الهيئة القومية لضمان جودة التعليم واالعتماد

University: Alexandria Faculty : Medicine

Program Specifications (Academic year: 2015 / 2016 )

A. Basic Information: 1. Program title: Master Degree In Obstetrics& Gynecology 2. Program Award/Degree: Master Degree 3. Department (s) offering the program: Department of Obstetrics & Gynecology University of Alexandria 4. Program Coordinator: Prof. Dr. Mahmoud Elsayed Melees 5. External evaluator(s): 6. Type of the program: Single 7. Date of most recent program specifications approval: October 2015 B. Professional Information: 1- Program Aims: The aim of this program is to: 1.1. Acquire knowledge, skills and attitudes to deal with most obstetric emergencies that are relevant to the community 1.2. Aquire knowledge, skills and attitudes to deal with common gynecologic problems. 1.3. Have basic idea about how to design & conduct scientific clinical research. 2- Academic reference standards (ARS)& ILOs: Academic reference standards of Master degree in Obstetrics & Gynecology designed and approved by Department of Obstetrics & Gynecology. Faculty of Medicine. Alexandria University. Based in partial conformity with specialty Generic Academic Reference Standards (ARS): Postgraduate Medical Education, Egypt (2009). Published by National Authority for Quality Assurance and Accreditation of Education (NAQAAE) National. [http://naqaae.org/main/php/book/index.php] Benchmarks: Royal College of Obstetricians & Gynaecologists (RCOG) American College of Obstetricians & Gynecologists (ACOG) (Corresponding websites)

Domain Core Competencies (by ILOs area) A. Knowledge and  Graduate of this program A1. Recognize basic surgical understanding must have competent anatomy of the female genital information about basic tract. surgical anatomy and A2. Describe the physiology physiology of female of the female reproductive reproductive tract, as well system. as female reproductive changes with age and pregnancy. الهيئة القومية لضمان جودة التعليم واالعتماد

A3.Discuss the different effects of age and pregnancy  The graduate must have on the female reproductive integrated knowledge of organs. common cases shared with other medical and A4. Discuss complications surgical specialties. influencing the female health and reproduction. A5. Identify surgical complications influencing the female health and reproduction.

 Graduate should A6. Describe common medical recognize the mutual and surgical influences carried impact of the environment by the environment and and culture on the culture on the female specialty. reproductive health.

A7. Extrapolate recent data from the literature.  The graduate should be A8. Utilize recent data to aware of advances related remain continuously updated. to the field. A9. Identify basics of research methodology. A10. Tabulate relevant  Have basic knowledge community problems and about how to design & respective research questions. conduct scientific clinical A11. Relate the different research relevant to the aspects of microbiology community. pertaining to microbial infections of the female genitourinary tract, their management and the effects on overall female health as well as microorganisms posing risks to patients undergoing surgical interventions. A12. Explain the value and implementation of infection control practices in prevention of hospital associated infections. الهيئة القومية لضمان جودة التعليم واالعتماد

A13. Recognize fundamental knowledge to achieve accurate pathologic diagnosis.

B. Intellectual  Graduate of this program B1. Appraise clinical skills must have the ability to situations in clinics, wards, utilize their knowledge in and theaters. solving problems B2. Solve clinical situations encountered in different encountered in practice. clinical situations in clinics, wards and theaters, including common and uncommon clinical problems.

 Risk assessment and B3. Analyze situations timely decision making endangering the female life or related to OB&Gyn. her reproductive ability. B4. Predict outcome and plan course of management for these situations.

 Conduct a scientific B5. Generate hypothesis for research and/or write relevant clinical research. scientific systematic B6. Design sound clinical approach to research research and share in research problem or propose implementation. scientific proposal or B7. Analyze data extracted. hypothesis for research. B8. Interpret results and implement conclusions.

C. Professional  Graduate of this program C1. Interpret clinical signs and skills must be able to conduct symptoms. basic steps of clinical C2. Generate provisional examination and diagnosis. assessment of abnormal clinical signs.

 Skills to deal with most C3.detect signs of emergency obstetric emergencies and obstetric situations. perform standard C4. Plan course of Obstetric interventions. management for emergency obstetric situations.

الهيئة القومية لضمان جودة التعليم واالعتماد

C5. Operate on basic and emergency obstetric procedures.  Be skillful in pre- and postoperative evaluation C6. Examine obstetric and and management of gynecologic cases both pre- Obstetric & Gynecologic and postoperatively. cases. C7. Manage pre and post- operative complications in obstetric and gynecologic cases.  Be able to assist in common gynecologic C8. Operate on common surgeries including gynecologic surgeries endoscopies, as well as C9. Assist in minimally infertility management. invasive gynecological surgeries. C10. Diagnose common fertility problems. D. General and Graduate should be D1. Communicate with transferrable competent in the following: patients effectively. skills 1- Counseling of patients. D2. Counsel patients.

2- Good response to stressful D3. Evaluate stressful situations. situations during work. D4. Respond adequately and wisely to stressful situations.

3- Appropriate D5. Analysis of clinical management of clinical situations. scenarios. D6. Trace course of action appropriate to different clinical scenarios.

4- Be able to utilize advances D7. Utilize recent diagnostic in technology to improve modalities to improve diagnosis, management diagnosis. and research. D8. Integrate data from recent diagnostic modalities to 5- Be able to work implement recent management effectively in a team work plans. and have a team spirit either as a leader or a D9. Sharing in team work team member. D10. Practice basis of team leadership.

الهيئة القومية لضمان جودة التعليم واالعتماد

6- Proper use of information technology to improve D11. Use of information practice. technology to improve professional practice. D12. Obtain data using different sources of information. E. Attitudes and  Graduate should be E1.Acquire a working ethical reasonable, cooperative, knowledge of the ethical behavior honest, modest and aware aspects of the specialty with of the ethics of the special emphasis on patient specialty. Emphasis on the rights, counseling and ethical aspect of the field autonomy. and duties towards E2. Adopt the code of ethics patients, colleagues and of the specialty as regards both society. dealing with patients and colleagues.

Program courses ILOs Matrix

ILOs A1 A2 A3 A4 A5 A6 A7 A8 A9 A A A A B1 B2 B3 B4 B5 B6 B7 B8 Course title 10 11 12 13

Anatomy of the X X reproductive system Physiology of X X reproduction and endocrineMicrobiology glands for X X X obstetrics&Gynecology Community medicine X X X for obstetrics and PathologyGynecology for X X obstetrics and labour

InternalGynecology medicine for X X X X X X obstetrics and Generalgynecology surgery X X X X X Normal pregnancy and X X X X X X labor Abnormal pregnancy X X X X X X X and labour

Medical and surgical X X X X X X X disorders in pregnancy Fetal medicine X X X X X X X X X Operative obstetrics X X X XX X X X General gynecology X X X X X Reproductive biology X X X X X Gynecologic oncology X X X X X X X Family planning X X X X X Endoscopy X X X X X Radiodiagmosis in X X X X X X obstetrics and Urogynecologygynecology X X X X X X

الهيئة القومية لضمان جودة التعليم واالعتماد

Program courses ILOs Matrix

ILOs C1 C C3 C4 C C C C C D D D D D D D D D D D D E E Course title 2 5 6 7 8 9 1 2 3 4 5 6 7 8 9 1 11 12 1 2 0 12

Anatomy of the reproductive system Physiology of reproduction and endocrineMicrobiol ogyglands for obstetrics&Gynecol Communityogy X X medicine for obstetricsPathology and for obstetricsGynecology and Gynecology Internal medicine for obstetrics and gynecology General surgery

Normal pregnancy X X X X X X X and labor Abnormal X X X X X X X X pregnancy and labor Medical and X X X X X X surgical disorders in Fetalpregnancy medicine X X X X X X X X Operative obstetrics X X X X X X X

General gynecology X X X X X X X X x Reproductive X X X X X X biology Gynecologic X X X X X X X X oncology Family planning X X X X X X

Endoscopy X X X X X X X X

Radiodiagmosis in X X X X X X X obstetrics and Urogynecologygynecology X X X X X X

الهيئة القومية لضمان جودة التعليم واالعتماد

3- Curriculum Structure: -Program duration: This program is fulfilled in -Program structure: 1. Total hours: 40 credit hours 2. Obligatory subjects: 27 Credit Hours. 3. Thesis: 8. Credit Hours. 4. Basic of research: 3 credit hours 5. Two selective courses one credit hours each Credit Code Course hours 1 05500801 Basic Research 3 Human Anatomy of reproductive 051408230 0.5 2 system Medical physiology of 3 051808230 reproduction and Endocrine 0.5 glands Medical microbiology for ob, 051808230 0.5 4 gyn Public health , prevention and 050707230 0.5 5 social medicine for Ob. Gyn Pathology for obstetric and 052808230 0.5 6 gynecology Internal medicine for obstetric 051508230 0.5 7 and gynecology Surgery for obstetric and 053208230 1 8 gynecology 9 05230801 Normal pregnancy and labor 3 10 05230803 Abnormal pregnancy and labor 3 Medical and surgical disorders 05230803 2 11 in pregnancy 12 05230804 Fetal medicine 2 13 05230805 Operative obstetric 2 14 05230806 General gynecology 2 15 05230807 Reproductive biology 2 16 05230808 Gynecologic biology 3 17 05230809 Family planning 1 2 18 05230810 Endoscopy 2 الهيئة القومية لضمان جودة التعليم واالعتماد

Selective course

1 05230831 Ultrasound in obstetric 1 &gynecology 2 05230832 Infertility &reproductive 1 biology 3 05230833 urogynecology 1

2 Program Admission Requirements: According to the regulations of the credit hour bylaws of the Faculty of Medicine Alexandria University (annex). 4- Regulations for Progression and Program Completion: According to the regulations of the credit hour bylaws of the Faculty of Medicine Alexandria University (annex).

5- Methods of student assessment: Methods Intended Learning outcomes to be assessed 1. Written Exam A1A8 2. Practical Exam C1C10; E1E2 3. Assignments B1B4; D1D12; E1E2 4.Thesis A9A10; B5B8

6- Methods of program evaluation: Evaluator Tool Sample 1. Students enrolled in the program Questionnaires. 10% of Interviews total/year 2. Alumni Questionnaires. 10% of Interviews total/year 3. Stakeholders (Employers) Focus group Once yearly Interviews 4. External Evaluator (s) Questionnaires. 10% of Interviews total/year Paperwork

Program Coordinator Name:prof dr Mahmoud Melees Signature:

Program Director (Head of Department) Name: Prf dr Emad Eldeen Khaleefa Signature: الهيئة القومية لضمان جودة التعليم واالعتماد

Course description Course Information

1 CourseCode: 051408230 Course Name: Human Anatomy of the Reproductive System

Program in which the Course is Given: Master Degree in Obstetrics & Gynaecology

Number of Credit Hours: 0.5 Theoritical ½ Clinical/Practical

Course Aims: Students will be introduced into the anatomical aspects of the female pelvis & genital tract, with correlation to the clinical application.

Course Information 2 Course Code: 050707230 Course Name: Public Health , preventive and social medicine

for Obstetrics and Gynecology

Program in which the Course is Given: Master Degree in Obstetrics and Gynecology

Number of Credit Hours: 0.5 Theoretical ½ Clinical/Practical - 4x2 Course Aims: 10 =8 Prepare an obstetrician and gynecologist who is aware of public health implications of his /her clinical practice.

Course Information 3. Course Code: 051808230 Course Name: Medical Microbiology for Obstetrics and Gynecology

Program in which the Course is given: Master Degree in Obstetrics & Gynecology

Number of Credit Hours: 0.5 Theoretical ½ Clinical/Practical

Course Aims: This course aims at providing the students with the microbiology information relevant to the study and practice of gynecology and obstetrics including the following topics: Sterilization and disinfection, Chemotherapeutic agents, Immunology (antigens and antibodies), Immunology (specific immune response, hypersensitivity and autoimmunity), Host parasite relationship, Pyogenic cocci, Gram negative bacilli, Anaerobic infection, Genital infection: vaginitis, puerperal sepsis & veneral diseases, Urinary tract infection, Meningitis, Congenital infections, Hepatitis, HIV infections, and Hospital acquired infection and its control.

الهيئة القومية لضمان جودة التعليم واالعتماد

Course Information 4 Course Code: 052808230 Course Name: Pathology for Obstetrics and Gynecology

Program in which the Course is Given: Master in Degree in Obstetrics & Gynecology

Number of Credit Hours: 0.5 Theoretical ½ Clinical/Practical

Course aim: Students will be introduced into the pathological aspects of major female genital tract diseases with particular emphasis on morphology of lesions, where possible, clinical correlation will be employed.

Course Information 5. Course Code: 052008230 Course Name: Medical Physiology of Reproduction and

Endocrine Glands

Program in which the Course is Given: Master Degree in Obstetrics & Gynecology

Number of Credit Hours: 0.5 Theoretical Clinical/Practical ½

Course Aims This course aims at providing students with the essential physiologic aspects relevant to the female reproductive system & the impact of hormonal changes during different periods of the female life.

Course Information 6. Course Code: 053208230 Course Name: Surgery for Obstetrics and Gynaecology

Program in which the Course is Given: Master degree of obstetrics and gynecology

Number of Credit Hours: 1 Theoretical Clinical/Practical 1

Course Aims By the end of that course, the candidates will be able to define causes and proper treatment of surgical disorders with pregnancy and also should be able to deal with body trauma during pregnancy.

7. Course Information Course Code: 051508230 Course Name: Internal medicine for obstetrics and gynecology

Program in which the Course is Given: Master degree of obstetrics and gynecology Number of Credit Hours: 0.5 Theoretical Clinical/Practical ½

Course Aims By the end of that course, the candidates will be able to define causes and proper treatment of both chronic and newly discovered medical disorders with pregnancy.

الهيئة القومية لضمان جودة التعليم واالعتماد

Course Information 8. Course Code: 05230801 Course Name: Normal pregnancy & labour Program in which the Course is Given: Master degree in Obstetrics & Gynecology Number of Credit Hours: 3 Theoretical 2 Clinical/Practical 1 Course Aims:  To manage normal labor and recognize deviations from the norm.  To perform and interpret antenatal testing including non-stress testing.  To interpret intrapartum fetal assessment and recognize deviations from the normal.  To describe the contraindications, risks, benefits, and alternatives to and perform an uncomplicated spontaneous vaginal delivery  To describe the contraindications, risks, benefits, and alternatives to and perform and repair midline episiotomy.

Course Information Course Code: 05230802 Course Name: Abnormal Pregnancy and labour 9. Program in which the Course is Given: master degree in Obstetrics and Gynecology.

Number of Credit Hours: 3 Theoretical 2 2 Clinical/Practical 1

Course Aims: On successful completion of this module, students should be able to: 1· Perform routine antenatal assessment 2· Interpret significance of the history to differentiate between low risk and high risk pregnancies 3· Manage common complications of early and late pregnancy 4· Evaluate medical complications of pregnancy, using appropriate examples based on clinical cases. 5· Recognize, diagnose and manage normal labour. 6· Identify abnormal labour and discuss appropriate management. 7· Perform routine antepartum and intrapartum fetal assessment. 8· Interpret abnormal fetal assessment and discuss appropriate management.

Course Information 10. Course Code: 05230803 Course Name: Medical and Surgical Disorders in Pregnancy Program in which the Course is Given: Master Degree in Obstetrics & Gynecology. Number of Credit Hours: 2 Theoretical 1 Clinical/Practical 1

Course Aims: To improve the student skills in Medical and Surgical Disorders in Pregnancy.

الهيئة القومية لضمان جودة التعليم واالعتماد

Course Information 11. Course Code: 05230804 Course Name: fetal medicine Program in which the Course is Given: Master degree in Obstetrics & Gyecology Number of Credit Hours 2 Theoretical 1 Clinical/Practical 1 Course Aims to : Acquisition and refection of updated working theoretical knowledge in the field of fetal medicine. Acquisition of dynamic problem solving skills in the field of fetal medicine. Development of fine and advanced clinical and operative skills, including dealing with complications in the field of fetal medicine. Refining advanced research skills including raising relevant research design and implementation.

Course Information Course Code: Course Name: Operative Obstetrics 05230805 12. Program in which the Course is Given: Master degree in Obstetrics & Gynecology. Number of Credit Hours Theoretical Clinical/Practical 2 1.5 0.5

Course Aims To improve the student skills in: 1. Basic surgical skills. 2. How to deal with emergencies. 3. Obstetric management.

Course Information 13. Course Code: Course Name: General gynecology 05230806 Program in which the Course is Given: master degree in Obstetrics & Gynecology Number of Credit Hours: 2 Theoretical Clinical/Practical 1.5 0.5

This course aims to: provide the candidate of basic information related these fields:  Epidemiology for the gynecologist.  Benign diseases of the female reproductive tract.  Pelvic pain and dysmenorrhae, sacralgia, and anal pain.  Sexually transmitted infections.  Pelvic inflammatory disease.  Lower genital tract infections.  Intraepithelial diseases of the cervix, vagina and vulva.  Early pregnancy loss and ectopic pregnancy.

الهيئة القومية لضمان جودة التعليم واالعتماد

Course Information 14. Course Code: 05230810 Course Name: Endoscopy Program in which the Course is Given: Master Degree in Obstetrics & Gynecology. Number of Credit Hours 2 Theoretical Clinical/Practical 1.5 0.5 This course aims to:

1. Prepare participants to competently perform diagnostic laparoscopy independently.

2. Perform basic operative laparoscopy procedures under supervision.

Course Code: 05230807 Course Name: Reproductive biology I

15. Program in which the Course is Given: Master degree in Obstetrics and gynecology

Number of Credit Hours: 2 Theoretical 1 Clinical/Practical 1

Course Aims: By the end of the course, candidates should understand the physiology, and pathophysiology of different reproductive endocrinology conditions particularly menstrual disturbances and infertility. Candidates should be able to evaluate, investigate, counsel, manage or appropriately refer this group of patients efficiently. Candidates should be able to do relevant skills needed in the field of reproduction including vaginal sonography, and related procedures.

Course Information 16. Course Code: 05230833 Course Name: Urogynaecology Program in which the Course is Given: Master degree of obstetrics and gynecology Number of Credit Hours: 1 Theoretical 1 Clinical/Practical

Course Aims By the end of that course, the candidates will be able to define causes and proper treatment of urinary incontinence. They will be able to diagnose genito-urinary fistulae and know consequences of vaginal birth on pelvic floor function.

Course Information 17. Course Code: 05230809 Course Name: family planning I Program in which the Course is Given: Master degree in Obstetrics & Gynecology. Number of Credit Hours: 2 Theoretical 1 Clinical/Practical 1 Course Aims to improve the student sills in: Basics of contraception and family planning. How to choose appropriate method of contraception for different categories. Basic knowledge of counseling.

Course Specifications University: Alexandria Faculty: Medicine Department: Obstetrics & Gynaecology

Course Information Course Code: 051408230 Course Name: Human Anatomy of the Reproductive System

Program in which the Course is Given: Master Degree in Obstetrics & Gynaecology

Number of Credit Hours: 0.5 Theoritical ½ Clinical/Practical

Course Aims: Students will be introduced into the anatomical aspects of the female pelvis & genital tract, with correlation to the clinical application.

Intended Learning Outcomes (ILOs)

Program ILO Course ILOs A. Knowledge By the end of this course , the students should and be able to : Understanding A1. Recognize basic a1. Describe basic anatomy of the female pelvis & surgical anatomy of the genital tract. female genital tract. a2. Identify surgical anatomy of the female reproductive tract.

a3. Discuss the different anatomical abnormalities of the female genital system. B. Intellectual By the end of this course , the students should skills be able to : b1. Analyze the different female genital changes during different periods of life. B7. Analyze data extracted. b2. Integrate different data related to female menstrual cycle & pregnancy. b3. Correlate specific anatomical abnormal findings to certain clinical data. C. Professional and Practical Skills D. General & transferable skills

Teaching/Learning Methods Small self Practical/ Others Course Content (Units/Topics) Lectures group learning Clinical ( Assignments ) discussion Development of the female genital  during fetal life.

Anatomical features of the female   pelvis & abdominal wall

Anatomy of the female genital tract.   Anatomical abnormalities of the   female reproductive system. Surgical anatomy of the female  genital system.

Student Assessment Methods of Assessment Essay Objective questions (MCQ ) 

Case OSCE/OSPE

Assignment  Logbook fulfillment

Others

Schedule of Assessment Mid-term --- % End of term 100 % Distribution of Marks Written Exam 100 % Practical/Clinical Exam … % Others ( Assignment ) … %

List of Textbooks and References  Lecture Notes

Course Text Books

Suggested Extra Reading

Journals and Periodicals, others Relevant journals

Course Instructor Name: prof. Dr. Shawky Taill Signature:

Program Coordinator Name: Prof Dr Mahmoud Melees Signature:

Program Director (Head of Department) Name: Prof. Dr . Emad Khalifa Signature:

Course Specifications

University: Alexandria Faculty: Medicine Department: Obstetrics and Gynaecology

Course Information Course Code: 050707230 Course Name: Public Health , preventive and

social medicine for Obstetrics and Gynecology

Program in which the Course is Given: Master Degree in Obstetrics and Gynecology

Number of Credit Hours: 0.5 Theoretical ½ Clinical/Practical -

4x2 =8 Course Aims 10 Prepare an obstetrician and gynecologist who is aware of public health implications of his /her clinical practice.

Intended Learning Outcomes (ILOs) Program ILO (refer to program Course ILOs matrix) A. Knowledge By the end of this course, the students and should be able to : A6. Acquire a working knowledge Understanding a1. Identify relevant concepts of public of the common medical and health care to specialty practice. surgical influences carried by the environment and culture on the a2. Define the roles of preventive health care

female reproductive health. in the maternal welfare.

B. Intellectual By the end of this course , the students skills should be able to : B5. Generate hypothesis for b1. Analyze the various influences affecting relevant clinical research. individual and group maternal health. b2. Assess high risk pregnancies.

B7. Analyze data extracted. b3. Choose, plan and implement suitable epidemiological studies for different research problems.

b4. Describe population problem of Egypt and basic principles governing its solution by population policy of Egypt.

C. Professional and Practical Skills

D. General and By the end of this course , the students transferable should be able to : Skills d1. Communicate effectively with D11. Use of information colleagues and teaching staff. technology to improve

professional practice.

d2. Use the learning resources effectively D12. Obtain data using different d3. Carry leadership responsibilities sources of information whenever required.

E-Attitudes and ethical behavior

Teaching/Learning Methods Lectures self Practical/ Small Others Course Content (Units/Topics) learning Clinical group (assignment) discussion - Reproductive health   - Population problem of Egypt  - Demography  - Occupational health in its   relation to reproductive health - Family planning program.  - Health education program.  - Epidemiology   - Research Methodology   - Maternal Nutrition  Please check () the appropriate method.

Student Assessment Methods of Assessment Essay  Objective questions

Case  OSCE/OSPE

Assignment  Logbook exercise fulfillment

Others

Schedule of Assessment Mid-term 20 %

End of term 80 % Distribution of Marks End of term Written Exam (MCQs & Essay) 70 % Practical/ Exam % Others (assignment & exercise) 30%

List of Textbooks and References Lecture Notes PowerPoint presentations Course Text Books

Suggested Extra Reading

Journals and Periodicals, others

Course Instructor Name: Prof.Dr. Nadia Farghly Signature:

Program Coordinator Name: Prof Dr Mahmoud Melees Signature:

Program Director (Head of Department) Name: Prof. Dr . Emad Khalifa Signature:

Course Specifications

University: Alexandria Faculty: Medicine Department: Obstetrics & Gynecology

Course Information Course Code: 051808230 Course Name: Medical Microbiology for Obstetrics and Gynecology

Program in which the Course is given: Master Degree in Obstetrics & Gynecology

Number of Credit Hours: 0.5 Theoretical ½ Clinical/Practical

Course Aims: This course aims at providing the students with the microbiology information relevant to the study and practice of gynecology and obstetrics including the following topics: Sterilization and disinfection, Chemotherapeutic agents, Immunology (antigens and antibodies), Immunology (specific immune response, hypersensitivity and autoimmunity), Host parasite relationship, Pyogenic cocci, Gram negative bacilli, Anaerobic infection, Genital infection: vaginitis, puerperal sepsis & veneral diseases, Urinary tract infection, Meningitis, Congenital infections, Hepatitis, HIV infections, and Hospital acquired infection and its control. Intended Learning Outcomes (ILOs) Program ILO (refer to program Course ILOs matrix) A. Knowledge By the end of this course , the students and should be able to : Understanding A11. Relate the different aspects of a1- Outline the classification and structure microbiology pertaining to of microorganisms. microbial infections of the female a2- Describe the relationship between genitourinary tract, their microorganisms and hosts. management and the effects on a3- Define normal flora and categorize overall female health as well as them as causes of infection with description microorganisms posing risks to of the cycle of infection. patients undergoing surgical a4- Discuss all aspects of the immune interventions. defense mechanisms both specific and non- specific. a5- Explain the sampling and transport of different diagnostic samples for the microbiology lab. a6- Classify antimicrobials according to their mechanisms of action and uses. a7- Discuss the different aspects pertaining to the use and abuse of antibiotics in their different indications and combinations. a8- Relate hepatitis viruses to their clinical presentations and diagnostic approaches. a9- Differentiate significant from non- significant bacteriuria. a10- Associate sexually transmitted diseases with their causative organisms and diagnostic approaches. a11-Distinguish congenital and neonatal infections according to their causative organisms, modes of transmission and effects on the new borne. a12- Describe the diagnostic approaches to HIV infections in the different clinical stages.

A12. Explain the value and a13- Define sterilization, disinfection, implementation of infection antisepsis, cleaning and decontamination. control practices in prevention of a14- Describe sources and routes of hospital associated infections. hospital acquired infection. a15- Explain methods of prevention and control of hospital associated infections. B. Intellectual By the end of this course , the students skills should be able to : B2. Solve clinical situations b1- Recommend the best antibiotic encountered in practice. prescription for the different infectious conditions according to the patient condition. b2- Interpret urine culture results in view of

the patient’s clinical presentation. b3- Assess the use of different decontamination methods according to the item to be decontaminated. b4- Determine the appropriate procedures for prevention of hospital acquired infections. C. Professional and Practical Skills D. General Skills

Teaching/Learning Methods Lectures self Practical/ Small Others Course Content (Units/Topics) learning Clinical group discussion Morphology and Classification of  Microorganisms Host-Parasite relationships 

Immunology of Infection 

Diagnostic Microbiology 

Antimicrobial Therapy 

Viral Hepatitis 

Urinary tract infections 

Sexually transmitted diseases 

Congenital and neonatal infections 

HIV and AIDS 

Sterilization, Disinfection and  Antisepsis Hospital Infection 

Immunization 

Please check () the appropriate method.

Student Assessment Methods of Assessment Essay  Objective questions 

Case OSCE/OSPE

Assignment Logbook fulfillment

Others

Schedule of Assessment Mid-term % End of term 100 % Distribution of Marks Written Exam 100 % Practical/Clinical Exam % Others % List of Textbooks and References Lecture Notes 

Course Text Books Microbiology in Clinical Practice

Suggested Extra Reading

Journals and Periodicals, others

Course Instructor Name: Prof. Dr. Signature:

Program Coordinator Name: Prof Dr Mahmoud Melees Signature:

Program Director (Head of Department) Name: Prof. Emad Khalifa Signature:

Course Specifications University: Alexandria Faculty: Medicine Department: Obstetrics & Gynecology

Course Information Course Code: 052808230 Course Name: Pathology for Obstetrics and

Gynecology

Program in which the Course is Given: Master in Degree in Obstetrics & Gynecology

Number of Credit Hours: 0.5 Theoretical ½ Clinical/Practical

Course Aims

Students will be introduced into the pathological aspects of major female genital tract diseases with particular emphasis on morphology of lesions, where possible, clinical correlation will be employed.

Intended Learning Outcomes (ILOs) Program ILO (refer to Course ILOs program matrix) A. Knowledge By the end of this course , the students should and be able to : Understanding A13. Recognize a1. Recognize cervical diseases including fundamental knowledge to inflammation and tumors. achieve accurate pathologic a2. Identify endometrial inflammatory disorders diagnosis. and endometrial tumors. a3. Describe different ovarian tumors. a4: Recognize the clinical effects of ovarian tumors. a5. Recognize the different placental tumors. a6. Correlate the clinical picture with the different female genital diseases. a7. Identify causes of uterine bleeding. B. Intellectual By the end of this course , the students should skills be able to : B7. Analyze data extracted. b1. Analyze the different female genital disease processes.

b2. Integrate relevant clinical findings and imaging

findings together with pathological findings to pose a differential diagnosis. b3. Formulate the main differential diagnoses in a given case (problem identification and solving) C. Professional and Practical Skills D. General & transferable skills

Teaching/Learning Methods Small self Practical/ Others Course Content (Units/Topics) Lectures group learning Clinical ( Assignments ) discussion Cervical inflammation, cervical  polyp, cervical tumors. Endometrial inflammation, endometriosis, endometrial  hyperplasia Endometrial polyp, endometrial  carcinoma, stromal tumors. Leiomyoma, leiomyosarcoma.   Gestational tumors.   Ovarian cysts, benign, borderline &malignant epithelial ovarian  tumors. Germ cell tumors & sex cord stromal tumors   Functional effects of ovarian tumors. Causes of vaginal bleeding. Vaginitis, vaginal tumors, Vulvar  dystrophies, Vulvar tumors Please check () the appropriate method.

Student Assessment Methods of Assessment Essay Objective questions ( MCQ) 

Case  OSCE/OSPE

Assignment  Logbook fulfillment

Others

Schedule of Assessment Mid-term … %

End of term 100 % Distribution of Marks Written Exam 90 % Practical/Clinical Exam 0 % Others ( Assignment ) 10 %

List of Textbooks and References Lecture Notes  Robbin’s and Cotran. Course Text Books Pathologic basis of disease. Pathology in Gynecology and Obstetrics. Suggested Extra Reading (Steven G.Silverberg). Journals and Periodicals, others

Course Instructor Name: Pr.Dr. suzan Helal Signature:

Program Coordinator Name: Prof Dr Mahmoud Melees Signature:

Program Director (Head of Department) Name: Prof. Dr . Emad Khalifa Signature:

Course Specifications

University: Alexandria Faculty: Medicine Department: Obstetrics & Gynecology

Course Information Course Code: 052008230 Course Name: Medical Physiology of

Reproduction and Endocrine Glands

Program in which the Course is Given: Master Degree in Obstetrics & Gynecology

Number of Credit Hours: 0.5 Theoretical Clinical/Practical ½

Course Aims

This course aims at providing students with the essential physiologic aspects relevant to the female reproductive system & the impact of hormonal changes during different periods of the female life.

Intended Learning Outcomes (ILOs) Program ILO (refer to Course ILOs program matrix) A. Knowledge By the end of this course , the students should and be able to : Understanding A2. Learn the physiologic a1. Discuss physiologic aspects of the female basis of the female reproductive functions at different age groups. reproductive system. a2. Define the physiology of menstruation & pregnancy. a3. Identify the effects of different endocrinological on female reproduction. a4. Describe different diseases resulting from abnormalities of the female endocrinal defects. B. Intellectual By the end of this course , the students should skills be able to : B7. Analyze data extracted. b1. Analyze the different diseases resulted from endocrinological abnormalities of the

hypothalamo-pituitary-ovarian axis. b2. Correlate variable clinical & laboratory findings to female endocrinal abnormalities. C. Professional and Practical Skills D. General Skills

Teaching/Learning Methods Small self Practical/ Others Course Content (Units/Topics) Lectures group learning Clinical ( Assignments ) discussion Basic s for hypothalamo-pituitary-  ovarian axis.

Physiologic basis for puberty &  menopause

Physiology of reproduction &  pregnancy. Endocrinal disorders & their effect on  female reproduction.

Student Assessment Methods of Assessment Essay Objective questions

Case  OSCE/OSPE

Assignment  Logbook fulfillment

Others( MCQ)

Schedule of Assessment Mid-term --- % End of term 100 % Distribution of Marks Written Exam 100 % Practical/Clinical Exam … % Others ( Assignment ) … %

List of Textbooks and References Lecture Notes 

Course Text Books

Suggested Extra Reading

Journals and Periodicals, others

Course Instructor Name: prof. Dr.Gehan Yassen Signature:

Program Coordinator Name: Prof Dr Mahmoud Melees Signature:

Program Director (Head of Department) Name: Prof. Dr . Emad Khalifa Signature:

Course Specifications

University: Alexandria

Faculty: Medicine

Department: Obstetrics & Gynecology

Course Information

Course Code: 053208230 Course Name: Surgery for Obstetrics and

Gynaecology

Program in which the Course is Given: Master degree of obstetrics and gynecology

Number of Credit Hours: 1 Theoretical Clinical/Practical 1

Course Aims By the end of that course, the candidates will be able to define causes and proper treatment of surgical disorders with pregnancy and also should be able to deal with body trauma during pregnancy. Intended Learning Outcomes (ILOs) Program ILO (refer to Course ILOs program matrix) A. Knowledge By the end of this course, the students and A4. Define and deal on a team should be able to : Understanding basis with different medical a1. Explain the physiological hematological and surgical disorders changes during pregnancy, the influencing the female pathophysiology of thrombophilias health and reproduction. occurring during pregnancy, antiphospholipid syndrome, D.V.T. and pulmonary embolism, their clinical picture, diagnosis and how to manage.

a2. Discuss the principles of cancer therapy during pregnancy, early detection and A5. Identify and deal, on a team diagnosis of cancer during pregnancy, basis, with different surgical surgical treatment during pregnancy and the complications influencing the pregnancy following the cancer. female health and reproduction. . a3. List the different types of trauma can occurred to the pregnant woman, how to A6. D the common medical and manage. surgical influences carried by a4. Mention the management of surgical the environment and culture emergencies during pregnancy. on the female reproductive health. a5. Identify surgical and non surgical interventions for management of urinary incontinence.

a6. Illustrate the systems and organization

of obstetrical intensive care and the pregnant

women who have surgical complications

specifically related to the pregnancy and

need this intensive care. a7. List the indication for laparatomy and laparascopy during pregnancy and the effect of the anesthesia. a8. Collect data and recent researches about surgical disorders during pregnancy and analyze them. B. Intellectual By the end of this course , the students skills should be able to : B1. Appraise clinical situations b1. Interpret the warning signs of the in clinics, wards, and theaters. surgical disorder during pregnancy and early detection of their complications. b2. Refer patients early to specialized centers according to specific criteria. b3. Evaluate the female during antenatal visit and early detection of surgical disorders through clinical symptoms and signs.

b4. Answer commonly asked questions B3. Identify situations concerning surgical condition endangering endangering the female life pregnancy as appendicitis and peptic ulcer, or her reproductive ability. as well as trauma. b5. Communicate findings of examination and investigations in well organized written and oral reports. b6. Formulate a hypothesis related to community surgical problems. C. Professional and Practical Skills D. General Skills E. Attitudes and ethical behavior

Teaching/Learning Methods

Lectures self Practical/ Small Others learning Clinical group Course Content (Units/Topics) discussion (assignment)

Body response to injury 

Fluid electrolytes  

Acid base balance & nutrition 

Wounds 

Shock 

Surgical infection  

Haemostasis and disorders of surgical  bleeding.

Oncology 

Anatomy of the breast 

Anatomy of abdominal wall and  inguinal region

Anatomy of anorectal region and  perineum

Faecal incontinence 

Anatomy of peritoneum and  diaphragm

Minimally invasive surgery and basic  laparoscopy

Post operative complications 

Monitoring of surgical patient 

Student Assessment

Methods of Assessment Essay  Objective questions 

Case OSCE/OSPE

Assignment Logbook exercise fulfillment

Others

Schedule of Assessment Mid-term %

End of term 100 %

Distribution of Marks Written Exam (MCQs & Essay) 100 %

Practical/ Exam %

Others (assignment & case) %

List of Textbooks and References

Lecture Notes 

Course Text Books

Suggested Extra Reading

Journals and Periodicals, others

Course Instructor Name: Prof. Dr. Tark koritam Signature: Program Coordinator Name: Prof Dr Mahmoud melees Signature:

Program Director (Head of Department) Name: Prof. Dr . Emad Khalifa Signature:

Course Specifications

University: Alexandria

Faculty: Medicine

Department: Obstetrics & Gynecology

Course Information

Course Code: 051508230 Course Name: Internal medicine for obstetrics and

gynecology

Program in which the Course is Given: Master degree of obstetrics and gynecology

Number of Credit Hours: 0.5 Theoretical Clinical/Practical ½

Course Aims

By the end of that course, the candidates will be able to define causes and proper treatment of both chronic and newly discovered medical disorders with pregnancy.

Intended Learning Outcomes (ILOs)

Program ILO (refer to program Course ILOs matrix)

A. Knowledge By the end of this course , the students and should be able to :

Understanding a1. Explain the physiological hematological

changes during pregnancy, the A4. Define and deal on a team pathophysiology of thrombophilias

basis with different medical occurring during pregnancy, disorders influencing and / or antiphospholipid syndrome, D.V.T. and related to the pregnancy pulmonary embolism, their clinical picture, diagnosis and how to manage. a2. Recognize the early and warning signs of hypertensive disorders during pregnancy. a3. Enumerate biochemical testing for diagnosis and detection of hypertensive disorders in `pregnancy

A4. Explain the urinary tract changes during pregnancy. a5. Describe the signs and symptoms of renal system affection during pregnancy and how to assess the renal diseases during pregnancy A6. Acquire a working knowledge of the common medical and surgical influences a6. Explain the hepatic physiology in carried by the environment and pregnancy and the effect of viral liver culture on the female disease and preexisting liver diseases on the reproductive health. pregnant woman and her fetus and the other liver diseases associated with pregnancy

a7. Illustrate the physiological changes of respiratory system during pregnancy and the pathophsiology of pulmonary diseases during pregnancy, its clinical course, maternal and fetal outcomes, clinical

evaluation and management of the acute and chronic pulmonary diseases during pregnancy.

a8. Mention the immunological changes of pregnancy and demonstrate viral, bacterial, protozoal, mycotic and emerging infections and their effect on pregnant woman and her fetus regarding the abortion and congenital

anomalies of the fetus. A7. Use national and a9. Collect data and recent researches about international search engines to medical disorders during pregnancy and get the recent and most effective analyze them. advances in diagnosis and a10. Review the literature for the advances management of health disorders in diagnosis and management of medical with pregnancy. disorders related to pregnancy.

B. Intellectual By the end of this course , the students skills should be able to :

B1. Appraise clinical situations in clinics, wards, and theaters. b1. Assess the medical condition of a pregnant lady through history taking, and investigations. b2. Interpret investigations related to medical disorders of pregnant female.

b3. Interpret the warning signs of the medical disorder during pregnancy and early detection of their complications and criteria for early referral to specialized centers.

B2. Identify and classify b4. Evaluate the female during antenatal visit and early detection of medical situations endangering the disorders through clinical symptoms and female life or her reproductive signs. ability b5. Assess complications of the disease in each trimester either maternal or fetal.

B6. Answer commonly asked questions concerning medical disorder as hepatic disease and diabetes mellitus.

b7. List the serological tests important for early detection of the disease in the pregnant woman and mention the normal serological findings of a normal non pregnant woman and normal pregnant woman and compare them to what we find in the diseased

pregnant woman.

b8. Describe non-directive counseling of a woman with an unintended pregnancy due to pre-existing disease.

b9. Communicate findings of examination and investigations in well organized written B6. Review the administrative and oral reports. aspects of a unit offering medical services. b10. Formulate a hypothesis related to community problem

C. Professional and Practical Skills

D. General Skills

E. Attitudes and ethical behavior

Teaching/Learning Methods

Lectures self Practical/ Small Others learning Clinical group Course Content (Units/Topics) discussion (assignment)

CVS: Ishemic, valvular, congenital  heart diseases

Diabete mellitus and pregnancy 

SLE 

Metabolic bone diseases.  Anemia and pregnancy 

Liver cirrhosis and pregnancy 

Thyroid diseases  

Ant. Pituitary diseases. 

Heart failure 

Hypertension   

Rheumatic fever and rheumatic heart  diseases.

Bronchial asthma, COPD and    pregnancy

DVT and pulmonary embolism. 

PCOD 

Obesity  

Student Assessment

Methods of Assessment Essay  Objective questions 

Case OSCE/OSPE

Assignment Logbook exercise fulfillment

Others

Schedule of Assessment Mid-term %

End of term 100 %

Distribution of Marks Written Exam (MCQs & Essay) 100 %

Practical/ Exam %

Others (assignment & exercise) %

List of Textbooks and References

Lecture Notes 

Course Text Books

Suggested Extra Reading

Journals and Periodicals, others

Course Instructor Name: Prof.Dr.Mohamed Samy Gad Signature: Program Coordinator Name: Prof Dr Mahmoud melees Signature:

Program Director (Head of Department) Name: Prof. Dr . Emad Khalifa Signature:

Course Specifications

University: Alexandria

Faculty: Medicine

Department: Obstetrics & Gynecology

Course Information

Course Code: 05230801 Course Name: Normal pregnancy & labour

Program in which the Course is Given: Master degree in Obstetrics & Gynecology

Number of Credit Hours: 3 Theoretical Clinical/Practical 2 1

Course Aims:

 To manage normal labor and recognize deviations from the norm.  To perform and interpret antenatal testing including non-stress testing.  To interpret intrapartum fetal assessment and recognize deviations from the normal.  To describe the contraindications, risks, benefits, and alternatives to and perform an uncomplicated spontaneous vaginal delivery  To describe the contraindications, risks, benefits, and alternatives to and perform and repair midline episiotomy. Intended Learning Outcomes (ILOs)

Program ILO (refer to program Course ILOs matrix)

A. Knowledge By the end of this course , the students and should be able to : Understanding a1. Illustrate the anatomy of the female A1. Identify advanced surgical pelvis and fetal skull. anatomy of the female genital a2.Describe different methods of assessment tract. of fetal well-being, recognize and utilize basic diagnostic tools such as electronic fetal monitoring, non-stress test, contraction stress test and biophysical profile.

a3.Describe the basic physiological background of fertilization, implantation and early development of the fetus, placenta, and cord. a4. Mention the different placental functions and abnormalities, the theories of formation and functions of liquor amnii,

and the basis of fetal circulation. a5. Recognize the basic physiological changes produced by pregnancy occurring in each trimester and the basic principles of antenatal care. a6. Explain the physiology, mechanism and management of normal labor. A2. Learn the physiologic basis a7. Describe the physiological changes of the female reproductive during puerperium and the recommended system. program of postnatal visits with common abnormalities occurring in puerperium and their management.

a8. Mention indications, techniques, and complications of induction of labor. A3. Define the different effects a9. List pain management approaches during of age and pregnancy on the labour. female reproductive organs.

B. Intellectual By the end of this course , the students skills should be able to :

b1. Assess and interpret the gestational age B1. Appraise clinical situations of a pregnant lady through history taking, in clinics, wards, and theaters. focused clinical examination.

b2. Point out the warning signs of late pregnancy and criteria for early referral to specialized centers.

b3. Interpret findings on partogram in management of normal labor.

b4. Evaluate the female during labor and early detection of obstructed labor.

b5. Assess complications of the third stage B3. Identify situations of labor and show how to apply first aid endangering the female life or management. her reproductive ability. b6. Solve commonly asked questions concerning pregnancy, labour and delivery.

b7. Point out immediate care of the normal newborn.

b8. Communicate findings of examination in well organized written and oral reports.

C. Professional By the end of this course , the students and Practical should be able to :

Skills c1. Take patient histories with emphasis on C1. Interpret clinical signs and obstetric and menstrual histories. symptoms. c2. Perform basic physical examination.

c3. Conduct and request a routine antenatal visit, including appropriate history,

examination and request investigations.

c4. Counsel patients regarding medications, immunizations and environmental hazards. Perform routine obstetric and gynecologic examination.

c5. Perform first trimester scanning:

viability, number of fetuses, measurement of CRL.

c6. Perform ultrasound basic fetal measurements: BPD, HC, AC, FL, and C2. Generate provisional routine anomaly scanning. diagnosis.

c7. Clinically assess fetal well-being including movement and growth. Examine a third trimester pregnant abdomen.

c8. Diagnose labour and assess progress clinically, using partogram.

c9. Conduct normal labour, including vaginal examinations, amniotomy, provision of analgesia and appropriate

augmentation. C8. Operate on common c10. Perform and repair an episiotomy. gynecologic surgeries. c11. Identify and manage minor lacerations

c12. Diagnose, initially manage and organize team approach to intrapartum shock or collapse.

c13. Assess perineal trauma.

D. General By the end of this course , the students Skills should be able to :

d1. Apply principles of evidence-based D1. Communicate with patients medicine for problem solving and effectively. decision making.

d2. Interact with patients to gain their confidence, cooperation and assure her comfort and dignity.

d3. Demonstrate professional behavior and team work.

D2. Counsel patients. d4. Demonstrate interpersonal and communication skills.

E. Attitudes & By the end of this course , the students Ethical should be able to : E1. Acquire a working behavior knowledge of the ethical aspects e1. Acquire knowledge of ethical aspects in of the specialty with special diagnosis of pregnancy emphasis on patient rights, counseling and autonomy. e2. Acquire knowledge of ethical aspects in diagnosis of pregnancy.

e3. Realize ethical aspect in dealing with E2. Adopt the code of ethics of patients. the specialty as regards both dealing with patients and e4. Realize ethical aspect in dealing with colleagues. colleagues.

Teaching/Learning Methods

Lectures self Practical/ Small Others learning Clinical group Course Content (Units/Topics) discussion

Anatomy of female bony pelvis &fetal skull √

Fertilization, implantation & early √ development of the fetus. Placenta, membranes, & umbilical cord, placental functions & abnormalities.

Fetal growth & development & fetal √ circulation..

Physiological changes during pregnancy √

Normal pregnancy √ √

Diagnosis of pregnancy √

Parturition and endocrine control √

Antenatal care √ √

Immunology of obstetrics √

Antepartum assessment of fetal well being √ √ Mechanism & management of normal labor √ √

Induction & augmentation of labour √ √

Immediate neonatal care

Normal puerperium & lactation. √

Please check (√ ) the appropriate method.

Student Assessment

Methods of Assessment

Essay Objective questions √

Case OSCE/OSPE √

√ Assignment Logbook fulfillment

Others

Schedule of Assessment Mid-term

End of term 100 %

Distribution of Marks Written Exam 70%

Practical/Clinical Exam 30%

Others

List of Textbooks and References

Lecture Notes Lecture handouts for each topic

Course Text Books Williams Obstetrics

Suggested Extra Reading Evidence based medicine for RCOG

Journals and Periodicals, others BJOG

Course Instructor Name: Prof. Dr. Signature:

Program Coordinator Name: Prof Dr Mahmoud Melees Signature:

Program Director (Head of Department) Name: Prof. Dr . Emad Khalifa Signature:

Course Specifications

University: Alexandria Faculty: Medicine Department: Obstetrics and Gynecology

Course Information Course Code: 05230802 Course Name: Abnormal Pregnancy and labour

Program in which the Course is Given: master degree in Obstetrics and Gynecology.

Number of Credit Hours: 3 Theoretical 2 2 Clinical/Practical 1

Course Aims: On successful completion of this module, students should be able to: 1· Perform routine antenatal assessment 2· Interpret significance of the history to differentiate between low risk and high risk pregnancies 3· Manage common complications of early and late pregnancy 4· Evaluate medical complications of pregnancy, using appropriate examples based on clinical cases. 5· Recognize, diagnose and manage normal labour. 6· Identify abnormal labour and discuss appropriate management. 7· Perform routine antepartum and intrapartum fetal assessment. 8· Interpret abnormal fetal assessment and discuss appropriate management.

Intended Learning Outcomes (ILOs) Program ILO (refer to program Course ILOs matrix) A. Knowledge By the end of this course , the students and should be able to : Understanding A1. Recognize basic surgical a1. Recognize and describe the difference anatomy of the female genital types of abortions and to mention causes of tract. repeated abortion. a2. Illustrate the different methods used to

differentiate between the causes of bleeding in the 1st trimester of pregnancy. a3. Explain the different modalities used for the diagnosis and management of ectopic pregnancy.

a4. List the investigative modalities used to detect the conversion of vesicular mole to A3. Define the different effects of invasive mole or chroniocarcenoma. age and pregnancy on the female reproductive organs. a5. Describe hyperemesis gravidarin and how to differentiate it from physiological vomiting of pregnancy, and enumerate the danger signs in cases with hyperemesis gravidarim. A4. Identify and deal, on a team a6. Discuss the different tests used for basis, with different medical prenatal diagnosis according to the complications influencing the gestational age of the fetus. female health and reproduction. a7. Define perperual pyrexia, mention the different causes, with special consideration to perperual sepsis as regards risk factors, presentation and management. a8. Recognize the relationship between pregnancy and thromboembolic disease, taking into account the modalities needed for the diagnosis of deep vein thrombosis along with the different lines of management. a9. Explain the different complications of D.V.T mentioning pulmonary embolism in detail. a10. Classify pregnancies into high risk and low risk pregnancy, understanding clearly the different parameters that could categories a pregnancy into high risk. a11. Mention the different causes for the development of IUGR and the different modalities needed for the proper follow up of these cases and the protocol of management for the different types of IUGR. a12. Discuss the importance and causes of alloimmunization, and the impact it has on the fetus. a13. Describe the basic physiological background of fertilization and development of multiple pregnancies. a14. List the causes of intrauterine fetal death (IUFD) and describe the hazards of IUFD.

a15. Mention the risk factors for preterm A5. Identify and deal, on a team labour, the management plan for preterm basis, with the different surgical labour with or without premature rupture of complications influencing the membranes. female health and reproduction. a16. Recognize the hazards of prematurity and the different modalities that could be utilized to reduce the risk of these hazards. a17. Define post-term pregnancy, the causes that predispose to post maturity and the protocol of management of post maturity to predict and reduce fetal distress during labour. a18. Describe premature rupture of membranes, its risk factors, pathophysiology, and its relation to preterm labour and different plans for management of such cases. a19. Discuss the different risk factors and types of placenta previa, with special consideration to the relationship between previous cesarean section and the hazards of placenta previa, i.e., adherent placenta. a20. Describe the hazards of placenta previa and the management needed to avoid such complications.

B. Intellectual By the end of this course , the students skills B1. Appraise clinical situations in should be able to : clinics, wards, and theaters. b1. Assess and interpret the gestational age of a pregnant lady through history taking and focused clinical examination, correlating this to B-HCG levels and ultrasound findings to differentiate b/w the different causes of 1st trimester bleeding. b2. Evaluate the female with hyperemesis gravidarin using the clinical findings and the laboratory investigations in order to plan the management properly and select appropriate timing for termination of pregnancy.

B3. Identify situations b3. Appraise different methods used for endangering the female life or her early detection of fetal abnormalities and reproductive ability. prenatal diagnosis.

b4. Interpret ultrasound images and correlate such images with the clinical examination to differentiate between the different causes of IUGR. b5. Appraise different methods of assessment of fetal well being and interpret criteria of distressed fetuses which need immediate intervention. b6. Choose the appropriate tests for cases with alloimmunization at the appropriate gestational age to diagnose and pin point cases that have a high risk of complications. b7. Assess and interpret the diagnosis of multiple pregnancies through history taking, clinical examination and ultrasound B4. Predict outcome and plan assessment. course of management for these b8. Apply appropriate physical examination situations. techniques to distinguish between the different types of abnormal presentations. b9. Appraise the ultrasound assessment of the cervix in cases of preterm labour and the different diagnostic modalities used to diagnose premature rupture of membranes. b10. Differentiate normal from abnormal neonates through apgar score keeping in mind the specific hazards from post or prematurity. b11. Relate the different causes of antepartum hemorrhage and the ultrasound findings used to differentiate between placenta previa and accidental hemorrhage. b12. Interpret different signs and symptoms in the physical examination, history taking and follow up of cases, so as to categorize pregnancies as high risk or low risk pregnancies. b13. Interpret ultrasound images diagnosing oligohydramnios and polyhydramnios. b14. Appraise the different signs on an ultrasound image that detect the most common fetal anomalies, and IUFD.

b15. Interpret the different signs, through clinical examination and CTG to predict the different types of abnormal uterine actions, to diagnosis cephalopelvic disproportion and to prevent the occurrence of obstructed labour. C. Professional By the end of this course , the students and Practical C1. Interpret abnormal signs and should be able to : Skills symptoms. c1. Take patient history and conduct a clinical examination for a case of bleeding in early trimester, in order to reach a diagnosis for the cause. c2. Counsel patients as regards the test results for prenatal diagnosis of fetal abnormalities with special consideration of prognosis and recurrence of such an abnormality.

C2. Generate provisional diagnosis. c3. Conduct U/S examination during the 2nd and 3rd trimester to detect cases of fetal growth restriction, hydropis fetalis, multiple pregnancies, placenta previa, oligohydramios and polyhydramnios.

C5. Operate on basic and emergency obstetric procedures. c4. Conduct and assist in the delivery of multiple pregnancies. c5. Attend the high risk pregnancy clinic to appraise U/S findings of different common fetal abnormalities. c6. Examine, identify and assess risk in pregnant patients for medical or obstetric complications. c7. Perform vaginal examination to patients with abnormal presentations (occipito posterior position, face-brow presentation, breech presentation, shoulder and complex presentation and cord prolapse and presentation), and assist in the delivery of these cases. c8. Diagnose cases with cephalopelvic disproportion, contracted pelvic and those with obstructed labour.

C6. Examine obstetric and c9. Diagnose, initially manage and organize gynecologic cases both pre- and team approach to postpartum hemorrhage. postoperatively. c10. Assist as part of a team, in the emergency care of a patient with antepartum hemorrhage. c11. Diagnose different obstetric injuries and assist in its management with a senior obstetrician. c12. Examine the neonate and recognize common problems including fetal injuries respiratory distress syndrome. c13. Recognize situations requiring immediate intervention in newborn care. D. General By the end of this course , the students Skills D1. Communicate with patients should be able to : effectively. d1. Apply principles of evidence-based medicine for problem solving and decision making. d2. Interact with patients to gain their confidence, cooperation and assure her comfort and dignity. d3. Demonstrate professional behavior and team work D2. Counsel patients. d4. Demonstrate interpersonal and communication skills that build trust by addressing relevant factors including culture, ethnicity, language/literacy, socioeconomic status, spirituality/religion, age, sexual orientation and disability. d5. Respect for cultural and religious differences in attitudes to childbirth. E. Attitude and By the end of this course , the students ethical should be able to : behavior E1. Acquire a working e1. Take an informed consent and conduct knowledge of the ethical aspects full explanation of the morbidities and of the specialty with special moratlities associated with fetal reduction in emphasis on patient rights cases of multiple gestations should be fully counseling and autonomy. understood. e2. Consider numerous ethical aspects of a female request for an elective cesarian section without a sound medical indication should be fully known and dealt with properly.

E2. Adopt the code of ethics of e3. Respect ethical and religious aspects for the specialty as regards both terminating pregnancy based on the prenatal dealing with patients and diagnosis of congenital fetal anomalies colleagues. should be realized for better counseling of the parents and better guidance for their informed consent. e4. Respect the working code between different colleagues and patients rights for counseling and autonomy.

Teaching/Learning Methods Lectures self Practical/ Small Others Course Content (Units/Topics) learning Clinical group discussion Bleeding in early pregnancy. √ √ √ Bleeding in late pregnancy. √ √ √ Hyperemesis gravidarum √ √ High risk pregnancy. √ √ Prenatal diagnosis of fetal anomalies. √ Induction and Augmentation of Labour √ √ Common fetal anomalies. √ √ Preterm labour and hazards of √ √ prematurity. Post term labour and hazards of √ √ postmaturity. Fetal growth disorders: small for √ √ √ gestational age and large for gestational age. Premature rupture of membranes and √ √ choriamionitis. Oligohydramnios and polyhydramnios. √ √ √ IUFD. √ √ √ Alloimmunization in pregnancy. √ √ Multiple pregnancies. √ √ Dystocia, abnormal uterine action, and √ √ obstructed labour. Abnormal fetal presentation and √ √ positions. Contracted pelvis and cephalopelvic √ √ disproportion. Postpartum hemorrhage. √ √ √ Other complications of the third stage of √ √ labour. Obstetric and fetal birth injuries. √ √ Neonatal respiratory distress and √ √ neonatal resuscitation. Puerperal sepsis and puerperal pyrexia. √ √ Venous thrombosis and Pulmonary √ √ embolism. Please check () the appropriate method.

Student Assessment Methods of Assessment Essay Objective questions √

Case OSCE/OSPE √

Assignment √ Logbook fulfillment √

Others

Schedule of Assessment Mid-term %

End of term 100 % Distribution of Marks Written Exam 70 % Practical/Clinical Exam 30 % Others %

List of Textbooks and References Lecture Notes Lecture notes in certain topics of the course.

Course Text Books Williams Obstetrics.

Suggested Extra Reading E. Albert. Reece : Clinical Obstetrics ( the fetus and the mother) Journals and Periodicals, others BJOG( British journal of Obst and Gyn), ISUOG journal. Course Instructor Name: Prof. Dr. Hesham Galil Signature:

Program Coordinator Name: Prof Dr Mahmoud Melees Signature:

Program Director (Head of Department) Name: Prof. Dr . Emad Khalifa Signature:

Course Specifications

University: Alexandria

Faculty: Medicine

Department: Obstetrics & Gynecology

Course Information

Course Code: 05230803 Course Name: Medical and Surgical Disorders in Pregnancy

Program in which the Course is Given: Master Degree in Obstetrics & Gynecology.

Number of Credit Hours: 2 Theoretical Clinical/Practical 1 1

Course Aims

To improve the student skills in Medical and Surgical Disorders in Pregnancy.

Intended Learning Outcomes (ILOs)

Program ILO (refer to program Course ILOs matrix)

A. Knowledge By the end of this course , the students should and be able to : Understanding a1. Describe the advanced detailed surgical A1. Identify basic surgical anatomy anatomy of the female pelvis and physiological of the female genital tract. changes of C.V.S., renal, gastrointestinal, psychological, hepatic, hematological, respiratory and endocrinal systems with pregnancy. a2. Mention the sign and symptoms of normal pregnancy in each trimester. a3. Compare between normal non pregnant woman with normal pregnant one regarding central hemodynamic changes. a4. Recognize the early and warning signs of hypertensive disorders during pregnancy.

a5. Enumerate biochemical testing for diagnosis and detection of hypertensive disorders in `pregnancy. a6. Illustrate the path physiology of preeclampsia and the multi-organ affection and clinical classification of the disease. a7. Describe different methods of assessment of maternal and fetal well-being, recognize and utilize basic diagnostic tools such as electronic fetal monitoring, non-stress test, contraction stress test and biophysical profile a8. Explain how to properly manage the pre- eclamptic cases according to the fetal gestational age and the severity of the disease. a9. Explain the urinary tract changes during pregnancy.

a10. Describe the signs and symptoms of renal system affection during pregnancy and how to

assess the renal diseases during pregnancy. a11. Describe the maternal and fetal morbidity and mortality as a result of maternal renal disease and how to closely monitor and manage. a12. Explain the hepatic physiology in pregnancy and the effect of viral liver disease and preexisting liver diseases on the pregnant woman and her fetus and the other liver diseases associated with pregnancy. a13. Describe how to assess the liver functions at each trimester, how to predict and diagnose the liver affection during pregnancy and how to manage.

a14. Define the gestational and pre-gestational

(OVERT) diabetes, the classification of diabetes A2. Describe physiologic basis of with pregnancy, diagnosis of overt diabetes and the female reproductive system. detection of gestational diabetes.

a15. List the maternal and fetal affection with gestational diabetes and how to detect both maternal and fetal complication as a squeal of the diabetes and how to closely monitor both the

mother and the fetus closely either serologically and

radiologically by ultrasonographic follow up of the patient.

a16. Explain medical and obstetrical

management of the diabetic pregnant mother and the postpartum consequences as a result of the diabetes. a17. Mention the hematological physiological changes during pregnancy and commonest types of anemia which occur during pregnancy and their effect on the mother and the fetus. a18. Illustrate the physiological changes of

respiratory system during pregnancy and the pathophsiology of pulmonary diseases during pregnancy, its clinical course, maternal and fetal outcomes, clinical evaluation and management of the acute and chronic pulmonary diseases

during pregnancy.

a19. Discuss the physiological hematological changes during pregnancy, the pathophysiology of thrombophilias occurring during pregnancy, antiphospholipid syndrome, D.V.T. and pulmonary embolism, their clinical picture,

diagnosis and how to manage.

a20. Mention the immune mediated connective tissue disorders effect on the pregnant mother and the fetus and the pathological changes occurred either in the placenta, fetus and maternal multiorgan affection and how to

manage.

a21. Demonstrate the physiological thyroid changes occur with pregnancy and their effect on the fetus, the effect of increase or decrease it's A4. Identify and deal on a team hormones during pregnancy on the mother and basis with different medical the fetus and how to diagnose and treat it's complications influencing the disorders and proper neonatal follow up. female health and reproduction. a22. Classify the mental disorders occurred during pregnancy, the psychological adjustment to pregnancy, the effect of pregnancy on

preexisting mental illness, the pregnancy outcomes and the postpartum mental disorders.

a23. Mention the immunological changes of pregnancy and demonstrate viral, bacterial, protozoal, mycotic and emerging infections and their effect on pregnant woman and her fetus

regarding the abortion and congenital anomalies of the fetus.

a24. Illustrate the nutritional support during pregnancy, common disorders of the upper gastrointestinal tract in each trimester and of the small bowel and colon.

a25. Describe the physiological skin changes in

pregnancy and dermatoses of pregnancy.

a26. Mention the sexually transmitted diseases, their etiology, pathogenesis, clinical manifestations, serological testing, screening, fetal and maternal and neonatal infection and their management during pregnancy.

a27. Mention the principles of cancer therapy A5. Identify and deal on a team during pregnancy, early detection and diagnosis basis with different surgical of cancer during pregnancy, the treatment during complications influencing the pregnancy and the pregnancy following the female health and reproduction. cancer.

a28. Describe the systems and organization of obstetrical intensive care and the pregnant women who have complications specifically related to the pregnancy and need this intensive care.

a29. List the different types of trauma can occurred to the pregnant woman, how to manage.

a30. Identify the indication for laparatomy and laparoscopy during pregnancy and the effect of the anesthesia.

B. Intellectual By the end of this course , the students should skills be able to : B1. Appraise clinical situations in clinics, wards, and theaters. b1. Assess and interpret the medical condition of a pregnant lady through history taking, and ultrasound assessment b2. Point out the warning signs of the medical disorder during pregnancy and early detection of their complications and criteria for early referral to specialized centers. b3. Appraise different methods of assessment of fetal well being and interpret criteria of distressed fetuses which need immediate intervention. b4. Interpret findings of ultrasound and non stress test in management of diseased pregnant woman and identify cases requiring close follow up and intensive care. b5. Evaluate the female during antenatal visit

and early detection of medical disorders through clinical symptoms and signs

b6. Assess complications of the disease in each trimester either maternal or fetal. b7. Solve commonly asked questions concerning the effect of the disease on the pregnant woman and her baby, the labour complications and outcome of the fetus.

b8. Interpret ultrasound findings, including age, normality, growth and biophysical profile and

detect any abnormality in ultrasound.

b9. Assess the serological tests important for B2. Solve clinical situations early detection of the disease in the pregnant encountered in practice. woman and mention the normal serological findings of a normal non pregnant woman and normal pregnancy woman and compare them to what we find in the diseased pregnant woman.

b10. Point out non-directive counseling of a B4. Predict outcome and plan woman with an unintended pregnancy due to pre course of management for these existing disease. situations. b11. Differentiate normal from abnormal neonate through Apgar score b12. Evaluate techniques for assessing newborn

status.

b13. Appraise immediate care of the newborn.

C. Professional By the end of this course , the students should and Practical be able to : Skills c1. Take patient histories with emphasis on C1. Interpret abnormal signs and obstetric, medical and surgical histories. symptoms. c2. Perform basic physical examination c3. Examine, identify and assess risk in pregnant patients for medical or obstetric complications /conditions such as diabetes, heart disease, anemia, bleeding, hypertension c4. Counsel about fate of preconception problems

c5. Conduct and request a routine antenatal visit, including appropriate history, examination and

request investigations and the exact investigation needed to diagnose the medical disorder early.

c6. Screen the pregnant women during their antenatal visits for the commonest medical diseases during pregnancy.

c7. Counsel patients regarding medications, immunizations and environmental hazards. c8. Perform ultrasound basic fetal measurements: BPD, HC, AC, FL, and routine C2. Generate provisional diagnosis. anomaly scanning.

c9. Perform third trimester scanning: viability, fetal presentation, estimation of fetal weight and biophysical prophile.

c10. Manage or refer appropriately minor problems of pregnancy as backache, haemorrhoids, etc.

c11. Clinically assess fetal well-being including

movement and growth.

c12. Diagnose the medical disorder in early phases and its management.

c13. Diagnose the complications of the medical disorders during pregnancy early and managing them properly and ask for teamwork cooperation in multiorgan affection.

c14. Counsel women about postpartum follow up and future pregnancy.

c15. Examine the neonate and recognize common problems, including feeding C4. Plan course of management for difficulties, emergency obstetric situations. c16. Assess situations requiring immediate intervetion in newborn care. c17. Evaluate the patient pre-and post

operatively.

D. General Skills By the end of this course , the students should be able to :

D1. Apply principles of evidence-based D1. Communicate with patients medicine for problem solving and decision effectively. making D2. Interact with patients to gain their confidence, cooperation and assure her comfort

and dignity.

D3. Demonstrate professional behavior and team

work

D4. Demonstrate interpersonal and

communication skills that build trust by addressing relevant factors including culture, ethnicity, language/literacy, socioeconomic status, spirituality/religion, age, sexual orientation and disability. D2. Counsel patients. D5. Respect for cultural and religious

differences in attitudes to childbirth.

E. Attitude and E1. Acquire a working knowledge By the end of this course, the students should ethical behavior of the ethical aspects of fetal be able to : medicine with emphasis on patient rights, counseling and autonomy. e1. Realize the code of the ethics of fetal medicine as regard both dealing with patients, fetus and colleagues.

e2. Acquire a working knowledge of the fetal medicine with emphasis on patients, fetus and colleagues rights, counseling and autonomy.

Teaching/Learning Methods

Lectures self Practical/ Small Others learning Clinical group Course Content (Units/Topics) discussion

Epidemiology of commonest obstetrical √ medical and surgical disorders.

Detailed advanced surgical anatomy of the √ female pelvis

Physiological changes occurred during √ pregnancy

Medical disorders of pregnancy √ √

Surgical emergencies in pregnancy √ √

Early diagnosis of medical diseases with √ pregnancy

Management of medical and surgical √ disorders with pregnancy

Recent data and researches √

Please check ( √) the appropriate method.

Student Assessment

Methods of Assessment Essay √ Objective questions

Case √ OSCE/OSPE √

Assignment √ Logbook fulfillment

Others Schedule of Assessment Mid-term %

End of term 100 %

Distribution of Marks Written Exam 70 %

Practical/Clinical Exam 30 %

Others %

List of Textbooks and References

Lecture Notes √

Course Text Books On call in obstetrics and gynecology. Evidence base in obstetrics and gynecology, Basic science in obstetrics and gynecology, William's in obstetrics and gynecology

Suggested Extra Reading TOG, RCOG GUIDLINES

Journals and Periodicals, others Perinatology journal, BJOG

Course Instructor Name: Prof.Dr. Abd Al-Fatah Agmia Signature:

Program Coordinator Name: Prof Dr Mahmoud Melees Signature:

Program Director (Head of Department) Name: Prof. Dr . Emad Khalifa Signature:

Course Specifications

University: Alexandria

Faculty: Medicine

Department: Obstetrics & Gyecology

Course Information

Course Code: 05230804 Course Name: fetal medicine

Program in which the Course is Given: Master degree in Obstetrics & Gyecology

Number of Credit Hours 2 Theoretical 1 Clinical/Practical 1

Course Aims:

This course aims to :

Acquisition and refection of updated working theoretical knowledge in the field of fetal medicine.

Acquisition of dynamic problem solving skills in the field of fetal medicine.

Development of fine and advanced clinical and operative skills, including dealing with complications in the field of fetal medicine.

Refining advanced research skills including raising relevant research design and implementation.

Intended Learning Outcomes (ILOs)

Program ILO (refer to program Course ILOs matrix)

A. Knowledge By the end of this course , the students and should be able to : A1. Recognize basic surgical Understanding anatomy of the female genital a1. Illustrate the anatomy and embryology of tract. CVS, respiratory system and endocrinal glands.

a2. Mention the significance of ultrasound done in 2nd and 3rd trimesters for identification of fetal anatomy.

a3. Describe the basic physiological background of CVS, respiratory system and endocrinal glands. A2. Learn the physiologic basis a4. List normal fetal behavior and of the female reproductive movements. system. a5. Describe the concept of pulmonary maturation and its timing & describe the factors affecting it. a6. Mention the role of corticosteroid therapy in lung maturation. a7. Demonstrate the importance of antenatal fetal assessment. a8. Recognize the normal fetal acid-base balance. a9. Define fetal arrhythmias and their

patterns. a10. Mention the possible hazards of fetal acidaemia. a11. Recognize those at risk of recurring fetal genetic disease. a12. Mention the types of fetal hydrops as well as its management. a13. Enumerate the biochemical testing of fetal infections. a14. Mention common fetal congenital anomalies and proper time of their detection. a15. Define fetal growth disorders and know how to diagnose. a16. Describe the effect on fetal growth disorders on the fetus, course of pregnancy

and delivery and post-natal life. a17. Define teratogen and possible hazards related to the time of exposure. A4. Identify and deal, on a team a18. Explain the importance of pre- conception counseling and its techniques. basis, with the different a19. List the invasive fetal procedures and medical complications their indications. influencing the female health a20. Mention the different new modalities of and reproduction. fetal wellbeing assessment. a21. Illustrate fetal scalp blood sampling. a22. Describe the role of genetics in obstetrics. a23. Discus different new modalities of fetal therapy. A6. Acquire a working a24. Discus research done in the field of knowledge of the common management of fetal growth disorders. medical and surgical influences carried by the environment and

culture on the female reproductive health.

A8. Utilize recent data to remain continuously updated.

B. Intellectual By the end of this course , the students skills should be able to :

b1. Identify the 4 chamber view of the heart B1. Appraise clinical situations in addition to other views. Describe the in clinics, wards, and theaters. different methods of fetal wellbeing assessment. b2. Appraise the different methods of fetal wellbeing assessment. b3. Interpret MRI of lungs for assessment of pulmonary maturation. B2. Solve clinical situations b4. Solve the commonly asked questions encountered in practice. concerning fetal acid-base balance.

b5. Interpret ultrasound findings of fetal B3. Identify situations movement and behavior. endangering the female life or b6. Estimate the BPP, AC and FL for a given her reproductive ability. fetus and interpret the results. Observe ultrasound fetal biometry for growth disorders.

b7. Assess the risk of certain genetic disease for a definite couple. b8. Evaluate the risk of exposure to a definite teratogen at a given gestational age. b9. Point out the warning signs of fetal B4. Predict outcome and plan distress in NST, CST and Doppler study. course of management for these b10. Solve the questions regarding diagnosis situations. of IUGR and macrosomia.

b11. Assess and interpret the maternal infection during pregnancy through history talking, focused clinical examination and ultrasound examination. C. Professional By the end of this course , the students and Practical should be able to : C1. Interpret abnormal signs and Skills symptoms. c1. Diagnose respiratory distress syndrome and do Apgar scoring at time of delivery. c2. Diagnose fetal anomalies using history, examination and ultrasound in their proper time for detection. c3. Identify those fetuses with intrapartum acidosis through performing fetal scalp blood sampling. C4. Plan course of management c4. Perform first trimester scanning: for emergency obstetric viability, fetal number and measurement of situations. CRL for a high risk pregnancy.

c5. Conduct 2nd trimester ultrasound: BPD, FLAC, HC and routine anomaly scan.

c6. Perform ultrasound identification of different cardiac views, lung volume, BPP for high risk pregnancy patient. C5. Operate on basic and c7. Conduct Counseling session regarding genetic screening options, substance abuse, emergency obstetric procedures. nutrition exercise and teratogen avoidance. c8. Diagnose fetal macrosomia and identify its etiology.

c9. Perform well-planned vaginal delivery for fetus with growth disorder and mange a possible intrapartum problems.

c10. Perform diagnostic amniocentesis. c11. Do ultrasound for fetus with hydrops, assess its need for transfusion therapy, plan for best management. c12. Assist in in-utero transfusion for a selected case of fetal hydrops. c13. Assist in PGD. C7. Manage pre and post- c14. Diagnose complications of invasive operative complications in fetal techniques and mange minor obstetric and gynecologic cases. complications. c15. Recognize fetal situations requiring immediate intervention.

c16. Conduct a plan for intrauterine management of compromised IUGR c17. Conduct a plan for intrauterine management of very immature fetal hydrops. D. General By the end of this course , the students Skills should be able to :

d1. Apply principles of evidence-based D1. Communicate with patients medicine for problem solving and decision effectively. making d2. Interact with patients to gain their confidence, cooperation and assure her comfort and dignity.

d3. Demonstrate professional behavior and team work.

d4. Demonstrate interpersonal and D2. Counsel patients. communication skills.

d5. Build trust by addressing relevant factors including culture, ethnicity,

language/literacy, socioeconomic status, spirituality/religion, age, sexual orientation and disability.

E. Attitude and By the end of this course , the students ethical behavior should be able to :

e1. Realize the code of the ethics of fetal E1. Acquire a working medicine as regard both dealing with knowledge of the ethical aspects patients, fetus and colleagues. of fetal medicine with emphasis on patient rights, counseling and e2. Acquire a working knowledge of the fetal autonomy. medicine with emphasis on patients, fetus and colleagues rights, counseling and autonomy.

Teaching/Learning Methods

Course Content (Units/Topics) Lectures self Practical/ Small Others learning Clinical group

discussion

Fetal physiology:(endocrinology- CVS-lung and respiratory  system-acid base balance-fetal movements and behaviour.

Preconception counseling-  genetics in obstetrics.

U/S in1st trimester.

U/S in 2nd trimester. 

Antenatal fetal assessment. 

Fetal growth disorders. 

Fetal hydrops. 

Invasive fetal procedures and fetal therapy.  Fetal infections. 

Teratogen. 

Please check ( ) the appropriate methods

Student Assessment

Methods of Assessment Essay Objective questions 

Case OSCE/OSPE 

Assignment Logbook fulfillment

Others

Schedule of Assessment Mid-term %

End of term 100 %

Distribution of Marks Written Exam 70 %

Practical/Clinical Exam 30 %

Others %

List of Textbooks and References

Lecture Notes Lecture notes will be available

Course Text Books Williams obstetrics

Suggested Extra Reading

Journals and Periodicals, others ISUOG journal, The fetus journal

Course Instructor Name: prof Dr. Tarek Karkour Signature:

Program Coordinator Name: Prof Dr Mahmoud Melees Signature:

Program Director (Head of Department) Name: Prof. Dr . Emad Khalifa Signature:

Course Specifications

University: Alexandria

Faculty: Medicine

Department: Obstetrics & Gynecology

Course Information

Course Code: 05230805 Course Name: Operative Obstetrics

Program in which the Course is Given: Master degree in Obstetrics & Gynecology.

Number of Credit Hours Theoretical Clinical/Practical 2 1.5 0.5

Course Aims

To improve the student skills in:

1. Basic surgical skills. 2. How to deal with emergencies. 3. Obstetric management. Intended Learning Outcomes (ILOs)

Program ILO (refer to program Course ILOs matrix)

A. Knowledge By the end of this course , the students and should be able to : A1. Recognize basic surgical Understanding anatomy of the female genital a1. Define normal labour and discuss symptoms and signs of normal labour. tract. a2. Illustrate anatomy of the anterior abdominal wall, pelvis and perineum.

a3. Mention indications and types of episiotomy, describe different techniques and complications.

a4. Define caesarian section and enumerate indications and types of caesarian section.

a5. Discuss physiology of normal labour.

a6. Tabulate difference between upper and lower segment caesarian section. a7. Discuss mechanisms of normal labours and describe management of A2. Learn the physiologic basis normal labour. of the female reproductive a8. Describe technique of episiotomy and system. assess complications of episiotomy.

a9. Mention indications, technique and complications of induction of labour. a10. List pain management approaches during normal labour.

a11. Enumerate complications of third stage of labour. a12. Define version and list indications and types of version. a13. Describe technique of forceps application and delivery and discuss A5. Identify and deal, on a team aetiology and management of failed basis, with different surgical forceps delivery. a14. Discuss technique and complications complications influencing the of ventose delivery. female health and a15. Discuss management of complicated reproduction. and uncomplicated breech delivery. a16. Enumerate indications and types of peripartum hysterectomy. B. Intellectual By the end of this course , the students skills should be able to :

b1. Interpret findings on partogram in

B1. Appraise clinical situations in management of normal labour. b2. Evaluate the female during labour and clinics, wards, and theaters. early detection of obstructed labour. b3. Assess complications of third stage of

labour and apply first aid measures. b4. Point out the need for caesarian section. b5. Describe technique of caesarian section and complications of caesarian section.

b6. Assess neonatal status and describe immediate care of newborn. B2. Solve clinical situations b7. Assess the need for performing encountered in practice. episiotomy. b8. Describe technique of version and B3. Identify situations forceps delivery. endangering the female life or b9. Assess the need for and complications her reproductive ability of ventouse delivery.

b10. Evaluate breech delivery and assess complications. B4. Predict outcome and plan b11. Assess the need for peripartum hysterectomy. course of management for these situations.

C. Professional By the end of this course , the students and Practical should be able to : C1. Interpret clinical signs and Skills symptoms. c1. Diagnose labour and assess progress on partogram. c2. Examine newborn and assess for complications for referral.

c3. Perform episiotomy, its repair and identify minor perineal injuries, manage minor ones and recognize sphincter C5. Operate on basic and involvement. emergency obstetric c4. Perform caesarian section and diagnose procedures. complications of caesarian section and manage minor ones. c5. Perform forceps delivery. c6. Perform version, recognize its complications early and mange minor ones. c7. Perform ventose delivery and diagnose complications and manage them.

c8. Conduct delivery of complicated breech delivery and assist in delivery of complicated breech delivery. C7. Manage pre and post- c9. Assist in different types of peripartum operative complications in hysterectomy and recognize complications obstetric and gynecologic cases. early of hysterectomy. c10. Recognize complications of forceps and manage minor ones. D. General By the end of this course , the students Skills should be able to : D2. Counsel patients. d1. Apply principles of evidence-based

medicine for problem solving and decision making d2. Interact with patients to gain their

confidence, cooperation and assure her comfort and dignity.

d3. Demonstrate professional behavior and team work

d4. Demonstrate interpersonal and communication skills that build trust by D3. Evaluate stressful situations addressing relevant factors including during work. culture, ethnicity, language/literacy, socioeconomic status, spirituality/religion, age, sexual orientation and disability.

d5. Respect for cultural and religious differences in attitudes to childbirth.

E. Attitudes By the end of this course , the students and ethical should be able to : E1. Acquire a working knowledge behaviour of the ethical aspects of the e1. Show empathy and develop rapport with specialty with special emphasis patients. on patient rights, counseling and e2. Respect patients’ dignity and autonomy. confidentiality

e3. Acknowledge and respect cultural diversity.

e4. Appreciate the need for a chaperone.

e5. Provide explanations to patients.

e6. Demonstrate an understanding of patient’s views and the use of appropriate

verbal and non verbal communication.

e7. Be able to consent a patient for a physical examination and to take a smear. E2. Adopt the code of ethics of the specialty as regards both dealing with patients and e8. Give appropriate information in a colleagues. manner that patient’s and relatives understand and assess their comprehension.

e9. Act with compassion at all times.

e10. Select operative procedure with due regard to degree of urgency, likely pathology and anticipated prognosis

e11. Recognize that decision making is a collaborative process between doctor and patient.

Teaching/Learning Methods

Lectures self Practical/ Small Others learning Clinical group Course Content (Units/Topics) discussion

Episiotomy repair √ √

Assisted delivery √ √

Cesarean delivery √ √

Breech presentation & delivery √ √

Versions √

Obstetric hysterectomy √

Please check ( ) the appropriate method.

Student Assessment

Methods of Assessment

Essay Objective questions √

Case OSCE/OSPE √

Assignment Logbook fulfillment √

Others

Schedule of Assessment Mid-term %

End of term 100 %

Distribution of Marks Written Exam 70 %

Practical/Clinical Exam 30 %

Others %

List of Textbooks and References

Lecture Notes Handouts will be given following each topic.

Course Text Books Operative Obstetrics.

Suggested Extra Reading Williams Obstetrics.

Journals and Periodicals, others American Journal of Obstetrics & Gynecology.

Course Instructor Name: Prof. Dr. Yasser El kassar Signature:

Program Coordinator Name: Prof Dr Mahmoud Melees Signature:

Program Director (Head of Department) Name: Prof. Dr . Emad Khalifa Signature:

Course Specifications

University: Alexandria

Faculty: Medicine

Department: Obstetrics & Gynecology

Course Information

Course Code: 05230806 Course Name: General gynecology

Program in which the Course is Given: master degree in Obstetrics & Gynecology

Number of Credit Hours: 2 Theoretical Clinical/Practical 1.5 0.5

Course Aims

This course aims to: provide the candidate of basic information related these fields:

 Epidemiology for the gynecologist.  Benign diseases of the female reproductive tract.  Pelvic pain and dysmenorrhae, sacralgia, and anal pain.  Sexually transmitted infections.  Pelvic inflammatory disease.  Lower genital tract infections.  Intraepithelial diseases of the cervix, vagina and vulva.  Early pregnancy loss and ectopic pregnancy.

Intended Learning Outcomes (ILOs)

Program ILO (refer to program Course ILOs matrix)

A. Knowledge By the end of this course , the students and should be able to : Understanding A1. Recognize basic surgical anatomy of the female genital a1. Describe the basic anatomy of the female genital tract. tract a2. Illustrate the anatomy of the female genital tract. a3. Mention the different functions of the female genital tract. a4. Recognize the benign diseases of the female genital tract. a5. Describe the intra epithelial diseases of the cervix, vagina & vulva.

a6. Describe different forms of vulvovaginites. A3. Define the different effects of a7. Describe genetic abnormalities in age and pregnancy on the female gynaecology. reproductive organs. a8. Identify different types of intersex.

a9. List different types of menstrual disorders.

a10. Mention etiology and diagnosis and treatment of different uro-gynaecological problems.

a11. Mention etiology, diagnosis and treatment of pelvic pain and dysmenorrhae, sacralgia, and anal pain.

a12. Identify different types of sexually transmitted infections.

B. Intellectual By the end of this course , the students skills should be able to : B1. Appraise clinical situations in clinics, wards, and theaters. b1. Interpret the warning signs of intra epithelial diseases of the cervix, vagina & vulva. b2. Interpret findings in different types of vulvovaginitis. b3. Evaluate the female genital tract tumours. b4. Assess the risks of vaginal bleeding.

b5. Answer commonly asked questions concerning dysmenorrhea.

b6. Appraise the different types of sexually transmitted diseases. B3. Identify situations endangering the female life or her b7. Appraise techniques for assessing reproductive ability. intraepithelial tumors of cervix, vagina and vulva.

b8. Assess risk for, sexually transmitted infections, cervical pathology, breast malignancy, gynecologic malignancies and B4. Predict outcome and plan domestic violence. course of management for these b9. Communicate findings of examination in situations. well organized written and oral reports.

C. Professional By the end of this course , the students and Practical should be able to : Skills C1. Interpret clinical signs and symptoms. c1. Take patient histories with emphasis on gynaecological and menstrual histories c2. Perform basic physical examination c3. Examine, identify and assess risk in bleeding disorders. c4. Manage or refer urogyneacologic C3. Identify emergency obstetric problems. situations. c5. Clinically assesses pelvic pain and

dysmenorrhea. C4. Plan course of management c6. Assess and manage intraepithilial for emergency obstetric neoplasms of cervix, vagina and vulva. situations. c7. Recognize situations requiring immediate intervention.

D. General By the end of this course , the students Skills should be able to : D1. Communicate with patients effectively. d1. Apply principles of evidence-based medicine for problem solving and decision making d2. Interact with patients to gain their confidence, cooperation and assure her comfort and dignity.

d3. Demonstrate professional behavior and team work d4. Demonstrate interpersonal and communication skills that build trust by addressing relevant factors including culture, ethnicity, language/literacy, socioeconomic

status, spirituality/religion, age, sexual orientation and disability.

d5. Respect for cultural and religious differences in attitudes to childbirth.

d6. Counsel about fate of benign female genital tract tumours d7. Counsel patients regarding genetic screening options, substance abuse, nutrition and exercise.

d8. Counsel patients regarding medications, immunizations and environmental hazards.Perform routine gynecologic D2. Counsel patients. examination.

E. Attitudes By the end of this course , the students and ethical should be able to : behavior e1. Realize the code of ethics of the E1. Acquire a working knowledge specialty as regards both dealing with of the ethical aspects of the patients and colleagues. specialty with special emphasis e2. Acquire a working knowledge of the on patient rights, counseling and ethical aspects of the specialty with special autonomy. emphasis on patient rights, counseling and autonomy.

Course Content (Units/Topics) Teaching/Learning Methods

lectures self Practical Small Others learning / Clinical group discussion

Anatomy of the female genital tract √

Intraepithilial tumours of cervix, vulva √ and vagina

Genetics in gynaeology and intersex. √

Vulvovaginitis and sexually transmitted tumours. √

Urogyneacology and pelvic relaxation √

Benign tumours of female genitalia √

Menstrual irregularities and √ √ dysmenorrhea.

Please check ( ) the appropriate method.

Student Assessment

Methods of Assessment Essay Objective questions √ Case OSCE/OSPE √

Assignment Logbook fulfillment

Others

Schedule of Assessment Mid-term %

End of term 100 %

Distribution of Marks Written Exam 70 %

Practical/Clinical Exam 30 %

Others %

List of Textbooks and References

Lecture Notes Lecture notes will be provided

Course Text Books Evidence based medicine gynaecology obstetrics

Suggested Extra Reading Shaw gynecology

Journals and Periodicals, others TOG journal

Course Instructor:

Name: Prof Dr.Mahommed Melisse Signature:

Program Coordinator Name: Prof Dr Mahommed Melisse Signature:

Program Director (Head of Department) Name: Prof. Dr . Emad Khalifa Signature:

Course Specifications

University: Alexandria

Faculty: Medicine

Department: Obstetrics & Gynecology

Course Information

Course Code: 05230810 Course Name: Endoscopy

Program in which the Course is Given: Master Degree in Obstetrics & Gynecology.

Number of Credit Hours 2 Theoretical Clinical/Practical 1.5 0.5

Course Aims

This course aims to :

1. Prepare participants to competently perform diagnostic laparoscopy independently.

2. Perform basic operative laparoscopy procedures under supervision. Intended Learning Outcomes (ILOs)

Program ILO (refer to program Course ILOs matrix)

A. Knowledge By the end of this course , the students should and be able to : A1. Identify advanced surgical Understanding anatomy of the female genital tract. a1. Identify correctly the instruments used in laparoscopy and hysteroscopy.

a2. Describe the anatomy, cytology, histology,

and colposcopic findings of the normal and abnormal cervix, vagina, and vulva (medical

knowledge) a3. Analyze relevant theories of anatomy, physiology and pathology related to uterine disorders, a4. Differentiate unipolar/bipolar energy sources

a5. Describe the basic construction of Operating Room

a6. Identify the position and preparation

a7. Recognize the operative team needed a8. Describe the dynamic anatomy of the

abdominal wall and female abdomen/pelvis

a9. Recognize the anesthesia related complication during laparoscopy surgery a10. Review the components of a complete gynecologic history and physical examination A5. Identify and deal, on a team that is focused on cervical, vaginal, vulvar, and basis, with different surgical anal anomalies complications influencing the a11. Recognize the techniques used for diagnostic and operative hysteroscopy female health and reproduction. a12. Mention the different functions of colposcopy and colpomicroscopy a13. Describe the potential complications associated with distention medica in

hysteroscopic surgery. a14. Discuss the means of preventing

complications associated with the use of distention media in hysteroscopic surgery.

a15. Elicit and document an appropriate history including risk factors for lower genital tract neoplasia.

B. Intellectual By the end of this course , the students should skills be able to :

b1. Recognize and solve by means of B1. Appraise clinical situations in laparascopic surgery the gynaecological clinics, wards, and theaters. pathologies susceptible to be solved by this procedure as well as to use and optimise the material resources that are available in operating theatres. b2. Identify the steps of basic diagnostic laparoscopy.

b3. Select the patients who can receive treatment with this procedure.

b4. Recognize the pneumonic-peritoneum operation with the traditional technique and its alternatives. b5. Describe the physics, the mechanisms of

action, indications, contraindications and complications in the use of the different energy sources B3. Identify situations endangering the female life or her reproductive b6. Identify adequate pre-surgical preparation to ability. patients who will undergo an advanced laparascopic procedure.

B4. Predict outcome and plan course of management for these situations. b7. Identify methods of cleaning and sterilization of instruments

b8. Set learning and improvement goals

b9. Incorporate formative evaluation feedback into daily practice.

C. Professional By the end of this course , the students should and Practical be able to :

Skills c1. Adequately select the patients who can C1. Interpret clinical signs and receive this treatment by means of this symptoms. method. c2. Perform an adequate pre-surgical preparation.

c3. Properly write a laparoscopy report. c4. Check the instruments before starting the procedure. c5. Perform diagnostic laparoscopy. c6. Apply the pneumonic-peritoneum operation with the traditional technique and its alternatives c7. Perform tubal Sterilization c8. Perform needle aspiration of small ovarian cysts. c9. Recognize how to diagnose and manage

Ectopic Pregnancy,Torsion of a tube or ovary.

c10. Conduct adequate postoperative care. c11. Conduct audit and evaluation practice.

c12. Communicate effectively to patient and professional contacts through information C5. Operate on basic and technology, report writing and oral emergency obstetric procedures. presentation. c13. Perform in a safe and effective way the C6. Examine obstetric and following procedures: Bilateral tube gynecologic cases both pre- and obstruction, adhesiolysis, ovarian postoperatively. salpingostomy, laparoscopic treatment of the adnexal masses, endoscopic classification C8. Operate on common and evaluation of endometriosis. gynecologic surgeries. c14. Perform adequate closure of laparoscopic wound.

D. General Skills By the end of this course , the students should be able to :

d1. Apply principles of evidence-based medicine for problem solving and decision making D1. Communicate with patients d2. Interact with patients to gain their effectively. confidence, cooperation and assure her comfort

and dignity.

d3. Demonstrate professional behavior and team work d4. Demonstrate interpersonal and communication skills that build trust by addressing relevant factors including culture, ethnicity, language/literacy, socioeconomic D6. Trace course of action status, spirituality/religion, age, sexual appropriate to different clinical orientation and disability. scenarios.

d5. Respect for cultural and religious differences in attitudes to childbirth.

d6. Identify strengths, deficiencies and limits in D11. Use of information one’s knowledge and expertise technology to improve professional practice. d7. Set learning and improvement goals

d8. Incorporate formative evaluation feedback into daily practice

d9. Study independently; synthesizing empirical research using recognized tools. E. Attitudes and By the end of this course , the students should ethical behavior be able to : E2. Adopt the code of ethics of the specialty as regards both dealing e1. Interact with patients to gain their confidence, cooperation and assure her comfort with patients and colleagues. and dignity. e2. Respect for cultural and religious differences in attitudes to childbirth

Teaching/Learning Methods

Lectures self Practical/ Small Others learning Clinical group Course Content (Units/Topics) discussion

Introduction (Biophysics,History of √ endoscopy)

Types of gynecologic endoscopies √ √ a) Colposcopy and colpomicroscopy √ √ b) Laparoscopy: i. Technique and safety aspects √ ii. Basic hand skills and instruments √ √ iii. Electrocautery in laparoscopy √ iv. Diagnostic laparoscopy , indications √ and techniques v. Operative laparoscopy vi. Specific indications of laparoscopy √ -Laparoscopy in myoma √ -Laparoscopy in endometriosis √ √ -Laparoscopy in infertility √ √ vii. Complications and contraindications √ √ viii. Anesthesia related complication during laparoscopy surgery √ √

Hysteroscopy , instruments and techniques a) Diagnostic hysteroscopy b) B) Operative hysteroscopy √ √

Salpingoscopy and others √ √

Extragenital endoscopy √

a) Cystourethroscopy b) Procto sigmoidoscopy and colonoscopy Please check ( ) the appropriate method.

Student Assessment

Methods of Assessment Essay Objective questions √ OSCE/OSPE √ Case

Assignment Logbook fulfillment √ Others

Schedule of Assessment Mid-term %

End of term 100 %

Distribution of Marks Written Exam 70 %

Practical/Clinical Exam 30 %

Others

List of Textbooks and References

Lecture Notes Lecture note in each topic of the course

Course Text Books Nezhat’s operative Gynecologic Laparoscopy and Hysteroscopy

Suggested Extra Reading Advanced laparoscopic surgery

Journals and Periodicals, others American journal of Obstetrics and Gynecology,J Minim Invasive Gynecole ,The Journal of International Medical Research

Course Instructor Name: Prof.Dr. Fady shawky Signature:

Program Coordinator Name: Prof Dr Mahommed Melisse Signature:

Program Director (Head of Department) Name: Prof. Dr . Emad Khalifa Signature

Course Specifications

University: Alexandria

Faculty: Medicine

Department: Obstetrics & Gynecology

Course Information

Course Code: 05230809 Course Name: family planning I

Program in which the Course is Given: Master degree in Obstetrics & Gynecology.

Number of Credit Hours: 2 Theoretical 1 Clinical/Practical 1

Course Aims to improve the student sills in:

4. Basics of contraception and family planning. 5. How to choose appropriate method of contraception for different categories. 6. Basic knowledge of counseling. Intended Learning Outcomes (ILOs)

Program ILO (refer to program Course ILOs matrix)

A. Knowledge By the end of this course , the students should and be able to : Understanding a1. Describe composition of different A2. Learn the physiologic basis of hormonal contraceptives. the female reproductive system. a2. Mention the mechanism of action of all types of hormonal contraceptives and their

mode of contraceptive action.

a3. Recognize advantages and disadvantage of each hormonal contraceptive.

a4. Enumerate side-effects and complications of all hormonal contraceptives. a5. List different types of IUDS. A4. Identify and deal, on a team a6. Explain mechanism of action of different types of IUDS. basis, with the different medical a7. Enumerate side-effects and complications influencing the complications of IUDS and their insertion. female health and reproduction. a8. Explain advantages and disadvantages of use of IUDS.

a9. Identify different types and approaches of female sterilization. a10. List types and complications of male sterilization. A5. Identify and deal, on a team a11. Identify types, advantages and basis, with the different surgical disadvantages of different methods of complications influencing the natural family planning. female health and reproduction.

A6. Acquire a working knowledge a12. Define methods, mechanism of action, of the common medical and side-effects and complications of emergency surgical influences carried by the contraceptive methods. environment and culture on the a13. Define ethical and legal aspects of contraception. female reproductive health. a14. Enumerate reversible and irreversible contraceptive methods.

B. Intellectual By the end of this course , the students should skills be able to :

b1. Evaluate effectiveness of each B2. Solve clinical situations contraceptive method. encountered in practice. b2. Describe appropriate method for each patient regarding age, parity and disease

status. b3. Assess safe period as a natural method of contraception.

C. Professional By the end of this course , the students should and Practical be able to : Skills c1. Examine the patient generally and C1. Interpret clinical signs and locally before description of appropriate symptoms. contraceptive method. c2. Conduct technique of IUD insertion and

manage the complications resulting from its

C2. Generate provisional insertion.

diagnosis. c3. Perform insertion of subcutaneous implant system. c4. Perform surgical sterilization through laparotomy and laparoscopy using different techniques. D. General Skills By the end of this course , the students should be able to :

d1. Apply principles of evidence-based D1. Communicate with patients medicine for problem solving and decision effectively. making

d2. Interact with patients to gain their

confidence, cooperation and assure her comfort and dignity.

d3. Demonstrate professional behavior and team work

d4. Demonstrate interpersonal and communication skills that build trust by addressing relevant factors including culture, ethnicity, language/literacy, socioeconomic status, spirituality/religion, age, sexual orientation and disability.

D2. Counsel patients. d5. Respect for cultural and religious differences in attitudes to childbirth. E. Attitudes and By the end of this course , the students should ethical behaviour be able to :

e1. Show empathy and develop rapport with E1. Acquire a working knowledge patients. of the ethical aspects of the e2. Respect patients’ dignity and specialty with special emphasis on confidentiality patient rights, counseling and e3. Acknowledge and respect cultural autonomy. diversity. e4. Appreciate the need for a chaperone.

e5. Provide explanations to patients.

e6. Demonstrate an understanding of patient’s views and the use of appropriate verbal and non verbal communication. e7. Be able to consent a patient for a E2. Adopt the code of ethics of the physical examination and to take a smear. specialty as regards both dealing e8. Give appropriate information in a with patients and colleagues. manner that patient’s and relatives understand and assess their comprehension.

Teaching/Learning Methods

Lectures self Practical/ Small Others learning Clinical group Course Content (Units/Topics) (10) discussion

Counseling 

Mechanical barriers. 

Hormonal contraception: oral contraception,  √ injectables, implants.

Intrauterine contraceptive devices.  √

Special indications for contraception;  emergency contraception and contraception in newly wed couples.

Sterilization. 

Natural family planning.  Epidemiology of family planning and  contraceptive methods.

Male contraception. 

Backup methods of contraception. 

Reversible and irreversible contraception. 

New advances in contraception. 

Please check ( √) the appropriate method.

Student Assessment

Methods of Assessment √ Essay Objective questions

√ Case OSCE/OSPE

Assignment Logbook fulfillment

Others

Schedule of Assessment Mid-term %

End of term 100 %

Distribution of Marks Written Exam 70 %

Clinical Exam 30 %

Others %

List of Textbooks and References

Lecture Notes √

Course Text Books - Clinical Gynecologic Endocrinology And Infertility (Leon Speroff and Marc A. Fritz).

- Current text book of Gynecology.

- Gynecology Theory and Practice (Mamdoh Shabaan`s).

Suggested Extra Reading -Family planning, a global handbook for providers.

-Handbook of contraception and reproductive sexual health.

Journals and Periodicals, others American Journal of Obstetrics & Gynecology.

Course Instructor Name: Prof. Dr. Osama El Ashqar Signature:

Program Coordinator Name: Prof Dr Mahommed Melisse Signature:

Program Director (Head of Department) Name: Prof. Dr . Emad Khalifa Signature:

Course Specification

University: Alexandria Faculty: Medicine Department: Obstetrics and gynecology

Course Code: 05230807 Course Name: Reproductive biology I

Program in which the Course is Given: Master degree in Obstetrics and gynecology

Number of Credit Hours: 2 Theoretical 1 Clinical/Practical 1

Course Aims: By the end of the course, candidates should understand the physiology, and pathophysiology of different reproductive endocrinology conditions particularly menstrual disturbances and infertility. Candidates should be able to evaluate, investigate, counsel, manage or appropriately refer this group of patients efficiently. Candidates should be able to do relevant skills needed in the field of reproduction including vaginal sonography, and related procedures. Intended Learning Outcomes (ILOs) Course ILOs Program ILO (refer to Course ILOs program matrix) A. Knowledge and By the end of this course , the students should Understanding be able to : a1. Recognize different hypothalamic–pituitary A2. Learn the physiologic basis of the female dysfunction including hypogonadotrophic reproductive system. hypogonadism, kallman syndrome, pituitary adenoma, hyperprolactinaemia and disorders of growth hormone. a2. Describe various ovulation induction protocols including indications, advantages and disadvantages of each protocol. a3. Identify different causes of premature ovarian A4. Identify and deal, on a failure, congenital endocrine disorders (e.g. team basis, with the different Turner syndrome, complete androgen insensitivity medical complications syndrome, ovarian agenesis, polyglandular influencing the female health endocrinopathy and fragile X syndrome) and acquired (e.g. postsurgery, chemo/radiotherapy). and reproduction. a4. List advantages and disadvantages, risks and benefits of HRT.

a5. Recognize the pathogenesis and aetiology of A6. Acquire a working endometriosis. knowledge of the common a6. Describe the mechanisms by which minimal and medical and surgical mild endometriosis may impair fertility, e.g. influences carried by the defective folliculogenesis, ovulatory dysfunction, environment and culture on the hyperprolactinaemia, autoimmune disorders, female reproductive health. disturbances in the peritoneal fluid environment. a7. Identify the anatomical effects of endometriosis on fertility. a8. List, possible benefits and potential adverse effects of pharmacological agents, e.g. oral contraceptives, progestogens, danazol, gestrinone, gonadotrophinreleasing hormone (GnRH) analogues, used in the management of endometriosis. a9. Describe the management of complications of COH including ovarian hyperstimulation syndrome. B. Intellectual skills By the end of this course , the students should be B1. Appraise clinical able to : situations in clinics, wards, b1. Analyze various endocrinological measurements and theaters. of hormones in biological fluids for evaluation of the endocrine systems. b2. Interpret different radiological investigations including pituitary MRI/CT, pelvic MRI/CT, CT abdomen, including adrenal glands. b3. Assess the importance of history and examination to reach an appropriate diagnosis in amenorrhoic patients. b4. Evaluate the diagnosis of PCOS according to various diagnostic criteria. b5. Evaluate hyperandrogenism (hirsutism, acne, B2. Solve clinical situations alopecia). encountered in practice. b6. Determine the group of endometriotic patients who are indicated for assisted reproduction techniques. b7. Interpret male and female endocrinal profile in addition to semen parameters. b8. Assess different techniques for uterine and tubal factors including; hysterosalpingography, hysterosalpingo-contrast-sonography saline sonohysterography, computed tomography (CT)/magnetic resonance imaging (MRI) Laparoscopy.

C. Professional and By the end of this course , the students should be Practical Skills C1. Interpret clinical signs and able to : symptoms. c1. Counsel patients about their disease processes. c2. Construct a management plan related to the endocrinological findings. c3. Take history and perform an examination to reach C2. Generate provisional an appropriate diagnosis in amenorrhoic patents. diagnosis. c4. Diagnose, staging/grading of endometriosis. c5. Formulate a management plane of endometriotic patients including one or more of these options (expectant management, medical and surgical treatment). c6. Explain openly treatments, complications and adverse effects of treatment. c7. Rank different treatment options in PCOS patients (dietary advice, metformin/insulin sensitizers,

anti-estrogens, gonadotrophin therapy aromatase C7. Manage pre and post- inhibitors, ovarian diathermy. operative complications in obstetric and gynecologic c8. Manage hyperandrogenemic patients. cases. c9. Manage obesity, including an understanding of long-term health risks, metabolic effects and cancer risks. c10. Perform different ovulation induction protocols. c11. Perform follicular scanning. c12. Manage young women with ovarian failure, with particular regard to future fertility. c13. Conduct a Counsel session for patients with menopause and discuss the available treatment options. c14. Observe different surgical techniques used in endometriosis management including diathermy to superficial disease, excision of endometriosis, removal of endometriomas, and treatment of rectovaginal disease. c15. Counsel infertile patients for different treatment options including; ovulation induction, IUI, IVF/ICSI and tubal surgery. c16. Perform abdominal and transvaginal ultrasonography and to interpret the findings, such as: the appearance of normal and abnormal uterus including fibroids, endometrial assessment, including normal cyclical changes, ovarian, para- ovarian and tubal masses.

D. General Skills By the end of this course , the students should be D1. Communicate with able to : patients effectively. d1. Realize the importance and show the ability to respect patients' confidentiality. d2. Apply the principles of evidence-based medicine in the management of infertile couples. d3. Interact with patients to gain their confidence, cooperation and ensure her comfort and dignity. d4. Respect for cultural and religious differences in attitudes to childbirth.

D9. Sharing in team work d5. Acquire the ability to work effectively with colleagues in other disciplines, clinical and non- clinical personal (e.g. andrologists, endocrinologists, IVF centre team and urologists).

E. Attitudes and ethical By the end of this course , the students should be behavior E1. Acquire a working able to : knowledge of the ethical e1. Realize the code of ethics of the specialty as aspects of the specialty with regards both dealing with patients and colleagues. special emphasis on patient e2. Acquire a working knowledge of the ethical rights, counseling and aspects of the specialty with special emphasis on autonomy. patient rights, counseling and autonomy.

Please check () the appropriate method.

Teaching/Learning Methods Lectures self Practical/ Small group Others Course Content (Units/Topics) learning Clinical discussion

Reproductive physiology √ √ Puberty normal and abnormal √ √ Menopause and HRT √ Causes and work up of infertility √ Ovarian reserve, and disorders of √ ovulation PCOS and other androgen excess √ disorders Induction of ovulation √ √ Ovarian stimulation and √ √ hyperstimulation Gn-RH analogues (agonists and √ √ antagonists). Assisted conception (IUI, ART) √ √ Endometriosis √ Student Assessment

Methods of Assessment √ Essay Objective questions

Case OSCE/OSPE √

Assignment √ Logbook fulfillment √

Others

Schedule of Assessment Mid-term %

End of term 100 %

Distribution of Marks Written Exam 70 %

Practical/Clinical Exam 30 %

Others %

List of Textbooks and References Lecture notes Lecture Notes

Course Text Books: Speroff reproductive endocrinology and infertility, Lewis reproductive endocrinology and infertility Suggested Extra Reading Yen reproductive endocrinology, Hand book of infertility and assisted reproduction. Journals and Periodicals, others Fertility sterility, Human reproduction, Human reproduction update. Course Instructor Dr: Mervat Sheikh-elarab Signature:

Program Coordinator Name: Prof Dr Mahommed Melisse Signature:

Program Director (Head of Department) Name: Prof. Dr . Emad Khalifa Signature:

Course Specifications

University: Alexandria

Faculty: Medicine

Department: Obstetrics & Gynecology

Course Information

Course Code: 05230833 Course Name: Urogynaecology

Program in which the Course is Given: Master degree of obstetrics and gynecology

Number of Credit Hours: 1 Theoretical Clinical/Practical 1

Course Aims

By the end of that course , the candidates will be able to define causes and proper treatment of urinary incontinence. They will be able to diagnose genito-urinary fistulae and know consequences of vaginal birth on pelvic floor function.

Intended Learning Outcomes (ILOs)

Program ILO (refer to program Course ILOs matrix)

A. Knowledge By the end of this course , the students should and be able to : Understanding a1. Illustrate the anatomy of the normal A1. Recognize basic surgical female pelvis and pelvic floor. anatomy of the female genital tract. a2. Explain the anatomy, and mechanism of uterine and vaginal support. a3. Describe the basic physiological background of continence and control of

micturition.

a4. Mention the different type of incontinence, the theories behind the A2. Learn the physiologic basis of etiology. the female reproductive system. a5. Recognize the basic physiological changes in pelvic floor anatomy and function caused by pregnancy, child birth and aging.

a6. Enumerate symptoms related to lower urinary tract dysfunction. a7. Illustrate different methods of assessment of lower urinary tract, recognize A3. Define the different effects of and utilize basic diagnostic tools such as age and pregnancy on the female volume charts, uroflowmetry and reproductive organs. cystometry.

a8. Describe the principles of all types of A5. Identify and deal, on a team surgical and non surgical interventions for basis, with different surgical management of urinary incontinence. complications influencing the a9. List causes, types and interventions used for female health and reproduction. management of injuries of urinary system in Obs&Gyn.

B. Intellectual By the end of this course , the students should skills be able to :

b1. Assess and interpret the lower urinary B1. Appraise clinical situations in tract dysfunction and urinary incontinence of clinics, wards, and theaters. a lady through history taking, focused clinical examination, and investigations.

b2. Interpret findings on uroflowmetry and substraction cystometry in management of urinary incontinence. b3. Evaluate the scientific basis of urogynecological investigations and when to undertake them. b4. Solve commonly asked questions concerning continence, incontinence, pelvic organs prolapse and female sexual dysfunction.

b5. Discuss staging systems used for description of pelvic organs prolapse. b6. Communicate findings of examination and investigations in well organized written and oral B2. Solve clinical situations reports. encountered in practice.

C. Professional By the end of this course , the students should and Practical be able to : Skills c1. Take patient histories with emphasis on C1. Interpret clinical signs and lower urinary and genital tract symptoms. symptoms. c2. Perform basic physical examination c3. Examine, identify and assess cases of

urinary incontinence and pelvic organs

prolapsed.

c4. Conduct a urogynecology out-patient clinic including appropriate history, examination and request investigations.

c5. Clinically assess of cases of injuries and C2. Generate provisional diagnosis. fistulae related to urinary system and be able to perform the initial management.

c6. Perform the common and basic pelvic floor

surgical procedures as anterior and posterior C9. Assist in minimally invasive colporrhaphy under supervision. gynecological surgeries. c7. Perform cystoscopy and bladder biopsies when indicated.

c8. Perform uroflowmetry and cystometry under observation.

D. General By the end of this course , the students should Skills be able to :

d1. Interact with patients to gain their D2. Counsel patients. confidence, cooperation and assure her comfort

and dignity.

d2. Demonstrate professional behavior and team work

d3. Demonstrate interpersonal and communication skills that build trust by D6. Trace course of action addressing relevant factors including culture, appropriate to different clinical ethnicity, language/literacy, socioeconomic scenarios. status, spirituality/ religion, age, sexual orientation and disability.

d4. Apply principles of evidence-based medicine for problem solving and decision making. E. Attitudes and By the end of this course , the students should ethical behavior be able to :

e1. Ethical behaviors and attitudes will be E1.Acquire a working knowledge of integrated in all day to day activities related to the ethical aspects of the specialty patients and colleagues. with special emphasis on patient rights, counseling and autonomy.

Teaching/Learning Methods

Lectures self Practical/ Small Others learning Clinical group Course Content (Units/Topics) discussion

Epidemiology of pelvic floor dysfunction, √ pelvic organ prolapse and urinary incontinence.

Anatomy of female bony pelvis, pelvic √ floor muscles and fascia.

Physiology of continence and micturition √ reflex utero-vaginal support.

Assessment of lower urinary tract function: √ history, examination, volume chart, flowmetry, cystometry , imaging techniques and endoscopy.

Genuine stress incontinence and its √ management. Detruser over activity and its management. √

Urogental fistulae √

Injuries to the urinary system in Obs&Gyn √

Urogynecologic consequence of vaginal √ birth

Please check ( ) the appropriate method.

Student Assessment

Methods of Assessment

√ Essay Objective questions

Case OSCE/OSPE

Assignment Logbook fulfillment

Others

Schedule of Assessment Mid-term

End of term 100 %

Distribution of Marks Written Exam 100 %

Practical/Clinical Exam

Others

List of Textbooks and References

Lecture Notes Lecture Notes

Course Text Books Shaw’s gynaecology, Williams Gynaecology, Urodynamics textbook.

Suggested Extra Reading NICE, Green Top guidelines for management of incontinence

Journals and Periodicals, others

Course Instructor Name: Prof. Dr. Ingy Taher Signature:

Program Coordinator Name: Prof Dr Mahommed Melisse Signature:

Program Director (Head of Department) Name: Prof. Dr . Emad Khalifa Signature: