problems in a prioritised, systematic, well informed and cost effective way c6- Recognize and carry out the treatment of the emergency situations c7- Perform as a either a consultant or a principal care provider when required. c8- Expertise in the ongoing care and management of chronic diseases including preventive and public health medicine and the community aspects of disease. c9- The ability to determine the appropriate time and conditions when referral to another specialist is indicated or transfer to a specialist unit. c10- Manage patients in a holistic way, considering all psycho-social as well as medical factors for improving quality of life. c11- Plan and achieve successful patient discharge from hospital, including knowledge of the various discharge options.

10 c12- Determine when the emphasis of treatment should change from the curative to the palliative in patients whose prognosis is limited. d. General and transferable skills: By the end of this program the student should be able to: d1) Establish Effective Doctor / Patient Relationships 1) Communication Skills – d111- Promote trust and cooperation, and to help patients cope with distressing or other emotions. d112- Demonstrate the following skills: - active listening; understanding the need for and enabling the ventilation of feelings; warmth, support and empathy; respect; guidance; partnership. d113- Educate and motivate patients towards co-operating with advice. d114- Demonstrate the following skills: elicitation of existing views/ knowledge; offering clear explanation and instruction; checking understanding; evaluating problems; using positive attribution and praise. d115- Deal with special situations e.g. breaking bad news to patients and relatives; other sensitive issues; preparation for threatening procedures; obtaining informed consent; Conducting family conferences; dealing with complaints etc. 2) Ethical principles – d121- demonstrate respect and dignity of patients; their right to privacy and confidentiality; Their right to the best possible care; Their right to autonomy and informed consent; Their right to decline treatment or to take part in teaching or research etc. d2- Demonstrate Leadership and personal management skills 1) Personal achievement— d211- Exercise independent judgement and clinical self-confidence. d212- Be self-directed and to achieve objectives. d213- Have high internal standards and a desire to improve. d214- Maintain effective work performance under pressure when appropriate and to cope with ones own emotions. d215- Accept and act on constructive criticism ii) Interpersonal skills --- d221- Initiate, build and maintain good relationships, both one to one and in groups. d222- Lead by example. d223- Put oneself in the place of another and correctly interpret their concerns and feelings. d224- Calculate in advance the likely effect of ones words or actions on an individual or group in order to bring about a desired effect. d225- Time ones actions or interventions in order to maximise their effectiveness. iii) Managing others

11 d231- Get others to work effectively by planning and delegating work. d232 - Coach and supervise others and give clear feedback about performance, good or bad. d3) Acquire the following Organisation, Planning and Service Management skills d31 - Conduct and administer a general medical service, including seeing patient referrals, dictating letters, summaries and reports etc. d32- Liaise and work effectively with professional colleagues, particularly general practitioners and members of the multidisciplinary team. d33- Participate in committee work concerned with planning and organising services. d34- Supervise and work with a medical Secretary. d35- Develop a strategic view on the needs and direction of the service. d4) Acquire the following Education and Mentoring Skills i) Being a Role Model— d411-The ability to set an example of good practice and be respected as a Physician. ii) Educational Supervision— d421- Motivate, demonstrate and explain, particularly the reasons for clinical decisions. d422 - Build relationships with trainees. d423- Use appropriate teaching methods and styles. d424- Assess the performance of trainees d5) Acquire the following Quality Standards, Effectiveness, Research and Development Skills. d51- Present the results of audit or research papers to both small and large audiences. d52- Evaluate research publications to assess their importance. d53- Reflect on clinical practice and plan future educational needs. d54- Maintain an expert knowledge of the diagnosis and treatment of a broad range of common acute disorders through systematic 3. Academic standards: (Benchmarks) Academic reference standards guided by Joint Committee on Higher Medical Training, Royal College of Physicians 5 St Andrews Place, Regent's Park, London NW1 4LB http://www.jrcptb.org.uk/Specialty/Documents/2009%20GIM %20curriculum.PDF http://www.jrcptb.org.uk/Specialty/Documents/General%20(internal) %20Medicine%20Curriculum.pdf 4. Curriculum structure and contents: 4 a- Program duration: two years (4 semesters) 4b- Program structure:

12 المناهج

تتت تتتت المقررات الدراسية الكود المعتمدة متطلبات الكلية تتتت تتتتتتت تتتتت العلميتتتتتتتت تتتتتت GIM6001 1.5 تتتتتتتت تتتتتت GIM6002 1.5 الجزء الول تتتت ت تتت تتت GIM6003 1 تتتتتتتت تتتتتت تتتتت تتتتتتتت تGIM6004 1 بيولوجيا جزئية ميكروبيولوجي اكلينيكي GIM6005 1 الرسالة 6 الجزء الثاني امراض باطنة GIM6006 17 تتتتت تتتتتت تتتت تتتت تتتت E6073 تتتتت تت : 1 الختيارية تتتتت تتتت تتتت E6059 E6073 - تتتتت ت ت تتت كراسة النشطة 6 المجموع 36 5. Program courses: a. Compulsory Code Course title No. of hours L C F SDL GIM600 22. Physiology 1 5 GIM600 22. Pathology 2 5 GIM600 Pharmacology 15 3 GIM600 Clinical biochemistry and Molecular 15 4 biology GIM600 Clinical microbiology 15 5 GIM600 33 + + Internal Medicine 90 6 0 L: Lecture, C: Clinical, F: field and SDL: Self directed learning

13 b. Elective Code Course title No. of hours L C F SDL E600 1 Hospital management 4 5 E600 1 Infection control 2 5

6. Program admission requirements: المادة (6) : يشترط لقيد الطالب للحصول على درجة الماجستير:- 1 - أن يكون حاصل على درجة البكالوريوس في الطب والجراحة من إحدى جامعات جمهورية مصر العربية أو على درجة معادلة 0 2- أن يكون قد أمضى سنة التدريب (المتياز) 03- موافقة جهة العمل 04- تسديد الرسوم ومصاريف التدريب واستهلك الجهزة واستيفاء المستندات المطلوبة في الملحق (1) 05- التفرغ للدراسة لمدة فصلين دراسيين قبل دخول امتحان الجزء الثاني 0 ملحق (1) : يقدم طالب اللتحاق لدرجة الماجستير الوراق التالية :- 1- طلب إلتحاق 0 2 - شهادة البكالوريوس 0 3- شهادة المتياز 0 4- شهادة الميلد أو مستخرج رسمي 0 5 - الموقف من التجنيد 0 6 - موافقة جهة العمل على التسجيل والتفرغ المطلوب 0 7 - عدد 6 صور فوتوغرافية جديدة 0 8 - بالنسبة للوافدين يقدم الطالب موافقة السفارة ويحدد جهة تحمل النفقات كما يقدم شهادة صحية 0 7. Regulation for progression and program completion

مادة (8): يتم التسجيل للماجستير مرة واحدة في السنة تبدأ من أول يوليو حتى أخر أغسطس على أن تبدأ الدراسة في شهر أكتوبر من كل عام 0 ويجوز قبول تسجيل النواب والمعيدين والوافدين في الفترة من أول نوفمبرحتى أخر ديسمبر على أل يسمح لهم بدخول إمتحان الجزء الول إل بعد إنقضاء فترة الدراسة المطلوبة. مادة (9): توزع الدراسة فى كل عام جامعى على فصلين دراسيين مدة كل منهما خمسة عشر اسبوعا . يبدا الول فى أول أكتوبر ويبدا الثانى فى منصف فبراير. مع تنظيم فصل دراسى صيفى مكثف لمدة ستة اسابيع . و يتم التسجيل للفصل الدراسى قبل اسبوعين من بدايته على القل بعد إستيفاء الشروط حسب المقررات المسجلة. ولينبغى أن يزيد العبء الدراسى فى الفصل الواحد عن 6 ساعات معتمدة. ويجوز للطالب تعديل المقررات خلل اسبوعين من بداية الفصل الدراسى (بالحذف او الضافة). كما يجوز له النسحاب خلل سته اسابيع من احد المقرارت دون احتسابه راسبا فيه. المادة (11) : مدة الدراسة للحصول على درجة الدبلوم أو الماجستير هى أربعة وعشرون شهرا (أربعة فصول دراسية ) على جزئين يجتاز فيها الطالب برنامجا تدريبيا متكامل طبقا للساعات المعتمدة الموضحة بالباب الرابع ويستوفى خللها المطلوب منة فى كتيب متابعة النشطة ول يسمح له بدخول المتحان قبل إستيفاء ثلثة أرباع المطلوب منة في كل جزء من البرنامج 0 المادة (12) : مدة الدراسة في الدبلوم والماجستير الجزء الول فصل دراسي واحد يجتاز بعدها الطالب إمتحانا ول يشترط النجاح فيه بالكامل للنتقال للدراسة في الجزء الثاني. والجزء الثاني يتطلب تفرغ الطالب للتدريب لمدة فصلين دراسيين بأحد المستشفيات أو المراكز المعتمدة من الكلية. مادة (13) : يقوم الدارس لدرجة الماجستير بتسجيل موضوع الرسالة على شكل بحث نظري أو عملي بعد إستيفاء فصل دراسي واحد على القل ويجوز أن يناقش رسالتة بعد ستة شهور من التسجيل على القل على أن يكون قد نجح فى مقررات الجزء الول بالكامل وقبل دخول إمتحان الجزء الثاني ول يخصص لها درجات 0 مادة (14) : يقوم دارس الماجستير بإستيفاء متطلبات الجامعة قبل تسجيل الرسالة ومتطلبات الكلية قبل دخول إمتحان الجزء الثاني. ومتطلبات الجامعة هي الحصول على شهادة التويفل في اللغة النجليزية بمجموع (450 درجة على القل) ومتطلبات الكلية هي حضور دورات معتمدة من لجنة الدراسات العليا بالكلية في مجال مناهج البحث العلمى والحصاء الطبى أو بإجتياز إختبارات خاصة تحددها اللجنة. مادة (15): يجوز للحاصلين على درجة الدبلوم إستكمال درجة الماجستير بتسجيل رسالة الماجستير خلل أربع سنوات من الحصول على درجة الدبلوم ويحصل على الدرجة بعد إستيفاء متطلبات الجامعة والكلية ومناقشة الرسالة بنجاح.

14 مادة (16): الساعات المعتمدة لدراسة الدبلوم والماجستير ثلثون ساعة معتمدة على القل يخصص منها ست ساعات لكتيب متابعة النشطة وتشمل ست ساعات على القل للجزء الول وثماني عشرة ساعة على القل للجزء الثاني ويضاف إليها ست ساعات للرسالة فى الماجستير. مادة (22): مدة القيد لدرجة الدبلوم العالى أربع سنوات ودبلوم الزمالة سبع سنوات وللماجستير أربع سنوات. مادة (24): مجموع درجات المتحان النهائى للدبلوم العالى والماجستير 1200 درجة منها 300 درجة للجزء الول. ويضاف اليها المعدل الفصلى التراكمى بما يوازى 300 درجة للدبلوم العالى والماجستير. مادة (25): يعقد إمتحان الدور الول في أكتوبر ونوفمبر من كل عام ويعقد إمتحان الدور الثاني فى أبريل ومايو من كل عام. مادة (26): يكون النجاح فى كل مادة من الدبلوم العالى والماجستير بعد الحصول على 60% من الدرجة الكلية لكل لجان المادة مجتمعة. مادة (29): فى حالة إستنفاذ مدة القيد يمكن لطالب الدراسات العليا إعادة التسجيل مرة أخرى ول يعتد بالنجاح فى الجزء الول أو الرسالة ويجب إعادتهما. Assessment Schedule and Weighing of Assessments ا

لةةةة ط e ا r ل s o t c ة n s i Item Mark e o A t P a P t s G

t n e

During End of d u

Total t

semester semester S First semester (If present) 100 300 400 Second semester 100 100 Third semester 100 100 Written Fourth Oral semester 900 900 Final exam Practical /Clinical Total 300 1200 1500

:ملحوظة: تعادل درجات الطالب طبقا للنقاط على الوجه التالى

1- 90 % تتتتت : A 4 نقا ت 2- ت ت 85% ت تت تت ت : A- 3.67 تت 90 % نقا ت 3 ت ت 80% ت تت تت ت : B+ 3.33 - تت 85% نقا 15 ت 4 ت ت 75% ت تت تت ت : B 3.00 - تت 80% نقا ت 5 ت ت 70% ت تت تت ت : B- 2.67 - تت 75% نقا ت 6 ت ت 65% ت تت تت ت : C+ 2.33 - تت 70% نقا ت 7- ت ت 62% ت تت تت ت : C 2.00 تت 65% نقا ت 8 ت ت 60% ت تت تت ت : C- 1.67 - تت 62% نقا ت 9 تتت تت 60% : صفر F -

ويتم حساب المعدل الفصلى (GPA) على أساس مجموع حاصل ضرب نقاط كل مقرر مضروبا فى عدد ساعاته المعتمدة مقسوما على الساعات المعتمدة للمقررات التى درسها الطالب فى الفصل الدراسى. كما يتم حساب المعدل التراكمى للطالب (CGPA) على أساس مجموع حاصل ضرب النقاط التى حصل عليها الطالب فى كل مقرر مضروبا فى عدد ساعاته المعتمدة مقسوما على مجموع الساعات المعتمدة الكلية. فى حالة الرسوب فى مادة أو مجموعة من المقررات فى الدبلوم أوالماجستير أو الدكتوراه يتم العادة فى المادة أو المجموعة فقط. ويتم حساب التقدير الفعلى الذى يحصل عليه فى أول إعادة فقط أما إذا تكرر رسوبة فيحسب له عند النجاح تقدير 60% فقط (اى 1.67 نقاط اى -C). PHYSIOLOGY course specification University: Ain Shams University Faculty: of Medicine

Course specifications Program on which the course is given: Master of Science in internal Medicine Major or minor element of programs: Major Department offering the program: General Internal Medicine department. Department offering the course: Physiology department. Academic Level: Master – 1st semester Date of specification approval: …………………………..

A- Basic Information Title: Physiology course Code: GIM6001 Credit Hours: 1.5 hour Lecture: 1.5h/week Total: 22.5 hours

16 Coordinator Physiology department

B - Professional Information 1- Course Aims: The aims of this course are to enable students to: 1- Acquire an appropriate functional background of cells, tissues, organs & systems. 2- Integrate physiological data & mechanisms with the ongoing basic sciences: anatomy, histology & biochemistry and clinical applications. 3- Follow the rapidly changing and inflating details about molecular biology & genetics. 4- Explore in detail the functions of the autonomic, the neuromuscular, the respiratory and the cardiovascular systems as well as their integration to achieve homeostasis. 5- Develop the basic scientific research skills as well as effective communication and team work attitudes. II. INTENDED LEARNING OUTCOMES: 2- Intended Learning Outcomes (ILOs) from the Course: a- Knowledge and understanding 1- Describe the cellular functions at the organelle and molecular level. 2- Describe & explain the functions of the nerve cell the nerve and muscle fiber grossly and at the molecular level. 3- Describe & explain the functions of the autonomic nervous system, different components of blood, the respiratory and cardiovascular systems both grossly and at the molecular level. 4- Describe some biophysical laws and their relation to physiology. b- Intellectual skills By the end of the course the candidate will be able to: 1- Interpret the most important physiological laboratory results (blood, respiratory, neuromuscular), to distinguish a physiological from a pathological condition. 2- Comment, on some clinical parameters such as: ABP, ECG, nerve conduction velocity & pulmonary functions for a normal individual. 3- Integrate physiology with other basic and clinical sciences. c- Professional skills By the end of the course the candidate will be able to: c1- Perform hematological tests: estimation of blood Hb, bleeding & clotting times, determination of the hematocrite value, the bleeding & clotting times and blood groups. c2- Perform the most important respiratory function tests.

17 c3- Perform the measurement of the arterial blood pressure. c4- Manipulate a stethoscope for hearing heart and respiratory sounds. c5- Record and read an electrocardiogram. c6- Present physiological scientific data in a graphical form. d- General and transferable skills By the end of the course the candidate will be able to: d1- Maintain honesty and integrity in all interactions with teachers, colleagues and others with whom physicians must interact in their professional lives. d2- Recognize the scope and limits of their role as students as well as the necessity to seek and apply collaboration with other workers. d3- Be responsible towards work. III. COURSE CONTENTS: 3- Course content: Topics No of hours L SDL E.C.G & Arrhythmias. 1.5 Venous Circulation, Insufficiency, Syncope. 1.5 Coronary & Cerebral Circulations. 1.5 Pulmonary Circulation (+ Hypertesion, +Oedema, 1.5 +Embolism). Splanchnic Circulation, Portal Hypertesion & Spleen. 1.5 Absorption & Malabsorption. 1.5 G.1. T. Hormones. 1.5 Pituitary gland 1.5 Adrenal Gland (Cortex & Medulla). . 1.5 Sensations and Sensory Lesions. 1.5 VoIuntary Control and Motor Lesions. 1.5 Muscle Tone (Hypo. & Hypertonia). 1.5 Resp. Functions 1.5 Resp. Failure, Hypoxia, Cyanosis & O2 Therapy. 1.5 Energy Balance & Obesity. 1.5 L: Lectures and SDL: Self directed learning

. 4 - Student Assessment Methods 4.1 written exam to assess knowledge Weighing of assessment 4.1 written exam 75 Total 75

18 5 -- List of References 5.1- Course Notes (paper and / or electronic) Lecture notes. 5.2- Essential Books (Text Books) Guyton: Textbook of Medical Physiology. Ganong: Review of Medical Physiology. Illustrated medical physiology 5.3- Recommended Books ………………………………………………………………………………… 5.4- Periodicals, Web Sites, etc …………………………………………………………………………………

Pathology Course Specifications University: Ain Shams University Faculty: of Medicine

Course specifications Program on which the course is given: Master of Science in internal Medicine. Major or minor element of programs: Major Department offering the program: General Internal Medicine department Department offering the course: Pathology department. Academic Level: Master – 1st semester Date of specification approval: …………………………..

A- Basic Information Title: Pathology course Code: GIM6002 Credit Hours: 1.5 hour Lecture: 1.5h/week Total: 22.5 hours

Coordinator Pathology department

B- Professional Information 1. Overall Aims of Course Pathology is the bridge between the basic science and clinical medicine. The main aim of Pathology course is to provide the candidate with adequate, recognizable and applicable knowledge and skills for common diseases and life threatening illnesses affecting body organs and system. It helps the candidate to understand the causes (aetiology) of disease, the mechanisms of its development (pathogenesis) and the associated alterations of structure (morphologic changes) and function (clinical manifestations and complications) to be able to determine the most likely diagnosis of the disease and management of the patient when provided with the clinical history, the anatomical lesions, and the laboratory data.

19

2. Intended Learning Outcomes of Course (ILOs) a- Knowledge and Understanding: By the end of the course the candidate will be able to: a1- Recognize and define the basic pathologic processes that disturb the structure and function of the body including cell injury, tissue response to injury (inflammation, healing and repair), haemodynamic disturbances, neoplasia, infections and parasitic diseases. a2- List the causes of common diseases affecting organs or systems. a3- Explain the pathogenesis of common diseases affecting organs or systems a4- Recognize and describe the basic pathologic features (morphologic alterations) including the gross and microscopic pictures of various common diseases affecting organs and systems. a5- Describe how the pathological processes affect the structure and function of the organ systems of the human body a6. Identify the functional consequences and clinical manifestations of common diseases affecting specific organs or systems. a7-Explain the signs and symptoms of disease based on its pathogenesis, thereby demonstrate clinical reasoning. a8- Interpret and identify the complications of common diseases. a9- Describe the effect of environmental factors on causation and geographical variation of disease. a10- Recognize and be fully familiar with the terminology used in the classification, investigation and description of disease, enabling effective communication with professional colleagues and patients. b-Intellectual Skills By the end of the course the candidate will be able to: b1- Correlate the pathologic features of the disease with its clinical presentation, laboratory investigations and complications. b2- Develop skills of observation, interpretation, and integration needed to analyze basic clinical and pathologic data and to diagnose human disease. c- Professional and Practical Skills By the end of the course the candidate will be able to: c1- Recognize and interpret the important pathologic lesions in a pathology report that can provide reliable basis (sound foundation) for rational clinical care and therapy. c2- Select appropriate preservative material necessary for different kind of specimens for different types of pathologic investigations.

20 c3- Select appropriate method of investigation for examination needed to reach a correct diagnosis. c4- Handle and select appropriate tissue from fresh specimen for frozen section examination. d- General and Transferable Skills By the end of the course the candidate will be able to: d1-Use database to collect material needed for research. d2-Gather and organize material from various sources (including library, electronic and online resources). d3- Present a research assignment orally and deliver it in both written and electronic forms. d4- Ensure that request form and specimen identification is accurate and identify and resolve any errors or discordance. d5- Communicate with pathologists promptly and accurately. d6- Understand the importance of continuing professional development. d7- Demonstrate knowledge of the importance of ethical approval and patient consent for clinical research. d8- Work cooperatively and show respect for others opinions.

3- Course content: Topics No of hours L General Pathology Acute and Chronic Inflammation Course: Cell Injury Adaptation and Death Pathological Calcification and Pigmentation Intracellular accumulations Amyloidosis Tissue Repair and Healing 2.5 Granulomas Parasitic Diseases Bacterial Infections Haemodynamic Disturbances Disorders of Cellular Growth, Differentiation and Maturation Neoplasia Systemic 2 Pathology Course Congestive Heart Failure Cardiovascular Ischemic Heart Disease System Hypertensive Heart Disease

21 Rheumatic Fever Diseases of Endocardium Primary Myocardial disease Congenital heart Disease Pericardial diseases Diseases of Blood Vessels Kidneys and Congenital anomalies Urinary Tract Glomerulonephritis Tubulointerstitial Diseases Vascular Disease of the Kidney 2 Renal Calculi Hydronephrosis Renal Failure Tumours of kidney Respiratory Bronchitis System Bronchial Asthma Bronchiectasis Pneumonia Lung Abscess 2 Lung Gangrene Pulmonary Emphysema Pneumoconiosis Lung Tumours Pleural Diseases Gastrointestinal Oral Pathology Tract Oesophagus (Congenital Anomalies, Inflammatory Diseases & Tumours) Stomach (Congenital Anomalies, Inflammatory Diseases & Tumours) Small Intestine (Congenital Anomalies, 2 Inflammatory Diseases, Malabsorption & Tumours) Large Intestine (Congenital Anomalies, Inflammatory Diseases, Diverticular Disease & Tumours) Intestinal Obstruction Liver, Gall Microanatomy of the liver 2 Bladder & Types of Necrosis Pancreas Hepatitis Pathology Cirrhosis Tumours of Liver

22 Liver Abscess Jaundice Cholecystitis Cholethiasis Pancreatitis Tumours of pancreas Diabetes Mellitus Endocrine System Thyroid Gland Hyperthyroidism Hypothyroidism Graves Disease Diffuse Nontoxic Goiter and Multinodular Goiter Thyroiditis Parathyroid Gland Hyperparathyroidism Hypoparathyroidism 2 Adrenal Cortex Adrenocortical Hyperfunction Adrenal Insufficiency Adrenocortical Neoplasms Adrenal Medulla Pheochromocytoma Neuroblastoma and other neuronal Neoplasms Multiple Endocrine Neoplasia Syndromes Lymphatic System Inflammatory and Hyperplastic Diseases and Spleen Tumours of Lymphoid Tissue Hypersplenism Congestive Splenomegaly 2 Tumours Causes of Lymphadenopathy Causes of Enlarged Spleen Diseases of Blood Diseases of RBCs Diseases of WBCs 2 Leukemia Central Nervous Infections 2 System Cerebral aneurysm

4 - Student Assessment Methods 4.1 written exam to assess knowledge

23 Weighing of assessment 4.1 written exam 75 Total 75

5 -- List of References 5.1- Course Notes (paper and / or electronic) General and Systemic Pathology Notes written by staff members of Pathology Department 5.2- Essential Books (Text Books) Kumar, V. (Ed.), Cotran, R. S., Robbins, S. L. (2007). Basic Pathology 8th edition Philadelphia, PA: W.B. Saunders. 5.3- Recommended Books ………………………………………………………………………………… 5.4- Periodicals, Web Sites, etc http://www.webpath, http://www.pathguy http://www.pathmax.com, http://www.uwo.ca/pathol/resources.html

Pharmacology course specification University: Ain Shams University Faculty: of Medicine

Course specifications Program on which the course is given: Master of Science in internal Medicine. Major or minor element of programs: Major Department offering the program: General Internal Medicine department Department offering the course: Pharmacology department. Academic Level: Master – 1st semester Date of specification approval: …………………………..

A- Basic Information Title: pharmacology course Code: GIM6502 Credit Hours: 1 hour Lecture: 1/week Total: 15

Coordinator Pharmacology department

B - Professional Information 1- Course Aims:

24 The aim of this course is to provide students with an understanding of the principles of pharmacology. For each medication, understand the dosing, pharmacokinetics, metabolism, mechanisms of action, side effects, drug interactions, compliance issues, costs, and use in specific patient populations, such as renal insufficiency and including fertile, lactating, pregnant women, pediatric and geriatric population.

2- Intended Learning Outcomes (ILOs) from the Course: a- Knowledge and understanding By the end of the course the candidate will be able to: a1- Discuss the pharmacokinetic, pharmacodynamic and pharmacotherapeutic properties of different groups of drugs. a2- Discuss the adverse and toxic effects, and their management of commonly used groups. a3- Give an account on limitations to the use of drugs such as contraindications and drug interactions. a4- Define clinically relevant age, sex and genetic related variations that affect response to drugs. a5- Define the principles, the indications, the relative advantages and disadvantages of various pharmacotherapy modalities. a6- Discuss the role, prevalence and limitations of alternative and complementary therapies commonly in use. a7- Recognize the rational and general guidelines of the use of drugs in the proper dose in special population such as pediatrics, geriatrics, pregnancy and lactation and in cases of liver and kidney impairment. b- Intellectual skills By the end of the course the candidate will be able to: b1- Calculate accurately drug’s dosage, bioavailability, plasma half life and volume of distribution in different patient populations. b2- Obtain and record a comprehensive drug history of the patient. b3- Document drug adverse reactions. b4- Observe, record and analyze the effect of drugs on biological tissues b5- Write prescriptions for musculoskeletal diseases. b6- Audit prescriptions citing multiple drugs. c- Professional skills

By the end of the course the candidate will be able to: c1- integrate, analyse and summarise information relating to practical aspects or current advances, issues and controversies within the pharmacological sciences

25 from a wide range of sources and evaluate this information to draw reasoned conclusions or sustainable judgements; c2- think independently, evaluate and reflect, set tasks and select appropriate and reasoned approaches to solve problems; c3- use knowledge and understanding of the pharmacological sciences to formulate and apply theprinciples of scientific inquiry to address pharmacology- related problems; c4- apply the knowledge and understanding of the pharmacological sciences to plan and undertake hypothesis-driven pharmacological research. c5- demonstrate confidence and competency in understanding, analysing and interpreting pharmacological data d- General and transferable skills

By the end of the course the candidate will be able to: d1- Demonstrate respect to all patients irrespective of their socioeconomic levels, culture or religious beliefs and use language appropriate to the patient’s culture . d2- Provide appropriate basic drug education to the patient and his family. d3- Communicate effectively with other health care professionals to maximize patient benefits and minimize the risk of errors. d4- Understand the importance of life-long self-learning and show a strong commitment to it. d5- Use current IT for appropriate drug database to reach information about a specific medication. d6- Respect patient’s beliefs, values and privacy. d7- Respect ethics related to drug prescription and use specially to drugs liable to produce abuse. d8- Recognize and effectively deal with unethical behavior of other members of healthcare team.

3- Course content: Topics No of hours L Drug therapy of heart failure. Diuretics Drug therapy 1 of shock Drug therapy of ischemic heart disease and 1 dyslipidemia Drug therapy of dysrrythmias 1 Drug therapy of hypertension 1 Anemia . Drugs and hemostasis 1 Anti-emetics Drug therapy of acid related disorders 1

26 Drug therapy of constipation and diarrhea Drug therapy of DM 1 Thyroid disorders. Calcium metabolism 1 Special chemotherapy: Antiviral, antifungal, 1 antiprotozoal & antituberculous Immunomodulators 1 Drug therapy of bronchial asthma. Corticosteriods 1 Cancer chemotherapy 1 Sex hormones antagonists 1 Antihistaminic 1 Analgesics Anti-bacterials 1 L: Lectures and SDL: Self directed learning

4 - Student Assessment Methods 4.1 written exam to assess knowledge, skills Weighing of assessment 4.1 written exam 50 Total 50 5 -- List of References 5.1- Course Notes (paper and / or electronic) None 5.2- Essential Books (Text Books) 5.3- Recommended Books Principles of Clinical Pharmacology 5.4- Periodicals, Web Sites, etc http://www.centerwatch.com/drug-information/fda-approvals/drug-areas.aspx? AreaID=8 http://www.medilexicon.com/drugsearch.php?a=19 http://www.chilanti.com/olbooks/medbooks/Cochrane_Musculoskeletal_Group.ht m medical biochemistry and Molecular biology course specification University: Ain Shams University Faculty: of Medicine

Course specifications Program on which the course is given: Master of Science in Internal Medicine. Major or minor element of programs: Major. Department offering the program: General Internal Medicine department. Department offering the course: Medical biochemistry and Molecular biology department. Academic Level: Master – 1st semester Date of specification approval: ………………………….. 27 A- Basic Information Title: Medical biochemistry and Molecular biology course Code: GIM6004 Credit Hours: 1 hour Lecture: 1/week Total: 15

Coordinator Medical biochemistry and Molecular biology department

B - Professional Information 1- Course Aims: 1- To enable students to understand the essential topics of biochemistry including micro- and macromolecules of carbohydrates, lipids, proteins, nucleotides and nucleic acids. 2- To enable the student to describe the biological membrane, the role of free nucleotides in signal transduction control, and macromolecules involved in transmission of information from gene expression to the formation of functioning proteins. 3- To familiarize the students with basic principles of Molecular biology and protein synthesis. 4- To enable the student to be familiar with biotechnology methods and their clinical implications. 5- To make the student oriented with the physico-chemical basis of the biological systems; and the related clinical problems

2- Intended Learning Outcomes (ILOs) from the Course: a- Knowledge and understanding By the end of the course the candidate will be able to: a1- Describe the structure and properties of caribodydrates, lipids and proteins of biological importance. a2- Describe the structure of cell membrane and point out its importance. a3- Describe the structure of heme and proteins of the extra-cellular matrix. a4- Demonstrate the structure and importance of immunoglobulins. a5- Describe the chemistry of nucleotides and nucleic acids. a6- Point out the processes of replication, transcription and translation. a7- Describe recombinant DNA biotechniques. a8- Point out the significance of human genome project and the principles of gene therapy. b- Intellectual skills By the end of the course the candidate will be able to:

28 1- Interpret the observations of chemical tests to identify unknown sugar or protein solutions. 2- Identify electrophoresis bands and comment on them. 3- Interpret the photographs of electrophoresis runs of Polymerase chain reaction (PCR) products. c- Professional skills By the end of the course the candidate will be able to: c1- Select the proper investigation. c2- Read and evaluate scientific literatures. d- General and transferable skills By the end of the course the candidate will be able to: d1- Work effectively in a group during preparation of seminars. d2- Respects the role of staff and co-staff members regardless of degree or occupation.

3- Course content: Topics No. of hours L 1) Carbohydrate metabolism 2 2) Lipid metabolism 2 3) Metabolism of protein 2 4) Hormone biosignaling 1 5) Fe and heam metabolism 1 6) Mineral metabolism 1 7) Vitamins and diseases 1 8) Hyperuricemia 1 9) Diagnostic enzymology 1 10) Tumour markers 1 11) Hepatitis markers 1 12) Molecular biology 1 L: Lecture 4 - Student Assessment Methods 4.1written exam to assess knowledge and understanding Weighing of assessment 4.1 written exam 50 Total 50

5 -- List of References 5.1- Course Notes (paper and / or electronic) 29 Electronic lectures 5.2- Essential Books (Text Books) Lecture notes on molecular medicine 5.3- Recommended Books Harper's Biochemistry. * Lippincott's Illustrated Biochemistry. 5.4- Periodicals, Web Sites, etc

Clinical Microbiology course specification University: Ain Shams University Faculty: of Medicine Course specifications Program on which the course is given: Master of Science in Internal Medicine. Major or minor element of programs: Major. Department offering the program: General Internal Medicine department. Department offering the course: Microbiology and Immunology department. Academic Level: Master – 1st semester Date of specification approval: …………………………..

A- Basic Information Title: Clinical microbiology course Code: GIM6005 Credit Hours: 1 hour Lecture: 1/week Total: 15

Coordinator Microbiology and Immunology department.

B - Professional Information 1- Course Aims: 1- To educate students about the basic features of general bacteriology, virology and mycology and to provide students with an understanding of the immune system, its protective functions and its role in the patho-physiology of infectious and non- infectious diseases 2- To familiarize students with the common infections and diseases of medical importance, their microbial causes, as well as laboratory diagnosis, treatment, prevention and control of such diseases 3- To enable the students to practice the principles of sterilization and infection control.

2- Intended Learning Outcomes (ILOs) from the Course: a- Knowledge and understanding By the end of the course the candidate will be able to:

30 a1- Illustrate general bacterial morphology, physiology and genetics. a2- Understand the host parasite relationship and microbial pathogenesis. a3- Explain the physiology of the immune system, its beneficial role, as well as its detrimental role in hypersensitivity, autoimmunity and transplant rejection. a4- Describe the morphology, culture, antigenic structure and virulence factors of microorganisms of medical importance. a5- Recognize the most important infectious clinical conditions and outline the diagnosis, treatment, prevention and control of the most likely organisms causing such diseases. a6- Describe the most important methods of decontamination and principles of infection control a7- Describe recombinant DNA biotechniques. a8- Describe the basics of antimicrobial uses and resistance. b- Intellectual skills By the end of the course the candidate will be able to: b1- Interpret results of microbiological, serological and molecular tests b2- Interpret microbiological, immunological and molecular reports b4- Formulate a systematic approach for laboratory diagnosis of common infectious clinical conditions and select the most appropriate and cost-effective tool leading to the identification of the causative organism b5- Evaluate according to evidence the causal relationship of microbes and diseases b6- Categorize a microorganism as a bacterium, virus or fungus according to standard taxonomy b7- Report and appraise a concise scientific activity according to standard scientific thinking and integrity b8- Appreciate the danger of handling and use of infectious agents on community and environment as a part of their ethical heritage c- Professional skills By the end of the course the candidate will be able to: c1- Identify medically important bacteria based on microscopic examination of stained preparations c2- Perform a Gram stain and a Ziehl-Neelsen stain and identify, according to morphology and characteristics, stained preparations c3- Identify culture media and biochemical tests commonly used for bacterial identification and distinguish positive and negative results c4- Perform hand wash and control of steam sterilization c5- Select the proper investigation. c6- Read and evaluate scientific literatures.

31 d- General and transferable skills By the end of the course the candidate will be able to: d1- Work effectively in a group during preparation of seminars. d2- Respects the role of staff and co-staff members regardless of degree or occupation.

3- Course content:

Topics No. of hours L Bacterial structure, physiology, & classification 1 Bacterial genetics, Antibacterial agents, mechanisms of action 1 and resistance Staphylococci, Streptococci & Enterococci Clostridia and other Gram positive bacilli (Corynebacteria, Listeria, bacillus group and actinomyces) Neisseria and Parvobacteria (Haemophilus, Bordetella, Brucella, 1 Legionella, Yersinia & Pasteurella) Enterobacteriaceae 1 Pseudo monads, Vibrios, Campylobacter & Helicobacter Gram 1 negative anaerobic bacteria Spirochetes Mycobacteria Chlamydia, Mycoplasma, Rickettsia 1 Basic Mycology: classification of fungi, antifungal drugs 1 Basic Virology Major Virus Groups 1 Basic immunology: Tissues and cells of immune response, types 3 of immune response, Immunoglobulins, Humoral immune response, complement, Ag-Ab reactions Cell-mediated immunity, Cytokines, immunity to bacterial infection and immunoprophylaxis Hospital-acquired infection and infection 1 Hypersensitivity 1 Autoimmunity and tumor Immunology 1 Immupodeficiency and infections in immunocompromized host 1 L: Lecture

4 - Student Assessment Methods 4.1written exam to assess knowledge and understanding

Weighing of assessment 4.1 written exam 50 Total 50 32 5 -- List of References 5.1- Course Notes (paper and / or electronic)

5.2- Essential Books (Text Books) Jawetz, Melnick and Adelberg’s Medical Microbiology 5.3- Recommended Books

5.4- Periodicals, Web Sites, etc http://www.phage.org/black09.htm http://www.microbe.org/microbes/virus_or_bacterium.asp http://www.bact.wisc.edu/Bact330/330Lecturetopics http://whyfiles.org/012mad_cow/7.html http://www.microbelibrary.org/ http://www.hepnet.com/hepb.htm http://www.tulane.edu/~dmsander/Big_Virology/BVHomePage.html http://www.mic.ki.se/Diseases/c2.html http://www.med.sc.edu:85/book/welcome.htm http://www.biology.arizona.edu/immunology/microbiology_immunology.html Internal Medicine course specification University: Ain Shams University Faculty: of Medicine

Course specifications Program on which the course is given: Master of Science in Internal Medicine. Major or minor element of programs: Major Department offering the program: General Internal Medicine department. Department offering the course: General Internal Medicine department Academic Level: Master – 2nd, 3rd and 4th semester. Date of specification approval: …………………………..

A- Basic Information Title: Internal Medicine course Code: GIM6006 Credit Hours: 17 hour Lecture: 2/w Total: 90 Clinical: 8/w 2nd and 3rd semesters Clinical: 6/w 4th semester Total: 330 Coordinator General Internal Medicine department

B - Professional Information 1- Course Aims: 1-Facilitate the development of a physician able to function as an independent consultant in General Internal Medicine.

33 2- Respond to the educational and research training needs of doctors with a special interest in Internal Medicine. 3- Meet the needs of MSc candidates whilst they are completing their clinical training or working in clinical practice. 4- Provide study modules designed to give candidates a sound understanding of concepts and research. 5- Provide trainees with additional advanced modules, this will allow them to undertake more indepth studies of specific areas in Internal Medicine according to individual interest. 6- Support evidence-based Internal Medicine practice. 7- Give trainees an opportunity to produce a detailed dissertation on a special topic of interest. 2. Intended learning outcomes (ILOs): a. Knowledge and understanding: By the end of this program the student should be able to: a1- Recognize physiology, pathology, cellular and molecular biology, microbiology and pharmacology relevant to Internal Medicine diseases. a2- Describe different types of Internal Medicine Diseases and emergencies in adult and geriatric age groups. a3- Identify the role of imaging techniques in the investigation of the diseases. a4- Recognize different types laboratory investigations needed for the diagnosis of diseases. a5- Know the place of measurement techniques using imaging (bone densitometry and ultrasonography) in the investigation diseases. a6- List the drugs used in the disease tratment, their indications, actions and monitoring. a7- Outline the role of allied medical specialties (such as Rehabilitation) a8- Outline the role of patient education. a9- Recognize the socioeconomic and legal aspects diseases. a10- Identify the role of non-conventional medicine in treatment of diseases. a11 – Know the basis of hospital management. a12 – Understand the basis of infection control. b. Intellectual capabilities: By the end of this program the student should be able to: b1- Classify different medical disorders. b2 – Differentiate different medical from each other. b3 - Assess multi-system disease. b4 - Select appropriate laboratory tests. b5 - Interpret appropriate laboratory tests.

34 b6 - Select appropriate imaging technique for diagnosis of different medical disorders. b7 - Interpret radiological imaging. b8 - Select the proper line of treatment. c. Professional and practical skills: By the end of this program the student should be able to: c1- Obtain a proper, reliable history c2- Perform an adequate clinical examination for the patient and elicit abnormal physical signs. c3- Interpret the patient data (history and examination) in an organized and informative manner. c4- Perform Procedural Skills (Central venous line placement, horacentesis, Lumbar puncture, Abdominal paracentesis, Arterial puncture for blood gas analysis and Nasogastric intubation…….etc). c5- investigate clinical problems in a prioritised, systematic, well informed and cost effective way c6- Recognize and carry out the treatment of the emergency situations c7- Perform as a either a consultant or a principal care provider when required. c8- Expertise in the ongoing care and management of chronic diseases including preventive and public health medicine and the community aspects of disease. c9- The ability to determine the appropriate time and conditions when referral to another specialist is indicated or transfer to a specialist unit. c10- Manage patients in a holistic way, considering all psycho-social as well as medical factors for improving quality of life. c11- Plan and achieve successful patient discharge from hospital, including knowledge of the various discharge options. c12- Determine when the emphasis of treatment should change from the curative to the palliative in patients whose prognosis is limited. d. General and transferable skills: By the end of this program the student should be able to: d1) Establish Effective Doctor / Patient Relationships 1) Communication Skills – d111- Promote trust and cooperation, and to help patients cope with distressing or other emotions. d112- Demonstrate the following skills: - active listening; understanding the need for and enabling the ventilation of feelings; warmth, support and empathy; respect; guidance; partnership. d113- Educate and motivate patients towards co-operating with advice.

35 d114- Demonstrate the following skills: elicitation of existing views/ knowledge; offering clear explanation and instruction; checking understanding; evaluating problems; using positive attribution and praise. d115- Deal with special situations e.g. breaking bad news to patients and relatives; other sensitive issues; preparation for threatening procedures; obtaining informed consent; Conducting family conferences; dealing with complaints etc. 2) Ethical principles – d121- demonstrate respect and dignity of patients; their right to privacy and confidentiality; Their right to the best possible care; Their right to autonomy and informed consent; Their right to decline treatment or to take part in teaching or research etc. d2- Demonstrate Leadership and personal management skills 1) Personal achievement— d211- Exercise independent judgement and clinical self-confidence. d212- Be self-directed and to achieve objectives. d213- Have high internal standards and a desire to improve. d214- Maintain effective work performance under pressure when appropriate and to cope with ones own emotions. d215- Accept and act on constructive criticism ii) Interpersonal skills --- d221- Initiate, build and maintain good relationships, both one to one and in groups. d222- Lead by example. d223- Put oneself in the place of another and correctly interpret their concerns and feelings. d224- Calculate in advance the likely effect of ones words or actions on an individual or group in order to bring about a desired effect. d225- Time ones actions or interventions in order to maximise their effectiveness. iii) Managing others d231- Get others to work effectively by planning and delegating work. d232 - Coach and supervise others and give clear feedback about performance, good or bad. d3) Acquire the following Organisation, Planning and Service Management skills d31 - Conduct and administer a general medical service, including seeing patient referrals, dictating letters, summaries and reports etc. d32- Liaise and work effectively with professional colleagues, particularly general practitioners and members of the multidisciplinary team.

36 d33- Participate in committee work concerned with planning and organising services. d34- Supervise and work with a medical Secretary. d35- Develop a strategic view on the needs and direction of the service. d4) Acquire the following Education and Mentoring Skills i) Being a Role Model— d411-The ability to set an example of good practice and be respected as a Physician. ii) Educational Supervision— d421- Motivate, demonstrate and explain, particularly the reasons for clinical decisions. d422 - Build relationships with trainees. d423- Use appropriate teaching methods and styles. d424- Assess the performance of trainees d5) Acquire the following Quality Standards, Effectiveness, Research and Development Skills. d51- Present the results of audit or research papers to both small and large audiences. d52- Evaluate research publications to assess their importance. d53- Reflect on clinical practice and plan future educational needs. d54- Maintain an expert knowledge of the diagnosis and treatment of a broad range of common acute disorders through systematic

3- Course content: 2nd semester Title: Module 1 Code: GIM6006 a Credit Hours: 6 Lecture: 2/w Total: 30 Clinical: 8/w Total: 120 Module 1 Topics No of hours ةةةةة ةةةةةةة ةة L ةةةةةةة ةةةةة + 1 باطنة Disease of the gastrointestinal tract 6 2 ةةةةة + 1 باطنة Disease of the liver, biliary system, 6 2 pancreas and peritoneum ةةةةة + 1 باطنة Neurology 7 2 الكلى Nephrology 7 الكلى Distrurbance in the water, electrolyte and 4

37 acid base balance 3rd semester Title: Module 2 Code: GIM6006 b Credit Hours: 6 Lecture: 2/w Total: 30 Clinical: 8/w Total: 120 Module 2 Topics No of hours ةةةةة ةةةةةةة ةة L ةةةةةةة باطنة Hematology and oncology 8 13 باطنة Genetics 2 13 باطنة Poisoning 2 13 باطنة Allergy and immunology 7 6 باطنة Diseases due to infection 4 6 باطنة Disease of the respiratory system 7 6 4th semester Title: Module 3 Code: GIM6006 c Credit Hours: 5 Lecture: 2/w Total: 30 Clinical: 6/w Total: 90 Module 3 Topics No of hours ةةةةة ةةةةةةة ةةL ةةةةةةة باطنة Endocrinology and metabolism 8 5 باطنة Disease of cardiovascular system 8 5 باطنة Nutritional factors in disease 2 5 باطنة Rheumatology 8 12 باطنة Principle of geriatric medicine 2 12 باطنة Diseases of the skin 2 12 L: Lecture, T: Tutorial, C: Clinical and SDL: Self directed learning

Internal Medicine course Titles and subtitles

CARDIOVASCULAR DISEASE

STRUCTURE AND FUNCTION OF THE NORMAL HEART AND BLOOD VESSELS Gross Anatomy Electrical Conduction System Microscopic Anatomy

38 Fetal Circulation Myocardial Metabolism Circulatory Physiology Physiology of the Coronary Circulation Physiology of the Systemic Circulation Physiology of the Pulmonary Circulation Cardiovascular Response to Exercise Cardiovascular Physiology During Pregnancy Electrophysiology

EVALUATION OF THE PATIENT WITH CARDIOVASCULAR DISEASE History Arterial Pressure and Pulses Examination of the Neck Veins Precordial Examination Cardiac Auscultation Abnormal Heart Sounds Abnormal Murmurs Prosthetic Valve Sounds

SPECIAL TESTS AND PROCEDURES IN THE PATIENT WITH CARDIOVASCULAR DISEASE Cardiac Radiography Electrocardiography Abnormal ECG Patterns Long-Term Ambulatory ECG Recording Stress Testing Echocardiography Nuclear Cardiology Other Techniques Cardiac Catheterization Special Techniques

CONGESTIVE HEART FAILURE Evaluation and Treatment of Patients with Heart Failure Diuretics Vasodilators Digitalis Sympathomimetic Amines Cardiovascular Assist Devices Acute Pulmonary Edema

39 Diastolic Heart Failure

CONGENITAL HEART DISEASE Bicuspid Aortic Valve Coarctation of the Aorta Pulmonic Valve Stenosis Atrial Septal Defect Ventricular Septal Defect Patent Ductus Arteriosus Tetralogy of Fallot General Considerations in the Evaluation and Management of Adults with congenital Heart Disease

ACQUIRED VALVULAR HEART General Considerations Aortic Stenosis Aortic Regurgitation Mitral Stenosis Mitral Regurgitation Mitral Valve Prolapse Tricuspid Stenosis Tricuspid Regurgitation Pulmonic Stenosis and Regurgitation Multivalvular Disease Rheumatic Fever Prosthetic Valves

CORONARY HEART DISEASE Atherosclerosis Risk Factors Nonatherosclerotic Causes of Coronary Artery Obstruction Nonobstructive Causes of Ischemic Heart Disease Pathophysiology of Ischemic Heart Disease Angina Pectoris Medical Management of Angina Coronary Bypass Surgery and Coronary Angioplasty for Angina Pectoris Variant Angina Acute Myocardial Infarction Treatment of Acute Myocardial Infarction Thrombolytic Therapy and Primary Coronary Angioplasty for Acute Myocardial Infarction

40 Other Measures Non-Q Wave Myocardial Infarction Complications of Myocardial Infarction and Their Management

ARRHYTHMIAS Mechanisms of Arrhythmogenesis Approach to the Patient with Suspected or Confirmed Arrhythmias Management of Cardiac Arrhythmias Specific Arrhythmias Principles of Cardiopulmonary Resuscitation

MYOCARDIAL AND PERICARDIAl DISEASE Myocardial Disease Pericardial Disease

CARDIAC TUMORS AND TRAUMA Cardiac Tumors Nonpenetrating Trauma Penetrating Trauma

AORTIC AND PERIPHERAL VASCULAR DISEASE Aortic Aneurysms Aortic Dissection Aortic Arteritis Miscellaneous Aortic Disease Peripheral Vascular Disease Peripheral Aneurysms and Fistulas Arterial Trauma Peripheral Venous Disease Deep Vein Thrombosis

OTHER CARDIAC TOPICS A. Transplantation B. Surgery C. Pregnancy

RESPIRATORY DISEASE

APPROACH TO THE PATIENT WITH RESPIRATORY DISEASE Common Presenting Complaints Physical Examination

41 ANATOMIC AND PHYSIOLOGIC CONSIDERATIONS The Airway Ventilation The Blood Vessels Pulmonary Gas Exchange Nonpulmonary Factors Growth and Aging of the Normal Lung Nonrespiratory Functions of the Lung 125

DIAGNOSTIC TECHNIQUES AND THEIR INDICATIONS Imaging Procedures Pulmonary Function Evaluation

OBSTRUCTIVE lUNG DISEASE Pathophysiology of Airway Obstruction Asthma Chronic Obstructive Pulmonary Disease (COPD) Emphysema Small Airway Disease Chronic Bronchitis Bronchiectasis Cystic Fibrosis Treatment Pharmacologic Therapy Oxygen Antibiotics and Vaccines Smoking Cessation Physical Therapy and Rehabilitation Volume Reduction Surgery and Lung Transplantation

DIFFUSE INFilTRATIVE DISEASES OF THE lUNG Clinical Manifestations Specific Entities Treatment

PULMONARY VASCULAR DISEASE Physiologic Effects of Pulmonary Hypertension Causes of Pulmonary Hypertension Pulmonary Embolism Primary Pulmonary Hypertension

42 DISORDERS OF THE PLEURAL SPACE, MEDIASTINUM, AND CHEST WALL Pleural Disease Mediastinal Disease Chest Wall Disease

NEOPLASTIC DISEASES OF THE LUNG Lung Tumor Biology Pathology Clinical Presentation Diagnosis and Evaluation Solitary Pulmonary Nodule Treatment and Prognosis

CONTROL OF BREATHING IN DISEASE STATES Sleep Apnea Syndrome Breathing Pattern Abnormalities Associated with Neurologic Disease Neuromuscular Disease

INHALATIONAL AND ENVIRONMENTAL INJURY Drowning and Near-Drowning Diseases of Altitude Smoke Inhalation Injury Noxious Gases and Fumes

PULMONARY CRITICAL CARE

ESSENTIALS OF PULMONARY CRITICAL CARE MEDICINE Shock Acute Respiratory Failure Oxygen Therapy and Mechanical Ventilation Multiple Organ Dysfunction Syndrome, Systemic Inflammatory Response Syndrome, Sepsis, and Adult Respiratory Distress Syndrome

RENAL DISEASE

ELEMENTS OF RENAL STRUCTURE AND FUNCTION Elements of Renal Structure Elements of Renal Physiology Renal Homeostatic Functions

43 APPROACH TO THE PATIENT WITH RENAL DISEASE Clinical Assessment of the Patient with Renal Disease The Major Renal Syndromes Anatomic Imaging of the Urinary Tract

FLUID AND ELECTROLYTE DISORDERS Volume Disorders Osmolality Disorders Hyponatremia Hypernatremic Disorders Disturbances in Potassium Balance Disturbances in Acid-Base Balance

GLOMERULAR DISEASES The Glomerulus Mechanisms of Glomerular Injury Clinical Manifestations of Glomerular Disease Approach to the Patient with Glomerular Disease Acute Nephritic Syndrome Rapidly Progressive Glomerulonephritis (RPGN) Nephrotic Syndrome Asymptomatic Urinary Abnormalities Chronic Glomerulonephritis (CGN)

MAJOR NONGLOMERULAR DISORDERS Tubulointerstitial Nephropathy Cystic Diseases of the Kidney Urinary Tract Obstruction Nephrolithiasis Renal Tumors

HYPERTENSION AND VASCULAR DISORDERS OF THE KIDNEY Arterial Hypertension Vascular Disorders of the Kidney

ACUTE RENAL FAILURE Definition and Etiology Differential Diagnosis and Diagnostic Evaluation of the Patient Clinical Presentation, Complications, and Management of Acute Tubular Necrosis Specific Causes of Acute Renal Failure

44 CHRONIC RENAL FAILURE Adaptation to Nephron Loss Clinical Manifestations of Renal Failure Kidney Transplantation

GASTROINTESTINAL DISEASE

THE COMMON CLINICAL MANIFESTATIONS OF GASTROINTESTINAL DISEASE A. Abdominal Pain B. Gastrointestinal Hemorrhage C. Malabsorption D. Diarrhea

RADIOGRAPHIC AND ENDOSCOPIC PROCEDURES IN GASTROENTEROLOGY Radiographic Procedures Endoscopic Procedures

DISEASES OF THE ESOPHAGUS Normal Esophageal Physiology Clinical Symptoms of Esophageal Disease Gastroesophageal Reflux Disease Motility Disorders of the Oropharynx and Esophagus Other Esophageal Disorders

DISEASES OF THE STOMACH AND DUODENUM Normal Gastric Physiology Gastritis Peptic Ulcer Disease of the Stomach and Duodenum The Zollinger-Ellison Syndrome Abnormalities of Gastric Emptying

INFLAMMATORY BOWEL DISEASE Definition Etiology and Pathogenesis Pathology Clinical Manifestations Diagnosis Treatment and Prognosis Complications

45 Ischemic Colitis Diverticulitis

NEOPLASMS OF THE GASTROINTESTINAL TRACT Carcinoma of the Esophagus Carcinoma of the Stomach Carcinoma of the Colon Polyps of the Gastrointestinal Tract The Familial Polyposis Syndromes

THE PANCREAS Normal Structure and Function Acute Pancreatitis Chronic Pancreatitis Carcinoma of the Pancreas

DISEASES OF THE LIVER AND BILIARY SYSTEM

LABORATORY TESTS IN LIVER DISEASE Clinical Approach to Liver Disease Laboratory Tests of Liver Function and Disease Tests of Hepatic Function Screening Tests of Hepatobiliary Disease Liver Biopsy

JAUNDICE Definition Bilirubin Metabolism Laboratory Tests for Bilirubin Clinical Classification of Jaundice Approach to the Diagnosis of Jaundice

ACUTE AND CHRONIC HEPATITIS Definition Acute Hepatitis Chronic Hepatitis

FULMINANT HEPATIC FAILURE Diagnosis Treatment Hepatic Transplantation

46 Prognosis

CIRRHOSIS OF THE LIVER AND ITS COMPLICATIONS Definition Clinical and Laboratory Features Specific Causes of Cirrhosis Major Complications of Cirrhosis Hepatic Transplantation

NEOPLASTIC, INFILTRATIVE, AND VASCULAR DISEASES OF THE LIVER Hepatic Neoplasms Liver Abscess Granulomatous Liver Disease Vascular Disease of the Liver

DISORDERS OF THE GALLBLADDER AND BILIARY TRACT Normal Biliary Physiology Pathophysiology of Gallstone Formation (Cholelithiasis) Clinical Manifestations of Gallstones

HEMATOLOGIC DISEASE

THE BLOOD AND BONE MARROW The Blood The Bone Marrow

DISORDERS OF THE HEMATOPOIETIC STEM CELL The Myeloaplastic Disorders The Myelodysplastic Disorders Myeloproliferative Disorders Acute Leukemia

DISORDERS OF LYMPHOCYTES Ontology of Lymphocytes Localization of Lymphocytes Disorders of the Lymphatic System Plasma Cell Disorders

DISORDERS OF GRANULOCYTES AND MONOCYTES Neutrophil Structure and Function

47 Monocyte Structure and Function Neutropenia Neutrophil Leukocytosis Eosinophilia

DISORDERS OF RED CELLS Shape and Structure of Red Cells Birth and Death of Red Cells Anemia

TRANSFUSION AND BONE MARROW TRANSPLANTATION Transfusion Allogeneic Bone Marrow Transplantation (BMT)

PLATELETS AND PRIMARY HEMOSTASIS Primary Hemostasis Quantitative Platelet Disorders Thrombocytosis

Qualitative Platelet Disorders Vascular Purpuras Plasma Protein Disorders Affecting Primary Hemostasis

BLOOD COAGULATION AND ITS DISORDERS Secondary Hemostasis and Clot Stabilization Factor Inhibitors Natural Anticoagulants and the Fibrinolytic Pathway Primary Hypercoagulable States Secondary Hypercoagulable States Therapy of Thromboembolic Disease

ONCOLOGIC DISEASE

GENERAL CONSIDERATIONS IN ONCOLOGY Etiology Screening for Early Cancer Detection Systemic Effects of Cancer

PRINCIPLES OF CANCER THERAPY Forming a Treatment Plan 432 Principles of Oncologic Surgery Principles of Radiation Therapy Principles of Chemotherapy

48 Hormonal Therapy

ONCOLOGIC EMERGENCIES Hypercalcemia Spinal Cord Compression Increased Intracranial Pressure Superior Vena Cava Syndrome

METABOLIC DISEASE

INTRODUCTION TO METABOLIC DISEASE

EATING DISORDERS Obesity Anorexia Nervosa and Bulimia Nervosa

PRINCIPLES OF NUTRITIONAL SUPPORT IN ADULT PATIENTS Nutritional Assessment Route of Nutritional Support Water Calories and Protein Vitamins and Minerals Home Nutritional Support

HYPERURICEMIA AND GOUT Mechanisms of Hyperuricemia Pathogenesis of Gout Arthritis Pathogenesis of Renal Disease Pathogenesis of Tophi Clinical Features Treatment DISORDERS OF LIPID METABOLISM Plasma Lipoprotein Physiology Evaluation of Serum Lipoprotein Concentrations Elevated Chylomicrons, VLDL, and IDL Treatment of Hypertriglyceridemia Elevated LDL Treatment of Hypercholesterolemia Lipids and Vascular Disease

DISORDERS OF METALS AND METALLOPROTEINS

49 Wilson's Disease Hemochromatosis The Porphyrias

DISORDERS OF AMINO ACID METABOLISM Homocystinemia Cystinuria

INHERITED DISORDERS OF CONNECTIVE TISSUE Osteogenesis Imperfecta Ehlers-Danlos Syndrome Marfan's Syndrome Mucopolysaccharidoses

ENDOCRINE DISEASE

HYPOTHALAMIC-PITUITARY AXIS Anatomy Anterior Pituitary Hormone Physiology and Testing Neuroradiologic Evaluation of the Pituitary Pituitary and Hypothalamic Disorders Hypothalamic Dysfunction Hypopituitarism Empty Sella Syndrome Pituitary Tumors The Posterior Pituitary Gland SIADH

THE THYROID GLAND Thyroid Hormone Physiology Thyroid Evaluation Hyperthyroidism Graves' Disease Toxic Adenoma Toxic Multinodular Goiter Thyroiditis Thyrotoxicosis Factitia Rare Causes of Thyrotoxicosis Hypothyroidism Goiter

50 Solitary Thyroid Nodules Thyroid Carcinoma

ADRENAL GLAND Physiology Adrenal Insufficiency Hyporeninemic Hypoaldosteronism Congenital Adrenal Hyperplasia Syndromes of Adrenocorticoid Hyperfunction

FEMALE REPRODUCTIVE ENDOCRINOLOGY Normal Sexual Development Precocious Puberty Amenorrhea Hirsutism Infertility Dysmenorrhea Premenstrual Syndrome (PMS) Menopause

CANCER OF THE BREAST, CERVIX, UTERUS AND OVARY Cancer of the Breast Carcinoma of the Cervix Cancer of the Uterus Ovarian Carcinoma

MALE REPRODUCTIVE ENDOCRINOLOGY Hypogonadism Primary Gonadal Abnormalities Defects in Androgen Action Impotence Gynecomastia Testicular Tumors Benign Prostatic Hyperplasia Carcinoma of the Prostate

DIABETES MELLITUS Basic Classification Diagnosis Pathogenesis Treatment of Diabetes

51 Complications

HYPOGLYCEMIA Definition of a Low Blood Glucose Level Normal Physiology Causes of Hypoglycemia Diagnostic Work-Up for Hypoglycemia Treatment

DISEASES OF BONE AND BONE MINERAL METABOLISM

NORMAL PHYSIOLOGY OF BONE AND BONE MINERALS Bone Structure and Metabolism Calcium Metabolism Phosphorus Metabolism Magnesium Metabolism Vitamin D Calcitonin

THE PARATHYROID GLANDS, HYPERCALCEMIA, AND HYPOCALCEMIA Normal Physiology Hypercalcemia Hypocalcemia

OSTEOMALACIA AND RICKETS Pathogenesis Specific Causes Clinical Manifestations Laboratory and Radiographic Features Diagnosis Treatment OSTEOPOROSIS General Considerations Etiology and Pathogenesis Clinical Manifestations Radiographic Findings Diagnosis Treatment Glucocorticoid-Induced Bone Loss

52 PAGET'S DISEASE OF BONE Incidence and Prevalence Etiology Pathology and Pathophysiology Clinical Picture Associated Conditions Laboratory Assessment Treatment PRINCIPLES OF IMMUNOLOGY AND INFLAMMATION

: THE INNATE AND ADAPTIVE IMMUNE SYSTEMS, : THE MAJOR HISTOCOMPATIBILITY COMPLEX, : MECHANISMS OF IMMUNE-MEDIATED TISSUE INJURY : MECHANISMS OF INFLAMMATION AND TISSUE REPAIR, : TRANSPLANTATION IMMUNOLOGY, : COMPLEMENT IN HEALTH AND DISEASE,

DISEASES OF ALLERGY AND CLINICAL IMMUNOLOGY

: APPROACH TO THE PATIENT WITH ALLERGIC OR IMMUNOLOGIC DISEASE, : PRIMARY IMMUNODEFICIENCY DISEASES, : ALLERGIC RHINITIS AND SINUSITIS, : URTICARIA AND ANGIOEDEMA, : SYSTEMIC ANAPHYLAXIS, FOOD ALLERGY, AND INSECT STING ALLERGY, : DRUG ALLERGY : MASTOCYTOSIS

MUSCULOSKELETAL AND CONNECTIVE TISSUE DISEASE

APPROACH TO THE PATIENT WITH MUSCULOSKELETAL DISEASE Laboratory Tests Radiologic Evaluation

RHEUMATOID ARTHRITIS Pathogenesis Clinical Manifestations Treatment

SYSTEMIC LUPUS ERYTHEMATOSUS Etiology and Pathogenesis

53 Clinical Features Laboratory Evaluation Treatment

SJOGREN'S SYNDROME Clinical Features Diagnosis Treatment

IDIOPATHIC INFLAMMATORY MYOPATHIES Clinical Course Diagnostic and Laboratory Findings Treatment

SCLERODERMA (SYSTEMIC SCLEROSIS) Localized Scleroderma Limited Systemic Sclerosis (CREST Variant) Diffuse Systemic Sclerosis Scleroderma Sine Scleroderma Clinical Features Differential Diagnosis Treatment

MIXED CONNECTIVE TISSUE DISEASE, OVERLAP SYNDROME, AND ANTIPHOSPHOLIPID ANTIBODY SYNDROME Mixed Connective Tissue Disease and Overlap Syndrome Antiphospholipid Antibody Syndrome

VASCULITIDES Classification Immunopathogenesis Hypersensitivity Angiitis Polyarteritis Nodosa Allergic Vasculitis of Churg and Strauss Wegener's Granulomatosis Polymyalgia Rheumatica and Giant Cell Arteritis

THE SPONDYLOARTHROPATHIES Ankylosing Spondylitis Reiter's Syndrome

54 Psoriatic Arthritis Arthritis Associated with Inflammatory Bowel Disease

OSTEOARTHRITIS Classification Etiology and Pathogenesis Clinical Features Differential Diagnosis Treatment

THE CRYSTAL-INDUCED ARTHROPATHIES Chondrocalcinosis and Associated Disorders

MISCELLANEOUS FORMS OF ARTHRITIS Musculoskeletal Syndromes Associated with Malignancy Arthropathies Associated with Endocrine Diseases Additional Miscellaneous Disorders

NONARTICULAR RHEUMATISM Painful Shoulder Bursitis Carpal Tunnel Syndrome Fibromyalgia Syndrome

INFECTIOUS DISEASE ORGANISMS THAT INFECT HUMANS Viruses Chlamydiae Rickettsiae Mycoplasmas Bacteria Fungi Protozoans Helminths

HOST DEFENSES AGAINST INFECTION Local Barriers to Infection Components of the Immune System Nonspecific Effector Mechanisms Resistance to Extracellular Bacteria Resistance to Obligate Intracellular Parasites: Viruses

55 Resistance to Facultative Intracellular Parasites: Mycobacterium Tuberculosis

LABORATORY DIAGNOSIS OF INFECTIOUS DISEASES Diagnosis by Direct Visualization of the Organism Diagnosis by Detection of Microbial Antigens Diagnosis by Examination of Host Immune or Inflammatory Responses Diagnosis by detection of Microbial Nucleotide Sequences Diagnosis by Isolation of the Organism in Culture

ANTIMICROBIAL THERAPY The Pathogen Site of Infection Characteristics of the Antimicrobial Route of Administration Monitoring of Antimicrobial Therapy Antiviral Agents Antifungal Agents

FEVER AND FEBRILE SYNDROMES Regulation of Body Temperature Fever and Hyperthermia Acute Febrile Syndromes FUO

BACTEREMIA Epidemiology Pathogenesis Clinical Manifestations Diagnosis Therapy

INFECTIONS OF THE NERVOUS SYSTEM Meningitis Encephalitis Spectrum of Tuberculous, Fungal, and Parasitic Infections

INFECTIONS OF THE HEAD AND NECK Infections of the Ear Infections of the Nose and Sinuses Infections of the Mouth and Pharynx

56 INFECTIONS OF THE LOWER RESPIRATORY TRACT Pathogenesis of Pneumonia Epidemiology Diagnostic Approach to the Patient

Radiographic Patterns in Patients with Pneumonia Other Laboratory Findings Diagnosis and Management of the Patient with Pneumonia Specific Pathogenic Organisms Treatment and Outcome Prevention

INFECTIONS OF THE HEART AND VESSELS Infective Endocarditis (IE) Prosthetic Valve Endocarditis (PVE) prophylaxis of Infective Endocarditis Bacterial Endarteritis and Suppurative Phlebitis

SKIN AND SOFT TISSUE INFECTIONS Superficial Infections of the Skin Deeper Infections of the Skin and Soft Tissue

INTRA-ABDOMINAL ABSCESS AND PERITONITIS Intra-Abdominal Abscess Abscesses of Solid Organs Extravisceral Abscesses Peritonitis

ACUTE INFECTIOUS DIARRHEA Pathogenesis and Pathophysiology General Concepts Types of Microbial Diarrheal Diseases General Epidemiologic Considerations 726 Diagnosis Management: General Principles of Electrolyte Repletion Therapy

INFECTIONS INVOLVING BONES AND JOINTS Arthritis Septic Bursitis Osteomyelitis

57 INFECTIONS OF THE URINARY TRACT Urethritis Cystitis and Pyelonephritis Prostatitis

NOSOCOMIAL INFECTIONS Approach to the Hospitalized Patient with Suspected Nosocomial Infection Nosocomial Pneumonia Intravascular Catheter- Related Infections Pressure Sores Nosocomial Urinary Tract Infection

SEXUALLY TRANSMITTED DISEASES Genital Sores Urethritis, Cervicitis, and Pelvic Inflammatory Disease (PID)

HIV INFECTION AND THE ACQUIRED IMMUNODEFICIENCY SYNDROME Epidemiology Pathophysiology Diagnosis and Testing for HIV Infection Sequential Clinical Manifestations of HIV-1 Infection Management of HIV Infection Management of Specific Clinical Manifestations of Immunodeficiency: A Problem-Oriented Approach Mucocutaneous Diseases Nervous System Diseases Pulmonary Diseases Gastrointestinal Diseases Other Complications of HIV Infection Prevention of HIV Infection

INFECTIONS IN THE IMMUNOCOMPROMISED HOST Disorders of Cell-Mediated Immunity Disorders of Humoral Immunity Impaired Neutrophil Function Neutropenia Diagnostic Problems in the Compromised Host Prevention and Treatment of Infections in the Neutropenic Patient

INFECTIOUS DISEASES OF TRAVELERS;PROTOZOAL AND HELMINTHIC INFECTIONS

58 Preparation of Travelers The Returning Traveler Protozoal and Helminthic Infections

NEUROLOGIC DISEASE

NEUROLOGIC EVALUATION OF THE PATIENT The Neurologic History The Neurologic Examination Diagnostic Tests: Scope and Limitations

DISORDERS OF CONSCIOUSNESS AND HIGHER BRAIN FUNCTION A. Sleep and Its Disorders B. Pathologic Alterations of Consciousness C. Focal Disturbances of Higher Brain Function D. Dementia

DISORDERS OF MOOD AND BEHAVIOR A. Psychiatric Disorders B. Drug and Alcohol Abuse

DISORDERS OF AUTONOMIC FUNCTION Hypothalamus (HT) Central and Peripheral Autonomic Insufficiencies

DISORDERS OF SENSORY FUNCTION A. Pain and Painful Syndromes B. The Special Senses

DISORDERS OF THE MOTOR SYSTEM A. Mechanisms of Normal and Abnormal Motor Function B. Movement Disorders C. The Major Cerebellar Ataxias D. Mechanical Lesions of the Spine and Spinal Cord

CEREBROVASCULAR DISEASE Anatomy and Pathophysiology of the Cerebral Circulation Epidemiology and Risk Factors Ischemic Stroke Spontaneous Parenchymal Cerebral Hemorrhage Intracranial Aneurysms

59 Arteriovenous Malformations (AVMs)

TRAUMA TO THE HEAD AND SPINE Head/Brain Injury Spinal Cord Injury

EPILEPSY Incidence and General Etiology Pathophysiology Clinical Seizure Patterns Management

INTRACRANIAL NEOPLASMS, CNS COMPLICATIONS OF CANCER, AND STATES OF ALTERED INTRACRANIAL PRESSURE Intracranial Neoplasms Spinal Neoplasms Paraneoplastic Syndromes Non-Neoplastic Alterations of Intracranial Pressure

INFECTIOUS AND INFLAMMATORY DISORDERS OF THE NERVOUS SYSTEM Bacterial Infections of the Brain Slow Virus Infections of the Nervous System Demyelinating and Other CNS Inflammatory Disorders of Probable Immune Cause

MOTOR NERVE, NERVE ROOT, PERIPHERAL NERVE, AND NEUROCUTANEOUS DISORDERS Peripheral Nerve Disorders Mono- and polyneuropathies Affecting Somatic Cranial Nerve Functions Neurocutaneous Syndromes The Motor Neuron Diseases Focal Radiculopathy and Neuropathy Polyneuropathy

DISORDERS OF MYONEURAL JUNCTION AND SKELETAL MUSCLE A. Disorders of Myoneural Junction B. Disorders of Skeletal Muscle

THE AGING PATIENT THE BIOLOGY OF AGING

60 The Demographics of Aging and Implications for Health Care Assessment of the Older Patient Common and Often Inadequately Assessed Medical Problems of the Elderly

SUBSTANCE ABUSE ALCOHOL AND SUBSTANCE ABUSE Screening Tobacco and Alcohol Abuse Prescription Drug Abuse Illicit Drug Abuse

4 - Student Assessment Methods 4.1 written exam to assess knowledge, skills 4.2 Clinical exam to assess practical and professional skills 4.3 oral exam to assess General and transferable skills Weighing of assessment 4.1 written exam 370 4.2 Clinical exam 360 4.3 Oral exam 120 Total 850 End semester exam 300

5 -- List of References 5.1- Course Notes (paper and / or electronic) Clinical learning guide (electronic) Handout of lectures. National books approved by the Internal Medicine Council. 5.2- Essential Books (Text Books) Davidson’s textbook of medicine Current textbook of medicine Kumar textbook of medicine Recommended Readings and BOOKS for Students: DAVIDSON'S Principles and Practice of Medicine. Clinical Medicine KUMMAR and CLARK. 1000 MCQs for DAVIDSON'S Principles and Practice of Medicine. MCQs for Clinical Medicine KUMMAR and CLARK. HUTCHISON’S Clinical Methods. Clinical Examination, MACLEOD, MUNRO. A Guide to Physical Examination, Barbara Bates. 5.3- Recommended Books Cecil textbook of medicine

61 Harrison textbook of medicine 5.4- Periodicals, Web Sites, etc http://emedicine.medscape.com/ http://casesblog.blogspot.com/2006/08/whats-new-in-general-internal- medicine.html http://www.e-meducation.org/links/internal-medicine/ http://meded.ucsd.edu/clinicalmed/extremities.htm http://cme.medscape.com/internalmedicine http://www.cmelist.com/internal_medicine.htm hospital management course specifications University: Ain Shams University Faculty: of Medicine

Course specifications Program on which the course is given: Master of Science in Internal Medicine. Major or minor element of programs: Minor Department offering the program: General Internal Medicine department. Department offering the course: Community, Environmental and Occupational Medicine Academic Level: Master – 2nd or 3rd or 4th semester. Date of specification approval: ………………………….. A- Basic Information Title: Hospital Management Code: E6073 Credit Hours: 1 hour Lecture: 1/w Total: 15

Coordinator Healthcare Quality Unit at Department of Community Medicine

B - Professional Information

1- Course Aims: With the growing importance of hospital industry in providing health care to people across the country, hospital management courses are also becoming popular. The government of India is also paying attention on providing health care in both rural and urban areas. The requirement of professional administrators in the hospitals is growing at a rapid pace primarily because the nature of work in hospitals is quite deferent from other organizations. Hospitals are expected to deliver quality service 24 hours a day at a minimal cost. The urgent nature of its work and the level of efficiency that is expected have increased the need of well- formulated hospital management courses throughout the world providing participants with basic hospital management concepts

62 2- Intended Learning Outcomes (ILOs) from the Course: a- Knowledge and understanding By the end of the course the candidate will be able to: a1- Put Strategic planning a2- Perform operational planning a3- Manage human resources a4- Manage healthcare quality b- Intellectual skills By the end of the course the candidate will be able to: b1- Create effective management systems which allow hospital management to monitor and observe the performance of key hospital processes, organisation arrangements, people and resources. b2- Understand how to respond positively when performance is inadequate and change becomes necessary. c- Professional skills By the end of the course the candidate will be able to: c1- Manage and lead hospital staff c2- Support quality improvement initiatives. c3- Measure hospital performance d- General and transferable skills By the end of the course the candidate will be able to: d1- Work within the organisational, interpersonal and inter-professional dynamics of the clinical team. d2- Make judgements about their strengths and weaknesses and take responsibility for personal support and professional development

3- Course content:

Topics No of hours L Basic concepts and principles of hospital 3 management Strategic planning 3 Operational planning 7 Human resources management 7 Quality management 3

63 Communication skills 2

4 - Student Assessment Methods 4.1 written exam to assess knowledge, skills

Weighing of assessment 4.1 written exam 50 Total 50

5 -- List of References 5.1- Course Notes (paper and / or electronic) 5.2- Essential Books (Text Books) 5.3- Recommended Books 5.4- Periodicals, Web Sites, etc infection control course specifications University: Ain Shams University Faculty: of Medicine

Course specifications Program on which the course is given: Master of Science in Internal Medicine Major or minor element of programs: Minor Department offering the program: General Internal Medicine department Department offering the course: General Internal Medicine department Academic Level: Master –2nd or 3rd or 4th semester Date of specification approval: ………………………….. A- Basic Information Title: Infection Control Code: E6059 Credit Hours: 1 hour Lecture: 1/week Total: 15 Coordinator General Internal Medicine department

B - Professional Information 1- Course Aims: 1- Provide Internist with knowledge and skills necessary to apply an active and cost effective Infection Control program (IC) in health care facilities. 1- Enable Internist to comply with infection control measures to prevent spreed of health care associated infection among patients and health care providers and the community.

2- Intended Learning Outcomes (ILOs) from the Course: a- Knowledge and understanding

64 By the end of the course the candidate will be able to: a1- Describe the disease transmission cycle. a2- Describe Strategies to combat nosocomial infection. a3- Recognize necessary vaccines for health care workers a3- Recognize the steps of post exposure management (exposure to blood and infectious diseases. a4- Recognize the notifiable infectious disease according to MOHP regulation. a5- Know elements of standard precaution and transmission based precaution b- Intellectual skills By the end of the course the candidate will be able to: b1- Select the proper transmission based precaution on dealing with different infectious disease . b2- Choose in a cost effective way the new and novel modalities used to reduce risk of health care associated infection (urinary cath, central venous catheters, etc………….). b3- Do risk assessment of different medical interventions and choose the proper level of precautions (clean, aseptic, and surgical techniques) b4- Choose proper disinfectant / antiseptics in different indications b5 - Identify, calculate and monitor different hospital acquired infections rates using provided tools. b6 – Recognize and notify early outbreaks. c- Professional skills By the end of the course the candidate will be able to: c1- Recognize basic principle of infection control c2 – Able to apply aseptic technique d- General and transferable skills By the end of the course the candidate will be able to: d1- Work effectively as a team member. d2- Respects the role of staff and co-staff members regardless of degree or occupation. 3- Course content: No. of hours Topics L T C/P SDL Basic Epidemiology of nosocomial infection 1 Disease transmission cycle and modes of infection transmission. Standard Precautions 1

65 hand hygiene Personal protective equipments Transmission based Precautions 1 2 Waste Management Guidelines 1 Disinfection and sterilization 1 Antiseptics Risk Management 1 Aseptic technique 2 Prevention of ICU related infection 1 Prevention of hospital acquired 1 pneumonia and VAP Techniques Invasive Procedure Guidelines 1 1 Indwelling Vascular Devices Guidelines 2 Indwelling Urinary Catheter Guidelines Special Infectious Diseases Regulations: 1 topics List of Notifiable Diseases Protocol for Reporting a Notifiable Diseases Staff Health & Post Exposure 1 Guidelines : Staff Immunization Guidelines Management of Blood/Body Fluid Exposure Health Care Worker with Infectious Diseases Prevention of spread of Antibiotic 1 Resistant Micro-organisms Common communicable diseases 1

4 - Student Assessment Methods 4.1Written exam to assess knowledge and understanding

Weighing of assessment 4.1 written exam 50 Total 50 5 -- List of References 5.1- Course Notes (paper and / or electronic) Electronic lectures 5.2- Essential Books (Text Books) Lecture notes on infection control 5.3- Recommended Books 66 5.4- Periodicals, Web Sites, etc V- General Information 1 – Monitoring Of Training and Submission Of Training Reports You must keep proper and updated records in your logbook to reflect the activities encountered in your training. Your logbook must be duly endorsed by an authorized signatory at the end of each semester. You will be continuously assessed by your supervisors, in consultation with head of department. An assessment will be submitted within 2 weeks of completion of each semester. 2 - Miscellaneous Information: Injury and/or Blood or Body Fluid Exposure: During regular working hours, you should immediately report an exposure incident to infection control unit. If exposure occurs after regular working hours or during a weekend or holiday; please report to the Emergency Department. Please also be sure to inform the supervisors of an exposure incident and/or injury. 3 - Action Completion Of Clinical Training Once all training sessions are completed the log book should be signed by the senior supervisor and the head of the department and then should be submitted to post graduate Secretariat. 4- Reference The Training Guide is available at the post graduate Secretariat and could be downloaded from the following website is ------

Your log book

1- Introduction The aim of this book is to give you a guide to the expectations for each item. It will be a guide for both you and your teachers to what you should be seeing and doing.

It will give you a list of the important topics that you should think about and should be covered in: 1. Clinical or practical sessions or 2. Lectures

67 or 3. Self-directed learning (SDL) For each item there is also a list of 1. Clinical conditions or Practical sessions to be seen or attended (According to each degree) 2. Practical procedures to be seen and done Remember

This document is only a guide. It is not an exhaustive list. It is not just a checklist to score points. It is a guide to encourage you to read and learn more. This book is for your benefit. It will form a record of your clinical training and experience.

2 - Supervisors

……………………………………………………………………………………… ……………………………………………………………………………………… ……………………………………………………………………………………… ……………………………………………………………………………………… ……………………………………………………………………………………… ……………………………………………………………………………………… ……………………………………………………………………………………… ………………………………………………………………………………………

3–Tables for Training Records Requirements Candidates are required to fulfill 75% of the listed activities in order to be eligible for the exam entry. The minimum number required for each activity = 75%. You are free to attend more and record your extra attendance.

Weekly Department Plan

( و 2 باطنة Gastroenterology and hepatology Division 1) Day /time Saturday Sunday Monday Tuesday Wednesday Thursday Grand round 8am- 9am- 10am- 11am 12pm 12pm Emergency 8am for 8am for 24h 24h Hepatology 9am- 9am-12pm clinics 12pm

68 GIM clinics 9am-1pm 9am-1pm 9am-1pm Hepatology & 9am- 9am- gastroenterolog 11am 11am y Conference HCC conference 10am- 12pm Monthly activities: Conference on Updates of Gastroenterology & Hepatology

Weekly Department Plan

(باطنة Endocrinology and metabolism division 5)

Day /time Saturday Sunday Monday Tuesday Wednesday Thursday Grand round 9am- 9am-12pm 12pm Emergency 8am for 24h Endoctinology 9am- clinic 12pm Diabetes clinic 9am- 9am- 9am- 9am-12pm 9am- 12pm 12pm 12pm 12pm GIM clinics 9am- 12pm Conference 8am for 24h Diabetes 10am-12pm 10am- education 12pm Diabetic foot 9am- 9am- clinic 12pm 12pm Seminar 10am-12pm

Weekly Department Plan

(باطنة Allergy and immunology division 6)

Day /time Saturday Sunday Monday Tuesday Wednesday Thursday Grand round 8am- 11am Emergency 8am for 24h Allery clinics 9am- 9am-

69 12pm 12pm GIM clinics 8am for 24h Conference 10am- 12pm

Weekly Department Plan

( و 10 درجات Nephrology Division 9)

Day /time Saturday Sunday Monday Tuesday Wednesday Thursday Bedside 9am -12pm education Conferenc 9 am-2 9am- e pm 12pm Grand 9am-12 round pm Emergency 8 am up attendance to 24 hour Clinic day 9 am-1pm

Monthly activity: Ain shams grand conference

Weekly Department Plan

( باطنة Rheumatology Division 12)

Day /time Saturda Sunda Monda Tuesda Wednesda Thursda y y y y y y Grand round 8am- 9-10 9-11 11am Rheumatolog 9am- 9am- 9am- 9am- 9am-1pm 9am-1pm 70 y clinics 1pm 1pm 1pm 1pm GIM clinics 9am- 9am- 1pm 1pm Rheumatolog 10am- y conference 11am GIM 11am- conference 12 pm Journal club 9am – 10.5am Every other week: Emergency (Thursday) Monthly activity: Radiology conference (Wednesday) Three monthly activities: Grand Rheumatology meeting

Weekly Department Plan (باطنة Hematology 13) Day /time Saturday Sunday Monday Tuesday Wednesday Thursday Clinical round 10am-12pm 10am- 10am- 10am- 10am-12pm 10am- 12pm 12pm 12pm 12pm Hematology 9am- 9am-12pm clinics 12pm GIM clinics 9am-12pm Weekly 10am- conference 12pm BMT/SCT 9am-12pm 9am- 9am-12pm 12pm BMT/SCT 10am-12pm conference Conference 10am- 12pm Every other week: Emergency (Thursday) Three Monthly activities: Grand hematology conference Three Monthly activities: Bone marrow transplantation conference

Patients' Case Log

Patients Seen with the following emergencies

71 Cardiovascular system Neurology Endocrine Left sided heart failure 5 Convulsions and epilepsy Thyrotoxic crisis 1 Acute chest pain 10 5 Myxedema coma 1 Arrhythmias 5 Disturbed level of Suprarenal Hypertensive emergencies 10 consciousness 5 emergencies 1 Syncope 5 TIA & Stroke 10 Diabetic emergencies Shock Ascending paralysis 1 DKA 20  Cardiogenic 5 Acute paraplegias 1 Hypoglycaemia 5  Hypovolemic 5 Subarachnoid hemorrhage Diabetic foot 10  Septic and acute systemic 1 Hyperosmolar 4 inflammatory response 5 Meningitis 2 Encephalitis 2

Respiratory system Kidney GIT Status asthmaticus 5 Acute renal failure &CRF Upper GIT bleeding 30 Acute respiratory failure 10 10 Lower GIT bleeding 10 Hemoptysis 2 Electrolytes and acid base Hepatic ARDS 1 imbalance 15 encephalopathy 20 Pulmonary embolism 2 Renal colic 10 Acute & fulminant Acute pyelonephritis 5 hepatitis 1-3 Hemolytic uremic Acute abdomen 5 syndrome 1

Autoimmune diseases Blood Others SLE emergencies 2 Haemolytic crisis Jaundice of Pregnancy Antiphospholipid syndrome 2 (jaundice) 3 1 Haemorrhagic diseases 5 Hyperthermia 1 Anaphylaxis 1 Angioneurotic edema 2

Patients seen / with any of the listed Emergencies

PT. INITIALS DAT Diagnosis Superviso AGE/SEX E r MED.RECORD signature

72 # 1 2 3 4 5 6 7 8 9 10 1 2 3 4 5 6 7 8 9 10 1 2 3 4 5 6 7 8 9 10 1 2 3 4 5 6 7 8

73 9 10 1 2 3 4 5 6 7 8 9 10 1 2 3 4 5 6 7 8 9 10 1 2 3 4 5 6 7 8 9 10 1 2 3 4 5 6 7

74 8 9 10 1 2 3 4 5 6 7 8 9 10 1 2 3 4 5 6 7 8 9 10 1 2 3 4 5 6 7 8 9 10

Non Emergency Medical cases Log And follow up of emergency cases 75 Respiratory system Neurology Endocrine COPDs 30 TIA 10 DM Upper respiratory infection 20 Vascular stroke 20 Type1, 2, Lower respiratory infection 10 Paraplegia 5 uncontrolled,, Suppurative lung disease 3 Cranial nerves 5 Gestational & Pleural effusion 5 Ataxias 2 complicated 50 Pneumothorax 1 Extrapyramidal syndromes 4 Pituitary failure & Obstructive sleep apnea 5 Peripheral neuritis & hypopituitarism 2 Interstitial lung disease 2 radiculopathy 5 Diseases of Mediastinal syndrome 1 Myasthenia (1ry and 2ry) 1 suprarenal 3 Tumors of lung & pleura 2 Brain tumors 2 Thyroid diseases 10 Degenerative brain diseases 5 Gonadal disorders 1 Cardiovascular system Language disorders 5 Nutrition CHF 10 Headache 10 Cachexia 3 Valvular heart disease 10 Migraine 5 Metabolic syndrome Ischemic heart disease 15 Encephalitis, Meningitis and & obesity 20 Cardiomyopathy 3 brain abscess 1 Vitamin deficiencies Hypertension 20 Increased intracranial tension 10 Arrythmias; AF & others 10 2 Allergy 10 Infective endocarditis 2 Myopathies & other muscles Rheumatic fever 3 diseases 1 Bone diseases Kidney GIT Osteomalacia 1 Glomerulonephritis 5 Functional GIT Osteoporosis 5 Nephrotic syndrome 5 problems 30 Urinary tract infection 5 Chronic diarrhea 5 ESRD 5 Jaundice 10 Infections Blood Others Salmonellosis 10 Anemias 10 Skin manifestations Hepatitis 10 Leukemias 4 of medical diseases Brucellosis 2 Purpura 5 20 Diseases related to travelling DVT 5 Occupational to endemic areas Multiple myeloma 1 diseases 2 Malaria 0-1 Lymphomas 4 Psychiatric disorders Avian flu 0-1 Myeloproliferative disorders 3 in general practice 5 Others Patients seen / with any of the listed Non Emergency Medical cases

PT. INITIALS DAT Diagnosis Superviso AGE/SEX E r

76 MED.RECORD signature # 1 2 3 4 5 6 7 8 9 10 1 2 3 4 5 6 7 8 9 10 1 2 3 4 5 6 7 8 9 10 1 2 3 4 5 6 7

77 8 9 10 1 2 3 4 5 6 7 8 9 10 1 2 3 4 5 6 7 8 9 10 1 2 3 4 5 6 7 8 9 10 1 2 3 4 5 6

78 7 8 9 10 1 2 3 4 5 6 7 8 9 10 1 2 3 4 5 6 7 8 9 10 1 2 3 4 5 6 7 8 9 10 1 2 3 4 5

79 6 7 8 Procedures' Log Level of trainees participation in different procedures 1. Observation of the procedure O 2. Assistance in the procedure A 3. Performance of the Procedure (supervised) Ps 4. Performance of the procedure (independent) P

Aseptic Venepuncture PT Supervisor No Date initials, Indication signature AGE/SEX 1 2 3 4 5 6

infusion and infusion pump PT Supervisor No Date initials, Indication signature AGE/SEX 1 2 3 4 5 6

Cannula insertion, including large bore PT Supervisor No Date initials, Indication signature AGE/SEX 1 2

80 3 4 5 6

Arterial blood gas sampling PT Supervisor No Date initials, Indication signature AGE/SEX 1 2 3 4 5 6

Lumbar Puncture (observed) PT Supervisor No Date initials, Indication signature AGE/SEX 1 2 3 4 5 6

Use oxygen delivery devices and nebulizers PT Supervisor No Date initials, Indication signature AGE/SEX 1 2 3

81 4 5 6

Ascitic tap and Abdominal paracentesis PT Supervisor No Date initials, Indication signature AGE/SEX 1 2 3 4 5 6

Central venous cannulation PT Supervisor No Date initials, Indication signature AGE/SEX 1 2 3 4 5 6

Advanced cardiorespiratory resuscitation including DC cardioversion PT Supervisor No Date initials, Indication signature AGE/SEX 1

82 2 3 4 5 6

Urethral catheterization PT Supervisor No Date initials, Indication signature AGE/SEX 1 2 3 4 5 6

Nasogastric tube placement PT Supervisor No Date initials, Indication signature AGE/SEX 1 2 3 4 5 6

BM aspiration and teriphine (observed) (NB. Minimum number required is 2) PT Supervisor No Date initials, Indication signature AGE/SEX 1 2

83 Bmt/sct (observed) (NB. Minimum number required is 1) PT Supervisor No Date initials, Indication signature AGE/SEX 1

Pulmonary function tests interpretation (NB. Minimum number required is 15) PT initials, Supervisor No Date Diagnosis AGE/SEX signature 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16

84 Electrocardiogram (performance and interpretation) (NB. Minimum number required is 20)

PT Supervisor No Date initials, Indication signature AGE/SEX 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20

Endo-tracheal Intubation and safe airway protection (NB. Minimum number required is 10) PT Supervisor No Date initials, Indication signature AGE/SEX 1 2 3 4 5

85 6 7 8 9 10

Sengstaken-Blakemore Tube (NB. Minimum number required is 6) PT Supervisor No Date initials, Indication signature AGE/SEX 1 2 3 4 5 6

Intercostal drain insertion (NB. Minimum number required is 6) (observed) PT Supervisor No Date initials, Indication signature AGE/SEX 1 2 3 4 5 6

Knee aspiration (observed) (NB. Minimum number required is 3) No Date PT Indication Supervisor initials, signature

86 AGE/SEX 1 2 3

Upper GI endoscopy (injection and band ligadtion of bleeding varices) (observed) (NB. Minimum number required is 6) PT Supervisor No Date initials, Indication signature AGE/SEX 1 2 3 4 5 6

Lower GI endoscopy (observed) (NB. Minimum number required is 6) PT Supervisor No Date initials, Indication signature AGE/SEX 1 2 3 4 5 6

Echocardiography and vascular imaging (observed) (NB. Minimum number required is 6) No Date PT Indication Supervisor

87 initials, signature AGE/SEX 1 2 3 4 5 6

Abdominal ultrasound (observed) (NB. Minimum number required is 6) PT Supervisor No Date initials, Indication signature AGE/SEX 1 2 3 4 5 6

Temporary cardiac pacing (observed) (NB. Minimum number required is 4)

PT Supervisor No Date initials, Indication signature AGE/SEX 1 2 3 4

Blood culture (NB. Minimum number required is 6) No Date PT Indication Supervisor initials, signature

88 AGE/SEX 1 2 3 4 5 6

Skin testing for allergy (NB. Minimum number required is 6) (observed) Supervisor No Date PT initials, Indication AGE/SEX signature 1 2 3 4 5 6

hemodialysis (NB. Minimum number required is 6) (observed) Supervisor No Date PT initials, Indication AGE/SEX signature 1 2 3 4 5 6

Peritoneal dialysis (NB. Minimum number required is 6) (observed) Supervisor No Date PT initials, Indication AGE/SEX signature

89 1 2 3 4 5 6

Academic Activities Conferences attendance (NB. Minimum number required is 16) e e

c t Supervisor o a a

l Topics N D

P signature

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16

Thesis attendance (NB. Minimum number required is 10) N Supervisor Date Place Name of the thesis o signature 1 2 3

90 4 5 6 7 8 9 10

Journal club attendance (NB. Minimum number required is 6) e e

c t Supervisor o a a

l Topics N D

P signature

1 2 3 4 5 6

Case presentation with review article (NB. Minimum number required is 6) Supervisor No Date Place Diagnosis signature 1 2 3 4 5 6

Clinics attendance (NB. Minimum number required is 30)

No Date Place Name of the Clinic Supervisor

91 signature 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38

92 39 40

Emergency attendance (NB. Minimum number required is 20) Supervisor No Date Place Department signature 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20

Web Cme certificates (NB. Minimum number required is 20) Supervisor No Date Place Name of the Clinic signature 1 2 3 4 5 6 7 93 8 9 10 11 12 13 14 15 16 17 18 19 20 5 - Log book preview

The candidate logbook will be reviewed and patients seen/ skills performed summarized by diagnosis groups during the semester evaluation and at the end of the course in the table below. The results of this review will be totaled in the summary chart below.

Summary Patients' Log Semester 1st 2nd 3rd 4th Total Activity (Minimum number required) No No No No Patients Seen with the following emergencies Cardiovascular system Respiratory system Autoimmune diseases Neurology Kidney Blood Endocrine GIT Others Non Emergency Medical cases Log and follow up of emergency cases Respiratory system Cardiovascular system Bone diseases 94 Infections Neurology Kidney Blood Endocrine GIT Others Procedures' Log Semester 1st 2nd 3rd 4th Total N Activity (Minimum number required) No No No o Aseptic Venepuncture infusion and infusion pump Cannula insertion, including large bore Arterial blood gas sampling Lumbar Puncture Pulmonary function tests interpretation Use oxygen delivery devices and nebulizers Ascitic tap and Abdominal paracentesis Central venous cannulation Advanced cardiorespiratory resuscitation including DC cardioversion Urethral catheterization Nasogastric tube placement BMT/SCT BM aspiration Electrocardiogram (performance and interpretation) Endo-tracheal Intubation and safe airway protection Sengstaken-Blakemore Tube Intercostal drain insertion Knee aspiration Upper GI endoscopy (injection and band ligation of bleeding varices) lower endoscopy Echocardiography and vascular imaging Abdominal ultrasound Temporary cardiac pacing

95 Blood culture Skin test for allergy Hemodialysis Peritoneal dialysis

Academic Activities Semester 1st 2nd 3rd 4th Total N Activity (Minimum number required) No No No o Conferences attendance Thesis attendance Journal club attendance Case presentation with review article Clinics attendance Emergency attendance Web CME certificates Supervisor signature

VII - Head Of Department Approval For The Exam Entry ______

96 VIII – Thesis Follow up

تتتتتت ت تتتت ت تتت تتت تت تت / تتتتتتت/ تت تتتتتت / تتتتتت تتتتت ( تتتتتتت ) تتتت / تقرير السادة الساتذة المشرفين

تتت تتتتتت تتتتتتت ت بدأتتتتت تت ت ت تتت المقدمة محدودا تتت ت تت ت تتتت ت ت ت النتهاء الجمع

الجزء العملى بدأ تت ت ت تتت محدودا تتت ت تت ت تتتت ت ت ت النتهاء التحليل

مناقشة النتائج بدأ تت ت ت تتت محدودا تتت ت تت ت تتتت ت ت ت النتهاء التحرير

تتتتتتتت تتتتتتتت بدأتت تت ت ت تتت المشرف محدودا تتت ت تت ت إنتهت تماما النتهاء

تتت تتت تتت تتتتتتت تتت مد القيد المشرفين الطالب ت تت تت ت تتتتتت

97 ت ت تت تتت تتت تتتت ت / / تتت ت تت التشكي تتتتتتتت ت

تت / تتت تتتتت توقيع السادة المشرفين وكيل الكلية

98 تتتتتت ت تتتت ت تتت تتت تت تت / تتتتتتت/ تت تتتتتت / تتتتتت تتتتت ( تتتتتتت ) تتتت / تقرير السادة الساتذة المشرفين

تتت تتتتتت تتتتتتت ت بدأتتتتت تت ت ت تتت المقدمة محدودا تتت ت تت ت تتتت ت ت ت النتهاء الجمع

الجزء العملى بدأ تت ت ت تتت محدودا تتت ت تت ت تتتت ت ت ت النتهاء التحليل

مناقشة النتائج بدأ تت ت ت تتت محدودا تتت ت تت ت تتتت ت ت ت النتهاء التحرير

تتتتتتتت تتتتتتتت بدأتت تت ت ت تتت المشرف محدودا تتت ت تت ت إنتهت تماما

99 النتهاء

تتت تتت تتت تتتتتتت تتت مد القيد المشرفين الطالب ت تت تت ت تتتتتت

ت ت تت تتت تتت تتتت ت / / تتت ت تت التشكي تتتتتتتت ت

تت / تتت تتتتت توقيع السادة المشرفين وكيل الكلية

100 تتتتتت ت تتتت ت تتت تتت تت تت / تتتتتتت/ تت تتتتتت / تتتتتت تتتتت ( تتتتتتت ) تتتت / تقرير السادة الساتذة المشرفين

تتت تتتتتت تتتتتتت ت بدأتتتتت تت ت ت تتت المقدمة محدودا تتت ت تت ت تتتت ت ت ت النتهاء الجمع

الجزء العملى بدأ تت ت ت تتت محدودا تتت ت تت ت تتتت ت ت ت النتهاء التحليل

مناقشة النتائج بدأ تت ت ت تتت محدودا

101 تتت ت تت ت تتتت ت ت ت النتهاء التحرير

تتتتتتتت تتتتتتتت بدأتت تت ت ت تتت المشرف محدودا تتت ت تت ت إنتهت تماما النتهاء

تتت تتت تتت تتتتتتت تتت مد القيد المشرفين الطالب ت تت تت ت تتتتتت

ت ت تت تتت تتت تتتت ت / / تتت ت تت التشكي تتتتتتتت ت

تت / تتت تتتتت توقيع السادة المشرفين وكيل الكلية

102 تتتتتت ت تتتت ت تتت تتت تت تت / تتتتتتت/ تت تتتتتت / تتتتتت تتتتت ( تتتتتتت ) تتتت / تقرير السادة الساتذة المشرفين

تتت تتتتتت تتتتتتت ت بدأتتتتت تت ت ت تتت المقدمة محدودا تتت ت تت ت تتتت ت ت ت النتهاء الجمع

103 الجزء العملى بدأ تت ت ت تتت محدودا تتت ت تت ت تتتت ت ت ت النتهاء التحليل

مناقشة النتائج بدأ تت ت ت تتت محدودا تتت ت تت ت تتتت ت ت ت النتهاء التحرير

تتتتتتتت تتتتتتتت بدأتت تت ت ت تتت المشرف محدودا تتت ت تت ت إنتهت تماما النتهاء

تتت تتت تتت تتتتتتت تتت مد القيد المشرفين الطالب ت تت تت ت تتتتتت

ت ت تت تتت تتت تتتت ت / / تتت ت تت التشكي تتتتتتتت ت

تت / تتت تتتتت توقيع السادة المشرفين وكيل الكلية

104 VIII – Evaluation Forms

To be completed at ------

105 Candidate Supervisor Location

Aim of training ______

Agreed educational objectives and timescale in which objectives should be achieved. ______

Comments by Candidate ______

Comments by Supervisor ______

Date of next meeting Signed by candidate Signed by Supervisor Date

106 VIII – Evaluation Forms

To be completed at ------

107 Candidate Supervisor Location

Aim of training ______

Agreed educational objectives and timescale in which objectives should be achieved. ______

Comments by Candidate ______

Comments by Supervisor ______

Date of next meeting Signed by candidate Signed by Supervisor Date

108 VIII – Evaluation Forms

To be completed at ------

109 Candidate Supervisor Location

Aim of training ______

Agreed educational objectives and timescale in which objectives should be achieved. ______

Comments by Candidate ______

Comments by Supervisor ______

Date of next meeting Signed by candidate Signed by Supervisor Date

110 VIII – Evaluation Forms

To be completed at ------

111 Candidate Supervisor Location

Aim of training ______

Agreed educational objectives and timescale in which objectives should be achieved. ______

Comments by Candidate ______

Comments by Supervisor ______

Date of next meeting Signed by candidate Signed by Supervisor Date

112 Degree Program Evaluation Form by The Candidate To be completed at the end of your degree.

113 Please consider each pair of statements and decide which most clearly reflects your view and tick one box or answer the question.

I. Individual Information 1. Are you a graduate of ASU?

yes no to some degree 2. Year and semester when studies began:

II. General Questions 1. What are the advantages/disadvantages of the general study environment at the University ASU?

2. What were your expectations when you applied to the degree?

3. Do you feel that the degree program prepares you well for your future studies or employment according to the demands and expectations of those institutions?

yes no to some degree

4. Has the time limit of the program (two or three academic years) caused you any difficulties or inconveniences?

yes no to some degree

III. Structure of Degree Program 1. Did you receive enough guidance in planning your study schedule in the beginning of the program?

yes no to some degree

2. What were the main difficulties in the planning of your study schedule?

3. What is your general opinion on the structure of the degree program?

114 4. In your opinion, does the degree program offer a good balance of lectures, seminars, conferences, and book exams?

yes no to some degree a) General Studies i) Do you feel that you have received enough guidance on academic writing?

yes no to some degree ii) Do you feel that you have acquired sufficient knowledge on research skills (eg. quantitative and qualitative research methods)?

yes no to some degree b) Courses i) Have you had some special difficulties in completing some of the courses? Please specify. ii) Has there been a sufficient variety of courses offered for your optional studies?

yes no to some degree iii) Have you received enough guidance for the preparation of your thesis?

yes no to some degree

IV. Concluding Points 1. Did the degree program meet your expectations?

yes no to some degree 2. What aspects of the degree program do you particularly like?

3. What aspects of the degree program do you particularly dislike?

4. What are your suggestions on how to improve the program?

Thank you!

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