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Faculty of Medicine Ain Shams University

Postgraduate Studies Diploma in Chest diseases درجة الدبلوم في المراض الصدرية Program Code: CH900

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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5 Table of contents 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 Clinical biochemistry and Molecular biology course specifications Pathology course specifications Pharmacology course specifications

Clinical micobiology course specifications Histology course specifications Anatomy course specifications Environmental and occupational course specifications Internal Medicine course specifications Chest course specifications - Chest course modules Advanced pulmonary function course specifications Advanced intensive care course specifications Medical statistics 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 - Evaluation forms

6 I – Welcome Statement: The Department of Chest Diseases welcomes you to the Diplomain Chest Diseases. 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 the Diplomain Chest Diseases administered by the Chest 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 “Preparation of a pulmonologist who combines a strong academic background and professional skills with emerging scientific information and new technologies and harness them towards more effective, more compassionate patient care”

7 III – Senior Supervisor and A ffilated Departments and Hospitals

Senior Supervisor

Prof.

E-mail

A ffilated Departments and Hospitals None

IV – Program Specifications

A- Basic Information

1. Program title: Diplomain Chest Diseases 3. Faculty Faculty of Medicine, Ain Shams University 4. Department Chest Department 5. Assistant co-ordinator Jehan El- Assal Ass.Professor of Chest Diseases, Ain Shams University 6. Co-ordinator Magdy Mohammad Khalil Professor of Chest Diseases, Ain Shams University 7. Last date of program approval:. ……………………………………………………………

8 B- Professional Information: 1. Program aims: The successful completion of the training course should lead to a pulmonologist who is competent to pursue a safe medical practice in the field of Respiratory Medicine conforming to the standards of medical care and respecting ethical, cultural and legal regulations. Furthermore the course gives trainees an opportunity to produce a detailed dissertation on a special topic of interest and provides an opportunity and encouragement for appropriate candidates to apply for a MD Degree in Chest Diseases.

2- Intended Learning Outcomes (ILOs): a- Knowledge and understanding By the end of the course the candidate will be able to: a1- Discuss the common respiratory problems presenting to pulmonologist in outpatient care setting, hospital and community - their diagnosis, prevention and treatment. a2- Identify disease in terms of mental, functional and physical processes a3- State the clinical manifestations and differential diagnosis of common respiratory disorders with an emphasis on the incidence of the different manifestations and their relative importance in establishing diagnosis, and the early manifestations of serious diseases (e.g. malignancy, emergencies …etc) b- Intellectual skills By the end of the course the candidate will be able to: b1- Analyze symptoms & signs and construct a differential diagnosis for common presenting complaints. b2- Design an appropriate diagnostic plan for evaluation of common presenting complaints which is appropriate in terms of the differential diagnosis, the severity of the clinical situation and the risks, benefits and costs to the patient. b3- Accurately interpret the results of commonly used diagnostic procedures. b4- Identify risk factors for disease processes and injury, and institute the appropriate diagnostic, preventive, and therapeutic interventions. b5- Identify the indications and logistics of referring patients to higher levels of experience or specialization

9 b6- Construct treatment plan, incorporating his knowledge, best available evidence, and patient’s preferences in a cost effective manner c- Professional skills By the end of the course the candidate will be able to: c1- Take a thorough history of appropriate depth and detail, relative to the clinical context. c2- Demonstrate a complete and/or problem-focused physical examination. c3- Recognize urgent life-threatening conditions, and institute appropriate initial management. c4- Safely perform routine diagnostic and therapeutic procedures, including life support. c5- Use appropriate sterile technique, Comply with and use universal precautions. c5- Recognize and carry out the treatment of the emergency situations d- General and transferable skills By the end of the course the candidate will be able to: d1- Have the ability to explore both disease and illness with patients, and meet their communication needs and those of their relatives d2- Be able to work within the organisational, interpersonal and inter-professional dynamics of the clinical team; d3- Be able to make judgements about their strengths and weaknesses and take responsibility for continuing learning, personal support and professional development

3. Academic standards: (Benchmarks) Academic reference standards guided by the prgramm aims at achieving a national standard of education that parallels the international recommendations for training in adult respiratory medicine as emphasized by the European Respiratory Society and American College of Chest Physicians with consideration of the local regulations and cultural influences

10 4. Curriculum structure and contents 4a- Program duration: Two years (4 semesters)

4b- Program structure:

المناهج

المقررات الدراسية الكود الساعات المعتمدة

متطلبات الكلية دورة أساسيات البحث العلمي تشريح, هستولوجي الجهاز التنفسي CH9001 1

فسيولوجي وكيمياء حيوية CH9002 1 ميكروبيولوجي CH9003 1 الجزء الول فارما كولوجي CH9004 1 باثولوجي CH9005 1 طب المجتمع والصناعات CH9006 1 الرسالة 6 الجزء الثاني امراض باطنة CH9007 4 أمراض صدرية CH9008 13 يختار الطالب مادة واحدة من : المقررات الختيارية -دورة متقدمة في وظائف التنفس E9099 1 - دورة متقدمة في الرعاية المركزة E9100b - الحصاء الطبي E9009 كراسة النشطة 6 المجموع 36

11 5. Program courses: a. Compulsory Code Course title No. of hours L C F SDL CH9002 Physiology 8 CH9005 Pathology 15 CH9004 Pharmacology 15 CH9002 Biochemistry 8 CH9003 Microbiology 15 CH9006 Environmental&occupational medicine 15 CH9001 Anatomy 8 CH9001 Histology 8 CH9007 Internal Medicine 15 90 CH9008 Chest Medicine 60.5 269 L: Lecture, C: Clinical, F: field and SDL: Self directed learning b. Elective Code Course title No. of hours L C F SDL E9099 Pulmonary function (advanced course) 7 16 E9100b Intensive care medicine (advanced course) 7 16 E9009 Medical statistics 15

12 :Program admission requirements -6 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.

13 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. 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

14 7. Regulation for progression and program completion

Assessment Schedule and Weighing of Assessments

حالة ا ل e r ط ا s o ل t c e ب t s n

i Item Mark a t o A s P

P t n G e d u t S During End of semeste semeste Total r r 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 : 4 نقاط A 1- 90 % فأكثر : 3.67 نقاط -A 2- من 85% حتى أقل من 90 % : 3.33 نقاط +B 3 - من 80% حتى أقل من %85 : 3.00 نقاط B 4 - من 75% حتى أقل من %80 : 2.67 نقاط -B 5 - من 70% حتى أقل من %75 : 2.33 نقاط +C 6 - من 65% حتى أقل من %70 15 : 2.00 نقاط C 7- من 62% حتى أقل من %65 : 1.67 نقاط -C 8 - من 60% حتى أقل من %62 : صفر F 9 - أقل من %60 مجموع درجات المتحان النهائى للدبلوم العالى والماجستير 1200 درجة منها 300 درجة للجزء الول ومجموع درجات المتحان النهائى للدكتوراه 1500 درجة منها 300 درجة للجزء الول إن وجد. ويضاف إليها المعدل الفصلى التراكمى بما يوازى 300 درجة للدبلوم العالى والماجستير و 400 درجة للدكتوراه.

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).

16 8-Appendix: course specifications

Physiology and Biochemistry course specifications A-Physiology Course Specification University: Ain Shams University Faculty: of Medicine

Course specifications Program on which the course is given: Diplomain Chest Diseases Major or minor element of programs: Major Department offering the program: Chest Diseases. Department offering the course: Physiology department. Academic Level: Master – 1st semester Date of specification approval: …………………………..

A- Basic Information Title: Physiology course Code: CH9002 Credit Hours: 0.5 hour Lecture: 1.0h/2 weeks Total: 8 hours

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 respiratory and the cardiovascular systems as well as their integration to achieve homeostasis.

17 5- Develop the basic scientific research skills as well as effective communication and team work attitudes. 6-Understand the mechanisms of diseases or altered functions.

2 – Intended Learning Outcomes of Course (ILOs): a- Knowledge and Understanding. By the end of the course the candidate will be able to: a 1- Describe the cellular functions at the organelle and molecular level. a2 - 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. a 3- Describe some biophysical laws and their relation to physiology. a 4- Recognize and understand the function of different body systems and understand mechanisms involved in its regulation. a 5- Identify how these functions are altered in different diseases.

b- Intellectual Skills By the end of the course the candidate will be able to: b1 - Interpret the most important physiological laboratory results (blood, respiratory) to distinguish a physiological from a pathological condition. b2 - Comment, on some clinical parameters such as: ABP, ECG, & pulmonary functions for a normal individual. b3 - Integrate physiology with other basic and clinical sciences. b4 - Analyze the given information. and expect the outcome of disturbed function. c- Professional skills By the end of the course the candidate will be able to: c1 – Interpret the most important respiratory function tests. c2 - Record and read an electrocardiogram c3 - 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.

18 d4 - Acquire the habit of life long learning II. INTENDED LEARNING OUTCOMES: 3- Course content:

Topics L Detailed pulmonary functions ( ventilation, 1.0 diffusion , perfusion &Ventilation-perfusion relationship) and pulmonary functions tests

Respiratory failure, Hypoxia, Cyanosis & O2 1.0 Therapy

Pulmonary circulation (+Hypertesion, 1.0 +Oedema, +Embolism). E.C.G & Arrhythmias. 1.0 Coronary circulation-- Venous Circulation, 1.0 Insufficiency, Syncope Cardiac performance (pump function and 1.0 heart failure) Haemostasis, coagulation and fibrinolysis. 1.0 Sensations ( e.g. pain ) and sensory 1.0 abnormalities L: Lectures

. 4 - Student Assessment Methods 4.1 Written exam.: to assess knowledge. And intellectual skills 4.2 Oral exam: to assess how the candidate uses the acquired knowledge in thinking , analysis and problem solving with good presentation and self confidence.

Weighing of assessment 4.1 Written exam 15 Oral/Practical: 10 . Total 25 ..

5 -- List of References 5.1- Course Notes specific for each lecturer( papers and or electronic). 5.2- Essential Books (Text Books): o Review of medical physiology By: William F. Ganong

19 o Text Book of medical physiology By : Guyton. 5.3- Recommended Books: o Human physiology from cell to system By : Lauralee Sherwood. 5.4- Periodicals, Web Sites, … etc o www . Pubmed. com o Am. J. of physiology.

B-Medical Biochemistry and Molecular Biology Course Specification University: Ain Shams University Faculty: of Medicine

Course specifications Program on which the course is given: Diplomain Chest Diseases. Major or minor element of programs: Major. Department offering the program: Chest Diseases. Department offering the course: Medical biochemistry and Molecular biology department. Academic Level: Master – 1st semester Date of specification approval: …………………………..

A- Basic Information Title: Medical biochemistry and Molecular biology course Code: CH9002 Credit Hours: 0.5 hour Lecture: 1.0h /2 weeks Total: 8

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. 20 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: b1- Interpret the observations of chemical tests to identify unknown sugar or protein solutions. b2- Identify electrophoresis bands and comment on them. b3- 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

21 2) Lipid metabolism 2 3) Metabolism of protein 1 4) Hormone biosignaling 0.5 7) Vitamins and diseases 0.5 9) Diagnostic enzymology 0.5 10) Tumour markers 0.5 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 15 Oral/Practical 10 Total 25

5 -- List of References 5.1- Course Notes (paper and / or electronic) 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

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

Course specifications Program on which the course is given: Diplomain Chest Diseases Major or minor element of programs: Major Department offering the program: Chest Diseases Department offering the course: Pathology department. Academic Level: Master – 1st semester Date of specification approval: 1/9/2008

A- Basic Information Title: Pathology course Code: CH9005 Credit Hours: 1.O hour Lecture: 1.0h/week Total: 15 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.

2. Intended Learning Outcomes of Course (ILOs) a-Knowledge and Understanding: By the end of the course the candidate will be able to: 2a. I-Recognize and Define the basic pathologic processes that 23 disturb the structure and function of the body including cell injury, tissue response to injury (inflammation ,healing and repair),heamodynamic disturbances, neoplasia, and infections. 2a. 2-List the causes of common di seases affecting or gans and syst ems. 2a.3-Explain the pathogenesis of common diseases affecting organs and systems. 2a.4-Recognize and describe the basic pathologic features (morphologic changes)including gross and microscopic pictures of common diseases affecting organs and systems. 2a.5-Identify the functional consequences and clinical manifestations of common diseases affecting organs and systems. 2a.6-Explain and interpret the relation between the pathologic changes and the signs and symptoms of the diseases 2a.7-List and recognize the complications common diseases affecting organs and systems. 2a.8-Describe the effect of environmental factors on causation and geographical variation of the diseases. 2a.9-Recognize the terminology used in classification, investigation and description of the disease ,enabling effective communication with professional collea g ues and patients. b-Intellectual Skills: By the end of the course the candidate will be able to: 2b.1-Correlate the pathologic features of th disease with its presentation, laboratory investigations and complications. 2b.2-Interpret and integrate the pathologic changes of the diseases. 2b.3-Diagnose different common diseases based upon the pathologic changes, clinical history, laboratory data and clinical manifestations. c-Professional and Practical Skills: By the end of the course the candidate will be able to:

24 2c.1- Recognize and interpret the pathologic lesions in the pathology report that can provide reliable basis for rational clinical care and therapy. 2c.2-Select the appropriate preservative material for different kinds of specimens. 2c.3-Handle and select appropriate tissue from fresh specimens for frozen section examination. d-General and Transferable Skills: By the end of the course the candidate will be able to: 2d-I-Collect material needed for research using database. 2d2-Gather and organize material from various sources(Including library, electronic and online resources) 2d 3-Write scientific papers and present the results of researches. 2d 4-Identify the accuracy of the request form and specimen identification and resolve any errors or discordance. 2d 5- Communicate with the pathologists promptly and accurately. 2d 6-Attend and share in clinicopathologic meetings and conferences for continuing professional development. 2d 7-Identify the importance of ethical approval and patient consent for clinical research. 2d.8-Work with the team and apply the rules of the working group. 3- Course content:

Topics Noof hours L General Acute and Chronic Inflammation 8 Pathology Cell Injury Adaptation and Death Course: Pathological Calcification and Pigmentation Intracellular accumulations Amyloidosis Tissue Repair and Healing Granulomas Bacterial Infections Haemodynamic Disturbances Disorders of Cellular Growth, Differentiation and Maturation Neoplasia

25 Systemic 7 Pathology Pulmonary infections: Course -Trachiobronchitis -Pneumonias -Pulmonary truberculosis -Lung abscess Obstructive airway diseases: -Bronchial asthma -Emphysema -Broniectasis Circulatory disturbances: -Acute respiratory distress - P u l m o n a r y v e n o u s c o n g e s t i o n a n d e d e m a Diffuse interstitial infiltrative pulmonary diseases: -Pneumoconiosis -Idiopathic interstitial hemosiderosis -Idiopathic interstitial fibrosis -P u l m o n a r y a l v e o l a r p r o t e i n o s i s - Pulmonary involvement in systemic diseases Tumours Of the lung and pleura C y t o p a t h o l o y i n c h e s t d i s e a s e s

4 - Student Assessment Methods 4.1 Written Exam; whether short questions, essay questions, multiple choice questions and problem solving cases to assess the knowledge,understanding and intellectual skills. 4.2 Oral exam;to assess knowledge, understanding, intellectual and communication skills.

Weighing of assessment 4.1 Written 30 Oral / Practical 20 Total :50 5 -- List of References 26 5.1-Course notes: General and Systemic Pathology Notes written by staff members of Pathology department S steic Pathology Notes \written by staff members of Pathology SystemicDepartment 5.2-Text Books: Kumar ,V(Ed),Cotran,R.S.,Robbins,S.L-..(2007 ).Basic Pathology(8th . ed.), Philadelphia,P.A.:W.B.Saunders. 5.3-Periodicals and websites etc.

Pharmacology Course Specification University: Ain Shams University Faculty: of Medicine

Course specifications Program on which the course is given: Diplomain Chest Diseases. Major or minor element of programs: Major Department offering the program: Chest Diseases Department offering the course: Pharmacology department. Academic Level: Master – 1st semester Date of specification approval: …………………………..

A- Basic Information Title: pharmacology course Code: CH9004

27 Credit Hours: 1 hour Lecture: 1/week Total: 15

Coordinator Pharmacology department

B - Professional Information 1- Course Aims: 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.

28 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 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 the principles 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 Introductioin for 1

29 pharmacokinetics Drug therapy of heart failure. 1 Diuretics Drug therapy of shock Drug therapy of dysrrythmias 1 Drug therapy of hypertension 1 Drugs and hemostasis 1 Drug therapy of acid related 1 disorders Drug therapy of DM 1 Calcium metabolism 1 Special chemotherapy: 1.5 Antiviral, antifungal, antiprotozoal & antituberculous Inhalation therapy& oxygen 1 therapy Drug therapy of bronchial 1.5 asthma. Corticosteriods Cancer chemotherapy 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 30 Oral/practical: 20 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

30 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

Clinical Microbiology course specification University: Ain Shams University Faculty: of Medicine

Course specifications Program on which the course is given: Diplomain Chest Diseases. Major or minor element of programs: Major. Department offering the program: Chest Diseases. 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: CH9003 Credit Hours: 1 hour Lecture: 1/week Total: 15

Coordinator Microbiology and Immunology department.

B - Professional Information 1- Course Aims:  To give candidates a good grounding in the applied aspects of medical microbiology  To provide candidates with an understanding of the immune system, its protective functions and the updates in the immunopathogenesis of infectious and non-infectious diseases.  To familiarize candidates with the common infections and diseases of medical importance, their causative pathogens, as well as laboratory diagnosis, treatment, prevention and control of such diseases.

31  To provide knowledge, skills and attitude for candidates to deal with the emerging infectious diseases in the community.  To encourage candidates to be positive participants in controlling infection in their environment.  To guide candidates to apply basic practices of infection prevention and control in different health care settings.

Intended Learning Outcomes: I- Knowledge and understanding At the end of the course the candidate will be able to: 1. Understand the basic biology and classification of medically important microorganisms including bacteria, viruses and fungi 2. Describe virulence factors and pathogenesis of medically important microorganisms and how they evade host defense mechanisms. 3. Mention mechanism of action, proper use of antimicrobial, antiviral and antifungal agents. 4. Describe different mechanisms for controlling microbial growth. 5. Identify the basic principles of infection control in health care facilities. 6. Explain the beneficial role of the immune system in protection against microbial infections and development of tumors. 7. Discuss means and types of immunization against medically important microorganisms. 8. Explain the detrimental role of the immune system in hypersensitivity reactions, transplant rejection and development of autoimmune diseases.

II- Intellectual skills At the end of the course the candidate will be able to: 1. Evaluate according to evidence the causal relationship of microbes and diseases. 2. Formulate a systematic approach for laboratory diagnosis, treatment and prevention of common infectious clinical conditions 3. Demonstrate different techniques for controlling microbial growth 4. Evaluate the risk of infection of different clinical procedures for patient, healthcare providers and external environment. 5. Apply the basic infection prevention and control practices in different healthcare settings.

III- Professional and Practical skills At the end of the course the candidate will be able to: 1. Collect a proper sample needed to diagnose a suspected causative pathogen.

32 2. Perform different aseptic techniques during healthcare provision.

3- Course content:

Topics No. of hours L Basic bacteriology (structure, physiology, genetics) and 2 classification of medically important bacteria Antimicrobial agents: mechanism of action and resistance 1 Basic virology, major viral groups and antiviral drugs 1 Basic mycology and classification of medically important fungi 1 and antifungal drugs

Microbial mechanisms to combat host defenses 1 Control of microbial growth (Sterilization and Disinfection) 1 Tissues and cells of immune response, types of immune response, 4 Humoral immune response , Cell-mediated immunity, Cytokines, Hypersensitivity Autoimmunity and Tumor Immunology Transplantation immunity Immunodeficiency. Collection of pathological specimens for microbiological 2 diagnosis Lab. diagnostic techniques: conventional, immunological and molecular Typing methods Antimicrobial susceptibility testing Aetiology,pathogenesis, laboratory diagnosis, treatment and 1 prevention of upper respiratory tract infections Aetiology,pathogenesis, laboratory diagnosis, treatment and 1 prevention of Lower respiratory tract infections L: Lecture

4 - Student Assessment Methods 4.1Written exam to assess knowledge, understanding and intellectual skills 4.2 Oral exam to assess the ability to identify and apply microbiological knowledge and intellectual skills in a comprehensive oral way. Weighing of assessment 4.1 Written exam: 30 Oral/practical: 20 Total: 50

33 5 -- List of References 5.1 Course notes: Medial microbiology and Immunology Department books 5.2 Essential books:  Lecture Notes: Medical Microbiology and Infection (Tom Elliott, Tony Worthington, Husam Osman& Martin Gill)  Lecture Notes: Immunology (Todd and Spickett) 5.3 Recommended Books  Medical Microbiology (Jawetz, Melnick, & Adelberg’s)  Medical Immunology (Parslow, Stites, Terr & Imoboden)  Practical Medical Microbiolology (Collee, Fraser, Marmion & Simmons)  Immunobiology (Janeway, Travers, Walport, Shlomchik)  Medical Microbiology & immunology (Levinson & Jawetz)  Basic Virology (Wagner)

Histology and anatomy Course Specifications A-Histology Course Specifications University: Ain Shams University Faculty: of Medicine

Course specifications Program on which the course is given: Diplomain Chest Diseases. Major or minor element of programs: Major. Department offering the program: Chest Diseases. Department offering the course: Histology department. Academic Level: Master – 1st semester Date of specification approval: …………………………..

A- Basic Information Title: Histology course Code: CH9001 Credit Hours: 1/2 hour Lecture: 1.0/2weeks Total: 8

Coordinator Histology department. 1- Overall aims of the course:

The focus of this course is the basic understanding of the microscopic structure of cells, for the respiratory and lymphatic system and the direct relationship between the morphology (microscopic structure) of such an organ and its function. - Intended Learning Outcomes (ILOs) from the Course: a) Knowledge and understanding: By the end of the course the student should be able to 34 a1. Identify the microscopic structure of different cells, tissues and organs of the respiratory and lymphatic system a2. Recognize the ultrastructure of different cells, tissues and organs of the respiratory and lymphatic system

b) Intellectual skills: By the end of the course the student should be able to b1. Integrate basic histological, anatomical, biochemical and physiological knowledge with clinical data b2. Interpret the structural changes in cells to understand the underlying cause for different diseases

c) Professional and practical skills: The students should be able to c1. Adjust and deal properly with the light microscope c2. Determine the proper magnification for examining the different cells, tissues and organs.

.

d) General and transferable skills: The student should

d1. Respect his colleagues and work properly in a team d2. Comply with different believes in the community they serve

35 Course content

Topic Hours (L) (1)The Cell: one . The cell membrane: L.M, E.M. and molecular structure . The cytoplasm: cell organelles, cytoskeleton, cell inclusions . The nucleus (2)Epithelial Tissue: one . Types of epithelium and classification: Covering epithelium Glandular epithelium Neuroepithelium Myoepithelium (3)Connective Tissue: one . Types of connective tissue cells (L.M,E.M &functions) . Types of connective tissue fibers . Matrix and intercellular substances . Types of connective tissue proper and function 4)Cartilage: one . Cartilage cells . Types of cartilage (5)Muscular Tissue: (with emphasis on muscles related to one respiration) . Types of muscles: skeletal, cardiac & smooth muscles . General characteristics of muscles (L.M&E.M) . Difference between the three types of muscles (6)Vascular System: (with emphasis on pulmonary circulation) one . General microscopic structure of blood vessels . Arteries: Medium sized arteries & large elastic arteries . Veins: medium sized veins and large veins . Blood capillaries: types & structure (7)Lymphatic System one . Solitary lymph nodules . Lymph nodes: structure and functions . Spleen: structure and functions . Thymus: structure and functions . Macrophage system: structure and functions . Mucosal immune system (8)Respiratory System one . Structure, components and arrangement . Nasal cavity . Nasopharynx

36 . Larynx . Trachea, tracheo-bronchial epithelium . Bronchial tree . The lung . The pleura 4 - Student Assessment Methods 4.1Written exam 4.2 Oral exam

Weighing of assessment 4.1 Written exam: 15 Oral/Practical: 10 Total: 25 5 -- List of References 5.1 Course notes: 5.2 Essential books: 5.3 Recommended Books

B- Anatomy Course Specifications University: Ain Shams University Faculty: of Medicine

Course specifications Program on which the course is given: Diplomain Chest Diseases. Major or minor element of programs: Major. Department offering the program: Chest Diseases. Department offering the course: Anatomy department. Academic Level: Master – 1st semester Date of specification approval: …………………………..

A- Basic Information Title: Anatomy course Code: CH9001 Credit Hours: 1/2 hour Lecture: 1.0 h/weeks Total: 7

Course coordinator Anatomy department. Head of Department: Professor: Kariman Mohamed Abdel Fattah El-Gohary 37 B- Professional Information

1. Course aims: The course is designed to introduce the student to human anatomy related to respiratory medicine

2. Intended Learning Outcomes Of Course (ILOS): a) Knowledge By the end of the course the student should be able to a.1. Describe the anatomy of any of the following:  Regions and spaces (mediastinum: definitions, boundaries and contents; intercostals space: muscles, blood supply, nerve supply & lymphatic drainage).  Skeleton (sternum, ribs and thoracic vertebrae): Names of the various bony features, muscles attached or structure(s) related.  Joints and ligaments (intervertebral, vertebrocostal, sternocostal and intersternal: Type, articulations, ligaments).  Muscles (origin, insertion, main action(s), innervations)  Vessels (origin, course, surface landmarks, termination and branches/tributaries).  Nerves (origin, course, distribution and effect of lesion).  Lymph nodes (site, source of afferents and termination of efferents).  Serous membrane (pleura): layers, extent, lines of reflection recesses (or sinuses), neurovascular supply and applied anatomy.  Viscera (lungs): location, surface projections, external features, lobes, relations, special features if any, serous covering, vascular supply, innervations, lymphatic drainage and applied anatomy.

a.2. List structures present in a certain region e.g., contents of posterior mediastinum, sites of constriction of esophagus … etc.

a.3. Identify/ select, among many choices, the structure present in a given surface landmark, the artery supplying a given structure, the group of lymph nodes to which cancer in a given region may spread, the nerve or vessel present in a certain location … etc.

a.4. Pair/ associate, for instance;  any given vessel with its source of origin or its branch;  a given structure with its surface landmark; 38  a given structure with its corresponding intercostals space.

a.5. Compare/ differentiate between the right and left lungs, the right and left structures in the mediastinum.

b) Intellectual Skills: By the end of the course the student should be able to b1 Recognize the major clinical anatomical problems. b2 Understand the causes of the clinical problems and the suggested way of managements. b3 Analyze in case-based discussions the information from clinical problems framed in a clinical presentation format to emphasize the gross anatomy and embryology of the human body. c) Professional & Practical Skills: By the end of the course the student should be able to c1 Communicate relevant information in concise, unambiguous writing, with sketched illustration. c2 Identify the anatomical specimens (muscles, vessels, nerves, organs, glands and brain) in a precise and accurate manner. c3 Interpret common diagnostic images (CTs, MRI and x-ray). d) General & Transferable Skills: By the end of the course the student should be able to d1 work with a group of his colleagues to collect information (using books and the internet) and prepare a written research about an anatomical topic. d2 Recognize and use anatomic principles during the course and throughout their careers. d3 Deal with and treat the anatomical specimens (dead bodies, anatomical parts and bones) with respect. d4 Apply effective verbal communication with colleagues and teaching stuff.

3- Course content

Topic Lecture hours Bones: sternum, ribs & thoracic vertebrae 1

39 Thoracic wall (intercostals space)  Muscles & respiratory movements 1  Arteries & veins  Intercostals nerves Pleura 1 Lungs  External features & surface projections 2  Mediatinal impressions & roots  Bronchopulmonary segments Mediastinum  Subdivisions & contents  Arteries  Veins 1  Nerves  Trachea  Esophagus  Thoracic duct & thymus Lymphatic drainage of the thorax 1

4 - Student Assessment Methods 4.1 Essay Qs and problems: to assess the ability of the students to identify and apply anatomical knowledge in a comprehensive written way (assess ILOs a 1-4, b 1-3). 4.2 Multiple choice questions to assess knowledge and understanding (assess ILOs a 1-4, b 1-3). 4.3 Oral to assess the ability of the students to identify and apply anatomical knowledge in a comprehensive oral way (assess ILOs a 1-4, c 2, d 2-4).

Weighing of assessment 4.1 Written exam: 15 Oral/Practical: 10 Total: 25

5-- List of References 5.1 Course Notes: 1. Introduction to Anatomy (your first step to study Anatomy). Authors: (Kariman Elgohary, Mostafa Kamel, Osama Husein, Hany Shawky).

40 2. Lectures on Embryology. Authors: (Kariman Elgohary, Mostafa Kamel, Osama Husein, Hany Shawky). 5.2 Essential Books (Text Books) Gray's Anatomy, 39th edition, 2005 5.3 Recommended Books 1. Moore, K.L. and A.F. Dalley, Clinically Oriented Anatomy, 5th edition, Lippincott, Williams & Wilkins, 2005. 2. T.W.Sadler , Langman's Medical Embryology, 8th edition, Lippincott, Williams & Wilkins, 2000. 3. Tank, P.W., Grant's Dissector, 13th edition, Lippincott, Williams and Wilkins, 2005 4. Agur, A.M.R. and Dalley, A.F. Grant's Atlas of Anatomy, 11th edition, Lippincott, Williams & Wilkins, 2005 5.4 Periodicals, Web Sites: medicaleducation online.org

Public health Course Specifications

University: Ain Shams University Faculty: of Medicine

Course specifications Program on which the course is given: Diplomain Chest Diseases. Major or minor element of programs: Major. Department offering the program: Chest Diseases. Department offering the course: environmental and occupational department. Academic Level: Master – 1st semester Date of specification approval: …………………………..

A- Basic Information Title: public health course Code: CH9006 Credit Hours: one hour Lecture: 1/week Total: 15

41 Coordinator Environmental and occupational department.

Course content

Lecture Topic (hours) Medical statistics (core) 4 Environmental disorders  Indoor and outdoor pollutants 1  Noxious gases

Smoking&Health 2  Hazards of smoking  Smoking cessation programs  Passive smoking  Smoking banning

Respiratory viral infections (including bird flu, H1N1 flu) 1 Occupational pulmonary diseases  General principles and approach to diagnosis and management  Prevention  Assessment of disability and compensation 3  Occupational Asthma  Disorders related to inorganic dust  Disorders related to organic dust  Pleural diseases including mesothelioma

Chronic obstructive pulmonary diseases 1  Epidemiology  Risk factors  Economic and social burden  Prevention  Assessment of disability Tuberculosis 2  Epidemiology  Prevention (including BCG vaccination)

42  Screening for tuberculosis (including tuberculin test)  Management (including multidrug- resistant tuberculosis, and directly observed therapy)

Lung Cancer 1  Epidemiology  Risk factors  Prevention  Screening  Economic and social burden

4 - Student Assessment Methods 4.1Written exam 4.2 Oral exam

Weighing of assessment 4.1 Written exam: 30 Oral/Practical: 20 Total: 50 5 -- List of References 5.1 Course notes: 5.2 Essential books: 5.3 Recommended Books

N.B. End of 1 st Semester assessment: 100 marks (Activity will determined by Chest Department)

Internal Medicine Course Specification University: Ain Shams University Faculty: of Medicine

Course specifications Program on which the course is given: Diplomain Chest Diseases. Major or minor element of programs: Major Department offering the program: Chest Diseases. Department offering the course: General Internal Medicine department Academic Level: Master –4th semester.

43 Date of specification approval: …………………………..

A- Basic Information Title: Internal Medicine course Code: CH9007 Credit Hours: 4 hour Lecture: 1/w Total:15 Clinical: 6/w Total: 90 Coordinator General Internal Medicine department

B - Professional Information 1- Course Aims: a) Understand the scientific principles underlying health and disease. b) Provide an appropriate background covering the common and important emergencies and diseases. c) Prepare candidate for independent and life-long learning by encouraging self- directed study. e) Enable the development and application of appropriate professional attitudes, communication and problem solving skills.

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 common medical problems presenting to doctors - in primary health care setting, hospital and community - their diagnosis, prevention and treatment. b2- Identify disease in terms of mental, functional and physical processes b3- State the clinical manifestations and differential diagnosis of common medical disorders with an emphasis on the incidence of the different manifestations and their relative importance in establishing diagnosis, and the early manifestations of serious diseases (e.g. malignancy, emergencies …etc) a4- Recognize the normal aging process in terms of physiologic and clinical manifestations and identify age related diseases and variable causes of disability in old age. a5- Name the role, prevalence and limitations of alternative and complementary medicine. b- Intellectual skills By the end of the course the candidate will be able to: b1- Analyze symptoms & signs and construct a differential diagnosis for common presenting complaints.

44 b2- Design an appropriate diagnostic plan for evaluation of common presenting complaints which is appropriate in terms of the differential diagnosis, the severity of the clinical situation and the risks, benefits and costs to the patient. b3- Accurately interpret the results of commonly used diagnostic procedures. b4- Identify risk factors for disease processes and injury, and institute the appropriate diagnostic, preventive, and therapeutic interventions. b5- Identify the indications and logistics of referring patients to higher levels of experience or specialization b6- Construct treatment plan, incorporating his knowledge, best available evidence, and patient’s preferences in a cost effective manner c- Professional skills By the end of the course the candidate will be able to: c1- Take a thorough history of appropriate depth and detail, relative to the clinical context. c2- Demonstrate a complete and/or problem-focused physical examination. c3- Recognize urgent life-threatening conditions, and institute appropriate initial management. c4- Safely perform routine diagnostic and therapeutic procedures, including life support. c5- Use appropriate sterile technique, Comply with and use universal precautions. c5- Recognize and carry out the treatment of the emergency situations d- General and transferable skills By the end of the course the candidate will be able to: d1- have the ability to explore both disease and illness with patients, and meet their communication needs and those of their relatives through the acquisition of effective Comprehensive Clinical Method; d2- be able to work within the organisational, interpersonal and inter-professional dynamics of the clinical team; d3- be able to make judgements about their strengths and weaknesses and take responsibility for continuing learning, personal support and professional development

3- Course content: Title: Module 1 Code: CH9007 Credit Hours: 4 Lecture: 1/w Total: 15 Clinical: 6/w Total: 90

45 Topics No of hours L C/P Disease of cardiovascular system 2 18 Disease of the liver , pancreas, peritoneum, and gastrointestinal tract 1 12 Nephrology 1 6 Distrurbance in the water, electrolyte and acid base balance 1 2 Endocrinology and metabolism 2 12 Neurology& psychiatry 2 12 Hematology and oncology 1 6 Rheumatology 1 12 Principle of geriatric medicine, 1 2 Diseases due to infection& immunodeffiency 2 6 Nutritional factors in disease 1 2

L: Lecture, T: Tutorial, C/P: Clinical

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 90 4.2 Clinical exam 70 4.3 Oral exam 30 Total 190

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 HUTCHISON’S Clinical Methods. 5.3- Recommended Books Cecil textbook of medicine Harrison textbook of medicine

46 5.4- Periodicals, Web Sites, etc http://emedicine.medscape.com/ http://www.e-meducation.org/links/internal-medicine/ http://meded.ucsd.edu/clinicalmed/extremities.htm http://www.cmelist.com/internal_medicine.htm

Chest Medicine Course Specifications

University: Ain Shams University Faculty: of Medicine

Course specifications Program on which the course is given: Diplomain Chest diseases. Major or minor element of programs: Major Department offering the program: Chest department. Department offering the course: Chest department

47 Academic Level: Master – 2nd, 3rd and 4th semester. Date of specification approval: …………………………..

A- Basic Information Title: Chest Medicine Course Code: CH9008 Credit Hours: 13 hour Lecture and tutorials: 60.5 Clinical: 299 Coordinator Chest department

B - Professional Information 1- Course Aims: a) Understand the scientific principles underlying health and disease. b) Provide an appropriate background covering the common and important emergencies and diseases. c) Prepare candidate for independent and life-long learning by encouraging self-directed study. e) Enable the development and application of appropriate professional attitudes, communication and problem solving skills.

2. Intended learning outcomes (ILOs): a. Knowledge and understanding: By the end of the program the candidate will be able to: a1- Recognize physiological, pathological, cellular and molecular, microbiological, histological, anatomical pharmacological and environmental basic knoledge relevant to Chest diseases. a2-Recall the definitions , describe the physiologic background and recognize the clinical features of the pulmonary disorders listed in the syllabus a3 - Understand the principles and role of invasive and non invasive investigations necessary to reach the diagnosis of these disorders

48 a4-Understand the action and role of pharmacological and non pharmacological approaches in the management of these disorders a5- Outline the role of patient education. a6- Recognize the socioeconomic and legal aspects diseases a7– Understand and be either: conversant with medical statistics, proficient in respiratory intensive care related to primary and secondary pulmonary disorders, or proficient in pulmonary function performance, supervion and assessment (elective courses) b. Intellectual capabilities: By the end of the program the candidate will be able to: b1- Complete a comprehensive pulmonary consultation including identification, chief complaint, history of present illness, past history, review of systems, personal and social history and complete physical examination with particular focus on the pulmonary examination. b2- Undertake timely & appropriate investigations (radiological, physiological, laboratory, sleep- related, endoscopic and other relevant invasive diagnostics) b3 – Interpret results of chest X-rays and CTs, pulmonary function tests (spirometry, lung volumes, diffusion capacity), arterial blood gases, sleep studies and results of pleural, bronchoscopic, and transthoracic specimens b4- Laiase with radiologist and other subspecialities for interpretations of other more complex diagnostic studies b5- Integrate clinical findings with available investigations to form a differential diagnosis b6- Formulate an effective and safe plan of management for obstructive, restrictive occupational, congenital, sleep- related and vascular pulmonary disease outlined in the syllabus

49 b7- Understand and use established disease- management protocols for the care of acute and chronic pulmonary conditions. B8- Maintain accurate & legible records / documentation and ensure continuity of care through effective hand-over of clinical information c. Professional and practical skills :. By the end of the program the candidate will be able to: c1-Provide acute respiratory and hemodynamic care ( oxygen therapy, emergency airway management, initiation/management/ weaning from invasive and non-invasive ventilatory support, fluids and vasoactive / inotropic support, and safe administeration of blood and blood products) and monitor and respond to trends in physiological variables c2- Prescribe and manage long- term oxygen therapy and home ventilation c3- Assist in pre- and post bronchoscoy care c4-Perform and manage various chest drains, and perform closed pleural biopsy c5- Perform transthoracic needle aspiration and biopsy c6- Supervise pulmonary function tests (spirometry, diffusion capacity, lung volumes) c7- Supervise sleep studies d. General and transferable skills: By the end of the program the candidate will be able to: d1- Do thorough and timely consultations that include prompt communication with other care team members,communication with primary service teams as a consultant, working with technicians as a team member / team leader. d2- Involve patients (and/or their families/surrogates) as appropriate in decisions about care and treatment d3- Formulate clinical decisions with respect for cultural and religious beliefs and ethical and legal principles d4- Comply with local infection control measures and promote safety for patients & staff

50 d5- Organise a case conference, search the medical literature, critically appraise articles, and participate in multidisciplinary research, audit and teaching under supervision d6- Demonstrate an understanding of the managerial & administrative responsibilities of the specialist

3- Course content: 3a- Program structure:

Topics L&T C/P SDL 3.a.1 Asthma 2 24 N&Int Guidelines 3.a.2 COPD 2 30 N&Int guidelines 3.a.3 Bronchiectasis and other airway diseases 1 6 3 14 3.a.4 Thoracic tumors (including mediastinal)

3.a.4 Respiratory infections (including mediastinitis) 5 24 N&Int guidelines 3.a.5 Pulmonary vascular diseases 2 6 N&INT guidelines 3.a.6 Occupational and Environmental Diseases 2 4 3.a.7 Diffuse parenchymal (interstitial) lung diseases and 3 14 N&Int orphan lung diseases guidelines 3.a.8 Respiratory failure 2 14

3.a.9 Pleural diseases 3 14 3.a.10 Diseases of the chest wall, respiratory muscles and 1 4 diaphragm 3.a.11 Pleuro-pulmonary manifestationsof 1 8 systemic/extrapulmonary disorders

3.a.12 Genetic and developmental disorders 2 3.a.13 Esinophilic pulmonary diseases excluding asthma 1 3.a.14 Sleep-related breathing disorders 4 6

3.a.15 Respiratory manifestations of immunodeficiency 0.5 6 N&Int disorders guidelines

3.a.16 Lung transplantation 1 N&Int guidelines 3.a.17 Smoking cessation/respiratory disease prevention 3 8 N&Int (field) efforts 3.a.18 Respiratory intensive care (core) 6 24 N&Int guidelines 51 3.a.19 Pulmonary exercise physiology and pulmonary 1 rehabilitation 3.a.20 Imaging 2 12 3.a.21 Pulmonary function testing (core) 2 9 N&Int protocols 3.a.22 Bronchoscopy (core) 2 12 Network activities 3.a.23 Pleural procedures & skin testing (tuberculin and 1 28 allergy tests)

3.a.24 Symptoms and Signs 2 3.a.25 Psychological factors and quality of life in 1 respiratory diseases 3.a.26 Miscellaneous 4 6 3.a.26.I Acute injury -Inhalation lung injury -Traumatic thoracic injury

3.a.26.II Preoperative and post operative respiratory care 3.a.26.III Pregnancy&respiratory disorders 3.a.26.IV Iatrogenic respiratory disorders -Drug- induced -Radiation - related -Invasive procedure related

3.a.27 Public health and health costs 1

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 4th semester (compulsory subjects) 400 (optional subject) 50 4.2 Clinical exam (4th semester) 200 4.3 Oral exam (4th semester) 60

Total 710 4.4 End of 1st semester exam: 100 (Activity will be determined by Chest Department) 4.5 End of 2nd semester exam: 100 4.6 End of 3rd semester exam: 100

5 -- List of References

52 5.1- Course Notes (paper and / or electronic) Electronic lectures 5.2- Essential Books (Text Books) Crofton and Douglas's Respiratory Diseases HUTCHISON’S Clinical Methods. 5.3- Recommended Books ……… 5.4- Periodicals, Web Sites, etc www.ersnet.org www.chestnet.org www.lungusa.org www.thoracic.org

Intensive Care Medicine Course Specifications (Advanced) University: Ain Shams University Faculty: of Medicine

Course specifications Program on which the course is given: Diplomain Chest diseases. Major or minor element of programs: Major Department offering the program: Chest department. Department offering the course: Chest department Academic Level: Master –4th semester. Date of specification approval: …………………………..

A- Basic Information Title: Advanced course in respiratory intensive care Code: E6100b Credit Hours: 1 hour Lecture/ tutorials: 1/2w Total: 7 Clinical: 1/w Total:16 Course coordinator Chest department

B - Professional Information 1- Course Aims: a) Provide the required core knowledge and skills that enable the pulmonologist to manage independently and appropriatly respiratory intensive care patients

53 b) Promote flexible attitudes and analytical skills that a pulmonologist require to become a lifelong learner and researcher in the field of intensive care related to respiratory medicine

2. Intended learning outcomes (ILOs): a. Knowledge and understanding: By the end of the program the candidate will be able to: a1- Recall the definitions , describe the physiologic background and recognize the clinical features of the pulmonary and extrapulmonary disorders listed in the syllabus a2- Understand the principles and role of invasive and non invasive investigations necessary to reach the diagnosis of these disorders a3 - Recognize the socioeconomic and legal aspects of management of patients in respiratory intensive care units b. Intellectual capabilities: By the end of the program the candidate will be able to: b1- Undertake timely & appropriate management of acute disorders and appropriately respond to trends in patient condition b2- Undertake timely & appropriate investigations (radiological, physiological, laboratory, sleep- related, endoscopic and other relevant invasive diagnostics) b3 – Interpret results of chest X-rays and CTs,and of other basic imaging modalities related to intensive care management. b4- Laiase with radiologist and other subspecialities for interpretations of other more complex diagnostic studies b5- Integrate clinical findings with available investigations to form a differential diagnosis b6- Formulate an effective and safe plan of management b7- Understand and use established disease- management protocols for the care of acute conditions. B8- Maintain accurate & legible records / documentation and ensure continuity of care through effective hand-over of clinical information c. Professional and practical skills :. By the end of the program the candidate will be able to: c1-Provide acute respiratory and hemodynamic care (oxygen therapy, emergency airway management, initiation/management/ weaning from invasive and non- invasive ventilatory support, fluids and vasoactive / inotropic support, and safe administeration of blood and blood products) and monitor and respond to trends in physiological variables 54 c2- Perform and manage various chest drains c3-Perform central venous cannulation and interpret readings c4- Perform arterial cannulation and interpret readings d. General and transferable skills: By the end of the program the candidate will be able to: d1- Do thorough and timely consultations that include prompt communication with other care team members,communication with primary service teams as a consultant, working with technicians and nurses as a team member / team leader. d2- Involve patients (and/or their families/surrogates) as appropriate in decisions about care and treatment d3- Formulate clinical decisions with respect for cultural and religious beliefs and ethical and legal principles d4- Comply with local infection control measures and promote safety for patients & staff d5- Organise a case conference, search the medical literature, critically appraise articles, and participate in multidisciplinary research and audit under supervision d6- Demonstrate an understanding of the managerial & administrative responsibilities of the intensivist

3- Course content:

Topic NO.of hours/week

L& T C/P SDL Cardiovascular disorders: 1.5 Shock, arrythmias , acute coronary syndrome 12 lead ECG, hypertension Neurologic disorders: cerebrovascular accident,seizures, post hypoxemic brain damage Acute renal failure: causes and management & acute hepatic failure causes and management Homeostasis : Coagulopathies ,Acid-base status , Na ,K, Mg, Ca

55 Endocrinopathies (thyroid dysfunction, adrenal insufficiency, diabetes mellitus, SIADH)

General (fever, coagulopathies, hypoalbuminemia, pancreatitis, psychological disorders) Respiratory complications related to operative interventions and chest trauma Analgesia, sedation, muscle relaxation in ICU Preventive medicine in ICU: N&Int guidelines thromboembolic disorders, stress ulcer, infections, decubitus ulcer, respiratory therapy Infections in ICU: lower N&Int guidelines respiratory infections (including ventilator- associated pneumonia), sinusitis, urinary tract infection, catheter-related, Clostridium difficile –related diarrhea, blood stream infections and severe sepsis Nutrition in ICU Ethics and medicolegality: Care of terminally ill, brain death and organ donation, discontinuation of support, DNR , consent , communication, research in ICU Clinical outcome , scoring systems, quality, cost effectiveness and documentation L: Lectures, T: Tutorial, C/P Clinical practice, SDL: Self directed learning N&Int : National and International

56 4 - Student Assessment Methods 4.1 Written exam to assess knowledge, skills Weighing of assessment 4.1 written exam 50

Total 50

-- List of References 5.1- Course Notes (paper and / or electronic) Electronic lectures 5.2- Essential Books (Text Books) Oxford text book of Intensive Care medicine 5.3- Recommended Books Current Critical care. Diagnosis & treatment Oxoford handbook of critical care…… 5.4- Periodicals, Web Sites, etc WWW.esicm.org WWW.sccm.org

Pulmonary Function Course Specifications (Advanced) University: Ain Shams University Faculty: of Medicine

Course specifications Program on which the course is given: Master Science in Chest Diseases Major or minor element of programs: Minor Department offering the program: Chest Department Department offering the course: Chest Department Academic Level: Master 4th semester Date of specification approval:

Basic Information

Title: Pulmonary function (advanced) Code: E9099 Credit Hours: 1 hour Lecture/ tutorials: 1/ 2 w Total:7 Practice: 1/w Total: 16

Coordinator Chest Department B - Professional Information 1- Course Aims:

57 a) Provide the required detailed knowledge and skills that enable the pulmonologist to manage independently and appropriatly a pulmonary function and rehabilitation unit b) Promote flexible attitudes and analytical skills that a pulmonologist require to become a lifelong learner and researcher in the field of pulmonary physiology and rehabilitation

2. Intended learning outcomes (ILOs): a. Knowledge and understanding: By the end of the program the candidate will be able to: a.1Understand mechanics of breathing and ventilation,control of ventilation a.2Describe pulmonary blood flow and and ventilation-perfusion relationships a.3Enumerate factors that influence diffusion a.4 Describe principles of plethysmography a.5 Identifies rational for bronchial hyper-responsiveness tests a.6 Understand cardio-pulmonary relationships, pysiological basis of exercise in health and disease a.7 Understand physiology and pathophysiology underpinning pulmonary rehabilitation and evidence supporting a role for pulmonary rehabilitation in the management of patients with COPD and other appropriate respiratory diseases a.8 Understand components of a successful pulmonary rehabilitation programme Selection of patients who are most likely to benefit from pulmonary rehabilitation b. Intellectual capabilities: By the end of the program the candidate will be able to: b.1 Understand and select an appropriate pulmonary function test and exercise protocol based on the reason for performing the test. b.2 Recognize the normal physiologic changes that occur during exercise when the workload is increased. d.3 Terminate the test (especially cardiopulmonary stress test) when indicated . d.4 Classify the cause of exercise limitation due to dyspnea as cardiac, ventilatory (gas exchange or blood gas abnormalities), deconditioning or poor effort. d.5 Titrate oxygen with exerciseand evaluate breathing kinetics during exercise c. Professional and practical skills :. By the end of the program the candidate will be able to: b.1 Measure and interpret spirometry and lung mechanics: (vital capacity, forced vital capacity, timed forced expiratory volumes and flows , peak expiratory

58 flow, maximum voluntary ventilation, maximum expiratory and maximum inspiratory pressure and before and after bronchodilator studies b.2 Measure and interpret forced oscillation techniques especially impulse oscillation system b.3 Measure and interpret lung volumes (functional residual capacity , residual volume, total lung capacity, thoracic gas volume , body plethysmography. b.4 Measure and interpret diffusing capacity (single -breath carbon monoxide diffusing capacity b.5 Describe the two methods of performing bronchial challenge tests and identify a positive response to a methacholine challenge test. b.6 Perform exercise test according to protocol , terminate the test when indicated, titrate oxygen with exercise, and evaluate exercise flow-volume loop data (dynamics during exercise). b.7 Interpret flight/altitude assessment results b.8 Evaluate and quantify respiratory impairment/disability b.9 Understand quality assurance (quality control procedures) in the pulmonary function laboratory. b.10 Learn to check results of individual tests for consistency d. General and transferable skills: By the end of the program the candidate will be able to: d.1 Conduct a multidisciplinary approach d.2 Consider quality control and assurance of pulmonary rehabilitation d.3 Comply with infection control principles

3- Course content:

Topic NO.of hours/week

L& T C/P SDL Static and dynamic lung volumes / Principles of 1.5/w N&Int plethysmography protocols Ventilation-perfusion relationships /Diffusion Ventilation and mechanics of breathing/ spirometry/Blood gas and oximetry Bronchial hyper-responsiveness /Bronchial provocation testing Relationship between structure and function /Respiratory muscle assessment

59 Cardio-pulmonary relationships /Cardiopulmonary exercise testing Effects of pulmonary diseases on pulmonary functions Instrumentation and equipments for Pulmonary function testing L: Lectures, T: Tutorial, C/P Clinical practice, SDL: Self directed learning N&Int : National and International

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) Electronic lectures 5.2- Essential Books (Text Books

5.3- Recommended Book--- .4- Periodicals, Web Sites, etc

Medical Statistics Course Specifications University: Ain Shams University Faculty: of Medicine

Course specifications Program on which the course is given: Master Science in Chest Diseases Major or minor element of programs: Minor Department offering the program: Chest Department Department offering the course: Community, Environmental and Occupational Medicine Academic Level: Master 4th semester Date of specification approval: …………………………..

Basic Information

Title: Medical statistics course Code: E9009 Credit Hours: 1 hour

60 Coordinator Community, Environmental and Occupational Medicine Department

B - Professional Information

Course Aim:

To enable the Master candidate to plan, conduct, analyze and interpret the results of a research in his specific field. This course unit introduces the application of statistical ideas and methodology to medical research.

2- Intended Learning Outcomes (ILOs) from the Course:

Knowledge and understanding By the end of the course the candidate will be able to: a1 - Define medical statistics and identify uses and importance of medical statistics in medical research a2 – Define: Types of variables. Descriptive statistics. Presentation and summarization of data. Measures of central tendency and scatter. Principles of probability and probability distributions. Concepts of inferential statistics: confidence interval and hypothesis testing. Different tests of statistical significance. Difference between parametric and nonparametric tests of significance. Correlation and regression Concept of statistical modeling using multivariable and multivariate statistical methods. Combining evidence from different studies and meta-analysis Importance and methods of sampling and how to determinate the suitable sample size. Different types of research methodology: observational and intervention studies and the different statistical issues related to the design, conduct, analysis and interpretation of the results of each study type. Ethical aspects of medical research including those specifically applied to clinical trials.

61 b- Intellectual skills By the end of the course the candidate will be able to: b1 - Interpret correctly the results of statistical analyses and critically evaluate the use of statistics in the medical literature. b2 - Integrate and evaluate information from a variety of sources. c- Professional skills By the end of the course the candidate will be able to: c1- Select appropriate study designs to address questions of medical relevance c2 - Select and apply appropriate statistical methods for analyzing data typically encountered in medical applications. c3- Use selected software packages for statistical analysis and data management. d- General and transferable skills By the end of the course the candidate will be able to: d1 - Work effectively in a group from different backgrounds. d2 - Respects the role of staff and co-staff members regardless of degree or occupation. d3 - Communicate effectively with professional statisticians and the wider medical community, including the ability to present results of statistical analyses through written and oral presentations d4 - Use of computer data bases and other computer skills. d5 - Handle data appropriately and analyze them through: decision processes, objective criteria, problem definition, project design and evaluation, risk management, teamwork and coordination. d6 - Learn independently with open-mindedness and critical enquiry.

3- Course content:

Topics T C/P Introduction to medical statistics and its uses x x Types of variables and Descriptive statistics x x Graphic presentation of data x x Introduction to probability theory and rules x x Sample and population: sampling distribution of mean and proportion x x Confidence interval of a mean and a proportion x x

62 Confidence interval of a difference between two mean /proportion x x Testing a hypothesis about population mean/proportion x x Testing a hypothesis about the difference between two x x means/proportion Comparing between more than two means-Introduction to factorial x x analysis Cross-tabulation and introduction to categorical data analysis x x Simple correlation and simple regression x x Introduction to multivariable and multivariate analysis x x Study designs: observational studies x x Study designs: Intervention studies: clinical trials x x Study designs: Experimental animal studies x x Study designs: Bias and Confounding x x Ethical issues in medical research x x Sample size estimation for continuous and binary outcome measures. x x Meta-analysis and publication bias. x x T: Tutorial and C/P: Clinical or Practical and SDL: Self directed learning

4 - Student Assessment Methods

4-1 Written exam to assess knowledge and understanding and will concentrate on problem solving questions

4-2 Weighing of assessment Written exam 50 Total 50

5 - List of References

5.1- Course Notes (paper and / or electronic) Student Notes on Medical Statistics and Research Methods. Prof. Mohsen Abdel Hamid and Dr Moustafa El Houssinie. Department of Community, Environmental and Occupational Medicine.

5.2- Essential Books (Text Books) Statistics in Clinical Practice. avid Coggon. BMJ Books. 2nd edition 2003

5.3- Recommended Books Handbook of Epidemiology. Springer 2005

63 5.4- Periodicals, Web Sites, etc www.brettscaife.net/statistics/introstat/ onlinestatbook.com/rvls/ www. Epidemiolog.net http://www.shef.ac.uk/scharr/spss/

Program Modules 1st semester Title: Module 1 Code: CH9001/CH9002/CH9003/CH9004/CH9005/CH9006 Credit Hours: 6 Lecture& tuorial: 90 h

Module 1 Topic code no. Course title NO.of hours/week

L CH9001 Anatomy and histology one CH9002 Physiology and biochemistry CH9003 bacteriology CH9004 Pharmacology CH9005 pathology CH9006 Public health

64 L: Lectures

2nd semester Title: Module 2 Code: CH9008 a Credit Hours: 6 Lecture& tuorial: 22.5 h Clinical: 135 h

Module 2

Topic Course title NO.of hours/week code no. L T C/P SDL 3.a.24 Symptoms & signs 10.5 hours/w 3.a.20 Imaging 3.a.1 Asthma N&Int guidelines 3.a.2 COPD N&Int guidelines 3.a.21 Pulmonary function testing (core) 3.a.18 Respiratory intensive N&Int guidelines care (core) 3.a.4 Respiratory N&Int guidelines 3.a.15 infections(including immunocompromised and mediastinitis) 3.a.3 Bronchiectasis and other airway diseases L: Lectures, T: Tutorial, C/P Clinical practice, SDL: Self directed learning N&Int : National and International

3rd semester Title: Module 3 Code: CH9008b Credit Hours: 6 Lecture& tutorials:30 h Clinical: 120 h Module 3

Topic Course title NO.of hours/week code no. L T C/P SDL 3.a.9 Pleural diseases 10.0 hours/w

65 3.a.23 Pleural and transthoracic procedures & skin testing (tuberculin and allergy tests)

3.a.7 Diffuse parenchymal (interstitial) lung diseases and orphan lung diseases 3.a.5 Pulmonary vascular N&Int guidelines - diseases 3.a.8 Respiratory failure 3.a.4 Thoracic tumors

3.a.22 Bronchoscopy (core)

3.a.13 Esinophilic pulmonary diseases excluding asthma 3.a.25 Psychological factors and quality of life in respiratory diseases 3.a.6 Occupational and Environmental Diseases 3.a.12 Genetic and developmental disorders 3.a.10 Diseases of the chest wall, respiratory muscles and diaphragm 3.a.14 Sleep breathing disorders 3.a.17 Smoking N&Int efforts cessation/respiratory disease prevention L: Lectures, T: Tutorial, C/P Clinical practice, SDL: Self directed learning N&Int : National and International

5.4- 4th Semester Title: Module 4 a-Compulsory ; Code: CH9008 c Code:CH9007

66 Credit Hours: 1 Credit hours: 4 Lecture and tutorial: 8 h Lecture and tutorial: 15 h Clinical : 14h Clinical: 90

Module 4/CH9008c

Topic Course title NO.of hours/week code no.. L T C/P SDL 3.a.26 Miscellaneous 1.5 h/w -Acute injury (Inhalational, traumatic) -Preoperative and post operative respiratory care -Pregnancy& respiratory disorders -Iatrogenic respiratory disorders 3.a.11 Pleuro-pulmonary manifestationsof systemic/extrapulmonay disorders

3.a.16 Lung transplantation N&Int protocols

3.a.19 Pulmonary exercise physiology and pulmonary rehabilitation 3.a.27 Public health and health costs L: Lectures, T: Tutorial, C/P Clinical practice, SDL: Self directed learning N&Int : National and International b-Elective (only the selected one)

Code Course title NO.of hours/week NO. L T C/P SDL

67 E9099 Advanced course in 1.5 pulmonary functions N& Int protocols E9100b Advanced course in N&Int guidelines respiratory intensive 1.5 care E9009 Medical statistics 1.0

L: Lectures, T: Tutorial, C/P Clinical practice, SDL: Self directed learning N&Int : National and International

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

68 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 1. Lectures & tutorials or 2. Self-directed learning (SDL) For each item there is also a list of 1. Clinical conditions or Practical sessions to be seen or attended 1. 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. 69 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 Day /time Saturday Sunday Monday Tuesday Wednesday Thursday Bedside 8-12 AM 8-12 AM 8-12 AM 8-12 AM 8-12 AM education Conferenc 10-12 AM e Grand 8-10 AM 8-10 AM 8-10 AM 8-10 AM 8-10 AM round Emergency 24h 24h 24h 24h 24h attendance Operative 8-12 AM 8-12 AM 8-12 AM 8-12 AM 8-12 AM day Clinic day 8-12 AM 8-12 AM 8-12 AM 8-12 AM 8-12 AM

Monthly activity………………………………. Sixth monthly activity ………………………… Yearly activity ………………………………….

70 Conferences attendance (NB. Minimum number required is 32………..) e e

c t Supervisor o a a

l Topics N D

P signature

71 72 Thesis attendance (NB. Minimum number required is……7…..)

Supervisor No Date Place Name of the thesis signature

73 Clinics attendance (NB. Minimum number required is…35……..)

Supervisor No Date Place Name of the Clinic signature

74 75 Clinical ward round (NB. Minimum number required is…70……..)

Supervisor No Date Place Name of the tutorial signature

76 77 78 Activities Attended (NB. Minimum number required is…one……..)

Supervisor No Date Place Name signature -Annual meeting of Egyptian Society of Chest and Tuberculosis -Annual meeting of Egyptian Society of Bronchology

Case presentations (NB. Minimum number required is…10……..)

79 Supervisor No Date Place Diagnosis signature

Emegency-Patients' Case Log

Patients Seen with the following emergencies Acute severe asthma Acute exacerbation of COPD Acute exacerbation of interstitial lung disease 80 Acute lung injury/ARDS Pulmonary oedema Hemoptysis Pulmonary embolism Acute pneumothorax Severe chest infection/septic shock Upper airway obstruction (glottis/subglottic) Respiratory failure (acute or acute on top of chronic)

Patients seen with any of the listed Emergencies (Min 50)

PT. INITIALS Supervisor AGE/SEX DATE Diagnosis signature MED.RECORD# 1 2 3 4 5 6 7 8 9 1 0 1 1 1 2 1 3 1 4 1 5 1 6 1 7 1

81 8 1 9 2 0 2 1 2 2 2 3 2 4 2 5 2 6 2 7 2 8 2 9 3 0 3 1 3 2 3 3 3 4 3 5 3 6 3 7 3

82 8 3 9 4 0 4 1 4 2 4 3 4 4 4 5 4 6 4 7 4 8 4 9 5 0

Non Emergency Medical cases Log And follow up of emergency cases Asthma COPD Upper respiratory infection Lower respiratory infection (bronchitis, bronchiolitis, pneumonia) HIV related infection Tuberculosis Bronchiectasis/ non specific lung fibrosis Pleural effusion (parapneumonic, tuberculous, empyema, malignant”primary /secondary”,systemic disease)

83 Pneumothorax Interstitial lung disease Mediastinal (neoplasm,vascular,infection,pneumomediastinum) Lung neoplasm (primary/secondary) Pulmonary vascular (embolism, hypertension,corpulmonale) Occupational/environmental Obstructive sleep apnea Obesity hypoventilation syndrome Chest wall,diaphragmatic,neuromuscular disorder Chronic respiraroty failure Esinophilic lung disease Gentic /developmental respiratory disorder

Patients seen / with any of the listed Non Emergency Medical cases (Min 50)

PT. INITIALS Supervisor AGE/SEX DATE Diagnosis signature MED.RECORD# 1 2 3 4 5 6 7 8 9 1 0 1 1 1 2 1 3 1 4 1 5 84 1 6 1 7 1 8 1 9 2 0 2 1 2 2 2 3 2 4 2 5 2 6 2 7 2 8 2 9 3 0 3 1 3 2 3 3 3 4 3 5

85 3 6 3 7 3 8 3 9 4 0 4 1 4 2 4 3 4 4 4 5 4 6 4 7 4 8 4 9 5 0

86 Practical skills (Agreement Scale) 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. (Minimum number required to attend is three. Minimum number required to assist is five Minimum number required to be done independently (under supervision) is seven (Grade B is required to pass)

87 arterial cannula arterial Insertion of puncture Arterial

Item 12 11 10 6 5 4 3 2 1 9 8 7 6 5 4 3 2 1 No

Observed

88 Date

assisted

Date

(A, B, C)Done independently

Date

Supervisor signature 7 8 9 10 11 12 Pleural aspiration 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 89 23 24 Closed pleural 1 biopsy 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 Intercostal Tube 1 Insertion 2

90 3 4 5 6 7 8 9 10 11 12 Transthoracic 1 needle biopsy/aspiration 2 3 4 5 6 7 8 9 10 11 12 Spirometry 1 2 3 4 5 6

91 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 Diffusion 1 Capacity&lung volumes 2 3 4 5 6 7 8 9 10

92 11 12 13 14 15 16 17 18 19 20 21 22 23 24 Bronchoscopy 1 2 3 4 5 6 7 8 9 10 11 12 C-Poor B- Satisfactory A- Excellent

Others

93 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. For master degree Summary

Semester 1st 2nd 3rd 4th Total Activity No No No No Conferences attendance Thesis attendance Clinics attendance Clinical ward round Activities Attended Case presentations Arterial puncture Insertion of arterial cannula Pleural aspiration Closed pleural biopsy Intercostal Tube Insertion Transthoracic needle biopsy/aspiration Spirometry Diffusion Capacity&lung volumes Bronchoscopy Supervisor signiture

94 VII - Head Of Department Approval For The Exam Entry ______

95 VIII – VIII – Evaluation Forms

96 Evaluation Form (at the end of each semester) To be completed at ------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 Da

97 VIII – Evaluation Forms

98 Evaluation Form (at the end of each semester) To be completed at ------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 Da

99 VIII – Evaluation Forms

100 Evaluation Form (at the end of each semester) To be completed at ------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 Da

101 VIII – Evaluation Forms

102 Evaluation Form (at the end of each semester) To be completed at ------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 Da

103 Degree Program Evaluation Form by The Candidate To be completed at the end of your degree. Please consider each pair of statements and decide which most clearly reflects your view and tick one box or answer the question.

104 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?

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 105 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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