General Surgery Clerkship s3

Faculty of Medicine Ain Shams UniversityPostgraduate StudiesDiploma in Physical Medicine, Rheumatology and RehabilitationProgram Code: PRR900Program Guide and Logbook1 2 C a n d i d a t e C u r r i c u l u m v i t a e[Name] Please attach your recent photo[telephone no] [mobile no] [mailing address][email address] [postcode]Experience [organization] [your present job title] [start date] [location] [responsibilities][organization] [previous job title] [start and end date] [location] [responsibilities] [organization] 3 [previous job title] [start and end date] [location] [responsibilities]Education [certificates] [start and end date] [school or college]Training4 [any other training that will be useful in your job]Filled by post graduate authoritiesDate of Registration ______First semester ______Second semester ______Third semester ______Fourth semester5 TABLE OF CONTENTS:Page 6 I – Welcome Statement II - Mission Statement III – Senior supervisor and affiliated departments and Hospitals IV – Program specifications 1 - Basic Information 2 - Professional Information 3 – Academic standards 4 - Curriculum structure and contents 5 - Programme courses: 6. Programme admission requirements: 7. Regulation for progression and program completion 8- Course specification appendix: First part: Applied Anatomy Applied Physiology Applied Physics Basic Immunology Pharmacology General Medicine General surgery Second part: Rheumatology Physical Medicine & Rehabilitation Electrodiagnosis & ElectrotherapyV - General information VI – Your log book 1 – Introduction 2 - Supervisors, Trainers and/or Educators 3 - Tables for training records 4 – Log book preview VII - Head of department approval for the exam entryDetachables forms:VIII – Thesis follow up IX - Evaluation forms7 I – WELCOME STATEMENT: The Department of Physical Medicine, Rheumatology and Rehabilitation welcomes you to the Diploma in Physical Medicine, Rheumatology and Rehabilitation. As a department we are committed to medical student education and continuously strive to improve your educational experience. This handbook presents information guide and logbook activity of the Diploma in Physical Medicine, Rheumatology and Rehabilitation, administered by the Physical Medicine, Rheumatology and Rehabilitation Department - Faculty of Medicine - Ain Shams University.II - MISSION STATEMENT: The mission of the Faculty of Medicine, Ain Shams University is • The preparation of a competent graduate, who is able to compete on both national and regional levels, capable of life long learning, training and tutoring, while adhering to the codes of practice of medical health services and ethics.• The college as well, seeks continuous development of programs and courses. It also enhances expansion of applied scientific research and health programs for community services and environmental development.The mission of this degree is to prepare a trained rheumatologist physiatrist with professional skills and a leading role in his practice.III – SENIOR SUPERVISOR AND AFFILIATED DEPARTMENTS AND HOSPITALSSENIOR SUPERVISOR Prof. ------E-mail:8 AFFILIATED DEPARTMENTS AND HOSPITALS ------Physical Medicine, Rheumatology and Rehabilitation Department, Faculty of medicine - Ain Shams University Military Rheumatology & Rehabilitation center in Agouza IV – PROGRAM SPECIFICATIONSA- Basic Information1. Programme title: Diploma degree of Physical Medicine, Rheumatology and Rehabilitation2. Programme type: Single3. Faculty Faculty of Medicine - Ain Shams University4. Department Physical Medicine, Rheumatology and Rehabilitation department5. Assistant co-ordinator ………………………………………………6. Co-ordinator ………………………………………………7. Last date of program approval: ……………………………………………………………B- Professional Information: 1. Programme aims: This program should be able to:9 1. Enable the candidates to keep with the international standards of patient care by achieving high levels of: a. Clinical skills b. Bedside care skills2. Introduce the basis of scientific rheumatology and rehabilitation researches.3. Provide the candidates with the Diploma that enables them to be specialists as efficient professional physiatrists & rheumatologists in Egypt, to pursue higher studies and degrees and finally to understand and get the best of published scientific researches and keep updated.2. Intended learning outcomes (ILOs): a. Knowledge and understanding:By the end of the program the candidate will be able to: a1 - Identify the anatomy of the different joints of the upper and lower limbs with muscles acting on them with the biomechanics of the studied joints, have a thorough knowledge of the brain and spinal and cranial nerves and discuss the anatomy of the vertebral column and the spinal cord and to outline the major clinical applications of anatomical facts. a2 - Understand the physiology of the cardiovascular system , central nervous system, the physiology of the muscle and nerve, the physiology of the respiration, the effects of the exercise on the cardiovascular and respiratory systems and the the physiology of metabolism, bone physiology, thermoregulation and the physiology of exercise. a3 - Differentiate physical basis of the different electrotherapeutic modalities in order to understand the base for later application on apparatus used in physical therapy a4 - Understand the basic immunologic background and the role of the immune system in the pathogenesis and diagnosis of some rheumatic diseases.10 a5- Understand and be able to compare the different rheumatic diseases, their epidemiology, aetiology, pathogenesis, pathology, clinical picture, investigations and treatment. a6- Understand the basic aspects of the rehabilitation program including remedial exercise , occupational therapy and improving activities of daily living and the specific rehabilitation of the different diseases(neurologic , orthopedic and rheumatic) a7- Differentiate the different electrotherapeutic modalities: their indications and contraindications, effects and side effects, and methods of application a8- Identify the different types of orthosis and prothesis and walking aids, their indications and fitting and how to follow them up. a9- Understand the basic principles of electrodiagnosis (nerve conduction and EMG) and to know the electrodiagnostic picture of different diseases and differentiate between neuropathic and myopathic lesions a10- Know the diagnosis and the management of neurologic and related medical and surgical conditions and the role of rehabilitation in each a11- Understand the basic pharmacokinetics of drugs involved in the speciality, describe their mechanism of action, doses, indications, contraindications, interactions, side effects, precautions and limitation of use in specific conditions, advantages and disadvantages of different drugs as well as of alternative therapies. a12- Discuss the common medical problems presenting in primary health care setting, their diagnosis, prevention and treatment, their clinical manifestations and differential diagnosis, the early manifestations of serious diseases (e.g. malignancy, emergencies … etc) as well as recognizing the normal aging process and identify age related diseases and variable causes of disability in old age. a13- Understand important and relevant surgical diseases, their clinical manifestations, complications, diagnosis, prognosis and treatment, required rehabilitation and appropriate orthotics and prosthetics, recognize the ethical principles that govern decision-11 making in surgical practice, the principles and practice of preoperative preparation and postoperative care as well as the basic principles of anesthetic techniques and materials. a14- Understand the mutual influence of medical practice and environment. a15- Understand scientific advances in the field of speciality a16- Understand the ethical principles and legal principles of medical practice in the field of speciality a17- Understand the principles of quality in medical practice in the field of speciality a18- Understand the basics and ethics of scientific research. b. Intellectual capabilities: By the end of the programme the candidate will be able to: b1- Analyze clinical findings of various rheumatological disorders to put differential diagnosis, choose appropriate diagnostic procedures and interpret their results, design treatment plan according to reached diagnosis, evaluate prognosis and complications incorporating his knowledge and patient’s preferences in a cost effective manner. Understand the differential diagnosis of the different rheumatic conditions and design diagnostic protocol for the different rheumatic problems b2 - Interpret symptoms and signs of various disorders, differential diagnosis and their rehabilitative aspects, choose the appropriate laboratory & radiological investigations and interpret the results, provisionally diagnose different musculoskeletal and neurological disorders and their rehabilitational issues, design appropriate rehabilitation plans and make decisions according to specific different clinical situations using problem solving skills Design a rehabilitation program for patients with different diseases (including occupational and vocational rehabilitation) - b3- Select appropriate electrotherapeutic modalities and electrodiagnostic procedures for various conditions, understand their uses, hazards and interpret the results. 12 Design a home program for the patient to accomplish activities of daily living. b4- Comprehend and describe the biomechanics of the different joints, gait cycle, the anatomy of all the joints,muscles,nerves (spinal and cranial) and the vertebral column of the body b5- Interpret important physiological laboratory results (blood, respiratory, neuromuscular), to distinguish a physiological from a pathological condition, clinical parameters such as: ABP, ECG, nerve conduction velocity & pulmonary functions for a normal individual and integrate physiology with other basic and clinical sciences. b6- Evaluate the drug dose, drug history, side effects, describe the various prescriptions suitable for various cases with awareness of the precautions in specific circumstances. b7- Comprehend the mechanisms of the lever systems, mechanisms of various physical modalities and their therapeutic effects. b8- Understand the difference between innate and acquired immunity, the various immunological responses and the role individual component of the immune system. b9- Analyze symptoms & signs to put differential diagnosis for common presenting complaints, design diagnostic plan and evaluation prognosis and the risks, interpret the results of commonly used diagnostic procedures, and institute the appropriate diagnostic, preventive, and therapeutic interventions, construct treatment plan, incorporating his knowledge, best available evidence, and patient’s preferences in a cost effective manner. b10- Interpret and analyze clinical and laboratory findings to reach the diagnosis of relevant surgical diseases evaluate the prognosis and risks, apply decision making for surgical interference and related rehabilitation measures b11-Analyze and evaluate and integrate different knowledge given information to solve problems (sometimes in absence of some givens).13 b12- Perform a scientific research study about a certain research problem b13- Estimate the risks related to speciality practice. b-14 Make desicions in various professional conditions and plan for better performance in the speciality c. Professional and practical skills: By the end of the program the candidate will be able to: c1- Examine the different joints of the body. c2- Interpret the normal anatomical structures on radiographs, ultrasonography, CT scan and nuclear MRI. c3- Perform the most important respiratory function tests and manipulate a stethoscope for hearing heart and respiratory sounds. c4- Present physiological scientific data in a graphical form. c5-Differentiate between the different types of electrical current and their uses. c6- Apply the physical facts while treating the patient to convey maximum efficiency from physical therapy and to avoid complications. c7- Correlate the various drugs with their practical use as therapeutics in various diseases and to differentiate between the different indications and doses of the same drug in different disorders. c8- Apply the pharmacological knowledge in research work. c9- Read and evaluate scientific literature related to immunology and to interpret the immunological techniques. c10- Conduct a full neurological examination. c11- Conduct a full rheumatologic examination. c12- Conduct a nerve conduction and EMG investigation. c13- Apply different electrotherapeutic apparatus on the different body parts for different indications c14- Use orthotics and prosthetics for their different indications c15- Design a diet regimen and use acupuncture to treat different weight disorders c16- Perform arthrocenthesis and intra and extra articular injections 14 c17- Write and evaluate various medical reports related to the speciality, case reports, electrophysilogical studies reports and prescriptions c18- Evaluate various modalities and tools related to the speciality c19- Apply various courses knowledge (Anatomical facts, Physiological facts, Physics, Immunology, Pharmacology, Internal medicine, General surgery, PMR, Electrotherapy and diagnosis, Rheumatology) in form of skills: taking medical history, performing physical examination & order appropriate investigations (laboratory, radiological or any other tests) and interpret them to reach diagnosis and prescribe medication and or apply other therapeutic option in the speciality. c20- Use appropriate study design, statistical method & analysis and apply ethical judgement, patient respect in practice and research d. General and transferable skills:By the end of the programme the candidate will be able to: d1- Use computer skills and various information technology d2- Benefit from e-learning d3- Perform case presentations d4- Work in groups and lead a team d5- Conduct a research d6- Perform effective communication d7- Self-evaluation and learning d8- Uses various sources to acquire medical knowledge d9- Evaluate other team-members performance d10- Continuous learningCandidates are asked to submit a thesis to take the degree 3. Academic standards: (Benchmarks)15 Academic reference standards guided by John Hopkins University 4. Curriculum structure and contents: 4a- Program duration: Two year4b- Program structure: المناهج الساعات المقررات الدراسية الكود المعتمدة متطلبات دورة أساسيات البحث العلمي الكلية الجزء PRR9001 تشريح تطبيقي 1 الول فسيولوجي تطبيقي PRR9002 0,75 فارماكولوجي PRR9003 0,75 طبيعة تطبيقية PRR9004 1 أسس المناعة PRR9005 1 باطنة PRR9006 0,75 جراحة PRR9007 0,75 الرسالة 6 الجزء طب طبيعي وتأهيل PRR9008 6 الثاني كهرباء طبية PRR9009 5 روماتيزم PRR9010 6 : يختار الطالب مادة واحدة من E9009 أحصاء طبى E9009- ق��انون ط��بىE9035- أخلقي��ات E9035 المقررات طبي��ةE9034- أس��س البح��ث 1 E9034 الختيارية العلم��ىE9121- أش��عة E9121 تشخيص��ية ف��ى الم��راض الروماتزميةE9138- وحاسب E9138 ألى E9047 E9047 كراسة 6 النشطة المجموع 36 16 5. Programme courses:A) CompulsoryCode no. Course title No. of hours /week Lecture Tutorial Practical PRR9001 Applied 15 Anatomy PRR9002 Applied 12 Physiology PRR9003 Pharmacology 12 PRR9004 Applied Physics 14 1 PRR9005 14 1 Basic immunology PRR9006 General 10 2 medicine PRR9007 General surgery 12 PRR9008 Physical 70 40 Medicine& Rehabilitation PRR9009 Electrotherapy 49 13 16 & Electrodiagnosis PRR9010 Rheumatology 69 30B) ElectiveCode no. Course title No. of hours /weekLecture Tutorial Practical17 E9009 Statistics 15 E9047 Computer 15 E9034 Medical ethics 15 E9035 Medical law 15 E9138 Rheumatology 15 Radiodiagnosis 6. Programme admission requirements: المادة (6) : يشترط لقيد الطالب للحصول على درجة الماجستير:- 1 - أن يك��ون حاص��ل ً عل��ى درج��ة البك��الوريوس ف��ي الط��ب والجراح��ة م��ن إح��دى جامع��ات جمهوري��ة مص��ر العربي��ة أو عل��ى درج��ة معادل��ة 2- أن يكون قد أمضى سنة التدريب (المتياز) 3- موافقة جه��ة العم��ل 4- تس��ديد الرس��وم ومص��اريف الت��دريب واس��تهلك الجه��زة واس��تيفاء المس��تندات المطلوب��ة ف��ي الملح��ق (1) 5- التف��رغ للدراس��ة لم��دة فص��لين دراس��يين قب��ل دخ��ول امتح��ان الجزء الثاني 0 ملحق (1) : يقدم طالب اللتحاق لدرجة الماجستير الوراق التالية :- 1- طلب إلتحاق 0 2- شهادة البكالوريوس 0 3- شهادة المتياز -04 شهادة الميلد أو مستخرج رسمي 05- الموقف من التجنيد 0 6- موافقة جهة العمل على التسجيل والتفرغ المطلوب 0 7- عدد 6 صور فوتوغرافية جديدة 0 8- بالنسبة للوافدين يقدم الطالب موافقة السفارة ويحدد جهة تحمل النفقات كما يقدم شهادة صحية 0 7. Regulation for progression and program completion(مادة (8: 18 بالنس��بة للتس��جيل ل��درجات ال��دكتوراه وب��اقى ال��دبلومات فيت��م مرتي��ن ف��ى الع��ام : الول��ى م��ن أول يولي��و ح��تى آخ��ر أغس��طس والثاني��ة م��ن أول نوفمبر حتى آخر ديسمبر مادة (9): توزع الدراسة فى كل عام جامعى على فصلين دراسيين مدة كل منهما خمسة عشر اسبوعا . يبدا الول فى أول أكتوبر ويبدا الثانى فى منصف فبراير. مع تنظيم فصل دراسى صيفى مكثف لمدة ستة اسابيع . و يتم التسجيل للفصل الدراسى قبل اسبوعين من بدايته على القل بعد إستيفاء الشروط حسب المقررات المسجلة. ولينبغى أن يزيد العبء الدراسى فى الفصل الواحد عن 6 ساعات معتمدة. ويجوز للطالب تعديل المقررات خلل اسبوعين من بداية الفصل الدراسى ( بالحذف او الضافة). كما يجوز له النسحاب خلل سته اسابيع من احد المقرارت دون احتسابه راسبا فيه. Assessment Schedule and Weighing of Assessments حالة ا ل e r ط ا s o ل t c e ب t s n i Item Mark a t o A s PP t n G e d u t S During End of semeste semeste Total r r First semester (If present) 100 300 400 Second semester 100 100 Third semester 100 100 Fourth Written 900 900 semester Oral19 Practical Final exam /Clinical Total 300 1200 1500:ملحوظة: تعادل درجات الطالب طبقا للنقاط على الوجه التالى : 4 نقاط A 1- 90 % فأكثر : 3.67 نقاط -A 2- من 85% حتى أقل من 90 % : 3.33 نقاط +B 3 - من 80% حتى أقل من %85 : 3.00 نقاط B 4 - من 75% حتى أقل من %80 : 2.67 نقاط -B 5 - من 70% حتى أقل من %75 : 2.33 نقاط +C 6 - من 65% حتى أقل من %70 : 2.00 نقاط C 7- من 62% حتى أقل من %65 : 1.67 نقاط -C 8 - من 60% حتى أقل من %62 : صفر F 9 - أقل من %60 مجم��وع درج��ات المتح��ان النه��ائى لل��دبلوم الع��الى والماجس��تير 1200 درج��ة منه��ا 300 درج��ة للج��زء الول ومجم��وع درج��ات المتح��ان النه��ائى لل��دكتوراه 1500 درج��ة منه��ا 300 درجة للجزء الول إن وجد. ويضاف إليه��ا المع��دل الفص�لى ال��تراكمى بم��ا ي��وازى 300 درجة للدبلوم العالى والماجستير و 400 درجة للدكتوراه. ويتم حساب المعدل الفصلى (GPA) على أساس مجموع حاصل ضرب نقاط كل مقرر مضروبا فى عدد ساعاته المعتمدة مقسوما على الساعات المعتمدة للمقررات التى درسها الطالب فى الفصل الدراسى. كما يتم حساب المعدل التراكمى للطالب (CGPA) على أساس مجموع حاصل ضرب النقاط التى حصل عليها الطالب فى كل مقرر مضروبا فى عدد ساعاته المعتمدة مقسوما على مجموع الساعات المعتمدة الكلية. 20 فى حالة الرسوب فى مادة أو مجموعة من المقررات فى الدبلوم أوالماجستير أو الدكتوراه يتم العادة فى المادة أو المجموعة فقط. ويتم حساب التقدير الفعلى الذى يحصل عليه فى أول إعادة فقط أما إذا تكرر رسوبة فيحسب له عند النجاح تقدير 60% فقط (اى 1.67 نقاط اى -C). Anatomy course specificationProgram(s) on which the course is given: Diploma in Physical medicine Rheumatology and Rehabilitation (First Part) Major or minor element of programs: Major Department offering the program: Physical medicine, Rheumatology and Rehabilitation department Department offering the course: Anatomy department Academic year / Level: Master 1st semester Date of specification approval: ……………………………..A- Basic InformationTitle: Applied anatomy Code: PRR9001 Credit Hours: 1 Lecture: Tutorial: 15 Total: 15hrs Co-ordinator Anatomy departmentB - Professional Information 1- Course Aims: 1. To provide a core body of scientific knowledge concerning the normal structure of the human body at the level of upper limbs, lower limbs & spine as well neuroanatomy. 2. To correlate anatomical facts with their clinical applications.21 2- Intended Learning Outcomes (ILOs) from the Course: a- Knowledge and understanding By the end of the course, students should be able to: a1. Describe the basic principles of structure of the different joints of the human body and their biomechanics. a2. Describe the surface landmarks of the underlying joints, bones, muscles and tendons. a3. Outline major clinical applications of anatomical facts a4. Describe segmental innervation of the different dermatomes and myotomes a5. Describe the anatomy of the different nerves. a6. Describe the neuroanatomy of the brain and the spinal cord with their blood supply a7. Draw labelled diagrams of cross sections of Brain, brainstem and spinal cord at different levels b- Intellectual skills By the end of the course the candidate will be able to: b1- Comprehend the biomechanics of the different joints b2- Comprehend the different phases of the gait cycle and muscles working in each phase b3- Describe the anatomy of all the joints,muscles,nerves (spinal and cranial) and the vertebral column of the body c- Professional skills By the end of the course the candidate will be able to: c1- Apply the anatomical facts while examining the living subject in order to reach a proper diagnosis. c2- Differentiate between the different types of joints and how each adapts to its function c3- Identify the different surface markings and determine the position or course of internal structures. c4- Interpret the normal anatomical structures on radiographs and ultrasonography, C.T. scan and nuclear magnetic resonance images.22 c5- Interpret some clinical findings in relation to anatomical basis. c6- Analyze and resynthesize given data to solve problem situations d- General and transferable skills By the end of the course the candidate will be able to: d1- Use Computer using and power point presentation d2- Maintain honesty and integrity in all interactions with teachers, colleagues, patients and others with whom physicians must interact in their professional lives. d3- Recognize the scope and limits of their role as students as well as the necessity to seek and apply collaboration with other workers. d4- Be responsible towards work. d5- Maintain a professional image concerning behaviour, dress and speech. d6- Work in study group d7-Benefit from e-learning d8- Perform case presentations d9- Self-evaluation and learning d10- Uses various sources to acquire medical knowledge d11- Evaluate other team-members performance3- Course content:No. of hours Topics L T C/P SDL 1-facial nerve ½ 2-trigeminal nerve ½ 3-cranial nerves II,III,IV,VI ½ 4- other cranial nerves ½ 5-neuroanatomy of the brain 1 6-brachial plexus 1 7-lumbar plexus & siatic nerve 1 8-muscles of upper limbs 1 9--muscles of lower limbs 1 10-trunk muscles 1 11- vertebral column ½23 12- neck ½ 13-joints of lower limbs: hip 1 14-knee 1 15-ankle and joints of the foot 1 16-joints of upper limbs: shoulder 1 17-elbow and wrist 1 18-hand joints 1 L: Lecture, T: Tutorial, C/P: Clinical or Practical and SDL: Self directed learning4 - Student Assessment Methods 4.1-Written exam: to assess knowledge and understanding and to assess the ability of problem solving 4.2-Oral exams: to assess knowledge and understanding Weighing of assessment: Written exam: 30 Oral exam: 20 Total: 505 -- List of References 5.1- Course Notes (paper and / or electronic) Lecture notes handed to student 5.2- Essential Books (Text Books) Last’s textbook of regional and applied anatomy, Grant’s Atlas of anatomy 5.3- Recommended Books a) Cunningham’s anatomy b) Gray’s anatomy. 5.4- Periodicals and websites www.visiblebody.com http://science.nhmccd.edu/biol/ap1.html http://anatomy-interactive.org24 Physiology Course specificationsProgram(s) on which the course is given: Diploma in Physical Medicine, Rheumatology and Rehabilitation. Major or minor element of programs: Major Department offering the program: Physical Medicine, Rheumatology and Rehabilitation. Department offering the course: Physiology Department. Academic year / Level: - First semester Date of specification approval: ……………………………………..A- Basic Information Title: Applied Physiology Code: PRR9002 Credit Hours: 0.75 Lecture: 12 Tutorial: Total: 12 hrsCoordinator Physiology DepartmentB - Professional Information 1- Course Aims: 1. Acquire an appropriate functional background of cells, tissues, organs & systems. 2. Integrate physiological data & mechanisms with the ongoing basic sciences: anatomy, histology & biochemistry and clinical applications. 3. Explore in detail the functions of the central nervous system, neuromuscular, the respiratory, metabolism and the cardiovascular systems 4. Develop the basic scientific research skills as well as effective communication and team work attitudes.25 2- Intended Learning Outcomes (ILOs) from the Course: a- Knowledge and understanding By the end of the course the candidate will be able to: a1 - Comprehend the physiology of the cardiovascular, respiratory and central nervous system, muscle and nerve physiology a2- Understand the bone physiology a3- Describe the effect of exercise on the different systems of the body and sports physiology a4- Distinguish the different metabolic and endocrinal disorders to understand appetite and the central and peripheral factors controlling it a5- Understand the mechanism of temperature regulation and their disturbances b- Intellectual skills By the end of the course the candidate will be able to: b1- Interpret most important physiological laboratory results (blood, respiratory, neuromuscular), to distinguish a physiological from a pathological condition. b2- Comment, on some clinical parameters such as: ABP, ECG, nerve conduction velocity & pulmonary functions for a normal individual. b3- Integrate physiology with other basic and clinical sciences. c- Professional skills By the end of the course the candidate will be able to: c1- Perform the most important respiratory function tests . c2- Manipulate a stethoscope for hearing heart and respiratory sounds . c3- Present physiological scientific data in a graphical form . d- General and transferable skills By the end of the course the candidate will be able to: d1 –Use computer power point presentation26 d2- Work separately or in a team to research and prepare a scientific topic. d3- Present clearly and effectively a scientific topic in a tutorial, a staff meeting or the yearly scientific day. d4-Benefit from e-learning d5- Perform effective communication d6- Self-evaluation and learning d7- Uses various sources to acquire medical knowledge d8- Evaluate other team-members performance d9- Implement Continuous learning3- Course content:No. of hours Topics L T C/P SDL 1-The Cell and Its Functions and Apoptosis— ½ Programmed Cell Death 2-Membrane Potentials and Action 1 Potentials and Contraction of Skeletal Muscle 3-Overview of the Circulation; Medical 1 Physics of Pressure, Flow, and Resistance and The Microcirculation and the Lymphatic System: Capillary Fluid Exchange, Interstitial Fluid. 4-Local and Humoral Control of Blood 1 Flow by the Tissues and Nervous Regulation of the Circulation, and Rapid Control of Arterial Pressure 5-Organization of the Nervous System, 1 6-The Sensory and Autonomic Nervous System 1 7-Motor and Integrative Neurophysiology 1 8-Physical Principles of Gas Exchange; ½ Diffusion of Oxygen and Carbon Dioxide Through the Respiratory Membrane 9-Regulation of Respiration ½ 10-Respiratory Insufficiency— ½27 Pathophysiology, Diagnosis, Oxygen Therapy 11-Bone physiology 1 12-Metabolism and Temperature 1 Regulation 13-Endocrinology, Diabetes Mellitus & Obesity 1 14- Exercise Physiology 1 L: Lecture, T: Tutorial, C/P: Clinical or Practical and SDL: Self directed learning4 - Student Assessment Methods4.1-Written exam: to assess knowledge and understanding and to assess the ability of problem solving 4.2-Oral exams: to assess knowledge and understandingWeighing of assessment: Written exam: 25 Oral exam: 15 Total: 405 -- List of References 5.1- Course Notes (paper and / or electronic) Lecture notes handed to students 5.2- Essential Books (Text Books) Ganong textbook of physiology Guyton’s textbook of phyiology 5.3- Recommended Books5.4- Periodicals & websites …………………………………………Pharmacology course specification28 Program(s) on which the course is given: Diploma in Physical medicine Rheumatology and Rehabilitation (First Part) Major or minor element of programs: Major Department offering the program: Physical medicine, Rheumatology and Rehabilitation department Department offering the course: Pharmacology department Academic year / Level: Master 1st semester Date of specification approval: ………………………………..A- Basic Information Title: Pharmacology Code: PRR9003 Credit Hours: 0.75 Lecture: 12 Tutorial: 0 Total: 12Co-ordinator Pharmacology departmentB - Professional Information 1- Course Aims: 1-To provide scientific knowledge concerning pharmacology principles related to musculoskeletal system. 2- To give a broad understanding about medications used in musculoskeletal system disorders including mechanism of action, pharmacokinetics, metabolism, dosing, side effects, drug interactions, compliance & precautions. 2-To correlate pharmacological preparations with their therapeutic applications in the field of Physical medicine, Rheumatology and Rehabilitation2- Intended Learning Outcomes (ILOs) from the Course: a- Knowledge and understanding By the end of the course, students should be able to:29 a1. Describe the basic principles (pharmacokinetics and pharmacodynamics) of pharmacological preparations involved in the field of the speciality. a2. Describe the mechanism of action of different studied drugs a3. Outline the different dosing, indications, contraindications, interactions and side effects of these preparations a4. Discuss the precautions and limitation of use in specific conditions (pediatrics, pregnancy, lactation, geriatrics, renal & hepatic conditions, etc…) a5. Define the advantages and disadvantages of different drugs in comparison to each other. a6. Understand the role, benefits, hazards and limitations of alternative therapies commonly used b- Intellectual skills By the end of the course the candidate will be able to: b1- Calculate accurately the drug dose according to half-life, bioavailability . b2- Take appropriate drug history. b3- Document side effects. b4- Write prescriptions for musculoskeletal diseases. b5- Describe the various prescriptions suitable for various cases with awareness of the precautions in specific circumstances c- Professional skills By the end of the course the candidate will be able to: c1- Correlate the various drugs with their practical use as therapeutics in various disease c2- Differentiate between the different indications and doses of the same drug in different disorders c3- Use knowledge and understanding of the pharmacological sciences to formulate and apply the various medications c4-Apply the pharmacological knowledge gained in research work30 c5-Demonstrate competency in analysing and interpreting pharmacological data. d- General and transferable skills By the end of the course the candidate will be able to: d1- Provide appropriate basic drug education to patient and his family d2- Communicate effectively with other healthcare professional to maximize patients benefit (e.g.from medication) d3- Respect ethics related as well as socioeconomic related issues d4- Recognize and effectiently deal with unethical behavior as regards drug use or prescription (especially drug abuse) d5- Demonstrate competency in internet use and other research work tools and achievement, as well as self-learning and continuous education3- Course content :No. of hours Topics L T C/P SDL 1. principles of pharmacology (kinetics & 1 dynamics) 2. Non steroidal Anti-inflammatory drugs 1 3. Gluccocorticoids: topical, intrarticular & 1 systemic 4. Disease modifying drugs: Antimalarial, 1 Sulfasalazine, Gold compound, Methotrexate & D-penicillamine 5. Cytotoxics: Azathioprine, 1 cyclophosphamide, chlorambucil Immunomodulatory drugs: cyclosporine, mycophenolate mofetil 6. Biologic agents 1 7. Hypouricemic drugs: allopurinol, ½ probencid, sulfinpyrazone31 8. Antibiotic, antiviral, antifungal therapy ½ 9. analgesics and management of pain ½ 10. durgs for autonomic nervous system ½ 11. Skeletal muscle relaxants and 1 spasmolytics 12. Drugs against Osteoporosis & 1 Osteomalacia 13. antihypertensive drugs ½ 14. anticonvulsant drugs ½ 15. relevant cardiopulmonary durgs ½ 16. Others: Anticoagulants. ½L: Lecture, T: Tutorial, C/P: Clinical or Practical and SDL: Self directed learning4 - Student Assessment Methods 4.1-Written exam: to assess knowledge and understanding and to assess the ability of problem solving 4.2-Oral exams: to assess knowledge and understanding Weighing of assessment: Written exam 25 Oral exam 15 Total 405 -- List of References 5.1- Course Notes (paper and / or electronic) Department lecture notes. Pharmacology lectures at the e-site of Ain Shams University. 5.2- Essential Books (Text Books) Katsong textbook of Pharmacology5.3- Recommended Books32 Lipincott Principles of clinical pharmacology5.4- Periodicals, Web Sites www.centerwatch.com/drug-information/fda-approvals/drugarea.aspx?AreaID=8 www.medilexicon.com/drugsearch.php?a=19 www.chilanti.com/olbooks/medbooks/cochrane_musculoskeletal_group.htm www.pubmed.com www.highwirepress.com physics course specificationProgram(s) on which the course is given: Diploma in Physical medicine Rheumatology and Rehabilitation (First Part) Major or minor element of programs: Major Department offering the program: Physical medicine, Rheumatology and Rehabilitation department Department offering the course: Physics department in cooperation with Physical medicine, Rheumatology and Rehabilitation department Academic year / Level: Master 1st semester Date of specification approval: …………………………..A- Basic Information Title: Applied physics Code: PRR9004 Credit Hours: 1 Lecture: 14 Tutorial: 1 Total: 15Co-ordinator Physics department - Faculty of ScienceB - Professional Information 1- Course Aims: 1- To provide basic scientific knowledge concerning physics 33 2- To develop a clear understanding of the basic concepts of modern physics. 3-To correlate physical facts with their clinical applications in the field of PM&R2- Intended Learning Outcomes (ILOs) from the Course: a- Knowledge and understanding By the end of the course, students should be able to: a1. Describe the basic principles of physics of electricity, lever system, magnetic field, ultrasound, LASER and thermal modalities. a2. Outline major clinical applications of physical facts. a3. Describe the mechanism of different physical modalities b- Intellectual skills By the end of the course the candidate will be able to: b1- Comprehend the mechanisms of the different lever systems & hence different joints movement. b2- Comprehend the different mechanisms of various physical modalities. b3- Describe the various physical modalities and their possible therapeutic effects. c- Professional skills By the end of the course the candidate will be able to: c1- Correlate the various physical principles with their practical use as physical modalities. c2- Differentiate between the different types of electrical current and their uses c3- Apply the physical facts while treating the patients to convey maximum efficiency from physical therapy and to avoid complications c4- Apply different physical facts on performing electrodiagnostic tests to master the instrument and reach proper diagnosis.34 d- General and transferable skills By the end of the course the candidate will be able to: d1- Access data and information related to the course subjects from the internet. d2- Develop self professional, scientific, and personal attitude towards continuous education. d3- Cooperate in teams.3- Course content:No. of hours Topics L T C/P SDL SECTION I 1. Forces & Lever systems 1 2. Hydrostatics & fluid flow in the 1 body 3. Physics of the skeleton 1 SECTION II 4. Direct current, electromagnetic 1 induction. 5. Electrostatics, electric field & 1 condensers. 6. Fundamental of electronics: 1 semiconductor diode, oscillators & transistor. 7. Application and uses of electricity in 1 1 Physical Medicine: Galvanic and Faradic currents. 8. High frequency electricity in 1 Medicine: Long-wave, Short-wave and Microwave Diathermy SECTION III 9. Heat and Cold in Medicine 1 10. LASER in Medicine 135 11. Ultrasound waves in Medicine 1 12. Cathode ray oscilloscope 1 13. Light in Medicine: Ultraviolet and 1 Infrared. SECTION IV 14. Electrical safety 1L: Lecture, T: Tutorial, C/P: Clinical or Practical and SDL: Self directed learning4 - Student Assessment Methods 4.1-Written exam: to assess knowledge and understanding and to assess the ability of problem solving 4.2-Oral exams: to assess knowledge and understanding Weighing of assessment: Written exam 30 Oral exam 20 Total 505 -- List of References 5.1- Course Notes (paper and / or electronic) Lecture notes handed hand by hand 5.2- Essential Books (Text Books) Physics and Electronics in Physical Medicine. Alfred Nightingale 5.3- Recommended Books Intermediate Physics for Medicine and Biology. Russell K. Hobbie & Bradley J. Roth 5.4- Periodicals, Web Sites http://www.physicsclassroom.com/Class/index.cfm http://www.nd.edu/~nsl/Lectures/mphysics/index.htmBasic Immunology Course specifications36 Program on which the course is given: Diploma in Physical Medicine, Rheumatology and Rehabilitation. Major or minor element of programs: Major Department offering the program: Physical Medicine, Rheumatology and Rehabilitation. Department offering the course: Physical Medicine, Rheumatology and Rehabilitation. Academic year / Level: First semester Date of specification approval: ……………………………..A- Basic Information Title: Basic Immunology Code: PRR9005 Credit Hours: 1 Lecture: 14 Tutorial: 1 Total: 15Coordinator------B- Professional Information 1- Course Aims: 1- To provide basic scientific knowledge concerning immunology 2- To correlate immunological concepts and disorders with their clinical applications in the field of Physical Medicine, Rheumatology & Rehabilitation 3- To provide an understanding of the immunological basis for new lines of treatment for various rheumatological disorders2- Intended Learning Outcomes (ILOs) from the Course:37 a- Knowledge and understanding By the end of the course the candidate will be able to: a1- Describe the basic principles of immunology a2- Understand the various immunological techniques involved in diagnosis a3- Outline major clinical applications of immunology in the field of Physical medicine, Rheumatology and rehabilitation b- Intellectual skills By the end of the course the candidate will be able to: b1- Understand the difference between innate and acquired immunity. b2- Understand the various immunological responses b3- Comprehend the role individual component of the immunity system. c- Professional skills By the end of the course the candidate will be able to: c1- Interpret immunological techniques c2- Read and evaluate scientific literature related to immunology d- General and transferable skills By the end of the course the candidate will be able to: d1- Access data and information related to the course subjects from the internet and use computer and power point presentation. d2- Develop self professional, scientific, and personal attitude towards continuous education. d3- Cooperate in teams d4-Conduct a research. d5-Evaluate other team-members performance.3- Course content:Topics No. of hours38 L T C/P SDL SECTION I – INTRODUCTION TO THE IMMUNE SYSTEM 1. Properties and overview of the immune ½ system 2. Innate immunity ½ 3. Cells and tissues of the adaptive immune 1 system – cell migration & adhesion molecules SECTION II – RECOGNITION OF ANTIGENS 4. Antibodies and antigens 1 5. The major histocompatibility complex 1 6. Antigen processing and presentation to T 1 lymphocytes 7. Antigen receptors and accessory molecules 1 of T lymphocytes SECTION III MATURATION, ACTIVATION AND REGULATON OF LYMPHOCYTES 8. Lymphocyte development and rearrangment 1 and expression of antigen receptor genes 9. Activation of lymphocytes 1 10. B cell activation and antibody production 1 11. Immunological tolerance ½ SECTION IV EFFECTOR MECHANISMS OF IMMUNE RESPONSES 12. Cytokines ½ 13. Effector mechanisms of cell mediated ½ immunity 14. Effector mechanisms of humoral immunity ½ – The Complement SECTION V – THE IMMUNE SYSTEM IN DEFENSE AND DISEASE 15. Immunity to microbes ½ 16. Transplantation immunity ½ 17. Immunity to tumors ½ 39 18. Diseases caused by immune responses : ½ Hypersensitivity and Autoimmunity 19. Immediate hypersensitivity ½ 20. Congenital and acquired ½ immunodeficiencies IMMUNOLOGICAL TECHNIQUES 1L: Lecture, T: Tutorial, C/P: Clinical or Practical and SDL: Self directed learning4 - Student Assessment Methods4.1-Written exam: to assess knowledge and understanding and to assess the ability of problem solving 4.2-Oral exams: to assess knowledge and understanding Weighing of assessment: Written exam 30 Oral exam 20 Total 505 -- List of References 5.1- Course Notes (paper and / or electronic) Lecture notes handed hand by hand5.2- Essential Books (Text Books) Roitt’s essential immunology Basic immunology (Abul K Abbas)5.3- Recommended Books Cellular & molecular immunology (Abul K Abbas) 5.4- Periodicals, Web Sites, etc http://www.immunologylink.com http://www.immunology.utoronto.ca/site5.aspx http://www.aai.org/default.asp 40 Internal medicine Course specificationsProgram(s) on which the course is given: Master in Physical Medicine, Rheumatology and Rehabilitation. Major or minor element of programs: Major Department offering the program: Physical Medicine, Rheumatology and Rehabilitation. Department offering the course: Internal medicine Department. Academic year / Level: First semester Date of specification approval ………………………………………..A- Basic Information Title: Internal medicine Code: PRR9006 Credit Hours: 0.75 Lecture:10 Tutorial: 2 Practical: Total: 12Coordinator Internal Medicine DepartmentB - Professional Information 1- Course Aims: 1. To support acquisition of knowledge and understanding of health and its promotion, and of disease, its prevention and management. 2. To enable the student to acquire and become proficient in basic clinical skills such as obtaining a patient’s history, undertaking a comprehensive physical and mental state examination, interpreting the findings and constructing diagnostic and treatment plans. 3. To enable the students to acquire and demonstrate attitudes necessary for the achievement of high standards of medical practice, in relation to the provision of care of individuals and populations 4. To train the student how to fully examine the patient, reach provisional diagnosis and recommend suitable investigations.41 2- Intended Learning Outcomes (ILOs) from the Course: a- Knowledge and understandingBy the end of the course the candidate will be able to: a1. Discuss the common medical problems presenting to doctors - in primary health care setting, hospital and community - their diagnosis, prevention and treatment. a2. Identify disease in terms of mental, functional and physical processes a3. State the clinical manifestations and differential diagnosis of common medical disorders with an emphasis on the incidence of the different manifestations and their relative importance in establishing diagnosis, and the early manifestations of serious diseases (e.g. malignancy, emergencies …etc) a4. Recognize the normal aging process in terms of physiologic and clinical manifestations and identify age related diseases and variable causes of disability in old age. b- intellectual skills By the end of the course the candidate will be able to: b1. Analyze symptoms & signs and construct a differential diagnosis for common presenting complaints. b2. Design an appropriate diagnostic plan for evaluation of common presenting complaints which is appropriate in terms of the differential diagnosis, the severity of the clinical situation and the risks, benefits and costs to the patient. b3. Accurately interpret the results of commonly used diagnostic procedures b4. Identify risk factors for disease processes and injury, and institute the appropriate diagnostic, preventive, and therapeutic interventions. b5. Construct treatment plan, incorporating his knowledge, best available evidence, and patient’s preferences in a cost effective manner.42 c- Professional skills By the end of the course the candidate will be able to: c1. Take a thorough history of appropriate depth and detail, relative to the clinical context. c2. Demonstrate a complete and/or problem-focused physical examination. c3. Recognize urgent life-threatening conditions, and institute appropriate initial management. c4. Safely perform routine diagnostic and therapeutic procedures, including life support. c5. Use appropriate sterile technique, Comply with and use universal precautions. d- General and transferable skills By the end of the course the candidate will be able to: d1. Establish trust with the patient. d2. Explain to the patients and their relatives the nature of illness, the diagnostic and therapeutic options and Recommend life style modification in compassionate and ethical way. d3. Respond effectively to a patient’s emotional and psychosocial concerns. d4. Interact and communicate effectively with other health care professionals. d5. Manage time effectively and demonstrate skills needed for life long learning. 3- Course content:No. of hours Internal Medicine L T C/P SDL 1- Cardiovascular diseases 1 Hypertension, ischemic heart diseases and heart failure.43 2-Chest diseases 1 Chronic obstructive pulmonary disease, acute and chronic lung abscess, pleural effusion and lung cancer. 3-Metabolism (acidosis, alkalosis, electrolyte 1 disorders) 5- Endocrinology 1 DM, parathyroid, thyroid, cushing and adissons syndromes. 5- Kidney and urinary tract diseases, acute RF, 1 chronic RF, nephritic syndrome, nephritic syndrome, acute and chronic glomerulonephritis. 6- CVstroke, Ataxia and cerebellar diseases 2 1 7-Diseases of muscles and disorders of 1 1 neuromuscular junction and Motor neuron diseases 8-Parkinson’s disease and other movement 1 disorders 9- Non traumatic disorder of the spinal cord and 1 Multiple sclerosis L: Lecture, T: Tutorial, C/P: Clinical or Practical and SDL: Self directed learning4 - Student Assessment Methods Written exam: 20 Clinical exam: 15 Total 355 -- List of References 5.1. Course Notes (paper and / or electronic) Lecture notes handed hand by hand5.2. Essential Text book 5.3. Recommended books -DAVIDSON'S Principles and Practice of Medicine. -Clinical Medicine KUMMAR and CLARK. -1000 MCQs for DAVIDSON'S Principles and Practice of Medicine. -MCQs for Clinical Medicine KUMMAR and CLARK. 44 -HUTCHISON’S Clinical Methods. -Clinical Examination, MACLEOD, MUNRO. - A Guide to Physical Examination, Barbara Bates. 5.4. Periodicals & websites General surgery Course specificationsProgram(s) on which the course is given: Diploma in Physical Medicine, Rheumatology and Rehabilitation. Major or minor element of programs: Major Department offering the program: Physical Medicine, Rheumatology and Rehabilitation. Department offering the course: Surgery Department. Academic year / Level: First semester Date of specification approval ………………………………………..A- Basic Information Title: General Surgery Code: PRR9007 Credit Hours: 0.75 Lecture: 12 Tutorial: 0 Practical: 0 Total: 12 hrsCoordinator Surgery DepartmentB - Professional Information 1- Course Aims: 1. To provide the candidate with the knowledge, and skills which enable him/her to identify, analyze, manage and/or refer relevant clinical surgical problems in order to provide efficient, cost effective and humane patient care. 2. To provide the candidate with an appropriate background covering the relevant surgical emergencies. 3. To enable the development and application of appropriate professional attitudes, ethical principles and communication45 4. To develop the ability to diagnose the basic surgical affections via clinical and laboratory findings. 5. To acquire the basic principles of related surgical interferences. 6. To introduce the different methods, materials and techniques of anesthesia2- Intended Learning Outcomes (ILOs) from the Course: a- Knowledge and understanding On successful completion of the course, the student should be able to: a1- Describe the etiology, pathogenesis and pathology of important and relevant surgical diseases. a2- Discuss the clinical manifestations, complications, diagnostic modalities, outcome and treatment plans for relevant surgical problems. a3- Understand the importance of rehabilitation in the treatment of surgical problems. a4- Recognize the appropriate orthotics and prosthetics needed in the different surgical conditions. a5- Recognize the ethical principles that govern decision-making in surgical practice. a6- Discuss the principles and practice of preoperative preparation and postoperative care. a7- Acquire Knowledge about the basic principles of anesthetic techniques and materials. a8- Understand scientific advances in surgery. .b- Intellectual skills By the end of the course the candidate will be able to: b1- Interpret and analyze clinical and laboratory findings to reach the accurate diagnosis of relevant surgical diseases. 46 b2- Analyze and predict the prognosis and consequences of surgical affections. b3- Apply decision making of suitability of using a defined surgical interference and related rehabilitation measures with appropriate orthotics and prosthetics. b4 – Learn decision making of suitability of using defined anesthetic techniques and related complications. b5-Analyze and evaluate and integrate different knowledge given information to solve problems (sometimes in absence of some givens). c- Professional skills By the end of the course the candidate will be able to: c1- Get experience in clinical diagnosis of surgical affections. c2- Get ability for surgical interferences and treatment of surgical affections. c3- Use gained surgical knowledge to apply appropriate rehabilitation programs d- General and transferable skills By the end of the course the candidate will be: d1- Acquainted with surgery as a tool for treatment of surgical affections. d2 Acquainted with Using the specified instruments and devices of surgery and, anesthesiology. d3- Enhancement of the ability definition and solving of surgical problem47 d4- Conduct sincere and effective patient interviews, properly explain their condition and plan of management, obtain consents and convey bad news in a professional way. d5- Write patient records and properly present them. d6- Work effectively and cooperatively in a team. d7- Perform self-evaluation and learning d8- Uses various sources to acquire medical knowledge d9- Implement continuous learning 3- Course content:No. of hours Topics L T C/P SDL 1-Basic surgery: wound healing, infection and 1 shock and hemorrhage 2-Basic surgery: ulcers and burns &diabetic foot 1 3- Hernia and abdominal wall, breast and thyroid 1 disorders 4- - postoperative care and pain management, 1 Pulmonary embolism and Cardiopulmonary resuscitation 5- Cardiac surgery; basic principles of heart and 1 mediastinum surgery & Surgery of lung and bronchi 6 peripheral nerve injury & plexus injury 1 7- Vascular: Chronic ischaemia and Acute 1 ischemia and vascular trauma 8- Vascular: Chronic venous insufficiency and 1 lymphatic system 9- ischemic cerebral vascular stroke and ½ intracranial hemorrhage 10- head and spine injury and disc disease ½ 11- traumatology and amputation ½ 12- developmental bone disease & metabolic ½ bone disease48 13- long bone deformities & hand surgery ½ 14- spine deformities, hydrochephalus, ½ craniostenosis and spinal dysraphism 15- Joint replacement surgeries 1 L: Lecture, T: Tutorial, C/P: Clinical or Practical and SDL: Self directed learning4 - Student Assessment MethodsWritten exam 25 Clinical exam 10 Total 355 - List of References 5.1. Lecture notes handed 5.2. Essential books 5.3. Recommended books 1-Bailey and Love’s Short Practice of Surgery, 23rd Edition. 2- Current Surgical Diagnosis and Treatment, 11th Edition. 3- Browse NL: An introduction to the Symptoms and Signs of Surgical Disease. 5.4. Periodicals & websites Physical Medicine and Rehabilitation (PM&R) Course specificationsProgram on which the course is given: Diploma in Physical Medicine, Rheumatology and Rehabilitation. Major or minor element of programs: Major Department offering the program: Physical Medicine, Rheumatology and Rehabilitation. Department offering the course: Physical Medicine, Rheumatology and Rehabilitation.49 Academic year / Level: Second semester Date of specification approval: …………………………………..A- Basic InformationTitle: Physical Medicine and Rehabilitation Code: PRR9008 Credit Hours: 6 Lecture: 70 Practical: 40 Total: 90hrsCoordinator ……………………………………………B - Professional Information 1- Course Aims: a) To meet the candidate need to complete scientific and clinical training to be an efficient professional physiatrist b) To respond to the trainees educational and research training needs to conduct research in the field of PM&R2- Intended Learning Outcomes (ILOs) from the Course: a- Knowledge and understanding By the end of the course the candidate will be able to: a1- Clinically evaluate a patient from the physical medicine and rehabilitation point of view and understand methods of evaluation and assessment a2- Understand the different domains of rehabilitation a3- Comprehend different rehabilitation programs to the different system diseases (cardiovascular, respiratory, orthopaedic, neurologic and rehabilitation after neurosurgery, movement disorders including tremors, peripheral vascular diseases, pediatric, geriatric, bladder, bowel, sexual, rehabilitation for visual and hearing impairment, vestibular rehabilitation and rehabilitation after prolonged immobility and for cancer, burn, rehabilitation for low back pain, 50 cervical pain, arthritis and connective tissue disorders, rehabilitation of the injuried athlete and hand rehabilitation) a4- Understand the physical medicine and rehabilitation problems and their management (pressure ulcers, spasticity, acute and chronic pain, emergencies in rehabilitation medicine) a5- Understand gait, its analysis and rehabilitation of gait related disorders a6- Identify the walking aids, different orthotics and prosthetics, the wheelchair and to understand their specifications, uses, applications and indications a7- Understand scientific advances in physical medicine & rehabilitation. a8- Understand the ethical principles and legal principles of medical practice in physical medicine & rehabilitation. a9- Understand the basics and ethics of scientific research. b- Intellectual skills By the end of the course the candidate will be able to: b1- Interpret the most important symptoms and signs of various disorders and their rehabilitative aspects. b2- Choose the appropriate laboratory & radiological investigations and interpret the results. b3- Provisionally diagnose different musculoskeletal and neurological disorders and their rehabilitational issues. b4- Design appropriate rehabilitation management plans for various disorders b5- Make decisions according to specific different clinical situations using problem solving skills b6-Analyze and evaluate and integrate different knowledge given information to solve problems (sometimes in absence of some givens). b7- Perform a scientific research study about a certain research problem51 b8- Make desicions in various professional conditions and plan for better performance in the speciality c- Professional skills By the end of the course the candidate will be able to: c1- Examine skillfully a patient with rheumatologic, neurologic, orthopaedic and different medical and surgical conditions and to elicit the proper physical signs and to differentiate between the different diseases c2- Use the clinical findings together with medical history to formulate a differential diagnosis, plan for suitable investigations, interpret them and reach diagnosis c3- Know indications and applications of different orthosis and prosthesis c4- Perform proper different intraarticular & soft tissue injections as well as aspiration. d5- Write and evaluate various medical reports related to the physical medicine & rehabilitation, case reports, d6- Evaluate various modalities and tools related to physical medicine & rehabilitation. d7- Apply various courses knowledge related to physical medicine & rehabilitation in form of skills: taking medical history, performing physical examination & order appropriate investigations (laboratory, radiological or any other tests) and interpret them to reach diagnosis and prescribe medication and or apply other therapeutic option in physical medicine & rehabilitation. d8- Use appropriate study design, statistical method & analysis and apply ethical judgement, patient respect in practice and research d- General and transferable skills By the end of the course the candidate will be able to: d1- Adopt the habit of life-long learning52 d2- Communicate, explain and discuss with the patient the diagnosis, the need for further investigations, available management options, their risks & benefits. d3- Identify the need for other specialities intervention or referral. d4- Lead and co-operate effectively with the professional team work involved together in patient rehabilitation d5- Use computer skills and various information technology d6- Work in groups and lead a team d7- Perform effective communication d8- Perform self-evaluation and learning d9- Uses various sources to acquire medical knowledge d10- Evaluate other team-members performance d11- Implement Continuous learning 3-Course content: The course contains 4 sections studied over 2 semestersNo. of hours Topics L T C/P SDL SECTION I – EVALUATION 1. Physiatric history & examination 2 2 2. Examination of the pediatric patient 1 2 3. Adult communication disorders 1 4. Psychological perspectives on 1 Rehabilitation 5. Gait analysis 1 6. Functional assessment and Disability 1 determination 7. Neurological and musculoskeletal 1 studies 8. Quality and outcome measures in 1 Rehabilitation53 9. Reasearch in physical medicine and 1 Rehabilitation SECTION II - TREATMENT TECHNIQUES AND SPECIAL EQUIPMENTS 10. Therapeutic exercises 1 1 11. Manipulation, traction & massage 2 1 12. Computer assistive devices & 1 environmental control 13. Joint & soft tissue injections technique 2 3 14. Upper limb orthoses 3 1 15. Lower limb orthoses 3 1 16. Spinal orthoses 2 1 17. Upper limb amputation rehabilitation & 2 1 prostheses 18. Lower limb amputation rehabilitation & 2 1 prostheses 19. Wheel chair prescription 1 1 SECTION III – COMMON CLINICAL PROBLEMS IN PHYSICAL MEDICINE AND REHABILITATION 20. Managment of bladder dysfunction 1 1 21. Managment of bowel dysfunction 1 22. Spasticity 2 2 23. Pressure ulcers 1 1 24. Cardiac rehabilitation 2 1 25. Pulmonary rehabilitation 1 1 26. Deconditioning & Conditioning 1 27. Rehabilitation of swallowing disorders 1 28. Sexuality Issues in persons with 1 disabilities 29. Achieving functional independence 1 SECTION IV – ISSUES IN SPECIFIC DIAGNOSES IN PHYSICAL MEDICINE AND REHABILITATION54 30. Rehabilitation of Rheumatological 1 1 disorders 31. Assessment & treatment of cervical 1 1 disorders 32. Musculoskeletal disorders of UL 1 33. Musculoskeletal disorders of LL 1 34. Low back pain & disorders of lumbar 1 1 spine 35. Prevention & treatment of osteoporosis 1 36. Chronic pain syndromes: Evaluation and 1 treatment 37. Diagnosis and treatment of muscle pain 1 syndromes 38. Management of sports injuries 2 1 39. Occupational Rehabilitation 1 40. Rehabilitation of motor neurone diseases 1 1 41. Rehabilitation of patients with 1 1 peripheral neuropathy 42. Rehabilitation of patients with 1 1 myopathies 43. Brain injury Rehabilitation 1 1 44. Stroke rehabilitation 1 1 45. Rehabilitation of movement disorders 1 1 46. Rehabilitation of Multiple Sclerosis 1 1 47. Pediatric rehabilitation 2 2 48. Spinal cord injury rehabilitation 2 2 49. Rehabilitation of Vascular diseases 1 1 50. Cancer rehabilitation 1 51. Rehabilitation of Burn 1 1 52. Geriatric rehabilitation 1 1 53. Rehabilitation in patients with AIDS & 1 organ transplantation 54. management of weight disorders 2 155 L: Lecture, T: Tutorial, C/P: Clinical or Practical and SDL: Self directed learning4 - Student Assessment Methods4.1-Written exam: to assess knowledge and understanding and to assess the ability of problem solving 4.2-Oral exams: to assess knowledge and understanding 4.3-Clinical exam: to assess clinical skills and the ability to use the different programs of rehabilitation and to identify different orthotics and prosthetics and their different indications Weighing of assessment: Written exam 180 Oral exam 15 Clinical 110 Total 3055 -- List of References 5.1- Course Notes (paper and / or electronic) Lecture notes handed hand by hand5.2- Essential Books (Text Books) Randall Braddom textbook of Physical Medicine & Rehabilitation Delisa Textbook of Physical Medicine & Rehabilitation Krusen tectbook of PMR5.3- Recommended Books Tan Practical manual of Physical Medicine & Rehabilitation Neurology and Neurosurgery illustrated (Lindsay & Bone)Merrits textbook of neurology Adams's Outline of Orthopaedics5.4- Periodicals, Web Sites, etc PM&R Journals: Archives of Physical Medicine and Rehabilitation56 American Journal of Physical Medicine and Rehabilitation PM&R by American Academy of Physical Medicine and Rehabilitation (AAPMR) (website mentioned below) Physical Medicine And Rehabilitation Clinics of North AmericaPM&R websites: http://emedicine.medscape.com/rehabilitation http://www.aapmr.org/ (American Academy of Physical Medicine and Rehabilitation) http://www.med.umich.edu/pmr/ http://www.mayo.edu/msgme/physmed-programs.html http://www.physiatry.org/ (Association of Academic Physiatrists) Electrotherapy & Electrodiagnosis Basic Information € A- Basic Information Title: Electrotherapy & Electrodiagnosis code: PRR9009 Credit Hours: 5 Lecture: 49 Tutorial: 13 Practical:16 Total: 70hrsCoordinator ……………………………………………B - Professional Information1- Course Aims: a) To be a professional doctor in electrodiagnostics b) To be able to use electrotherapy in treatment of various disorders2- Intended Learning Outcomes (ILOs) from the Course: a- Knowledge and understandingBy the end of the course the candidate will be able to:57 a1- Comprehend the basic science of electrotherapy means,their physical basis,methods of application,indications,effects and complications a2- Put an electrotherapeutic plan for different complaints a3- Understand the use of biofeedback and functional neuromuscular stimulation in rehabilitation a4-Understand the basic science of electrodiagnosis and its clinical applications a5- Interpret an electrodiagnosis report a6- Understand scientific advances in electrotherapy & electrodiagnosis. a7- Understand the ethical principles and legal principles of medical practice in electrotherapy & electrodiagnosis. a8- Understand the principles of quality in medical practice in electrotherapy & electrodiagnosis. a9- Understand the basics and ethics of scientific research. b- Intellectual skills By the end of the course the candidate will be able to: b1- Conduct case-based discussions to demonstrate the applications of the electrodiagnostic procedure to diagnose the different diseases b2-Interpret different EMG reports b3-Analyze and evaluate and integrate different knowledge given information to solve problems (sometimes in absence of some givens). b4- Estimate the risks related to electrodiagnosis practice. b5- Make desicions in various professional conditions and plan for better performance in electrotherapy. c- Professional skills By the end of the course the candidate will be able to: c1--conduct a NERVE CONDUCTION AND EMG examination and write a concise report58 c2- use different electrotherapy apparatus and different physical modalities professionally c3- Write and evaluate various medical reports related to electrophysilogical studies c4- Evaluate various modalities and tools related to electrotherapy. c5- Apply various courses knowledge RELATED TO Electrotherapy&diagnosis in form of skills: taking medical history, performing physical examination & order appropriate investigations (ELECTRODIAGNOSTICS tests) and interpret them to reach diagnosis and prescribe medication and or apply other ELECTROtherapeutic MODALITIES in the PMR speciality. c6- Use appropriate study design, statistical method & analysis and apply ethical judgement, patient respect in practice and research d- General and transferable skills By the end of the course the candidate will be able to: d1 –Use computer power point presentation d2- Work separately or in a team to research and prepare a scientific topic. d3- Present clearly and effectively a scientific topic in a tutorial, a staff meeting or the yearly scientific day d4- Use computer skills and various information technology d5- Work in groups and lead a team d6- Self-evaluation and learning d7- Uses various sources to acquire medical knowledge d8- Evaluate other team-members performance d9- Continuous learning 3- Course content: Electrotherapy part of Course content: 2.5 credit hours Lectures: 22 Tutorial : 13 Total : 35 hoursNo. of hours Electrotherapy Topics L T C/P SDL59 Section I (7 Lectures- 4 Tutorial)1-Superficial heating: UV-IR-Hot pack- 3 2 PW- Hydrotherapy. 2-Deep heating: Ultrasound- Short wave – 3 2 Microwave 3-Cold therapy 1Section II (9 Lectures- 7 Tutorial)4-Electric stimulation: -Strength duration curve. 1 2 -Direct current. 1 -Low frequency current: 5 4 IGS, Faradic stimulation, Diadynamic, TENS, Russian current, Sinusoidal current, Microcurrent.-Medium frequency current: 2 1 e.g.Interferential. section III (6 Lectures- 2 Tutorial) 5- Laser 1 6-Magnet 1 7- Biofeedback 1 1 8- Acupuncture 1 1 9-Traction 1 10-Other modalities 1Electrodiagnosis part of Course content: 2.5 credit hours Lectures: 27 Practical : 16 Total : 35 hoursEMG Topics No. of hours L T C/P SDL Section I (10 Lectures- 7 Practical) 1-Basic anatomy and physiology. 1 2-Instrumentation. 1 3-Motor nerve conduction studies 2 260 4-Sensory nerve conduction studies 2 1 5. Special nerve conduction studies 2 2 6-Basic needle EMG : 2 2 -Electrodes. -Normal EMG pattern: Resting, MUAPs, IP assessment.Section II (9 lectures- 5 Practical) 7- neural reaction to injury 1 8- Electrodiagnosis in different diseases: *Neuropathic pattern: 4 2 - Neuropathies -Cervical and lumbar radiculopathies -AHC diseases ( polio- MND) - Entrapment neuropathies - Cranial nerve neuropathies*Myopathic pattern : 3 2 - Myopathy - Polymyositis *Myoneural junction disorders: 1 1 -Physiology & normal findings. -Myasthenia gravis & myasthenic syndrome Section III (8 lectures- 4Practical) 9 Autonomic nervous system testing: 1 Sympathetic Skin Response (SSR). 10- Evoked potentials (SSEP-AEP-VEP) 2 2 11- Single fiber EMG. 1 12- Macro EMG. 1 13- Electrodiagnosis of sphincter muscles. 1 14- Writing a report 1 2 15- Specialized examination: pediatric, 1 intraoperative monitoring, and magnetic stimulation of central and peripheral nervous system. 61 L: Lecture, T: Tutorial, C/P: Clinical or Practical and SDL: Self directed learning 4 - Student Assessment Methods 4.1-Written exam: to assess knowledge and understanding and to assess the ability of problem solving 4.2-Oral exams: to assess knowledge and understanding 4.3-Clinical exam: to assess clinical skills and the ability to use the different electrotherapeutic apparatus in different diseases. Weighing of assessment: Written exam 130 Practical exam 110 Total 2405 -- List of References 5.1- Course Notes (paper and / or electronic) Lecture notes handed hand by hand 5.2- Essential Books (Text Books) Electrodiagnostic medicine by Daniel Gumitru Clayon’s textbook of electrotherapy 5.3- Recommended Books EMG secrets: Questions and Answers 5.4- Periodicals, Web Sites, etc Muscle & Nerve Clinical NeurophysiologyRheumatology Course specificationsProgram(s) on which the course is given: Diploma in Physical Medicine, Rheumatology and Rehabilitation. Major or minor element of programs: Major Department offering the program: Physical Medicine, Rheumatology and Rehabilitation .62 Department offering the course: Physical Medicine, Rheumatology and Rehabilitation. Academic year / Level: - second, third, & fourth semester Date of specification approval: …………………………..A- Basic InformationTitle: Rheumatology Code: PRR9010 Credit Hours: 6 Lecture: 69 Tutorial: Practical: 30 Total: 90CoordinatorProfessor……………………………………………B - Professional Information1- Course Aims: a) To be a professional doctor in the rheumatic diseases. b) To master the ability to perform a clinical assessment of patients with musculoskeletal disorders, select and interpret appropriate investigations and formulate a differential diagnosis and management plan. c) To develop critical appraisal and analysis of clinical research methodology and results d) To be able to maintenan professional standards through continuing development and learning. e) To practice effective team working and leadership skills.2- Intended Learning Outcomes (ILOs) from the Course: a- Knowledge and understanding By the end of the course the candidate will be able to:63 a1 - understand the immunological and immunogenetic basis of rheumatic diseases and their implications a2-differentiate the different rheumatic diseases (systemic connective tissue diseases,the vasculitides and their related disorders,the seronegative spondyloarthropaties, arthritis associated with infectious agents,rheumatic disorders associated with metabolic,endocrine and hematologic diseases, bone and cartilage disorders, hereditary, congenital and inborn errors of metabolism associated with rheumatic disorders, non-articular and regional musuloskeletal disorders, pediatric rheumatic diseases, metabolic and genetic myopathies,amyloidosis,Raynoud’s phenomenon, autoimmune eye and ear disorders, rheumatic syndromes associated with sarcoidosis, rheumatic disorders of the dialysis patient, rheumatic diseases and the pregnant and lactating female) as regards their aetiology, pathology, pathogenesis, clinical picture, investigations and management. a3 -identify the recent updates in the management of the rheumatic disorders, drug therapy, rehabilitation techniques and surgical management. a4 -list differential diagnoses of different rheumatic complaints a5- discuss preoperative assessment of patients with rheumatic diseases a6- understand synovial fluid analysis and the synovial biopsy and arthroscopic picture of rheumatic diseases a7-understand psychologic assessment of patients with rheumatic diseases a8-be able to assess the functional ability of a patient with rheumatic disease and how make them feel a functional person in the society a9- Understand the mutual influence of medical practice and environment. a10- Understand scientific advances in rheumatology a11- Understand the ethical principles and legal principles of medical practice in rheumatology a12- Understand the basics and ethics of scientific research.64 b- Intellectual skills By the end of the course the candidate will be able to: b1- Case-based discussions to differentiate the different rheumatic diseases………………………………………… b2-Analyze and evaluate and integrate different knowledge given information to solve problems (sometimes in absence of some givens). b3- Perform a scientific research study about a certain research problem b4- Make desicions in various professional conditions and plan for better performance in rheumatology c- Professional skills By the end of the course the candidate will be able to: c1- Examine skilfully a patient with rheumatologic, neurologic, orthopaedic and different medical and surgical conditions and to elicit the proper physical signs and to differentiate between the different diseases. c2- Perform joint aspirations, intra-articular injections and soft tissue injections. c3- Write and evaluate various medical reports related to rheumatic patients. c4- Apply various courses knowledge REGARDING Rheumatology) in form of skills: taking medical history, performing physical examination & order appropriate investigations (laboratory, radiological or any other tests) and interpret them to reach diagnosis and prescribe medication and or apply other therapeutic option in rheumatology. d- General and transferable skills By the end of the course the candidate will be able to: d1- Use computer skills65 d2- Demonstrate the ability of self learning d3- Present a case d4- Work in groups d5- Conduct a research d6- Work in groups and lead a team d7- Perform effective communication d8- Perform self-evaluation and learning d9- Uses various sources to acquire medical knowledge d10- Evaluate other team-members performance d11- Implement continuous learning 3- Course content:Section I Title: Rheumatology 1 Code: PRR9010 a Credit hours: 2 Lecture: 22 Clinical: 12No. of hours Topics L T C/P SDL 1-History and Physical Examination 2 42-Laboratory Assessment 13-Arthrocentesis, Synovial Fluid Analysis,and 1 2 Synovial Biopsy 4- Imaging of Rheumatologic Diseases 25- Musculoskeletal Signs and Symptoms A. Monarticular Joint Disease 1 1 B. Polyarticular Joint Disease 1 1 C. Neck and Back Pain 1 D. Regional Rheumatic Pain Syndromes 2 E. The Fibromyalgia Syndrome 16- Molecular and Cellular Basis of Immunity 466 and Immunological Diseases 7- Genetics and Disease 28- Rheumatoid Arthritis A. Epidemiology, Pathology, and Pathogenesis 1 B. Clinical and Laboratory Manifestations 1 C. Assessment 1 2 D. Treatment 1 9- Juvenile Idiopathic Arthritis A. Epidemiology, Pathology, and Pathogenesis 1 B. Clinical and Laboratory Manifestations 1 C. Assessment 1 4 D. Treatment 1 E. Special Considerations 1 10- Psoriatic Arthritis A. Epidemiology, Pathology, and Pathogenesis 1 B. Clinical and Laboratory Manifestations 1 C. Assessment 1 2 D. Treatment 1L: Lecture, T: Tutorial, C/P: Clinical or Practical and SDL: Self directed learningSection II Title: Rheumatology 2 Code: PRR9010 b Credit hours: 2 Lecture: 22 Clinical: 12No. of hours Topics L T C/P SDL 11- Ankylosing Spondylitis A. Epidemiology, Pathology, and Pathogenesis 1 B. Clinical and Laboratory Manifestations C. Assessment 1 1 D. Treatment 1 1 12- Reactive and Enteropathic Arthritis 1 1 13- Osteoarthritis 67 A. Epidemiology, Pathology, and Pathogenesis 1 B. Clinical and Laboratory manifestations C. Assessment 1 2 D. Treatment 1 1 14-Gout A. Epidemiology, Pathology, and Pathogenesis 1 1 B. Clinical and Laboratory Manifestations and treatment 115- Calcium Pyrophosphate Dihydrate, 1 Hydroxyapatite, and Miscellaneous Crystals 16- Septic Arthritis and viral arthritis 1 17- 1 18- Mycobacterial, Fungal, and Parasitic 1 Arthritis & Lyme Disease 19- Rheumatic Fever 1 1 20- Systemic Lupus Erythematosus . . . . . A. Epidemiology, Pathology, and Pathogenesis 1 1 B. Clinical and Laboratory Manifestations C. Assessment 1 D. Treatment 1 1 21- Antiphospholipid Syndrome 1 22- Systemic Sclerosis A. Epidemiology, Pathology, and Pathogenesis 1 1 B. Clinical and Laboratory Manifestations and treatment 1 23- Idiopathic Inflammatory Myopathies A. Epidemiology, Pathology, and Pathogenesis B. Clinical and Laboratory Manifestations and 1 1 treatment 1 24- Metabolic Myopathies 1 25- Sjögren’s Syndrome 1 26- Vasculitides A. Giant Cell Arteritis, Polymyalgia Rheumatica, 1 and Takayasu’s Arteritis B. Polyarteritis Nodosa 1 68 C. The Antineutrophil Cytoplasmic 1 1 Antibody–Associated Vasculitides: Wegener’s Granulomatosis, Microscopic Polyangiitis, and the Churg–Strauss Syndrome D. Immune Complex–Mediated Vasculitis and Kawasaki disease 1 E. Miscellaneous Vasculitis (Behçet’s Disease, Primary Angiitis of the Central Nervous System, 1 Cogan’s Syndrome, and Erythema Elevatum Diutinum)L: Lecture, T: Tutorial, C/P: Clinical or Practical and SDL: Self directed learningSection III Title: Rheumatology 3 Code: PRR9010 c Credit hours: 2 Lecture: 25 Clinical: 6No. of hours Topics L T C/P SDL 27- Relapsing Polychondritis and periodic 1 syndromes 28- Adult-Onset Still’s Disease 1 29- Hematologic and Malignant Disorders & 1 Neuropathic Arthropathy 30- Rheumatic Disease and Endocrinopathies 1 and hyperlipoproteiemia 33- Hypertrophic Osteoarthropathy & Storage 1 and Deposition Diseases 34- Complex Regional Pain Syndrome 1 37- The Amyloidoses & Sarcoidosis 1 38- Neoplasms of the Joint and Bone and Joint 1 Dysplasias 39- Heritable Disorders of Connective Tissue 1 40- Osteonecrosis and Paget’s Disease of Bone 169 41- Osteoporosis 2 42- Rehabilitation of Patients with Rheumatic 2 1 Diseases 43-. Psychosocial Factors in Arthritis, Self- 1 Management Strategies and pain management 44- Therapeutic Injections of Joints and Soft 1 1 Tissues and New treatments 49- Rheumatological emergencies 1 50- Operative Treatment of Arthritis and 1 Complementary and Alternative Therapies L: Lecture, T: Tutorial, C/P: Clinical or Practical and SDL: Self directed learning4 - Student Assessment Methods4.1-Written exam:to assess knowledge and understanding and to assess the ability of problem solving 4.2-Oral exams: to assess knowledge and understanding 4.3-Clinical exam: to assess clinical skills and the ability to use the different electrotherapeutic apparatus and identify the different orthotics and prosthetics and their different indicationsWeighing of assessment:Written exam: 180 Clinical exam: 110 Oral exam: 15 Total: 3055 -- List of References 5.1- Course Notes (paper and / or electronic) Lecture notes handed hand by hand 5.2- Essential Books (Text Books) Primer textbook of rheumatology 5.3- Recommended Books Kelly’s textbook of rheumatology 5.4- Periodicals, Web Sites, etc Rheumtology Annals of rheumatic diseases 70 Journal of Rheumtology Current opinion of Rheumatology LupusRheumatology Reading List 1. Levine, J.S.; Branch, D.W.; Rauch, J. “The Antiphospholipid Syndrome”. New England Journal of Medicine. 346(10):752-63, 2002 Mar 7. 2. FitzGerald, G.A.; Patrono, C. “The Coxibs, Selective Inhibitors of Cyclooxygenase-2”. New England Journal of Medicine. 345(6):433-42, 2001 Aug 9. 3. Davidson, A.; Diamond, B. “Autoimmune Diseases”. New England Journal of Medicine. 345(5):340-50, 2001 Aug 2. 4. Steere, A.C. “Lyme Disease”. New England Journal of Medicine. 345(2):115- 25, 2001 Jul 12. 5. Walport, M.J. “Complement. First of Two Parts”. New England Journal of Medicine. 344(14):1058-66, 2001 Apr 5. 6. Walport, M.J. “Complement. Second of Two Parts”. New England Journal of Medicine. 344(15):1140-4, 2001 Apr 12. 7. Choy, E.H.; Panayi, G.S. “Cytokine Pathways and Joint Inflammation in Rheumatoid Arthritis”. New England Journal of Medicine. 344(12):907-16, 2001 Mar 22. 8. Deyo, R.A.; Weinstein, J.N. “Low Back Pain”. New England Journal of Medicine. 344(5):363-70, 2001 Feb 1. 9. Feldman, A.M.; McNamara, D. “Myocarditis”. New England Journal of Medicine. 343(19):1388-98, 2000 Nov 9. 10. von Andrian, U.H.; Mackay, C.R. “T-Cell Function and Migration. Two Sides of the Same Coin”. New England Journal of Medicine. 343(14):1020-34, 2000 Oct 5. 11. Olin, J.W. “Thromboangiitis Obliterans (Buerger's Disease)”. New England Journal of Medicine. 343(12):864-9, 2000 Sep 21. 12. Klein, J.; Sato, A. “The HLA System. First of Two Parts”. New England Journal of Medicine. 343(10):702-9, 2000 Sep 7. 13. Klein J, Sato A. The HLA system: second of two parts. New England Journal of Medicine. 2000; 343: 782 – 86. 14. Delves, P.J.; Roitt, I.M. “The Immune System. First of Two Parts”. New England Journal of Medicine. 343(1):37-49, 2000 Jul 6. 15. Meeker, W.C.; Haldeman, S. “Chiropractic: A Profession at the Crossroads of Mainstream and Alternative Medicine”. Annals of Internal Medicine. 136(3):216- 27, 2002 Feb 5. 16. Felson, D.T.; Lawrence, R.C.; Hochberg, M.C.; McAlindon, T.; Dieppe, P.A.; Minor, M.A.; Blair, S.N.; Berman, B.M.; Fries, J.F.; Weinberger, M.; Lorig, K.R.; 71 Jacobs, J.J.; Goldberg, V. “Osteoarthritis: New Insights. Part 2: Treatment Approaches”. Annals of Internal Medicine. 133(9):726-37, 2000 Nov 7. 17. Wessely, S. “Chronic Fatigue: Symptom and Syndrome”. Annals of Internal Medicine. 134(9 Pt 2):838-43, 2001 May 1. 18. Kremer, J.M. “Rational Use of New and Existing Disease-Modifying Agents in Rheumatoid Arthritis”. Annals of Internal 19. Weaver AL. Differentiating the new rheumatoid arthritis biologic therapies. Journal of Clinical Rheumatology. 2003; 9: 99 – Medicine. 134(8):695-706, 2001 Apr 17. 114.20. O’Dell JR. Therapeutic strategies for rheumatoid arthritis. New England Journal of Medicine. 2004; 350: 2591 – 602. 21. Felson, D.T.; Lawrence, R.C.; Dieppe, P.A.; Hirsch, R.; Helmick, C.G.; Jordan, J.M.; Kington, R.S.; Lane, N.E.; Nevitt, M.C.; Zhang, Y.; Sowers, M.; McAlindon, T.; Spector, T.D.; Poole, A.R.; Yanovski, S.Z.; Ateshian, G.; Sharma, L.; Buckwalter, J.A.; Brandt, K.D.; Fries, J.F. “Osteoarthritis: New Insights. Part 1: The Disease and Its Risk Factors”. Annals of Internal Medicine. 133(8):635-46, 2000 Oct 17.22. Rifat, S.F.; Moeller, J.L. “Basics of Joint Injection. General Techniques and Tips for Safe, Effective Use”. Postgraduate 23. McGarry, K.A.; Kiel, D.P. “Postmenopausal Osteoporosis. Strategies for Preventing Bone Loss, Avoiding Fracture”. Medicine. 109(1):157-60, 165-6, 2001 Jan. Postgraduate Medicine. 108(3):79-82, 85-8, 91, 2000 Sep 1.24. Pittman, J.R.; Bross, M.H. “Diagnosis and Management of Gout”. American Family Physician. 59(7):1799-806, 1810, 1999 Apr 1.25. Ruiz-Irastorza, G.; Khamashta, M.A.; Castellino, G.; Hughes, G.R. “Systemic Lupus Erythematosus”. Lancet. 357(9261):1027-32, 2001 Mar 31. 26. Fox, D.A. “Cytokine Blockade As a New Strategy to Treat Rheumatoid Arthritis: Inhibition of Tumor Necrosis Factor”. 27. Thomsen TW, Shen S, Shaffer RW, Setnik, GS. Arthrocentesis of the knee. New England Journal of Medicine. 2006; Archives of Internal Medicine. 160(4):437-44, 2000 Feb 28. 354:e19.28. Felson DT. Osteoarthritis of the knee. New England Journal of Medicine. 2006; 354: 841 – 48. 29. Scott DL, Kingsley GH. Tumor necrosis factor inhibitors for rheumatoid arthritis. New England Journal of Medicine. 2006; 355: 704 – 12.30. Jennette JC, Falk RJ. Small-vessel vasculitis. New England Journal of Medicine. 1997; 337: 1512 – 23. 31. Weyand CM, Goronzy JJ. Medium- and large-vessel vasculitis. New England Journal of Medicine. 2003; 349: 160 – 69.72 32. Seeman E, Delmas PD. Bone quality – the material and structural basis of bone strength and fragility. New England Journal6 - Elective Courses -Medical law -Medical statistics -Medical ethics -Rheumatological radiodiagnosis Medical statistics course specification University: Ain Shams University Faculty: of MedicineCourse specifications Program on which the course is given: Diploma in Rheumatology Major or minor element of programs: MinorDepartment offering the program: Physical medicine rheumatology and rehabilitation department Department offering the course: Community, Environmental and Occupational Medicine Academic Level: 1st or 2nd or 3rd semester Date of specification approval: …………………………..Basic InformationTitle: Medical statistics course Code: E9009 Credit Hours: 1 hour Lectures: 15 Total: 15hrsCoordinator Community, Environmental and Occupational Medicine DepartmentB - Professional InformationCourse Aim:To enable the doctorate candidate to plan, conduct, analyze and interpret the results of a research in his specific field. This course unit introduces the application of statistical ideas and methodology to medical research. 73 2- Intended Learning Outcomes (ILOs) from the Course:Knowledge and understanding By the end of the course the candidate will be able to: a1 - Define medical statistics and identify uses and importance of medical statistics in medical research a2 – Define: Types of variables. Descriptive statistics. Presentation and summarization of data. Measures of central tendency and scatter. Principles of probability and probability distributions. Concepts of inferential statistics: confidence interval and hypothesis testing. Different tests of statistical significance. Difference between parametric and nonparametric tests of significance. Correlation and regression Concept of statistical modeling using multivariable and multivariate statistical methods. Combining evidence from different studies and meta-analysis Importance and methods of sampling and how to determinate the suitable sample size. Different types of research methodology: observational and intervention studies and the different statistical issues related to the design, conduct, analysis and interpretation of the results of each study type. Ethical aspects of medical research including those specifically applied to clinical trials. b- Intellectual skills By the end of the course the candidate will be able to: 74 b1 - Interpret correctly the results of statistical analyses and critically evaluate the use of statistics in the medical literature. b2 - Integrate and evaluate information from a variety of sources. c- Professional skills By the end of the course the candidate will be able to: c1- Select appropriate study designs to address questions of medical relevance c2 - Select and apply appropriate statistical methods for analyzing data typically encountered in medical applications. c3- Use selected software packages for statistical analysis and data management. d- General and transferable skills By the end of the course the candidate will be able to: d1 - Work effectively in a group from different backgrounds. d2 - Respects the role of staff and co-staff members regardless of degree or occupation. d3 - Communicate effectively with professional statisticians and the wider medical community, including the ability to present results of statistical analyses through written and oral presentations d4 - Use of computer data bases and other computer skills. d5 - Handle data appropriately and analyze them through: decision processes, objective criteria, problem definition, project design and evaluation, risk management, teamwork and coordination. d6 - Learn independently with open-mindedness and critical enquiry.3- Course content:Topics L T C/P Introduction to medical statistics and its uses ½ Types of variables and Descriptive statistics 1 Graphic presentation of data 1 Introduction to probability theory and rules ½ Sample and population: sampling distribution of mean and 1 proportion Confidence interval of a mean and a proportion ½ Confidence interval of a difference between two mean /proportion ½ Testing a hypothesis about population mean/proportion ½ Testing a hypothesis about the difference between two ½ 75 means/proportion Comparing between more than two means-Introduction to 1 factorial analysis Cross-tabulation and introduction to categorical data analysis ½ Simple correlation and simple regression ½ Introduction to multivariable and multivariate analysis 1 Study designs: observational studies 1 Study designs: Intervention studies: clinical trials 1 Study designs: Experimental animal studies 1 Study designs: Bias and Confounding 1 Ethical issues in medical research 1 Sample size estimation for continuous and binary outcome ½ measures. Meta-analysis and publication bias. ½ L: Lecture, T: Tutorial, C/P: Clinical or Practical and SDL: Self directed learning 4 - Student Assessment Methods4-1 Written exam to assess knowledge and understanding and to assess ability of problem solving questions 4-2 Weighing of assessment Written exam 50 Total 505 - List of References5.1- Course Notes (paper and / or electronic) Student Notes on Medical Statistics and Research Methods. Prof. Mohsen Abdel Hamid and Dr Moustafa El Houssinie. Department of Community, Environmental and Occupational Medicine.5.2- Essential Books (Text Books) Statistics in Clinical Practice. avid Coggon. BMJ Books. 2nd edition 20035.3- Recommended Books Handbook of Epidemiology. Springer 20055.4- Periodicals, Web Sites, etc76 www.brettscaife.net/statistics/introstat/ onlinestatbook.com/rvls/ www. Epidemiolog.net http://www.shef.ac.uk/scharr/spss/ Medical ethics course specification University: Ain Shams University Faculty: of MedicineCourse specifications Program on which the course is given: Diploma in Rheumatology, physical medicine and rehabilitation. Major or minor element of programs: Minor Department offering the program: Physical medicine rheumatology and rehabilitation department Department offering the course: Community, Environmental and Occupational Medicine Department Academic Level: 1st or 2nd or 3rd semester Date of specification approval: ………………………….. A- Basic Information Title: Medical Ethics Code: E9034 Credit Hours: 1 Lecture: 14 Practical:2 Total: 15 hrsCoordinator Community, Environmental and Occupational Medicine DepartmentB - Professional Information 1- Course Aims: To enable the candidate to: 1) Know the moral aspects of medical practice. 2) Have a clear decision making strategy for clinical-ethical problems in medicine. 3) Plan, conduct, a valid research design and follow the international guidelines of health research ethics in his specific field. 4) Understand the importance good inter- and intra-professional communication and teamwork2- Intended Learning Outcomes (ILOs) from the Course:77 a- Knowledge and understandingBy the end of the course the candidate will be able to acquire the knowledge about : a1- Principles and guidelines of medical ethics a2-Principles and guidelines of Health research ethics a3-Seven Ethical requirements of research a4-Weighing between advancement of science and well-being of research participants a5-Ethical issues involved in study design and Clinical trials methodology a6-The importance and functions of the research ethics committee a7-Ethical consideration in treatment and researches involving vulnerable groups including: a. Populations and communities with limited resources b. Children c. Individuals who (by reason of mental or behavioural disorders) are not capable of giving adequately informed consent a8--When and how to obtain an ethics consultation and be knowledgeable of the function of Ethics Committee a9- Know when breaching confidentiality is justified a10-Know what to do about incompetent patients a11- Know what to do if a patient refuses recommended treatment a12-Know how to obtain informed voluntary consent. a13- Know the importance of trust, integrity, truthfulness and good communication in the patient/doctor relationship b- Intellectual skills By the end of the course the candidate will be able to: b1- Clarify the meaning and significance of key ethical concepts b2- Distinguish between patients capable of giving consents and those who cannot. b3- Perform research based on systematic review of literature and evidenced based medicine b4- Minimize the potential risks to the patients and maximizing the potential benefits anticipated by the research c- Professional skills78 By the end of the course the candidate will be able to acquire the skills of: c1- Make ethics-informed judgments on complex issues in their specialist area and be able to communicate these clearly and effectively to specialist and non-specialist audiences c2- Integrate ethical analysis of actual clinical encounters with clinical knowledge and skills and legal obligations c3- Respecting patients and research participants through all research steps through: a. Keeping confidentiality of participants’ data b. Keeping complete privacy during patient Inquiring and examination c. The right of withdrawal from the study at any step c4- Developing an informed consent involving patients or healthy volunteers d- General and transferable skills By the end of the course the candidate will be able to: d1- Work effectively in a team d 2- Communicate effectively with patients d 3- Deal with his research subjects as participants having rights to be respected d 4- Respect the role of the research ethics committee as assisting role d 5- Understanding of the importance of sensitive and empathic communication with patients about diagnosis and the potential benefits/risks of treatment.3- Course content:Topics L T P Introduction to medical ethics ½ History of medical ethics ½ Inter- and intra-professional communication and teamwork ½ Good communication in the patient/doctor relationship ½ Introduction and history to Health Research Ethics ½ What makes research ethical / Ethical requirements ½ Risks and benefits Analysis 1 Importance and role research ethics committee ½79 Ethical consideration in clinical trials ½ Systematic review of literature and evidence based medicine 1 Informed consent, including assessment of the comprehension of 1 the patient and shared decision making. Basics of performing an informed consent ½ Develop an informed consent both in English and Arabic ½ languages Practice exercises on health research ethics 2 Confidentiality and when it can justifiably be breached ½ Competency assessment-factors of decision making for the 1 incompetent patient Disclosure and justification for withholding information ½ Terminating the patient-physician relationship. ½ The non-compliant patient and refusal of recommended treatment ½ including life-sustaining treatment Genetic testing and genetic manipulation issues 1 Ethical, moral, cultural, religious differences regarding such issues 1 as reproductive technology, abortion, gender differentiation, contraception and birth control New issues in ethics ½ When and how to obtain an ethics consultation and be ½ knowledgeable of the function of Ethics Committee.L: Lecture, T: Tutorial, C/P: Clinical or Practical and SDL: Self directed learning3 - Student Assessment Methods 4.1. Written examination to assess depth of knowledge (MCQ) 4-2 Weighing of assessment Written exam 50 Total 505 - List of References 5.1- Periodicals, Web Sites, etc. CIOMS International Ethical Guidelines for Biomedical Research Involving Human Subject_files http://www.cioms.ch/ . The Belmont Report Ethical Principles and Guidelines for the protection of human subjects of research http://ohsr.od.nih.gov/guidelines/belmont.html 80 . Declaration of Helsinki http://www.wma.net/e/ethicsunit/helsinki.htm . What Makes Clinical Research Ethical? JAMA, May 24/31, 2000—Vol 283, No. 20 . Bowen, J. L. A Curriculum in Ethics. Prepared for the Association of Program Directors in Internal Medicine, 4th Annual Precourse of Education, April 18, 1994. . Culver, C. M., et al. Special Report Basic Curricular Goals in Medical Ethics, The New England Journal of Medicine, Vol. 362, No. 4 (January 24, 1985), p. 253-256. . Miles, S. H., et al. Medical Ethics Education: Coming of Age, Academic Medicine, 64 (December, 1989), p. 705-714. . Perkins, H. S. Teaching Medical Ethics During Residency, Academic Medicine, 64 (May, 1989), p. 262-266. . Self, D. J., et al. A Model for Teaching Ethics in a Family Practice Residency, The Journal of Family Practice, Vol. 166, No. 2 (1983), p. 355-359. . Siegler, M. Teaching Clinical Ethics at the Bedside, JAMA, Vol. 239, No. 10 (March 6, 1978), p. 951-956. . Siegler, M. Decision-Making Strategy for Clinical Ethical Problems in Medicine, Archives of Internal Medicine, Vol. 142 (November, 1982), p. 2178-217. . Jansen A, Seigler, M and Winslade, W. J. Clinical Ethics: A Practical Approach to Ethical Decisions in Clinical Medicine, McGraw-Hill Inc. 3rd Ed. (1992). . Fletcher J. C., Hite C. A., Lombardi P. A., and Marshall, M. F. Introduction to Clinical Ethics, University Publishing Group Inc., Frederick, MO. (1995). . Principles of Biomedical Ethics, Beauchamp & Childress. . Practical Ethics for Students, Interns, and Residents, Junkerman and Schiedemayer. Radiodiagnosis course specification 81 University: Ain Shams University Faculty: of MedicineCourse specifications Program on which the course is given: Diploma in Rheumatology, physical medicine and rehabilitation. Major or minor element of programs: Minor Department offering the program: Physical medicine rheumatology and rehabilitation department Department offering the course: Radiology department Academic Level: 1st or 2nd or 3rd semester Date of specification approval: …………………………..A- Basic InformationTitle: Radiodiagnosis Code: E9138 Credit Hours: 1 hours Lecture: 10 Practical:10 Total: 15hrsCoordinator Radiology department.B - Professional Information 1- Course Aims: a) Knowledge of imaging modalities: for each modality, know indications, precautions and contraindications, potential side effects, and costs. b) Differentiation between normal and abnormal radiographs. c) Utilizing the principles of interpretation in describing pathological lesions and formulating differential diagnosis. d) Know when to order radiological investigations and their use in management and follow up of the patients.2- Intended Learning Outcomes (ILOs) from the Course: a- Knowledge and understanding By the end of the course the candidate will be able to: a1. Know different imaging modalities, indication, contraindications, precautions and cost of each modality82 a2. Recognize normal radiographic finding from abnormal. a3. Analyze the lesion and formulating a differential diagnosis. a4. Distinguish between different lesions (trauma, tumors, infectious). a5. Relate particular radiographic findings to certain disorders. a6. Know present and advanced diagnostic modalities. a7. Elect the most suitable imaging method in different diseases. b- Intellectual skills By the end of the course the candidate will be able to: b1. Determine and analyse each radiographic abnormality. b2. Formulate a differential diagnosis c- Professional skills By the end of the course the candidate will be able to: c1.order the appropriate radiographic investigations for each patient c2. Use the radiographic investigations in establishing the diagnosis and choosing the appropriate treatment1- Course content:No. of hours Topics L T C/P SDL Imaging modalities: 2 2 Plain radiography and its variants Computed tomography Magentic resonance imaging MRI with contrast Ultrasound Brain Imaging. 2 2 Spine Imaging: 3 3  Trauma  intramedullary abnormalities  Intradural extramedullary abnormalities  extradural abnormalities  Facet joint abnormalities  Spinal stenosis  nerve roots  postoperative spine imaging83  infection  tumors and extraspinal abnormalities  Muscloskeletal imaging: 3 3  Muscle imaging  Tendon imaging  Ligament imaging  Cartilage imaging  Bone imaging  Bone and soft tissue tumors  Imaging of specific body regions:  Shoulder imaging  Elbow imaging  wrist and hand  sacroiliac  hip and pelvis  knee  ankle and footL: Lecture, T: Tutorial, C/P: Clinical or Practical and SDL: Self directed learning4 - Student Assessment MethodsWritten exam: 50 Total 505 -- List of References5.1- Essential Books (Text Books) Fundamentals of Musculoskeletal Imaging (Contemporary Perspectives in Rehabilitation) 5.2- Recommended Books …………………………………………ModuleFirst semester Code no. Course title topics 84 Lecture Tutorial Practical PRR9001 Applied Anatomy 15 PRR9002 Applied Physiology 12 PRR9003 Pharmacology 12 PRR9004 Applied Physics 14 1 PRR9005 Basic immunology 14 1 PRR9006 General medicine 10 2 PRR9007 General surgery 12 Total 74 18 End of semester exam: 100 (50 attendance, 50 SDL)Second semester Code no. Course title Lecture Tutorial Practical PRR9009 Electrotherapy 49 13 16 & Electrodiagnosis PRR Elective 15 أحص��اء ط��بى - E9009 E9009 ق��انون ط��بىE9035 E9035- أخلقي��ات طبي��ة- E9034 E6034 أس��س E9121 البح��ث العلم��ى- E9121 أش��عة E9138 تشخيص��ية ف��ى E9047 الم��راض الروماتزميةE9138- وحاسب ألىE9047 Total 64 13 16 End of semester exam: 100 (50 attendance, 50 self directed learning SDL)Third semester EndCode of semester no. exam:Course 100 title (50 attendance, 50 SDL) Lecture Tutorial Practical PRR9010 Rheumatology 69 30 Total 69 30 85 Fourth semester Code no. Course title Lecture Tutorial Practical PRR9008 Physical Medicine& 70 40 Rehabilitation Total 70 40V- GENERAL INFORMATION1 - MONITORING OF TRAINING AND SUBMISSION OF TRAINING REPORTS You must keep proper and updated records in your logbook to reflect the activities encountered in your training. Your logbook must be duly endorsed by an authorized signatory at the end of each semester. You will be continuously assessed by your supervisors, in consultation with head of department. An assessment will be submitted within 2 weeks of completion of each semester. 2 - MISCELLANEOUS INFORMATION:INJURY AND/OR BLOOD OR BODY FLUID EXPOSURE: During regular working hours, you should immediately report an exposure incident to ------. If exposure occurs after regular working hours or during a weekend or holiday; please call the ------. For injury, please report to the Emergency Department. Please also be sure to inform the supervisors of an exposure incident and/or injury. 3 - ACTION ON COMPLETION OF CLINICAL TRAINING86 Once all training sessions are completed the log book should be signed by the senior supervisor and the head of the department and then should be submitted to post graduate Secretariat. 4- REFERENCE The Training Guide is available at the post graduate Secretariat and could be downloaded from the following website is ------VI – YOUR LOG BOOK1- Introduction The aim of this book is to give you a guide to the expectations for each item. It will be a guide for both you and your teachers to what you should be seeing and doing. It will give you a list of the important topics that you should think about and should be covered in: 1. Clinical or practical sessions 2. Tutorials87 or 3. Self-directed learning (SDL) For each item there is also a list of 1. Clinical conditions or Practical sessions to be seen or attended (According to each degree) 2. Practical procedures to be seen and done RememberThis document is only a guide. It is not an exhaustive list. It is not just a checklist to score points. It is a guide to encourage you to read and learn more. This book is for your benefit. It will form a record of your clinical training and experience.2 - Supervisors Make a list of Supervisors or the delegated personels for signature ……………………………………………………………………… ……………………………………………………………… ……………………………………………………………… ……………………………………………………………… ……………………………………………………………… 3–Tables for Training Records Candidates are required to fulfill 75% of the listed activities in order to be eligible for the exam entry. The minimum number required for each activity = 75%. You are free to attend more and record your extra attendance. WEEKLY department PLAN Day /time Saturday Sunday Monday Tuesday Wednes Thursda day y 88 Bedside Follow Follow Follow up Follow Follow Follow education up up inpatient up up up inpatient inpatient wards inpatient inpatient inpatient wards wards wards wards wards Conference conference Journal club Journal club EMG + + + + + + Obesity clinic + + + + + + Pediatric + + + + + + rehab clinic Operative day Rheumatology + + + + + + & PMR Spasticit Clinics day yMonthly activity………………………………. Sixth monthly activity ………………………… Yearly activity Conferences of Ain shams conference Kasr el eini conference Societies conferences Societies conferenceRequirements Candidates are required to fulfill 75% of the listed activities in order to be eligible for the exam entry. The minimum number required for each activity = 75%. You are free to attend more and record your extra attendance.Rehabilitation Conferences attendance (NB. Minimum number required is 10) e e c t Supervisor o a a l Topics N DP signature89 Seminars attendance (NB. Minimum number required is 10)Supervisor No Date Place Topics signature90 Thesis attendance (NB. Minimum number required is10)Supervisor No Date Place Name of the thesis signatureRehabilitation Clinics attendance 91 (NB. Minimum number required is 30)No Date Place Name of the Clinic Supervisor signatureJournal club Attended (NB. Minimum number required is 10)Supervisor No Date Place Name signature92 EMG attendance (NB. Minimum number required is 20)Supervisor No Date Place Department signature93 Case presentations (NB. Minimum number required is 5)Supervisor No Date Place Diagnosis signatureRehabilitation Practical skills (Agreement Scale) Take a Supervisor comprehensive Signature 94 rehabilitation sheet Do 1- 2- 3- 4- 5- 6- 7- 8- 9- 10- 11- 12- 13- 14- 15- 16- 17- 18- 19- 20-Perform full Supervisor Perform full Supervisor neurological Signature muscloskeletal Signature examination examination 1 1 2 2 3 3 4 4 5 5 6 6 7 7 8 8 9 9 10 10 11 11 12 12 13 13 95 14 14 15 15 Asses Perform muscles testing Spasticity 1 1 2 2 3 3 4 4 5 5 6 6 7 7 8 8 9 9 10 10 11 11 12 12 13 13 14 14 15 15 ADL Therapeutic assessment exercises 1 1 2 2 3 3 4 4 5 5 6 6 7 7 8 8 9 9 10 10 11 11 12 12 13 13 14 14 15 15Manage stroke Supervisor Manage SCI Supervisor patients Signature Patients Signature 96 1 1 2 2 3 3 4 4 5 5 6 6 7 7 8 8 9 9 10 10 11 11 12 12 13 13 14 14 15 15 Manage motor Manage myopathy neuron disease patients patients 1 1 2 2 3 3 4 4 5 5 6 6 7 7 8 8 9 9 10 10 11 11 12 12 13 13 14 14 15 15 Manage multiple Cardiac sclerosis patients rehabilitation 1 1 2 2 3 3 4 4 97 5 5 6 6 7 7 8 8 9 9 10 10 11 11 12 12 13 13 14 14 15 15Chest Supervisor Geriatric rehabilitationSupervisor rehabilitation Signature Signature1 1 2 2 3 3 4 4 5 5 6 6 7 7 8 8 9 9 10 10 11 11 12 12 13 13 14 14 15 15 Rehabilitation of Rehabilitation Rheumatic diseases of movement disorders 1 1 2 2 3 3 4 4 5 5 6 6 7 7 8 8 98 9 9 10 10 11 11 12 12 13 13 14 14 15 15 Bowel & Bladder Vascular diseases rehabilitation Rehabilitation 1 1 2 2 3 3 4 4 5 5 6 6 7 7 8 8 9 9 10 10 11 11 12 12 13 13 14 14 15 15Cancer Supervisor Interpret gait disordersSupervisor Rehabilitation Signature Signature1 1 2 2 3 3 4 4 5 5 6 6 7 7 8 8 9 9 10 10 11 11 12 12 99 13 13 14 14 15 15 Hand rehabilitation Burn Rehabilitation 1 1 2 2 3 3 4 4 5 5 6 6 7 7 8 8 9 9 10 10 11 11 12 12 13 13 14 14 15 15 Orthosis & Prothesis Walking aid prescription & wheel chair prescription 1 1 2 2 3 3 4 4 5 5 6 6 7 7 8 8 9 9 10 10 11 11 12 12 13 13 14 14 15 15Manage Supervisor Manage Supervisor 100 deconditioning & Signature spasticity Signature pressure ulcers 1 1 2 2 3 3 4 4 5 5 6 6 7 7 8 8 9 9 10 10 11 11 12 12 13 13 14 14 15 15 Vestibular Pediatric Rehabilitation Rehabilitation 1 1 2 2 3 3 4 4 5 5 6 6 7 7 8 8 9 9 10 10 11 11 12 12 13 13 14 14 15 15101 EMG practical skillsMotor nerve Supervisor Sensory nerve Supervisor Signature conduction Signature conductionDo Do 1- 1- 2- 2- 3- 3- 4- 4- 5- 5- 6- 6- 7- 7- 8- 8- 9- 9- 10- 10-F wave Supervisor Needle EMG Supervisor response Signature SignatureDo Do 1- 1- 2- 2- 3- 3- 4- 4- 5- 5- 6- 6- 7- 7- 8- 8- 9- 9- 10- 10- Optional Skills : (Candidate must choose at least two of them with attendance of 5 cases) 1-somatosensory evoked potentials 2-sphincter EMG 3-Repetitive nerve stimulation102 4-Single fibre EMGOptional Supervisor Optional Supervisor skill------Signature skill------Signature ------Attendance Attendance 1- 2- 3- 4- 5-Electrotherapy practical skillsIR Supervisor UV Supervisor HP Supervisor IP Supervisor Signature Signature Signature Signature Do Do Do Do 1- 2- 3- 4- 5- 6- 7- 8- 9- 10-US Supervisor S Supervisor Laser Supervisor Magnet Supervisor Signature W Signature Signature Signature Do Do Do Do 1- 2- 3- 4- 5- 6- 7-103 8- 9- 10-DD Supervisor IF Supervisor TEN Biofeed Supervisor Signature Signature S Supervisor back Signature Signature Do Do Do Do -1 -2 -3 -4 -5 -6 -7 -8 -9 -10IGS Supervisor FS Supervisor SDC Traction Supervisor Signature Signature Supervisor Signature Signature Do Do Do Attendance 1- 2- 3- 4- 5- 6- 7- 8- 9- 10-Rheumatology practical skills104 Take a comprehensive Supervisor Signature rheumatological sheet Do 1- 2- 3- 4- 5- 6- 7- 8- 9- 10- 11- 12- 13- 14- 15- 16- 17- 18- 19- 20-Knee examination Supervisor Neck and back Supervisor Signature examination Signature1 1 2 2 3 3 4 4 5 5 6 6 7 7 8 8 9 9 10 10 11 11 105 12 12 13 13 14 14 15 15 Hip examination Shoulder and elbow examniation 1 1 2 2 3 3 4 4 5 5 6 6 7 7 8 8 9 9 10 10 11 11 12 12 13 13 14 14 15 15 Hand examination Foot examination 1 1 2 2 3 3 4 4 5 5 6 6 7 7 8 8 9 9 10 10 11 11 12 12 13 13 14 14 15 15106Aspirate/ Inject Supervisor Aspirate/ Inject Supervisor knee joint Signature other joints SignatureDo/Observe Do/Observe 1- 1- 2- 2- 3- 3- 4- 4- 5- 5- 6- Inject periarticular structures 7- 1- 8- 2- Attend Patients Supervisor Attend Patients Supervisor 9- 3- rheumatology seen Signature pediatric seen Signature 10- 4- clinic (diagnosis) rheumatology (diagnosis 11- 5- clinic 1- 1- 2- 2- 3- 3- 4- 4- 5- 5- 6- 6- 7- 7- 8- 8- 9- 9- 10- 10- 11- 11- 12- 12- 13- 13- 14- 14- 15- 15- 16- 16- 17- 17- 18- 18- 19- 19- 20- 20-107 Interpret Supervisor Interpret Supervisor synovialInterpret fluid SignatureSupervisor rheumatologicalInterpret non- SignatureSupervisor analysisconventional Signature labconventional investigations Signature 1- radiography 1- radiography 2-1- 2-1- 3-2- 3-2- 4-3- 4-3- 5-4- 5-4- 6-5- 6-5- 7-6- 7-6- 8-7- 8-7- 9-8- 9-8- 10-9- 10-9- 10- 10- 11- 11- 12- 12- 13- 13- 14- 14- 15- 15-Interpret Supervisor Interpret nailfold Supervisor polarized Signature capilloroscopy Signature microscopy 1- 1- 2- 2- 3- 3- 4- 4- 5- 5- 6- 6- 7- 7- 8- 8-108 9- 9- 10- 10-Attend Topic Supervisor Attend Topic Supervis journal Signature didactic or club conference and Signatur case e presentation 1 1 - - 2 2 - - 3 3 - - 4 4 - - 5 5 - - 6 6 - - 7 7 - - 8 8 - - 9 9 - - 1 1 0 0 - -Others(Teaching Experience, Research Experience, Projects, Publications, Field tasks, Administrative Experience, Administrative Experience)109 5 - Log book previewThe candidate logbook will be reviewed and patients seen/ skills performed summarized by diagnosis groups during the semester evaluation and at the end of the course in the table below. This reflects the number of activity done by category. (According to each degree) The results of this review will be totaled in the summary chart below. For Master of Science SummarySemester 1st 2nd 3rd 4th Total Activity No No No No Rehabilitation Conference attendance Seminar attendance Thesis attendance Rehabilitation Clinic attendance Journal club attendance EMG Case presentations Rehabilitation sheet Neurological examination Muscloskeletal examination Spasticity assessment Muscle testing ADL assessment Therapeutic exercise Manage stroke Manage SCI Manage MND Manage myopathy Manage M.S. Cardiac Rehabilitation Chest Rehabilitation Geriatric Rehabilitation Rehabilitation of Rheumatic diseases Rehabilitation of movement disorders110 Bowel & Bladder rehabilitation Vascular diseases Rehabilitation Cancer rehabilitation Interpret gait disorders Hand rehabilitation Burn rehabilitation Orthosis & Prothesis prescription Walking aid & wheel chair prescription Manage deconditioning & pressure ulcers Manage spasticity Vestibular Rehabilitation Pediatric Rehabilitation Motor nerve conduction Sensory nerve conduction F-wave response Needle EMG Optional SSEP Optional sphincteric EMG Optional repetitive stimulation Optional single fiber EMG IR UV HP IP US SW LASER Magnet DD IF TENS BFB IGS FS SDC Rheumatology sheet Knee examination Neck & back examination111 Hip examination Shoulder & elbow examination Hand examination Foot examination Aspire/inject knee Aspire/inject other joints Inject periarticular structures Rheumatology clinic attendance Pediatric rheumatology clinic Interpret SF analysis Interpret rheumatological lab. Inv. Interpret conventional radiological inv Interpret non-conventional radiological inv Interpret polarized microscopy Interpret nail-fold capilloroscopy Attend journal club (Rheumatology) Attend conference (Rheumatology) Supervisor signatureVII - HEAD OF DEPARTMENT APPROVAL FOR THE EXAM ENTRY ______112 ______VIII – EVALUATION FORMS Evaluation Form (at the end of each semester) To be completed at ------Candidate Supervisor Location Aim of training ______Agreed educational objectives and timescale in which objectives should be achieved. ______Comments by Candidate ______Comments by Supervisor ______Date of next meeting 113 Signed by candidate Signed by Supervisor Date 114 VIII – EVALUATION FORMS Evaluation Form (at the end of each semester) To be completed at ------Candidate Supervisor Location Aim of training ______Agreed educational objectives and timescale in which objectives should be achieved. ______Comments by Candidate ______Comments by Supervisor ______Date of next meeting 115 Signed by candidate Signed by Supervisor Date 116 VIII – EVALUATION FORMS Evaluation Form (at the end of each semester) To be completed at ------Candidate Supervisor Location Aim of training ______Agreed educational objectives and timescale in which objectives should be achieved. ______Comments by Candidate ______Comments by Supervisor ______Date of next meeting 117 Signed by candidate Signed by Supervisor Date 118 VIII – EVALUATION FORMS Evaluation Form (at the end of each semester) To be completed at ------Candidate Supervisor Location Aim of training ______Agreed educational objectives and timescale in which objectives should be achieved. ______Comments by Candidate ______Comments by Supervisor ______Date of next meeting Signed by candidate119 Signed by Supervisor Date 120 Degree Program Evaluation Form By The Candidate To be completed at the end of your degree. Please consider each pair of statements and decide which most clearly reflects your view and tick one box or answer the question. I. Individual Information 1. Are you a graduate of ASU? yes no to some degree 2. Year and semester when studies began: II. General Questions 1. What are the advantages/disadvantages of the general study environment at the University ASU?2. What were your expectations when you applied to the degree?3. Do you feel that the degree program prepares you well for your future studies or employment according to the demands and expectations of those institutions? yes no to some degree4. Has the time limit of the program (two or three academic years) caused you any difficulties or inconveniences? yes no to some degreeIII. Structure of Degree Program 1. Did you receive enough guidance in planning your study schedule in the beginning of the program? yes no to some degree121 2. What were the main difficulties in the planning of your study schedule?3. What is your general opinion on the structure of the degree program?4. In your opinion, does the degree program offer a good balance of lectures, seminars, conferences, and book exams? yes no to some degree a) General Studies i) Do you feel that you have received enough guidance on academic writing? yes no to some degree ii) Do you feel that you have acquired sufficient knowledge on research skills (eg. quantitative and qualitative research methods)? yes no to some degree b) Courses i) Have you had some special difficulties in completing some of the courses? Please specify. ii) Has there been a sufficient variety of courses offered for your optional studies? yes no to some degree iii) Have you received enough guidance for the preparation of your thesis? yes no to some degreeIV. Concluding Points 1. Did the degree program meet your expectations? yes no to some degree122 2. What aspects of the degree program do you particularly like?3. What aspects of the degree program do you particularly dislike?4. What are your suggestions on how to improve the program?Thank you123

General Surgery Clerkship s3

Details

Download

Copyright

We respect the copyrights and intellectual property rights of all users. All uploaded documents are either original works of the uploader or authorized works of the rightful owners.

Support