diploma in tropical medicinemed.asu.edu.eg/uploads/med/tropical_diploma__201508166340.pdf ·...

1

FFaaccuullttyy ooff MMeeddiicciinnee

AAiinn SShhaammss UUnniivveerrssiittyy

PPoossttggrraadduuaattee SSttuuddiieess

Diploma in Tropical Medicine

طب المناطق الحارةفى درجة الدبلوم

PPrrooggrraamm CCooddee:: TTRR990000

Program Guide and

Logbook

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C a n d i d a t e C u r r i c u l u m v i t a e

[Name]

Please attach your

recent photo

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[mailing address]

[email address]

[postcode]

Experience

[organization]

[your present job title]

[start date]

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[organization]

[previous job title]

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3

[responsibilities]

[organization]

[previous job title]


[location]

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Education

[certificates]


[school or college]

4

Training

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

Filled by post graduate authorities

Date of Registration

First semester

Second semester

Third semester

Fourth semester

5

TABLE OF CONTENTS:

Page

I – Welcome Statement

II - Mission Statement

III – Senior supervisor and affiliated departments and Hospitals

IV – Program specifications

1 - Basic Information

2 - Professional Information

3 - Academic standards

4 - Curriculum structure and contents

5 - Programme courses:

6. Programme admission requirements:

7. Regulation for progression and programme completion

8. Appendix: course specifications

Microbiology and clinical immunology course specifications

Parasitology course specifications

Pharmacology course specifications

Physiology course specifications

Pathology course specifications

Community course specifications

Internal medicine course specifications

Radiology course specifications

Clinical Pathology course specifications

V - General information

VI – Your log book

1 – Introduction

2 - Supervisors, Trainers and/or Educators

3 - Tables for training records

4 – Log book preview

Detachables forms:

VIII – Thesis follow up

IX - Evaluation forms

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I – WELCOME STATEMENT:

The Department of Tropical Medicine welcomes you to the Diploma in

Tropical Medicine. As a department we are committed to medical student

education and continuously strive to improve your educational experience.

This handbook presents information guide and logbook activity of the diploma

Degree in Tropical medicine administered by the Tropical Medicine department,

Faculty of Medicine, Ain Shams University.

II - MISSION STATEMENT:

The mission of the Faculty of Medicine, Ain Shams University is “The

preparation of a competent graduate, who is able to compete on both national

and regional levels, capable of lifelong learning, training and tutoring, while

adhering to the codes of practice of medical health services and ethics. The

college as well, seeks continuous development of programs and courses. It also

enhances expansion of applied scientific research and health programs for

community services and environmental development. Moreover, through

providing distinguished academic and research cadres of teaching staff,

supporting the administrative system and sustainability of own resources, the

college is able to achieve goals and objectives”.

The mission of this degree is to ''Understand the intended objectives of the course

of tropical medicine. Recall, describe, evaluate, and synthesize the objectives of

tropical medicine and to use this knowledge in evaluation and problem solving of

studied cases''.

III – SENIOR SUPERVISOR AND Affiliated

DEPARTMENTS AND HOSPITALS

SENIOR SUPERVISOR

Prof.

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

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

E-mail:

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AFFILIATED DEPARTMENTS AND HOSPITALS

Ain Shams University Hospital

IV – PROGRAM SPECIFICATIONS

A- Basic Information

1. Programme title:

Diploma in Tropical Medicine

2. Programme type: Single Double Multiple

3. Faculty:

Faculty of Medicine Ain shams University

4. Department

Tropical Medicine Department.

5. Assistant co-ordinator

....................................................................

6. Co-ordinator

………………………………………………

7. Last date of programme approval:

……………………………………………………………

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B- Professional Information:

1. Programme aims:

1. Prepare, conduct, analyse and write up a research project related to a

topic in tropical or infectious diseases.

2. Understand the management and control of infectious diseases.

3. Understand the management and control of diseases of GIT and Liver

4. Demonstrate a range of laboratory skills useful in diagnosis and

management of infectious and parasitic diseases.

5. Demonstrate a range of laboratory skills useful in diagnosis

and management in Gastroenterology and Hepatology.

6. Use and evaluate tools, including epidemiology and statistics, for the

identification of major medical problems in tropical settings.

7. Critically appraise published work.

8. To provide advanced knowledge and understanding the intended

objectives of the course of Gastroenterology and Hepatology.

9. Providing a knowledge and understanding of Medical Parasitology,

Bacteriology and basics of immunology.

10. To understand the basics of physiology and pathology.

11. To provide advanced knowledge about principles of pharmacology

especially antimicrobials antiparasitic and drugs used in treatment of

gastrointestinal disorder.

12. To recognise the distibution of the tropical diseases and epidemiological

pattern of each disease .

13. Recall, describe, evaluate, and to use these knowledge in evaluation and

problem solving of studied cases.

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2. Intended learning outcomes (ILOs):

a. Knowledge and understanding:

At the end of the programe the student should be able to:

a1 – Know background of history and examination and investigations of

abdominal case.

a2 – Recognize Clinical manifestations of malnutrition.

a3- Know methods of Infection control and Immunization

a4- Recognise Therapy and Prophylaxis of bacterial, viral and parasitic

diseases.

a5- Know recommendations of care of contact, isolation.

a6- Know how and when to report the officials.

a7- List Sexually transmitted diseases and how to prevent.

a8- Recognise epidemics and pandemics

a9- Understand Clinical manifestations of Infections of CNS, Infections of

respiratory system, Infections of urinary tract.

a10- List differential diagnosis of fever of unknown etiology.

a11- Describe Emergencies in infectious diseases

a12- Know Complications in infectious diseases

a13- Understand Diagnosis of infectious diseases

a14- Recognise Infections in the immuno-compromised host

a15- List Infections predisposing to malignancies.

a16- Demonstrate adequate knowledge of basic medical science relevant to

proper understanding of gastroenterology/ hepatology disease, their

investigstions and therapeutic lines

a17- Describe the epidemiology, causes, pathophysiology, natural history and

complication of different gastroenterology diseases.

a18- Explain the clinical manifestations and diagnosis of different

gastroenterology disease.

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b. Intellectual capabilities:

At the end of the programme the student should be able to:

b1- Analyze of patient‟s data of history and examination.

b2- Recognize of symptoms and signs of specific Tropical disease.

b3- Analyze of patient‟s data of history and examination of specific Tropical

diseases.

b4- Evaluate the infectious status (acute, chronic, and latent) from the given

manifestations and the available diagnostic tests results.

b5- Differentiate and interpret of a complete case study with proposal of

diagnosis, DD and treatment.

b6- Combine different drugs for treatment according the infectious status,

presence of complications and, drug resistance.

b7- Advise people travelling to endemic areas, concerning prophylactic health

measures and use of prophylactic drugs.

b8- Take appropriate history and conduct proper clinical examination of

patients with different gastroenterology disorders.

b9- Select, use and interpret appropriate investigations needed for diagnosis

and follow up of patients with gastroenterology disorders. These include

laboratory, imaging, and pathological investigation.

b10- Use datd from clinical assessment and investigation results to diagnose

and develop management plans for patients with different gastroenterology

disorders.

c. Professional and practical skills:

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

c1- Interpret symptoms and signs of different infectious diseases

c2- Recommend appropriate investigation and treatment.

c3- Apply and interpret international and national guidlines in the diagnosis,

classification and manangement of gastroenterology disorders.

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c4- Use the best available scientific evidence to inform decisions on patient

management and integrate this with clinical experiences and patients value and

prefernces.

d. General and transferable skills:

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

d1- Show willing and motivations for self learning and continuous improvement.

d2- Represent Data efficiently.

d3- Search and retrieve required scientific data via the World Wide Web and other

electronic resources.

d4- Show interest in local health problems.

3. Academic standards: (Benchmarks)

London School of Hygiene and Tropical Medicine, London University

Website: www.londonexternal.ac.uk

American society of gastroenterology

http://www.londonexternal.ac.uk/

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4. Curriculum structure and contents:

4a- Programme duration: Two years (4 semesters).

4b- Programme structure:

The following points have to be covered:

اننبهج

انكىد انقزراث انذراسيتانسبعبث

انعتذة

دورة أسبسيبث انبحث انعهي يتطهببث انكهيت

انجشء األول

TR9001 1 اكهينيكيت كبئنبث دقيقت وينبعت

TR9002 1 طفيهيبث

TR9003 5,5 أدويت

TR9004 1 وظبئف أعضبء وعهى أيزاض

TR9005 5,5 وببئيبث و إحصبء وحبسب آني

TR9006 2 ببطنت عبيت و أشعت و يعم

انجشء انثبني

TR9007 5 أيزاض انكبذ انتىطنت وانعذيت وانغذائيت

ىطنت و انعذيت أيزاض انجهبس انهضي انت

وانغذائيتTR9008 5

TR9009 5 األيزاض انعذيت وانبيئيت وسىء انتغذيت

TR9010 1 وسبئم تشخيصيت وعالجيت

االختيبريت انقزراث

يختبر انطبنب يبدة واحذة ين :

E9101 ياظش ضئت يخاث صحت -

E9102 طب انغفش - E9103 حشخص -

E9104 عالج أساو كبذ

E9101

E9102

E9103

E9104

2

6 كزاست األنشطت

30 انجىع

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5. Programme courses:

5.1- Level/Year of programme........... Semester...................

a. Compulsory

b- Elective – number required

No. Of hours Course Title Code No.

Clinical Lect.

0 15 Bacteriology and Clinical

Immuonology

TR6001

0 15 Parasitology TR9002

0 7.5 Pharmacology TR9003

0 7.5 Pathology TR9004a

0 7.5 Physiology TR9004b

0 7.5 Community &Statistics &

Computer

TR9005

15 7.5 Internal medicine TR9006a

0 7.5 Radiology TR9006b

0 7.5 Clinical pathology TR9006c

90 30 Hepatology TR9007

90 30 Gastroenterology TR9008

60 45 Infectious diseases and

malnutrition and environmental

hazards

TR9009

7.5 15 Diagnostic and curative

measures

TR9010

No. Of hours Course Title Code

No. clinical Lect.

30 15 Endoscopy E9101

30 15 Ultrasonography E9102

30 15 Travel medicine E9103

30 15 Diagnosis and

treatment of

hepatocellular

carcinoma

E9104

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6. Program admission requirements:

-:انذبهىوجت ر( : يشتزط نقيذ انطبنب نهحصىل عهى در6) انبدة

عه دسخت انبكانسط ف انطب اندشازت ي إزذ خايعاث خست - 1 أ ك زاصال

يافمت خت انعم -3 أ ك لذ أيض عت انخذسب )االيخاص( -2 يصش انعشبت أ عه دسخت يعادنت

-5( 1اث انطهبت ف انهسك )حغذذ انشعو يصاسف انخذسب اعخالن األخضة اعخفاء انغخذ -4

0انخفشغ نهذساعت نذة فصه دساع لبم دخل ايخسا اندضء انثا

-األساق انخانت : ذبهوانت مذو طانب اإلنخساق نذسخ ( :1يهحق )

-05شببادة انببالد أ يغببخخشج سعبب -04شببادة اإليخبباص -3 0شببادة انبكببانسط -2 0طهببب إنخسبباق -1

صبس فحرشافبت 6عبذد -7 0يافمت خت انعبم عهب انخغبدم انخفبشغ انطهب -6 0 انخدذانلف ي

0بانغبت نهافذ مذو انطانب يافمت انغفاسة سذد خت حسم انفماث كا مذو شادة صست -8 0خذذة

7. Regulation for progression and program completion

م نهاخغخش يشة ازذة ف انغت حبذأ ي أل نب زخب أخبش أرغبطظ عهب خى انخغد(: 8يبدة )

دص لبل حغدم انا انعذ انافبذ فب انفخبشة يب 0أ حبذأ انذساعت ف شش أكخبش ي كم عاو

ساعبت أل فبشزخ أخش دغبش عهب أال غبر نبى ببذخل إيخسبا اندبضء األل إال بعبذ إمضباء فخبشة انذ

.انطهبت

حببصا انذساعببت فبب كببم عبباو خببايع عهبب فصببه دساعبب يببذة كببم يببا خغببت عشببش (: 9ياابدة )

اعبعا . بذا االل ف أل أكخبش بذا انثا ف يصف فبشاش. يع حظى فصم دساع صف يكثف نبذة

عهب االلبم بعبذ إعبخفاء انشبشط زغبب عخت اعابع . خى انخغدم نهفصم انذساع لبم اعبع يب بذاخب

عبباعاث يعخببذة. دببص 6انمببشساث انغببدهت. البنبب أ ضببذ انعبببء انذساعبب فبب انفصببم انازببذ عبب

نهطانببب حعببذم انمببشساث خببالل اعبببع يبب بذاببت انفصببم انذساعبب )بانسببزو ا االضببافت(. كببا دببص نبب

د ازخغاب ساعبا ف. االغسا خالل عخ اعابع ي ازذ انمشاسث

: يذة انذساعت نهسصل عه دسخت انذبهو أ اناخغخش أسبعت عشش ششا ( 11انبدة )

)أسبعت فصل دساعت( عه خضئ دخاص فا انطانب بشايدا حذسبا يخكايال طبما نهغاعاث انعخذة

ال غر ن بذخل األشطت ت ف كخب يخابعت انضست بانبا انشابع غخف خالنا انطه ي

0اإليخسا لبم إعخفاء ثالثت أسباا انطه يت ف كم خضء ي انبشايح

دخاص بعذا ازذ يذة انذساعت ف انذبهو اناخغخش اندضء األل فصم دساع ( :12انبدة )

نهذساعت ف اندضء انثا. اندضء انثا خطهب حفشغ انطانب إيخساا ال شخشط انداذ ف بانكايم نإلخمال

.بأزذ انغخشفاث أ انشاكض انعخذة ي انكهت نذة فصه دساع نهخذسبانطانب

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مو انذاسط نذسخت اناخغخش بخغدم يضا انشعانت عه شكم بسث ظش أ ( : 13يبدة )

عه ي انخغدم دص أ الش سعانخت بعذ عخت شس عه بعذ إعخفاء فصم دساع ازذ عه األلم

األلم عه أ ك لذ در ف يمشساث اندضء األل بانكايم لبم دخل إيخسا اندضء انثا ال خصص

5ث نا دسخا

مو داسط اناخغخش بإعخفاء يخطهباث اندايعت لبم حغدم انشعانت يخطهباث انكهت ( : 14يبدة )

يخطهباث اندايعت انسصل عه شادة انخفم ف انهنت اإلدهضت .إيخسا اندضء انثا لبم دخل

دسخت عه األلم( يخطهباث انكهت زضس دساث يعخذة ي ندت انذساعاث انعها 450بدا )

ا انهدت. اإلزصاء انطب أ بإخخاص إخخباساث خاصت حسذد ياح انبسث انعهبانكهت ف يدال

دص نهساصه عه دسخت انذبهو إعخكال دسخت اناخغخش بخغدم سعانت (: 15يبدة )

اناخغخش خالل أسبع عاث ي انسصل عه دسخت انذبهو سصم عه انذسخت بعذ إعخفاء يخطهباث

اندايعت انكهت يالشت انشعانت بداذ.

انذبهو اناخغخش ثالث عاعت يعخذة عه األلم خصص انغاعاث انعخذة نذساعت (: 16يبدة )

حشم عج عاعاث عه األلم نهدضء األل ثا عششة عاعت يخابعت األشطت يا عج عاعاث نكخب

ضاو إنا عج عاعاث نهشعانت ف اناخغخش. عه األلم نهدضء انثا

اث.يذة انمذ نذسخت اناخغخش أسبع ع(: 22يبدة )

دسخت نهدضء 300دسخت يا 1200يدا دسخاث االيخسا انائ نهاخغخش (: 24يبدة )

دسخت نهاخغخش. 300ه انخشاك با اص صاألل. ضاو انا انعذل انف

عمذ إيخسا انذس األل ف أكخبش فبش ي كم عاو عمذ إيخسا انذس انثا ف (: 25يبدة )

ا ي كم عاو. أبشم ي

% ي 60ك انداذ ف كم يادة ي انذبهو انعان اناخغخش بعذ انسصل عه (: 26يبدة )

ك انداذ ف ياد % 50عه ا ال مم انخسشش ع انذسخت انكهت نكم ندا انادة يدخعت

انخسشش انعه االكهك انشف كم عه زذة. % ي دسخت60انذكخسا بعذ انسصل عه

ف زانت إعخفار يبذة انمبذ كب نطانبب انذساعباث انعهبا إعبادة انخغبدم يبشة أخبش ال (: 29)يبدة

األل أ انشعانت دب إعادحا.عخذ بانداذ ف اندضء

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Assessment Schedule and Weighing of Assessments

Item Mark

Po

ints

GP

A s

core

بطان اننتزا

Stu

den

t

sta

te

During

semester

End of

semester Total

First semester (If present) 100 300 400

Second semester 100 100

Third semester 100 100

Fourth

semester

Final exam

Written

900 900

Oral

Practical

/Clinical

Total 300 1200 1500

عه انخ انخان:حعادل دسخاث انطانب طبما نهماط يهسظت:

نقبط 4 : % فأكثز 95 -1 A

نقبط 3.67 : % 95% حتى أقم ين 85ين -2 A-

نقبط 3.33 : %85% حتى أقم ين 85ين - 3 B+

نقبط 3.55 : %85% حتى أقم ين 75ين - 4 B

نقبط 2.67 : %75% حتى أقم ين 75ين - 5 B-

نقبط 2.33 : %75% حتى أقم ين 65ين - 6 C+

نقبط 2.55 : %65% حتى أقم ين 62ين -7 C

نقبط 1.67 : %62% حتى أقم ين 65ين - 8 C-

F صفز : %65أقم ين - 9

دسخت نهدضء 300دسخت يا 1200ا انائ نهذبهو انعان اناخغخش يدا دسخاث االيخس

دسخت نهدضء األل إ خذ. 300دسخت يا 1500األل يدا دسخاث االيخسا انائ نهذكخسا

دسخت 400دسخت نهذبهو انعان اناخغخش 300ه انخشاك با اص صضاو إنا انعذل انف

.نهذكخسا

( عهب أعباط يدبا زاصبم ضبش مباط كبم يمبشس يضبشبا GPAخى زغا انعذل انفصه )

ف عذد عاعاح انعخذة يمغيا عه انغاعاث انعخذة نهمشساث انخ دسعبا انطانبب فب انفصبم انذساعب.

زصبم ( عهب أعباط يدبا زاصبم ضبش انمباط انخب CGPAانعذل انخشاك نهطانب ) كا خى زغا

عها انطانب ف كم يمشس يضشبا ف عذد عاعاح انعخذة يمغيا عه يدا انغاعاث انعخذة انكهت.

ببخى أ انببذكخسا اناخغببخش فبب انببذبهو أمببشساث انفبب زانببت انشعبب فبب يببادة أ يدعببت يبب

عهب فب أل إعبادة فمبظ أيبا إرا خى زغا انخمبذش انفعهب انبز سصبماإلعادة ف انادة أ اندعت فمظ.

ماط ا 1.67% فمظ )ا60حكشس سعبت فسغب ن عذ انداذ حمذش -

C).

17

Microbiology and immunology Course specifications

University Ain Shams Faculty of Medicine

Programme(s) on which the course is given Diploma in Tropical Medicine

Major element of programmes

Department offering the programme: Tropical medicine Departement.

Department offering the course: Microbiology and immunology.

Academic year / Level: 1st semester

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


Title: Microbiology and Immunology. Code: TR9001

Credit Hours: 1 Lecture: 0.5/week Total: 7.5

Practical: 0.5 Total: 15

Co-ordinator

……………………………………………

B - Professional Information

1- Course Aims:

1. To provide Algorithmic approach to the diagnosis and treatment

2. To give candidates a good grounding in the applied aspects of medical

microbiology

3. To provide candidates with an understanding of the immune system, its

protective functions and the updates in the immunopathogenesis of

infectious and non-infectious diseases.

4. To familiarize candidates with the common infections and diseases of

medical importance, their causative pathogens, as well as laboratory

diagnosis, treatment, prevention and control of such diseases.

5. To provide knowledge, skills and attitude for candidates to deal with the

emerging infectious diseases in the community.

18

6. To encourage candidates to be positive participants in controlling

infection in their environment.

7. To guide candidates to apply basic practices of infection prevention and

control in different health care settings.

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

a- Knowledge and understanding

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

a1- Understand the basic biology and classification of medically important

microorganisms including bacteria, viruses and fungi

a2- Describe virulence factors and pathogenesis of medically important

microorganisms and how they evade host defense mechanisms.

a3- Mention mechanism of action, proper use of antimicrobial, antiviral and

antifungal agents.

a4- Describe different mechanisms for controlling microbial growth.

a5- Identify the basic principles of infection control in health care facilities.

a6- Explain the beneficial role of the immune system in protection against

microbial infections and development of tumors.

a7- Discuss means and types of immunization against medically important

microorganisms.

a8- Explain the detrimental role of the immune system in hypersensitivity

reactions, transplant rejection and development of autoimmune diseases.

b- Intellectual skills


b1- Evaluate according to evidence the causal relationship of microbes and

diseases.

b2- Formulate a systematic approach for laboratory diagnosis, treatment and

prevention of common infectious clinical conditions

b3- Demonstrate different techniques for controlling microbial growth

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b4- Evaluate the risk of infection of different clinical procedures for patient,

healthcare providers and external environment.

b5- Apply the basic infection prevention and control practices in different

healthcare settings.

c- Professional skills


c1- Collect a proper sample needed to diagnose a suspected causative

pathogen.

c2- Perform different aseptic techniques during healthcare provision.

c3- Identify medically important bacteria based on microscopic examination

c4- Identify an unknown pathogen in a pathological specimen

d- General and transferable skills


d1- Computing skills ( basic, information system, internet)

d2- Communication skills (stockholders, staff, client, community)

d3- Managerial skills (planning, decision making, budging)

Learning methods:

1. Lectures and small group discussion

2. Seminars

3. Practical classes

4. Self directed learning

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3- Course content:

Topics No of hrs

L SDL T C/P

1- Basic and

Applied Medical

Microbiology:

Basic bacteriology.

1

2

classification of

medically important

bacteria

Antimicrobial agents:

mechanism of action and

resistance.

Basic virology, major

viral groups and antiviral

drugs

Basic mycology and

classification of

medically important

fungi and antifungal

drugs

Microbial mechanisms to

combat host defenses

Control of microbial

growth (Sterilization and

Disinfection)

2- Basic

Medical

Immunology:

Tissues and cells of

immune response, types

of immune response,

Humoral immune

2

21

response Cell-mediated

immunity, Cytokines,

Hypersensitivity

Autoimmunity and

Tumor Immunology

Transplantation

immunity

Immunodeficiency.

3- Basic

Diagnostic

Microbiology

(Applied for

diagnosis)

Collection of

pathological specimens

for microbiological

diagnosis

1

2

Lab. diagnostic

techniques: conventional,

immunological and

molecular 1 hour

Typing methods

Antimicrobial

susceptibility testing

The previous topics (1– 3) are prerequisites for the

following (4- 5)

4- Common

Infectious

Clinical

Conditions :

Aetiology,pathogenesis,

laboratory diagnosis,

treatment and prevention

of: 2

8

Upper respiratory tract

infections

22

Lower respiratory tract

infections

Diarrhea and other GIT

infections

Hepatitis

Genito- urinary tract

infections.

Sexually transmitted

infections

Septicemia. Bacteremia,

FUO.

CNS infections

Bone and joint infections

Perinatal and congenital

infections

Skin and soft tissue

infections ( cellulitis,

erysipelas, rash)

Eye infections

HIVinfections and

infection in

immunocompromized

host

Zoonotic diseases, Arbo

and Robo viruses

Food and water

associated diseases

23

FUO ( extrapulmonary

T.B, maltreated typhoid,

chronic brucellosis)

5- Healthcare

associated

infections and

Infection

control:

Health care associated

infections and Device

related infections:

Urinary catheter RIs,

Intravascular device RIs,

Ventilator associated

pneumonia

1.5

3

Basic infection control

practices: standard

precautions and aseptic

technique

Infection control

practices in different

health care settings:

Dialysis unit, Endoscopy

unit and Operating room,

ICU, neonatal ICU

Health care associated

infections and Device

related infections:

Urinary catheter RIs,

Intravascular device RIs,

Ventilator associated

pneumonia

24

Methods of assessment:

1. Written exam to assess knowledge, understanding and intellectual

skills.

2. Oral exam to assess the ability to identify and apply microbiological

knowledge and intellectual skills in a comprehensive oral way.

3. Practical exam (for certain specialties) assess practical and

intellectual skills.

Weighting of Assessments

Written Exam. 30 marks

Oral Exam 5 marks

Practical Exam 15 marks

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

Total 50 marks

5 -- List of References

Course notes: Medial microbiology and Immunology Department books

Essential books:

Lecture Notes: Medical Microbiology and Infection (Tom Elliott, Tony

Worthington, Husam Osman& Martin Gill)

Lecture Notes: Immunology (Todd and Spickett)

Recommended Books

Medical Microbiology (Jawetz, Melnick, & Adelberg‟s)

Medical Immunology (Parslow, Stites, Terr & Imoboden)

Practical Medical Microbiolology (Collee, Fraser, Marmion & Simmons)

Immunobiology (Janeway, Travers, Walport, Shlomchik)

Medical Microbiology & immunology (Levinson & Jawetz)

Basic Virology (Wagner)

5.3- Recommended Books

25

Immuno Biology by Janeway, Travers, Walport, Shlomchik Medical

Microbiology & Immunology by.Levinson and Jawetz Basic Virology by

Wagner.

5.4- Periodicals, Web Sites, etc Trends of Immunology Journal

Parasitology Course specifications




Department offering the programme: Tropical Medicine Department.

Department offering the course: Parasitology Department.


Date of specification approval:


Title: Parasitology. Code: TR9002

Credit Hours: 1 Lecture: 0.5hrs/week Total: 7.5

Practical: 1hrs/week Total: 15

Co-ordinator

……………………………………………


1- Course Aims:

To provide advanced knowledge and understanding of Medical Parasitology

by:

• Providing a knowledge and understanding of Medical Parasitology

including Helminthology, Malacology, Protozoology and Medical

Entomology.

• Providing a knowledge and understanding in Immunology and Molecular

Biology of parasitic infections.


26


a) Knowledge and Understanding

At the end of the course the student should be able to:

a1- Locate the geographical distribution of parasites in Egypt and in the world.

a2- Name the final habitat, definitive, intermediate and reservoir (host)s of the

parasite

a3- Recognize the parasites according to their morphology.

a4- Identify the snails acting as intermediate hosts of trematodes studied.

a5- Describe and draw the life cycle.

a6- List the modes of transmission.

a7- Draw labelled diagrams of diagnostic and infective stage(s).

a8- Understand the pathogenesis and pathology of common parasitic diseases.

a9 Know the clinical manifestations of parasitic infections.

a10- Recognize medically important arthropods and their medical importance.

a11-Understand the immune response to and immune modulation by parasites.

a12- Understand the relation between parasites and allergy.

a13- Understand the methods used for the detection of antigen antibody

reactions.

a14- Describe the methods used for the diagnosis of parasitic infections.

a15- Prescribe drugs for treating different parasites, including dosage and side

effects.

a16- Show awareness of epidemiological factors responsible for the

prevalence of parasitic infections.

a17- Understand methods of prevention and control of parasitic infections.


27


b1- Classify the parasites according to their morphologic features.

b2- Construct attractive explanatory drawing for life cycle, infective stage and

modes of infection.

b3- Differentiate between and compare the diagnostic and infective stages of

parasites.

b4- Predict and correlate the clinical manifestations with pathogenesis and

pathology of parasitic infections.

b5- Explore the differential diagnosis on the basis of suspected clinical

manifestations and recommend the relevant parasitological, immunological and

molecular diagnostic techniques.









c1- Identify helminths, protozoa, and snails and arthropod of medical importance.

c2- Recommend further investigations.

c3- Interpret the appropriate immunological and molecular tests for diagnosis of

parasitic infections.





28




3- Course content:

Topics No. of hours

L SDL T C/P

1. Introduction and classification of parasites 1

2. Class : Trematoda 1 3

3. Class : Cestoda 1 3

4. Class : Nematoda 1 3

5. Class : Protozoa 1 3

6. Diseases transmitted by arthropoda 1 2

7. Nosocomial parasitic infections 1

8. Parasitic infections of compromised hosts 0.5

9. Immune response to parasitic infections and

immunodiagnosis of parasitic diseases.

1

10. Molecular diagnosis of parasitic infections 1

11. Snails 1 1

L: Lecture, Pr: Practical



skills.


knowledge and intellectual skills in a comprehensive oral way .



29



Oral Exam 5 marks

Practical Exam 15 marks

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

Total 50 marks


5.1- Course Notes (paper and / or electronic)

5.2- Essential Books (Text Books):

1. Clinical Parasitology: by Craig, Faust , Beaver (Lippincott Williams &

Wilkins, US; 9th edition).

2. Manson's Tropical Diseases: by Cook and Zumla (Saunders Ltd.; 21

edition)

3. Immunology and Molecular Biology of Parasitic Infections: by

Warren (Blackwell Science Ltd; 3rd Ed edition)

4. Immunity to Parasites: How Parasitic Infections are Controlled: by

Wakelin (Cambridge University Press; 2 edition)

5. Immunology of Parasitic Infections: by Cohen and Sadun, (Warren

Blackwell Science Ltd; 2nd

edition).

http://www.amazon.co.uk/exec/obidos/search-handle-url?%5Fencoding=UTF8&search-type=ss&index=books-uk&field-author=C.F.%20Craig

http://www.amazon.co.uk/exec/obidos/search-handle-url?%5Fencoding=UTF8&search-type=ss&index=books-uk&field-author=E.C.%20Faust

http://www.amazon.co.uk/exec/obidos/search-handle-url?%5Fencoding=UTF8&search-type=ss&index=books-uk&field-author=Paul%20Chester%20Beaver

http://www.amazon.co.uk/exec/obidos/search-handle-url?%5Fencoding=UTF8&search-type=ss&index=books-uk&field-author=Gordon%20C.%20Cook

http://www.amazon.co.uk/exec/obidos/search-handle-url?%5Fencoding=UTF8&search-type=ss&index=books-uk&field-author=Alimuddin%20I.%20Zumla

http://www.amazon.co.uk/exec/obidos/search-handle-url?%5Fencoding=UTF8&search-type=ss&index=books-uk&field-author=K.%20Warren

http://www.amazon.co.uk/exec/obidos/search-handle-url?%5Fencoding=UTF8&search-type=ss&index=books-uk&field-author=Derek%20Wakelin


http://www.amazon.co.uk/exec/obidos/search-handle-url?%5Fencoding=UTF8&search-type=ss&index=books-uk&field-author=Sydney%20Cohen

http://www.amazon.co.uk/exec/obidos/search-handle-url?%5Fencoding=UTF8&search-type=ss&index=books-uk&field-author=Elvio%20Herbert%20Sadun

http://www.amazon.co.uk/exec/obidos/search-handle-url?%5Fencoding=UTF8&search-type=ss&index=books-uk&field-author=Kenneth%20S.%20Warren

30

Pharmacology Course specifications




Department offering the programme Tropical medicine Deparement

Department offering the course Pharmacology Department


Date of specification approval


Title: Pharmacology Code: TR9003

Credit Hours: 0.5 Lecture: 0.5hr/week Total: 7.5

Co-ordinator

……………………………………………


1- Course Aims:

The course aims at providing basic knowledge concerning the pharma-

cological management of frequently occurring diseases in the community.




a1- Provide the basic principles of prophylactic use of drugs for the preventive

care of both individual and community.

a2- Provides basis for identifying the frequent health- and community-related

adverse effects of both authorized and non-authorized use of drug.

a3- Provide the basic knowledge about antimicrobial.

a4- Provide advanced knowledge about drugs used in the field of

gastrointestinal tract.


31


b1- Recognize the different mechanisms of drug action.

b2- Identify several ways of drug absorbtion according to drug

pharmacokinetic.

b3- Identify ways of drug interaction

B4- Analyze the patient condition and prescribe the suitable drug.





c1- Identify the suitable drug for each disease.

c2- Analyze the drugs interaction.

c3- Provide suitable management of different case.



d1- Show willing and motivations for self learning and continuous

improvement.

d2- Communication and interaction with colleagues and staff member.

d3- Use of internet.

3- Course content:

Topics No of hours

L SDL T C/P

1. General pharmacology

Mechanism of drug action

Development of resistance

Pharmacokinetics

1

32

Phases of drug trials

Basic pharmacological forms

2. Antimicrobials

Mechanism of action

Spectrum, Dosage

Adverse reactions

Dose adjustment in different medical conditions

1

3. Antiviral drugs

Mechanism of action

Spectrum, Dosage

Adverse reactions


0.5

4. Antiparasitic drugs

Mechanism of action

Spectrum, Dosage

Adverse reactions


0.5

5. Antifungal drugs

Mechanism of action

Spectrum, Dosage

Adverse reactions


0.5

6. Phamacology of blood

Drug therapy of thrombosis

Anticoagulation

Drugs used in Bleeding disorders

1

7. Renal pharmacology 1.5

33

Diuretics

Drugs and acid base balance

8. Gastrointestinal and Hepatic Phamacology

Drug therapy of peptic ulcer

Drug therapy of GIT motility disorder

Antiemetics

Anti diarrheal

Laxatives

Lipotropics

Antifibrotic

1.5



skills.


knowledge and intellectual skills in a comprehensive oral way.





Oral Exam 2.5 marks

Practical Exam 7.5 marks

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

Total 25 marks



5.2- Essential Books (Text Books)


34

Principles of Pharmacology. The patophysiologic basis of drug therapy.

Eds. Golan et al. 2nd edition. 2008. Lippincott, WW

Lecture Notes by professors of Pharmacology department; faculty of

medicine; Ain Shams university.…

5.4- Periodicals, Web Sites, etc

Pubmed: http://www.ncbi.nlm.nih.gov/PubMed

Pathology Course specifications

University: Ain Shams Faculty of Medicine



Department offering the programme Tropical Medicine Deparment

Department offering the course Pathology Department

Academic year / Level:1st semester



Title: Pathology Code: TR9004a


Co-ordinator

……………………………………………


1. Course Aims:

Pathology is the bridge between the basic science and clinical medicine The main

aim of Pathology course is to provide the canditate with adequate, recognizable

arrd applicable knowledge and skills for common diseases and life threatening

illnesses affecting body organs and systems. It helps the canditate to understand the

causes (aetiology) of disease, the mechanisms Of its development (pathogenesis)

and the associated alterations of structure (rnorphologic changes) and function

(clinical manifestations and complications) to be able to determine the most likely

http://www.ncbi.nlm.nih.gov/PubMed

35

diagnosis of the disease and management of the patient when provided with the

clinical history, the anatomical lesions, and the laboratory data.


a- Knowledge and understanding:


a1. Recognise and define the basic pathologic processes that disturb the

structure and function of the body including cell injury, tissue responce to

injury (inflammation, healing and repair), haemodynamic disturbances,

neoplasia, infections and parasitic diseases.

a2. List the causes of common diseases affecting organs or systems.

a3. Explain the pathogenesis of common diseases affecting organs or systems.

a4. Recognise and describe the basic pathologic features (morphologic

alterations) including the gross and microscopic pictures of various common

diseases affecting organs or systems.

a5. Describe how the pathological process affect the structure and function of

the organ systems of the human body.

a6. Identify the functional consequences and clinical manifestations of

common diseases affecting specific organs or systems.

a7. Explain the signs and symptoms of disease based on its pathogenesis,

thereby demonstrating clinical reasons.

a8. Interpret and identify the complications of common diseases.

a9. Describe the effect of environmental factors on causation and

geographical variation of disease.

a10. Recognize and be fully familiar with different terminologyused in recent

classification, investigations and description of disease, enabling effective

communication with professional colleagues and patients.

b- Intellectual skills:


36

b1. Correlate the pathologic features of the disease with its clinical

presentation, laboratory investigations and complications.

b2. Develop skills of observation, interpretation, and integration needed to

analyze basic clinical and pathologic data and to diagnose human disease.



c1. Recognize and interpret the irnportant pathologic lesions in a pathology

report that can provide reliable basis (sound foundation) for rational

clinical care and therapy.

c2. Select appropriate preservative material necessary for different kind of

specimens for different types of pathologic investigations.

c3. Select appropriate method of investigation for examination neededl to

reach a correct diagnosis.



d1. Use database to collect material needed for research.

d2. Gather and organise material from various sources (including liberary,

electronic and online resources).

d3. Present a research assignment orally and deliver it both in good written

and electronic forms

d4. Ensure that requst form is accurate with no errors or discordance.

d5. Communicate with pathologists promptly and accurately.

d6. Understand the importance of continuing professional developement.

d7. Demonstrate knowledge of the importance of ethical approval and patient

consent for clinical research.

d8. Work cooperatively and show respect for others opinions.

3- Course content:

37

The study of pathology is divided into general and and systemic pathology. The

former is considered with the basic reactions of cells and tissues to abnormal

stimuli that underlie all diseases. The latter examines the specific responses of

specialized organs and tissues to more or less well defined stimuli.

Topics No of hrs

L SDL T C/P

General Pathology Course:

1. Acute and Chronic Inflammation

0.5

2. Cell Injury Adaptation and Death 0.5

3. Pathological Calcification and pigmentation 0.5

4. Intracellular accumulation 0.5

5. Amyloidosis 0.5

6. Tissue Repair and Healing 0.5

7. Granulomas 0.5

8. Parasitic Diseases 0.5

9. Bacterial Infections 0.5

10. Haemodynamic Disturbances 0.5

11. Disorder of cellular Growth, Differetiation and

Maturation

0.5

Systemic pathology Course:

12. Diseases of gastrointestinal tract 0.5

13. Diseases of liver 0.5

14. Diseases of pancreas 0.5

15. Diseases of peritoneum, Lymph node 0.5

Teaching and learning methods

38

Independant self-directed learning is encouraged by providing references text

books. It is the candidate's responsibility to seek opportunity for experiential

learning. Regular weekly clinicopathological seminar will be held and presented by

professors of pathlogy that will offer the opportunity for candidates to recognize

the importance of correlation of the histopathological interpretation and diagnosis

with the clinical history and management of the patient.Tutorials for demonstration

of and trainig on problem solving cases. Lectures are given in either of the

following power point presentation, slide projector presentation or overhead

projector presentation.

Self directed learning: Research assignment is given to candidates to gather,

organize and present information orally and electronically on topics selected by

pathology professors.

Candidate's assessment methods

Final Exam:

written Exam: whether short questions,essay questions , multiple choice questions

and problem solving ( at the end of the term) to assess knowledge understanding

and intellectual skills.

Oral Exam: to assess knowledge understanding intellectual and communication

skills.

6. List of References:

6.1- Course notes

General and Systemic Pathology Notes written by staff members of Pathology

Departement.

6.2- Essential books (text books):

Kumar, V. (Ed.), Cortan, R.S., Robbins, S.L. (2007). Basic Pathology (8th ed.).

Philadelphia, PA: W.B. Saunders.

6.3- Periodicals, Web sites, etc

39

http:// www.webpath,

http:// www.pathguy,

http:// www.pathmax.com

http:// www.uwo.ca/pathol/resources.html

Physiology Course specifications




Department offering the programme Tropical medicine Deparement

Department offering the course Physiology Departement




Title: Physiology Code: TR9004b

Credit Hours: 0.5 Lecture: 0.5hr/week Total: 7.5 hrs

Co-ordinator

……………………………………………


1- Course Aims:

The student will be able to know the function of different body systems under

normal condition.

The student will be able to understand the mechanisms of diseases or altered

functions.



http://www.webpath/

http://www.pathguy/

http://www.pathmax.com/

http://www.uwo.ca/pathol/resources.html

40


a1-Define terms related to circulatory, blood, renal, gastrointestinal

and general body metabolism.

a1- Recognize and understand the function of different body systems

and understand mechanisms involved in its regulation.

a2- Identify how these functions are altered in different diseases.

a3- Identify pathophysiological conditions and describe their nature.



b1- Analyze the given information.

b2-Think and expect the outcome of disturbed function.

b3- Relate normal physiological principles with the mechanisms of

pathogenesis of the disease .



c1. Measurement A.B.P , listening to heart sounds, feeling the arterial Pulse.

c2. To test for the capillary circulation.

c3. To know how to record the E.C.G. and identify its different waves.

c4. Learning how to test for blood groups , E.S.R.. Haemostatic function (bleeding

time, clotting time, hemogl, hematocrite value and capillary fragility test.

c5. To test for ventilatory functions ( by recording the respiratory movement , the

normal lung volumes and capacities)- Breath sounds.

c6. To record the intestinal motility and the effect of some drugs on it .

c7. Demonstrations on isolated organs e.g. skeletal muscles and heart



d1- To prepare the student to communicate with departments of medicine.

3- Course content:

41

Topics L SDL

1. Water and Electrolyte Balance, diuretics. 1

2. Acid - Base Balance. . 1

3. Thermoregulation and Fever. . 1

4. Hepatic Circulation, detailed liver functions and

liver failure

1

5. Splanchnic circulation & Portal Hypertension. 1

6. Tissue Fluid Formation and Oedema. 0.5

7. Physiologyof RBCs ( erythropoiesis, anaemia,

polycythemia ). & WBCs( genesis, types, and

functions ). .

0 1

8. Haemostasis, Coagulation , Fibrinolysis.and

anticlotting mechanisms

0 1

9. Physiology of the Spleen and Reticuloendothelial

System.

0 1

10. Detailed Gastrointestinal physiology. 2

4– Teaching and Learning Methods:

4.1- Lectures

4.2- tutorials

5- Student Assessment Methods:

5.1 Written exam: to assess knowledge. And intellectual skills

5.2 Oral exam: to assess how the student uses the acquired knowledge

in thinking , analysis and problem solving with good presentation

and self confidence.

42

Assessment Schedule:

One assessment at the end of the course


Final Exam. 60 % (15)

Oral Examination. 40 % (2.5)

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

Total 100% (17.5)


6.1- Course Notes specific for each lecturer.


o Review of medical physiology By: William F. Ganong

o Text Book of medical physiology By: Guyton.

6.3- Recommended Books:

o Human physiology from cell to system By: Lauralee Sherwood.


o WWW. Pubmed. com

o Am. J. of physiology.

Weighting of Assessments for physiology and pathology:

Written Examination 30 marks

Oral Examination 5 marks

Practical exam 15 marks

……………………………………………

Total 50 marks

Community, medical statistics and computer Course

specifications


43

Programme(s) on which the course is given: Diploma in Tropical Medicine


Department offering the programme: Tropical medicine Department

Department offering the course: Community and medical statistics Department


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


Title: Community, medical statisticsand computer Code: TR9005


Co-ordinator

……………………………………………

Community course specification:


1- Course Aims:

1. Graduate community oriented physicians capable of promoting physical,

mental and social health.

2. Use public health tools for prevention and control of health problems.

3. Apply basic research tools to solve health problems and improve health

systems.




a1. Understand basic concepts of epidemiologic biostatistics.

a2. Understand quality concepts, people management, performance

improvement.

a3. Know and understand basic concepts in environmental and

behavioural medicine


44


b1. Definition identification, making priouts of public health problems.

b2. Critical review of literature.

b3. Systemic approach of thinking



c1. Apply appropriate health promotion, disease prevention and control

measures.

c2. Identify behavioural and social variables impacting health and

disease.

c3. Anticipate, assess and advise on management of occupational and

environmental health hazards in various settings.



d1. Communication.

d2. Computer.

d3. Use of internet

3- Course content:

Topics

No. of hours

L SDL T C/P

45

1. General epidemiology :

Definition and uses

Epidemiological triad

Natural history of diseases

Dynamics of infectious diseases transmission

Levels of prevention

Control of infectious diseases

1

2. Environmental Health:

Air: Pollution, source of air pollution, hazards.

Water: infectious and non infectious hazards of

water pollution

Temperature: heat related disorders

0.5

3. Epidemiology of some communicable

diseases:

1. Food born

Typhoid and paratyphoid

Diarrheal diseases in children and

adults

Food poisoning

Poliomyelitis

Cholera

HAV and HEV

2. Droplet

Measles, mumps, rubella,

chickenpox

Meningitis

Influenza

1

46

SARS

Tuberculosis

3. Contact

Schistosomiasis

Tetanus

4. Zoonotic

Anthrax

Rabies

Brucellosis

Avian flu

Jacob disease

Plague

Rift vally fever

Yellow

West Nile fever

5. Vector born

Malaria

Filaria

Leshmania

6. Blood born

HIV/AIDS

HBV, Delta antigen

HCV

Hemorrhagic fevers (Ebola)

STDs( Syphylis, Gonorrhea)

47

4. Epidemiological methods:

Design of epidemiological studies: descriptive,

analytic and interventional

Epidemiological tools: Surveillance, screening,

investigation of an outbreak

Sampling

Potential errors in epidemiological studies

0.5

5. Hospital epidemiology

Health hazards in hospital

Nosocomial infection, needle stick injury

Infection control program

Waste management

Employee health program

0.5

6. Travelers Health:

Geographic distribution of disease and suitable

precautions

1

Medical statistics and computer course specification


1- Course Aim:

To enable the candidate to plan, conduct, analyze and interpret the results of a

research in his specific field. This course unit introduces the application of

statistical ideas and methodology to medical research.




48

a1 - Define medical statistics and identify uses and importance of medical

statistics in medical research

a2 – Define:

Types of variables.

Descriptive statistics.

Presentation and summarization of data.

Measures of central tendency and scatter.

Principles of probability and probability distributions.

Concepts of inferential statistics: confidence interval and hypothesis

testing.

Different tests of statistical significance.

Difference between parametric and nonparametric tests of significance.

Correlation and regression

Concept of statistical modeling using multivariable and multivariate

statistical methods.

Combining evidence from different studies and meta-analysis

Importance and methods of sampling and how to determinate the suitable

sample size.

Different types of research methodology:

Observational and intervention studies and the different statistical issues related to

the design, conduct, analysis and interpretation of the results of each study type.

Ethical aspects of medical research including those specifically applied to

clinical trials.



49

b1 - Interpret correctly the results of statistical analyses and critically

evaluate the use of statistics in the medical literature.

b2 - Integrate and evaluate information from a variety of sources.



c1- Select appropriate study designs to address questions of medical

relevance

c2 - Select and apply appropriate statistical methods for analyzing data

typically encountered in medical applications.

c3- Use selected software packages for statistical analysis and data

management.



d1- Work effectively in a group from different backgrounds.

d2- Respects the role of staff and co-staff members regardless of degree or

occupation.

d3- Communicate effectively with professional statisticians and the wider

medical community, including the ability to present results of

statistical analyses through written and oral presentations

d4- Use of computer data bases and other computer skills.

d5- Handle data appropriately and analyze them through: decision

processes, objective criteria, problem definition, project design and

evaluation, risk management, teamwork and coordination.

d6- Learn independently with open-mindedness and critical enquiry.

3- Course content:

50

Topics No of hours

L SDL T C/P

7. Introduction to medical statistics and its

uses

0.5

8. Types of variables and Descriptive

statistics

0.5

9. Introduction to probability theory and

rules

0.5

10. Sample and population: sampling

distribution of mean and proportion

0.5

11. Confidence interval of a mean and a

proportion and Confidence interval of a

difference between two mean /proportion

and Rock curves

0.5

12. Testing a hypothesis about population

mean/proportion and Testing a

hypothesis about the difference between

two means/proportion

0.5

13. Comparing between more than two

means-Introduction to factorial analysis

14. Cross-tabulation and introduction to

categorical data analysis

0.5

15. Simple correlation and simple regression 0.5

16. Introduction to multivariable and

multivariate analysis

0.5

17. Study designs:

18. Observational studies and screening

1

51

19. Intervention studies: clinical trials

20. Experimental animal studies

21. Bias and Confounding

22. Ethical issues in medical research 1

23. Sample size estimation for continuous

and binary outcome measures.

0.5

24. Meta-analysis and publication bias. 1

25. Statistics related computer skills 2

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

4 - Student Assessment Methods

4-1 Written and oral exam to assess knowledge and understanding and will

concentrate on problem solving questions

4-2 weighing of assessment

Written exam 15 marks

Oral exam 2.5 marks

Practical exam 7.5 marks

…………………………………………….

Total 25 marks

5 - List of References


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

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

Environmental and Occupational Medicine.


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

edition 2003


Handbook of Epidemiology. Springer 2005


www.brettscaife.net/statistics/introstat/

52

onlinestatbook.com/rvls/

www. Epidemiolog.net

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

Internal medicine Course specifications




Department offering the programme Tropical medicine Department

Department offering the course Tropical medicine Department

Academic year / Level:1st semester

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


Title: Internal medicine Code: TR9006a

Credit Hours: 1 Lecture: 0.5hr/week (lectures) Total: 7.5

1hrs/week (clinical) Total: 15

Co-ordinator

……………………………………………


1- Course Aims:

a) Understand the scientific principles underlying health and disease.

b) Provide an appropriate background covering the common and important

emergencies and diseases.

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

directed study.

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

communication and problem solving skills.



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

53


a1. Describe the etiology and mechanisms of disease.

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

prevention.

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

diseases.

a4. Define problems and reach a differential diagnosis.

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

and non-pharmacological treatments).

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

and their known side effects.

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

society.



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

b2- Select appropriate investigations and interpret the results.

b3- Formulate appropriate management plan for individual patients presenting with

the most common diseases.

b4- Make decisions regarding the common clinical situations using appropriate

problem solving skills.

b5- Communicate effectively with patients and their family.



c1- Construct a proper history for the patient

54

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

abnormalities.

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

informative manner

c4- Perform clinical procedures

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



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

communication needs and those of their relatives through the acquisition of

effective Comprehensive Clinical Method;

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

dynamics of the clinical team;

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

responsibility for continuing learning, personal support and professional

development

3- Course content:

Topics No. Of hours

L SDL T C/P

1. Infective endocarditis. 0.5

3 2. Rheumatic heart diseases & rheumatic activity. 0.5

3. Hypertension. 0.5

4. Athma & Chronic obstructive airway disease. 0.5

3

5. Suppurative lung disease & bronchiectasis. 0.5

6. Pleural effusion & pneumothorax 0.5

7. Interstitial lung disease. 0.5

8. Pulmonary embolism & DVT. 0.5

55

9. Pulmonary hypertension. 0.5

10. Metabolic syndromes. 0.5

11. Ataxias. 0.5

2 12. Extrapyramidal syndromes. 0.5

13. Peripheral neuropathies. 0.5

14. Seizures. 0.5

15. Bone marrow failure & myelodysplastic

syndromes.

0.5

2 16. Bleeding disorders (hemophilia & purpura). 0.5

17. Thrombophilias (acquired & congenital). 0.5

18. Transfusion reactions. 0.5

19. Anemia & Haemolytica disease. 0.5

20. Diabetes 0.5 1

21. Hyper/Hypocalcaemia. 0.5

22. Adrenocortical insufficiency. 0.5 0.5

23. Thyroid dysfunction. 0.5 0.5 0.5

24. Liver related renal diseases 1 0.5

25. acid base imbalance 0.5 0.5

26. Upper & lower respiratory tract infections. 0.5 1

27. CNS infection: meningitis, encephalitis, brain

abscess.

0.5 1

28. Urinary tract infection. 0.5 0.5

29. Sepsis, shock, DIC & ARDS. 0.5 0.5

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

learning


4.1 written exam to assess knowledge, skills

56

4.2 Clinical exam to assess practical and professional skills

4.3 oral exam to assess General and transferable skills

Weighing of assessment

4.1 written exam 30 marks

4.2 Clinical exam 30 marks

4.3 Oral exam 5 marks

…………………………………………..

Total 65 marks



Clinical learning guide (electronic)


Davidson‟s textbook of medicine

Current textbook of medicine

Kumar textbook of medicine


Cecil textbook of medicine

Harrison textbook of medicine


http://emedicine.medscape.com/

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

medicine.html

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

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

Radiology Course specifications




http://emedicine.medscape.com/

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

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

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

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

57


Department offering the course Radiology Dpartement




Title: Radiology Code: TR9006b


Co-ordinator

……………………………………………


1- Course Aims:

The trainee should acquire an understanding of radiological principles and will be

familiar with the appropriate use of imaging studies and have the ability to

interpret images demonstrating gastrointestinal disease.




a1. Understand the radiological tests that is appropriate for evaluation of

patients with GIT, biliary and liver disease

a2. Recognise the indication, contraindications and cost of different

diagnostic and interventional imaging procedure.

a3. List the advantages and limitations of imaging studies compared to

endoscopy and other diagnostic modalities.



b1. Identify the methods by which radiolographic studies performed

b2. Integrate the diagnostic and interventional imaging procedures into the

general plan of patient‟s management.

58



c1. Interpret different imaging studies and identify structural and functional

defect.

c2. Request logically and in appropriate sequence necessary imaging studies

for evaluation of GIT and liver diseases baring in mind the cost –benefit

of each technique.

d- General and transferable skills:


d1. Communicate with others.

d2. Use computers.

3- Course content:

Topics No. of hours

L SDL T C/P

1. Ultrasonography of the abdomen 1

2. C.T scan of the abdomen 1

3. MRI of the abdomen 1

4. Plain x-rays of the abdomen 1

5. Barium study of the GIT 1

6. IVP 1

7. Chest x – ray:

8. Infections eg.pneumonia, T.B, hydatid

9. Pulmonary embolism

10. Pleural diseases

11. Mediastinal diseases

1

12. Bone:

13. Endocrinal diseases

0.5

59

14. Blood diseases

L: Lecture





4.1 written exam 15

4.2 oral exam 2.5

Total 17.5





a- 5.4- Periodicals, Web Sites. etc.

Clinical Pathology Course specifications




Department offering the programme Tropical Medicine Department

Department offering the course Clinical Pathology Department


Date of specification approval:


Title: Clinical Pathology Code: TR9006c

Credit Hours: 0.5 Lecture: 0.5hr/ week Total: 7.5

Co-ordinator

……………………………………………


60

1- Course Aims:

1. Knowledge of specific tropical diseases and detailed case studies stressing

diagnosis.

2. Knowledge of recent advances in diagnostic methodologies.

3. Knowledge of diagnostic methods for identification of blood, intestinal

and tissue parasites

4. To enable candidates to understand the relevance of quantitative tests

characteristics for investigating and diagnosing disease.




a1. Recognize different techniques used in the laboratory and their

limitations.

a2. Recognize clinical application and reference values of different tests

performed in the laboratory.

a3. Recognize the patho-physiology of different diseases and organ

dysfunctions and the appropriate tests used for the diagnosis and follow

up of each.

a4. Demonstrate an understandirrg of the importance of test

sensitivity/specificity and how sensitivity/specificity can differ depending

on the circumstances in which the tests are applied: e.g. to groups rather

than individuals, for pooled testing or for screening compared to specific

diagnosis.



b1. Select the appropriate tests used for screening, diagnosis and follow up of

various disease states taking into consideration the concepts of cost

effectiveness.

61

b2. Interpretative skills so that a clinically useful opinion can be derived from

the laboratory data.



c1. Master the limitations of laboratory diagnostics of different diseases

c2. Interpretative knowledge of laboratory tests



d1. Think creatively and innovatively, with individual initiative and

ability to work in a team

d2. Undergo fruitful laboratory- physician to ensure correct decision

making.

d3. Undergo proper problem- based learning and IT application for

maximum knowledge collection and case presentation.

3- Course content:

Topics No. of hours

L SDL T C/P

1. Laboratory profiles for organ

assessment

a. Liver and GIT

b. Renal and Blood

1

0.5

2. Laboratory diagnostic aspects of

bacterial, parasitic and viral

infections

1

3. Immuno- parasitology 1

4. Community acquired infection and

hospital acquired infection

1

62

5. HIV/AIDS 1

6. Tuberculosis 1

7. Viral hepatitis 1





4.1 written exam 15

4.2 oral exam 2.5

………………………………………..

Total 17.5

End semester exam will be held in Tropical medicine department in internal

medicine and radiology (100 degrees)

Hepatology Course specifications






63

Academic year / Level: 2nd

, 3rd

, 4th

semester



Title: Hepatology Code: TR9007

Credit Hours: 5 Lecture: 1.5hrs/ week lectures Total: 30

4 hrs/week practical Total: 90

Co-ordinator

……………………………………………


1- Course Aims:

To produce gastroenterologist who are competent to manage the broad spectrum of

hepatology problems encountered in practice.




a1. Understand the anatomy of the liver and biliary system

a2. Articulate and demonstrate an in-depth understanding of the aetiology,

epidemiology, pathophysiology and clinical presentation of common and

important hepatic diseases.

a3. Develop and understand the methods of diagnosis and approaches for

management of hepatic injuries

a4. Understand the complication associated with hepatic diseases,their

detection, prevention and management.

a5. Develop and critically apply the understanding of the principles of pre/

post operative care for patients with hepatic disorder.

a6. Develop and critically apply this understanding of the principles of care

for pregnant women with hepatic disorder.

64

a7. Understand the principles of care for patients awaiting liver

transplantation and post transplantation management.



b1. Take a complete history and perform full clinical examination for patients

presenting with possible hepatic illness.

b2. Identify problems generate a differential diagnosis and request appropriate

cost effective diagnostic studies.

b3. Interpret competently the results of investigations whether laboratory,

imaging or pathology reports.

b4. Modify the list of differential diagnosis based on the results of

investigations

b5. Prepare management plans for patients with various hepatic problems, the

plan should be evidence based,prioritized, cost effective and take in

consideration available resourses and service constrain.

b6. Immediately recognise symptoms and signs of life threatining hepatic

disorder timley manage them.

b7. Recognize the side effects of various drugs on liver functions and be

cautioned with drugs that might results in exacerbation of liver injury.

b8. Use competently antiviral therapy and immunosuppressive medications

when indicated.



c1. Participate in the preoperative evaluation and post operative care of

patients with hepatic diseases

c2. Provide care and followup within a multidisciplinary team for pregnant

women with hepatic diseses.

65

c3. Provide care and followup within a multidisciplinary team for patients

awaiting liver transplantation and post transplant recipients.

c4. Manage nutritional problems associated with chronic liver illnesses.



d1. How to write thesis, review articles, papers

d2. Oral scientific communication, group working, clinical round.

d3. Presenting talks and presentations using new technology

3- Course content:

Topics No of hours

L SDL T C/P

1. Introduction 1.5

2. Acute hepatitis 1.5 3

3. Fulminant hepatic failure 1 3

4. Chronic hepatitis and cirrhosis. 2 12

5. Ascites. 1.5 4

6. Hepatic encephalopathy 1.5 4

7. Spontaneous bacterial peritonitis 1.5 3

8. Hepatorenal syndrome. 1.5 4

9. Bleeding and non bleeding esophageal

varices.

2 12

10. Gasropathy 1 3

11. Metabolic liver disorder 1.5 3

12. Autoimmune liver disorder 1.5 8

13. Hepatic granuloma 1 3

14. Hepatocellular carcinoma and other hepatic

tumors

1.5 8

66

15. Hepatobiliary diseases with pregnancy. 1.5 3

16. Pre and post operative care of hepatic

patients.

1.5

17. Vascular diseases of the liver 1.5 8

18. Hepatic infections. 2 3

19. Toxic drug hepatitis 1.5 3

20. liver transplantation. 1.5 3



1. written exam 150

2. oral exam 25

3. Clinical exam 60

4. Practical exam 10

……………………………………………………………….

Total 245




Lawrence Handbook of liver diseases

Sheila & Sherlock diseases of liver and biliary system


b- Harrison's of Internal Medicine

c- Kumar Clinical Medicine


www.AASLD.com

End semester exam will be held in Tropical medicine department in

Hepatology course (50 degree in the 2nd

semester)

http://www.aasld.com/

67

Gastroenterology Course specifications







, 4th

semester



Title: Gastroenterology Code: TR9008

Credit Hours: 5 Lecture: 1.5hrs/ week lectures Total: 30


Co-ordinator

……………………………………………


1- Course Aims:

To produce gastroenterologist who are competent to manage the broad spectrum of

Gasrointestinal problems encountered in practice.




a1. Demonstrate adequate knowledge of basic medical science relevant to

proper understanding of gastroenterology/ hepatology disease, their

investigstions and therapeutic lines

68

a2. Describe the epidemiology, causes, pathophysiology, natural history and

complication of different gastroenterology diseases.

a3. Explain the clinical manifestations and diagnosis of different

gastroenterology disease.

a4. Describe appropriate management of different gastroenterology disease,

including acute and long term management and follow up when required.

a5. Outline the methods that can be used for promoting health and preventing

disease relevant to field of gastroenterology.



b1. Take appropriate history and conduct proper clinical examination of

patients with different gastroenterology disorders.

b2. Select, use and interpret appropriate investigations needed for diagnosis

and follow up of patients with gastroenterology disorders. These include

laboratory, imaging, and pathological investigation.

b3. Use datd from clinical assessment and investigation results to diagnose

and develop management plans for patients with different

gastroenterology disorders.

b4. Monitor disease course, response to therapy and development of

complications and modify patient management accordingly.

b5. Use adequate methods for prevention, diagnosis and management of

infectious conditions in gastroenterology disorders.



c1. Perform competently the technical procedures necessary for acute or

routine management of gastroenterology disorders (e.g. advanced life

support, routine medical procedures, ultrasonography, ultrsoun guided

biopsy, diagnostic and therapeutic edoscopy).

69

c2. Apply and interpret international and national guidlines in the diagnosis,

classification and manangement of gastroenterology disorders.

c3. Use the best available scientific evidence to inform decisions on patient

management and integrate this with clinical experiences and patients

value and prefernces.

c4. Plan for and conduct community and primary care based screening

surveys for conditions which may present prospects for preventive and/ or

early intervention.



d1. How to write thesis, review articles, papers

d2. Oral scientific communication, group working, clinical round.

d3. Presenting talks and presentations using new technology

3- Course content:

Topics No of hours

L SDL T C/P

1. Overview on GIT 0.5

2. Functional GIT disorder 1 3

3. Acid peptic disorder 3 3

4. Esophageal tumours 1 3

5. Gastric tumours 1.5 3

6. Inflammatory bowel diseases 3 10

70

7. Introduction to GIT infections 0.5

8. GIT infections 3 8

9. Chronic diarrheal diseases 3 8

10. Acute pancreatitis 1 3

11. Chronic pancreatitis 1 3

12. Pancreatic neoplasm 1.5 3

13. Colon neoplasm 1.5 8

14. Biliary disorders 2 3

15. Splenic disorders 1 3

16. Vascular GIT disorders 1 8

17. Anorectal disorders 1 3

18. Imaging techniques in GIT 2 10

19. Lab techniques in GIT 1.5 8



1. written exam 150

2. Oral exam 25

3. Clinical exam 60


………………………………………………………..

Total 245




Practical gastroenterology and endoscopy (Cotton, 2008).

Principles of clinical gastroenterology (Yamada, 2008).

GIT subspeciality consult

71

Manual of GIT (Avunduck, 2008)

GIT secrets


d- Harrison's of Internal Medicine

e- Kumar Clinical Medicine


End semester exam will be held in Tropical medicine department in

Gastroenterology course (50 degree in the 2nd

semester)

Environmental infectious diseases Course specifications







,3rd

, 4th

semester



Title: Environmental and Infectious diseases Code: TR9009

Credit Hours: 5 1 hrs/ week lectures Total: 45


Co-ordinator

……………………………………………


1- Course Aims:

This module aims to enable participants to adopt a critical, evidence-

based and reasoned approach to the diagnosis, management and control of

72

tropical bacterial, viral and fungal diseases of adults in a variety of

regional and resource settings.

Develop and encourage student's ability to assess and control

environmental risks to human health.




a1. Understand the management and control of these diseases.

a2. Demonstrate a range of laboratory skills useful in diagnosis and management

of infectious and parasitic diseases.

a3. Use and evaluate tools, including epidemiology and statistics, for the

identification of major medical problems in tropical settings.

a4. Articulate and demonstrate an in-depth understanding of the epidemiology,

pathogenesis, clinical presentation, complications, differential diagnosis and

investigation of important tropical parasitic infections; and

a5. Develop and critically apply this understanding to the clinical diagnosis,

management and control of such diseases.

a6. To identify methodological and conceptual issues in identifying causes of non-

communicable diseases and evaluating preventive strategies.

a7. Demonstrate an understanding of quantitative risk assessment methods and

ability to apply these methods in the context of environmental health;

a8. Identify the key factors and understand their role in managing environmental

health risks;

a9. Apply health impact assessment methods to appraise policy interventions that

may have an impact on public health;



b1. By the end of the module, participants should be able to:

73

b2. Articulate and demonstrate an in-depth understanding of the epidemiology,

pathogenesis, clinical presentation, complications, differential diagnosis and

investigation of important tropical bacterial, viral and fungal infections

b3. Develop and critically apply this understanding to the clinical diagnosis,

management and control of such diseases

b4. Analyse the advantages and disadvantages of different approaches to the

laboratory diagnosis of bacterial, viral and fungal infections

b5. Recognise the distinguishing features and, where appropriate, the different life

cycle stages of the important insect vectors.

b6. Critically evaluate the application of the precautionary principle in the context

of environmental health;

b7. Understand the principles for setting acceptable limits for environmental

exposure.

b8. Assessment and control of environmental health problems



c1. The system of ward liaison for infected patients.

c2. The basis for giving the appropriate advice on chemotherapy and infection

management.

c3. The principles and application of infection control policies.

c4. The organisation and management of an infection prevention service.

c5. Recommend a suitable type of water supply for a small community, or an

appropriate kind of low-cost sanitation system, for particular conditions;

c6. Assess policies for the implementation of water supply or sanitation

programmes, and make suggestions for their improvement;

c7. Point out the principal pitfalls in health impact measurement, and suggest

appropriate alternatives;

74

c8. Judge the appropriateness in a given case of quality standards for drinking

water and for treated effluent, and of the various common methods of

water and waste water treatment;

c9. Participate in the management of a water, sanitation and hygiene

promotion project, with an understanding of the main policy

considerations.



d1. Communicate with others.

d2. Use computers.

3- Course content:

Topics

Tropical diseases

No of hours

L SDL T C/P

1. Malaria 2 1

2. Intestinal protozoa 2 1

3. Other protozoal diseases 1 1

4. Trematods 1 1

5. Schistosoma 3 2.5

6. Cestods 3 1

7. Intestinal nematods 1.5 1

8. Tissue nematods 1.5 0.5

9. Oppurtunistic parasitic infections 1

10. Ticks, mites and scabies 1

11. Medical entomology 1

12. Heat disorder 1

13. Hazardous toxic animals and plants 1 0.5

14. Antihelminthic drugs 1

75

15. Nutritional disorders

16. Vitamins deficiency

17. Protein calory malnutrition

4 2.5

18. Infectious diseases

19. Introduction to fevers 1

20. Enterica 1 2.5

21. Cholera 1 2.5

22. Gastroenteritis 1 5

23. Meningitis 1 5

24. Diarrheal diseases 1 2.5

25. Encephalomylitis, botulism and tetanus 1 2.5

26. Urinary tract infections 1 2.5

27. Tuberculosis 1 5

28. Pneumonias 1 5

29. Leprosy 1 2.5

30. Fever of unknown origin 1 7.5

31. Brucella 1 5

32. Rickettsial diseases 1 0.5

33. Hemorrahgic viral diseases 1

34. Rabies 1

35. Immunoprophylaxis 1

36. Chemoprophylaxis 1

37. Lab diagnosis 1

38. Imaging 1



5. Written exam 150

76

6. Practical 10

7. Oral exam 25

8. Clinical exam 60

............................................................

Total 245




Lecture notes of tropical medicine


Manson textbook of tropical medicine

Harrison's of Internal Medicine

Kumar Clinical Medicine


End semester exam will be held in Tropical medicine department in infectious

and environmental diseases course (50 degree in the 3rd

semester)

Diagnostic and interventional procedures course

specifications






Academic year / Level: 3rd

semester



77

Title: Diagnostic and theapeutic procedures course specifications

Code: TR9010

Credit Hours: 2 Lecture: 0.5hr/week total: 7.5 hrs

Practical: 1hrs/week total: 15hrs

Co-ordinator:

……………………………………………


1. Course aims:

1. The trainee will be able to perform GIT endoscopic procedures based on

relevant scientific background

2. The trainee should acquire an understanding of radiological principles and

will be familiar with the appropriate use of imaging studies and have the

ability to interpret images demonstrating gastrointestinal disease.



At the end of the Course the student should be able to:

a1. Understand the components of the endoscopy equipment and how it works.

The trainee should be familiar with the care , cleaning and proper

maintenance of the equipment

a2. Understand the pathophysiology of common GIT diseases and the expected

endoscopic finding.

a3. Understand the etiology of acute and chronic upper and lower GIT bleeding

and how to screen a patient with obscure GIT bleedingص

a4. Understand the radiological tests that is appropriate for evaluation of patients

with GIT, biliary and liver disease

78

a5. Recognise the methods by which radiolographic studies performed

a6. List the advantages and limitations of imaging studies compared to


a7. Appreciate the relation between acoustic physics and the sonographic

representation of tissue.

a8. Recognize the acoustic representation of normal abdominal anatomy and

identify pathology of the abdomen from ultrasound images.

a9. Understand the capabilities and limitations of ultrasound evaluation of the

abdomen



b1. Understand the Risk factors attendant to endoscopic procedures and

possible complications and how to manage them.

b2. Understand the indications and contraindications of the different

diagnostic endoscopic procedures.

b3. Understand the Recent emerging endoscopic technologies including

capsule endoscopy.

b4. Integrate the diagnostic and interventional imaging procedures into the


b5. Understand the indication, contraindications and cost of different



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

c1. Interpret different imaging studies and identify structural and functional

defect.

c2. Request logically and in appropriate sequence necessary imaging studies

for evaluation of GIT and liver diseases baring in mind the cost –benefit

of each technique.

79

c3. Properly perform pre endoscopic clinical evaluation including indications,

contraindications and risk factors for endoscopy.

c4. Appropriately use various sedation techniques including the

administration of deep sedation (as propofol).

c5. Perform specific diagnostic and therapeutic endoscopic procedures safely

and completely, including proper management of GIT bleeding.

c6. Correctly interpret important and common endoscopic findings.

c7. Appropriately intergrate endoscopic findings or therapy into the patient

overall management plan.



d1. Show willing and motivations for self learning and continuous

improvement.

d2. Represent Data efficiently.

d3. Search and retrieve required scientific data via the World Wide Web and

other electronic resources.

d4. Show interest in local health problems.

Course content:

Topics

Ultrasound

No of hours

L SDL T C/P

1. · Portal vein, Hepatic veins

1

0.5

2. · Chronic hepatitis and · Cirrhosis 0.5

3. · Portal hypertension and collaterals 0.5

4. · Malignant and bengin solid lesions

0.5

0.5

5. Gall bladder 0.5

6. Bile ducts 0.5

7. Pancreas 0.5

80

8. Spleen 0.5

9. Interventions Ultrasonography of the

abdomen

(A)Diagnostic

· FNAC

· Core needle bipsies

· Fluid aspiration

2

1

10. (B) Therapeutic:

· Drainage abscesses

· Drainage of different collections „

· PAIR technique for Hydatid cysts

· Alcohol & hot saline injection for HCC

and metastasis.

Radiofrequncy ablation

1

Endoscopy:

11. Upper gastro – intestinal endoscopy

indications, contraindications, limitations

and complications.

0.5

2

12. Upper gastro – intestinal endoscopy

patient: preparation (position,

premedication) and endoscopy technique.

0.5

2

13. Colonoscopy , anatomy bowel preparation

technique (position , premedication

passing the scope ) 0.5

14. .Colonoscopy : interpretation 0.5

15. ERCP: indications, contra – indications,

limitations, complications.

0.5

0.5

81

16. ERCP: interpretation 0.5

17. Therapeutic upper gastro – intestinal

endoscopy for:

Oesophageal stenosis, achalasia

Polypectomy , and foreign body

removal

Management of upper

gastrointestinal bleeding

Insertion of feeding &

decompression tubes.

1

2

18. Colonoscopy :Theraputic polypectomy &

other procedures 0.5

1

19. ERCP:therapeutic 0.5 0.5

L: Lectures Pr: practical


Written exam: to assess knowledge. And intellectual skills

Oral exam: to assess how the student uses the acquired knowledge in thinking,

analysis and problem solving with good presentation and self confidence.

Practical exam: to assess practical and professional skills


1. written exam 30

2. oral exam 5


4. Clinical exam 20

........................................................................

Total 65

82

5 - List of References





End semester exam will be held in Tropical medicine department in diagnostic

and interventional procedures course (50 degree in the 3rd

semester)

Elective courses:

The candidate will choose one of the following courses

Endoscopy Course specifications



Minor element of programmes




semester



Title: Edoscopy Code: E9101

83

Credit Hours: 2 Lecture: 1hr/week total: 15 hrs

2hrs/week total: 30hrs

Co-ordinator:

……………………………………………


1. Course aims:

The trainee will be able to perform GIT endoscopic procedures based on relevant

scientific background




a1- Understand the components of the endoscopy equipment and how it works.

a2- The trainee should be familiar with the care, cleaning and proper maintenance

of the equipment

a3- Understand the pathophysiology of common GIT diseases and the expected

endoscopic finding.

a4- Understand the etiology of acute and chronic upper and lower GIT bleeding

and how to screen a patient with obscure GIT bleeding



b1- Understand the Risk factors attendant to endoscopic procedures and possible

complications and how to manage them.

b2- Understand the indications and contraindications of the different diagnostic and

therapeutic endoscopic procedures.

b3- Understand the Recent emerging endoscopic technologies including capsule

endoscopy.



84

c1- Properly performs pre endoscopic clinical evaluation including indications,

contraindications and risk factors for endoscopy.

c2- Appropriately uses various sedation techniques including the

administration of deep sedation (as propofol).

c3- Perform specific diagnostic and therapeutic endoscopic procedures safely

and completely, including proper management of GIT bleeding.

c4- Correctly interpret important and common endoscopic findings.

c5- Appropriately intergrate endoscopic findings or therapy into the patient

overall1management plan.


By the end of the training, trainee should be able to:

d1- Communicate with others.

d2- Use computers.

Course content:

Topics No of hours

L SDL T C/P

1. Anatomy of the GIT. 0.5

2. Upper gastrointestinal endoscopy

a) Endoscopy equipment (scopes, accessories,

electrosurgical unit).

0.5

b) Cleaning and dis infection of endoscopies 0.5

c) Upper gastro – intestinal endoscopy indications,

contraindications, limitations and complications.

1

d) Upper gastro – intestinal endoscopy patient:

preparation (position, premedication) and

endoscopy technique.

1

e) Therapeutic upper gastro – intestinal endoscopy for

85

:

Oesophageal stenosis, achalasia 1

Polypectomy , and foreign body removal 1

Management of upper gastrointestinal bleeding 1

Insertion of feeding & decompression tubes. 1

f) Upper gastro – intestinal endoscopy,

Interpreatation & reporting

1

3. Colonoscopy :

a) Colonoscopy indications, contra – indications,

limitations, complications.

0.5

b) Colonoscopy , anatomy bowel preparation

technique (position , premedication passing the

scope )

0.5

c) Theraputic polypectomy & other procedures 1

d) Emergency colonscopy 0.5

e) Colonoscopy : interpretation 1

4. ERCP:

a) Indications, contra – indications, limitations,

complications.

0.5

b) ERCP: anatomy bowel preparation technique

(position , premedication passing the scope

0.5

c) Theraputic ERCP: 1

d) ERCP: interpretation 1





86




9. written exam 60

10. oral exam 10


........................................................................

Total 100




Advanced digestive endoscopy (Cotton, 2008)



Ultrasound Course specifications







semester



Title: Ultrasound Code: E9102



Co-ordinator:

……………………………………………

87


1. Course aims:

The trainee should acquire an understanding of radiological principles and will be

familiar with the appropriate use of imaging studies and have the ability to

interpret images demonstrating gastrointestinal disease.




a1- Understand the radiological tests that is appropriate for evaluation of

patients with GIT, biliary and liver disease.

a2- Recognise the methods by which radiolographic studies performed

a3- List the advantages and limitations of imaging studies compared to


a4- Appreciate the relation between acoustic physics and the sonographic

representation of tissue.

a5- Recognize the acoustic representation of normal abdominal anatomy and

identify pathology of the abdomen from ultrasound images.

a6- Understand the capabilities and limitations of ultrasound evaluation of the

abdomen



b1- Integrate the diagnostic and interventional imaging procedures into the


b2- Understand the indication, contraindications and cost of different




88

c1- Interpret different imaging studies and identify structural and functional

defect.

c2- Request logically and in appropriate sequence necessary imaging studies for

evaluation of GIT and liver diseases baring in mind the cost –benefit of each

technique.








Course content:

Topics No of hours

L SDL T C/P

1. Hepatobiliary :

· Normal Liver anatomy and Normal

liver ultrasound

0.5 1

· Liver size, segmental liver anatomy 0.5 1

· Portal vein, Hepatic veins 1 2

· Fatty liver / focal fatty sparing /

Fatty fibrotic pattern

0.5 1

· Chronic hepatitis and · Cirrhosis 1 2

· Portal hypertension and collaterals 1 2

· Acute hepatitis 0.5 1

89

· Liver diseases of combined etiology 1 2

· Benign cystic lesions: cyst – abscess

· Malignant cystic lesions

cystadenocarcinoma, breakdown in

primary or secondary liver tumours.

1 2

· Benign solid lesions; adenoma,

regeneration nodule, focal nodular

hyperplasia, heamangioma

Focal hepatic lesions

1 2

· Malignant solid lesions

· Primary

· Secondary.

· Calcified hepatic masses

· Lymphomas

1 2

2. Gall bladder :

· Normal

· Stones

· Sludge

· Acute and chronic cholecystitis

· Gangerenous cholecystitis

· Carcinoma of the gall bladder

0.5 1

90

3. Bile ducts :

· Common bile duct anatomy

· Common bile duct dilatation

· Carcinoma and Klatiskin Tumour

· Sclerosing cholangitis

· Cholodocal cyst

0.5 1

4. Pancreas:

· Anatomy

· Acute pancreatitis

· Chronic pancreatitis

· Pancreatic abscess

· Pancreatic cystic neoplasm

· Pancreatic solid neoplasm

1 2

5. Spleen :

· Anatomy

· Splenomegaly

· Splenic cyst

· Splenic abscess

· Splenic trauma

· Splenic infarction

· Splenic calcification

· Splenic neoplasms

· Perisplenic abnormalitis

1 2

6. Doppler Ultrasound of the

abdomen

· Physics and principles of Dupplex\

Doppler

1 2

91

· Physics and principles of color flow

imaging

· Physics and principles of power

Doppler US.

· Visceral vessel Doppler techniques

· Doppler evaluation of the liver :

· Patency of the hepatic vasculature

· Hepatic veins obstruction

· Chronic parenchymal liver diseases

· Portal hypertension and collaterals

· Assessment of transplant liver

· Doppler of different hepatic focal

lesions

· Dupplex and color flow evaluation

of mesenteric ischaemia

· Doppler US in inflammatory bowel

diseases

· Doppler US in abdominal

suppurative diseases

· Doppler US of the kidneys and

renal artery stenosis .

7. Interventions

Ultrasonography of the abdomen

Diagnostic

· FNAC

· Core needle bipsies

· Fluid aspiration

1 2

92

8. Therapeutic:

· Drainage abscesses

· Drainage of different collections „

· PAIR technique for Hydatid cysts

· Alcohol & hot saline injection for

HCC and metastasis.

1 2








12. written exam 60

13. oral exam 10


........................................................................

Total 100






Travel Medicine Course specifications


93






semester



Title: Travel Medicine Code: E9103



Co-ordinator:

……………………………………………


1. Course aims:

1. Providing suitably qualified and motivated health professionals with

theoretical and practical knowledge.

2. Providing a knowledge and understanding of travel hazards that may

directly or indirectly affect health.

3. To recognize the implications of illness in the returned traveler and the

effects of travel on the host countries.


a.Knowledge and understanding:


a1- Know and understand the role of practitioners in protecting the health of

the traveler.

a2- List major risks associated with travel.

94

a3- Understand appropriate methods for reducing and managing travel

associated illness and hazards.

a4- Recognize training in risk assessment and communicating risks to

travelers.

a5- Recognize communication skills to enhance their abilities as health

educators.

a6- Understand the role of information technology in travel medicine.

b.Intellectual capabilities:


b1- Analyze of patient‟s data of history and examination.

b2- Recognize of symptoms and signs of specific Tropical disease.

b3- Analyze of patient‟s data of history and examination of specific Tropical

diseases.



b5- Differentiate and interpret of a complete case study with proposal of

diagnosis, DD and treatment.







c1- Interpret symptoms and signs of different infectious diseases

c2- Recommend appropriate investigation and treatment.

c3- Advise accurately and safely intending travelers on all aspects of travel

hazards.


95







Course content:

No. Of hours Topics

C/P T SDL L

4 1. Infections and Epidemiology of Infections

4 2. Environmental hazards

4 3. Immunizations:

4 4. Miscellaneous hazards:

4 5. Travelers with pre-existing medical conditions and

Fitness to travel

4 6. Women and Children Travelers

4 7. Triage of the Returned Traveler

2 8. Providing a travel medicine service



96




Practical exam:to assess practical and professional skills


15. written exam 60

16. oral exam 10


........................................................................

Total 100




6. Clinical Parasitology: by Craig, Faust , Beaver (Lippincott Williams &

Wilkins, US; 9th edition).

7. Manson's Tropical Diseases: by Cook and Zumla (Saunders Ltd.; 21

edition)

8. Immunology and Molecular Biology of Parasitic Infections: by

Warren (Blackwell Science Ltd; 3rd Ed edition)

9. Immunity to Parasites: How Parasitic Infections are Controlled: by

Wakelin (Cambridge University Press; 2 edition)

10. Immunology of Parasitic Infections: by Cohen and Sadun, (Warren

Blackwell Science Ltd; 2nd

edition).



Diagnosis and Treatment of HCC course specifications



http://www.amazon.co.uk/exec/obidos/search-handle-url?%5Fencoding=UTF8&search-type=ss&index=books-uk&field-author=C.F.%20Craig

http://www.amazon.co.uk/exec/obidos/search-handle-url?%5Fencoding=UTF8&search-type=ss&index=books-uk&field-author=E.C.%20Faust

http://www.amazon.co.uk/exec/obidos/search-handle-url?%5Fencoding=UTF8&search-type=ss&index=books-uk&field-author=Paul%20Chester%20Beaver

http://www.amazon.co.uk/exec/obidos/search-handle-url?%5Fencoding=UTF8&search-type=ss&index=books-uk&field-author=Gordon%20C.%20Cook

http://www.amazon.co.uk/exec/obidos/search-handle-url?%5Fencoding=UTF8&search-type=ss&index=books-uk&field-author=Alimuddin%20I.%20Zumla

http://www.amazon.co.uk/exec/obidos/search-handle-url?%5Fencoding=UTF8&search-type=ss&index=books-uk&field-author=K.%20Warren



http://www.amazon.co.uk/exec/obidos/search-handle-url?%5Fencoding=UTF8&search-type=ss&index=books-uk&field-author=Sydney%20Cohen

http://www.amazon.co.uk/exec/obidos/search-handle-url?%5Fencoding=UTF8&search-type=ss&index=books-uk&field-author=Elvio%20Herbert%20Sadun

http://www.amazon.co.uk/exec/obidos/search-handle-url?%5Fencoding=UTF8&search-type=ss&index=books-uk&field-author=Kenneth%20S.%20Warren

97





semester



Title: Diagnosis and treatment of HCC Code: E9104


Practical: 2hrs/week total: 30 hrs

Co-ordinator:

……………………………………………


1. Course aims:

The trainee will be able to carry out comperhensive, competent, specialist

assessment of hepatic malignancy




a1- Demonstrate adequate knowledge about the principles and theory relevant to

tumor biology.

a2- Demonstrate deep understanding of epidemiology, primary prevention and

methods of screening for hepatic cancer.

a3- Demonstrate deep understanding of basis of HCC.



b1- Properly perform the appropriate surveillance and surveillance intervals for

patients at high risk for developing cancer

98

b2- Take accurate clinical history and perform proper, reliable clinical

examination.



c1- Plan for and interpret laboratory investigations and imaging studies.

c2- Interpretation of different imaging techniques used to diagnose HCC.

c3- Plan the proper mode of management.

c4- Understand the different interventional methods.








Course content:

Topics No of hours

L SDL T C/P

1. Cracinogenesis 2

2. Lab diagnosis of HCC 2

3. Imaging diagnosis of HCC 2 6

4. Surgical management 3 4

5. Interventional management 3 10

6. Medical management 3 10

HCC: Hepatocellular carcinoma L: Lectures


99






written exam 60

18. oral exam 10

19. Practical 30

........................................................................

Total 100






Modules:

Module 1

Subiect code Cr house

Bacteriology and

Clinical Immuonology

TR9001 1-5

Parasitology TR9002 1-11

Pharmacology TR9003 1-8

Pathology TR9004a 1-15

Physiology TR9004b 1-10

100

Community &Statistics

& Computer

TR9005 1-25

Internal medicine TR9006a 1-29

Radiology TR9006b 1-14

Clinical pathology TR9006c 1-7

101

Module 2


Hepatology TR9007 1-10

Gastroenterology TR9008 1-9

Infectious, environmental diseases and malnutrition TR9009 1-6

Module 3



Diagnostic and interventional procedures TR9010 1-19

One of the following:

Endoscopy

E9101

1-4

Ultrasonography E9102 1-8

Travel medicine E9103 1-8

Diagnosis and treatment of hepatocellular carcinoma E9104 1-6

Module 4


Hepatology TR9007 11-20

Gastroenterology TR9008 10-19


VI – YOUR LOG BOOK

1- Introduction

102

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

item. It will be a guide for both you and your teachers to what you should be seeing

and doing.

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

should be covered in:

Clinical or practical sessions

1. Tutorials

Or

2. Self-directed learning (SDL)

For each item there is also a list of

1. Clinical conditions or Practical sessions to be seen or

attended (According to each degree)

2. Practical procedures to be seen and done

Remember

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

to score points. It is a guide to encourage you to read and learn more. This book is

for your benefit. It will form a record of your clinical training and experience.

2 - Supervisors

Make a list of Supervisors or the delegated personels for signature

1. The head of the grand round.

2. The head of the clinic.

3. The head of the shift.

3–Tables for Training Records

The candidate will record the details and date of each activity, and the authorized

staff member signature.

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

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

are free to attend more and record your extra attendance.

103

WEEKLY department PLAN

Day /time Saturday Sunday Monday Tuesday Wednesday Thursday

Grand

round

9-12

Conference 11-1

HCC

conference

12-3

BCSG

conference

10-12

BCSG

clinic

9-12

HCC clinic 9-12

Clinic day 9-12 9-12 9-12 9-12

U/S 10-12 10-12 10-12 10-12 10-12

Endoscopy 10-12 10-12 10-12 10-12 10-12

BCSG: Budd- Chiari study group

HCC: hepatocellular carcinoma

Kindly specify other non weekly activity

Yearly activity The Annual congress of Faculty of medicine Ain Shams

University

Patients case Log

Hepatology Infections

104

Acute hepatitis (1-5)

Chronic hepatitis (25)

Fulminant hepatic failure (1-5)

Ascites (10)

Hepatic encephalopathy (25)

Spontaneous bacterial peritonitis (25)

Hepatorenal syndrome (10)

portal hypertension (25)

Wilson,s disease (1-5)

Haemochromatosis (1-5)

Hepatic tumors (25)

Budd- Chiari syndrome and other

vascular disorders of the liver (1-5)

Liver diseases with pregnancy (15)

Pre and post operative care of hepatic

patients (5)

Jaundice for investigation (25)

Hepatosplenomegally for investigation

(10)

NAFLD, NASH &other metabolic

syndrome (5)

Autoimmune disorder AIH (5)

Autoimmune disorder PBC (1-5)

Liver abcess (1-5)

Brucella (1-5)

Hydatid disease (1-5)

Filaria (1-5)

Fever of unknown origin (15)

Cholera (1-5)

Malaria (1-5)

Typhoid fever (1-5)

CNS infection (1-5)

HIV (1-5)

GIT

Esophageal infection (5)

105

GERD and HH (25)

Esophageal tumours (5)

Esophageal varices (75)

Gastric ulcer (10)

Gastric tumours (5)

Dyspepsia (5)

Acute pancreatitis (3)

Chronic pancreatitis (2)

Pancreatic tumours (1-5)

PSC (1-5)

Cholangiocarcinoma (1-5)

Cholycystitis (5)

Biliary tumours (3)

Irritable bowel syndrome (20)

IBD (10)

Diarrhea (5)

Constipation and intestinal obstruction (20)

Colorectal carcinoma (5)

Patients seen / with any of the above problems

No name Place Diagnosis Supervisor

signature

1

2

3

4

106

5

6

7

8

9

10

11

12

13

14

15

16

17

18

19

20

21

22

23

24

25

26

27

28

29

30

31

107

32

33

34

35

36

37

38

39

40

Conferences attendance

(NB. Minimum number required is 50)

No Date Place Name of the Clinic Supervisor signature

1

2

3

4

5

6

7

8

9

10

11

12

13

14

15

108

16

17

18

19

20

21

22

23

24

25

26

27

28

29

30

31

32

33

34

35

36

37

38

39

40

41

42

109

43

44

45

46

47

48

49

50

Grand Round attendance



1

2

3

4

5

6

7

8

9

10

11

12

13

14

15

110

16

17

18

19

20

21

22

23

24

25

26

27

28

29

30

31

32

33

34

35

36

37

38

39

40

41

42

111

43

44

45

46

47

48

49

50

Seminars attendance


No Date Place Topics Supervisor

signature

1

2

3

4

5

6

7

8

9

10

11

12

13

112

14

15

16

17

18

19

20

Clinics attendance



1

2

3

4

5

6

7

8

9

10

11

12

13

14

113

15

16

17

18

19

20

21

22

23

24

25

26

27

28

29

30

31

32

33

34

35

36

37

38

39

40

41

114

42

43

44

45

46

47

48

49

50

HCC Clinics attendance



1

2

3

4

5

6

7

8

9

10

11

12

13

14

115

15

16

17

18

19

20

BCSG Clinics attendance



1

2

3

4

5

6

7

8

9

10

11

12

13

14

116

15

16

17

18

19

20

Case presentations


No Date Place Diagnosis Supervisor

signature

1

2

3

4

5

6

7

8

9

10

Attendence of upper gastro – intestinal endoscopy

(NB. Minimum numberof cases required is 30)

117

No

Da

te

Pla

ce

Topics Supervisor

signature

1

2

3

4

5

6

7

8

9

10

11

12

13

14

15

16

17

18

19

20

21

22

23

24

25

26

27

28

29

30

Attendance of colonoscopy



signature

118

1

2

3

4

5

Attendance of endoscopic variceal sclerotherapy



signature

1

2

3

4

5

6

7

8

9

10

Attendance of ERCP



signature

1

2

3

4

5

`Ultrasound attendance


No

Da

te

Pla

ce

Topics Supervisor

signature

1

119

2

3

4

5

6

7

8

9

10

11

12

13

14

15

16

17

18

19

20

21

22

23

24

25

26

27

28

29

30

31

32

33

34

35

36

37

38

39

40

120

Liver biopsy observation


No

Da

te

Pla

ce

Topics Supervisor

signature

1

2

3

4

5

6

7

8

9

10

Observation and application of Ultrasoud guided aspiration of body fluids



signature

1

2

3

4

5

Practical skills (Agreement Scale)

Requirements:

Item

No

Ob

serv

ed

Da

te

Ass

iste

d

Da

te

Do

ne

ind

epen

den

tl

y

(A,

B,

C)

Da

te

Su

per

vis

or

sig

na

ture

121

Tapping of body

fluids

1

2

3

4

5

6

7

8

9

10

Lumbar punctures

1

2

3

4

5

Aspiration of

cysts and

abscesses.

1

2

3

a- Poor b- Satisfactory c- Excellent

122

Others

5 - Log book preview

The candidate logbook will be reviewed and patients seen/ skills

performed summarized by diagnosis groups during the semester evaluation and at

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

the summary chart below.

Summary

Semester 1st 2

nd 3

rd 4

th 5

th 6

th Total

Conferences attendance

Seminars attendance

Thesis attendance

Clinics attendance

123

HCC Clinics attendance

BCSG Clinics attendance

Case presentations

Patients seen / with any of the

above problems

Tapping of body fluids

Lumbar punctures

Aspiration of cysts and

abscesses.

Attendence of upper gastro –

intestinal endoscopy

Attendance of colonoscopy

Attendance of endoscopic

variceal sclerotherapy

Attendance of ERCP

Ultrasound attendace

Liver biopsy observation

Observation and application

of Ultrasoud guided

aspiration of body fluids

Supervisor signature

VII - HEAD OF DEPARTMENT APPROVAL FOR THE EXAM ENTRY

__________________________________________________________________

__________________________________________________________________

__________________________________________________________________

__________________________________________________________________

__________________________________________________________________

__________________________________________________________________

124

__________________________________________________________________

__________________________________________________________________

__________________________________________________________________

__________________________________________________________________

__________________________________________________________________

__________________________________________________________________

__________________________________________________________________

__________________________________________________________________

____________

125

VIII – EVALUATION FORMS

To be completed at -------------------------------------

Candidate

Supervisor

Location

Aim of training

__________________________________________________________________

__________________________________________________________________

__________________________________________________________________

Agreed educational objectives and timescale in which objectives should be

achieved.

__________________________________________________________________

__________________________________________________________________

__________________________________________________________________

Comments by Candidate

__________________________________________________________________

__________________________________________________________________

__________________________________________________________________

Comments by Supervisor

__________________________________________________________________

__________________________________________________________________

__________________________________________________________________

__________________________________________________________________

Date of next meeting

Signed by candidate

Signed by Supervisor

Date

127



Candidate

Supervisor

Location

Aim of training

__________________________________________________________________

__________________________________________________________________

__________________________________________________________________


achieved.

__________________________________________________________________

__________________________________________________________________

__________________________________________________________________


__________________________________________________________________

__________________________________________________________________

__________________________________________________________________


__________________________________________________________________

__________________________________________________________________

__________________________________________________________________

__________________________________________________________________


Signed by candidate


Date

129



Candidate

Supervisor

Location

Aim of training

__________________________________________________________________

__________________________________________________________________

__________________________________________________________________


achieved.

__________________________________________________________________

__________________________________________________________________

__________________________________________________________________


__________________________________________________________________

__________________________________________________________________

__________________________________________________________________


__________________________________________________________________

__________________________________________________________________

__________________________________________________________________

__________________________________________________________________


Signed by candidate


Date

131

Degree Program Evaluation Form By The Candidate

To be completed at the end of your degree.

Please consider each pair of statements and decide which most clearly reflects your

view and tick one box or answer the question.

I. Individual Information

1. Are you a graduate of ASU?

yes no to some degree

2. Year and semester when studies began:

II. General Questions

1. What are the advantages/disadvantages of the general study environment at the

University ASU?

2. What were your expectations when you applied to the degree?

3. Do you feel that the degree program prepares you well for your future studies or

employment according to the demands and expectations of those institutions?


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

difficulties or inconveniences?


III. Structure of Degree Program

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

beginning of the program?


2. What were the main difficulties in the planning of your study schedule?

3. What is your general opinion on the structure of the degree program?

132

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

seminars, conferences, and book exams?


a) General Studies

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


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

quantitative and qualitative research methods)?


b) Courses

i) Have you had some special difficulties in completing some of the courses?

Please specify.

ii) Has there been a sufficient variety of courses offered for your optional studies?


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


IV. Concluding Points

1. Did the degree program meet your expectations?


2. What aspects of the degree program do you particularly like?

3. What aspects of the degree program do you particularly dislike?

4. What are your suggestions on how to improve the program?

Thank you!

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