medicineazhar.edu.egmedicineazhar.edu.eg/attachments/depth/مقرر... · web viewthe vision of...

30

Click here to load reader

Upload: doanphuc

Post on 04-Jul-2018

213 views

Category:

Documents


0 download

TRANSCRIPT

Page 1: medicineazhar.edu.egmedicineazhar.edu.eg/attachments/depth/مقرر... · Web viewThe vision of basic medical education as regard toInternal medicine course supports the main vision

االزهر جامعةالطب كلية

التعليم جودة ضمان وحدة

Al – Azhar University

Faculty of Medicine for Boys

Cairo

Undergraduate Studies

�ا�ل�خ�ا�م�س�ة� ا�ل�س�ن�ة�م�ق�ر�ر�ل�ط�ل�ب�ة� ك�ل�ي�ة� ا�ل�ط�ب� ف�ى� ا�أل�م�ر�ا�ض� ا�ل�ب�ا�ط�ن�ة

Course specification for undergraduate students in Internal Medicine (5Th Year)

Course Code: (501-Med)

Course Guide

2017-2016

1

Page 2: medicineazhar.edu.egmedicineazhar.edu.eg/attachments/depth/مقرر... · Web viewThe vision of basic medical education as regard toInternal medicine course supports the main vision

االزهر جامعةالطب كلية

التعليم جودة ضمان وحدة

I – Welcome Statement:

The Department of Internal medicine welcomes you to the MBBCh degree. As a

department we are committed to medical student teaching and continuously strive to improve

your learning experience.

II - Vision:

The vision of basic medical education as regard toInternal medicine course supports the

main vision of the college in offering highquality medical education within Islamic culture to

graduate competent physician learnt the art and science of medicine and able to deliver distinct

medical care with good skills in diagnosis and management of common and main medical

disorders.

طبيب لتخريج وذلك للكلية العامة الرؤية لدعم الباطنة االمراض بقسم الخاصة الرؤية تهدف

, الكفاءة من عالية درجة وعلى وفنا علما الطب يتعلم االسالمية بالثقافة يمتزج اطار متميزفى

, الصعوبات ومعالجة وتشخيص مواجهة فى رائعة بمهارات ويتمتع الراقية الطبية الرعاية لتقديم

المنتشرة .الطبية

III- Mission statements:

To provide basic and advanced scientific principles of internal medicine practice for

medical students, residents and other physician.

To promote and advance general and subspecialty knowledge in the science of internal

medicine to train undergraduate to be competent to deal efficiently, effectively with

common and urgent problem of patients.

To develop a qualified medical student in the field of internal medicine able to provide

safe and high quality medical care services at primary, secondary and tertiary health care.

To offer optimum care for patient at ambulatory, inpatient and specialist level, in

addition to stress balanced acquisition of knowledge, skills and attitudes related to the

vision.

To encourage infusion of scientific thinking in learning and research endeavors in

clinical practice and pursuit of excellence in research related to national and international

health problem.

2

Page 3: medicineazhar.edu.egmedicineazhar.edu.eg/attachments/depth/مقرر... · Web viewThe vision of basic medical education as regard toInternal medicine course supports the main vision

االزهر جامعةالطب كلية

التعليم جودة ضمان وحدة

وتوفير لطالب دعم الباطنى الطب مجال فى والمتقدمة االساسية العلمية الركائز

االطباء وباقى المقيمين واالطباء الطب وتطوير , تعزيز لتدريب الباطنى الطب علم فى الفرعية والتخصصات العامة المعارف

المشاكل مع عالية وفاعلية بكفاءة للتعامل مؤهلين يكونوا كى الجامعيين الطالب

. للمرضى والطارئة الشائعة االولية تطوير الطبية الرعاية خدمات توفير على جودة باعلى وقادر مؤهل طب طالب

. واالمان الجودة من راق وبمستوى سواء حد على الثالثة الدرجة من او والثانوية تقديم , , الى باالضافة الداخلى والقسم الخارجية العيادات فى للمريض المثلى الرعاية

مع المتسقة والمواقف والمهارات المعارف من ومتوازن منسجم اقتناء على التاكيد

. القسم رؤية مجال تشجيع فى التميز لتحقيق والسعى والبحث التعلم فى العلمى التفكير ضخ

ودوليا محليا الصحية بالمشاكل المتعلقة البحوث

3

Page 4: medicineazhar.edu.egmedicineazhar.edu.eg/attachments/depth/مقرر... · Web viewThe vision of basic medical education as regard toInternal medicine course supports the main vision

االزهر جامعةالطب كلية

التعليم جودة ضمان وحدة

Internal Medicine Course Specification

(2016-2017)1. Basic information:

Code of the course:501-med

Title of the course: Internal Medicine.

Year: 5th Academic year

Specialty: Internal Medicine Number of teaching units: 11 units Lectures: 396 hClinical: 384 h

Date of approval: 8/10/2016 Allocated marks: 900

Subspecialty: 16 weeksA) Subspecialty lectures (111 h)

1-Cardiology: 15 h. 2- Chest: 15h3- Tropical medicine:15 h4- Neurology & Psychiatry: 15 h. 5- Rheumatology: 6 h6- Dermatology: 30 h7- Clinical pathology: 15 h

B) Clinical rounds:1-2wks in cardiology departs. 2- 2wks in chest departs. 3- 2wks in tropical departs.4- 2wks in neurology departs.5- 2wks in psychiatry departs. 6- 2wks in rheumatology departs. 7- 2wks in dermatology departs.8- 2wks in Clinical pathology departs.

2.Objectives of the course:

Is enable the under graduate to possess the following: -1-To possess adequate knowledge about the human body in health and disease and of various causes and basic mechanisms underlying diseases. 2- To develop an appropriate knowledge and skills and attitude necessary for current clinical practice to become competent in diagnosis, differential diagnosis and the ability to formulate an appropriate management of the common Internal Medicine health problems. 3-To develop appropriate knowledge and skills to formulate and carry out (wherever possible) an appropriate, preventive and curative role. 4-To be able to recognize and manage conditions that require urgent intervention and to apply appropriate preventive measures for them. 5-To develop positive attitude of continuous medical education and promotion of professional skills and research capabilities.

4

Page 5: medicineazhar.edu.egmedicineazhar.edu.eg/attachments/depth/مقرر... · Web viewThe vision of basic medical education as regard toInternal medicine course supports the main vision

االزهر جامعةالطب كلية

التعليم جودة ضمان وحدة

3. ILOs:

A. knowledge and understanding:

By the end of this course, all the students will acquire knowledge to: A1. Demonstrate the basis of genetics and its influence on diseases. A2. Identify the unique features of immunity and pathogenesis of diseases. A3. Describe the causes, pathogens and clinical feature of the common internal medicine problems. A4. Cite the management priorities for different Internal Medicine Conditions. A5. Recognize the art of nutrition and diseases of malnutrition A6. Describe the clinical manifestations, and differential diagnosis of common internal medicine diseases. A7. Describe appropriate diagnosis with identifying of the common diagnostic proceduresin terms of scientific base.A 8. Identify basics of ethics, medico legal aspects of health problems, mal practice commonmedicalerrors. A9. Apply knowledge and understanding of the scientific thinking and research methodologies.A10. Recognition of different data resources and it is use in internal medicine practice and research.

B. Intellectual skills:

By the end of the course the student will be able to: B1. Integrate basic science with clinical careB2. Make decisions regarding common clinical situations using appropriate problem solving skills.B3. Design assessment and management of common problems that present in adults.B4. Interpretation of common diagnostic studies (eg. laboratory and radiology) and proper choice among them according to the situation.B5. Integrate the results of history, physical and laboratory test findings into a meaningful diagnostic formulation.B6. Detect the life threatening situations and manage according or refer. B7. Classify factors that place individuals at risk for disease or injury, to determine strategies for appropriate response. B8. Retrieve, analyze, and evaluate relevant and current data from literature, using information technologies and library resources, in order to help solve clinical problem based onscientific evidence (EBM). B9. Involvement into research and scientific methods through: a. Formulation of research questions that is pertinent to medicine. b. Recognition of the importance of precision in collecting, analyzing and interpreting medical data.

C. Professional skills:

By the end of the course the student will be able to: C1. Collect relevant and focus history related to the medical problem. C2. Perform clinical examination of different systems orderly, fluently and

5

Page 6: medicineazhar.edu.egmedicineazhar.edu.eg/attachments/depth/مقرر... · Web viewThe vision of basic medical education as regard toInternal medicine course supports the main vision

االزهر جامعةالطب كلية

التعليم جودة ضمان وحدةcompetently and be skillful in clinical sign detection.C3. Record and analyze the data in standard and concise format (Anatomical, pathological and functional diagnosis) of different system diseases. C4. Make diagnostic and therapeutic decisions based on clinical judgment and after formulation of the problems from the above information. C5. Choose the appropriate laboratory data as well as the imaging (radiological) according to the clinical condition. C6. Interpret different diagnostic tools such as radiological, ECG, and other laboratory investigations and how to implement these data in the diagnosis, management and follow up of cases.C7. Construct appropriate management strategies for patients with common diseases, both acute and chronic medical conditions.C8. Follow up of all problems in professional way.C9. Describe prevention of diseases, immunization, control, isolation and chemoprophylaxis in cases of infectious diseases.C10. Recognize criteria of life threatening conditions in adults and to initiate appropriate management.C11. Apply safety and infection control measures during practice. C12. Perform the techniques of basic practical skills including resuscitation and demonstrate Competency in basic and advanced life support measures. C13. Apply the essential basic and bedside skills and diagnostic and therapeutic intervention skills (eg. ECG interpretation, pulmonary function test, administration of inhalation therapy…).

D. General and transferable skills:

By the end of the course the student will be able to: D1. Apply ethical principles and LEARN model to clinical work, such as to display patience and kindness. D2. Avoid frightening of the patients and accept the unsuitable behavior of patients as: urine incontinence D3. Deal with the patient as a person not as a disease and listen to him attentively. D4. Keep all the private information about the patient's illness confidential. D5. Deal properly with the relatives, keep respecting them and evaluate their worry about patient with explaining the nature of the patient illness.D6. Communicate effectively, with patients and patients' families in a manner that demonstrates sensitivity, concern and compassion taking into account: physical, psychological, social and cultural factors.D7. Solve problems related to patients, work management and among colleagues.D8. Communicate effectively with his colleagues, faculty and the community.D9. Respect his colleagues and a commitment to cooperate with them. D10. Exhibit and display a professional image (professional look), following the Islamic code of medical ethics. D11. Work efficiently within the health care team and show positive interaction with other professionals. D12. participate in managing team as leader and provide leadership to other health care membersD13. Manage time and resources effectively and set priorities. D14. Use information and communication technology effectively in the field of medical practice. D15. Retrieve, manage, and manipulate information by all means, including electronic means.

6

Page 7: medicineazhar.edu.egmedicineazhar.edu.eg/attachments/depth/مقرر... · Web viewThe vision of basic medical education as regard toInternal medicine course supports the main vision

االزهر جامعةالطب كلية

التعليم جودة ضمان وحدةD16. Present information clearly in written, electronic and oral forms. D17. Analyze and use numerical data including the use of simple statistical (methods). D18. Be prepared for the lifelong learning needs of the medical profession.D19. Demonstrate the effective use of educational principles to educate patients, families, and fellow health professionals.D20. Develop and utilize appropriate methods to cope with personal health risks to which doctors are exposed; including emotional and physical stress, pinpoint the sources of stress in his life and how to use a range of physical and mental techniques for managing this stress.

4-contents of the course (780 h):

Topic Title

Number of hours

Lectures Clinical Total

1. Immunology& Rheumatology (8.5%) 33 33 66

2. lnfectious diseases (5.5%) 21 22 43

3. Digestive system / Hepatobiliary system (12.8%) 52 48 100

4. Respiratory system (11.2%) 45 42 87

5. Cardiovascular system (13.2%) 55 48 103

6. Hematology (4.5%) 20 15 357. Nephrology (5%) 20 19 39

8. Endocrinology & Diabetes (9.6%) 40 35 759. Neurology (13.2%) 53 50 103

10. Dermatology& Venereology and andrology (6.9%) 30 24 54

11. Clinical pathology (5%) 15 24 3912. psychiatry (4.6%) 12 24 36

Total 396 h 384 h 780 h

Details of the contents of the course

A) Internal medicine department:

1- Rheumatology& ImmunologyA) Lectures: (27)

Topics No of lectures(h)

Approach to back pain &Rheumatoid arthritis 3Seronegative arthropathies 3Systemic lupus erythematosus 3Behcet`s disease & Systemic sclerosis 3

7

Page 8: medicineazhar.edu.egmedicineazhar.edu.eg/attachments/depth/مقرر... · Web viewThe vision of basic medical education as regard toInternal medicine course supports the main vision

االزهر جامعةالطب كلية

التعليم جودة ضمان وحدةGout and other crystal deposition arthropathy & Mixed CT

3

Systemic Vasculitis 3Basic immunology& Dermatomyositis 3Osteoarthritis & Immune deficiency 3Revision and general approaches 3

B) Practical rheumatology and immunology (33 h)1- History taking in collagen diseases 2-Joint examination 3- Rheumatoid arthritis 4 Systemic lupus erythematosus 5—Scleroderma 6 – Gout 7- Reach interpretation of X ray, laboratory markers that occur with autoimmune diseases

2- Infectious diseasesA) Lectures: (21 h)

Title No of lecture

s(h)Typhoid fever, Brucellosis 3

Neutropenic fever, Fever with jaundice 3Viral infections, Fungal infections 3

Protozoal & Helminthic infection and bilharziasis 3

HIV& Malaria and leishmania 3FUO 3

Haemorrhagic fever and revision 3

B) Practical infectious diseases (22 h)

3- Digestive system / Hepatobiliary systemA) Lectures: (37 h)

Topics No of lectures (h)

Gastritis & GERD and Hiatus hernia 3Liver cirrhosis &Portal hypertension&LCF 4

Crohn's disease&Ulcerative colitis 3Upper GIT bleeding &Bleeding per rectum 4

Intestinal polyposis &Ca colon 3Chronic constipation 1

Pancreatitis 3Acute hepatitis &Chronic hepatitis 4

Malabsorption S &Gall bladder diseases 4Jaundice approach 2

Irritable bowel syndrome& Acute diarrhea 2Refractory Ascites& HCC 2

8

Page 9: medicineazhar.edu.egmedicineazhar.edu.eg/attachments/depth/مقرر... · Web viewThe vision of basic medical education as regard toInternal medicine course supports the main vision

االزهر جامعةالطب كلية

التعليم جودة ضمان وحدةHepatorenal syndrome 2

B) Digestive system / Hepatobiliary system (48 h)1-History taking of gastroenterology and hepatobiliary disorders 2- Abdominal masses including malignancies 3-Hepatomegally 4-Splenomegally 5-Vitamine deficiencies manifestations 6-Ascites 7-Hepatocellular failure 8-Gastrointestinal bleeding evaluation 9-Acute and chronic hepatitis 10-Jaundice 11-Pancreatitis

4-Respiratory systemA) Lectures (30):

Topics No of lectures

(h)Normal PFT &Abnormal PFT and XRAY 4

Bronchial asthma &Respiratory failure and O2 therapy 4Diseases of pleura &Lung abscess &Sarcoidosis 4

ILD& Hypersensitivity pneumonia 2Occupational lung disease &Nosocomial pneumonia 4

Community acquired pneumonia& ARDS 4Disorders of ventilation & COPD 4

Bronchogenic carcinoma &Bronchiectasis& mediastinal and diaphragmatic disorders 4

B) Practical respiratory disease (42):1-History taking of chest diseases 2-Chest examination 3-Bronchial asthma 4-Chronic obstructive airway diseases 5-Pleural effusion 6-Cancer lung 7-Mediastinal syndrome 8- Chest infection 9-Chronic suppurative lung diseases 10-Interstial lung fibrosis 13-Interpretation of X-ray chest

5- Cardiovascular systemA) Lectures (40)

Topics No of lectures

(h)Introduction to cardiology 2Ch. stable|& unstable angina & Acute MI 4Pulmonary hypertension & Pulmonary embolism 2

9

Page 10: medicineazhar.edu.egmedicineazhar.edu.eg/attachments/depth/مقرر... · Web viewThe vision of basic medical education as regard toInternal medicine course supports the main vision

االزهر جامعةالطب كلية

التعليم جودة ضمان وحدةRheumatic fever& Infective endocarditis 4Mitral valve disease 2Heart failure 4Aortic valve Disease& Acute pulmonary oedema 4Tricuspid valve disease & Cor pulmonale & Myocarditis 2Hypertension & Hypertensive emergencies 2Pericardial diseases& Shock 4Arrhythmia 4Cardiomyopathy& Syncope 2ECG 4

B- Practical teaching (48):1-Cardiovascular history taking 2-Cardiac examination (including pulse BP, and Jugular venous pressure comment) 3-Cardiac valve lesions 4-Rheumatic heart disease 5-Infective endocarditis 6-Heart failure 7-Cardiomyopathy 8 -Pericardial effusion 9- Atrial fibrillation 10- Interpretation of ECG abnormalities

6- HematologyA) lectures (20):

Topic No of lectures (h)

Approach to bleeding disorders& Thrombocytopenia & Recurrent thrombosis 4

Antiphospholipid syndrome & Pancytopenia 4Microcytic anemia & Macrocytic anaemia 4

Lymphomas & Lymphadenopathy &Multiple myeloma 4

Leukemia & Hemolytic anaemia 4

B) Practical haematology (15):1-History taking in hematological disorders 2- pallor 3- Lymphadenopathy and Hepato-splenomegaly 4- leukemias and lymphomas 5-Purpura and bleeding tendency

7- NephrologyA-Lectures (20):

Topics No of lectures (h)

Approach to Pts with renal disease& principals of dialysis 4Nephrotic syndrome UTI& Recurrent renal stones Polyurea 4Acute kidney injury& Drug induced nephrotoxicity &Polycystic kidney disease and interstitial nephritis

3

10

Page 11: medicineazhar.edu.egmedicineazhar.edu.eg/attachments/depth/مقرر... · Web viewThe vision of basic medical education as regard toInternal medicine course supports the main vision

االزهر جامعةالطب كلية

التعليم جودة ضمان وحدةGlomerulonephritis& Pulmonary renal disease 3Chronic renal failure & Diabetic nephropathy 3Acid base disorders & Electrolyte disorders & K disorders 3

B-Practical nephrology (19):Topics:1-History taking in renal disorders 2- Nephrotic syndrome and nephritis 3-Chronic renal failure 4-Acute renal failure 5-Renal dialysis: Indications, technique, mange complications

8- Endocrinology& DiabetesA) lectures (40)

Topics No of lectures

(h)Hormones(Physiological bases) 4

DM 4Pituitary hyper function 4Pituitary hypo function 4

Adrenal disorders 4DKA&HHS&Hypoglycaemia 4

Short stature approach & Hypogonadism 4Hypothyroidism & Hyperthyroidism 4

Hyperparathyroidism & Hypercalcemia 4Obesity 4

B) Practical (35):1-History taking of various endocrinal disorders 2-Anthropometric measurements, Body mass index, Obesity, morbid obesity 4-Thyrotoxicosis 5- Myxedema 5-Cushing syndrome 6- Acromegally 7-Pheochromocytoma 8-Diabetic comas

9- Neurology

11

Page 12: medicineazhar.edu.egmedicineazhar.edu.eg/attachments/depth/مقرر... · Web viewThe vision of basic medical education as regard toInternal medicine course supports the main vision

االزهر جامعةالطب كلية

التعليم جودة ضمان وحدةA) Lectures (38)

Topics No of lectures (h)

Neuroimaging 2Cranial nerves 4

Brain blood supply &cerebral He 4Meningitis & Encephalitis 2

Peripheral neuropathy & myasthenia gravis 2Hemiplegia 2

Autonomic neuropathy & Myopathy 2Paraplegia 4

Parkinsonism 4Multiple sclerosis 4

Ataxia&Vertigo and dementia 2Approach to coma 2

Motor neuron disease & Headache approach 2Seizures & Status epilepticus 2

B) Practical neurology (50):1-History taking in neurology 2-Neurological examination 3-Cerebrovascular stroke 4-Hemiplegia 5-Paraplegia 6-Ataxia 7-Parkinsonism 8-Chorea 9-Cranial nerve palsy 10 –Myopathy 11 Peripheral neuropathy

10- General teachingA) Lectures (2)

Topics No of lectures (h)

Sepsis & Hyperthermia & hypothermia 1Anaphylaxis &Amyloidosis and Skin manifest. of

systemic disease 1

B) Subspecialty departments (2 weeks in each):

1- Cardiologya. Lectures (15 h)

Topics No of lectures(h)

Valvular diseases 2Rheumatic fever& Infective endocarditis 2Heart failure 2

12

Page 13: medicineazhar.edu.egmedicineazhar.edu.eg/attachments/depth/مقرر... · Web viewThe vision of basic medical education as regard toInternal medicine course supports the main vision

االزهر جامعةالطب كلية

التعليم جودة ضمان وحدةCoronary heart disease 2Pericardial diseases 1Systemic hypertension & Hypertensive emergencies 2Pulmonary hypertension 1Dysrrhythmias& ECG 2Cardiomyopathy 1

Aim of the course: To provide the students with an opportunity to examine patients with a wide variety of

cardiological problems and to learn about appropriate investigation and management of cardiovascular disease. In addition students will have an opportunity to observe the range of diagnostic procedure used in the assessment of patients.

b. Clinical (30 h):

1- Collect relevant history. 2- Proper general examination related CVS 3- proper cardiac examination. 4- Plan for investigation and treatment.

2- Respiratory systema. Lectures (15 h)

Topics No of lectures

(h)Chest symptomatology 2

Pleural diseases 2Pneumonia 2

Pulmonary TB 3Bronchitis 1

Bronchial asthma 2COPD 1

Suppurative lung syndrome 2 Aim of the course: To provide the students with an opportunity to examine patients with a wide variety of respiratory

system problems and to learn about appropriate investigation and management of chest disease. In addition students will have an opportunity to observe the range of diagnostic procedure used in the assessment of patients.

b. Clinical (34 h):

13

Page 14: medicineazhar.edu.egmedicineazhar.edu.eg/attachments/depth/مقرر... · Web viewThe vision of basic medical education as regard toInternal medicine course supports the main vision

االزهر جامعةالطب كلية

التعليم جودة ضمان وحدة1- Collect relevant history. 2- Proper general examination related chest 3- proper chest examination. 4- Plan for investigation and treatment.

3- Neurologya. Lectures (15 h)

Topics No of lectures (h)

Introduction (Anatomy of CNS, related lesion to each area and investigations)

1

Cranial nerves 1Brain blood supply & spinal cord 1

Hemiplegia 1Paraplegia 1

Abnormal movement, Ataxia, Parkinsonism, Chorea, Athetosis and dystonia

1

Lower motor neuron lesion 1Convulsion and epilepsy 1Speech disorders, Vertigo 1

SAH 1Brain tumors, Increased ICT 1

Coma, Headache 1Meningitis, encephalitis 1

Dementia 1Multible sclerosis 1

Aim of the course: To enable students to develop an understanding of the common neurological diseases. To acquire the skills required to take a history and perform a physical examination of the patient

opportunity to observe the range of diagnostic procedure used in the assessment of patients.b. Clinical (37 h):

1- Collect relevant history. 2- Proper general examination related CNS 3- proper neurological examination. 4- Plan for investigation and treatment

4- Gastroenterology & Hepatologya. Lectures (15 h)

Topics No of lectures (h)

Achalasia, hiatus hernia, GERD 1Peptic ulcer 1

Irritable bowel syndrome 1Inflammatory bowel disease (UC, CD) 2

Acute diarrhea 1Malabsorption syndrome 2

14

Page 15: medicineazhar.edu.egmedicineazhar.edu.eg/attachments/depth/مقرر... · Web viewThe vision of basic medical education as regard toInternal medicine course supports the main vision

االزهر جامعةالطب كلية

التعليم جودة ضمان وحدةGI bleeding 1

LFT, Hepatomegally 1Hepatitis (acute, chronic) 2Veno-occlusive diseases 1

Liver cirrhosis 2 Aim of the course: To enable students to describe the cases of GIT and could plan for management of such cases, in

addition to the knowledge of the diseases affecting the oesophagus such as GERD, stomach such as peptic ulcer and duodenal ulcer and diseases of the intestine and colon.

To enable students to describe the different causes of hepatic diseases and management of such diseases.

b. Clinical (33 h):

1- Collect relevant history. 2- Proper general examination related GIT 3- proper GI examination. 4- Detect manifestation of LCF.

5- Rheumatology& Immunologya. Lectures: (6 h)

Topics No of lectures(h)

Types of collagen diseases(RA, SLE and seronegative arthritis)

1

Clinical manifestation, investigation and plan of TTT

1

Side effect of different drugs 1Behcet`s disease & Systemic sclerosis

1

Gout and other crystal deposition arthropathy, Osteoarthritis

1

Basic immunology, hypersensitivity reaction

1

Aim of the course: To enable students to describe & classify collagen diseases such as Rheumatoid arthritis, SLE,

osteoarthritis and others

15

Page 16: medicineazhar.edu.egmedicineazhar.edu.eg/attachments/depth/مقرر... · Web viewThe vision of basic medical education as regard toInternal medicine course supports the main vision

االزهر جامعةالطب كلية

التعليم جودة ضمان وحدة Diagnosis and DD of each type, Enable the student to put the plan for treatment b. Clinical (22 h):

1- Collect relevant history. 2- Proper general examination related Rheumatic diseases 3- proper joint examination. 4- Plan for investigation and treatment

6- Dermatology& Venereology and andrologyA) Lectures (30 h)

Topic No of lectures

Introduction- 1Cutanous infection (Bacterial& Fungal& Viral and

Parasitic) 4

Papulo-squamous eruptions 2Disorders of adnexal structures 2

Allergic skin diseases 1Auto immune diseases 2

Sexually transmitted diseases 2Male infertility 1

B) Clinical Dermatology (24 h)1- Collect relevant history 2- Prober clinical examination related skin diseases 3- Proper

skin examination to differentiate between different skin lesions 4- plan for investigation and treatment

7- Clinical pathologyA) Lectures (15 h)

Topic No of lectures

(h)Clinical chemistry (laboratory tests for diagnosis of different diseases) 4

Clinical microbiology (infection control, different systems infection, FUO) 4

Haematology (WBCs, leukemia, lymphoma, haemostasis, blood transfusion) 4

Immunology (Basic Immunology, clinical Immunology and serology)- 3

A) Practical Clinical pathology (24)1- Perform simple bed side laboratory tests for diagnosis of some diseases2- Interpret laboratory reports of the different diseases3- Proper sample collection and handling

8- 2 weeks clinical rounds in the psychiatry department5- Teaching and learning facilities

16

Page 17: medicineazhar.edu.egmedicineazhar.edu.eg/attachments/depth/مقرر... · Web viewThe vision of basic medical education as regard toInternal medicine course supports the main vision

االزهر جامعةالطب كلية

التعليم جودة ضمان وحدة5- Methods of teaching:

I. Lecture halls: In the main l ibrary building of

the El- Hussein Hospital and Sayed Galal

Hospital (11 t h floor), equipped with writ ing

movable white board . Overhead and slide

projectors and data show projector.

II. Clinical rounds halls (in the El- Hussein and

Sayed Galal Hospitals): they are equipped

with facili ties to perform the required work.

III. Tutorial classes: Held in the lecture halls .

IV. Library: In library building of the El- El-

Hussein Hospital.

6- Methods of teaching handicaps:

Not present

6- Student Assessment

I. Attendance criteria: The minimum acceptable attendance in the lectures,

clinical and tutorial classes is 75% . Students fail to attend the required

percentage will not be allowed to attend the final exam .

II. Assessment tool: Tool Purpose

Writ ten examinat ion Assessment of knowledge and understanding

Clinica l examinat ionAssessment of clinical, intellectual and

general skills

Oral examinat ionAssessment of atti tude, knowledge and

understanding

Log book Assessment of sharing in the scientific day

(once a year) and the overall activities

17

Page 18: medicineazhar.edu.egmedicineazhar.edu.eg/attachments/depth/مقرر... · Web viewThe vision of basic medical education as regard toInternal medicine course supports the main vision

االزهر جامعةالطب كلية

التعليم جودة ضمان وحدةduring the academic year.

I I I . Log book:must be completed dur ing the year and every student should have:

1. At tend at least 75% of the cl inical c lasses.

2. Act ively par t ic ipated in d iscussions in tutor ial c lasses.

3. Shared in the scient i f ic day and give an accepted presentat ion.

IV. Assessment schedule: A. Cont inuous assessments throughout the whole year

B. Final examinat ion: In October,

C. Those who fa i l to pass the f inal exam or postpone i t can enter the f inal exam

re-held in March.

7- Students evaluation:

A- Method of assessment: 1-Written exam2-Oral exam3-Clinical exam + OSCE4-MCQS5-ECG-X rays6- Subspecialty examination after the period of rotation

B- Time of assessment: End of courseEnd year examSubspecialty examination after the period of rotation

C- Allocated marks/Distribution900 MARKS

1-Written exam paper 1 (100 mark)

2- Written exam paper 2 (100 mark)

3-Oral exam (70 marks)

4-Clinical exam (250marks)

5- MCQ exam with paper 1 (25 marks)

6- MCQ exam with paper 2 (25 marks)

7-X ray +ECG exam (30 marks)

8- Year works (100)

8-Skin&Venereal (100 marks)

9- Clinical pathology exam (50 marks)

10-End round exam of subspecialty (50 marks)

Passing grades are: Excellent 85%, very good 75% ≤ 85%, good 65% ≤ 75%

and fair 60% ≤ 65%

8. Teaching books, notebooks, and reference:

18

Page 19: medicineazhar.edu.egmedicineazhar.edu.eg/attachments/depth/مقرر... · Web viewThe vision of basic medical education as regard toInternal medicine course supports the main vision

االزهر جامعةالطب كلية

التعليم جودة ضمان وحدةNotes Not present

Essential books 1- Davidson`s Principles& Practice of Internal Medicine. 22ndEdition. London: Elsevier Limited; 2014

2- Kumar &Klark clinical medicine.8thEdition. 2017

Recommended books 1- Harrison’s Principles of Internal Medicine. 19thEdition. New York: McGraw-Hill; 2015.

2- Cecil Medicine, 25th ed. 2016

Web sites Face book page: AzmedWWW.emedicine.comwww.pubmed.comwww.nejm.comwww.bmj.com

Course content/ knowledge and skills matrix

General skills

Professional skills

Intellectual skills

knowledgeStudy weekCourse content

D1 – D20C1 - C11B1 – B9A1 - A102nd, 4th, 8th, 10th,

11th, 12th, 13th,

15th, 16th

1. Immunology& Rheumatology

D1 – D20C1 - C11B1 – B9A1, A2, A3, A4, A6, A7, A8, A9,

A10

2nd, 7th, 8th, 11th,

12th, 14th, 15th

2. infectious diseases

D1 – D20C1 - C11,

C13B1 – B9A1 – A10

2nd, 3rd, 4th, 5th, 6th, 7th, 10th, 13th,

15th

3. Digestive system /

Hepatobiliary system

D1 – D20C1 - C11,

C13B1 – B9

A1, A2, A3, A4, A6, A7, A8, A9,

A10

3rd , 4th, 7th, 10th,

12th, 13th, 14th ,

15th, 16th

4. Respiratory system

D1 – D20C1 - C13B1 – B9A1 – A101st, 2nd, 3rd, 4th,

5th, 10th, 12th, 14th

5. Cardiovascular system

D1 – D20C1 - C11B1 – B9A1 – A109th, 11th, 12th, 13th,

14th, 15th, 16th6. Hematology

19

Page 20: medicineazhar.edu.egmedicineazhar.edu.eg/attachments/depth/مقرر... · Web viewThe vision of basic medical education as regard toInternal medicine course supports the main vision

االزهر جامعةالطب كلية

التعليم جودة ضمان وحدة

D1 – D20C1 - C11B1 – B9A1, A2, A3, A4, A6, A7, A8, A9,

A10

4th, 5th, 6th, 8th, 9th,

11th, 12th, 13th,7. Nephrology

D1 – D20C1 - C11B1 – B9A1 – A108th, 9th, 10th, 11th,

13th, 14th, 15th

8. Endocrinology & Diabetes

D1 – D20C1 - C11B1 – B9A1 – A106th, 7th, 8th, 9th,

10th, 11th, 12th,

13th, 15th, 16th

9. Neurology

D1 – D20C1 - C11B1 – B9A1 – A102 weeks

10. Dermatology&

Venereology and andrology

D1 – D20C1 - C11B1 – B9A1, A2, A3, A5, A7, A8, A9, A10

2 weeks11. Clinical pathology

D1 – D20C1 – C5, C7,

C8B1, B2, B4, B5, B6, B7

A4, A6, A82 weeks clinical

rounds12. psychiatry

Course coordinatorDr: Magdi El Said: Lecturer of internal medicine

Dr: Zakaria Shady: Lecturer of internal medicine

Head of department

Prof. Dr:Mohammed Nabil Raafat

20