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Alexandria University
Faculty of Medicine
ENT Department
Doctor Degree Program Specifications
Basic Information:
1. Program title: Doctor Degree in Otorhinolaryngology.
2. Program Award/Degree: Doctor degree
3. Department (s) offering the program: ENT
4. Program Director: Prof. Dr. Mohammed Hassab (Head of the Department)
5. Program Coordinator: Prof. Dr. Alaa Gaafar.
6. External evaluator (s): Prof. Dr. Shafik Khalifa
7. Type of the program:
Professional Information:
1- Program Aims: The aim of this program is to:
1.1. Have sufficient deep and broad Knowledge and understanding of basic facts and
theories of Otolaryngology and related subjects/ fields
1.2 Improve the ability to make decisions in various professional situations (including dilemmas
& controversial issues)
1.3 Perform a comprehensive and detailed ENT examination and reach appropriate
diagnosis/differential diagnosis in wide range of ENT problems.
Teach juniors, master all techniques (Basic &Advanced), support the conduct of research, and
lead effectively and cooperatively in a specialty Health care team.
1.4 Appropriately and ethically get an informed consent for difficult/ risky surgical
interventions.
2- Academic reference standards (ARS) & ILOs: Intended learning outcomes (ILOs) of Doctor Degree in Otorhinolaryngology designed and approved by
Department of Otorhinolaryngology Faculty of Medicine. Alexandria University. Based on Generic
Academic Reference Standards (ARS): Postgraduate Medical Education, Egypt (2009).
Published by National Authority for Quality Assurance and Accreditation of Education (NAQAAE)
National
[http://naqaae.org/main/php/book/index.php]
Domain Core Competencies
(by area)
ILOs
A. Knowledge and
understanding
Graduate of this
program must have the
advanced knowledge and
understanding about:
• Anatomy, physiology
and pathology related
to ENT practice.
• Quality standards of
clinical and surgical
ENT practice.
A1. Discuss advanced surgical
anatomy of significance to the practice
of Otolaryngology both in adults and
pediatric age group.
A2. Discuss etiology, pathogenesis
and pathology of broad spectrum of
otolaryngology diseases.
A3. Correlate clinical manifestations,
complications, diagnostic modalities,
out-come and treatment plans for
broad spectrum of otolaryngology
problems.
A4. Develop thorough knowledge
regarding the advanced knowledge of
pharmacotherapy, oncology, laser
physics, wound healing, voice
measurement and language
development.
A5.Discuss management of patients in
the preoperative period with special
emphasis on those with associated
medical problems.
A6.Acquire different modalities for
management of pain related to ENT
surgery.
• Basics and ethics of
scientific research
A7.Identify advanced Knowledge of
research science (scientific & ethical)
to be utilized and rules of publishing
in indexed journals and winning
research grants.
A8.Recognize recent trends in
epidemiological and other community
data to advance individual /family /
community and population health.
B. Intellectual
skills
Graduate must be able to do
the following:
• Analyze, evaluate & use information of different sources.
• Critical &logic thinking.
• Decision making
B1. Utilize sources of information like
medical records, patient’s
family/friends to augment medical and
surgical history.
B2.Select medical and investigative
parameters to be used in assessing the
patient’s response to intervention and
re-evaluate management plan
accordingly.
B3.Manipulate, interpret and present
numerical and narrative data
B4.Assess logically, systematically
and conceptually to draw reasoned
conclusions/ reach sustainable
judgments in difficult incomplete
problems.
B5.Modify approaches to analyze and
evaluate the information collected in
different patterns of diseases &
problems
B6.Improve the ability to take
decisions in various professional
situations (including dilemmas &
controversial issues).
• Create research methods
• Ability to follow the recent and evolving issues in the field of practice
B7.Manage discussions on basis of
evidence and proofs.
B8.Assess critically and audit the
outcomes of professional activities
during provision of medical care.
B9.Construct and effectively
complete research projects.
B10.Utilize the Scientific method in
research with emphasis on creativity
and ethical consideration.
C. Professional
skills
Graduate must be able to
perform the following:
• Perfect all basic and advanced procedural skills related to otolaryngology practice
• Work effectively and
C1.Perform a comprehensive and
detailed ENT examination and reach
appropriate diagnosis/differential
diagnosis in wide range of ENT
problems.
C2.Master all techniques of Life
Support (Basic &Advanced.)
C3.Utilize sources of information like
medical records, patient are
family/friends to augment medical and
surgical history.
C4.Perform adequately and safely all
basic and advanced major surgical
interventions.
C5.Support the conduct of research,
and integration of current research
findings and best practices into the
practice setting
C6. Get an informed consent for
difficult/ risky surgical interventions.
C7.Teach juniors appropriate
cooperatively in medical team.
techniques for obtaining, performing
and documenting a complete medical
history and physical examination for
otolaryngology patients.
C8.Communicate with, consult and
respect the role of other health-care
providers.
C9.Lead effectively and cooperatively
in a specialty Health care team.
C10.Work effectively and
cooperatively in consultation teams.
C11.Discuss professional errors in an
honest way.
D. General and
transferrable
skills
Graduate should be
competent in the following:
• Teaching skills and planning research.
• Lead teams and co-operate with colleagues and seniors
• Retrieving and processing different sources of information to obtain data from multiple technologic sources.
• Planning of developed courses to improve
D1.Develop skill in self-assessment
regarding work quality
D2.Design professional development
plans for self and junior colleagues.
D3.Develop ability to work within a
health care network
D4.Develop ability to work as part of a
team
D5.Demonstrates meticulous record
keeping, entailing legible and accurate
operative notes
D6.Demonstrate ability to teach,
support & guide junior staff.
D7.Utilize all sources of recent
communication technology in
facilitating work with his team
colleagues and seniors.
D8.Plan professional development
practice of juniors.
courses to improve practice and
enhance performance of juniors.
D9.Adhere to codes of conduct,
standards and requirements of
professional and statutory bodies.
E. Attitudes and
ethical
behavior
Teach and implement ethical
regulations in his
professional and practical
practices.
E1. Demonstrate ethical choices, values
and professional practices implicit in
multidisciplinary decision making.
E2. Promote high standards of personal
and organizational integrity, compassion,
honesty and respect for seniors,
colleagues, assistants and students.
E3. Demonstrate commitment to lifelong
learning and professional service
including active participation in
professional organizations.
E4. Interact with others without
discrimination based on religious, ethnic,
sexual, or educational differences.
E5.Ethical principles that govern decision-
making in surgical and medical practice.
Program courses ILOs Matrix
A- KNOWLEDGE&UNDERSTANDING:
ILOs
Course title
A1 A2 A3 A4 A5 A6 A7 A8
Audiology for Otorhinolaryngology II X X X X
Phoniatric for Otorhinolaryngology II X X X X
Advanced imaging for Otorhinolaryngology X X X X X
Advanced applied Surgical Anatomy for Otorhinolaryngology X X
Advanced applied Pathology for Otorhinolaryngology X X
Advanced Rhinology X X X X X X
Skull base Surgery X X X X X
Neuro-Otology X X X X X
Head & Neck dissection course X X X X X X
FESS Course X X X X X X X
Advanced Head & Neck Surgery X X X X X X
Temporal bone Course X X X X X X
Advanced Otology X X X X X X
Microlaryngosurgery X X X X X X
Airway management course X X X X X X
Facial Plastic Surgery X X X X X X
Rhinoplasty course X
Laser in Otorhinolaryngology X X X X X X
Cochlear implant Course X X X X X X
Integrated Otorhinolaryngology II X X X X X X X
B- INTELLECTUAL SKILLS:
ILOs
Course title
B1 B2 B3 B4 B5 B6 B7 B8 B9 B10
Audiology for Otorhinolaryngology II X X X X X X X
Phoniatric for Otorhinolaryngology II X X X
Advanced imaging for Otorhinolaryngology X X X X X X
Advanced applied Surgical Anatomy for Otorhinolaryngology X
Advanced applied Pathology for Otorhinolaryngology
Advanced Rhinology X X X X X X X X X X
Skull base Surgery X X
Neuro-Otology X X X
Head & Neck dissection course X X X
FESS Course X X X
Advanced Head & Neck Surgery X X X X X X X
Temporal bone Course X X
Advanced Otology X X X X X X X X X X
Microlaryngosurgery X X X X
Airway management course X X X X X X
Facial Plastic Surgery X X X X
Rhinoplasty course X X X X
Laser in Otorhinolaryngology X X X X
Cochlear implant Course X
Integrated Otorhinolaryngology II X X X X X X X X X
C- Professional & Practical skills
ILOs
Course title
C1 C2 C3 C4 C5 C6 C7 C8 C9 C10 C11
Audiology for Otorhinolaryngology II X X X X X
Phoniatric for Otorhinolaryngology II X X
Advanced imaging for Otorhinolaryngology X X X X
Advanced applied Surgical Anatomy for Otorhinolaryngology X
Advanced applied Pathology for Otorhinolaryngology X
Advanced Rhinology X X X X X X
Skull base Surgery X X X X X X X
Neuro-Otology X X
Head & Neck dissection course X X X
FESS Course X X X
Advanced Head & Neck Surgery X X X X X
Temporal bone Course X X X X X X
Advanced Otology X X X X X X
Microlaryngosurgery X X X X X X
Airway management course X X X X X X X X X X
Facial Plastic Surgery X X X X X X X X X
Rhinoplasty course X X X X X X X
Laser in Otorhinolaryngology X X X X X
Cochlear implant Course X X X X
Integrated Otorhinolaryngology II X X X X
D- General transferable skills
ILOs
Course title
D1 D2 D3 D4 D5 D6 D7 D8 D9
Audiology for Otorhinolaryngology II X X X X X
Phoniatric for Otorhinolaryngology II X X
Advanced imaging for Otorhinolaryngology X
Advanced applied Surgical Anatomy for Otorhinolaryngology X
Advanced applied Pathology for Otorhinolaryngology X X X X
Advanced Rhinology X X X X X X X
Skull base Surgery X X X X X X
Neuro-Otology X
Head & Neck dissection course X X X X X X
FESS Course X
Advanced Head & Neck Surgery X X X X
Temporal bone Course X X X X X
Advanced Otology X X X X X X X X
Microlaryngosurgery X X X X X X
Airway management course X X X X X X X X
Facial Plastic Surgery X X X X X X X X
Rhinoplasty course X X X X X X X
Laser in Otorhinolaryngology X X X X X X
Cochlear implant Course X X X X
Integrated Otorhinolaryngology II X X X
3- Curriculum Structure:
Program duration: This program is fulfilled 52 credit hours in not less than 3 years with a maximum of 5 years. (2 semesters/year & thesis).
Program structure: 1. Obligatory subjects: 32 Credit Hours. 2. Thesis: 20 Credit Hours (Divided on 4 semesters at least).
Program Contents
Code Course Credit Hours
Prerequisites
1 052719270 Audiology for Otorhinolaryngology II 1
2 052729270 Phoniatric for Otorhinolaryngology II 1
3 053109270 Advanced imaging for Otorhinolaryngology 1
4 05270901 Advanced applied Surgical Anatomy for Otorhinolaryngology 2
5 05270902 Advanced applied Pathology for Otorhinolaryngology 2
6 05270903 Advanced Rhinology 3
7 05270904 Skull base Surgery 1
8 05270905 Neuro-Otology 1
9 05270906 Head & Neck dissection course 1
10 05270907 FESS Course 2
11 05270908 Advanced Head & Neck Surgery 3
12 05270909 Temporal bone Course 1
13 05270910 Advanced Otology 3
14 05270911 Microlaryngosurgery 1
15 05270912 Airway management course 1
16 05270913 Facial Plastic Surgery 2
17 05270914 Rhinoplasty course 1
18 05270915 Laser In Otorhinolaryngology 1
19 05270916 Cochlear Implant Course 1
20 05270917 Integrated Otorhinolaryngology II 3 052719270, 052729270, 053109270, 05270901-16
4- Program Admission Requirements:
According to the regulations of the credit hour bylaws of the Faculty of Medicine
Alexandria University (annex).
5- Regulations for Progression and Program Completion:
According to the regulations of the credit hour bylaws of the Faculty of Medicine
Alexandria University (annex).
6- Methods of student assessment:
Methods Intended Learning outcomes to be
assessed
1. Written Exam A1-A8,B2-B6,B8,E1
2. Practical Exam C1-11,E1-E4
3. Assignments
4. Thesis
B1-B10, D1-D9
B1,B3,B5,B7,B9,B10,D4,E3,E4
7- Methods of program evaluation:
Evaluator Tool Sample
1. Students enrolled in the program Questionnaires.
2. Alumni --------
3. Stakeholders (Employers) Focus group
4. External Evaluator (s) -----------
5. Others:
Program Director: Prof. Dr. Mohammed Hassab (Head of the department) Program Coordinator: Prof. Dr. Alaa Gaafar,. Signature: …………………….
COURSES DESCRIPTION
1 Code Credit hours 1 Course Prerequisites
052719270
Lectures Practical Audiology for
Otorhinolaryngology
II
½ ½
This course is given in (1) credit hour dictated and practical training. The course
focuses on recognition of the requirements of the audiology unit, the variable
audiological tests provided by it, and the different testing equipments. To learn
and practice the advanced audiological testing for hearing and vestibular
functions assessments. To understand, reed, and write audiological reports. To be
acquainted with the updates audiological modalities utilized for hearing
assistance, e.g., hearing aids, anchor prostheses, cochlear implants….etc. To be
acquainted with the advanced modalities of vestibular organ and auditory
trainings. To share in the research work, follow-ups, and filing system of the
relevant patients.
2 Code Credit hours 1 Course Prerequisites
052729270
Lectures Practical Phoniatric for
Otorhinolaryngology
II
½ ½
This course is given in (1) credit hour dictated and practical training .To know the
requirements of the phoniatric unit, the abdated speech testing and the new
testing equipments. The recent advances in phoniatric evaluation & treatments.
To be acquainted with, and how to utilize different examination tools of the
larynx, e.g., the magnifying laryngoscopy, the flexible endoscopy, stroposcopic
examination, ….etc. To be acquainted how to perform video and computer data
recording. To learn and practice the basic speech testing for speech assessment.
To understand, reed, and write the relevant speech function reports. To be
acquainted with the different speech helping devices and alternative procedures,
e.g., the electrolarynx, the oesophageal speech, the provox and the alike
prostheses, …etc. To share in the research work, follow-ups, and filing system of
the relevant patients
3 Code Credit hours (1) Course Prerequisites
053109270
Lectures Practical Advanced imaging for
Otorhinolaryngology
½ ½
This course is given in (1) credit hour lectures and practical training. This course
covers the Basic principles of imaging, Imaging of Head & Neck, Imaging of
temporal bone and Imaging of Nose & Paranasal sinuses. New techniques for
intervention radiology will also be covered.
4 Code Credit hours (2) Course Prerequisites
05270901
Lectures Practical Advanced applied
Surgical Anatomy for
Otorhinolaryngology
1 1
This course is given in (2) credit hour lectures. The Advanced Anatomy: General :
Surgical anatomy and approaches of Head & Neck; cranial base, skull features,
face & scalp, cranial cavities, cranial nerves, infratemporal & pterygopalatine
fossae, tongue & oral cavity, salivary glands, muscles of mastication. Triangles of
the neck, submandibular region, hyoid bone, neck deep structure, thyroid,
parathyroid & thymus glands, lymphatics, cervical oesophagus & trachea. Special:
Surgical anatomy and approaches to: Nose (nasal skeleton, nasal cavities, nasal
septum, lateral nasal wall, paranasal sinuses). Pharynx (naso, oro, and laryngo-
pharynx). Larynx (cartilages, muscles, ligaments & membranes, interior,
innervation). Ear (auricle, external ear & drum, middle ear & ossicles, temporal
bone & its surrounding cranial bones, temporal none sectional anatomy,
Eustachian tube, mastoid, middle & inner ear, auditory & vestibular end organs,
facial nerve. Relevant neuro- and vascular structures. Tracheobronchial tree,
chest, mediastinum. Anatomy of ENT flaps & grafts, microvascular flaps.
5 Code Credit hours (2) Course Prerequisites
05270902 Lectures Practical Advanced applied
Pathology for
Otorhinolaryngology
1 1
This course is given in (2) credit hour lectures .An objective oriented problem
solving introduction to general disease processes including cellular alterations
and inflammation, genetic, immunological, nutritional and circulatory disorders,
effects of infection, chemical and physical agents , blood and vascular disease,
neoplasia and aging. Topics to be covered include analytic tools and techniques,
diagnostic methodology and criteria and recognition and control of
environmental diseases.
6 Code Credit hours (3) Course Prerequisites
05270903 Lectures Practical Advanced Rhinology
2 1
This course is given in (3) credit hour lectures and clinical training. This includes:
Congenital anomalies. External nose inflammations, tumors, & connective tissue
disorders. Trauma, fractures, & Epistaxis. Disorders of smell & their management.
Rhinitis & Sinusitis. Manifestations of systemic diseases & intrinsic rhinitis. Nasal
septum. Polyposis. Current traditional & advanced surgical procedures. The
course also focuses on Objective evaluation of nasal breathing using recent
advanced technology. Current traditional & advanced surgical procedures.
Functional endoscopic surgery. Snoring & OSA management.
7 Code Credit hours (1) Course Prerequisites
05270904 Lectures Practical Skull base Surgery
½ ½
This course is given in (1) credit hour lectures and practical subjects. The course
focuses on knowledge of detailed anatomy of the anterior, lateral, middle and
posterior skull base. Different pathologies affect the skull base. Identify different
surgical approaches to skull base like anterior, posterior and lateral approaches
either open or endoscopic minimally invasive. Identification and management of
complications associated with skull base surgery.
8 Code Credit hours (1) Course Prerequisites
05270905 Lectures Practical Neuro-Otology
½ ½
This course is given in (1) credit hour lectures and clinical training. The course
focuses on Identification of different pathological lesions affecting the facial
,vestibulocochlear and the last 4 cranial nerves. Lesions affecting CPA. Different
diagnostic techniques. Master intraoperative nerve integrity monitoring.
Treatment of neuro-otologic lesions. Different approaches to the IAC and CPA.
9 Code Credit hours (1) Course Prerequisites
05270906 Lectures Practical Head & Neck
dissection course
½ ½
This course is given in 1/2 credit hour lectures and ½ credit hour practical
training. The course focuses on achievement of good knowledge
about surgical anatomy of different groups of cervical lymph nodes,
lymphatic drainage of the viscera of the neck, and cancer staging &
classifications. Master different types of neck dissection: radical, modified
radical, selective, etc…. Postoperative care and management of possible
complications.
10 Code Credit hours (2) Course Prerequisites
05270907 Lectures Practical FESS Course
1 1
This course is given in (2) credit hours dictated and practical training. This
includes: FESS, Endoscopic management of epistaxis. Endoscopic management of
congenital anomalies e.g. choanal atreasia. Endoscopic management of foreign
bodies in the nose. Endoscopic management of CSF rhinorrhea, Nasal and
Paranasal neoplasms, Exophthalmos, Complicated sinusitis. Approaches to
pyterigopalatine fossa , cranial base, & infratemporal fossa. Endoscopic
Hypophysectomy. Endoscopic Dacrocystorhinostomy.
11 Code Credit hours (3) Course Prerequisites
05270908 Lectures Practical Advanced head &
Neck Surgery
2 1
This course is given in (3) credit hour lectures & clinical training. This
includes:
Upper aerodigestive tract: Congenital disorders, Trauma, Foreign bodies in
tracheobronchial tree & esophagus, Inflammations & Infections.
Neurological disorders of larynx & pharynx. Esophageal neuromuscular
disorders. Gastroesophageal reflux disease manifestations & management.
Oral cavity & Pharynx: Common congenital anomalies. Trauma, Soft tissue
lacerations & burns. Mucosal lesions of the oral cavity & pharynx. Benign
mucosal & cystic swellings. Adenotonsillar diseases. Suppurations around
the pharynx. Acute & chronic infections of the pharynx.
Pharyngeal manifestations of systemic diseases. Salivary glands disorders &
management. Angiofibroma diagnosis & management.Relevant & advanced
oral & pharyngeal surgical procedures. Tracheal stenosis / tumors.
Cancer larynx & Hypopharynx: Endoscopic evaluation and
classifications for cancer larynx & Hypopharynx. Surgery of
cancer larynx, hypopharynx, & upper esophagus. Special
techniques in laryngeal cancer surgery.Complications of head
& neck surgery. Voice rehabilitations following laryngeal
surgeries. Neurolaryngology & phonosurgical procedures.
Chronic aspiration. Surgery of upper mediastinum.
12 Code Credit hours (1) Course Prerequisites
05270909 Lectures Practical Temporal bone
Course
½ ½
This course is given in (1) credit hour dictated and practical training. This includes:
Temporal bone dissection lab: Courses &Training on temporal bone dissection
(bony, preserved, and fresh specimens) for purpose of anatomical understanding
and orientation of the related neuroanatomy and different approaches to the
middle, inner ear, CPA, relevant cranial fossae and structures, Eustachian tube,
and subtemporal and pterygoid fossae.
13 Code Credit hours (3) Course Prerequisites
05270910 Lectures Practical Advanced Otology
2 1
This course is given in (3) credit hour lectures and clinical training. This includes:
External ear diseases; developmental anomalies, trauma, reconstructive surgery
for congenital & acquired malformations, infections & sequllae, perichondritis,
non-infection otitis externa, malignant otitis externa, tumors of external ear,
manifestations of systemic diseases, otalgias, Relevant external ear surgeries.
Acute & chronic otitis media, complications & management, middle ear trauma,
Surgery of chronic ear disease, tympanic membrane & tympanostomy tubes,
relevant middle ear surgeries. Otosclerosis & management, diseases of temporal
bone with special emphasis on osteogenesis imperfecta, histocytosis X, & specific
infections, temporal bone trauma, conductive hearing loss. Vertigo, perilymph
fistula, Meniere’s disease and alikes, Central vestibular disorders. Sensorineural
hearing loss, cochlear & retrocochlear pathology, ototoxicity, effect of aging,
acoustic neronoma, glomus tumor. Immunologic disorders of inner ear. Clinical
disorders of Facial nerve, its function tests, & management. Surgery of perilymph
fistula & vestibular system. Surgery of tinnitus & deafness. Intratemporal facial
nerve surgery. Surgery of the temporal bone. Differential diagnosis of neoplasms
of the anterior, middle, & posterior cranial fossae. Surgery of anterior, middle, &
posterior cranial fossae. Surgery of cochlear implants & anchoring devices.
Interventional neuroradiography. Conventional & advanced surgeries of the ear.
Laser surgery of the ear.
14 Code Credit hours (1) Course Prerequisites
05270911 Lectures Practical Microlaryngosurgery
½ ½
This course is given in half(1/2) credit hour lectures and half(1/2) practical
training. The course focuses on Different techniques of laryngoscopy in children
and adults. Indications of microlaryngosurgery of the larynx either benign or
malignant. Recent trends in endoscopic excision of early cancer larynx using cold
instruments or laser. Contraindications and complications of microlaryngosurgery.
Cadaveric hands on training on fresh cadavers.
15 Code Credit hours (1) Course Prerequisites
05270912 Lectures Practical Airway management
course
½ ½
This course is given in half (1/2) credit hour lectures and half(1/2) credit hour
practical training. This includes: management of airway narrowing & obstruction.
Endoscopic management of foreign bodies in the airways & esophagus.
Endoscopy of tracheobronchial tree, esophagus, & mediastinum.
16 Code Credit hours (2) Course Prerequisites
05270913 Lectures Practical Facial Plastic Surgery
1 1
This course is given in (2) credit hours lectures and clinical training. This includes:
Facial plastic surgeries. Rehabilitation of paralysed face. Management of alopecia
& reconstructive scalp surgery. Rhytidectomy, Blepharoplasty, Chemical peel,
Liposuction techniques of the face & neck. Facial implants. Auriculoplasty.
Reconstruction of facial defects. Cleft lip & cleft palate repair procedures.
17 Code Credit hours (1) Course Prerequisites
05270914 Lectures Practical Rhinoplasty
½ ½
This course is given in (1) credit hour lectures. This includes: Special aesthetic
rhinoplasty & facioplasty techniques. Reconstructive rhinoplasty. Revision
rhinoplasty. Live surgery demonstration for different techniques of rhinoplasty.
18 Code Credit hours (1) Course Prerequisites
05270915 Lectures Practical Laser In
Otorhinolaryngology
½ ½
This course is given in half(1/2) credit hour lectures and half(1/2) credit hour
practical training. This includes: Basic principles & Safety considerations.
Application for some accessible skin & mucosal lesions. In Tonsillectomy.
Intranasally. Microlaryngosurgery & Laser laryngeal surgeries. Tracheal lasers. Ear
laser. Courses and training on the different laser applications in the ENT area, the
prerequisites, the precautions, and the procedures. Hands on training on fresh or
well preserved cadavers.
19 Code Credit hours (1) Course Prerequisites
05270916 Lectures Practical Cochlear implantant
½ ½
This course is given in one credit hour. Half an hour will be lectures on basic facts
regarding cochlear implantation including basic facts regarding auditory nerve
electrophysiology, basic anatomical knowledge regards cochlear anatomy, the
internal auditory nerve anatomy and the vestibular apparatus. The other part of
the course will focus on live and video demonstration of different techniques of
cochlear implant surgeries.
20 Code Credit hours (3) Course Prerequisites
05270917 Lectures Practical Integrated
Otorhinolaryngology
II
052719270, 052729270, 053109270, 05270901-16
2 1
This course is given in (3) credit hour lectures and clinical training. The course
focuses on Clinical training in inpatient departments: Attend the regular bedside
and hospital clinical rounds done by the different special subunits and held by the
assigned authorized staff to evaluate, discuss, manage and follow-up their
relevant already admitted patients. Submit the departmental rotation in the
different subunits. Share in the decision making, operative preparing, and follow-
up. Carry on the given orders and duties regards the required investigations,
performing special procedures, other consultations, close observation, regular
reporting, discharge reports, follow-up schedule,….etc. Recording regular
observation notes on the patient's file and providing daily report to the observing
staff. Share in the department filling, recall, and archives system. Integration of
recent updates in all subspecialties is a prerequisite for passing this course with
clinical, operative and OSPE evaluation at the end of this course.
Program Coordinator Program Director
Prof. Alaa Gaafar Prof. Mohammed Hassab
Course Specifications
University: Alexandria
Faculty: Medicine
Department: ENT
Course Information
Course Code: 052719270 Course Name:
Audiology for Otorhinolaryngology II Program in which the Course is Given: Doctor Degree in Otorhinolaryngology Number of Credit Hours 1 Theoretical Clinical/Practical
Course Aims The course focuses on recognition of the requirements of the audiology unit, the variable audiological tests provided by it, and the different testing equipments. To learn and practice the advanced audiological testing for hearing and vestibular functions assessment. To understand, read, and write audiological reports. To be acquainted with the updates audiological modalities utilized for hearing assistance, e.g., hearing aids, anchor prostheses, cochlear implants….etc. To be acquainted with the advanced modalities of vestibular organ and auditory trainings. To share in the research work, follow-ups, and filing system of the relevant patients.
Intended Learning Outcomes (ILOs)
Program ILO (refer to program
matrix) Course ILOs
A. Knowledge
and
Understanding
A1. Describe advanced surgical
anatomy of significance to the
practice of Otolaryngology both in
adults and pediatric age group.
A2. Discuss etiology, pathogenesis
and pathology of broad spectrum
of otolaryngology diseases.
A3. Correlate clinical
manifestations, complications,
A1. Describe advanced anatomy of the
different ear compartments including the
central auditory pathway.
A2. Discuss advanced physiology of the
different ear compartments including the
physiology of the central pathway.
A3. Discuss etiology, pathogenesis &
pathology of different ear diseases affecting
hearing & balance mechanisms.
A4. Choose the appropriate audiological test
to diagnose different auditory & vestibular
disorders.
A5. Discuss the audiological profile of
different ear diseases involving the hearing
0.5 0.5
diagnostic modalities, out-come
and treatment plans for broad
spectrum of otolaryngology
problems.
A5. Discuss management of
patients in the preoperative period
with special emphasis on those
with associated medical problems.
& vestibular systems.
A6. Discuss differential diagnosis for
difficult cases based on the given
information.
A7. Decide when it is appropriate to resort
to rehabilitative disciplines such as hearing
aids & cochlear implantation.
B. Intellectual
skills
B1. Utilize sources of information
like medical records, patient’s
family/friends to augment medical
and surgical history.
B2.Select medical and
investigative parameters to be used
in assessing the patient’s response
to intervention and re-evaluate
management plan accordingly.
B3.Manipulate, interpret and
present numerical and narrative
data
B4. Assess logically,
systematically and conceptually to
draw reasoned conclusions/ reach
sustainable judgments in difficult
incomplete problems.
B5.Modify approaches to analyze
and evaluate the information
collected in different patterns of
diseases & problems
B1. Interpret audiological medical records
especially that pertained to cases of cochlear
implants.
B2. Interpret vestibular test records for cases
of dizziness.
B3. Select appropriate audiological
technique to monitor response of patients to
therapeutic modalities.
B4. Select the appropriate vestibular
evaluation test for patients of vertigo.
B5. Interpret test results of different
audiological measures.
B6. Interpret results of vestibular tests.
B7. Present audiological data pertained to
patients in meetings & conferences.
B8. Correlate between audiological and
clinical results.
B9. Use different audiological data to
modify or improve therapeutic interventions.
B10. Utilize the scientific method in
conducting research that implements
audiological techniques.
B11. Make decisions for operative cases like
otitis media and inner ear pathologies.
B6.Improve the ability to take
decisions in various professional
situations (including dilemmas &
controversial issues).
B10.Utilize the Scientific method
in research with emphasis on
creativity and ethical
consideration.
B13. Make decisions for cochlear implant
and hearing aid fitting.
B14. Utilize the scientific methods in
recording and presenting audiological data.
B15. Utilize the scientific methods in
recording and presenting vestibular
evaluation.
C.Professional
and Practical
Skills
C1.Perform a comprehensive and
detailed ENT examination and
reach appropriate
diagnosis/differential diagnosis in
wide range of ENT problems.
C3.Utilize sources of information
like medical records, patient are
family/friends to augment medical
and surgical history.
.
C1. Request particular diagnostic audiologic
tests that help in the diagnosis/differential
diagnosis of all otologic disorders.
C2. Perform audiological testing.
C3. Perform vestibular evaluation as ABR
and ENG.
C4. Utilize available medical records to
supplement patients’ medical history.
C5. Discuss limitations of surgical
interventions in particular cases that need
rehabilitative measures with both peers &
patients.
.
D. General
Skills
D1.Develop skill in self-
assessment regarding work quality
D2.Design professional
development plans for self and
junior colleagues.
D3.Develop ability to work within
a health care network
D1. Develop his/her skill to self-criticize
work quality.
D2. Develop plans to improve professional
practices with junior staff.
D3. Master the ability to work with others in
a health care network.
D5.Demonstrates meticulous
record keeping, entailing legible
and accurate operative notes
D6.Demonstrate ability to teach,
support & guide junior staff.
D8.Plan professional development
courses to improve practice and
enhance performance of juniors.
D4. Helps in maintaining record keeping by
giving information about his/her work when
asked to do so.
D5. Demonstrate ability to teach, support &
guide junior staff in clinical settings as well
as in research settings.
D6. Plan & share in courses given to junior
staff in order to improve their performance
in work.
D7. Share in the undergraduate clinical
practicum courses and give instructions to
students and tutor them when necessary.
E- Attitudes and ethical behavior
C6. Get an informed consent for
difficult/ risky surgical
interventions
C6. Perform informed consent for patients
undergoing cochlear implant surgery.
C7. Perform informed consent for patients
undergoing vestibular nerve sectioning,
labrynthectomy and BSI
Course Content (Units/Topics)
Teaching/Learning Methods
Lectures self
learning
Practical/
Clinical
Small
group
discussion
Others
Basic audiologic evaluation ✓ ✓
Advanced vestibular audiologic
evaluation
✓ ✓
Rehabilitative audiology ✓ ✓
Please check (✓) the appropriate method.
Student Assessment
Methods of Assessment
Essay Objective questions
Case OSCE/OSPE
Assignment Logbook fulfillment
Others
✓ ✓
✓
Schedule of Assessment
Mid-term %
End of term ✓ % 100
Distribution of Marks
Written Exam 70 %
Practical/Clinical Exam 30 %
Others %
List of Textbooks and References
Lecture Notes
Course Text Books
Handbook of Clinical Audiology (Jack Katz)
Suggested Extra Reading
Journals and Periodicals, others
Course Instructor
Name: Prof. Ossama Sobhy Signature:
Program Coordinator
Name: Prof. Dr Alaa Gaafar Signature:
Program Director (Head of Department)
Name: Prof. Dr. Mohamed Hassab Signature:
Course Specifications
University: Alexandria
Faculty: Medicine
Department: ENT
Course Information
Course Code: 05270913 Course Name: Facial Plastic Surgery
Program in which the Course is Given Doctor Degree in Otorhinolaryngology
Number of Credit Hours 2 Theoretical Clinical/Practical
Course Aims
This course is designed to provide the PhD candidate student working in the field of otolaryngology with
basic concepts regarding Facial plastic surgeries. Rehabilitation of paralysed face. Management of alopecia & reconstructive scalp surgery. Rhytidectomy, Blepharoplasty, Chemical peel, Liposuction techniques of the face & neck. Facial implants. Auriculoplasty. Reconstruction of facial defects. Cleft lip & cleft palate repair procedures.
Intended Learning Outcomes (ILOs)
Program ILO (refer to program
matrix) Course ILOs
A. Knowledge
and
Understanding
A1. Discuss advanced surgical
anatomy of significance to the
practice of Otolaryngology both in
adults and pediatric age group.
A2. Discuss etiology, pathogenesis
and pathology of broad spectrum
of otolaryngology diseases.
A3. Correlate clinical
manifestations, complications,
diagnostic modalities, out-come
and treatment plans for broad
spectrum of otolaryngology
A1. Describe Local Skin Flaps Anatomy A2. Describe Anatomy of the Eye, ear A3. Describe Vascular anatomy of the face A4. Discuss Facial paralysis A5. Explain etiology, pathogenesis and pathology of skin cancers A6. Discuss etiology, pathogenesis and pathology of the aging face A7. Explain etiology, pathogenesis and pathology of congenital anomalies of the ear A8. Correlate Manifestations , diagnosis and treatment of skin cancers A9. outline different guides to repair of facial defects A10. Discuss diagnosis and treatment of the ear
1 1
problems.
A4. Develop thorough knowledge
regarding the advanced knowledge
of pharmacotherapy, oncology,
laser physics, wound healing,
voice measurement and language
development.
A5.Discuss management of
patients in the preoperative period
with special emphasis on those
with associated medical problems.
A6.Acquire different modalities
for management of pain related to
ENT surgery.
A11. Explain Local flaps healing A12. Discuss Pharmacotherapy of chemical peeling of the aging face A13. outline Types and uses of various Lasers in aging face A14.Discuss Preoperative evaluation and preparation of skin defects, microtia repair ,blepharoplasty A15. Discuss Postoperative pain management in cases of facial rejuvenation
B. Intellectual
skills
B2.Select medical and
investigative parameters to be used
in assessing the patient’s response
to intervention and re-evaluate
management plan accordingly.
B5.Modify approaches to analyze
and evaluate the information
collected in different patterns of
diseases & problems
B6.Improve the ability to take
decisions in various professional
situations (including dilemmas &
controversial issues).
B1. Select objective & Subjective post management assessment of the degrees of improvement and satisfaction in Blepharoplasty. B2. Select objective & Subjective post management assessment of the degrees of improvement and satisfaction after Facial Rejuvenation B3. Select objective & Subjective post management assessment of the degrees of improvement and satisfaction after local flaps reconstruction. B4. choose the appropriate reconstructive option in defect reconstruction. B5. choose the fittest rejuvenation technique B6. Effectively manage various facial defects and discuss the perfect reconstructive option. B7. Effectively manage various congenital auricular malformation and
B7.Manage discussions on basis of
evidence and proofs.
chose the best technique for repair. B8. Effectively manage cases of aging and discuss the fittest method for rejuvenation B9. Manage various problems in reconstructive facial surgery
C.Professional
and Practical
Skills
C1.Perform a comprehensive and
detailed ENT examination and
reach appropriate
diagnosis/differential diagnosis in
wide range of ENT problems.
C2.Master all techniques of Life
Support (Basic &Advanced.)
C3.Utilize sources of information
like medical records, patient are
family/friends to augment medical
and surgical history.
C4.Perform adequately and safely
all basic and advanced major
surgical interventions.
C5.Support the conduct of
research, and integration of current
research findings and best
practices into the practice setting
C1.Perform a detailed examination of the face, External Ear and facial defect C2.Master all techniques of Life Support like epley’s maneuver, CPR and ETI. C3.Utilize sources of information in cases of skin cancer, the aging face and congenital anomalies of the ear C4. Perform various techniques of facial defect reconstruction, facial rejuvenation, facial reanimation, blepharoplasty and Otoplasty C5. Master the basis of conducting a research and integration with the current techniques in facial reconstruction C6. Master the basis of conducting a research and integration with the current techniques in facial rejuvenation C7. Master the basis of conducting a research and integration with the current techniques in facial reanimation
D. General
Skills
D1.Develop skill in self-
assessment regarding work quality
D4.Develop ability to work as part
of a team
D5.Demonstrates meticulous
record keeping, entailing legible
and accurate operative notes
D6.Demonstrate ability to teach,
support & guide junior staff.
D7.Utilize all sources of recent
communication technology in
facilitating work with his team
colleagues and seniors.
D8.Plan professional development
courses to improve practice and
enhance performance of juniors.
D1.Develop skill in self-assessment
regarding follow up for the integrity of skin
flaps
D2.Develop ability to work as part of a team
formed of head and neck surgeon and plastic
surgeon.
D3.Demonstrates meticulous record
keeping, regarding type of flaps and type of
reconstruction.
D4.Demonstrate ability to teach, support &
guide junior staff by doing plastic surgery
lab.
D5.Utilize all sources of recent
communication technology like
teleconferences and live surgery
transmission..
D6.Plan professional development courses
to improve practice and enhance
performance of juniors like otoplasty course,
facial reanimation course and local skin
flaps course.
E- Attitudes and ethical behavior
E1. Get an informed consent for
difficult/ risky surgical
interventions.
E2.Adhere to codes of conduct,
standards and requirements of
professional and statutory bodies.
E1. Perform an appropriate consent according to the various facial plastic surgery conditions. E2. Perfrom informed consent for possible postoperative complications and facial appearance.
E3.Adhere to the fulfillment of all
requirements for performing facial plastic
surgery.
Course Content (Units/Topics)
Teaching/Learning Methods
Lectures self
learning
Practical/
Clinical
Small
group
discussion
Others
Local skin flaps ✓ ✓ ✓ ✓
Facial Rejuvenation ✓
Blepharoplasty ✓ ✓ Facial reanimation ✓ ✓
Skin cancer ✓
Congenital anomalies of the ear ✓
✓
Please check (✓) the appropriate method.
Student Assessment
Methods of Assessment
Essay Objective questions
Case OSCE/OSPE
Assignment Logbook fulfillment
Others
Schedule of Assessment
Mid-term %
End of term 100 %
Distribution of Marks
Written Exam 70 %
Practical/Clinical Exam 30 %
Others %
List of Textbooks and References
Lecture Notes
Course Text Books
Aesthetic Rejuvenation Challenges
and Solutions © 2010 Informa UK Ltd
Aesthetics and functionality in ear
reconstruction, © Copyright 2010 by S. Karger
✓
✓
✓
AG
ATLAS OF AESTHETIC EYELID AND
PERIOCULAR SURGERY © 2004, Elsevier Inc
Local Flaps in Facial Reconstruction © 2007,
Elsevier Inc
Suggested Extra Reading
Cumming’s Otolaryngology
Balenger’s Otolaryngology
Journals and Periodicals, others
Plastic Reconstructive Surgery Journal
Aesthetic Plastic Surgery Journal
Archives o Facial Plastic Surgery Journal
Course Instructor
Name: Ass. Prof. Wael Khamis Abdel-Hamid Signature:
Program Coordinator
Name: Prof. Alaa Gaafar Signature:
Program Director (Head of Department)
Name: Prof. Dr. Mohamed Hassab Signature:
Course Specifications
University: Alexandria
Faculty: Medicine
Department: ENT
Course Information
Course Code: 05270907 Course Name: FESS
Program in which the Course is Given : Doctor Degree in Otorhinolaryngology
Number of Credit Hours 2 Theoretical Clinical/Practical
Course Aims: This course is designed to provide the PhD candidate student working in the field of
otolaryngology with basic concepts regarding endoscopic anatomy of the paranasal sinuses with full
orientation of surgical field. To learn how to select , prepare and operate on FESS candidates
Intended Learning Outcomes (ILOs)
Program ILO (refer to program
matrix) Course ILOs
A. Knowledge
and
Understanding
A1. Discuss advanced surgical
anatomy of significance to the
practice of Otolaryngology both in
adults and pediatric age group.
A2. Discuss etiology, pathogenesis
and pathology of broad spectrum
of otolaryngology diseases.
A3. Correlate clinical
manifestations, complications,
diagnostic modalities, out-come
and treatment plans for broad
spectrum of otolaryngology
problems.
A1. Describe surgical and endoscopic
anatomy of the nose and PNS.
A2. Explain etiology of benign
inflammatory diseases of the nose and PNS.
A3. Discuss the role of the osteomeatal
complex in the pathogenesis of chronic
rhinosinusitis.
A4. Correlate clinical manifestations of
common diseases of the nose and PNS like
chronic rhino sinusitis, sinonasal polyposis
and fungal rhinosinusitis.
A5. Outline the treatment plan for chronic
allergic and non allergic rhinosinusitis.
A6. Outline pharmacotherapy of the nose
1 1
A4. Develop thorough knowledge
regarding the advanced knowledge
of pharmacotherapy, oncology,
laser physics, wound healing,
voice measurement and language
development.
A5.Discuss management of
patients in the preoperative period
with special emphasis on those
with associated medical problems.
A6.Acquire different modalities
for management of pain related to
ENT surgery.
and PNS mainly antibiotics, antihistamenics
and nasal decongestant.
A7. Give examples on different tumors arise
at the region of the nose and PNS.
A8. Discuss preoperative preparation of
patients undergoing endoscopic sinus
surgery.
A9. Discuss preoperative systemic diseases
that can affect intraoperative course during
FESS.
A10. List modalities for management of pain
related to endoscpic sinus surgery.
B. Intellectual
skills
B2.Select medical and
investigative parameters to be used
in assessing the patient’s response
to intervention and re-evaluate
management plan accordingly.
B4. Assess logically,
systematically and conceptually to
draw reasoned conclusions/ reach
sustainable judgments in difficult
incomplete problems.
B7.Manage discussions on basis of
evidence and proofs
B1. Select proper preoperative investigation
(CT scan – MRI – Allergy test).
B2. Select proper medical and radiological
modalities for evaluation of course of
treatment.
B3. Manage systematically to approach a
reasonable differential diagnosis for
common nasal and PNS diseases.
B4. Select a systemic approach for diagnosis
of nasal and PNS diseases.
B5. Properly select technique of FESS.
C.Professional
and Practical
Skills
C4.Perform adequately and safely
all basic and advanced major
surgical interventions.
C1. Perform adequately and safely basic
FESS techniques like uncinectomy, middle
meatal antrostomy and anterior
ethmoidectomy.
C2. Perform safely advanced FESS
techniques.
C5.Support the conduct of
research, and integration of current
research findings and best
practices into the practice setting
C3. conduct of research on recent techniques
as regard endoscopic sinus surgery.
C4. Use of debrider during FESS.
D. General
Skills
D1.Utilize all sources of recent
communication technology in
facilitating work with his team
colleagues and seniors.
D2.Work effectively and
cooperatively in consultation
teams.
D1. Utilizes sources of communication
technology like PC and internet to
communicate with his colleagues.
D2. Work cooperatively with other medical
teams like radiology team and neurology
team.
E- Attitudes and ethical behavior
E1- Follow national code of ethics.
E2- Respect patient’s rights and
explain the standards of informed
consent.
E3- Council patients & parents
with appreciation and
understanding
1- Revise the national code of ethics
2- Appraise the patients’ rights in view of
national laws and international treaties
3- Demonstrate the communication skills and
the ways of explaining the situation to the
patients and the relatives
E4-Accept criticism and council from
different team members for better patient’s
care.
Course Content (Units/Topics)
Teaching/Learning Methods
Lectures self
learning
Practical/
Clinical
Small
group
discussion
Others
Endoscopic anatomy of nose and PNS ✓ ✓
Spectrum of FESS ✓ ✓
Selection of patients for FESS ✓ ✓
Preparation for FESS ✓ ✓
Basic operative technique ✓ ✓
Hemostatis in FESS ✓ ✓
Complications of FESS ✓ ✓
Postoperative care in FESS ✓ ✓
Please check (✓) the appropriate method.
Student Assessment
Methods of Assessment
Essay Objective questions
Case OSCE/OSPE
Assignment Logbook fulfillment
Others
Schedule of Assessment
Mid-term %
End of term 100 %
Distribution of Marks
Written Exam 70 %
Practical/Clinical Exam 30 %
Others %
List of Textbooks and References
Lecture Notes
Course Text Books
• Lore & Medina. An Atlas of Head and
Neck Surgery, 4th edition, Elsiver Inc.
2005
• Byron Bailey. Atlas of Head and Neck
Surgery.
• Cummings Otolaryngology: Head and
Neck Surgery 4th edition.
Suggested Extra Reading
Journals and Periodicals, others
Laryngoscope, Rhinology, AJR
Course Instructor
Name: Ayman Al Madani Signature:
Program Coordinator
Name: Prof. Alaa Gaafar Signature:
Program Director (Head of Department)
Name: Prof. Dr. Mohamed Hassab Signature:
✓ ✓
✓
Course Specifications
University: Alexandria
Faculty: Medicine
Department: ENT
Course Information
Course Code: 05270906 Course Name:
Head & Neck dissection course
Program in which the Course is Given: Doctor Degree in Otorhinolaryngology
Number of Credit Hours: 1 Theoretical Clinical/Practical
Course AimsThis course is designed to provide the PhD candidate student working in the field of
otolaryngology with basic concepts regarding surgical anatomy of different groups of cervical lymph
nodes, lymphatic drainage of the viscera of the neck, and cancer staging & classifications. Master
different types of neck dissection: radical, modified radical, selective, etc…. Postoperative care and
management of possible complications.
Intended Learning Outcomes (ILOs)
Program ILO (refer to program
matrix) Course ILOs
A. Knowledge
and
Understanding
A1. Describe advanced surgical
anatomy of significance to the
practice of Otolaryngology both in
adults and pediatric age group.
A2. Discuss etiology, pathogenesis
and pathology of broad spectrum
of otolaryngology diseases.
A3. Correlate clinical
manifestations, complications,
diagnostic modalities, out-come
and treatment plans for broad
spectrum of otolaryngology
problems.
A1. Describe surgical anatomy of the
anterior triangle and posterior triangle of the
neck.
A2. Describe the lymphatic drainage of the
upper aerodigestive tract.
A3. Describe the surgical anatomy of
different groups of lymph nodes in the neck.
A4. Explain the etiology of
lymphadenopathy in the neck.
A5. Describe the pathogenesis and
pathology of different malignant tumors of
the neck.
A6. Summarize clinical manifestations of
different diseases causing cervical
lymphadenopathy.
A7. Outline treatment plan and
complications for disserent types of neck
0.5 0.5
A4. Develop thorough knowledge
regarding the advanced knowledge
of pharmacotherapy, oncology,
laser physics, wound healing,
voice measurement and language
development.
A5.Discuss management of
patients in the preoperative period
with special emphasis on those
with associated medical problems.
A6. Outline different modalities
for management of pain related to
ENT surgery.
dissection.
A8. Outline different types of cervical
malignant tumors and the role of non
surgical treatment like radiotherapy and
chemotherapy.
A9.Discuss preoperative preparation of
patients undergoing neck dissection
operation..
A10. Discuss postoperative care after neck
dissection operations and suspected wound
complications
A11. outline different modalities for pain
control for patients with malignant cervical
tumors either preoperative, postoperative or
palliative
B. Intellectual
skills
B2.Select medical and
investigative parameters to be used
in assessing the patient’s response
to intervention and re-evaluate
management plan accordingly.
B4. Assess logically,
systematically and conceptually to
draw reasoned conclusions/ reach
sustainable judgments in difficult
incomplete problems.
B7.Manage discussions on basis of
evidence and proofs.
B1. Select proper radiological investigation
for evaluation and staging lymph node
involvement in upper aerodigestive
carcinoma.
B2. Select proper medical investigation as a
preoperative evaluation or for follow up of
treatment plans.
B3. Diagnose and make operative decision
in cases of metastatic cervical
lymphadenopathy.
B4. Manage difficult cases of cervical
lymphadenopathy with unknown cause.
B5. Discuss the selected type of neck
dissection on basis of evidences and proofs.
C.Professional
and Practical
Skills
C4.Perform adequately and safely
all basic and advanced major
surgical interventions.
C1. Perform different types of neck
dissection (radical, modified radical and
selective)
C2. Master different types of skin incisions
for neck dissection.
C5.Support the conduct of
research, and integration of current
research findings and best
practices into the practice setting
C3. conduct of recent researches about the
recent trends in management of metastatic
cervical lymph adenopathy.
C4recommend a management for issues with
dilemmas like management of N0 neck.
D. General
Skills
D1.Develop skill in self-
assessment regarding work quality
D2.Design professional
development plans for self and
junior colleagues.
D3.Develop ability to work within
a health care network
D7.Utilize all sources of recent
communication technology in
facilitating work with his team
colleagues and seniors.
D8.Work effectively and
cooperatively in consultation
teams.
D1.Develop skill in how to assess patients
preoperatively and postoperatively.
D2.Design professional plans for developing
skills of dissection of different neck organs
D3.Develop ability to work within a health
care team especially ICU personnel and
anesthesiologists.
D4.Utilize all sources of recent
communication technology like live surgery
and video demonstration ton to demonstrate
surgery for colleagues.
D5. Work effectively and cooperatively in
consultation teams especially oncology team
and microvascular team..
E- Attitudes and ethical behavior
E1- Follow national code of ethics.
E2- Respect patient’s rights and
explain the standards of informed
consent.
E3- Council patients & parents
with appreciation and
understanding
1- Revise the national code of ethics
2- Appraise the patients’ rights in view of
national laws and international treaties
3- Demonstrate the communication skills and
the ways of explaining the situation to the
patients and the relatives
E4-Accept criticism and council from
different team members for better patient’s
care.
Course Content (Units/Topics)
Teaching/Learning Methods
Lectures self
learning
Practical/
Clinical
Small
group
discussion
Others
Surgical anatomy of the lymphatic ✓
system of the neck.
Non neoplastic causes of cervical
lymphadenopathy
✓
Metastatic cervical lymphadenopathy ✓
Cervical lymph node staging ✓
Cadaveric neck dissection (hands-on-
training)
✓ ✓
Please check (✓) the appropriate method.
Student Assessment
Methods of Assessment
Essay Objective questions
Case OSCE/OSPE
Assignment Logbook fulfillment
Others
Schedule of Assessment
Mid-term %
End of term 100 %
Distribution of Marks
Written Exam 70 %
Practical/Clinical Exam 30 %
Others %
List of Textbooks and References
Lecture Notes
Course Text Books
• Lore & Medina. An Atlas of Head and
Neck Surgery, 4th edition, Elsiver Inc. 2005
• Byron Bailey. Atlas of Head and Neck
Surgery.
• Cummings Otolaryngology: Head and
Neck Surgery 4th edition.
Suggested Extra Reading
Journals and Periodicals, others
Course Instructor
Name: Prof. Dr. Mohamed Hisham Signature:
✓
Hands on training
Program Coordinator
Name: Prof. Alaa Gaafar Signature:
Program Director (Head of Department)
Name: Prof. Dr. Mohamed Hassab Signature:
Course Specifications
University: Alexandria
Faculty: Medicine
Department: ENT
Course Information
Course Code: 05270917 Course Name:
Integrated Otorhinolaryngology II
Program in which the Course is Given: Doctor Degree in Otorhinolaryngology.
Number of Credit Hours : 3 Theoretical Clinical/Practical
Course Aims: This course is designed to provide the PhD candidate student working in the field of otolaryngology with
Clinical training in inpatient departments: Attend the regular bedside and hospital clinical rounds done by the different special subunits and held by the assigned authorized staff to evaluate, discuss, manage and follow-up their relevant already admitted patients. Submit the departmental rotation in the different subunits. Share in the decision making, operative preparing, and follow-up. Carry on the given orders and duties regards the required investigations, performing special procedures, other consultations, close observation, regular reporting, discharge reports, follow-up schedule,….etc. Recording regular observation notes on the patient's file and providing daily report to the observing staff. Share in the department filling, recall, and archives system.
Intended Learning Outcomes (ILOs)
Program ILO (refer to program
matrix) Course ILOs
A. Knowledge
and
Understanding
A1. Discuss advanced surgical
anatomy of significance to the
practice of Otolaryngology both in
adults and pediatric age group.
A2. Discuss etiology, pathogenesis
and pathology of broad spectrum
of otolaryngology diseases.
A1. Describe basic otorhinolaryngology anatomy and physiology A2. Correlate ENT symptoms and signs
with anatomical and physiological
abnormalities
A3. Discuss ENT symptomatology, methods
of examination and investigations applied for diagnosis in ENT
A4. Outline differential diagnosis of
2 1
A3. Correlate clinical
manifestations, complications,
diagnostic modalities, out-come
and treatment plans for broad
spectrum of otolaryngology
problems.
A4. Develop thorough knowledge
regarding the advanced knowledge
of pharmacotherapy, oncology,
laser physics, wound healing,
voice measurement and language
development.
A5.Discuss management of
patients in the preoperative period
with special emphasis on those
with associated medical problems.
A6.Acquire different modalities
for management of pain related to
ENT surgery.
different ENT diseases.
A5. Describe the clinical symptoms and
signs of the most important and common ENT disorders with emphasis on emergencies and early diagnosis of serious illness A6. Determine the appropriate diagnostic
tools and therapeutic lines for the most important ENT disorders including applicable recent modalities
A7. Explain the relationship between some
general symptoms or illness and ENT diseases and the interaction between ENT and other specialties. A8. outline general rules of laser surgery and wound healing.
A9. Discuss the most common medical
conditions related to ENT practice as
rhinosinusitis, septal deviation,allergic
rhinitis,otitis externa, otitis media, glue ear,
Meniere's disease,BPPV, tonsillopharyngitis,
laryngitis, and peritonsillar abscess,.
A10. Discuss associated lower respiratory
tract conditions that affect upper airway
pathology.
A11. List the indications of pain killer for
ENT inflammatory and neoplastic
conditions.
A12. Summarize pre and post operative pain
control in ENT.
A13. Discuss and deal with possible
complications of the most common ENT
procedures.
B. Intellectual
skills
B1. Utilize sources of information
like medical records, patient’s
family/friends to augment medical
and surgical history.
B1. Analyze problems on anatomical,
physiologic and pathologic backgrounds, develop a list of differential diagnosis with prioritization and propose a list of investigations in a cost effective way B2. Make effective management plan for ENT
related emergencies
B2.Select medical and
investigative parameters to be used
in assessing the patient’s response
to intervention and re-evaluate
management plan accordingly.
B4.Assess logically,
systematically and conceptually to
draw reasoned conclusions/ reach
sustainable judgments in difficult
incomplete problems.
B5 analyze and evaluate the
information collected in different
patterns of diseases & problems
B6.Improve the ability to take
decisions in various professional
situations (including dilemmas &
controversial issues).
B7.Manage discussions on basis of
evidence and proofs.
B3. Effectively analyze the patient's
presentation to reach an accurate diagnosis and
management plan on the basis of evidence based
medicine specially in difficult incomplete
problems and controversial issues
B4. Utilize sources of information like
medical records, patient’s family/friends to
augment medical and surgical history.
B5 Assess logically different clinical cases
in ENT.
B6. Assess different available investigations:
radiological and endoscopic.
B7. Analyze available radiological and
endoscopic data to reach the diagnosis.
B8. Interpret different data to reach
differential diagnosis in difficult
complicated cases.
B9. Diagnose and give appropriate medical
treatment of different cases.
B10. Manage discussions in different
scientific meetings supported by available
clinical and radiological data of the patients.
.
C.Professional
and Practical
C1.Perform a comprehensive and C1. Effectively obtain medical history
focusing on most common ENT symptoms
Skills
detailed ENT examination and
reach appropriate
diagnosis/differential diagnosis in
wide range of ENT problems.
C3.Utilize sources of information
like medical records, patient are
family/friends to augment medical
and surgical history.
C4.Perform adequately and safely
all basic and advanced major
surgical interventions.
C7.Teach juniors appropriate
techniques for obtaining,
performing and documenting a
complete medical history and
physical examination for
otolaryngology patients.
as hearing loss, otalgia, vertigo,
epistaxis,smell disorders, dysphagia,
hoarseness of voice and dysphagia
C2. Perform full otorhinolaryngologic
examination for signs of related diseases as
congenital malformations, trauma, otitis,
complications of diseases(e.g. complications
of suppurative otitis media or
sinusitis),upper aerodigestive tumours and
perform cranial nerves examination.
C3. Use basic examination instruments as
ear speculum,otoscope, tuning forks ,nasal
speculum,laryngeal mirror
C4. Competently perform diagnostic
endoscopy
C5. Competently perform common ENT
surgical procedures as septoplasty,
myringotomy, tonsillectomy,
adenoidectomy, direct laryngoscopy,
bronchoscopy
C6.Perform advanced Otolaryngologic
surgeries through observation and assistance
in the OR e.g. laryngectomy, neck
dissection, thyroidectomy, submandibular
gland excision,CSF leak repair and different
sinonasal surgical approaches and skull base
surgery and surgery for complicated cases(as
complicated otitis media or sinusitis)
C7. Correlate the clinical findings with the
results of laboratory,radiologic , audiologic
and vestibular investigations
C8. Effectively evaluateand treat common
problems like otitis externa,otitis media,
foreign body( inhalation, ingestion, nasal
and ear),rhinosinusitis, fracture
nose,tonsillopharyngitis, adenoid,
peritonsillar abscess
C9. Effectively evaluate and manage cases
with complications (postsurgical or due to
ENT disease)
C10. Manage admission of patients to the
different department units regarding required
investigations, supportive treatment and
preoperative preparation as well.
C11. Manage discharge of patients
concerning their treatment, home
management and follow up schedule.
C12. Provide intraoperative report for the
procedure as regards steps of the operation
and any complication occurred.
C13. Provides postoperative evaluation for
the patients as regards their recovery,
postoperative treatment and postoperative
course.
D. General
Skills
D2.Design professional
development plans for self and
junior colleagues.
D3.Develop ability to work within
a health care network
D8.Plan professional development
courses to improve practice and
enhance performance of juniors.
D1. Develop skill in self-assessment regarding work quality
D2. Demonstrate ability to assist in the learning process of students and junior staff. D3. Collaborate properly with colleagues in an effective team work D4. Demonstrate interpersonal and communication skills that result in effective information exchange and teaming with other health care providers, patients, and patient’s families.
E- Attitudes and ethical behavior
E1- Follow national code of ethics.
E2- Respect patient’s rights and
explain the standards of informed
consent.
E3- Council patients & parents
with appreciation and
understanding
1- Revise the national code of ethics
2- Appraise the patients’ rights in view of
national laws and international treaties
3- Demonstrate the communication skills and
the ways of explaining the situation to the
patients and the relatives E4-Accept criticism and council from different team members for better patient’s care.
E5- Construct ethically accepted consent for
various interventions in ORL. E6- Appropriately and ethically get an
informed consent especially for difficult/
risky surgical interventions.
Course Content (Units/Topics)
Teaching/Learning Methods
Lectures self
learning
Practical/
Clinical
Small
group
discussion
Others
Clinical examination of Otolaryngology
case
(✓)
History taking in Otolaryngology ✓
Radiology in Otolaryngology ✓ ✓
Laboratory investigations in
Otolaryngology
✓ ✓
Operative decision in Otolaryngology ✓ ✓
Please check the appropriate method.
Student Assessment
Methods of Assessment
Essay Objective questions
Case OSCE/OSPE
Assignment Logbook fulfillment
Others
Schedule of Assessment
Mid-term %
End of term 100 %
Distribution of Marks
Written Exam 70 %
Practical/Clinical Exam 30 %
Others %
List of Textbooks and References
Lecture Notes
Course Text Books
Cummings Otolaryngology: Head and Neck
Surgery 4th edition.
Suggested Extra Reading
Journals and Periodicals, others
✓
✓ ✓
✓
Course Instructor
Name: Prof. Dr. Mohammed Hassab Signature:
Program Coordinator
Name: Prof. Alaa Gaafar Signature:
Program Director (Head of Department)
Name: Prof. Dr. Mohammed Hassab Signature:
Course Specifications
University: Alexandria
Faculty: Medicine
Department: ENT
Course Information
Course Code: 05270915 Course Name: Laser In ORL
Program in which the Course is Given: Doctor Degree in Otorhinolaryngology
Number of Credit Hours : 1 Theoretical Clinical/Practical
Course Aims
• Provide the graduate with latest information regarding the laser applications in
otolaryngology.
• Allow the graduate to be trained with different laser devices and instrumentations used in
laryngeal, pharyngeal, nasal and ontological procedures
Intended Learning Outcomes (ILOs)
Program ILO (refer to program
matrix) Course ILOs
A. Knowledge
and
Understanding
A1. Describe advanced surgical
anatomy of significance to the
practice of Otolaryngology both in
adults and pediatric age group.
A2. Discuss etiology, pathogenesis
and pathology of broad spectrum
of otolaryngology diseases.
A3. Correlate clinical
manifestations, complications,
diagnostic modalities, out-come
and treatment plans for broad
spectrum of otolaryngology
problems.
A1. Describe advanced surgical endoscopic anatomy of the larynx and trachea. A2. Describe advanced surgical anatomy of the oral cavity and oropharynx. A3. Describe anatomy of the external and middle ear. A4. Discuss etiology and pathogenesis of benign and early malignant lesions of the larynx. A5. Discuss pathology of snoring and OSA. A6. Discuss pathogenesis of tracheal stenosis. A7. Correlate clinical manifestations with appropriate diagnostic modalities like laryngoscopy, bronchoscopy and CT scan. A8. Correlate diagnostic tools with appropriate treatment either laser or open conventional techniques.
½ ½
A4. Develop thorough knowledge
regarding the advanced knowledge
of pharmacotherapy, oncology,
laser physics, wound healing,
voice measurement and language
development.
A5.Discuss management of
patients in the preoperative period
with special emphasis on those
with associated medical problems.
A6. Outline different modalities
for management of pain related to
ENT surgery.
A9. Identify the physics of light including spontaneous and stimulated emission A10. Discuss the rational of the use of laser in Otolaryngology A11. Explain the interaction of different lasers with soft tissue. A12. Outline different modalities for management laryngeal, pharyngeal and nasal diseases using laser surgery A13. Identify the advantages of the use of laser surgery over other types of surgery using diathermy , cryosurgery or radiofrequency
B. Intellectual
skills
B2.Select medical and
investigative parameters to be used
in assessing the patient’s response
to intervention and re-evaluate
management plan accordingly.
B4. Assess logically,
systematically and conceptually to
draw reasoned conclusions/ reach
sustainable judgments in difficult
incomplete problems.
B5.Modify approaches to analyze
and evaluate the information
collected in different patterns of
diseases & problems
B6.Improve the ability to take
decisions in various professional
situations (including dilemmas &
controversial issues).
B1. Select proper investigation either
endoscopic or radiological to reach the
diagnosis in lesions of the upper
aerodigestive tracts that need laser
intervention.
B2. Utilize sources of information like laser
properties and their uses in certain
pathologies.
B3.Select special type of laser for each
required intervention and re-evaluate
management plan accordingly.
B4. Draw reasoned conclusions/ reach
sustainable judgments in difficult incomplete
problems.
B5. analyze and evaluate the information
collected in different patterns of diseases &
problems
B6.Make decisions in various professional
situations (including dilemmas &
controversial issues).
C.Professional
and Practical
Skills
C1.Perform a comprehensive and
detailed ENT examination and
reach appropriate
diagnosis/differential diagnosis in
wide range of ENT problems.
C4.Perform adequately and safely
all basic and advanced major
surgical interventions.
C11.Discuss professional errors in
an honest way.
C1. Perform examination of the upper
aerodigestive tract.
C2. Perform endoscopy of the upper
aerodigestive tract.
C3. Perform adequately and safely all
laser surgical interventions in
laryngology including benign and
malignant lesions, laser phonosurgery,
and laser application in obstructive
lesions of the larynx and trachea.
C4.Perform all intranasal laser surgery
procedures including laser tubinectomy,
laser assisted septoplasty and choanal atresia
C5. Appropriately do pharyngeal surgeries
using laser as laser tonsillectomy,
tonsillotomy and laser assisted
uvulopaplatoplasty
C6. conduct of research, and integration of
current research findings and best practices
into the use of laser in ORL.
C14.Discuss laser failure and limitation of
laser surgery.
C15. Discuss laser complications and how to
prevent.
D. General
Skills
D1.Develop skill in self-
assessment regarding work quality
D1.Develop skill in self-assessment of laser
use and its expected hazardous.
D3.Develop ability to work within
a health care network
D4.Develop ability to work as part
of a team
D7.Utilize all sources of recent
communication technology in
facilitating work with his team
colleagues and seniors.
D2.Develop ability to work within a group
of health providers like ICU personnel and
anesthesiologists.
D3.Develop ability to cooperate with head
and neck surgeons and otologists to establish
the indication of laser surgery.
D5.Utilize all sources of recent
communication like the internet and live
surgery video transmission for
communication and teaching.
E- Attitudes and ethical behavior
E1- Follow national code of ethics.
E2- Respect patient’s rights and
explain the standards of informed
consent.
E3- Council patients & parents
with appreciation and
understanding
E4- Get an informed consent for
difficult/ risky surgical
interventions.
1- Revise the national code of ethics
2- Appraise the patients’ rights in view of
national laws and international treaties
3- Demonstrate the communication skills and
the ways of explaining the situation to the
patients and the relatives
E4-Accept criticism and council from
different team members for better patient’s
care.
E5- Get informed consent on possible
complications and hazards of laser surgery.
Course Content (Units/Topics)
Teaching/Learning Methods
Lectures
7 hours
self
learning
Practical/
Clinical
Small
group
discussion
Others
Laser Physics and concepts
Laser – soft tissue interaction
Laryngeal laser surgery
Pharyngeal laser surgery
Laser surgery in Otology
Intranasal laser surgery
Laser complications and safety
measures
✓ ✓ ✓
Hands on training on fresh and ✓
cadaveric specimens
Live surgery transmission with
interaction and demonstrations
✓ ✓
Please check (✓) the appropriate method.
Student Assessment
Methods of Assessment
Essay Objective questions
Case OSCE/OSPE
Assignment Logbook fulfillment
Others
Schedule of Assessment
Mid-term %
End of term 100 %
Distribution of Marks
Written Exam 70 %
Practical/Clinical Exam 30 %
Others %
List of Textbooks and References
Lecture Notes
Provided by the course provides
Course Text Books
Scott-Brawin textbook of Otolaryngology
Suggested Extra Reading
Cummings Otolaryngology Head & Neck
Surgery (4th ed 2005)
Journals and Periodicals, others
Laryngoscope, Journal of Laryngology and
Otology
Course Instructor
Name: Prof. Dr. Yassin Soliman Bahgat Signature:
Program Coordinator
Name: Prof. Dr. Alaa Gaafar Signature:
Program Director (Head of Department)
Name: Prof. Dr. Mohamed Hassab Signature:
✓
✓
✓ X
Course Specifications
University: Alexandria
Faculty: Medicine
Department: ENT
Course Information
Course Code: 05270911 Course Name:
Microlaryngosurgery
Program in which the Course is Given
Doctor degree otorhinolaryngology head and neck surgery
Number of Credit Hours: 1 Theoretical Clinical/Practical
Course Aims This course is designed to provide the PhD candidate student working in the field of otolaryngology with
basic concepts regarding Different techniques of laryngoscopy in children and adults. Indications of microlaryngosurgery of the larynx either benign or malignant. Recent trends in endoscopic excision of early cancer larynx using cold instruments or laser. Contraindications and complications of microlaryngosurgery. Cadaveric hands on training on fresh cadavers.
Intended Learning Outcomes (ILOs)
Program ILO (refer to program
matrix) Course ILOs
A. Knowledge
and
Understanding
A1. Describe advanced surgical
anatomy of significance to the
practice of Otolaryngology both in
adults and pediatric age group.
A2. Discuss etiology, pathogenesis
and pathology of broad spectrum
of otolaryngology diseases.
A3. Correlate clinical
manifestations, complications,
diagnostic modalities, out-come
A1 . Describe anatomy of endolarynx.
A2. Describe anatomy of vocal folds.
A3. Identify pathology and lesions of the
endolarynx and vocal folds
A4.Identify different pathologies in the
larynx.
A5. Discuss management of patients in the
preoperative period with special emphasis
on those with associated medical problems.
A6. Discuss management of patients in the
postoperative period with regards to voice
.5 .5
and treatment plans for broad
spectrum of otolaryngology
problems.
A4. Develop thorough knowledge
regarding the advanced knowledge
of pharmacotherapy, oncology,
laser physics, wound healing,
voice measurement and language
development.
A5.Discuss management of
patients in the preoperative period
with special emphasis on those
with associated medical problems.
A6. Outline different modalities
for management of pain related to
ENT surgery.
.
rehabilitation and recovery laryngeal
functions
A7. Outline the different medication affect
vocal folds functions.
A8. Identify use of laser in the management
of benign and malignant vocal fold
pathologies.
A9. Discuss preoperative evaluation for
patients with VC diseases.
A10. Discuss preoperative medical problems
that can alter the management or the course
of treatment in patients with VC diseases.
A11. Outline different modalities for
management of pre or post operative pain
related to laryngeal surgery.
B. Intellectual
skills
B2.Select medical and
investigative parameters to be used
in assessing the patient’s response
to intervention and re-evaluate
management plan accordingly.
B4. Assess logically,
systematically and conceptually to
draw reasoned conclusions/ reach
sustainable judgments in difficult
incomplete problems.
B6.Improve the ability to take
decisions in various professional
situations (including dilemmas &
controversial issues).
B1. Select the appropriate preoperative
investigations as regards VC surgeries.
B2. Select the proper laboratory and
radiological investigations for follow up of
patients with VC diseases.
B3. Effectively diagnose of patients
presented by laryngeal manifestations.
B4. Select the appropriate management plan
for patients presenting by VC lesions
indicating MLS.
B5. Properly make decisions in various VC
like nodules, polyps and VC sulcus and how
to approach.
B6. Properly make decisions in dealing with
these lesions surgically or with medical
treatment.
B8.Assess critically and audit the
outcomes of professional activities
during provision of medical care.
B10.Utilize the Scientific method
in research with emphasis on
creativity and ethical
consideration.
B7. Assess the postoperative results as
regards the quality of voice, deglutition and
respiration.
B8. Utilize scientific methods as regards
surgery on the vocal cords.
C.Professional
and Practical
Skills
C1.Perform a comprehensive and
detailed ENT examination and
reach appropriate
diagnosis/differential diagnosis in
wide range of ENT problems.
C2.Master all techniques of Life
Support (Basic &Advanced.)
C3.Utilize sources of information
like medical records, patient are
family/friends to augment medical
and surgical history.
C4.Perform adequately and safely
all basic and advanced major
surgical interventions.
C1.Perform a comprehensive and detailed
laryngeal examination and reach appropriate
diagnosis.
C2. Perform direct laryngoscopy and
flexible laryngoscopy under local anesthesia.
C3. Master techniques of life support like
tracheostomy, laryngeal intubation and CPR.
C4. Utilize appropriate sources of
information like history and examination to
reach the diagnosis.
C5. Utilize past medical and surgical history
as regards smoking, previous surgery and
voice abuse.
C6. Master all techniques of MLS like vocal
nodule excision, vocal cord polyp excision,
different types of cordectomy.
C7. Master all types of VC lateralization like
arytenoidectomy and cordotomy.
D. General
Skills
D1.Develop skill in self-
assessment regarding work quality
D1.Develop skill in self-assessment by
follow up laryngeal patients and post
D4.Develop ability to work as part
of a team
D5.Demonstrates meticulous
record keeping, entailing legible
and accurate operative notes
D6.Demonstrate ability to teach,
support & guide junior staff.
D7.Utilize all sources of recent
communication technology in
facilitating work with his team
colleagues and seniors.
D9.Adhere to codes of conduct,
standards and requirements of
professional and statutory bodies.
operative evaluation of voice quality.
D2.Design professional development plans
for self and junior colleagues.
D3.Develop ability to work within a health
care network
D4.Develop ability to work as part of a team
especially phonosurgeons.
D5.Demonstrates meticulous record
keeping, focusing on voice analysis on
regular basis.
D6.Plan professional development courses
to improve practice and enhance
performance of juniors.
D7. Utilize recent souces of communication
technology like internet and voice recoding
for communication with patients and
colleagues.
D8. Adhere to codes of conduct, standards
and requirements of professional and
statutory bodies.
E- Attitudes
and ethical
behavior
E1- Follow national code of ethics.
E2- Respect patient’s rights and
explain the standards of informed
consent.
E3- Council patients & parents
with appreciation and
understanding
1- Revise the national code of ethics
2- Appraise the patients’ rights in view of
national laws and international treaties
3- Demonstrate the communication skills
and the ways of explaining the situation to
the patients and the relatives
E4-Accept criticism and council from
different team members for better patient’s
care.
Course Content (Units/Topics)
Teaching/Learning Methods
Lectures self
learning
Practical/
Clinical
Small
group
discussion
Others
endolarynx anatomy ✓
Vocal cord lesions and pathology ✓
Endoscopic and microscopic
approaches
✓ ✓
Student Assessment
Methods of Assessment
Essay Objective questions
Case OSCE/OSPE
Assignment Logbook fulfillment
Others
Schedule of Assessment
Mid-term %
End of term 100 %
Distribution of Marks
Written Exam 70 %
Practical/Clinical Exam 30 %
Others %
List of Textbooks and References
Lecture Notes
✓
Course Text Books
Cummings Otorhinolaryngology
Suggested Extra Reading
Journals and Periodicals, others
✓ laryngoscope
Course Instructor
Name: Prof. Ahmed Tantawy Signature:
Program Coordinator Name: Prof. Alaa Gaafar Signature:
Program Director (Head of Department)
Name: Prof. Mohammed Hassab Signature:
✓
✓
Course Specifications
University: Alexandria
Faculty: Medicine
Department: ENT
Course Information
Course Code: 05270905 Course Name: Neurootology
Program in which the Course is Given:
Number of Credit Hours : 1 Theoretical Clinical/Practical
Course Aims This course is designed to provide the PhD candidate student working in the field of otolaryngology with
basic concepts regarding Identification of different pathological lesions affecting the facial ,vestibulocochlear and the last 4 cranial nerves. Lesions affecting CPA. Different diagnostic techniques. Master intraoperative nerve integrity monitoring. Treatment of neuro-otologic lesions. Different approaches to the IAC and CPA.
Intended Learning Outcomes (ILOs)
Program ILO (refer to program
matrix) Course ILOs
A. Knowledge
and
Understanding
A1. Describe advanced surgical
anatomy of significance to the
practice of Otolaryngology both in
adults and pediatric age group.
A2. Discuss etiology, pathogenesis
and pathology of broad spectrum
of otolaryngology diseases.
A3. Correlate clinical
manifestations, complications,
diagnostic modalities, out-come
A1. Describe surgical anatomy of the facial
nerve, vestibulocochlear nerve and last 4
cranial nerves.
A2. Describe surgical anatomy of lateral
skull base
A3. Explain ear symptomatology related to
neuro-otologic and CPA diseases e.g.
acoustic neuroma,facial nerve tumours
,meningiomas and epidermoid cyst
0.5 0.5
and treatment plans for broad
spectrum of otolaryngology
problems.
A4. Develop thorough knowledge
regarding the advanced knowledge
of pharmacotherapy, oncology,
and laser physics, wound healing,
voice measurement and language
development.
A5.Discuss management of
patients in the preoperative period
with special emphasis on those
with associated medical problems.
A6. Outline different modalities
for management of pain related to
ENT surgery.
A4. Discuss the indications, risks and
contraindications, technique of common and
advanced neuro-otologic surgical
approaches&procedures as Retro-
labyrinthine, Retro-sigmoid, Middle fossa,
Trans-labyrinthine and Trans-mastoid
approaches
A5. Identify the advanced diagnostic and
therapeutic techniques in the field of
neurootology e.g. advances in relevant
radiology, laser surgery and intraoperative
nerve monitoring.
A6. Outline the possible complications of
neuro-otologic surgeries and their
management.
A7. Discuss preoperative management of
patients with neurological lesions.
A8. Outline different modalities for
management of pain related to neurootology
surgery.
B. Intellectual
skills
B2.Select medical and
investigative parameters to be used
in assessing the patient’s response
to intervention and re-evaluate
management plan accordingly.
B5.Modify approaches to analyze
and evaluate the information
collected in different patterns of
B1. Interpret of symptoms and signs of
neurootologic disease based on anatomical,
physiological and pathological backgrounds
B2. List differential diagnosis with
prioritization
B3. propose a list of investigations and a
management plan
B4. Integrate clinical, laboratory and
imaging data as CT scan and MRI to reach
diseases & problems
B6.Improve the ability to take
decisions in various professional
situations (including dilemmas &
controversial issues).
the diagnosis for neurootology cases.
B5. Make decision for advanced neuro
ontological cases especially those with
intracranial affection.
B6. Make differential diagnosis of difficult
ontological cases with neural affection
C.Professional
and Practical
Skills
C1.Perform a comprehensive and
detailed ENT examination and
reach appropriate
diagnosis/differential diagnosis in
wide range of ENT problems.
C5.Support the conduct of
research, and integration of current
research findings and best
practices into the practice setting
C1. Perform detailed examination of cranial
nerves focusing on facial nerve, vestibule-
cochlear nerve.
C2. Use outpatient diagnostic audiological
tools like tunning fork tests.
C3. Manage differential diagnosis of
difficult ontological and neuro otological
cases.
C4. conduct of research mainly on recent
approaches to the lateral skull base.
C5. conduct of researches on facial nerve
reanastomosis after ontological surgeries.
D. General
Skills
D1.Develop skill in self-
assessment regarding work quality
D2.Design professional
development plans for self and
junior colleagues.
D3.Develop ability to work within
a health care network
D1. Develop skills for assessment of
postoperative results after cochlear implant as
regards result of surgery and patient
satisfaction.
D2. Design a protocol for follow up of
patients
D3. Utilize all sources of recent advances in
the technology of cochlear implant
prosthesis
D4. Develop the ability to work with other
health care teams like neurosurgeons and
audiologists.
E- Attitudes and ethical behavior
E1- Follow national code of ethics.
E2- Respect patient’s rights and
explain the standards of informed
consent.
E3- Council patients & parents
1- Revise the national code of ethics
2- Appraise the patients’ rights in view of
national laws and international treaties
3- Demonstrate the communication skills and
the ways of explaining the situation to the
with appreciation and
understanding
patients and the relatives
E4-Accept criticism and council from
different team members for better patient’s
care.
Course Content (Units/Topics)
Teaching/Learning Methods
Lectures self
learning
Practical/
Clinical
Small
group
discussion
Others
Facial nerve anatomy and disorders (✓)
Acoustic neuroma (✓) (✓)
Differential diagnosis of CPA lesions (✓) (✓)
intraoperative nerve integrity monitoring (✓)
Approaches to the IAC and CPA. (✓) (✓)
diagnostic techniques in neuro-otology (✓) (✓) (✓)
Complications of neuro-otologic surgery (✓)
Please check (✓) the appropriate method.
Student Assessment
Methods of Assessment
Essay Objective questions
Case OSCE/OSPE
Assignment Logbook fulfillment
Others
Schedule of Assessment
Mid-term %
End of term 100 %
Distribution of Marks
Written Exam 70 %
Practical/Clinical Exam 30 %
Others %
List of Textbooks and References
Lecture Notes
(✓)
(✓)
(✓)
Course Text Books
• Aziz Belal and Mario Sanna (eds.)
Surgical pathology of the ear and skull
base.1999
• Cummings Otolaryngology: Head and
Neck Surgery 4th edition. 2009
• Scott Brown of Otolaryngology
Suggested Extra Reading
Journals and Periodicals, others
Course Instructor
Name: Prof. Dr. Mohamed Badr Eldin Signature:
Program Coordinator
Name: Prof. Dr. Alaa Gaafar Signature:
Program Director (Head of Department)
Name: Prof. Dr. Mohamed Hassab Signature:
Course Specifications
University: Alexandria
Faculty: Medicine
Department: ENT
Course Information
Course Code: 052729270 Course Name:
Phoniatric for Otorhinolaryngology II
Program in which the Course is Given : Doctor Degree in Otorhinolaryngology
Number of Credit Hours : 1 Theoretical Clinical/Practical
Course Aims
After completing the course the candidate will be able to clinically differentiate speech and language disorders
commonly encountered in clinical practice and make competent decisions of management and/or referral of
voice disorders.
Intended Learning Outcomes (ILOs)
Program ILO (refer to program
matrix)
Course ILOs
A. Knowledge and
Understanding
A1. Discuss advanced surgical
anatomy of significance to the
practice of Otolaryngology both in
adults and pediatric age group.
A2. Discuss etiology, pathogenesis
and pathology of broad spectrum of
otolaryngology diseases.
A7. Identify advanced Knowledge of
research science (scientific & ethical)
to be utilized and rules of publishing
in indexed journals and winning
research grants.
A8. Recognize recent trends in
A1. Differentiate between the larynges and voice
in adult and children.
A2. Describe surgical anatomy of the larynx in
adults and children.
A3. Describe the physiological consideration of
normal Voice, Speech and language.
A4. Identify the pathophysiological correlates of
communication disorders.
A5. Differentiate between surgical and non-
surgical voice disorders.
A6. Describe clinical objective and subjective
diagnostic tools for diagnosis of voice disorders.
A7. Outline lines of management of Phoniatrics
disorders.
A8. Determine the different procedures for
management of total laryngectomized patient.
A9. Enumerate etiologies and manifestation of
velopharyngeal incompetence.
A10. Discuss the various lines in management of
velopharyngeal valve incompetence.
A11. Enumerate Phoniatrics complication in
Otorhinolaryngology practice.
A11. Recognize community based services and
epidemiological distribution of communication
disorders.
1/2 1/2
epidemiological and other community
data to advance individual /family /
community and population health.
B. Intellectual
skills
B1. Utilize sources of information
like medical records, patient’s
family/friends to augment medical
and surgical history.
B2. Select medical and investigative
parameters to be used in assessing the
patient’s response to intervention and
re-evaluate management plan
accordingly.
B1. Apply guidelines of surgical management of
Phoniatrics disorders.
B2. Utilize recorded video of stroboscopic
examination to augment medical history.
B3. Integrate Phoniatrics reports for guideline to
assessment of surgical procedure outcome.
B4. Utilize available computerized digital
Phoniatrics assessment in monitoring and
determination of efficiency of a specific surgical
procedure.
B5. Collect relevant scientific updates of a
specific voice and speech disorders.
C.Professional
and Practical
Skills
C7. Teach juniors appropriate
techniques for obtaining, performing
and documenting a complete medical
history and physical examination for
otolaryngology patients.
C1. Fulfill elementary and clinical diagnostic aid
through the protocol of voice evaluation.
C2. Fulfill elementary and clinical diagnostic aid
through the protocol of velopharyngeal valve
incompetence evaluation.
C3. Interpret data obtained from protocols of
evaluation of various communication disorders
for proper management and decision making.
C4. Follow guidelines of safe surgical
procedures of voice and resonance restoration
procedures.
C5. Demonstrate cooperation within
interdisciplinary and multidisciplinary team.
D. General Skills
D6. Demonstrate ability to teach,
support & guide junior staff.
D7. Utilize all sources of recent
communication technology in
facilitating work with his team
colleagues and seniors.
D8. Communicate with, consult and
respect the role of other health-care
providers.
D1. Teach and support and guide junior staff
preoperative, operative and postoperative stages
of management.
D2. Demonstrate ability to use internet networks
and advanced methods in improving research
and work between team members.
D3. Communicate effectively with the
multidimentional teams of management of
communication disorders.
E- Attitudes and ethical behavior
E1- Follow national code of ethics.
E2- Respect patient’s rights and
explain the standards of informed
1- Revise the national code of ethics
2- Appraise the patients’ rights in view of
national laws and international treaties
consent.
E3- Council patients & parents
with appreciation and
understanding
3- Demonstrate the communication skills and
the ways of explaining the situation to the
patients and the relatives E4-Accept criticism and council from different team members for better patient’s care.
Course Content (Units/Topics)
Teaching/Learning Methods
Lectures self
learning
Practical/
Clinical
Small
group
discussion
Others
Assessment and management of
communication disorders
✓ ✓
Pathophysiology of voice disorders. ✓ ✓ ✓
Voice disorders (Organic -Non-Organic
Minimal associated pathological lesions
Neurogenic and childhood dysphonia)
✓ ✓ ✓
Objective and subjective methods of
Assessment of voice disorders
✓ ✓
Management of voice disorders ✓ ✓
Rehabilitation of total laryngectomized
patient
✓ ✓
Phoniatric role in management of
Dysphagia
✓ ✓
Assessment and management of
Velopharyngeal valve incompetence
✓ ✓
Please check (✓) the appropriate method.
Student Assessment
Methods of Assessment
Essay Objective questions
Case OSCE/OSPE
Assignment Logbook fulfillment
Others
Schedule of Assessment
Mid-term 30 %
End of term 70 %
Distribution of Marks
Written Exam 70 %
Practical/Clinical Exam 30 %
Others %
List of Textbooks and References
Lecture Notes
-Printouts of presentations.
Course Text Books • Aronson AE, Bless DM Clinical voice disorders
✓
✓
✓ ✓
Thieme 2009
Suggested Extra Reading
-Ronald B. Gillam, Thomas P. Marquardt,
Frederick N. Martin Communication Sciences and
Disorders: From Science to Clinical Practice Jones
& Bartlett Learning, 2010
Journals and Periodicals, others
Folia Phoniatrica et logopedica
Journal of voice
Internet reviews
Course Instructor
Name: Prof. Dr. Yehia Aboras Signature:
Program Coordinator
Name: Prof. Dr. Alaa Gaafar Signature:
Program Director (Head of Department)
Name: Prof. Dr. Mohamed Hassab Signature:
Course Specifications
University: Alexandria
Faculty: Medicine
Department: ENT
Course Information
Course Code: 05270914 Course Name:
Rhinoplasty course
Program in which the Course is Given
Doctor degree Otorhinolaryngology Head and Neck surgery
Number of Credit Hours: 1 Theoretical Clinical/Practical
Course Aims This course is designed to provide the PhD candidate student working in the field of otolaryngology with
basic concepts regarding Special aesthetic rhinoplasty & facioplasty techniques. Reconstructive rhinoplasty. Revision rhinoplasty. Live surgery demonstration for different techniques of rhinoplasty.
Intended Learning Outcomes (ILOs)
Program ILO (refer to program
matrix) Course ILOs
A. Knowledge
and
Understanding
A1. Describe advanced surgical
anatomy of significance to the
practice of Otolaryngology both in
adults and pediatric age group.
A1. Describe anatomy of bony nasal
skeleton
A2. Describe anatomy of cartilaginous
framework of the nose and nasal septum
A3. Describe deformities of the nose and
how to asses
A4. Explain different rhinoplastic
approaches
A6 Discuss management of patients in the
preoperative period with special emphasis
on psychological and satisfaction of the
patient and discussing the outcomes.
B. Intellectual
skills
B4. Assess logically,
systematically and conceptually to
draw reasoned conclusions/ reach
sustainable judgments in difficult
incomplete problems.
B1.Assess logically and systematically to
take decision for the appropriate approach
for rhinoplasty.
B2. Make decision for cases with revision
rhinoplasty.
0.5 0.5
B6.Improve the ability to take
decisions in various professional
situations (including dilemmas &
controversial issues).
B8.Assess critically and audit the
outcomes of professional activities
during provision of medical care.
\
B3.Assess critically and audit the outcomes
of open versus closed rhinoplasty.
B4. Assess the outcome of revision
rhinoplasty.
C.Professional
and Practical
Skills
C1.Perform a comprehensive and
detailed ENT examination and
reach appropriate
diagnosis/differential diagnosis in
wide range of ENT problems.
C3.Utilize sources of information
like medical records, patient are
family/friends to augment medical
and surgical history.
C5.Support the conduct of
research, and integration of current
research findings and best
practices into the practice setting
C11.Discuss professional errors in
an honest way.
C1.Perform a comprehensive and detailed
nasal examination and reach appropriate
diagnosis of the deformity.
C2. Perform photo documentation of cases
candidate for rhinoplasty.
C3. Perform a comprehensive and detailed
photographing of the nose and face for
planning of the surgery needed and the
outcome to be most probably in advance.
C4. Utilize recent soft wares for imaging of
the expected postoperative results.
C5. Support the conduct of researches on
recent approaches for rhinoplasty.
C6. Support the conduct of researches
comparing open versus closed rhinoplasty.
C13. Discuss professional errors like failed
rhinoplasty in an honest way.
C14. Discuss indications of revision
rhinoplasty with the patients demonstrating
possible outcomes.
D. General
Skills
D1.Develop skill in self- D1.Develop skill in self-assessment by
assessment regarding work quality
D2.Design professional
development plans for self and
junior colleagues.
D4.Develop ability to work as part
of a team
D6.Demonstrate ability to teach,
support & guide junior staff.
D7.Utilize all sources of recent
communication technology in
facilitating work with his team
colleagues and seniors.
D8.Plan professional development
courses to improve practice and
enhance performance of juniors.
D9.Adhere to codes of conduct,
standards and requirements of
professional and statutory bodies
photo documentation of postoperqative
results
D2.Design professional development plans
for self and junior colleagues like teaching
courses and hands on training on different
techniques of rhinoplasty.
D3.Develop ability to work as part of a team
especially plastic surgery team.
D4.Demonstrate ability to teach, support &
guide junior staff by hands on training
courses and OR attendance.
D5.Utilize all sources of recent
communication technology like computer
soft wares for reconstruction of the nose.
D6.Plan professional development courses
to improve practice and enhance
performance of juniors by conducting
training courses
D7.Adhere to codes of conduct by
preoperative explanation for patients by the
expected results and the possible
complications.
E- Attitudes and ethical behavior
E1- Follow national code of ethics.
E2- Respect patient’s rights and
explain the standards of informed
consent.
E3- Council patients & parents
with appreciation and
understanding
1- Revise the national code of ethics
2- Appraise the patients’ rights in view of
national laws and international treaties
3- Demonstrate the communication skills and
the ways of explaining the situation to the
patients and the relatives
E4-Accept criticism and council from
different team members for better patient’s
care.
Course Content (Units/Topics)
Teaching/Learning Methods
Lectures self
learning
Practical/
Clinical
Small
group
discussion
Others
External Nasal anatomy ✓
Different cartilaginous and bony
deformities
✓
Rhinoplastic approaches, surgical
training
✓ ✓
Please check (✓) the appropriate method.
Student Assessment
Methods of Assessment
Essay Objective questions
Case OSCE/OSPE
Assignment Logbook fulfillment
Others
Schedule of Assessment
Mid-term %
End of term 100 %
Distribution of Marks
Written Exam 70 %
Practical/Clinical Exam 30 %
Others %
List of Textbooks and References
Lecture Notes
✓
Course Text Books
Cummings Otorhinolaryngology
Suggested Extra Reading
Journals and Periodicals, others
✓ laryngoscope, Rhinoplasty
✓
✓
Course Instructor
Name: Ass. Prof. Ahmed Soliman Signature:
Program Coordinator
Name: Prof. Alaa Gaafar Signature:
Program Director (Head of Department)
Name: Prof. Mohamed Hassab Signature:
Course Specifications
University: Alexandria
Faculty: Medicine
Department: ENT
Course Information
Course Code: 05270904 Course Name:
Skull base surgery
Program in which the Course is Given
Doctor degree Otorhinolaryngology, Head and Neck Surgery
Number of Credit Hours : 1 Theoretical Clinical/Practical
Course Aims This course is designed to provide the PhD candidate student working in the field of otolaryngology with
basic concepts regarding detailed anatomy of the anterior, lateral, middle and posterior skull base. Different pathologies affect the skull base. Identify different surgical approaches to skull base like anterior, posterior and lateral approaches either open or endoscopic minimally invasive. Identification and management of complications associated with skull base surgery.
Intended Learning Outcomes (ILOs)
Program ILO (refer to program
matrix) Course ILOs
A. Knowledge
and
Understanding
A1. Describe advanced surgical
anatomy of significance to the
practice of Otolaryngology both in
adults and pediatric age group.
A2. Discuss etiology, pathogenesis
and pathology of broad spectrum
of otolaryngology diseases.
A3. Correlate clinical
manifestations, complications,
diagnostic modalities, out-come
A1 . Describe anatomy of anterior, middle
and posterior skull base
A2. Explain pathology and lesions of the
skull base
A3. Outline different approaches to the skull
base
A4. Identify different approaches in a
particular tumor or lesion.
A5. Correlate clinical manifestations of
different skull base lesions with the course
and planned surgical treatment.
0.5 0.5
and treatment plans for broad
spectrum of otolaryngology
problems.
A4. Develop thorough knowledge
regarding the advanced knowledge
of pharmacotherapy, oncology,
laser physics, wound healing,
voice measurement and language
development.
A5.Discuss management of
patients in the preoperative period
with special emphasis on those
with associated medical problems.
A6. Outline different techniques of skull
base surgery.
A7. Identify endoscopic approaches to the
skull base.
A8. Discuss preoperative preparation for
major skull base surgery operations.
A9. Discuss postoperative course and
management of skull base patients.
B. Intellectual
skills
B3.Manipulate, interpret and
present numerical and narrative
data
B6.Improve the ability to take
decisions in various professional
situations (including dilemmas &
controversial issues).
B1. Effectively Make decisions in various
skull base lesions and how to approach.
B2. Interpret different available radiological
data to reach diagnosis for different skull
base lesions.
B3. Effectively Make decisions in dealing
with these lesions surgically or with
radiochemotherapy.
B4. guide discussion on difficult skull base
lesions with multiple differential diagnosis.
C.Professional
and Practical
Skills
C3.Utilize sources of information
like medical records, patient are
family/friends to augment medical
and surgical history.
C4.Perform adequately and safely
all basic and advanced major
surgical interventions.
C1. Perform history taking and examination
of patients with skull base lesions.
C2. Perform meticulous examination of
cranial nerves.
C3. Perform Adequately and safely under
supervision basic and advanced skull base
surgery.
C4. Perform safely under supervision
endoscopic lateral skull base surgery.
C5. Perform safely and adequately under
supervision trans nasal anterior skull base
surgery.
D. General
Skills
D1.Develop skill in self-
assessment regarding work quality
D2.Design professional
development plans for self and
junior colleagues.
D3.Develop ability to work within
a health care network
D4.Develop ability to work as part
of a team
D5.Demonstrates meticulous
record keeping, entailing legible
and accurate operative notes
D8.Plan professional development
courses to improve practice and
enhance performance of juniors.
D1.Develop skill in self-assessment
regarding master of different approaches to
skull base.
D2.Design hands on training courses and
repeated lectures for junior staff.
D3.Develop ability to work within a health
care network like neurosurgeons and ICU
personnel.
D4.Develop ability to work as part of a team
especially otology surgeons and head and
neck surgeons.
D5.Demonstrates meticulous record
keeping, entailing legible and accurate
operative notes stressing on preoperative
data, preoperative cranial nerve functions
and meticulous recording of all steps of any
skull base surgery.
D8.Plan professional development courses
to improve practice and enhance
performance of juniors like infratemporal
approach to skull base.
E- Attitudes and ethical
E1. Get an informed consent for E1. Get an informed consent for difficult/
behavior difficult/ risky surgical
interventions.
E2- Respect patient’s rights and
explain the standards of informed
consent.
E3- Council patients & parents
with appreciation and
understanding
risky surgical interventions emphasizing on
possible outcomes of skull base surgery like
cranial nerve palsies and intracranial
complications.
E2- Appraise the patients’ rights in view of
national laws and international treaties
E3- Demonstrate the communication skills
and the ways of explaining the situation to the
patients and the relatives
E4-Accept criticism and council from
different team members for better patient’s
care.
Course Content (Units/Topics)
Teaching/Learning Methods
Lectures self
learning
Practical/
Clinical
Small
group
discussion
Others
Skull base anatomy ✓
Skull base lesions and pathology ✓ ✓
Skull base approaches ✓ ✓
Please check (✓) the appropriate method.
Student Assessment
Methods of Assessment
Essay Objective questions
Case OSCE/OSPE
Assignment Logbook fulfillment
Others
Schedule of Assessment
Mid-term %
End of term 100 %
Distribution of Marks
Written Exam 70 %
Practical/Clinical Exam 30 %
Others %
List of Textbooks and References
Lecture Notes
✓
✓ ✓
✓
Course Text Books
Cummings Otorhinolaryngology
Suggested Extra Reading
Journals and Periodicals, others
laryngoscope
Course Instructor
Name: Prof. Ahmed El Daly Signature:
Program Coordinator Name: Prof. Alaa Gaafar. Signature:
Program Director (Head of Department)
Name: Prof. Mohamed Hassab Signature:
Course Specifications
University: Alexandria
Faculty: Medicine
Department: ENT
Course Information
Course Code: 05270909 Course Name: Temporal bone Course
Program in which the Course is Given: Doctor Degree in Otorhinolaryngology
Number of Credit Hours: 1 Theoretical Clinical/Practical
Course Aims This course is designed to provide the PhD candidate student working in the field of otolaryngology with
basic concepts regarding Temporal bone dissection lab: Courses &Training on temporal bone dissection
(bony, preserved, and fresh specimens) for purpose of anatomical understanding and orientation of the
related neuroanatomy and different approaches to the middle, inner ear, CPA, relevant cranial fossae and
structures, Eustachian tube, and subtemporal and pterygoid fossae.
Intended Learning Outcomes (ILOs)
Program ILO (refer to program
matrix) Course ILOs
A. Knowledge
and
Understanding
A1. Discuss advanced surgical
anatomy of significance to the
practice of Otolaryngology both in
adults and pediatric age group.
A1. Describe surgical anatomy of the
external,middle and inner ear
A2. Describe the blood supply,lymphatic
drainage and nerve supply to the ear
A3. Discuss different types of incisions and
approaches to the middle ear, inner ear,CPA
and relevant cranial fossae
andstructures;Eustachian tube, and
subtemporal and pterygoid fossae.
A4. Describe the surgical anatomy of the
great vessels related to the ear.
A5. Describe the surgical anatomy of middle
and posterior cranial fossae.
A6.Discuss different soft tissue and
osseous approaches to the temporal bone
A7. Describe ear related neuroanatomy as
anatomy of the vestibulocochlear
nerve,facial nerve and last 4 cranial nerves.
0.5 0.5
A2. Discuss etiology, pathogenesis
and pathology of broad spectrum
of otolaryngology diseases.
A3. Correlate clinical
manifestations, complications,
diagnostic modalities, out-come
and treatment plans for broad
spectrum of otolaryngology
problems.
A4. Develop thorough knowledge
regarding the advanced knowledge
of pharmacotherapy, oncology,
laser physics, wound healing,
voice measurement and language
development.
A5.Discuss management of
patients in the preoperative period
with special emphasis on those
with associated medical problems.
A6.Acquire different modalities
for management of pain related to
ENT surgery.
A8. Describe surgical anatomy,diagnosis
and management of otogenic causes of facial
nerve paralysis.
A9. Discuss etiology and pathogenesis of
acute, chronic and complicated otitis media.
A10. Identify cochlear implants.
A11. Correlates clinical manifestations of
CSOM with treatment plans.
A12. Correlates clinical manifestation of
otosclerosis with different types of stapes
surgery.
A13. Discuss the indications, risks and
contraindications, technique of common
otologic surgical procedures as
myringotomy, myringoplasty,
tympanoplasty, mastoidectomy and
stapedectomy.
A14. Identify pharmacotherapy for otologic
drug preparation.
A15. Discuss techniques of advanced
surgical procedures in the field of facial
nerve and skull base e.g. surgeries for facial
nerve trauma, facial nerve reconstruction,
surgery for external and middle ear tumors.
A16. Discuss management of patients with
complicated otitis media.
A17Identifythe possible complications of
temporal bone surgeries and their
management.
B. Intellectual
skills
B3.Manipulate, interpret and
present numerical and narrative
data
B1. Present description and analysis of
otology cases regarding good interpretation
of symptoms and signs of the patients based
on anatomical, physiological and
pathological backgrounds
B2. Integrate clinical, laboratory,
audiologic, vestibular and imaging data as
CT scan and MRI to reach the diagnosis for
otology cases.
B6.Improve the ability to take
decisions in various professional
situations (including dilemmas &
controversial issues).
B3. develop a list of differential diagnosis
with prioritization and propose a list of
investigations
B4.make accurate and rapid management
plan for cases with otologic complaints
B5. Make a systematic and accurate analysis
of the patient's presentation to reach an
accurate diagnosis and management plan on
the basis of evidence based medicine
especially in difficult incomplete problems
and controversial issues
B6. Utilize sources of information like
medical records, patient’s family/friends to
augment medical and surgical history.
C.Professional
and Practical
Skills
C1.Perform a comprehensive and
detailed ENT examination and
reach appropriate
diagnosis/differential diagnosis in
wide range of ENT problems.
C4.Perform adequately and safely
all basic and advanced major
surgical interventions.
C5.Support the conduct of
research, and integration of current
research findings and best
practices into the practice setting
C1. Obtains medical history focusing on
most common symptoms as hearing
loss,otalgia,otorrhea,tinnitus and vertigo
C2. Competent in using ear examination
instruments as ear speculum,otoscope,
tuning forks, siegle's speculum and
otoendoscope
C3. Correlate the clinical findings with the
results of audiologic,vestibular,radiologic
and laboratory investigations as pure tone
audiograms,impedencemetry,ABR
C4. Competent in performing soft tissue and
bony approaches to the temporal bone
C5. Competent in common surgical
procedures like myringotomy. myrinoplasty,
tympanoplasty and mastoidectomy
C6. Competent in performing advanced
otologic procedures as repair of CSF leak
and skull base surgery and facial nerve
decompression.
C7. Provide intraoperative report for the
procedure as regards steps of the operation
and any complication occurred.
C8. Provides postoperative evaluation for
the patients as regards their recovery,
.
C11.Discuss professional errors in
an honest way.
postoperative treatment and postoperative
course.
C16. Discuss errors in the diagnosis of
different ontological diseases.
C17. Discuss in honest way postoperative
complications and their possible
management.
D. General
Skills
D1.Develop skill in self-
assessment regarding work quality
D2.Design professional
development plans for self and
junior colleagues.
D3.Develop ability to work within
a health care network
D7.Utilize all sources of recent
D1. Collaborate properly with colleagues in
an effective team work
D2. Demonstrate interpersonal and
communication skills that result in effective
information exchange and teaming with
other health care providers, patients, and
patient’s families.
D3.deal with all staff and co-staff
respectively
D4. Develop skill in self-assessment
regarding work quality
D5. Engage with technology particularly the
effective and efficient use of information
and communication technology
D6.guide and support junior staff regarding
the proper communication with
patients,proper ear examination techniques
and proper management of ear diseases
D7.Plan professional development courses
to improve practice and enhance
performance of juniors.
D8. Utilize sources of recent
communications like internet and live
communication technology in
facilitating work with his team
colleagues and seniors.
D8.Plan professional development
courses to improve practice and
enhance performance of juniors.
surgery video demonstration for
communication and teaching of junior staff.
D9. Plan for courses and hands on training
for development of performance of junior
staff.
D10. Plan for development of temporal bone
lab for training of junior staff.
E- Attitudes and ethical behavior
E1- Follow national code of ethics.
E2- Respect patient’s rights and
explain the standards of informed
consent.
E3- Council patients & parents
with appreciation and
understanding
E1- Revise the national code of ethics
E2- Appraise the patients’ rights in view of
national laws and international treaties
E3- Demonstrate the communication skills
and the ways of explaining the situation to the
patients and the relatives E4-Accept criticism and council from different team members for better patient’s care.
Course Content (Units/Topics)
Teaching/Learning Methods
Lectures self
learning
Practical/
Clinical
Small
group
discussion
Others
Temporal bone anatomy (✓) (✓)
Neuroanatomy (✓) (✓)
Approaches to the middle ear (✓) (✓)
Approaches to the inner ear&IAC (✓) (✓)
Approaches to the CPA (✓) (✓)
Approaches to the relevant cranial fossae
and structures.
(✓) (✓)
Please check (✓) the appropriate method
Student Assessment
Methods of Assessment
Essay Objective questions
Case OSCE/OSPE
✓
✓
Assignment Logbook fulfillment
Others
Schedule of Assessment
Mid-term %
End of term 100 %
Distribution of Marks
Written Exam 70 %
Practical/Clinical Exam 30 %
Others %
List of Textbooks and References
Lecture Notes
Course Text Books
• Aziz Belal and Mario Sanna (eds.)
Surgical pathology of the ear and skull
base.1999
• Lore & Medina. An Atlas of Head and
Neck Surgery, 4th edition, Elsiver Inc.
2005
Suggested Extra Reading
Journals and Periodicals, others
Course Instructor
Name: Prof. Dr. Mokhtar Bassyoni Signature:
Program Coordinator
Name: Prof. Dr. Alaa Gaafar Signature:
Program Director (Head of Department)
Name: Prof. Dr. Mohamed Hassab Signature:
Course Specifications
University: Alexandria
Faculty: Medicine
Department: ENT
Course Information
Course Code: 05270916 Course Name: Cochlear Implant
Program in which the Course is Given : Doctorate degree of otolaryngology
Number of Credit Hours: 1 Theoretical Clinical/Practical
Course Aims:
This course is designed to provide the PhD candidate student working in the field of otolaryngology with basic
concepts regarding cochlear implantation including basic facts regarding auditory nerve electrophysiology, basic
anatomical knowledge regards cochlear anatomy, the internal auditory nerve anatomy and the vestibular apparatus.
Intended Learning Outcomes (ILOs)
Program ILO Course ILOs
A. Knowledge and
Understanding
A1. Discuss advanced surgical anatomy of
significance to the practice of
Otolaryngology both in adults and pediatric
age group.
A2. Discuss etiology, pathogenesis and
pathology of broad spectrum of
otolaryngology diseases.
A3. Correlate clinical manifestations,
complications, diagnostic modalities, out-
come and treatment plans for broad
spectrum of otolaryngology problems.
A1. Identify advanced surgical anatomy of
the inner ear.
A2. Discuss advanced surgical anatomy of
the cochlear nerve and brain stem.
A3. Differentiate between normal anatomical
variations between pediatric and adult inner
ear.
A4. Explain etiology and pathogenesis of
Sensory neural hearing loss.
A5. Discuss pathology of congenital hearing
loss.
A6. Correlate clinical manifestations of
congenital hearing loss with other systemic
manifestations in case of syndromic hearing
0.5 0.5
A4. Develop thorough knowledge regarding
the advanced knowledge of
pharmacotherapy, oncology, laser physics,
wound healing, voice measurement and
language development.
A5.Discuss management of patients in the
preoperative period with special emphasis
on those with associated medical problems.
A6.Acquire different modalities for
management of pain related to ENT
surgery.
loss.
A7. Correlate different diagnostic modalities
like ABR and EchoG in assessment of
patients candidate to cochlear implant.
A8. Identify the electrophysiology of
auditory nerve and pathology of hearing loss.
A9. Discuss different effects of ototoxic
drugs on the inner ear.
A10.Discuss preoperative preparation of
patients for cochlear implant.
A11. Discuss the associated possible
congenital anomalies and their effect on the
prognosis of the surgery.
A12.list types of pain killer not affecting
hearing integrity.
A13.Identify most appropriate types of
analgesics for postoperative pain control
after cochlear implantation.
B. Intellectual
skills
B4.Assess logically, systematically and
conceptually to draw reasoned conclusions/
reach sustainable judgments in difficult
incomplete problems.
B5.Modify approaches to analyze and
evaluate the information collected in
different patterns of diseases & problems
B6.Improve the ability to take decisions in
various professional situations (including
dilemmas & controversial issues).
B1. Assess preoperative data of the patients
as regards ABR and MRI to reach
appropriate diagnosis.
B2. Select the appropriate surgical approach
for cochlear implant based on available data.
B3.Modify data sheet of patients with adding
flow chart for management of totally deaf
patients.
B4. Select the best way to present patients’
data for different specialties dealing with
cases of cochlear implant.
B5. diagnose different congenital anomalies
associated with congenital hearing loss.
B6. Manage discussion in cases with surgical
difficulties as deformed internal auditory
canal.
B7.Manage discussions on basis of
evidence and proofs.
B8.Assess critically and audit the outcomes
of professional activities during provision
of medical care.
B7. Select appropriate references to refer to
during discussion of difficult cases.
B8. Manage discussions during scientific
meeting documented by patients’ data
referred to approved scientific references.
B9. Assess the postoperative outcome
documented by audiological and radiological
documentation.
B10. Assess linguistic outcome with audio
recording and voce assessment.
C.Professional and
Practical Skills
C1.Perform a comprehensive and detailed
ENT examination and reach appropriate
diagnosis/differential diagnosis in wide
range of ENT problems.
C4.Perform adequately and safely all basic
and advanced major surgical interventions.
obtaining, performing and documenting a
complete medical history and physical
examination for otolaryngology patients.
C8.Communicate with, consult and respect
the role of other health-care providers.
C1. Perform detailed examination of the
external and middle ear.
C2. Perform examination of the functions of
the inner ear either the auditory or the
vestibular.
C3.perform different types of skin incisions
during surgery.
C4. Perform a reasonable mastoidectomy
which suits cochlear implantation.
C5. Master different surgical approaches to
the facial recess.
C6. Perform different surgical approaches to
the basal turn of the cochlea
C6. Perform Proper positioning of the
implant array and the implant body in their
normal place which secure its position for
ever.
.
C10. Perform a documented sheet for
associated possible congenital\anomalies in
cases of congenital hearing loss.
C12. Communicate with audiologist and
phoniatric therapist for preoperative
evaluation.
C13. Consult speech specialists for
postoperative rehabilitation.
C11.Discuss professional errors in an
honest way.
C14. Discuss postoperative complications
and their management.
C15. Discuss with colleges different methods
for revision surgery.
D. General Skills
D1.Develop skill in self-assessment
regarding work quality
D2.Design professional development plans
for self and junior colleagues.
D3.Develop ability to work within a health
care network
D5.Demonstrates meticulous record
keeping, entailing legible and accurate
operative notes
D7.Utilize all sources of recent
communication technology in facilitating
work with his team colleagues and seniors.
D9.Adhere to codes of conduct, standards
and requirements of professional and
statutory bodies.
D1. Develop skills for assessment of
postoperative results after cochlear implant as
regards result of surgery and patient
satisfaction.
D2. Design courses and workshops for
teaching junior staff new techniques for
cochlear implant.
D3. Develop the ability to work with other
health care teams like neurosurgeons and
audiologists.
D4. Demonstrate keeping of pre operative
data like ABR and MRI results.
D5. Design a protocol for follow up of
patients in coordination with audiologists.
D6. Utilizes recent technology of
communication like internet and tele
conferences for collaboration with other
colleges.
D7. Utilize all sources of recent advances in
the technology of cochlear implant prosthesis.
E- Attitudes and ethical behavior
E1- Follow national code of ethics.
E2- Respect patient’s rights and explain the
standards of informed consent.
E3- Council patients & parents with
appreciation and understanding
E1- Revise the national code of ethics
E2- Appraise the patients’ rights in view of
national laws and international treaties
E3- Demonstrate the communication skills
and the ways of explaining the situation to the
patients and the relatives E4-Accept criticism and council from different team members for better patient’s care.
Teaching/Learning Methods
Course Content (Units/Topics)
Lectures self
learning
Practical/
Clinical
Small
group
discussion
Others
Historical back ground in cochlear
implants ✓
Preoperative candidate stratification ✓
The technology and different strategies
in cochlear implant devices ✓
Surgical techniques in cochlear implant
surgery ✓ ✓
Difficulties during cochlear implants ✓
Complication of cochlear implant ✓
Post operative electrophysiology for
cochlear implant
✓ ✓
Postoperative phoniatric rehabilitation ✓ ✓
Student Assessment
Methods of Assessment
Essay Objective questions
Case OSCE/OSPE
Assignment Logbook fulfillment
Others
Schedule of Assessment
Mid-term 0 %
End of term 100 %
Distribution of Marks
Written Exam 70 %
Practical/Clinical Exam 30 %
Others %
List of Textbooks and References
Lecture Notes
-----------------------------------
Course Text Books
Cumming otolaryngology
Suggested Extra Reading
Graham Clark Cochlear implant
Journals and Periodicals, others
Cochlear implant international
✓ ✓
✓
Course Instructor
Name: Prof. Mokhtar Bassyouni Signature:
Program Coordinator
Name:
Prof. Alaa Gafar Signature:
Program Director (Head of Department)
Name: Prof. Mohamed Hassab Signature:
Course Specifications
University: Alexandria
Faculty: Medicine
Department: ENT
Course Information
Course Code: 05270902 Course Name:
Advanced applied Pathology for Otorhinolaryngology
Program in which the Course is Given: Doctor Degree in Otorhinolaryngology
Number of Credit Hours 2 Theoretical Clinical/Practical
Course Aims
This course is designed to provide the PhD candidate student working in the field of otolaryngology with
basic concepts regarding general disease processes including cellular alterations and inflammation, genetic, immunological, nutritional and circulatory disorders, effects of infection, chemical and physical agents , blood and vascular disease, neoplasia and aging. Topics to be covered include analytic tools and techniques, diagnostic methodology and criteria and recognition and control of environmental diseases
Intended Learning Outcomes (ILOs)
Program ILO (refer to program
matrix) Course ILOs
A. Knowledge
and
Understanding
A1- identify advanced surgical pathology of significance to the practice of Otolaryngology both in adults and pediatric age group
A2- Discuss etiology, pathogenesis and pathology of broad spectrum of otolaryngology diseases
A1 identify the pathology of the Otolaryngology related diseases in both pediatric and adult groups A2- correlate between the pathology of the disease and its medical and surgical management. A3- Explainpathogenesis of diseases of otolaryngology A4- Discussthe etiology of diseases of otolaryngology
B. Intellectual
skills
B5- Modify approaches to analyze
and evaluate the information
collected in different patterns of
diseases & problems
B1- Interpret and evaluate information about
different diseases of otolaryngology.
B2- correlate pathological findings with clinical
picture and prognosis of different diseases in
otorhinolaryngology.
B3- Interpret different pathological findings
to reach a diagnosis or differential diagnosis
1 1
C.Professional
and Practical
Skills
C1-Perform a comprehensive and detailed ENT examination and reach appropriate diagnosis/differential diagnosis in wide range of ENT problems
C1- Perform detailed examination of the head and neck. C2- Perform detailed examination of the ear and nose. C3- Develop skills in reading pathological slides for common diseases in otolaryngology. C4- Design a protocol for correlation between pathological and clinical findings. C5-Demonstrate meticulous recording of the pathological finding of the diseases C6- Design a way to record staging of tumors and keeping its records.
D. General Skills
D1-Develop skill in self-assessment
regarding work quality
D2-Design professional development
plans for self and junior colleagues
D3-Develop ability to work within a health care network D5-Demonstrates meticulous record keeping, entailing legible and accurate operative notes
D1- Develop the ability to work within a team especially pathologists and intraoperative cooperation for frozen section. D4-.
E- Attitudes and ethical behavior
E1- Follow national code of ethics.
E2- Respect patient’s rights and
explain the standards of informed
consent.
E3- Council patients & parents
with appreciation and
understanding
E4-Accept criticism and council
from different team members for
better patient’s care.
1- Revise the national code of ethics
2- Appraise the patients’ rights in view of
national laws and international treaties
3- Demonstrate the communication skills and
the ways of explaining the situation to the
patients and the relatives
4 Discuss the importance and the ways of
conducting mortality and complications
conferences
Course Content (Units/Topics)
Teaching/Learning Methods
Lectures self
learning
Practical
/
Clinical
Small
group
discussio
n
Other
s
Pathology of the ear
• External(congenital,
inflammation, trauma and
neoplasm)
• Middle ear
o Congenital
o Trauma
o otitis media
o Tumors
o otosclerosis
• Inner ear
o congenital
o trauma
o inflammation
o SNHL
✓ ✓ ✓
Pathology of the nose
o Sinusitis
o Congenital
o Trauma
o neoplasm)
✓ ✓ ✓
Pathology of the head and neck(
congenital trauma ,inflammation and
neoplasm)
1. larynx
2. pharynx
3. osophagus
4. neck spaces
5. osophagus
✓ ✓
Please check (✓) the appropriate method.
Student Assessment
Methods of Assessment
Essay Objective questions
Case OSCE/OSPE
Assignment Logbook fulfillment
Others
Schedule of Assessment
Mid-term 0 %
End of term 100 %
Distribution of Marks Written Exam 70 %
✓ ✓
✓
✓
Practical/Clinical Exam 30 %
Others %
List of Textbooks and References
Lecture Notes
Course Text Books
1-Pathology of the Head and Neck(Antonio
Cardesa · Pieter J. Slootweg), 1st edition 2006
2-surgical pathology of head and neck. Leon
Barne .2nd edition ,
3- Pathology of the Ear: Harold F. Schuknecht.
3rd edition.
Suggested Extra Reading
Journals and Periodicals, others
Course Instructor
Name: Prof. Dr. Hesham Abdel-Fattah Signature:
Program Coordinator
Name: Prof. Dr. Alaa Gaafar Signature
Program Director (Head of Department)
Name: Prof. Dr. Mohamed Hassab Signature:
Course Specifications
University: Alexandria
Faculty: Medicine
Department: ENT
Course Information
Course Code: 05270908 Course Name: Advanced Head and Neck Surgery
Program in which the Course is Given : Doctor Degree in Otorhinolaryngology
Number of Credit Hours: 3 Theoretical Clinical/Practical
Course Aims The course focuses on how to effectively diagnose and treat non neoplastic diseases affecting larynx, pharynx, oral cavity, salivary glands, thyroid gland , trachea and esophagus.
Intended Learning Outcomes (ILOs)
Program ILO (refer to program
matrix) Course ILOs
A. Knowledge
and
Understanding
A1.Discuss advanced surgical
anatomy of significance to the
practice of Otolaryngology both in
adults and pediatric age group.
A2. Discuss etiology, pathogenesis
and pathology of broad spectrum
of otolaryngology diseases.
A3. Correlate clinical
A1. Discuss surgical anatomy and
emberyolology of the larynx, pharynx, oral
cavity, salivary glands, thyroid gland ,
trachea and esophagus
A2. Discuss etiology, pathogenesis and
pathology of non neoplastic disorders(
congenital, inflammatory, traumatic,
degenerative) of salivary gland ,thyroid
gland, larynx, pharynx, trachea and
esophagus.
A3. Discuss etiology and pathogenesis of
dysphagia, esophageal stenosis and
congenital anomalies of the larynx.
A4. Correlate clinical manifestations ,
complications, diagnostic modalities,
outcome and treatment plans for diseases
that cause; stridor, hoarseness of voice, and
1 2
manifestations, complications,
diagnostic modalities, out-come
and treatment plans for broad
spectrum of otolaryngology
problems.
A4. Develop thorough knowledge
regarding the advanced knowledge
of pharmacotherapy, oncology,
laser physics, wound healing,
voice measurement and language
development.
A5.Discuss management of
patients in the preoperative period
with special emphasis on those
with associated medical problems.
A6.Acquire different modalities
for management of pain related to
ENT surgery.
dysphagia.
A5. Correlate clinical manifestations ,
complications, diagnostic modalities,
outcome and treatment plans for voice
disorders and phoniatric disorders related to
Otolaryngology.
A6. Explain the new surgical techniques,
new technology ( different types of laser,
microdebrider, voice measurement devices).
A7. outline new pharmacotherapy in treating
special entities in the field of head and neck
surgery.
A8. Discuss how to deal with patient in the
preoperative period regarding the medical
part ( appropriate investigations for each
case, collaboration with other specialties )
and the psychological part and legal part.
A9. Discuss preoperative critical medical
conditions that can affect preoperative and
intraoperative course of the disease.
A10. identify different modalities (medical,
surgical maneuvers) in treating postoperative
pain, headache, intractable cancer pain)
B. Intellectual
skills
B2.Select medical and
investigative parameters to be used
in assessing the patient’s response
to intervention and re-evaluate
management plan accordingly.
B4.Assess logically,
systematically and conceptually to
B1. Select proper medical and radiological
investigations for diagnosis of non
neoplastic lesions of the head and neck.
B2. Select appropriate method for follow up
of treatment course of head and neck
patients.
B3. Assess logically how to reach
appropriate decision for different diseases of
the head and neck.
draw reasoned conclusions/ reach
sustainable judgments in difficult
incomplete problems.
B7.Manage discussions on basis of
evidence and proofs.
B4. Manage complicated cases of non
neoplastic lesions of the head and neck.
B5. Manage discussion in difficulty and
complicated cases of head and neck bases on
available laboratory and radiological data.
B6. Manage different opinions in head and
neck cases management according to
evidence based medicine principles.
C.Professional
and Practical
Skills
C3.Utilize sources of information
like medical records, patient are
family/friends to augment medical
and surgical history.
C5.Support the conduct of
research, and integration of current
research findings and best
practices into the practice setting
C10.Work effectively and
cooperatively in consultation
teams.
C1. Utilize available data as history and
family history to reach the diagnosis.
C2. Correlate past medical and surgical
history with presenting clinical picture to
reach diagnosis.
C3. Support the conduct in recent researches
regarding recent management for difficult
head and neck cases.
C4. Find the best practice in dealing with
head and neck patients.
C5. Work cooperatively in a consultation
team (ENT surgeons, Neurosurgerons and
radiologists)
D. General
Skills
D7.Utilize all sources of recent
communication technology in
facilitating work with his team
colleagues and seniors.
D1. Utilizes all sources of communications
like the internet and other communications
methods to facilitate work with professors
and colleagues.
E- Attitudes and ethical behavior
E1- Follow national code of ethics.
E2- Respect patient’s rights and
explain the standards of informed
consent.
E3- Council patients & parents
with appreciation and
understanding
E4-Accept criticism and council
from different team members for
better patient’s care.
1- Revise the national code of ethics
2- Appraise the patients’ rights in view of
national laws and international treaties
3- Demonstrate the communication skills and
the ways of explaining the situation to the
patients and the relatives
4 Discuss the importance and the ways of
conducting mortality and complications
conferences
Teaching/Learning Methods
Course Content (Units/Topics)
Lectures self
learning
Practical/
Clinical
Small
group
discussion
Others
Congenital Laryngeal Anomalies ✓
✓
FB. Larynx, Trachea, Esophagus ✓
✓
Neck Trauma ✓
✓
Acute&chronic inflammations of
the upper airway
✓
✓
Gastresophageal reflux ✓
✓
Adenotonsillar diseases ✓
✓
Laryngeal manifestations of
systemic diseases
✓
✓
Branchial anomalies ✓
Salivary gland disorders ✓
Angiofibroma ✓
✓
Surgery of snoring ✓
Dysphagia ✓
Pharyngo cutaneous fistulae ✓
✓
✓
Suppuration around the pharynx ✓
Hypopharyngeal and esophageal ✓ ✓
stenosis
Benign mucosal and cystic
swelling of oral cavity and
pharynx
✓
Cystic lesions of the larynx
Minimal pathological lesions of
the larynx
✓
✓
✓
Phonosurgery ✓
✓
Cleft palate and lip ✓
Laryngeal and Hypopharyngeal
tumors
✓
✓
✓
✓
Reconstruction of Aerodigestive
tract
✓
✓
✓
Please check (✓) the appropriate method.
Student Assessment
Methods of Assessment
Essay Objective questions
Case OSCE/OSPE
Assignment Logbook fulfillment
Others
Schedule of Assessment
Mid-term %
End of term 100 %
✓
✓
✓
✓
Distribution of Marks
Written Exam 70 %
Practical/Clinical Exam 30 %
Others %
List of Textbooks and References
Lecture Notes
Course Text Books
• Lore & Medina. An Atlas of Head and
Neck Surgery, 4th edition, Elsiver Inc. 2005
• Byron Bailey. Atlas of Head and Neck
Surgery.
• Cummings Otolaryngology: Head and
Neck Surgery 4th edition.
Suggested Extra Reading
Journals and Periodicals, others
Course Instructor
Name: Prof. Dr. Hossam Thabet Signature:
Program Coordinator
Name: Prof. Dr. Alaa Gaafar Signature:
Program Director (Head of Department)
Name: Prof. Dr. Mohamed Hassab Signature:
Course Specifications
University: Alexandria
Faculty: Medicine
Department: ENT
Course Information
Course Code: 05270910 Course Name: Advanced Otology
Program in which the Course is Given: Doctor Degree in Otorhinolaryngology.
Number of Credit Hours : 3 Theoretical Clinical/Practical
Course Aims This course is designed to provide the PhD candidates working in the field of otolaryngology with basic
concepts regarding: External ear diseases; developmental anomalies, trauma, reconstructive surgery for congenital & acquired malformations, infections & sequllae, perichondritis, non-infection otitis externa, malignant otitis externa, tumors of external ear, manifestations of systemic diseases, otalgias, Relevant external ear surgeries. Acute & chronic otitis media, complications & management, middle ear trauma, Surgery of chronic ear disease, tympanic membrane & tympanostomy tubes, relevant middle ear surgeries. Otosclerosis & management, diseases of temporal bone with special emphasis on osteogenesis imperfecta, histocytosis X, & specific infections, temporal bone trauma, conductive hearing loss. Vertigo, perilymph fistula, Meniere’s disease and alikes, Central vestibular disorders. Sensorineural hearing loss, cochlear & retrocochlear pathology, ototoxicity, effect of aging, acoustic neronoma, glomus tumor. Immunologic disorders of inner ear. Clinical disorders of Facial nerve, its function tests, & management.
Intended Learning Outcomes (ILOs)
Program ILO (refer to program
matrix) Course ILOs
A. Knowledge
and
Understanding
A1. Discuss advanced surgical
anatomy of significance to the
practice of Otolaryngology both in
adults and pediatric age group.
A2. Discuss etiology, pathogenesis
and pathology of broad spectrum
of otolaryngology diseases.
A1. Describe surgical anatomy of the
external, middle and inner ear
A2. outline the blood supply, lymphatic
drainage and nerve supply to the ear
A.3 illustrate the auditory and vestibular
pathways.
A4.Discuss congenital anomalies of the
external ear e.g. Mild dysmorphia(as
Outstanding ear, Lop-ear and Cupped ears) ,
1 2
A3. Correlate clinical
manifestations, complications,
diagnostic modalities, out-come
and treatment plans for broad
spectrum of otolaryngology
problems.
A4. Develop through knowledge
regarding the advanced knowledge
of pharmacotherapy, oncology,
laser physics, wound healing,
voice measurement and language
development.
A5.Discuss management of
patients in the preoperative period
with special emphasis on those
with associated medical problems.
microtia(atypical and typical) and external
ear atresia.
A5. Discuss congenital middle ear anomalies
e.g congenital ossicular anomalies.
A6. Discuss hereditary hearing disorders and
the congenital (syndromic or non
syndromic)anomalies of the inner ear
e.g.Mondini malformatiom Scheibe's
anomaly,Michel's malformation)
A7. Summarize ear symptomatology as
hearing loss, otalgia,otorrhea,tinnitus and
vertigo.
.
A8. Give examples on the most common
causes of vertigo as BPPV, Meniere's
disease, vestibular neuritis, labyrinthitis,
perilymphatic fistula.
.
A9.Describe surgical anatomy,diagnosis and
management of otogenic causes of facial
nerve paralysis.
A10. Discuss diseases of temporal bone with special emphasis on osteogenesis imperfecta, histocytosis X, specific infections, & temporal bone trauma
A11. Discuss the indications, risks and
contraindications, technique of common
otologic surgical procedures as
myringotomy, tympanostomy tubes
insertion, myringoplasty, tympanoplasty,
mastoidectomy
A12.Summarize the possible complications
of otologic surgeries and their management.
A13. Identify different modalities for
management of pain related to ENT surgery.
A14.Explain the manifestations of systemic
diseases that have otologic findings.
A15. Summarizethe advanced diagnostic
and therapeutic techniques in the field of
otology e.g advances in relevant radiology,
laser surgery, endoscopic assisted ear
surgery.
A6.Acquire different modalities
for management of pain related to
ENT surgery.
B. Intellectual
skills
B1. Utilize sources of information
like medical records, patient’s
family/friends to augment medical
and surgical history.
B2.Select medical and
investigative parameters to be used
in assessing the patient’s response
to intervention and re-evaluate
management plan accordingly.
B3.Manipulate, interpret and
present numerical and narrative
data
B4. Assess logically,
systematically and conceptually to
draw reasoned conclusions/ reach
sustainable judgments in difficult
incomplete problems.
B5.Modify approaches to analyze
and evaluate the information
collected in different patterns of
diseases & problems
B6.Improve the ability to take
decisions in various professional
situations (including dilemmas &
B1. Integrate clinical and laboratory data to
reach diagnosis in otology cases.
B2. Integrate audiologic, vestibular and
imaging data as CT scan and MRI to reach
the diagnosis for otology cases.
B3.Effectively present description and
analysis of otology cases regarding good
interpretation of symptoms and signs of the
patients based on anatomical, physiological
and pathological backgrounds.
B4. Select proper audiological and
radiological investigation for re-evaluation
of patient management.
B5.Develop a list of differential diagnosis
with prioritization and propose a list of
investigations.
B6. Develop a follow up sheet for different
ontological diseases.
B7. Develop accurate and rapid management
plan for otology related emergencies.
B8. evaluate a dizzy patient.
B9. Effectively diagnose and manage of
common medical conditions in the field of
otology as ear trauma, inflammatory disease
of the external,middle and inner
ears,otosclerosis and tumours of the ear as
glomus tumour and acoustic neurorma.B10.
Interpret reports of audiogram and CT scan
. B11.Effectively take decisions in critical
situations like complicatd otitis media and
intraoperative emergencies.
B12. Utilize sources of information like
medical records, patient’s family/friends to
controversial issues).
B7.Manage discussions on basis of
evidence and proofs.
B8.Assess critically and audit the
outcomes of professional activities
during provision of medical care.
B9.Utilize the Scientific method in
research with emphasis on
creativity and ethical
consideration.
augment medical and surgical history.
B13. Assess the outcome of surgical
intervention like mastoidectomy and
tympanoplasty using recent techniques.
B14. Construct research project for basic
ontological surgeries like mastoidectomy
and tympanoplaasty.
B15. Construct research projects on
advanced ontological procedures like
cochlear implant.
B16. Utilizes scientific methods like
audiological and vestibular evaluation in
researches.
B 17. Utilizes sources of creativity and
ethical consideration as preoperative patient
notification for possible complications.
C.Professional
and Practical
Skills
C4.Perform adequately and safely
all basic and advanced major
surgical interventions.
C1. Obtains medical history focusing on
most common symptoms as hearing loss,
otalgia, otorrhea, tinnitus and vertigo
C2. perform full otologic examination for
signs of ear diseases as congenital
malformations, trauma, otitis,
complications of ear diseases(e.g.
complications of suppurative otitis
media), and cranial nerve examination.
C3. competently use of ear examination
instruments as ear speculum,otoscope,
tuning forks, siegle's speculum and
otoendoscope
C4. Correlate the clinical findings with the
results of audiologic, vestibular,
radiologic and laboratory investigations
as pure tone audiograms,
impedencemetry, ABR
C5.Support the conduct of
research, and integration of current
research findings and best
practices into the practice setting
C6. Get an informed consent for
difficult/ risky surgical
interventions.
C7.Teach juniors appropriate
techniques for obtaining,
performing and documenting a
complete medical history and
physical examination for
otolaryngology patients.
C8.Communicate with, consult
and respect the role of other
health-care providers.
C9.Lead effectively and
cooperatively in a specialty Health
C5. Competent in common surgical
procedures like myringotomy.
tympanostomy tube insertion,
myrinoplasty, tympanoplasty and
mastoidectomy
C6. Evaluates cases with vertigo with
emphasis on bedside tests e.g Dix-
Hallpike maneuver,otolith repositiong
techniques and reporting nystagmus
C7. Evaluates and treat common problems
like otitis externa, otitis media, foreign
body ear ,meniere's disease,BPPV
C8. Evaluates and manage cases with
complications (postsurgical or due to ear
disease)
C9. Manage admission of patients to the
otology unit regarding required
investigations, supportive treatment and
preoperative preparation as well.
C10. Manage discharge of patients
concerning their treatment, home
management and follow up schedule.
C11. Provide intraoperative report for the
procedure as regards steps of the
operation and any complication
occurred.
C12. Provides postoperative evaluation for
the patients as regards their recovery,
postoperative treatment and
postoperative course.
.
C13. Design a plan for Teaching juniors
the appropriate techniques for obtaining,
performing and documenting a complete
medical history and physical
examination of patients with otologic
complaints.
C14. Get appropriately and ethically an
informed consent especially for difficult/
risky surgical interventions.
care team.
D. General
Skills
D1.Develop skill in self-
assessment regarding work quality
D2.Design professional
development plans for self and
junior colleagues.
D3.Develop ability to work within
a health care network
D4.Develop ability to work as part
of a team
D6.Demonstrate ability to teach,
support & guide junior staff.
D7.Utilize all sources of recent
communication technology in
facilitating work with his team
colleagues and seniors.
D8.Plan professional development
courses to improve practice and
enhance performance of juniors.
D9.Adhere to codes of conduct,
standards and requirements of
professional and statutory bodies.
D1. Collaborate properly with colleagues in
an effective team work
D2. Demonstrate interpersonal and
communication skills that result in effective
information exchange and teaming with
other health care providers, patients, and
patient’s families.
D3.deal with all staff and co-staff
respectively
D4. Develop skill in self-assessment
regarding work quality
D5. demonstrate the ability to collect and
save a detailed data about patients
management (medical and/or surgical).
D6. Engage with technology particularly the
effective and efficient use of information
and communication technology
D7) Retrieve information from all sources
(printed, electronic, communications etc…).
D8) Design, undertake and interpret a
research project
D9. Present clearly and effectively a
scientific topic using computer facilities
D10.guide and support junior staff regarding
the proper communication with patients,
proper ear examination techniques and
proper management of ear diseases
D11.Plan professional development courses
to improve practice and enhance
performance of juniors.
E- Attitudes and ethical
E1- Follow national code of ethics.
E2- Respect patient’s rights and
1- Revise the national code of ethics
2- Appraise the patients’ rights in view of
behavior explain the standards of informed
consent.
E3- Council patients & parents
with appreciation and
understanding
national laws and international treaties
3- Demonstrate the communication skills and
the ways of explaining the situation to the
patients and the relatives E4-Accept criticism and council from different team members for better patient’s care.
Course Content (Units/Topics)
Teaching/Learning Methods Lectures self
learnin
g
Practical/
Clinical
Small
group
discussion
Others
Anatomy of the ear (✓)
Ear examination (✓) ✓
Congenital ear anomalies (✓) ✓
Ear symptoms (✓) ✓
Ear trauma (✓)
External ear diseases (✓)
Acute & chronic otitis media (✓)
complications & management of suppurative otitis media
(✓)
Surgery of chronic ear disease (✓)
Middle ear tumours (✓)
Otosclerosis (✓)
middle ear surgeries (✓) ✓
temporal bone diseases (✓)
Central vestibular disorders (✓)
cochlear & retrocochlear pathology(including Meniere's disease,presbyacusis, and acoustic neuroma)
(✓)
Ototoxicity (✓)
Immunologic disorders of inner ear (✓)
Facial nerve (✓)
Otologic manifestations of systemic diseases (✓)
Please check the appropriate method.
Student Assessment
Methods of Assessment
Essay Objective questions
Case OSCE/OSPE
Assignment Logbook fulfillment
Others
Schedule of Assessment
Mid-term %
End of term 100 %
Distribution of Marks
Written Exam 70 %
Practical/Clinical Exam 30 %
Others %
List of Textbooks and References
Lecture Notes
Course Text Books
Cummings Otolaryngology: Head and Neck
Surgery 4th edition. 2009
Scott Brown of Otolaryngology
Suggested Extra Reading
Journals and Periodicals, others
Course Instructor
Name: Prof. Dr. Mohamed Bassyouni Signature:
(✓) ✓
✓
Program Coordinator
Name: Prof. Dr. Alaa Gaafar Signature:
Program Director (Head of Department)
Name: Prof. Dr. Mohamed Hassab Signature:
Course Specifications
University: Alexandria
Faculty: Medicine
Department: ENT
Course Information
Course Code: 05270903 Course Name: Advanced Rhinology
Program in which the Course is Given: Doctor degree Otorhinolaryngology
Number of Credit Hours: 3 Theoretical Clinical/Practical
Course Aims The aim of this course is to support the candidates for doctor degree with thorough knowledge about Congenital anomalies of the nose and paranasal sinuses, External nose inflammations, tumors, & connective tissue disorders. Trauma, fractures, & Epistaxis. Disorders of smell & management. Rhinitis & Sinusitis. Nasal septum. Polyposis. Current traditional & advanced surgical procedures.
Intended Learning Outcomes (ILOs)
Program ILO (refer to program
matrix) Course ILOs
A. Knowledge
and
Understanding
A1. Discuss advanced surgical
anatomy of significance to the
practice of Otolaryngology both in
adults and pediatric age group.
A2. Discuss etiology, pathogenesis
and pathology of broad spectrum of
otolaryngology diseases.
A3. Correlate clinical manifestations,
complications, diagnostic modalities,
out-come and treatment plans for
broad spectrum of otolaryngology
problems.
A1. Describe surgical anatomy of the
nose and paranasal sinuses.
A2. Describe endoscopic anatomy of the
paranasal sinuses.
A3. Discuss the etiology of different nasal
and paranasal sinuses diseases like
rhinosinusists, allergic and non allergic
rhinitis.
A4. Discuss the pathology and
pathogenesis of congenital anomalies of
the nose & paranasal sinuses, tumors of
the nose and PNS.
A5. Correlate clinical manifestations and
diagnostic modalities for different nasal
and paranasal sinus diseases like allergic
rhinitis, acute and chronic rhinosinusitis.
1 2
A4. Develop through knowledge
regarding the advanced knowledge of
pharmacotherapy, oncology, laser
physics, wound healing, voice
measurement and language
development.
A5.Discuss management of patients
in the preoperative period with
special emphasis on those with
associated medical problems.
A6.Acquire different modalities for
management of pain related to ENT
surgery.
A6. Correlate the out-come of treatment
plans and complications of different
pathological conditions of the nose and
PNS like FESS procedure for chronic RS.
A7. Outline different pharmacotherapy
affecting the nose and PNS like antibiotic,
and nasal decongestive medications.
A8. Summarize different modalities in
management of complicated
rhinosinusitis.
A9. Discuss management of patients in
the preoperative period emphasizing on
certain medical conditions mainly
hypertension and IHD that can affect the
intraoperative and postoperative courses.
A10. Outline different modalities for
management of pain related to the nose
and PNS pathology.
A11. Outline different modalities to
control postoperative pain in nasal and
PNS operations.
B. Intellectual
skills
B1. Utilize sources of information
like medical records, patient’s
family/friends to augment medical
and surgical history.
B2.Select medical and investigative
parameters to be used in assessing the
patient’s response to intervention and
re-evaluate management plan
accordingly.
B3.Manipulate, interpret and present
numerical and narrative data
B4. Assess logically, systematically
and conceptually to draw reasoned
B1. Utilize sources of information like
medical records and past history like
history of previous operative intervention
in the nose or PNS, certain occupations,
smoking,..etc. to achieve correct medical
and surgical history.
B2. Select proper investigative tool either
laboratory of radiological to evaluate the
pathological condition of the nose and
PNS.
B3. Select the best tool for follow up of
the clinical condition of the nose and
PNS.
B4. Manipulate and interpret available
clinical data of the patients.
B5. Manipulate the data obtained from
radiological investigations like CT scan
and MRI of the nose and PNS.
conclusions/ reach sustainable
judgments in difficult incomplete
problems.
B5.Modify approaches to analyze and
evaluate the information collected in
different patterns of diseases &
problems
B6.Improve the ability to take
decisions in various professional
situations (including dilemmas &
controversial issues).
B7.Manage discussions on basis of
evidence and proofs.
B8.Assess critically and audit the
outcomes of professional activities
during provision of medical care.
B9.Construct and effectively
complete research projects.
B10.Utilize the Scientific method in
research with emphasis on creativity
and ethical consideration.
B6. Manipulate different available data to
reach a definitive of differential diagnosis
of most of the common nasal and PNS
diseases.
B7. Modify methods of analysis and
evaluation of information collected to
reach a suitable diagnosis for rare and
uncommon nasal and PNS diseases.
B8. Make decision for treatment in
simple and advanced nasal and PNS
diseases.
B9. Make operative decisions regarding
simple and advanced surgical procedures
related to the nose and PNS.
B10. Manage discussions of nasal and
PNS disease on basis of evidence proofs.
B11. Manage discussion on operative
decision either endoscopic or open
approach.
B12. Assess critically and audit the
outcomes of functional endoscopic sinus
surgery.
B13. Assess the outcome of open nasal
and PNS surgical approach.
B14. Construct and effectively complete
research projects for FESS.
B15. Construct projects for different
approaches for nasal and PNS surgical
approaches.
B16. Utilize the Scientific method in
research concerning recent updated trends
in management of nasal and PNS
diseases.
C.Professional
and Practical
Skills
C1. Perform a comprehensive and
detailed ENT examination and reach
C1. Perform comprehensive detailed
examination of the nose and PNS.
C2. Perform endoscopic examination of
appropriate diagnosis/differential
diagnosis in wide range of ENT
problems.
C4. Perform adequately and safely all
basic and advanced major surgical
interventions.
C6. Get an informed consent for
difficult/ risky surgical interventions.
C7.Teach juniors appropriate
techniques for obtaining, performing
and documenting a complete medical
history and physical examination for
otolaryngology patients.
C8.Communicate with, consult and
respect the role of other health-care
providers.
C9.Lead effectively and
cooperatively in a specialty Health
care team.
the nose and PNS.
C3. Master techniques of endoscopic
examination of the nose and PNS.
C4. Perform adequately and safely basic
nasal and PNS surgical procedures like
septoplasty, partial turbinectom, inferior
meatal antrostomy.
C5. Master different techniques of
functional endoscopic sinus surgery.
C6. Get appropriately and ethically an
informed consent for surgical
interventions like septoplasty, inferior
turbinectomy.
C7.Teach juniors appropriate techniques
for obtaining, performing and
documenting a complete medical history
for nose and PNS patients.
C8. Teach juniors appropriate techniques
of physical examination of patients with
nasal and PNS diseases.
C9.Communicate with, consult and
respect the role of other health-care
providers like radiologists and
neurologists.
C10. Lead effectively and cooperatively
in a specialty Health care team especially
neurosurgeons.
D. General
Skills
D1. Develop skill in self-assessment
regarding work quality
D2. Design professional development
D1. Develop skill in self-assessment
regarding technique of nasal and PNS
examination and patient assessment.
D2. Design professional development
plans for self and junior colleagues.
D3. Develop ability to work within a
health care network
D5. Demonstrates meticulous record
keeping, entailing legible and
accurate operative notes
D6. Demonstrate ability to teach,
support & guide junior staff.
D7. Utilize all sources of recent
communication technology in
facilitating work with his team
colleagues and seniors.
D8. Plan professional development
courses to improve practice and
enhance performance of juniors.
plans for self and junior colleagues like
lectures and workshops.
D3. Develop ability to work within a
health care network especially
radiologists and neurosurgeons.
D4. Demonstrates meticulous record
keeping, entailing legible and accurate
operative notes like personal data,
operative data and postoperative
diagnosis.
D5. Demonstrate ability to teach, support
& guide junior staff by giving
demonstrative lectures and courses.
D6. Utilize all sources of recent
communication technology as
teleconferences and navigator surgery to
facilitate work with his team colleagues
and seniors.
D7. Plan professional development
courses especially for endoscopic sinus
surgery and anterior skull base
endoscopic surgery to improve practice
and enhance performance of juniors.
E- Attitudes and ethical behavior
E1- Follow national code of ethics.
E2- Respect patient’s rights and
explain the standards of informed
consent.
E3- Council patients & parents with
appreciation and understanding
1- Revise the national code of ethics
2- Appraise the patients’ rights in view of
national laws and international treaties
3- Demonstrate the communication skills
and the ways of explaining the situation to
the patients and the relatives
E4-Accept criticism and council from
different team members for better
patient’s care.
Teaching/Learning Methods
Lectures self Practical/ Small Others
Course Content (Units/Topics)
learning Clinical group
discussion
Congenital anomalies of the nose &
PNS
✓
Examination of the nose and PNS /
nasal endoscopy
✓
Radiology of the nose and PNS ✓ ✓
Allergic and non allergic rhinitis ✓
Acute and chronic rhinosinusitis ✓
Tumors of the nose and paranasal
sinuses
✓
The nasal septum ✓
Trauma to the nose and anterior skull
base.
✓
Tumors of the nose and paranasal
sinuses
✓ ✓
Please check (✓) the appropriate method.
Student Assessment
Methods of Assessment
Essay Objective questions
Case OSCE/OSPE
Assignment Logbook fulfillment
Others
Schedule of Assessment
Mid-term %
End of term 100 %
Distribution of Marks
Written Exam 70 %
Practical/Clinical Exam 30 %
Others %
List of Textbooks and References
Lecture Notes
Course Text Books
• Cummings Otolaryngology: Head and
Neck Surgery 4th edition. 2009
• Scott Brown’s of Otolaryngology
Suggested Extra Reading
✓
✓
✓
Journals and Periodicals, others
Course Instructor
Name: Prof. Dr. Mohamed Hassab Signature:
Program Coordinator
Name: Prof. Alaa Gaafar Signature:
Program Director (Head of Department)
Name: Prof. Dr. Mohamed Hassab Signature:
Course Specifications
University: Alexandria
Faculty: Medicine
Department: E N T
Course Information
Course Code: 05270912 Course Name: Airway management course
Program in which the Course is Given Doctor Degree in Otorhinolaryngology
Number of Credit Hours: 1 Theoretical Clinical/Practical
Course Aims This course is designed to provide the PhD candidates working in the field of
otolaryngology with basic concepts regarding management (diagnosis and
Treatment) of airway narrowing & obstruction, as well as endoscopic management
of foreign bodies in the airways. Endoscopy of the upper air way , larynx ,
tracheobronchial tree will explained in depth as regard the different techniques and
their related complications
Intended Learning Outcomes (ILOs)
Program ILO (refer to program
matrix) Course ILOs
A. Knowledge
and
Understanding
A1. Discuss advanced surgical
anatomy of significance to the
practice of Otolaryngology both in
adults and pediatric age group.
A2. Discuss etiology, pathogenesis
and pathology of broad spectrum
of otolaryngology diseases.
A1. Describe advanced anatomy of upper air
way, larynx, and trachea both in adults and
pediatric age group.
A2. Describe endoscopic anatomy of the
upper airway.
A3. Discuss etiology, pathogenesis and
pathology of air way narrowing and
obstruction.
A4. Explain step- by step diagnosis in the
preoperative period of children or adults
with air way obstruction
0.5 0.5
A3. Correlate clinical
manifestations, complications,
diagnostic modalities, out-come
and treatment plans for broad
spectrum of otolaryngology
problems.
A4. Develop thorough knowledge
regarding the advanced knowledge
of pharmacotherapy, oncology,
laser physics, wound healing,
voice measurement and language
development.
A5.Discuss management of
patients in the preoperative period
with special emphasis on those
with associated medical problems.
A6.Acquire different modalities
for management of pain related to
ENT surgery.
A5.Correlate clinical manifestations,
complications, diagnostic modalities, out-
come and treatment plans for air
way obstruction
A6. Discuss various methods for maintain
the airway.
A7. correlate the pulse oximetry and arterial
blood gases to the degree of air way
obstruction and patient status preoperatively
and peroperatively
A8. Outline the different aspect of
anesthetic considerations during air way
management.
A9. Outline different types of Fibroptic and
rigid scopes, identifying the place of each in
the armamentarium of air way management .
A10. Explain alternative air way support.
A11. Outline modalities for pre and post
endoscopic pain control.
A12. Summarize different types for local
anesthesia for the upper airway.
B. Intellectual
skills
B1. Utilize sources of information
like medical records, patient’s
family/friends to augment medical
and surgical history.
B1.Utilize history from available data
sources like family history, occupational
history and history of previous diseases to
complete data sheet of patients of airway
lesions.
B2. Utilize certain data like habits,
occupation, family history and medical
history to reach diagnosis in upper airway
lesions.
B2.Select medical and
investigative parameters to be used
in assessing the patient’s response
to intervention and re-evaluate
management plan accordingly.
B4. Assess logically,
systematically and conceptually to
draw reasoned conclusions/ reach
sustainable judgments in difficult
incomplete problems.
B5.Modify approaches to analyze
and evaluate the information
collected in different patterns of
diseases & problems
B6.Improve the ability to take
decisions in various professional
situations (including dilemmas &
controversial issues).
B8.Assess critically and audit the
outcomes of professional activities
during provision of medical care.
B3.Select proper radiological investigation
like CT scan, X-ray or MRI for assessment
of airway patency.
B4. Select proper endoscopic modality for
assessing patients with upper airway
pathology.
B5.Assess logically the patency of the
airway versus the risk of intervention.
B6. Improve the ability to deal with difficult
airway problems with controversy as regards
their approach.
B7. Modify different approaches in
analyzing information collected from
radiological and endoscopic data in different
airway lesions.
B8. Modify the approach of presenting data
related to airway obstruction.
B9. Decide between invasive and non –
invasive intervention as a treatment for air
way obstruction.
B10. Choose the best endoscope for
performing endoscopic surgery.
B11. Assess critically the outcomes of air
way management by different schools using
different surgical approaches.
B12. Assess the postoperative outcome for
different techniques in endoscopic laryngeal
or tracheal surgery.
C.Professional
and Practical
Skills
C1.Perform a comprehensive and
detailed ENT examination and
reach appropriate diagnosis
/differential diagnosis in wide
range of ENT problems.
C1.Perform a comprehensive and detailed
ENT examination and reach a probable
diagnosis of the cause of air way obstruction
diagnosis its differential diagnosis.
C2. Perform different types of upper airway
endoscopy like direct laryngoscopy and
C2.Master all techniques of Life
Support (Basic &Advanced.)
C3.Utilize sources of information
like medical records, patient are
family/friends to augment medical
and surgical history.
C4.Perform adequately and safely
all basic and advanced major
surgical interventions.
C5.Support the conduct of
research, and integration of current
research findings and best
practices into the practice setting
C7.Teach juniors appropriate
techniques for obtaining,
performing and documenting a
complete medical history and
physical examination for
otolaryngology patients.
bronchsocpy.
C3. Master techniques of basic life support
like cardiac massage and mouth to mouth
breathing.
C4. Master techniques of advanced life
support like CPR, tracheostomy,
cricothyrotomy and FB extraction.
C5. Utilize sources of information like
medical records stressing on habits like
smoking, profession and main complaint.
C6. Utilize family history as regarding
previous airway problems in the family.
C7.Perform adequately and safely direct
laryngoscopy and MLS.
C8. Perform adequately and safely
bronchoscopy and FB extraction.
C9. Perform adequately and safely various
types of tracheostomy.
C10. Conduct of research, and integration of
current research findings and best practices
into the domain of air way management.
C11. Conduct of research on new available
tracheal stents.
C14.Teach juniors appropriate techniques
for obtaining, performing and documenting a
complete medical history and physical
examination for patients with air obstruction.
C15. Teach junior staff how to document
accurately signs of airway obstruction and
grading them into mild, moderate and
severe.
D. General
Skills
D1.Develop skill in self-
assessment regarding work quality
D2.Design professional
development plans for self and
junior colleagues.
D3.Develop ability to work within
a health care network
D4.Develop ability to work as part
of a team
D5.Demonstrates meticulous
record keeping, entailing legible
and accurate operative notes
D6.Demonstrate ability to teach,
support & guide junior staff.
D7.Utilize all sources of recent
communication technology in
facilitating work with his team
colleagues and seniors.
D1.Develop skill in self-assessment
regarding work quality as regards
postoperative complications and care for
tracheostomized patients.
D2.Design professional development plans
for self and junior colleagues like training
courses and life surgery demonstration..
D3.Develop ability to work within a health
care network in combination with ICU
personnel.
D4.Develop ability to work as part of a team
with ICU and anesthesia and pulmonary
medicine team.
D5.Demonstrates meticulous record
keeping, entailing legible and accurate
operative notes like indication of surgery,
operative steps and post operative course.
D6.Demonstrate ability to teach, support &
guide junior staff by giving lectures and
demonstration of cases.
D7.Utilize all sources of recent
communication technology in facilitating
work with his team colleagues and seniors
like internet and tele conferences.
.
E. Attitudes and ethical
E1.Adhere to codes of conduct, E1.Adhere to codes of conduct, standards
behavior standards and requirements of
professional and statutory bodies.
E2 Get an informed consent for
difficult/ risky surgical
interventions.
and requirements of professional and
statutory bodies stressing on legal aspects in
dealing with patients
E2. Get appropriately and ethically an
informed consent for tracheostomy /
tracheobronchoscopy / pediatric air way
endoscopy.
E3. Get consent from patients as regards the
possible complications of risky airway
procedures.
Course Content (Units/Topics)
Teaching/Learning Methods
Lectures self
learning
Practical/
Clinical
Small
group
discussion
Others
Anatomy of the larynx & tracheobronchial tree
✓
Rigid bronchoscopy ✓ ✓
Glottic & Subglottic stenosis.
✓ ✓ ✓ ✓ ✓
Tracheal stenosis / tumors.
✓ ✓ ✓ ✓ ✓
Cancer larynx & Hypopharynx: ✓ ✓ ✓ ✓ ✓
Complications of head & neck surgery. ✓ ✓ ✓ ✓ ✓
Voice rehabilitations following laryngeal surgeries.
✓ ✓ ✓ ✓ ✓
Neurolaryngology & phonosurgical procedures.
✓ ✓ ✓ ✓ ✓
Chronic aspiration.
✓ ✓ ✓ ✓ ✓
Surgery of upper mediastinum ✓ ✓ ✓ ✓ ✓
Please check (✓) the appropriate method.
Student Assessment
Methods of Assessment
Essay Objective questions
Case OSCE/OSPE
Assignment Logbook fulfillment
Others
Schedule of Assessment
Mid-term 20 %
End of term 80 %
Distribution of Marks
Written Exam 70 %
Practical/Clinical Exam 15 %
Others( Presentations &Assignments) 15 %
List of Textbooks and References
Lecture Notes
Anesthesia and ICU related
Course Text Books
1. Cummings textbook of otolaryngology
Head & Neck Surgery
2. Head & Neck Surgery –Stell & maran
Suggested Extra Reading
1. Surgery of the Larynx & Hypopharynx
Silverstein
Journals and Periodicals, others
Clinics North America
Laryngoscope
Otolaryngology H N Surg
Course Instructor
Name: Prof. Dr. Alaa Gaafar Signature:
Program Coordinator
Name: Prof. Dr. Alaa Gafaar Signature:
Program Director (Head of Department)
Name: Prof. DrMohamed Hassab Signature:
✓ ✓
✓
_
✓ _
Course Specifications
University: Alexandria
Faculty: Medicine
Department: ENT
Course Information
Course Code: 05270901 Course Name:
Advanced applied Surgical Anatomy for Otorhinolaryngology
Program in which the Course is Given
Doctorate Degree in Otolaryngology
Number of Credit Hours : 2 Theoretical Clinical/Practical
Course Aims This course is designed to provide the PhD candidate student working in the field of otolaryngology with
basic concepts regarding the detailed surgical anatomy of the ear, nose, pharynx, larynx, and head
and neck. Full understanding of the surgical anatomy of the anterior, posterior and lateral skull
base.
Intended Learning Outcomes (ILOs)
Program ILO (refer to program
matrix) Course ILOs
A. Knowledge
and
Understanding
A1. Discuss advanced surgical
anatomy of significance to the
practice of Otolaryngology both in
adults and pediatric age group.
A2. Discuss etiology, pathogenesis
and pathology of broad spectrum
of otolaryngology diseases.
A1. Describe detailed surgical and applied
anatomy of the ear,
A2. Describe the surgical and endoscopic
anatomy of the nose & PNS
A3. Describe the surgical anatomy of the
nasopharynx, oropharynx & the
hypopharynx.
A4. Describe advanced surgical &
endoscopic anatomy of the larynx.
A5. Illustrate the surgical anatomy of the
facial nerve and its relations.
A6. Describe surgical anatomy of the
anterior, lateral and posterior skull base
A7. Discuss inflammatory and neoplastic
lesions of the external, middle & inner ear as
its anatomical position.
A8. Explain anatomical variation of the nose
1 1
and its impact on sinuonasal disease.
A9. Discuss the congenital anomalies,
inflammatory and neoplastic lesions of the H
& N and larynx as regards its anatomy.
A10. Summarize various types of skull base
lesion and its impact according to site of
origin.
B. Intellectual
skills
B2.Select medical and
investigative parameters to be used
in assessing the patient’s response
to intervention and re-evaluate
management plan accordingly.
B1. Utilize clinical assessment and
radiological investigations to evaluate ear,
nose, H & N diseases.
B2. Select the appropriate preoperative
management plane according to the
mentioned above investigative parameters.
C.Professional
and Practical
Skills
C1.Perform a comprehensive and
detailed ENT examination and
reach appropriate
diagnosis/differential diagnosis in
wide range of ENT problems.
C1. Demonstrate otoscopic anatomy of the
ear.
C2. Demonstrate endoscopic anatomy of the
nose & PNS
C3. Perform full H &N examination with the
ability to differentiate between various neck
swellings
C4. Perform laryngoscopic examination for
different laryngeal diseases
C5. Demonstrate comprehensive
examination of various Skull base lesions to
reach the appropriate diagnosis.
D. General
Skills
D1.Develop skill in self-
assessment regarding work quality
D2.Design professional
development plans for self and
junior colleagues.
D3.Develop ability to work within
a health care network
D4.Demonstrates meticulous
record keeping, entailing legible
and accurate operative notes
D1. Design courses and workshops for
teaching junior staff new techniques
D2. Develop the ability to work with other
health care teams
D3. Record of pre-operative data
D4. Design a protocol for follow up of
patients
E- Attitudes and ethical behavior
E1- Follow national code of ethics.
E2- Respect patient’s rights and
explain the standards of informed
consent.
E3- Council patients & parents
1- Revise the national code of ethics
2- Appraise the patients’ rights in view of
national laws and international treaties
3- Demonstrate the communication skills and
the ways of explaining the situation to the
with appreciation and
understanding
patients and the relatives
E4-Accept criticism and council from
different team members for better patient’s
care.
Course Content (Units/Topics)
Teaching/Learning Methods
Lectures self
learning
Practical/
Clinical
Small
group
discussion
Others
Development of the Nose and Paranasal Sinuses ✓
✓
Anatomy of Nose and Paranasal sinuses ✓
✓
Endoscopic Anatomy of the Nose & Anterior Skull
Base ✓
✓
Surgical and developmental Anatomy of the Head &
Neck ✓
✓
Surgical anatomy of Cranial Nerves and great vessels ✓ ✓ Surgical Anatomy of the Salivary glands ✓ ✓ Surgical anatomy of the pharynx & esophagus ✓ ✓ Surgical anatomy of the Nasopharynx ✓ ✓ Surgical anatomy of the Larynx ✓ ✓ Surgical anatomy of the tracheobronchial tree ✓ ✓ Surgical anatomy & Embryology of the external,
middle, & inner ear ✓
✓
Endoscopic Anatomy of the ear ✓ ✓ Anatomy and ultrastructure of the vestibular organ
& cochlea ✓
✓
Surgical anatomy and development of the facial
nerve ✓
✓
Anatomy of the skull base and infratemporal fossa ✓ ✓ Neurovascular anatomy of the skull base ✓ ✓
Please check (✓) the appropriate method.
Student Assessment
Methods of Assessment
Essay Objective questions
Case OSCE/OSPE
Assignment Logbook fulfillment
Others
Schedule of Assessment Mid-term %
✓
✓
End of term 100%
Distribution of Marks
Written Exam 70%
Practical/Clinical Exam 30%
Others %
List of Textbooks and References
Lecture Notes
Course Text Books
• Grey’s anatomy
• Scott Brown of Otolaryngology
• Cumming’s Of Otorhinolaryngology H &
N Surg
Suggested Extra Reading
• Ballenger’s Of Otorhinolaryngology H &
N Surg
• Paparella Of Otorhinolaryngology H & N
Surg
Journals and Periodicals, others
• Archives of ORL H & N Surg
• American Journals Of ORL
Course Instructor
Name: Prof. Dr. Hossam Thabet Signature:
Program Coordinator:
Name: Prof. Dr. Alaa Gaafar Signature:
Program Director (Head of Department)
Name: Prof. Dr Mohamed Hassab Signature:
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