medical doctorate in endocrinology and...

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PPoossttggrraadduuaattee SSttuuddiieess

Medical Doctorate in Endocrinology and

Metabolism

درجت في ايزاض انغدد انصًاء و األيط دكخىراةان

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Program Guide and

Logbook

3

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]

[responsibilities]

4

[organization]

[previous job title]


[location]

[responsibilities]

Education

[certificates]


[school or college]

5

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 _______________________

Fifth semester _______________________

Sixth semester _______________________

6

TABLE OF CONTENTS:

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 - Program courses

6. Program admission requirements:

7. Regulation for progression and program completion

8. Appendix: course specifications

Endocrinology course specifications

Metabolism course specifications

Internal Medicine course specifications

Medical statistics course specifications

Nuclear medicine course specifications

V - General information

VI – Your log book 1 - Introduction

2 – Supervisors

3 - Tables for training records

4 – Log book preview

Detachable forms:

VIII – Thesis follow up

IX - Evaluation forms

I – Welcome Statement:

The Department of General Internal Medicine, Endocrinology and Metabolism

division welcomes you to the Doctoral Degree in Endocrinology and Metabolism.

As a department, we are committed to medical student education and continuously

strive to improve your educational experience.

7

This handbook presents information guide and logbook activity of the

Medical Doctorate in Endocrinology and Metabolism administered by the General

Internal Medicine, Endocrinology and Metabolism division, Faculty of Medicine,

Ain Shams University.

II - Mission Statement: The mission of the Faculty of Medicine, Ain Shams University is

“Preparation of a trained physician, researcher and life long tutor capable of

following standards of medical care and ethics, with managerial and technical

skills in his specialty. Furthermore, promotion outstanding programs of health

care to serve the society, environmental development and targeted scientific

research for continual improvement of health”.

The mission of this degree is to deliver clinical training and education to

clinicians aiming at acquiring expertise in the field of endocrinology and

metabolism, also to enhance quality of research through extensive training in

research design and methodology. Our ultimate goal is to graduate physicians who

are competent to independently practice Endocrinology, Diabetes and Metabolism

with a high degree of professionalism and humanism and who also possess

sufficient research experience for successful entry into academia, industry or

private practice.

III – Senior Supervisor and Affilated Departments and Hospitals Senior Supervisor

Prof.

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

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

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

E-mail:

Affilated Departments and Hospitals

Internal medicine department - Endocrinology and Metabolism division,

Faculty of Medicine Ain Shams University.

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

8

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

IV – Program Specifications

A- Basic Information

1. Program title:

Medical Doctorate in Endocrinology and Metabolism

2. Program type: Single Double Multiple

3. Faculty

Ain Shams University – Faculty of medicine

4. Department

Internal medicine department-Endocrinology and Metabolism division

5. Assistant co-ordinator

………………………………………………

6. Co-ordinator

………………………………………………

7. Last date of program approval ……………………………………………………………

B- Professional Information:

1. Program aims:

The programme aims to:

Provide candidates with core knowledge, understanding and skill

relevant to basic sciences in Endocrinology and metabolism;

Promote competent application of, clinical interview, physical

examination and core investigations in the field of endocrinology

and metabolism ;

Produce skilled and motivated graduates who can apply sound

understanding of clinical endocrine practice in differential

diagnosis and diagnosis;

Develop a management plan for " the whole patient " and have a

sound endocrine practice knowlage of the appropriate treatments

including health promotion, disease prevention and longterm

management;

9

Promote the development of research skills that prepare the

candidate for further study within the field of Endocrinology and

Metabolism

Cultivate interest in Endocrinology and Metabolism, within a

caring and intellectually stimulating environment.

Use life-long learning skills to keep their expertise up-to-date in

the field of endocrinology and metabolism.

Manage time and resources to the benefit of their patients and

colleagues.

Show appropriate attitudes and communications skills in dealing

with colleagues and patients.

2. Intended learning outcomes (ILOs):

a. Knowledge and understanding:

By the end of the program, the candidate will be able to:

a1 – Recognize physiology of endocrine system, together with

biochemical background of hormones action, pathology and

pharmacology related to endocrine and metabolic diseases;

a2 - Identify the role of nuclear medicine in endocrine imaging for

diagnosis and management;

a3 - Describe different types of endocrine and metabolic diseases and

endocrine emergencies.

a4 – Recognize the entity concerning endocrinology of pregnancy,

pediatric, geriatric endocrinology and endocrine related cancer;

a5 - Recognize different types laboratory investigations including the

dynamic tests needed for the diagnosis of endocrine and metabolic

diseses;

a6 - Recognize the different types of imaging techniques (plain x-rays-

CAT scan – Ultrasonography and MRI) and its indications in the

investigation of Endocrine and metabolic diseses.

a7 - List the drugs used in Endocrine and Metabolic diseases their

indications, actions, doses and adverse effects;

a8 - Outline the role of patient education in Endocrine and Metabolic

disease;

10

a9 - Recognize the socioeconomic aspects of endocrine and metabolic

diseases

b. Intellectual capabilities:

By the end of the program, the candidate will be able to:

1) Illustrate different hypothalamic and pituitary disorders;

2) Differeniate thyroid disorders from each others;

3) Differeniate mineral and metabolic bone disorders from each other

4) Assess adrenal gland disorders, its relation to endocrine

hypertension, pubertal disorders and disorders of sexual

differentiation;

5) Recognize the different gonadal disorders and reproductive

endocrinology disorders

6) Summarise types of diabetes, appropriate management regimens

and treatment plans;

7) Illustrate different hypoglycemic disorders

8) Select appropriate laboratory tests,

9) Differeniate between static and dynamic endocrine testing

protocols;

10) Interpret laboratory findings within clinical context;

11) Employ appropriate imaging techniques and nuclear scintgraphic

imaging in endocrine and metabolic disorders;

12) Select the proper line of treatment.

13) Interpret radiological imaging.

c. Professional and practical skills:

By the end of the program the candidate will be able to:

c1- Examine thyroid gland and detect nodules

c2-Use CAS score to determine severity and activity of graves

opthalmopathy

c3- Use growth charts to diagnose and follow up patients with short stature

c4- Use Tanner staging to diagnose disorders of puberty

c5- Perform full clinical examination of diabetic patient to assess the

presence of complications.

d. General and transferable skills:

. By the end of the program, the candidate will be able to:

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d1 - Consider communication skills with patients, peers and paramedical

personnel.

d2 - Understand the importance of team working and peer teaching.

3. Academic standards: (Benchmarks) University of Minnesota . medical

school , endocrinology and diabetes department

contact E-mail : [email protected]

web site : http://www.med.umn.edu/endo/fellowship/home.html 4. Curriculum structure and contents: 4a- Program duration: two years (four semesters).

4b- Program structure:

انًناهج

انكىد انًقزراث اندراسيتانساعاث

انًعخًدة

يخطهباث

انكهيت دورة أساسياث انبحث انعهًي

ال يوجد انجزء األول

51 انزسانت

انجزء انثاني

GIM7201 51 امراض غدد صماء GIM7202 51 أمراض األيض

GIM7203 1 امراض باطنة

انًقزراث

االخخياريت

يخى اخخيار يادة واحدة ين:

انطب اننىوي -5

اإلحصاء انطبي -2

E7037 E7024

2

كزاست

األنشطت 51

01 انًجًىع

5. Program courses:

http://www.med.umn.edu/endo/fellowship/home.html

12

A. Compulsory

Code Course title No. of hours

L C F SDL

GIM7201 Endocrinology

GIM7202 Metabolism

GIM7203 Internal Medicine

L: Lecture, C: Clinical, F: field and SDL: Self directed learning

B. Elective

Code Course title No. of hours

L C F SDL

E7037 Nuclear Medicine

E7038 Medical statistics

L: Lecture, C: Clinical, F: field and SDL: Self directed learning

Code Course title No. Of CREDIT HOURS

SEMISTER 1 Internal Medicine +

elective course

4+

2

SEMISTER 2 Endocrinology and

Metabolism

3 endo 2 metabolism


Metabolism

3endo 2 metabolism


Metabolism

3 endo 2 metabolism


Metabolism

2 endo 2 metabolism


Metabolism 3 endo

2 metabolism

6. Program admission requirements:

-الدكتوراه:(: يشترط لقيد الطالب لمحصول عمى درجة 7المادة )أف يكوف حاصاًل عمى درجة الماجستير في مادة التخصص أو إحدى المواد األساسية المتصمة بيا مف إحدى -1

ليا.الجامعات المصرية أو عمى درجة معادلة .موافقة جية العمؿ عمى متطمبات الدراسة -2دكتوراه فى أمراض الدـ اإلكمينيكية والغدد الصماء وااليض وأمراض الكمى واألمراض الروماتيزمية بالنسبة لدرجة ال -6

التخصص.وأمراض الجياز اليضمى والكبد تعتبر أيضًا دكتوراه األمراض الباطنة مؤىمة ليا باألضافة الى ماجستير ياز اليضمى والكبد تعتبر أيضًا دكتوراه طب بالنسبة لدرجتى الدكتوراه فى األمراض الروماتيزمية وأمراض الج -7

. مؤىمة ليااألطفاؿ

13

ستيفاء المستندات المطموبة في الممحؽ ) -9 ستيالؾ األجيزة وا 0( 2تسديد الرسـو ومصاريؼ التدريب وا نفس التفرغ لمدراسة لمدة خمس فصوؿ دراسية عمى األقؿ قبؿ دخوؿ امتحاف الجزء الثاني. ويمكف أف يتـ التدريب ل -10

العممية المعتمدة مف الكمية بعد أستيفاء الشروط التى تحددىا األقساـ زالمدة عمى األقؿ فى احد المستشفيات أو المراك المختصة.

7. Regulation for progression and program completion

ولػػػى مػػػف أوؿ يوليػػو حتػػػى خػػػر األ العػػاـ مػػرتيف فػػػى لػػػدبمومات فيػػػتـ يػػػتـ التسػػػجيؿ لػػدرجات الػػػدكتوراه وبػػاقى ا(: 8مااادة ) 0أغسطس والثانية مف أوؿ نوفمبر حتى خر ديسمبر

يبػدا االوؿ فػى اسػبوعًا.توزع الدراسػة فػى كػؿ عػاـ جػامعى عمػى فصػميف دراسػييف مػدة كػؿ منيمػا خمسػة عشػر (: 9مادة )يا . و يػػتـ التسػػجيؿ أوؿ أكتػػوبر ويبػػدا الثػػانى فػػى منصػػؼ فبرايػػر. مػػا تنظػػيـ فصػػؿ دراسػػى صػػيفى مكثػػؼ لمػػدة سػػتة اسػػاب

المقػػررات المسػػجمة. والينبغػػى أف يزيػػد الشػػروط حسػػبلمفصػػؿ الدراسػػى قبػػؿ اسػػبوعيف مػػف بدايتػػو عمػػى االقػػؿ بعػػد إسػػتيفاء سػػاعات معتمػػدة. ويجػػوز لمطالػػب تعػػديؿ المقػػررات خػػالؿ اسػػبوعيف مػػف بدايػػة 6عػػف العػػبء الدراسػػى فػػى الفصػػؿ الواحػػد

(. كمػػا يجػػوز لػػو االنسػػحاب خػػالؿ سػػتو اسػػابيا مػػف احػػد المقػػرارت دوف احتسػػابو الفصػػؿ الدراسػػى ) بالحػػاؼ او االضػػافة راسبًا فيو.

مػػدة الدراسػػة لمحصػػػوؿ عمػػى الػػدكتوراه سػػتة وثالثػػػوف شػػيرًا )سػػت فصػػوؿ دراسػػػية( يجتػػاز خالليػػـ الطالػػػب (: 17مااادة )الخامس ويستوفى خالليا المطموب منو فى كتيب برنامجًا تدريبيًا متكاماًل بالقسـ طبقًا لمساعات المعتمدة الموضحة بالباب

. نو مف الساعات المعتمدةوال يسمح لو بدخوؿ اإلمتحاف قبؿ إستيفاء ثالثة أرباع المطموب م األنشطة متابعةفصػػؿ دراسػػي واحػػد يجتػػاز بعػػده الطالػػب إمتحانػػًا وال يشػػترط إف وجػػد مػػدة الدراسػػة فػػي الجػػزء األوؿ لمػػدكتوراه (: 18مااادة )أو المراكػػز فيػػو بالكامػػؿ لانتقػاؿ لمدراسػػة فػػي الجػػزء الثػاني ويشػػترط خالليػػا التػػدريب بجحػدى المستشػػفيات الجامعيػػةالنجػا

عمػػى أف يػتـ إسػتكماؿ الدراسػة طبقػًا لمسػػاعات المعتمػدة مػف القسػـ ولجنػة الدراسػات العميػػا بالكميػة سػواء بالػداخؿ أو الخػار . المعتمدةجػوز مناقشػة الرسػالة قبػؿ مػرور تلمدرجػة وال مػا القيػد الدكتوراه بتسجيؿ موضوع الرسػالة يقـو الدارس لدرجة (: 19مادة )

عاميف عمى التسجيؿ لمدرجة وال يخصص ليا درجات.قبػؿ ومناقشة الرسػالة الكمية التسجيؿ ومتطمباتيقـو الدارس لدرجة الدكتوراه بجستيفاء متطمبات الجامعة قبؿ (: 20مادة )

550ومتطمبػػات الجامعػة ىػي الحصػػوؿ عمػى شػػيادة التويفػؿ فػي المغػػة اإلنجميزيػة )مجمػػوع .الثػانيدخػوؿ إمتحػاف الجػػزء درجة( ومتطمبات الكمية ىى حضور دورات معتمدة مف لجنة الدراسات العميا بالكمية فى مجاؿ التخطيط والدراسات الطبية

واإلحصاء الطبي أو إجتياز إختبارات خاصة تحددىا المجنة. عمػػى األقػػؿ ويخصػػص منيػػا خمػػس عشػػرة سػػاعة معتمػػدة سػػاعة سػػتوفالسػػاعات المعتمػػدة لدراسػػة الػػدكتوراه : (21مااادة )

. إف وجدوخمس عشرة ساعة لمرسالة وست ساعات عمى األقؿ لمجزء األوؿ األنشطة لكتيب متابعةجمػس الكميػة وبعػد موافقػة مدة القيد لدرجة الدكتوراه خمس سنوات ويجوز لمجمس الجامعة بناءًا عمى طمػب م(: 22مادة )

ستنادًا إلى تقارير سػنوية مػف جميػا المشػرفيف عمػى الطالػب السػما لجنة الدراسات العميا بالكمية بعد طمب مجمس القسـ وا وبحد أقصى ثماف سنوات مف تاريخ القيد لمحصوؿ عمى درجة الدكتوراه.بجضافة عاـ واحد

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درجة لمجزء األوؿ إف وجد. ويضاؼ 300درجة منيا 1500توراه مجموع درجات االمتحاف النيائى لمدك(: 24مادة ) درجة لمدكتوراه 400مى التراكمى بما يوازىصالييا المعدؿ الف

يعقد إمتحاف الدور األوؿ في أكتوبر ونػوفمبر مػف كػؿ عػاـ ويعقػد إمتحػاف الػدور الثػاني فػى أبريػؿ ومػايو مػف (: 25مادة ) كؿ عاـ.

التحريري والعممي واالكمينيكى والشفوي % مف درجة60واد الدكتوراه بعد الحصوؿ عمى يكوف النجا فى م (:26مادة ) كؿ عمى حدة.

فى حالة إستنفاا مدة القيد يمكف لطالب الدراسات العميا إعادة التسجيؿ مرة أخرى وال يعتد بالنجا فى الجزء (: 29)مادة األوؿ أو الرسالة ويجب إعادتيما.

Assessment Schedule and Weighing of Assessments

Item Mark

Po

ints

GP

A s

core

بطال

اللة

حا

Stu

den

t st

ate

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

عمى الوجو التالى ممحوظة تعادؿ درجات الطالب طبقا لمنقاط

نقاط 1 : % فأكثر 90 -1 A

نقاط 7603 : % 90% حتى أقل من 85من -2 A-

نقاط 7677 : %85% حتى أقل من 80من - 3 B+

نقاط 7611 : %80% حتى أقل من 75من - 4 B

نقاط 2603 : %75% حتى أقل من 70من - 5 B-

نقاط 2677 : %70% حتى أقل من 65من - 6 C+

قاطن 2611 : %65% حتى أقل من 62من -7 C

نقاط 5603 : %62% حتى أقل من 60من - 8 C-

F صفز : %60أقل من - 9

15

عمػػػى أسػػاس مجمػػػوع حاصػػؿ ضػػرب نقػػػاط كػػؿ مقػػػرر مضػػروبًا فػػػى عػػدد سػػػاعاتو (GPA)ويػػتـ حسػػاب المعػػػدؿ الفصػػمى المعػػدؿ . كمػػا يػػتـ حسػػابالمعتمػػدة مقسػػومًا عمػػى السػػاعات المعتمػػدة لممقػػررات التػػى درسػػيا الطالػػب فػػى الفصػػؿ الدراسػػى

عمػػػى أسػػػاس مجمػػػوع حاصػػػؿ ضػػػرب النقػػػاط التػػػى حصػػػؿ عمييػػػا الطالػػػب فػػػى كػػػؿ مقػػػرر (CGPA)التراكمػػػى لمطالػػػب مضروبًا فى عدد ساعاتو المعتمدة مقسومًا عمى مجموع الساعات المعتمدة الكمية.

يػػػتـ اإلعػػػادة فػػػى المػػػادة أو الػػػدكتوراه أووالماجسػػػتير فػػػى الػػػدبمـو أمقػػػررات الفػػػى حالػػػة الرسػػػوب فػػػى مػػػادة أو مجموعػػػة مػػػف ويػتـ حسػاب التقػدير الفعمػى الػاى يحصػؿ عميػو فػى أوؿ إعػادة فقػط أمػا إاا تكػرر رسػوبة فيحسػب لػو عنػػد المجموعػة فقػط.

.(C-اى نقاط 1.67% فقط )اى60النجا تقدير Endocrinology course specification University: Ain Shams University Faculty: of Medicine Course specifications

Program on which the course is given: Medical Doctorate in Endocrinology and

Metabolism Major or minor element of programs: Major

Department offering the program: Internal Medicine department- Endocrinology

and Metabolism division Department offering the course: Internal Medicine department- Endocrinology

and Metabolism division Academic Level: Doctoral– 1

st semester

Date of specification approval: A- Basic Information

Title: Endocrinology course Code: GIM7201 Credit Hours: 14 Lecture: 45 Clinical: 60 Field: 120

Coordinator

Professor:

B - Professional Information

1- Course Aims:

Provide candidates with core knowledge, understanding and skill relevant

to Endocrinology


examination and core investigations in the field of endocrinology

16


understanding of clinical endocrine practice in differential diagnosis and diagnosis;

Develop a management plan for " the whole patient " and have a sound

endocrine practice knowlage of the appropriate treatments including health

promotion, disease prevention and longterm management;

Promote the development of research skills that prepare the candidate for

further study within the field of Endocrinology

Cultivate interest in Endocrinology , within a caring and intellectually

stimulating environment.

Use life-long learning skills to keep their expertise up-to-date in the field

of endocrinology

Manage time and resources to the benefit of their patients and colleagues.

Show appropriate attitudes and communications skills in dealing with

colleagues and patients.

2- Intended Learning Outcomes (ILOs) from the Course:

a- Knowledge and understanding

By the end of the course the candidate will be able to: a1-Describe different types of endocrine diseases and endocrinological

emergencies.

a2- Identify the role of nuclear imaging techniques in the investigation of

endocrine diseases

a3- To learn basic and advanced endocrine biochemistry, physiology and

pathophysiology, which provide the basis for understanding endocrine disease.

a4- List the drugs used in the endocrine diseases, their indications, actions and

monitoring.

a5-To accumulate a critical mass of fundamental information and practical

approaches for the diagnosis, management and prevention of endocrine disorders.

a6- Recognize different types of static and dynamic laboratory investigations

needed for the diagnosis of various endocrine diseases.

a7- To acquire knowledge necessary for providing cost-effective, ethical and

humanistic care of patients with endocrine disorders .

b- Intellectual skills

By the end of the course, the candidate will be able to: b1- Interpret the most important symptoms and signs of disease.

17

b2- Select appropriate investigations and interpret the results.

b3- Formulate appropriate management plan for individual patients presenting with

the most common diseases.

b4- Make decisions regarding the common clinical situations using appropriate

problem solving skills.

b5 - To know the indications for and limitations of the laboratory and imaging

techniques used in the diagnosis and management of endocrine diseases.

b6-To acquire clinical skills in a progressive fashion and with increasing

responsibility appropriate for a consultant in endocrinology.

c- Professional skills

By the end of the course the candidate will be able to:

c1- To elicit and correctly interpret a history of:

various forms of thyroid disorders.

growth disorders .

hypothalamic disorders.

symptoms of various types of pituitary tumours.

various forms of adrenal disorders.

gonadal and pubertal disorders.

adrenal disorders and endocrine hypertension.

c2- To undertake :

Measurements and anthropometrics needed in growth disorders and apply

growth charts appropriately .

Thyroid gland examination including eye examination .

Staging of pubertal development using Tanner classification .

Detection of general physical signs indicating hyop\ hypercortisolism .

c3- To use the clinical findings to formulate a differential diagnosis and plan of

investigation for patients presenting with:

growth disorders

pituitary tumours

adrenal disorders

gonadal and pupertal disorders

adrenal disorders

endocrine hypertension

c4- to identify the correct indications for:

find needle aspiration cytology of thyroid nodules

Thyroid scan.

Different endocrine dynamic tests.

18

d- General and transferable skills


d1 - Inculcate the habit of life long learning.

d2 - demonstration of appropriate professional attitude, behavior

and interpersonal skills

d3-To acquire knowledge and skills necessary for providing cost-effective, ethical

and humanistic care of patients

d4- have the ability to explore both disease and illness with patients, and meet their

communication needs and those of their relatives through the acquisition of

effective Comprehensive Clinical Method

d5-Professionalism, including peer interactions, communication with patients, their

families and other health care providers, confidentiality and avoidance of conflict

of interest.

3- Course content:

1st semester

Title: Module 1 Code: GIM7201

Credit Hours: 14 Lecture: Total:

Clinical: Total:

Field: Total:

Endocrinology module (A)

Topics No. of hours

L C F SDL

I. Basicscience of clinical endocrinology

1. Molecular Endocrine Laboratory 1 1

2. Hormone Resistant States 1 1

II. Hyothalamic pituitary axis

3. Anterior Pituitary Diseases. 1 2

4. Clinical Disorders Of Vasopressin 1 2

5. Pituitary disorders in children 1 2

6. The Pituitary Gland And Growth Faiture 1 2

7. Prolactin 1 2

8. Psychiatry and endocrinology disorders 1 2

III. Thyroid Disorders

9. Evaluation Of Thyroid Function 1 2

10. Thyroiditis 1 1 2

11. Hypothyroidism And Hyperthyroidism 1 2 4

19

12. Thyroid Tumors (Thyroid Nodule) 1 2 4

13. Newborn Throid Disorders And Screening 1 1

14. Thyroid Disorders In Children, Adolescents And

Eldery

1 1

15. Thyroid With Pregnancy 1 2

16. Thyroid Emergencies And Euthyroid Sick Syndrome 1 2

IV. Bone And Mineral Metabolism

17. Disorders Of Calcitropic Hormones In Adults 1 2

18. Metabolic Bone Disease 1 1 2

19. Metabolic Bone Disease 2 1 2

20. Bone And Minera Disorders In Childhood 1 2

V. Adrenal Disorders

21. The Adrenal Cortex And Mineralocorticoid

Hypertension

1 2

22. Pheochromocytoma- Neuroblastoma 1 2

23. Congenital Adrenal Hyperplasia 1 2

24. Hormonal Hypertension 1 2

25. Adrenal Steroid Excess/ Deficiency 1 2

26. Hirsutism and Virilization

27. Adrenal crisis / Glucocorticoid therapy 2

28. Nonfunctioning Adrenal Mass (Including

Incidentaloma)

1 2

VI. Disorders Of The Reproductive System

29. Precocious Puberty 1 2

30. Delayed Puberty 1 2

31. Female Reproductive Endocrinology In Adults 1 2

32. Male Reproductive Disorders In Adults 1 2

33. Disorders In Sexual Sevelopment In The Pediatric

And Adolescents

1 2

34. Ambiguous Genitalia 1 2

Vii. Special Topics In Clinical Endocrinology

35. Endocrine Diseases In Pregnancy 1 2

36. Hormones And Aging 1 2

37. APUD Syndromes 1 2

38. Multiple Endocrinlal Neoplasia (MEN Syndromes) 1 2

39. Radiology, Nuclear Medicine And Endocrinology 1 2

40. Dynamic Lab And Endocrinology

( Protocols For Stimulation And Suppression Tests

1 2

20

Commonly Used In Clinical Endocrinology)

41. Surgery For Endocrine Disoreders And Perioperative

Management

1 2

42. Dermatoloical Manifestations Of Endocrine

Disorders

1 2

43. Autoimmune Endocrine Syndromes 1 2

44. Management Of Some Hormone Dependent Cancers

With Analogues Of Hypothalamic Hormones

1 2

45. Hormone Replacement Therapy 1 2

46. Endocrine Emegencies 1 2

60. UPDATE

4 - Student Assessment Methods

4.1 written exam to assess knowledge, skills

4.2 Clinical exam to assess practical and professional skills

4.3 oral exam to assess General and transferable skills

Weighing of assessment

4.1 written exam 130

4.2 Clinical exam 230

4.3 Oral exam 80

Total (will be added to the sum of Metabolism and Internal medicine courses)

5 -- List of References

5.1- Course Notes (paper and / or electronic)

………………………………………

5.2- Essential Books (Text Books)

William's textbook of endocrinology and metabolism

5.3- Recommended Books

Basic and clinical endocrinology (Greenspan)

Essentials of Endocrinology

Harrison's Endocrinology

Manual of endocrinology and metabolism

5.4- Periodicals, Web Sites, etc

http://www.worldortho.com/dev/index.php?option=com_content&view=article&ca

tid=&id=411:musculoskeletal-examination

http://www.medmatrix.org/_SPages/rheumatology.asp

http://courses.washington.edu/colleges/vids/injection.shtml

www.qub.ac.uk/cskills/hipexamination.htm

Endocrinology journals

http://www.worldortho.com/dev/index.php?option=com_content&view=article&catid=&id=411:musculoskeletal-examination




http://www.qub.ac.uk/cskills/hipexamination.htm

21

Journal of clinical endocrinology and

metabolism

Endocrinology journal

Endocrine reviews

Molecular Endocrinology

European journal of endocrinology

Journal of endocrinology

Endocrine related cancer

Clinical Endocrinology

Pitutary journal

Thyroid

Clinical Thyroidology

Endocrine Clinics Of North America

Best Practice & Research Clinical

Endocrinology

Trends in endocrinology and

metabolism

Metabolism course specifications

Course specifications



Department offering the program: Internal Medicine department Endocrinology

and Metabolism division.

Department offering the course: Internal Medicine department Endocrinology

and Metabolism division.

Academic Level: Medical Doctorate in Endocrinology and Metabolism – 3rd , 4

th semester

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


Title: Metabolism course Code: GIM7202

Credit Hours: 10 hour Lecture:

Clinical:

Field:

Coordinator

Professor …………………………………………………………


1- Course Aims:

Provide candidates with core knowledge, understanding and skill relevant

to basic science in Metabolism .

http://rheumatic.theclinics.com/

22


examination and core investigations in the field of Metabolism.


understanding of clinical endocrinology and metabolism practice in differential

diagnosis and diagnosis;

Develop a management plan for " the whole patient " and have a sound

endocrine practice knowlage of the appropriate treatments including health

promotion, disease prevention and longterm management;

Promote the development of research skills that prepare the candidate

for further study within the field of Metabolism .

Cultivate interest in Metabolism , within a caring and intellectually

stimulating environment.

Use life-long learning skills to keep their expertise up-to-date in the field

of Metabolism.

Manage time and resources to the benefit of their patients and colleagues.

Show appropriate attitudes and communications skills in dealing with

colleagues and patients.




a1- Learn basic anatomy and biology of bone matrix and cellular elements as well

as the physiology of calcium, magnesium, and phosphorus homeostasis

a2- understand the biochemistry of the calcium-regulating hormones.

a3- To understand the evolution and natural history of bone and calcium disorders,

as well as the effectiveness of therapeutic interventions,

a3- learn basic biochemistry and physiology, including cell and molecular biology

as they relate to diabetes and its complications. a4- to know and understand the evidence that in people with diabetes:

(1) glycemic control reduces the risk of microvascular events (retinopathy,

nephropathy and neuropathy) and may reduce macrovascular events;

(2) treatment of dyslipidemia reduces the risk of macrovascular events;

(3) treatment of hypertension and even early nephropathy reduces end-stage renal

disease and other microvascular as well as macrovascular events;

(4) aspirin reduces macrovascular events;

(5) treatment of early retinopathy reduces blindness;

(6) foot care reduces amputations; and

(7) implementation of Standards of Care results in better glycemic control and

23

reduces costs. a5- understanding of lipoprotein physiology, and the various sites at which defects

can occur in these metabolic pathways.

a6- to know, understand therapeutic options that include both lifestyle (diet and

physical activity) and pharmacological therapy in management of dyslipidemias.

a7- understand the relationship between various forms of dyslipidemia and other

cardiovascular risk factors and to determine overall cardiovascular risk

a8- to know, understand and pursue the recommended treatment goals of

metabolic diseases .

a9-To accumulate a critical mass of fundamental information and practical

approaches for the diagnosis, management and prevention of metabolic disorders.

a10- good understanding of the various laboratory tests that are available to aid in

diagnosis of metabolic diseases, and should be aware of the strengths and

limitations of these diagnostic tests.

a11- To acquire knowledge necessary for providing cost-effective,

ethical and humanistic care of patients with metabolic disorders .


By the end of the course the candidate will be able to: 47. b1- Interpret the most important symptoms and signs of disease.

48. b2- Select appropriate investigations and interpret the results.

49. b3- Formulate appropriate management plan for individual patients

presenting with the most common diseases.

50. b4- Make decisions regarding the common clinical situations using

appropriate problem solving skills.

51. b5 - To know the indications for and limitations of the laboratory and

imaging techniques used in the diagnosis and management of metabolic diseases

diseases.

52. b6-To acquire clinical skills in a progressive fashion and with increasing

responsibility appropriate for a consultant in metabolism.



c1- To elicit and correctly interpret a history of:

various bone and mineral disorders

Diabetes and hypoglycemic disorder .

dyslipidemias

uric acid disorders

24

c2- To undertake :

experience and skill in the management of adolescent and adult patients of

all ages with diabetes mellitus

the use of intravenous insulin administration in acute decompensated

diabetes,

the use of all varieties of insulin delivery systems

the use of all varieties of glucose monitoring devices

recognition and appropriate referral of patients with diabetic retinopathy,

foot care

to have clinical experience in a multidisciplinary diabetes and education

program

issues regarding the collection and interpretation of ionized calcium and

urinary calcium measurements.

full understanding of PTH assay

knowledge of the technical aspects of DEXA measurements, and

understand issues of quality control, precision, and interpreting DEXA

measurements

the fundamentals of parathyroid imaging (scan and ultrasound), including

the appropriate use of these tests in the cost-effective evaluation of the

hyperparathyroid patient.

c3- To use the clinical findings to formulate a differential diagnosis and plan of

investigation for patients presenting with:

c4- to identify the correct indications for:



d1 - Inculcate the habit of life long learning.

d2 - demonstration of appropriate professional attitude, behavior

and interpersonal skills

d3-To acquire knowledge and skills necessary for providing cost-effective, ethical

and humanistic care of patients

d4- have the ability to explore both disease and illness with patients, and meet their


effective Comprehensive Clinical Method

d5-Professionalism, including peer interactions, communication with patients, their

families and other health care providers, confidentiality and avoidance of conflict

of interest.

3- Course content:

25

3nd

semester

Title: Metabolism Module (A) Code: GIM7202

Credit Hours: 10 Lectures: 30 Total:

Clinical: Total:

Field:

Topics No. of hours

L C F SDL

I. Carbohydrate metabolism

Diabetes mellitus

1. Defination and classification of diabetes 1

2 .Type 1 diabetes 1 1 6

3. Prediabetes and metabolic syndrome 1

4. Type 2 diabetes 1 1 6

5.Gestational diabetes 1

6.1 Acute complications – Diabetic ketoacidosis 1 6

6.2 Acute complications-Hyperosmolar non ketotic state 1 6

6.3 Hypoglycemia 1 6

6.4 lactic acidosis 1

7.1Chronic complications -Retinopathy 6

7.2Chronic complications -Nephropathy 1 6

7.3 Chronic complications -Neuropathy 1 6

7.4 Chronic complications – Dermatologic (MD) 1 6

7.5. Charcot arthropathy 1 6

7.6 Chronic complications -Macrovascular 1 6

8.1 Management – Oral agents 1 2

8.2 Management – Insulin therapy in type 1 diabetes 1 2

8.3 Management – Insulin therapy in type 2 diabetes 1 2

9. Diabetes mellitus in the elderly 1 2

II. Lipid Metabolism

9.Classification of dyslipidemias, Hypertriglyceridemia,

Hypercholesterolemia.

1 1

1 1

12.1Management of dyslipidemias (bile acid sequestrants -

Nicotinic acid– fibrates and statins )

1 1

13. Diabetic dyslipidemias 1 1

III. Uric acid Metabolism

14. hyperuercemia 1 1

IV. obesity and overweight

15.1. obesity 1 1 2

15.2. obesity 2 1 2

26

V. Inborn errors of metabolism

16.2 Disorders that result in toxic accumulation

16.2.1 Disorders of protein metabolism 1 2

16.2.2 Disorders of carbohydrate intolerance

16.2.3 Lysosomal storage disorders

16.3Disorders of energy production, utilization

16.3.1 Disorders of carbohydrate utilization, production

(ie, glycogen storage disorders, disorders of gluconeogenesis

and glycogenolysis)

1 4

16.3.2 Fatty acid oxidation defects








4.3 Oral exam 50

Total 500

Total (will be added to the sum of Endocrinology and Internal medicine courses)



………………………………………


William's textbook of endocrinology and metabolism


Basic and clinical endocrinology (Greenspan)

Essentials of Endocrinology

Harrison's Endocrinology

Manual of endocrinology and metabolism


http://www.amazon.com/CURRENT-Rheumatology-Diagnosis-Treatment-

LANGE/dp/0071410279#reader

http://www.worldortho.com/dev/index.php?option=com_content&view=article&ca

tid=&id=411:musculoskeletal-examination



www.qub.ac.uk/cskills/hipexamination.htm

Endocrinology journals Journal of clinical endocrinology and

http://www.amazon.com/CURRENT-Rheumatology-Diagnosis-Treatment-LANGE/dp/0071410279#reader

http://www.amazon.com/CURRENT-Rheumatology-Diagnosis-Treatment-LANGE/dp/0071410279#reader





http://www.qub.ac.uk/cskills/hipexamination.htm

27

metabolism

Endocrinology journal

Endocrine reviews

Molecular Endocrinology

European journal of endocrinology

Journal of endocrinology

Endocrine related cancer

Clinical Endocrinology

Pitutary journal

Thyroid

Clinical Thyroidology

Endocrine Clinics Of North America

Best Practice & Research Clinical

Endocrinology

Trends in endocrinology and

metabolism

Internal Medicine course specification University: Ain Shams University Faculty: of Medicine




Department offering the program: Internal Medicine department Endocrinology

and Metabolism divison.

Department offering the course: Internal Medicine department Endocrinology

and Metabolism divison.

Academic Level: Medical doctorate



Title: Internal Medicine course Code: GIM7203

Credit Hours: 4 hour Lecture: 4/week Total: 46

Clinical: 2/week Total: 28

Coordinator

…………………………………………………………….


1- Course Aims:

a) Understand the scientific principles underlying health and disease.

b) Provide an appropriate background covering the common and important

emergencies and diseases.

c) Prepare candidate for independent and life-long learning by encouraging self-

directed study.

http://rheumatic.theclinics.com/

28

e) Enable the development and application of appropriate professional attitudes,

communication and problem solving skills.




a1. Describe the etiology and mechanisms of disease.

a2. Recognize causes of disease and the associated risk factors and disease

prevention.

a3. Describe the clinical symptoms and signs of the common and most important

diseases.

a4. Define problems and reach a differential diagnosis.

a5. Describe all forms of appropriate therapy for a given diagnosis (drug therapy

and non-pharmacological treatments).

a6. Demonstrate an understanding of mode of action of frequently prescribed drugs

and their known side effects.

a7. Report the psychological consequences of illness for the patient, family and

society.



b1- Interpret the most important symptoms and signs of disease.

b2- Select appropriate investigations and interpret the results.

b3- Formulate appropriate management plan for individual patients presenting with

the most common diseases.

b4- Make decisions regarding the common clinical situations using appropriate

problem solving skills.

b5- Communicate effectively with patients and their family.



c1- Construct a proper history for the patient

c2- Perform an adequate clinical examination for the patient and identify any

abnormalities.

c3- Interpret the patient data (history and examination) in an organized and

informative manner

c4- Perform clinical procedures

c5- Recognize and carry out the treatment of the emergency situations



29

d1) have the ability to explore both disease and illness with patients, and meet their


effective Comprehensive Clinical Method;

d2) be able to work within the organisational, interpersonal and inter-professional

dynamics of the clinical team;

d3) be able to make judgements about their strengths and weaknesses and take

responsibility for continuing learning, personal support and professional

development

3- Course content:

Topics No of hours

L C SDL

Coronary artery diseases. 1 2

Congestive heart failure. 1

Infective endocarditis. 1

Cardiomyopathies. 1

Hypertension. 1

Arrythmias & dysrhythmias. 1

dyslipidemia . 1

Athma & Chronic obstructive airway disease. 1 2

Suppurative lung disease & bronchiectasis. 1

Pleural effusion & pneumothorax 1

Interstitial lung disease. 1

Pulmonary embolism & DVT. 1

Pulmonary hypertension. 1

Fever of Unknown origin. 1

Infections in immuno-compromised host. 1

Tuberculosis. 1

Hepatitis. 1

Brucellosis. 1

Metabolic syndromes. 1

Peptic Ulceration & Gastritis. 1

Inflammatory bowel disease. 1

Gastrointestinal bleeding. 1

Liver cirrhosis. 1 2

Autoimmune liver disease. 1

Hemiplegia. 1 2

Paraplegia. 1

Cranial nerve palsy. 1

Ataxias. 1

30

Extrapyramidal syndromes. 1

Peripheral neuropathies. 1

Seizures. 1

Bone marrow failure & myelodysplastic syndromes. 1 2

Bleeding disorders (hemophilia & purpura). 1

Thrombophilias (acquired & congenital). 1

Transfusion reactions. 1

Anemia & Haemolytica disease. 1

Diabetes 1 2

Diabetic complications 1

Hypoglycaemia. 1

Hyper/Hypocalcaemia. 1

Adrenocortical insufficiency. 1

Thyroid dysfunction. 1

Acute renal failure 1 2

Chronic renal failure. 1

Glomerulonephritis and acute nephritic syndrome. 1

Nephrotic syndrome. 1

acid base imbalance 1

Rheumatic heart diseases & rheumatic activity. 1

Upper & lower respiratory tract infections. 1

Mediastinal syndrome. 1

Respiratory failure & mechanical ventilation. 1

CNS infection: meningitis, encephalitis, brain abscess. 1

Travelers' fever. 1

Acute liver injury: jaundice, ascites, encephalopathy. 1

Urinary tract infection. 1

Care of patients on renal replacement therapy. 1

Care of Bone Marrow Transplantation recipient. 1

hematological malignancies 1

Myopathies & other muscle diseases. 1

Myasthenia gravis. 1

Degenerative brain diseases. 1

Migraine & other headaches. 1

Multiple sclerosis. 1

Sepsis, shock, DIC & ARDS. 1

HIV & AIDS . 1

Salmonellosis. 1

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

31








4.3 Oral exam 20

Total 200



Clinical learning guide (electronic)

………………………………………


Davidson’s textbook of medicine

Current textbook of medicine

Kumar textbook of medicine


Cecil textbook of medicine

Harrison textbook of medicine


http://emedicine.medscape.com/

http://casesblog.blogspot.com/2006/08/whats-new-in-general-internal-

medicine.html

http://www.e-meducation.org/links/internal-medicine/

http://meded.ucsd.edu/clinicalmed/extremities.htm

6 - Elective Courses

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


Program on which the course is given: Medical Doctorate in Rheumatology

Major or minor element of programs: Minor

Department offering the program:

Internal Medicine department – Endocrinology and metabolism division

Department offering the course:

Community, Environmental and Occupational Medicine

Academic Level:

Medical Doctorate – 2nd

or 3rd

or 4th

semester


http://emedicine.medscape.com/

http://casesblog.blogspot.com/2006/08/whats-new-in-general-internal-medicine.html

http://casesblog.blogspot.com/2006/08/whats-new-in-general-internal-medicine.html

http://www.e-meducation.org/links/internal-medicine/

http://meded.ucsd.edu/clinicalmed/extremities.htm

32


Title: Medical statistics course

Code: E7024

Credit Hours:1 hour

A credit hour = one hour lecture or practical weekly for 15 weeks

Coordinator

Community, Environmental and Occupational Medicine Department


1- 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.




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.

33

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.



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

T C/P

Introduction to medical statistics and its uses x x

Types of variables and Descriptive statistics x x

Graphic presentation of data x x

Introduction to probability theory and rules x x

Sample and population: sampling distribution of mean and proportion x x

Confidence interval of a mean and a proportion x x

34

Confidence interval of a difference between two mean /proportion x x

Testing a hypothesis about population mean/proportion x x

Testing a hypothesis about the difference between two means/proportion x x

Comparing between more than two means-Introduction to factorial analysis x x

Cross-tabulation and introduction to categorical data analysis x x

Simple correlation and simple regression x x

Introduction to multivariable and multivariate analysis x x

Study designs: observational studies x x

Study designs: Intervention studies: clinical trials x x

Study designs: Experimental animal studies x x

Study designs: Bias and Confounding x x

Ethical issues in medical research x x

Sample size estimation for continuous and binary outcome measures. x x

Meta-analysis and publication bias. x x

T: Tutorial and C/P: Clinical or Practical and SDL: Self directed learning


4-1 Written exam to assess knowledge and understanding and will concentrate on

problem solving questions

4-2 weighing of assessment

Written exam 50

Total 50

5 - List of References


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/

Nuclear Medicine Course specifications

35

Program(s) on which the course is given: Medical Doctorate in Endocrinology and

metabolism .

Major or minor element of programs: Minor element: Nuclear Medicine (elective

course)

Department offering the program : Endocrinology and metabolism Department

Department offering the course Clinical Oncology and Nuclear Medicine

Department

Academic year / Level Doctorate –

Date of specification approval


Title: Medical Doctorate in Endocrinology and metabolism

Course: Nuclear Medicine (elective)

Code: E7037 Credit Hours: 2 Lecture: 22hours

Tutorial: 15 hours Practical: Total: 37 hours

Co-ordinator


1- Course Aims:

The overall aim of this course is to equip the candidate with

a) knowledge and awareness in Nuclear Medicine

b) comprehensive skill in the use of Nuclear Medicine to incorporate it in clinical

practice.




acquire knowledge:

a1 - in the basic sciences of nuclear medicine

a2 – Nuclear Medicine imaging

a3 – Nuclear Medicine therapy


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

B1 - Select best nuclear medicine imaging for selected clinical conditions

B2 - Select best nuclear medicine therapy for selected clinical conditions



c1 - Incorporate practice based learning into daily patient care

c2 - Report on certain nuclear medical scans

36

c3 - Take up research projects in nuclear medicine



d1 – develop the skill of working in teams

d2 – develop appropriate relationships with patient and family

3- Course content:

Topics No. of hours

L T C/P SDL

Basic Scientific principles in nuclear medicine 5hours

Basic physics in Nuclear Medicine 1

Radiation detection and instrumentation 1

Nuclear Pharmacy:

Production of nuclides 1

Radionuclide generator 1

Radiopharmaceuticals 1

Basic principles in nuclear medicine imaging and

therapy

17

hours

15

hours

Genitourinary system Imaging 1

Endocrine system 2

Pulmonary system 2

Central nervous system 2

Gastrointestinal imaging 2

Skeletal imaging 2

Hepatosplenic imaging 2

Cardiovascular system Imaging 2

Therapy 2

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

learning


4.1 written examination to assess depth of knowledge (MCQ)

4.2 oral examination for Nuclear Medicine to assess reporting of scans and

indications of imaging and therapy by radionuclides

Assessment Schedule and Weighing of Assessments

4.2 written exam

4.3 Oral exam

Total

37



Handouts by Prof. Dr. Salwa Masoud


Essentials of Nuclear Medicine imaging. 5th Ed. Saunders ((W.B.) Co Ltd,

Mettler F A, Guiberteau M J, 2005

Practical Nuclear Medicine. 3rd Ed. Springer, Sharp PF, Gemmell HG, Murray

AD, 2005


Nuclear Medicine, Leslie and Greenberg, Landes Bioscience, 2003

Nuclear Medicine Therapy, J. Eary, W. Brenner (Informa, 2007)

Physics and Radiobiology of Nuclear Medicine. 3rd Ed. Springer Verlag, NY,

Saha G, 2006

Nuclear Medicine, Leslie and Greenberg, Landes Bioscience, 2003


V- General Information – 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 infection control unit. If exposure occurs after regular working hours or

during a weekend or holiday; please report to the Emergency Department.

Please also be sure to inform the supervisors of an exposure incident and/or

injury.

3 - Action Completion Of Clinical Training

38

Once all training sessions are completed the log book should be signed by the

senior supervisor and the head of the department and then should be submitted to

post graduate Secretariat.

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

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

39

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 sessions

or

2. Tutorials

or

3. Self-directed learning (SDL)

For each item there is also a list of

1. Clinical conditions or Practical sessions to be

seen or attended (According to each degree)

2. Practical procedures to be seen and done

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

………………………………………………………………………

………………………………………………………………………

………………………………………………………………………

………………………………………………………………………

………………………………………

40

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 Wednesday Thursday

Endocrinology

\metabolism

Conference

10-12 pm

Grand round 10-12

pm

Emergency

attendance

8am for

24 hr

Diabetes

clinics

10-12 pm 10-12

pm

10-12

pm

10-12

pm

10-12 pm 10-12

pm

Endocrinology

clinic 10-12

pm

Diabetic foot

care clinic 11-1pm 10-12

pm Seminar 10-12 pm General

medicine

clinic

10-12

pm

Diabetes

education

program

10-3pm 10-3 pm

Yearly activity (annual endocrinology and metabolism

intensive course)

41

Endocrinology and metabolism Conferences attendance

(NB. Minimum number required is 15 )

No

Date

Pla

ce

Topics Supervisor

signature

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15

42

General internal medicine Conferences attendance (NB. Minimum number required is 8 )

No

Da

te

Pla

ce

Topics Supervisor

signature

1

2

3

4

5

6

7

8

9

10

11

12

13

14

15

16

43

Endocrinology and Metabolism Seminars attendance (NB. Minimum number required is 18)

No Date Place Topics Supervisor

signature

1

2

3

4

5

6

7

8

9

10

11

12

13

14

15

Thesis attendance (NB. Minimum number required is 10)

No Date Place Name of the thesis Supervisor

signature

1

2

3

4

5

6

7

8

44

9

10

Endocrinology Clinics attendance (NB. Minimum number required is 15 )

No Date Place Name of the Clinic Supervisor

signature

1

2

3

4

5

6

7

8

9

10

11

12

13

14 15

Diabetes foot care Clinic attendance (NB. Minimum number required is 3 clinics )


signature

1

2

3

45

Diabetes Clinics attendance (NB. Minimum number required is 15)


signature

1

2

3

4

5

6

7

8

9

10

11

12

13

14 15

Diabetes education clinic (Minimum number required is 3)


signature

46

1

2

3

General medicine Clinics attendance (NB. Minimum number required is 6)

No Date Place Department Supervisor

signature

1

2

3

4

5

6

local Endocrinology and Metabolism Conferences Attended


No Date Place Name of conference Supervisor

signature

Emergency attendance

(NB. Minimum number required is 12 divided hours )


signature

1

2

3

47

4

5

6

7

8

9

10

11

12

Case presentations

(NB. Minimum number required is 6)

No Date Place Diagnosis Supervisor

signature

1

2

3

4

5

6

Grand round attendance

(NB. Minimum number required is 8 hours)


signature

1

2

3

4

5

6

7

8

Patients seen / with any of the above problems

(NB. Minimum number required for each diagnosis is………..)

A

cro

meg

aly

Ga

lact

orr

hea

Cu

shin

g d

isea

ses

Sh

ort

sta

ture

Gra

ves

' d

isa

ease

To

xic

mu

ltin

od

ula

r

go

iter

Sim

ple

mu

ltin

od

ula

r g

oit

er

Th

yro

id n

od

ule

Hy

po

thy

roid

ism

1

2

3

4

5

6

7

8

9

10

11

12

49

T

hy

roid

itis

P

rim

ary

ad

ren

al

insu

ffie

ncy

Sec

on

dry

ad

ren

al

insu

ffie

ncy

Hir

uti

sm

ph

eoch

rom

ocy

tom

a

D

ela

yed

pu

ber

ty

Hy

po

go

na

dis

m

ost

eom

ala

cia

ost

eop

oro

sis

1

2

3

4

5

6

7

8

9

10

11

12

50

Ty

pe

1 d

iab

etes

T

yp

e 2

dia

bet

es

D

iab

etic

ket

oa

cid

osi

s

Hy

per

osm

ola

r n

on

ket

oti

c st

ate

Hy

po

gly

cem

ia

D

iab

etic

neu

rop

ath

y

D

iab

etic

nep

hro

pa

thy

Dia

bet

ic

card

iov

asc

ula

r

dis

ease

s

D

iab

etic

fo

ot

dy

slip

idem

ia

h

yp

eru

erce

mia

1

2

3

4

5

6

7

8

9

10

11

12

Practical skills (Agreement Scale) 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.

Full anthropometric assessment of patients with growth abnormalities and

application of growth charts


No Date PT initials, AGE/SEX Diagnosis

Supervisor

signature

1

2

3

4

5

6

7

8

9

10

11

12

Full thyroid gland examination



Supervisor

signature

1

2

3

4

5

6

7

8

52

9

10

11

12

Full examination and staging of thyroid eye disease



Supervisor

signature

1

2

3

4

5

Full examination and assessment of patients with obesity and identification of

metabolic syndrome



Supervisor

signature

1

2

3

4

5

Training of the use of various insulin delivery systems

(NB. Minimum number required is 7 ) No Date

PT initials, AGE/SEX Diagnosis

Supervisor

signature

1

2

3

4

5

6

7

53

Full assessment and risk stratification of diabetic foot (NB. Minimum number required is 5 )


Supervisor

signature

1

2

3

4

5

Full assessment and staging of patients with delayed puberty using

Tanner staging (NB. Minimum number required is 10)


Supervisor

signature

1

2

3

4

5

6

7

8

9

10

5 - Log book preview

The candidate logbook will be reviewed and patients seen/ skills performed

summarized by diagnosis groups during the semester evaluation and at the

end of the course in the table below.The results of this review will be

totaled in the summary chart below.

Semester 1

st 2

nd 3

rd 4

th 5

th 6

th Total

Activity (Minimum number

required) No No No No No No

Examination and Diagnosis of

Patients with Each of the

54

Following Problems:

Acromegaly (5)

Galactorrhea (7)

Cushing diseases (5)

Short stature (12)

Graves' disaease (10)

Toxic multinodular goiter (10)

Simple multinodular goiter (10)

Thyroid nodule (5)

Hypothyroidism (12)

Thyroiditis (12)

Primary adrenal insuffiency (2)

Secondry adrenal insuffiency

(3)

Hirutism (10)

pheochromocytoma ( 1)

Delayed puberty (12)

Hypogonadism (10)

osteomalacia (8)

osteoporosis (10)

Type 1 diabetes (12)

Type 2 diabetes (12)

Diabetic ketoacidosis (8)

Hyperosmolar non ketotic state

(5)

Hypoglycemia (7)

Diabetic neuropathy (10)

Diabetic nephropathy (10)

Diabetic cardiovascular

diseases (10)

Diabetic foot (5)

dyslipidemia (12)

hyperuercemia (4)

anthropometric assessment of

patients with growth

abnormalities and application

of growth charts (12)

Full thyroid gland examination

(12)

Full examination and staging

55

of thyroid eye disease (5)

Full examination and

assessment of patients with

obesity and identification of

metabolic syndrome (5)

Training of the use of various

insulin delivery systems (7)

Full assessment and risk

stratification of diabetic foot (5)

Full assessment and staging of

patients with delayed puberty

using Tanner staging (10)

Supervisor signiture

VII - Head Of Department Approval For The Exam Entry _______________________________________________

_______________________________________________

_______________________________________________

_______________________________________________

_______________________________________________

_______________________________________________

_______________________________________________

_______________________________________________

_______________________________________________

_______________________________________________

_______________________________________________

_______________________________________________

_______________________________________________

_______________________________________________

_______________________________________________

_______________________________________________

56

_______________________________________________

_______________________________________________

_______________________________________________

___________________________________________

57

VII – Thesis Follow up

انخقزيز اننصف انسنىي نعاو / انخاريخ/ ب / عن انطان

انًقيد ندرجت ) ياجسيخز ( بقسى /

حقزيز انسادة االساحذة انًشزفين

بدأ جًع انًادة انعهًيت و كخابت انًقديت

قطع شىطا يحدودا

أوشك عهً اإلنخهاء

إنخهً ين انجًع

بدأ انجزء انعًهً



نخحهيمإنخهً ين ا

بدأ يناقشت اننخائج



إنخهً ين انخحزيز

بدأ انًزاجعت اننهائيت يع انًشزف



إنخهج حًايا

إسخًزار قيد انطانب رأي انسادة انًشزفين

يد انقيد

شطب قيد انطانب

نعى حى حشكيم نجنت انًناقشت

ال حاريخ انخشكيم

/ /

يد / شطب انقيد

وكيم انكهيت حىقيع انسادة انًشزفين

59

انخقزيز اننصف انسنىي نعاو / انخاريخ/ عن انطانب /





نخهاءأوشك عهً اإل





إنخهً ين انخحهيم






ع شىطا يحدوداقط




يد انقيد




/ /



61





















يد انقيد




/ /



63

سنىي نعاو / انخاريخ/انخقزيز اننصف ان عن انطانب /







بدأ جزء انعًهًان













يد انقيد




/ /



65




بدأ ادة انعهًيت و كخابت انًقديتجًع انً

















يد انقيد


ى نع حى حشكيم نجنت انًناقشت


/ /



67

انخاريخ/ انخقزيز اننصف انسنىي نعاو / عن انطانب /









عهً اإلنخهاءأوشك










ار قيد انطانبإسخًز رأي انسادة انًشزفين

يد انقيد




/ /



69

VIII – Evaluation Forms

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

71



Candidate

Supervisor

Location

Aim of training


achieved.

__________________________________________________________________

__________________________________________________________________

__________________________________________________________________


__________________________________________________________________

__________________________________________________________________

__________________________________________________________________

__________________________________________________________________

__________________________________________________________________

__________________________________________________________________


__________________________________________________________________

__________________________________________________________________

__________________________________________________________________

__________________________________________________________________

__________________________________________________________________

__________________________________________________________________



Date

73



Candidate

Supervisor

Location

Aim of training


achieved.

__________________________________________________________________

__________________________________________________________________

__________________________________________________________________


__________________________________________________________________

__________________________________________________________________

__________________________________________________________________

__________________________________________________________________

__________________________________________________________________

__________________________________________________________________


__________________________________________________________________

__________________________________________________________________

__________________________________________________________________

__________________________________________________________________

__________________________________________________________________

__________________________________________________________________



Date

75



Candidate

Supervisor

Location

Aim of training


achieved.

__________________________________________________________________

__________________________________________________________________

__________________________________________________________________


__________________________________________________________________

__________________________________________________________________

__________________________________________________________________

__________________________________________________________________

__________________________________________________________________

__________________________________________________________________


__________________________________________________________________

__________________________________________________________________

__________________________________________________________________

__________________________________________________________________

__________________________________________________________________

__________________________________________________________________



Date

77



Candidate

Supervisor

Location

Aim of training


achieved.

__________________________________________________________________

__________________________________________________________________

__________________________________________________________________


__________________________________________________________________

__________________________________________________________________

__________________________________________________________________

__________________________________________________________________

__________________________________________________________________

__________________________________________________________________


__________________________________________________________________

__________________________________________________________________

__________________________________________________________________

__________________________________________________________________

__________________________________________________________________

__________________________________________________________________



Date

79



Candidate

Supervisor

Location

Aim of training


achieved.

__________________________________________________________________

__________________________________________________________________

__________________________________________________________________


__________________________________________________________________

__________________________________________________________________

__________________________________________________________________

__________________________________________________________________

__________________________________________________________________

__________________________________________________________________


__________________________________________________________________

__________________________________________________________________

__________________________________________________________________

__________________________________________________________________

__________________________________________________________________

__________________________________________________________________



Date

81

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?


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

difficulties or inconveniences?


III. Structure of Degree Program

1. Did you receive enough guidance in planning your study schedule in the

beginning of the program?


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?

82

4. In your opinion, does the degree program offer a good balance of lectures,

seminars, conferences, and book exams?


a) General Studies

i) Do you feel that you have received enough guidance on academic writing?


ii) Do you feel that you have acquired sufficient knowledge on research skills (eg.

quantitative and qualitative research methods)?


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?


iii) Have you received enough guidance for the preparation of your thesis?


IV. Concluding Points

1. Did the degree program meet your expectations?


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!

medical doctorate in endocrinology and...

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