diploma in physical medicine, rheumatology and...

1

FFaaccuullttyy ooff MMeeddiicciinnee

AAiinn SShhaammss UUnniivveerrssiittyy

PPoossttggrraadduuaattee SSttuuddiieess

Diploma in Physical Medicine, Rheumatology

and Rehabilitation

PPrrooggrraamm CCooddee:: PPRRRR990000

Program Guide and

Logbook

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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 photo here.

[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]

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[responsibilities]

[organization]

[previous job title]


[location]

[responsibilities]

Education

[certificates]


[school or college]

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Training

[any other training that will be useful in your job]

Filled by post graduate authorities

Date of Registration

First semester _______________________

Second semester _______________________

Third semester _______________________

Fourth semester _______________________

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TABLE OF CONTENTS:

Page

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 & Electrotherapy

V - 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 entry

Detachables forms:

VIII – Thesis follow up

IX - Evaluation forms

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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 lifelong 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. Moreover, through

providing distinguished academic and research cadres of teaching staff,

supporting the administrative system and sustainability of own resources, the

college is able to achieve goals and objectives”.

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 HOSPITALS

SENIOR SUPERVISOR Prof.

-------------------------------

-------------------------------

-------------------------------

E-mail:

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AFFILIATED DEPARTMENTS AND HOSPITALS ------------------------------

Physical Medicine, Rheumatology and Rehabilitation Department,

Faculty of medicine - Ain Shams University

Military Rheumatology & Rehabilitation center in Agouza

IV – PROGRAM SPECIFICATIONS

A- Basic Information

1. Programme title:

Diploma degree of Physical Medicine, Rheumatology and

Rehabilitation

2. Programme type: Single

3. Faculty

Faculty of Medicine - Ain Shams University

4. Department

Physical Medicine, Rheumatology and Rehabilitation department

5. Assistant co-ordinator

………………………………………………

6. Co-ordinator

………………………………………………

7. Last date of program approval:

……………………………………………………………

B- Professional Information:

1. Programme aims: This program should be able to:

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1. Enable the candidates to keep with the international standards of patient

care by achieving high levels of:

a. Clinical skills

b. Bedside care skills

2. 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.

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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-

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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.

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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).

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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

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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 learning

Candidates are asked to submit a thesis to take the degree

3. Academic standards: (Benchmarks)

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John Hopkins University

4. Curriculum structure and contents:

4a- Program duration: Two year

4b- Program structure:

انمىاهج انساعاث

انمعتمذة انمقرراث انذراسيت انكىد

دورة أساسياث انبحث انعهمي

متطهباث

انكهيت

1

PRR9001 تشريح تطبيقي

انجزء

األول

57,0 PRR9002 فسيىنىجي تطبيقي

57,0 PRR9003 فارماكىنىجي

1 PRR9004 طبيعت تطبيقيت

1 PRR9005 أسس انمىاعت

57,0 PRR9006 باطىت

57,0 PRR9007 جراحت

انرسانت 6

6 PRR9008 طب طبيعي وتأهيم

انجزء

انثاوي

0 PRR9009 كهرباء طبيت

6 PRR9010 روماتيزو

1

E9009

E9035

E9034

E9121

E9138 E9047

يختار انطانب مادة واحذة مه :

قاوىن E9009-أحصاء طبى

قياث أخال E9035-طبى

أسس انبحث E9034-طبيت

أشعت E9121-انعهمى

تشخيصيت فى األمراض

وحاسب E9138-انروماتزميت

E9047أنى

انمقرراث

االختياريت

كراست 6

األوشطت

انمجمىع 66

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5. Programme courses: A) Compulsory

Code no. Course title No. of hours /week

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

PRR9008 Physical

Medicine&

Rehabilitation

70 40

PRR9009 Electrotherapy

&

Electrodiagnosis

49 13 16

PRR9010 Rheumatology 69 30

B) Elective

Code no. Course title No. of hours /week


E9009 Statistics 15

17

E9047 Computer 15

E9034 Medical ethics 15

E9035 Medical law 15

E9138 Rheumatology

Radiodiagnosis

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6. Programme admission requirements:

-( : يشترط لقيد الطالب لمحصول عمى درجة الماجستير:6) المادةًً عمى درجة البكالوريوس في الطب والجراحة - 1 أن يكون حاصاًل

أن يكون -2 مصر العربية أو عمى درجة معادلةمن إحدى جامعات جمهورية تسديد الرسوم -4 موافقة جهة العمل -3 قد أمضى سنة التدريب )االمتياز(

ومصاريف التدريب واستهالك األجهزة واستيفاء المستندات المطموبة في التفرغ لمدراسة لمدة فصمين دراسيين قبل دخول امتحان الجزء -5( 1الممحق ) 0الثاني

-الماجستير األوراق التالية :ة يقدم طالب اإللتحاق لدرج ( :1محق )مشههادة -04شههادة اإلمتيهاز -3 0شهادة البكالوريوس -2 0طمب إلتحاق -1

موافقههة جهههة العمههل -6 0الموقههف مههن التجنيههد -05المهيالد أو مسههتخرس رسههمي -8 0صههور فوتوارافيههة جديههدة 6عههدد -7 0عمههى التسههجيل والتفههرغ المطمههوب

بالنسههبة لموافههدين يقههدم الطالههب موافقههة السههفارة ويحههدد جهههة تحمههل النفقههات كمهها 0يقدم شهادة صحية

7. Regulation for progression and program completion

: (8مادة )

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فى العام : مرتينلدبمومات فيتم متسجيل لدرجات الدكتوراه وباقى ابالنسبة ل األولى من أول يوليو حتى آخر أاسطس والثانية من أول نوفمبر حتى آخر ديسمبر

تههوزا الدراسههة فههى كههل عههام جههامعى عمههى فصههمين دراسههيين مههدة كههل (: 9مااادة )منهمههها خمسهههة عشهههر اسهههبوعًا ف يبهههدا االول فهههى أول أكتهههوبر ويبهههدا الثهههانى فهههى

لمههدة سههتة اسههابيي ف و منصهف فبرايههرف مههي تنصههيم فصههل دراسهى صههيفى مكثههفيتم التسجيل لمفصل الدراسى قبل اسبوعين مهن بدايتهو عمهى االقهل بعهد إستيفاء الشروط حسب المقهررات المسهجمةف والينب هى أن يزيهد العهبء الدراسهى

سههاعات معتمههدةف ويجههوز لمطالههب تعههديل المقههررات 6فههى الفصههل الواحههد عههن اسهى ) بالحه ف او االضهافة(ف كمها يجهوز خالل اسبوعين من بداية الفصل الدر

لو االنسحاب خالل ستو اسابيي من احد المقرارت دون احتسابو راسبًا فيوف Assessment Schedule and Weighing of Assessments

Item Mark

Po

ints

GP

A

sco

re

بطال

اللة

حا

Stu

den

t

sta

te

During

semester

End of

semester Total

First semester (If present) 100 300 400

Second semester 100 100

Third semester 100 100

Fourth

semester

Final exam

Written

900 900

Oral

Practical

/Clinical

Total 300 1200 1500

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عمى الوجو التالى:منقاط ممحوصة: تعادل درجات الطالب طبقا ل

وقاط 4 : % فأكثر 99 -1 A

وقاط ,666 : % 99% حتى أقل من 85من -2 A-

وقاط 6666 : %85% حتى أقل من 89من - 3 B+

وقاط 6655 : %89% حتى أقل من 75من - 4 B

وقاط ,766 : %75% حتى أقل من 79من - 5 B-

وقاط 7666 : %79% حتى أقل من 65من - 6 C+

وقاط 7655 : %65% حتى أقل من 62من -7 C

وقاط ,166 : %62% حتى أقل من 69من - 8 C-

F صفر : %69أقل من - 9

درجة منها 1299الماجستير مجموا درجات االمتحان النهائى لمدبموم العالى و درجة منها 1599درجة لمجزء األول ومجموا درجات االمتحان النهائى لمدكتوراه 399مى التراكمى بما يوازى صدرجة لمجزء األول إن وجدف ويضاف إليها المعدل الف 399 .درجة لمدكتوراه 499درجة لمدبموم العالى والماجستير و 399

عمهى أسهاس مجمهوا حاصهل ضهرب نقهاط كهل (GPA)ويتم حساب المعدل الفصمى مقههرر مضههروبًا فههى عههدد سههاعاتو المعتمههدة مقسههومًا عمههى السههاعات المعتمههدة لممقههررات التههى

(CGPA)المعهدل التراكمهى لمطالههب درسهها الطالهب فهى الفصهل الدراسهىف كمهها يهتم حسهاب عمهههى أسهههاس مجمهههوا حاصهههل ضهههرب النقهههاط التهههى حصهههل عميهههها الطالهههب فهههى كهههل مقهههرر

مضروبًا فى عدد ساعاتو المعتمدة مقسومًا عمى مجموا الساعات المعتمدة الكميةف

أو والماجسههتير فههى الههدبموم أمقههررات الفههى حالههة الرسههوب فههى مههادة أو مجموعههة مههن ويتم حسهاب التقهدير الفعمهى اله ى يحصهل يتم اإلعادة فى المادة أو المجموعة فقطف الدكتوراه

% فقههط 69إ ا تكههرر رسههوبة فيحسههب لههو عنههد النجهها تقههدير عميههو فههى أول إعههادة فقههط أمهها -نقاط اى 1667)اى

C).

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Anatomy course specification

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: Anatomy department

Academic year / Level: Master 1st semester

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


Title: Applied anatomy Code: PRR9001

Credit Hours: 1 Lecture:

Tutorial: 15 Total: 15hrs

Co-ordinator

Anatomy department

B - 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.

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

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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


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.

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


d1- Use Computer using and power point presentation

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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




3- Course content:

Topics No. of hours

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 ½

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

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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

Weighing of assessment:

Written exam: 30

Oral exam: 20

Total: 50

5 -- 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.org

24

Physiology Course specifications


Medicine, Rheumatology and Rehabilitation.


Department offering the program: Physical Medicine,


Department offering the course: Physiology Department.

Academic year / Level: - First semester

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


Title: Applied Physiology Code: PRR9002

Credit Hours: 0.75 Lecture: 12

Tutorial: Total: 12 hrs

Coordinator

Physiology Department


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




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



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.



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 .



d1 –Use computer power point presentation

26

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





d9- Implement Continuous learning

3- Course content:

Topics No. of hours

L T C/P SDL

1-The Cell and Its Functions and Apoptosis—

Programmed Cell Death

½

2-Membrane Potentials and Action

Potentials and Contraction of Skeletal Muscle

1

3-Overview of the Circulation; Medical

Physics of Pressure, Flow, and

Resistance and The Microcirculation and the

Lymphatic System: Capillary Fluid

Exchange, Interstitial Fluid.

1

4-Local and Humoral Control of Blood

Flow by the Tissues and Nervous Regulation of the

Circulation,

and Rapid Control of Arterial Pressure

1

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;

Diffusion of Oxygen and Carbon

Dioxide Through the Respiratory

Membrane

½

9-Regulation of Respiration ½

10-Respiratory Insufficiency— ½

27

Pathophysiology, Diagnosis, Oxygen

Therapy

11-Bone physiology 1

12-Metabolism and Temperature

Regulation

1

13-Endocrinology, Diabetes Mellitus & Obesity 1

14- Exercise Physiology 1


directed learning






Written exam: 25

Oral exam: 15

Total: 40



Lecture notes handed to students


Ganong textbook of physiology

Guyton’s textbook of phyiology


5.4- Periodicals & websites

…………………………………………

Pharmacology course specification

28






Department offering the course: Pharmacology department


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


Title: Pharmacology Code: PRR9003


Tutorial: 0 Total: 12

Co-ordinator

Pharmacology department


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 Rehabilitation




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



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



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 work

30

c5-Demonstrate competency in analysing and interpreting

pharmacological data.



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

education

3- Course content:

Topics No. of hours

L T C/P SDL 1. principles of pharmacology (kinetics &

dynamics) 1

2. Non steroidal Anti-inflammatory drugs 1 3. Gluccocorticoids: topical, intrarticular &

systemic 1

4. Disease modifying drugs: Antimalarial,

Sulfasalazine, Gold compound,

Methotrexate & D-penicillamine

1

5. Cytotoxics: Azathioprine,

cyclophosphamide, chlorambucil

Immunomodulatory drugs: cyclosporine,

mycophenolate mofetil

1

6. Biologic agents 1 7. Hypouricemic drugs: allopurinol,

probencid, sulfinpyrazone ½

8. Antibiotic, antiviral, antifungal therapy ½

31

9. analgesics and management of pain ½ 10. durgs for autonomic nervous system ½ 11. Skeletal muscle relaxants and

spasmolytics 1

12. Drugs against Osteoporosis &

Osteomalacia 1

13. antihypertensive drugs ½ 14. anticonvulsant drugs ½ 15. relevant cardiopulmonary durgs ½ 16. Others: Anticoagulants. ½


directed learning






Written exam 25

Oral exam 15

Total 40


5.1- Course Notes (paper and / or electronic) Department lecture notes. Pharmacology lectures at the e-site of Ain

Shams University.


Katsong textbook of Pharmacology


Lipincott

32

Principles of clinical pharmacology

5.4- 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 specification






Department offering the course: Physics department in cooperation

with Physical medicine, Rheumatology and Rehabilitation

department


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


Title: Applied physics Code: PRR9004

Credit Hours: 1 Lecture: 14


Co-ordinator

Physics department - Faculty of Science


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&R




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



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.



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



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:

Topics No. of hours

L T C/P SDL

SECTION I

1. Forces & Lever systems 1

2. Hydrostatics & fluid flow in the

body

1

3. Physics of the skeleton 1

SECTION II

4. Direct current, electromagnetic

induction.

1

5. Electrostatics, electric field &

condensers.

1

6. Fundamental of electronics:

semiconductor diode, oscillators &

transistor.

1

7. Application and uses of electricity in

Physical Medicine: Galvanic and

Faradic currents.

1 1

8. High frequency electricity in

Medicine: Long-wave, Short-wave

and Microwave Diathermy

1

SECTION III

9. Heat and Cold in Medicine 1

10. LASER in Medicine 1

35

11. Ultrasound waves in Medicine 1

12. Cathode ray oscilloscope 1

13. Light in Medicine: Ultraviolet and

Infrared.

1

SECTION IV

14. Electrical safety 1


directed learning






Written exam 30

Oral exam 20

Total 50



Lecture notes handed hand by hand


Physics and Electronics in Physical Medicine. Alfred Nightingale


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.htm

Basic Immunology Course specifications

http://www.amazon.com/Physics-Electronics-Physical-Medicine-Nightingale/dp/B000XB6Q6I/ref=sr_1_1?ie=UTF8&s=books&qid=1252753506&sr=1-1

http://www.amazon.com/Intermediate-Medicine-Biological-Biomedical-Engineering/dp/038730942X/ref=sr_1_16?ie=UTF8&s=books&qid=1252753532&sr=1-16

36

Program on which the course is given: Diploma in Physical





Department offering the course: Physical Medicine, Rheumatology

and Rehabilitation.

Academic year / Level: First semester

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


Title: Basic Immunology Code: PRR9005



Coordinator

--------------------------------

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 disorders


37



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



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.



c1- Interpret immunological techniques

c2- Read and evaluate scientific literature related to immunology



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 hours

38

L T C/P SDL

SECTION I – INTRODUCTION TO THE

IMMUNE SYSTEM

1. Properties and overview of the immune

system ½

2. Innate immunity ½ 3. Cells and tissues of the adaptive immune

system – cell migration & adhesion

molecules

1

SECTION II – RECOGNITION OF ANTIGENS 4. Antibodies and antigens 1 5. The major histocompatibility complex 1 6. Antigen processing and presentation to T

lymphocytes 1

7. Antigen receptors and accessory molecules

of T lymphocytes 1

SECTION III MATURATION, ACTIVATION

AND REGULATON OF LYMPHOCYTES

8. Lymphocyte development and rearrangment

and expression of antigen receptor genes 1

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

immunity ½

14. Effector mechanisms of humoral immunity

– The Complement ½

SECTION V – THE IMMUNE SYSTEM IN

DEFENSE AND DISEASE

15. Immunity to microbes ½ 16. Transplantation immunity ½ 17. Immunity to tumors ½ 18. Diseases caused by immune responses : ½

39

Hypersensitivity and Autoimmunity

19. Immediate hypersensitivity ½ 20. Congenital and acquired

immunodeficiencies ½

IMMUNOLOGICAL TECHNIQUES 1


directed learning






Written exam 30

Oral exam 20

Total 50





Roitt’s essential immunology

Basic immunology (Abul K Abbas)


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 specifications

Program(s) on which the course is given: Master in Physical Medicine,



Department offering the program: Physical Medicine, Rheumatology

and Rehabilitation.

Department offering the course: Internal medicine Department.


Date of specification approval ………………………………………..


Title: Internal medicine Code: PRR9006

Credit Hours: 0.75 Lecture:10

Tutorial: 2 Practical: Total: 12

Coordinator

Internal Medicine Department


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




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


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



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.



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:

Internal Medicine No. of hours

L T C/P SDL

1- Cardiovascular diseases

Hypertension, ischemic heart diseases and heart

failure.

1

43

2-Chest diseases

Chronic obstructive pulmonary disease, acute and

chronic lung abscess, pleural effusion and lung

cancer.

1

3-Metabolism (acidosis, alkalosis, electrolyte

disorders)

1

5- Endocrinology

DM, parathyroid, thyroid, cushing and adissons

syndromes.

1

5- Kidney and urinary tract diseases, acute RF,

chronic RF, nephritic syndrome, nephritic

syndrome, acute and chronic glomerulonephritis.

1

6- CVstroke, Ataxia and cerebellar diseases 2 1

7-Diseases of muscles and disorders of

neuromuscular junction and Motor neuron diseases

1 1

8-Parkinson’s disease and other movement

disorders

1

9- Non traumatic disorder of the spinal cord and

Multiple sclerosis

1

L: Lecture, T: Tutorial, C/P: Clinical or Practical and SDL: Self directed

learning


Written exam: 20

Clinical exam: 15

Total 35


5.1. Course Notes (paper and / or electronic)


5.2. 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.

-HUTCHISON’S Clinical Methods.

44

-Clinical Examination, MACLEOD, MUNRO.

- A Guide to Physical Examination, Barbara Bates.

5.4. Periodicals & websites

General surgery Course specifications

Program(s) on which the course is given: Diploma in Physical Medicine,



Department offering the program: Physical Medicine, Rheumatology

and Rehabilitation.

Department offering the course: Surgery Department.


Date of specification approval ………………………………………..


Title: General Surgery Code: PRR9007


Tutorial: 0 Practical: 0 Total: 12 hrs

Coordinator

Surgery Department


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 communication

45

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

anesthesia



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


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.



givens).



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


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

problem

47

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


d9- Implement continuous learning

3- Course content:

Topics No. of hours

L T C/P SDL

1-Basic surgery: wound healing, infection and

shock and hemorrhage

1

2-Basic surgery: ulcers and burns &diabetic foot 1

3- Hernia and abdominal wall, breast and thyroid

disorders

1

4- - postoperative care and pain management,

Pulmonary embolism and Cardiopulmonary

resuscitation

1

5- Cardiac surgery; basic principles of heart and

mediastinum surgery & Surgery of lung and

bronchi

1

6 peripheral nerve injury & plexus injury 1

7- Vascular: Chronic ischaemia and Acute

ischemia and vascular trauma

1

8- Vascular: Chronic venous insufficiency and

lymphatic system

1

9- ischemic cerebral vascular stroke and

intracranial hemorrhage

½

10- head and spine injury and disc disease ½

11- traumatology and amputation ½

12- developmental bone disease & metabolic

bone disease

½

48

13- long bone deformities & hand surgery ½

14- spine deformities, hydrochephalus,

craniostenosis and spinal dysraphism

½

15- Joint replacement surgeries 1


directed learning


Written exam 25

Clinical exam 10

Total 35

5 - 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 specifications

Program on which the course is given: Diploma in Physical






and Rehabilitation.

49

Academic year / Level: Second semester

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


Title: Physical Medicine and Rehabilitation Code: PRR9008


Practical: 40 Total: 90hrs

Coordinator

……………………………………………


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&R



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.




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



givens).


problem

51

b8- Make desicions in various professional conditions and plan for

better performance in the speciality



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,


and prescribe medication and or apply other therapeutic option in

physical medicine & rehabilitation.

d8- Use appropriate study design, statistical method & analysis and




d1- Adopt the habit of life-long learning

52

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







d11- Implement Continuous learning

3-Course content:

The course contains 4 sections studied over 2 semesters

Topics No. of hours

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

Rehabilitation 1

5. Gait analysis 1 6. Functional assessment and Disability

determination 1

7. Neurological and musculoskeletal

studies 1

8. Quality and outcome measures in

Rehabilitation 1

53

9. Reasearch in physical medicine and

Rehabilitation 1

SECTION II - TREATMENT TECHNIQUES

AND SPECIAL EQUIPMENTS

10. Therapeutic exercises 1 1 11. Manipulation, traction & massage 2 1 12. Computer assistive devices &

environmental control 1

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 &

prostheses 2 1

18. Lower limb amputation rehabilitation &

prostheses 2 1

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

disabilities 1

29. Achieving functional independence 1 SECTION IV – ISSUES IN SPECIFIC

DIAGNOSES IN PHYSICAL MEDICINE AND

REHABILITATION

54

30. Rehabilitation of Rheumatological

disorders 1 1

31. Assessment & treatment of cervical

disorders 1 1

32. Musculoskeletal disorders of UL 1 33. Musculoskeletal disorders of LL 1 34. Low back pain & disorders of lumbar

spine 1 1

35. Prevention & treatment of osteoporosis 1 36. Chronic pain syndromes: Evaluation and

treatment 1

37. Diagnosis and treatment of muscle pain

syndromes 1

38. Management of sports injuries 2 1 39. Occupational Rehabilitation 1 40. Rehabilitation of motor neurone diseases 1 1 41. Rehabilitation of patients with

peripheral neuropathy 1 1

42. Rehabilitation of patients with

myopathies 1 1

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 &

organ transplantation 1

54. management of weight disorders 2 1

55


learning





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


Written exam 180

Oral exam 15

Clinical 110

Total 305

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



Randall Braddom textbook of Physical Medicine & Rehabilitation

Delisa Textbook of Physical Medicine & Rehabilitation

Krusen tectbook of PMR


Tan Practical manual of Physical Medicine & Rehabilitation

Neurology and Neurosurgery illustrated (Lindsay & Bone)

Merrits textbook of neurology

Adams's Outline of Orthopaedics


PM&R Journals:

Archives of Physical Medicine and Rehabilitation

56

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 America

PM&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


Tutorial: 13 Practical:16 Total: 70hrs

Coordinator

……………………………………………


1- Course Aims:

a) To be a professional doctor in electrodiagnostics

b) To be able to use electrotherapy in treatment of various disorders




http://www.physiatry.org/

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.


practice in electrotherapy & electrodiagnosis.

a8- Understand the principles of quality in medical practice in

electrotherapy & electrodiagnosis.




b1- Conduct case-based discussions to demonstrate the applications

of the electrodiagnostic procedure to diagnose the different diseases

b2-Interpret different EMG reports



givens).

b4- Estimate the risks related to electrodiagnosis practice.


better performance in electrotherapy.



c1--conduct a NERVE CONDUCTION AND EMG examination and

write a concise report

58

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




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






d9- Continuous learning

3- Course content: Electrotherapy part of Course content: 2.5 credit hours

Lectures: 22 Tutorial : 13 Total : 35 hours

Electrotherapy Topics No. of hours

L T C/P SDL

59

Section I (7 Lectures- 4 Tutorial)

1-Superficial heating: UV-IR-Hot pack-

PW- Hydrotherapy.

2-Deep heating: Ultrasound- Short wave –

Microwave

3-Cold therapy

Section II (9 Lectures- 7 Tutorial)

4-Electric stimulation:

-Strength duration curve.

-Direct current.

-Low frequency current:

IGS, Faradic stimulation, Diadynamic, TENS,

Russian current, Sinusoidal current,

Microcurrent.

-Medium frequency current:

e.g.Interferential.

section III (6 Lectures- 2 Tutorial)

5- Laser

6-Magnet

7- Biofeedback

8- Acupuncture

9-Traction

10-Other modalities

3

3

1

1

1

5

2

1

1

1

1

1

1

2

2

2

4

1

1

1

Electrodiagnosis part of Course content: 2.5 credit hours

Lectures: 27 Practical : 16 Total : 35 hours

EMG Topics

No. of hours

L T C/P SDL

Section I (10 Lectures- 7 Practical)

1-Basic anatomy and physiology.

2-Instrumentation.

3-Motor nerve conduction studies

1

1

2

2

60

4-Sensory nerve conduction studies

5. Special nerve conduction studies

6-Basic needle EMG :

-Electrodes.

-Normal EMG pattern:

Resting, MUAPs, IP assessment.

Section II (9 lectures- 5 Practical)

7- neural reaction to injury

8- Electrodiagnosis in different diseases:

*Neuropathic pattern:

- Neuropathies

-Cervical and lumbar radiculopathies

-AHC diseases ( polio- MND)

- Entrapment neuropathies

- Cranial nerve neuropathies

*Myopathic pattern :

- Myopathy

- Polymyositis

*Myoneural junction disorders:

-Physiology & normal findings.

-Myasthenia gravis & myasthenic

syndrome

Section III (8 lectures- 4Practical) 9 Autonomic nervous system testing:

Sympathetic Skin Response (SSR).

10- Evoked potentials (SSEP-AEP-VEP)

11- Single fiber EMG.

12- Macro EMG.

13- Electrodiagnosis of sphincter muscles.

14- Writing a report

15- Specialized examination: pediatric,

intraoperative monitoring, and magnetic stimulation

of central and peripheral nervous system.

2

2

2

1

4

3

1

1

2

1

1

1

1

1

1

2

2

2

2

1

2

2


directed learning

61





4.3-Clinical exam: to assess clinical skills and the ability to use the

different electrotherapeutic apparatus in different diseases.


Written exam 130

Practical exam 110

Total 240





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 Neurophysiology

Rheumatology Course specifications





Rheumatology and Rehabilitation .


and Rehabilitation.

Academic year / Level: - second, third, & fourth semester

62



Title: Rheumatology Code: PRR9010


Tutorial: Practical: 30 Total: 90

Coordinator

Professor……………………………………………


1- 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.




a1 - understand the immunological and immunogenetic basis of

rheumatic diseases and their implications

63

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


practice in rheumatology




64

b1- Case-based discussions to differentiate the different rheumatic

diseases…………………………………………



givens).


problem


better performance in rheumatology



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,


and prescribe medication and or apply other therapeutic option in

rheumatology.



d1- Use computer skills

d2- Demonstrate the ability of self learning

d3- Present a case

65

d4- Work in groups

d5- Conduct a research






d11- Implement continuous learning

3- Course content:

Section I

Title: Rheumatology 1 Code: PRR9010 a

Credit hours: 2 Lecture: 22

Clinical: 12

Topics No. of hours

L T C/P SDL

1-History and Physical Examination

2 4

2-Laboratory Assessment

1

3-Arthrocentesis, Synovial Fluid Analysis,and

Synovial Biopsy

1 2

4- Imaging of Rheumatologic Diseases

2

5- Musculoskeletal Signs and Symptoms

A. Monarticular Joint Disease

B. Polyarticular Joint Disease

C. Neck and Back Pain

D. Regional Rheumatic Pain Syndromes

E. The Fibromyalgia Syndrome

1

1

1

2

1

1

1

6- Molecular and Cellular Basis of Immunity

and Immunological Diseases

4

7- Genetics and Disease 2

66

8- Rheumatoid Arthritis

A. Epidemiology, Pathology, and Pathogenesis

B. Clinical and Laboratory Manifestations

C. Assessment

D. Treatment

1

1

1

1

2

9- Juvenile Idiopathic Arthritis



C. Assessment

D. Treatment

E. Special Considerations

1

1

1

1

1

4

10- Psoriatic Arthritis



C. Assessment

D. Treatment

1

1

1

1

2


learning

Section II

Title: Rheumatology 2 Code: PRR9010 b


Clinical: 12

Topics No. of hours

L T C/P SDL

11- Ankylosing Spondylitis



C. Assessment

D. Treatment

1

1

1

1

1

12- Reactive and Enteropathic Arthritis 1 1

13- Osteoarthritis


B. Clinical and Laboratory manifestations

C. Assessment

1

1

2

67

D. Treatment

1

1

14-Gout


B. Clinical and Laboratory Manifestations and

treatment

1

1

1

15- Calcium Pyrophosphate Dihydrate,

Hydroxyapatite, and Miscellaneous Crystals

1

16- Septic Arthritis and viral arthritis 1

17- 1

18- Mycobacterial, Fungal, and Parasitic

Arthritis & Lyme Disease

1

19- Rheumatic Fever 1 1

20- Systemic Lupus Erythematosus . . . . . A.

Epidemiology, Pathology, and Pathogenesis


C. Assessment

D. Treatment

1

1

1

1

1

21- Antiphospholipid Syndrome 1

22- Systemic Sclerosis



treatment

1

1

1

23- Idiopathic Inflammatory Myopathies



treatment

1

1

1

24- Metabolic Myopathies 1

25- Sjögren’s Syndrome 1

26- Vasculitides

A. Giant Cell Arteritis, Polymyalgia Rheumatica,

and Takayasu’s Arteritis

B. Polyarteritis Nodosa

C. The Antineutrophil Cytoplasmic

Antibody–Associated Vasculitides: Wegener’s

Granulomatosis, Microscopic Polyangiitis, and the

1

1

1

1

68

Churg–Strauss Syndrome

D. Immune Complex–Mediated Vasculitis and

Kawasaki disease

E. Miscellaneous Vasculitis (Behçet’s Disease,

Primary Angiitis of the Central Nervous System,

Cogan’s Syndrome, and Erythema Elevatum

Diutinum)

1

1


learning

Section III

Title: Rheumatology 3 Code: PRR9010 c


Clinical: 6

Topics No. of hours

L T C/P SDL

27- Relapsing Polychondritis and periodic

syndromes

1

28- Adult-Onset Still’s Disease 1

29- Hematologic and Malignant Disorders &

Neuropathic Arthropathy

1

30- Rheumatic Disease and Endocrinopathies

and hyperlipoproteiemia

1

33- Hypertrophic Osteoarthropathy & Storage

and Deposition Diseases

1

34- Complex Regional Pain Syndrome 1

37- The Amyloidoses & Sarcoidosis 1

38- Neoplasms of the Joint and Bone and Joint

Dysplasias

1

39- Heritable Disorders of Connective Tissue 1

40- Osteonecrosis and Paget’s Disease of Bone 1

41- Osteoporosis 2

42- Rehabilitation of Patients with Rheumatic

Diseases

2 1

69

43-. Psychosocial Factors in Arthritis, Self-

Management Strategies and pain management

1

44- Therapeutic Injections of Joints and Soft

Tissues and New treatments

1 1

49- Rheumatological emergencies 1

50- Operative Treatment of Arthritis and

Complementary and Alternative Therapies

1


learning


4.1-Written exam:to assess knowledge and understanding and to assess the

ability of problem solving


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 indications


Written exam: 180

Clinical exam: 110

Oral exam: 15

Total: 305





Primer textbook of rheumatology


Kelly’s textbook of rheumatology


Rheumtology

Annals of rheumatic diseases

Journal of Rheumtology

Current opinion of Rheumatology

Lupus

70

Rheumatology 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.;

Jacobs, J.J.; Goldberg, V. ―Osteoarthritis: New Insights. Part 2: Treatment

Approaches‖. Annals of Internal Medicine. 133(9):726-37, 2000 Nov 7.

71

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


31. Weyand CM, Goronzy JJ. Medium- and large-vessel vasculitis. New England


32. Seeman E, Delmas PD. Bone quality – the material and structural basis of bone

strength and fragility. New England Journal

72

6 - Elective Courses -Medical law

-Medical statistics

-Medical ethics

-Rheumatological radiodiagnosis

Medical statistics course specification University: Ain Shams University Faculty: of Medicine

Course specifications

Program on which the course is given: Diploma in Rheumatology

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

Academic Level: 1st or 2

nd or 3

rd semester


Basic Information

Title: Medical statistics course Code: E9009

Credit Hours: 1 hour Lectures: 15 Total: 15hrs

Coordinator

Community, Environmental and Occupational Medicine Department


Course 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

Knowledge and understanding


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.



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.

74



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.



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

proportion

1

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

means/proportion

½

Comparing between more than two means-Introduction to

factorial analysis

1

75

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

measures.

½

Meta-analysis and publication bias. ½


learning


4-1 Written exam to assess knowledge and understanding and to assess ability of

problem solving questions

4-2 Weighing of assessment

Written exam 50

Total 50



Student Notes on Medical Statistics and Research Methods. Prof. Mohsen Abdel

Hamid and Dr Moustafa El Houssinie. Department of Community, Environmental

and Occupational Medicine.


Statistics in Clinical Practice. avid Coggon. BMJ Books. 2nd

edition 2003


Handbook of Epidemiology. Springer 2005


www.brettscaife.net/statistics/introstat/

onlinestatbook.com/rvls/

www. Epidemiolog.net

http://www.shef.ac.uk/scharr/spss/

76

Medical ethics course specification

University: Ain Shams University Faculty: of Medicine


Program on which the course is given: Diploma in Rheumatology, physical

medicine and rehabilitation.


Department offering the program: Physical medicine rheumatology and

rehabilitation department

Department offering the course: Community, Environmental and Occupational

Medicine Department


nd or 3

rd semester



Title: Medical Ethics

Code: E9034 Credit Hours: 1

Lecture: 14 Practical:2 Total: 15 hrs

Coordinator

Community, Environmental and Occupational Medicine Department


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 teamwork



77

By 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


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


By the end of the course the candidate will be able to acquire the skills

of:

78

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



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 ½

Ethical consideration in clinical trials ½

Systematic review of literature and evidence based medicine 1

Informed consent, including assessment of the comprehension of 1

79

the patient and shared decision making.

Basics of performing an informed consent ½

Develop an informed consent both in English and Arabic

languages

½

Practice exercises on health research ethics 2

Confidentiality and when it can justifiably be breached ½

Competency assessment-factors of decision making for the

incompetent patient

1

Disclosure and justification for withholding information ½

Terminating the patient-physician relationship. ½

The non-compliant patient and refusal of recommended treatment

including life-sustaining treatment

½

Genetic testing and genetic manipulation issues 1

Ethical, moral, cultural, religious differences regarding such issues

as reproductive technology, abortion, gender differentiation,

contraception and birth control

1

New issues in ethics ½

When and how to obtain an ethics consultation and be

knowledgeable of the function of Ethics Committee.

½


learning

3 - Student Assessment Methods 4.1. Written examination to assess depth of knowledge (MCQ)

4-2 Weighing of assessment

Written exam 50

Total 50



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

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

80

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 University: Ain Shams University Faculty: of Medicine


81

Program on which the course is given: Diploma in Rheumatology, physical

medicine and rehabilitation.


Department offering the program: Physical medicine rheumatology and

rehabilitation department

Department offering the course: Radiology department


nd or 3

rd semester



Title: Radiodiagnosis Code: E9138

Credit Hours: 1 hours Lecture: 10 Practical:10

Total: 15hrs

Coordinator

Radiology department.


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.




a1. Know different imaging modalities, indication,

contraindications, precautions and cost of each modality

a2. Recognize normal radiographic finding from abnormal.

a3. Analyze the lesion and formulating a differential diagnosis.

82

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


b1. Determine and analyse each radiographic abnormality.

b2. Formulate a differential diagnosis c- Professional skills


c1.order the appropriate radiographic investigations for each patient

c2. Use the radiographic investigations in establishing the diagnosis and

choosing the appropriate treatment

1- Course content:

Topics No. of hours

L T C/P SDL

Imaging modalities:

Plain radiography and its variants

Computed tomography

Magentic resonance imaging

MRI with contrast

Ultrasound

2 2

Brain Imaging. 2 2

Spine Imaging:

Trauma

intramedullary abnormalities

Intradural extramedullary abnormalities

extradural abnormalities

Facet joint abnormalities

Spinal stenosis

nerve roots

postoperative spine imaging

infection

tumors and extraspinal abnormalities

3 3

Muscloskeletal imaging: 3 3

83

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 foot


directed learning


Written exam: 50

Total 50



Fundamentals of Musculoskeletal Imaging (Contemporary Perspectives in Rehabilitation) 5.2- Recommended Books

…………………………………………

Module

First semester

Code no. Course title topics


PRR9001 Applied Anatomy 15

PRR9002 Applied Physiology 12

84

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


PRR9009 Electrotherapy

&

Electrodiagnosis

49 13 16

PRR

E9009

E9035

E9034

E9121

E9138 E9047

Elective -أحصاء طبى

E9009 قاوىن

E9035-طبى-أخالقياث طبيت

E6034 أسس

-انبحث انعهمى

E9121 شعت أ

تشخيصيت فى

األمراض

E9138-انروماتزميت E9047وحاسب أنى

15

Total 64 13 16

End of semester exam: 100 (50 attendance, 50 self directed learning SDL)

Third semester

End of semester exam: 100 (50 attendance, 50 SDL)



PRR9010 Rheumatology 69 30

Total 69 30

85

Fourth semester

V- GENERAL INFORMATION 1 - MONITORING OF TRAINING AND SUBMISSION OF TRAINING REPORTS

You must keep proper and updated records in your logbook

to reflect the activities encountered in your training. Your logbook

must be duly endorsed by an authorized signatory at the end of each

semester.

You will be continuously assessed by your supervisors, in

consultation with head of department. An assessment will be

submitted within 2 weeks of completion of each semester.

2 - MISCELLANEOUS INFORMATION: INJURY AND/OR BLOOD OR BODY FLUID EXPOSURE: During regular working hours, you should immediately report an

exposure incident to --------------------------. 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 TRAINING

Once all training sessions are completed the log book should

be signed by the senior supervisor and the head of the department and

then should be submitted to post graduate Secretariat.



PRR9008 Physical Medicine&

Rehabilitation

70 40

Total 70 40

86

4- REFERENCE The Training Guide is available at the post graduate Secretariat and

could be downloaded from the following website is ---------------------------------------------------------------

VI – YOUR LOG BOOK 1- Introduction

The aim of this book is to give you a guide to the expectations

for each item. It will be a guide for both you and your teachers to

what you should be seeing and doing.

It will give you a list of the important topics that you should

think about and should be covered in:

1. Clinical or practical sessions

2. Tutorials

or

3. Self-directed learning (SDL)

For each item there is also a list of

87

1. Clinical conditions or Practical sessions to be

seen or attended (According to each degree)

2. Practical procedures to be seen and done

Remember

This document is only a guide. It is not an exhaustive list. It is not

just a checklist to score points. It is a guide to encourage you to read

and learn more. This book is for your benefit. It will form a record of

your clinical training and experience.

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

day

Thursda

y

Bedside

education

Follow

up

Follow

up

Follow up

inpatient

Follow

up

Follow

up

Follow

up

88

inpatient

wards

inpatient

wards

wards inpatient

wards

inpatient

wards

inpatient

wards

Conference conference

Journal club Journal

club

EMG + + + + + +

Obesity clinic + + + + + +

Pediatric

rehab clinic

+ + + + + +

Operative day

Rheumatology

& PMR

Clinics day

+ + + +

Spasticit

y

+ +

Monthly activity……………………………….

Sixth monthly activity …………………………

Yearly activity Conferences of

Ain shams conference

Kasr el eini conference

Societies conferences

Societies conference

Requirements

Candidates are required to fulfill 75% of the listed activities in order to be eligible

for the exam entry. The minimum number required for each activity = 75%. You

are free to attend more and record your extra attendance.

Rehabilitation Conferences attendance

(NB. Minimum number required is 10)

No

Date

Pla

ce

Topics Supervisor

signature

89

Seminars attendance (NB. Minimum number required is 10)

No Date Place Topics Supervisor

signature

90

Thesis attendance

(NB. Minimum number required is10)

No Date Place Name of the thesis Supervisor

signature

Rehabilitation Clinics attendance


91

No Date Place Name of the Clinic Supervisor signature

Journal club Attended (NB. Minimum number required is 10)

No Date Place Name Supervisor

signature

92

EMG attendance


No Date Place Department Supervisor

signature

93

Case presentations


No Date Place Diagnosis Supervisor

signature

Rehabilitation Practical skills (Agreement Scale)

Take a

comprehensive

Supervisor

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

neurological

examination

Supervisor

Signature

Perform full

muscloskeletal

examination

Supervisor

Signature

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

Spasticity

Perform muscles testing

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

assessment

Therapeutic

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 15

Manage stroke

patients

Supervisor

Signature

Manage SCI

Patients

Supervisor

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

neuron disease

patients

Manage myopathy

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

sclerosis patients

Cardiac

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 15

Chest

rehabilitation

Supervisor

Signature

Geriatric rehabilitation Supervisor

Signature

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

Rehabilitation of

Rheumatic diseases

Rehabilitation

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

rehabilitation

Vascular diseases

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

Cancer

Rehabilitation

Supervisor

Signature

Interpret gait disorders Supervisor

Signature

1 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

prescription Walking aid

& 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 15

Manage Supervisor Manage Supervisor

100

deconditioning &

pressure ulcers

Signature

spasticity Signature

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

Rehabilitation

Pediatric

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

EMG practical skills

101

F wave

response

Supervisor

Signature

Needle EMG Supervisor

Signature

Do 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 stimulation

4-Single fibre EMG

Motor nerve

conduction

Supervisor

Signature

Sensory nerve

conduction

Supervisor Signature

Do Do

1- 1-

2- 2-

3- 3-

4- 4-

5- 5-

6- 6-

7- 7-

8- 8-

9- 9-

10- 10-

102

Optional skill-----------------

----------

Supervisor

Signature

Optional skill-------

--------------------

Supervisor

Signature

Attendance Attendance

1-

2-

3-

4-

5-

Electrotherapy practical skills

Supervisor

Signature

Magnet Supervisor

Signature

Laser Supervisor

Signature

SW Supervisor

Signature

US

Do Do Do Do

1-

2-

3-

4-

5-

6-

7-

8-

9-

Supervisor

Signature

IP Supervisor

Signature

HP Supervisor

Signature

UV Supervisor

Signature

IR

Do Do Do Do

1-

2-

3-

4-

5-

6-

7-

8-

9-

10-

103

10-

Supervisor

Signature

Biofeed

back

Supervisor

Signature

TEN

S

Supervisor

Signature

IF Supervisor

Signature

DD

Do Do Do Do

1-

2-

3-

4-

5-

6-

7-

8-

9-

10-

Supervisor

Signature

Traction

Supervisor

Signature

SDC Supervisor

Signature

FS Supervisor

Signature

IGS

Attendance Do Do Do

1-

2-

3-

4-

5-

6-

7-

8-

9-

10-

Rheumatology practical skills

Take a comprehensive

rheumatological sheet

Supervisor Signature

104

Do

1-

2-

3-

4-

5-

6-

7-

8-

9-

10-

11-

12-

13-

14-

15-

16-

17-

18-

19-

20-

Knee examination Supervisor

Signature

Neck and back

examination

Supervisor

Signature

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

105

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 15

106

Aspirate/ Inject

knee joint

Supervisor

Signature

Aspirate/ Inject

other joints

Supervisor

Signature

Do/Observe Do/Observe

1- 1-

2- 2-

3- 3-

4- 4-

5- 5-

6- Inject peri-

articular

structures

7- 1-

8- 2-

9- 3-

10- 4-

11- 5-

107

Attend

rheumatology

clinic

Patients

seen

(diagnosis)

Supervisor

Signature

Attend

pediatric

rheumatology

clinic

Patients

seen

(diagnosis

Supervisor

Signature

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-

Interpret

synovial fluid

analysis

Supervisor

Signature

Interpret

rheumatological

lab investigations

Supervisor

Signature

1- 1-

2- 2-

3- 3-

4- 4-

5- 5-

6- 6-

7- 7-

8- 8-

9- 9-

10- 10-

108

Interpret

conventional

radiography

Supervisor

Signature

Interpret non-

conventional

radiography

Supervisor

Signature

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-

Interpret

polarized

microscopy

Supervisor

Signature

Interpret nailfold

capilloroscopy

Supervisor

Signature

1- 1-

2- 2-

3- 3-

4- 4-

5- 5-

6- 6-

7- 7-

8- 8-

9- 9-

10- 10-

109

Attend

journal

club

Topic Supervisor

Signature

Attend

didactic

conference and

case

presentation

Topic Supervi

sor

Signatur

e

1

-

1

-

2

-

2

-

3

-

3

-

4

-

4

-

5

-

5

-

6

-

6

-

7

-

7

-

8

-

8

-

9

-

9

-

1

0

-

1

0

-

Others

(Teaching Experience, Research Experience, Projects, Publications, Field tasks,

Administrative Experience, Administrative Experience) 5 - Log book preview

The candidate logbook will be reviewed and patients seen/ skills

performed summarized by diagnosis groups during the semester evaluation

110

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

Summary

Semester 1st 2

nd 3

rd 4

th 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 disorders

Bowel & Bladder rehabilitation

Vascular diseases

Rehabilitation

Cancer rehabilitation

Interpret gait disorders

Hand rehabilitation

111

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 examination

Hip examination

Shoulder & elbow examination

Hand examination

Foot examination

Aspire/inject knee

Aspire/inject other joints

Inject periarticular structures

112

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 signature

VII - HEAD OF DEPARTMENT APPROVAL FOR THE EXAM ENTRY

_______________________________________________

_______________________________________________

_______________________________________________

_______________________________________________

_______________________________________________

_______________________________________________

_______________________________________________

_______________________________________________

_______________________________________________

_______________________________________________

_______________________________________________

_______________________________________________

_______________________________________________

_______________________________________________

_______________________________________________

_______________________________________________

_______________________________________________

113

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 candidate

Signed by Supervisor

Date

115





Location

Aim of training

__________________________________________________________________

__________________________________________________________________


achieved.

__________________________________________________________________

__________________________________________________________________

__________________________________________________________________


__________________________________________________________________

__________________________________________________________________

__________________________________________________________________


__________________________________________________________________

__________________________________________________________________

__________________________________________________________________

__________________________________________________________________


Signed by candidate


Date

117





Location

Aim of training

__________________________________________________________________

__________________________________________________________________


achieved.

__________________________________________________________________

__________________________________________________________________

__________________________________________________________________


__________________________________________________________________

__________________________________________________________________

__________________________________________________________________


__________________________________________________________________

__________________________________________________________________

__________________________________________________________________

__________________________________________________________________


Signed by candidate


Date

119





Location

Aim of training

__________________________________________________________________

__________________________________________________________________


achieved.

__________________________________________________________________

__________________________________________________________________

__________________________________________________________________


__________________________________________________________________

__________________________________________________________________

__________________________________________________________________


__________________________________________________________________

__________________________________________________________________

__________________________________________________________________

__________________________________________________________________


Signed by candidate


Date

121

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 degree 4. Has the time limit of the program (two or three academic years) caused you any difficulties or inconveniences?

yes no to some degree III. Structure of Degree Program 1. Did you receive enough guidance in planning your study schedule in the beginning of the program?

yes no to some degree 2. What were the main difficulties in the planning of your study schedule? 3. What is your general opinion on the structure of the degree program?

122

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 degree IV. Concluding Points 1. Did the degree program meet your expectations?

yes no to some degree 2. What aspects of the degree program do you particularly like? 3. What aspects of the degree program do you particularly dislike? 4. What are your suggestions on how to improve the program? Thank you

diploma in physical medicine, rheumatology and...

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