Dermatology, Venereology and Andrology, 5Th Year Course Specifications

قسم األمزاض الجلدية جامعـــــــة أسوان والتناسلية وطب الذكورة

Dermatology, Venereology and Andrology, 5th Year Course Specifications

Program in which the Course is given: Bachelor’s Degree in Medicine and Surgery (MBBCh).

Department offering the Course: Department of Dermatology, Venereology and Andrology, Faculty of Medicine, Aswan University.

Academic Year: 2019/2020

Level: 5th Year

Specification Approval:

This document has been approved by:

• The Board of the Department of Dermatology, Venereology and Andrology on:

• The Internal Quality Assurance and Accreditation Center on:

• Council of the Faculty of Medicine, Aswan University on:

Basic Information

Course Title: Dermatology, Venereology and Andrology

Code:

Credit Hours:

قسم األمزاض الجلدية جامعـــــــة أسوان والتناسلية وطب الذكورة

Lectures: 24 hours

Practical: 36 hours

Tutorials:

Total: 60 hours

Detailed Information

1. Overall Aims of the Course

The aim of the course is to:

• Provide students with the knowledge and skills sufficient to recognize common skin, sexually transmitted and andrological diseases.

• Help students attain a level of clinical competence sufficient to deal appropriately with dermatological, andrological and sexually transmitted disease cases presenting in the general practice.

2. Intended Learning Outcomes (ILOs)

a. Knowledge and Understanding

By the end of the course, students should know and understand the following: a.1. Basic structure and function of skin and its appendages a.2. Dermatological terminology including primary and secondary lesions a.3. Dermatological history taking and examination 2

قسم األمزاض الجلدية جامعـــــــة أسوان والتناسلية وطب الذكورة a.4. Aetiology, pathogenesis, and clinical features of common skin diseases including

• Cutaneous infections (viral, fungal, pyogenic, mycobacterial) and infestations (Scabies and Pediculosis) including epidemiological facts and prophylactic measures.

• Inflammatory and erythematous scaly diseases of the skin (Psoriasis, Eczema, Lichen Planus, and Pitryasis Rosea)

• Urticaria, angioedema and Erythema Multiforme

• Pruritis

• Acne Vulgaris

• Pigmentation disorgers (Chloasma & Vitiligo)

• Hair disorders (Alopecias, Hypertrichosis and Hirsutism)

a.5. Dermatological emergencies and the concept of skin failure, including emergency recognition and first aid initiation e.g.:

• Toxic Epidermal Necrolysis

• Erythroderma

• Urticarial Angioedema

• Stevens Johnson’s Syndrome

• First and Second degree burns

قسم األمزاض الجلدية جامعـــــــة أسوان والتناسلية وطب الذكورة a.6. The role of basic procedures aiding dermatologic diagnosis such as Wood’s Light, KOH mounts and skin biopsy. a.7. Dermatological therapy, the principles of topical treatment and choice of base (lotion, cream, ointment), phototherapy and photochemotherapy. a.8. The relationship between skin and internal organ disorders, including knowledge of skin eruptions as a sign of internal medical conditions or malignancy. a.9. Diagnosis, management and prophylaxis of the common sexually transmitted diseases e.g.:

• Gonococcal & non-gonococcal genital infections

• Syphilis

• Lymphogranulomas

• HIV infections

• Genital Herpes a.10. Normal and Abnormal semen analysis parameters a.11. Major causes and treatment of Male factor infertility a.12. Major causes and treatment of Erectile dysfunction a.13. Major causes and treatment of Premature ejaculation a.14. Basic physiologyof human sexual cycle for the male and female a.15. Definitions of some sexual perversions (homosexuality, pedophilia, paraphilia, zoophilia).

قسم األمزاض الجلدية جامعـــــــة أسوان والتناسلية وطب الذكورة b. Intellectual Skills

By the end of the course, students should be able to b.1. Understand how to plan investigations and management of common skin, sexually transmitted and andrological diseases. b.2. Integrate the clinical findings obtained from history and clinical examination with results of laboratory investigations to reach a diagnosis or differential diagnosis. b.3. Design a suitable management plan for each individual case that may differ according to the patient’s age, medical condition, and psychosocial and economic status.

c. Professional and Practical Skills

By the end of the course, students should be able to c.1. Communicate effectively with patients presenting with skin disease, sexually transmitted disease, sexual disorders or male infertility. c.2. Take and present an appropriate and reliable history. c.3. Examine the skin systematically and describe the physical signs using dermatological terms correctly. c.4. Recognize primary and secondary lesions and configuration of skin lesions. c.5. Differentiate skin lesions of different diseases mentioned in the topics list from each other. c.6. Recognize and differentiate infective skin lesions from each non infective ones. c.7. Recognize skin disease that may be a marker for internal organ disorder.

قسم األمزاض الجلدية جامعـــــــة أسوان والتناسلية وطب الذكورة d. General and Transferrable skills

By the end of the course, students should be able to: a.1. Demonstrate the ability to communicate effectively with patients presenting with skin disease, sexually transmitted disease, sexual disorders or male infertility, and to examine them in a sensitive and courteous manner. a.2. Understand the psychosocial impact of skin, andrological and sexually transmitted disease problems on patients and families, and to deal with them properly. a.3. Understand the importance of good communication between different medical professionals. a.4. Demonstrate a professional attitude by regular attendance and the ability to direct learning and continuing medical education.

3. Lecture Contents and Clinical Cases

A. Dermatology

1. Introduction to the skin

• Histology

• Function

• Primary and Secondary lesions

• Diagnosis of a Dermatological case

2. Bacterisl Infections of the skin

Imeptigo, ecthyma, folliculitis, erysipelas , erythrasma and cellulitis

قسم األمزاض الجلدية جامعـــــــة أسوان والتناسلية وطب الذكورة

Mycobacterial skin disease, leprosy, T.B.

3. Viral skin diseases

• Herpes viruses: herpes simplex, varicella, herpes zoster

• Human papilloma virus: Verruca

• Pox virus: Molluscum

4. Parasitic infestations

• Scabies

• Pediculosis

5. Fungal skin diseases

• Introduction to Mycology

• Superficial fungal skin infections

• Candidiasis

•Pytriasis Versicolor

6. Papulosquamous diseases

• Psoriasis

• Lichen planus

• Pytriasis rosea

7. Disorders of sebaceous glands

• Acne Vulgaris

• Seborrheic Dermatitis

قسم األمزاض الجلدية جامعـــــــة أسوان والتناسلية وطب الذكورة

8. Disorders of Pigmentation

• Vitiligo and Hypomelanosis

• Melasma and Hypermelanosis

9. Hypersensitivity Disorders

•Urticaria

•Papular Urticaria

•Erythema multiforme

10. Eczema

• Genereal Features

• Atopic dermatitis

• Contact dermatitis

11. Collagen Diseases

• Chronic Discoid L.E.

12. Skin disorders related to temperature changes

• Miliaria

• Chilblain

13. Hair Disorders

• Hair cycle

• Alopecia

• Hirsutism and Hypertrichosis

قسم األمزاض الجلدية جامعـــــــة أسوان والتناسلية وطب الذكورة

14. The role of basic procedures aiding dermatologic diagnosis such as Wood’s Light, KOH mounts and skin biopsy.

15. Dermatological therapy, the principles of topical treatment and choice of base (lotion, cream, ointment), phototherapy and photochemotherapy

16. Dermatological emergencies and the concept of skin failure, including emergency recognition and first aid initiation e.g.:

• Toxic Epidermal Necrolysis

• Erythroderma

• Urticarial Angioedema

• Stevens Johnson’s Syndrome

• First and second degree burns

17. The relationship between skin and internal organ disorders, including knowledge of skin eruptions as a sign of internal medical conditions or malignancy.

18. Pruritis

B. Sexually Transmitted Diseases

• HIV

• Syphilis

• Gonorrhea

• Non gonococcal infections including paginitis

• Chancroid

قسم األمزاض الجلدية جامعـــــــة أسوان والتناسلية وطب الذكورة

• Genital Herpes

C. Andrology

• Basic physiology of male and female sex cycle

• Normal and Abnormal semen analysis values

• Major causes of male infertility and their management

• Introduction to ART (assisted reproductive technologies)

• Major causes of erectile dysfunction and its management

• Major causes of premature ejaculation and its management

• Sexual Perversions (Homosexuality, pedophilia, paraphelia, zoophilia)

D. Clinical Cases

1. Impetigo

2. Leprosy

3. Herpes Simplex

4. Chicken Pox

5. Herpes Zoster

6. Verruca

7. Molluscum Contagiosum

8. Scabies

قسم األمزاض الجلدية جامعـــــــة أسوان والتناسلية وطب الذكورة

9. Pediculosis

10. Tinea Capitis

11. Dermatophyte infection of glabrous skin (tinea circinata, corporis, manus, pedis)

12. Onychomycosis

13. Mucocutaneous Candidiasis

14. Pitryasis Versicolor

15. Psoriasis

16. Lichen Planus

17. Pytriasis Rosea

18. Acne Vulgaris

19. Rosacea

20. Vitiligo

21. Urticaria – angioedema

22. Erythema Multiforme

23. Eczema (Atopic Dermatitis – Seborrheic Dermatitis – Contact Dermatitis)

24. Alopecia

قسم األمزاض الجلدية جامعـــــــة أسوان والتناسلية وطب الذكورة

4. Teaching and Learning Methods a. Methods Used a.1. Illustrated Lectures:

• Formal Lectures by professors and assistant professors a.2. Clinical Rounds:

• Clinical demonstration of cases through clinical/ small group sessions by professors, assistant professors, lectures & assistant lecturers. a.3. Problem based learning:

• To study written descriptions of clinical situations a.4. Practical Clinical Techniques:

• Focus on development of practical skills appropriate to the clinical situation.

b. Teaching Plan

1. All the students of the 4th year are divided into groups and each group spends ½ month in the Department. (Actually, each group spends only 13 teaching days because of 2 Fridays). Each group receives lectures that cover the course contents.

2. Each teaching day starts with a formal lecture for 1 hour 45 minutes, followed by a 15 minute break, a 1 hour 45 minute clinical session, another 15 minute break, and a final lecture for 1 hour 30 minutes.

3. Lectures are given by senior staff members (professors and assistant professors) in the Department’s lecture hall in South Valley University Hospital.

قسم األمزاض الجلدية جامعـــــــة أسوان والتناسلية وطب الذكورة

4. Clinical sessions are presented by assistant lecturers and lecturers employing live cases selected by residents from the outpatient clinic in South Valley University Hospital

5. In clinical sessions, each group is divided into two subgroups to give students the chance to examine patients at ease.

6. Time Plan:

Item Time Schedule Teaching Hours Total Hours

Clinical Session 8 – 11am 2 h 45 min 36

Lecture 11 – 1 pm 2 h 24

7. Total lecture hours are 24 hours and clinical sessions 36 hours.

5. Student Assessment Methods a. Attendance Criteria

The minimal accepted attendance percentage is 75%. Those who fail to attend that percentage will not be allowed to sit for the examinations after the clinical sessions. Attendance is worth 10 marks.

b. Examination Assessment Tools

Tool Purpose

Assessment of knowledge and understanding,

Multiple Choice test intellectual and professional skills. (ILOs 1.1 – 1.13

قسم األمزاض الجلدية جامعـــــــة أسوان والتناسلية وطب الذكورة

2.1 – 2.3, 3.1 – 3.7)

Assessment of knowledge and understanding,

Oral Examination intellectual and professional skills, general and transferrable skills. (ILOs 1.1 – 1.13 2.1 – 2.3, 3.1– 3.7, 4.1 – 4.4)

Clinical Examination Assessment of clinical skills. (ILOs 1.1 – 1.13 2.1– 2.3, 3.1 – 3.7)

c. Assessment Schedule

• MCQ test and attendance marks given at the end of each course period

• Final Examination (Clinical and Oral) of all students at the end of the academic year

d. Grading System

Round Examination: 20 marks

Final Examination

• Oral Dermatology , Oral Andrology and STDs 10 marks

• Clinical Exam 10 marks

• Paper exam 30 marks

قسم األمزاض الجلدية جامعـــــــة أسوان والتناسلية وطب الذكورة

Total 70 marks

e. Assessment Description

Midterm Assessment

1. A written multiple choice examination is presented to the students for which 10 marks are allocated. Each question consists of a question head followed by four alternative answers from which a student has to the best single answer.

2. 10 marks are allocated to attendance

Final Assessment

1. Oral examination in Dermatology, Andrology and STDs worth 10 marks

2. Clinical test worth 5 marks in which the student is presented with 5 clinical cases and asked for their diagnoses.

List of References

1. Basic Material 2. Staff member handouts and lectures 3. Suggested Materials and Books  -ABC of Dermatology. Paul K Buxton.-London: BMJ Books -Clinical Dermatology. Hunter; and others. London: Blackwell Science. -Male infertility/ T. B Hargreaves. Berlin: Springer  -Atlas of Sexually transmitted diseases and AIDs/ Stephan A Morse and others. London : Mosby - Periodicals and Web sites e.g.  http://dermatlas.med.jhmi.edu/derm  http://tray.dermatology.uiowa.edu/imagebase.html 15

قسم األمزاض الجلدية جامعـــــــة أسوان والتناسلية وطب الذكورة

 http://telemedicine.org/stamford.htm

Teaching and Learning Facilities

Facilities used for teaching the course include

• Black and whiteboard

• Audiovisual aids (data shows, overhead and slide projectors)

• Faculty library

• Electronic library

• Clinical Facilities:

General and specialized outpatient clinics

General and specialized inpatient units (Aswan University Hospital)

Course Coordinator and Head of the Department:

Prof. Moustafa Adam Ali El Taieb

Professor of Dermatology, Venereology and Andrology

Faculty of Medicine, Aswan University

Dated: / /