Faculty of MedicineFaculty of MedicineAin Shams UniversityAin Shams University

Postgraduate StudiesPostgraduate Studies

Medical Doctorate in Plastic, Reconstructive Surgery and Burn

جراحة الدكتوراه درجة التجميل في

Program Code: PRB 700PRB 700

Program Guide and Logbook

2

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

[telephone no] [mobile no][mailing address]

[email address][postcode]

Experience[organization] [your present job title][start date][location][responsibilities]

3

[organization] [previous job title][start and end date][location][responsibilities]

[organization] [previous job title][start and end date][location][responsibilities]

Education[certificates][start and end date][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 _______________________

Fifth semester _______________________

Sixth semester _______________________

5

TABLE OF CONTENTS:

PageI – Welcome StatementII – Mission StatementIII – Senior supervisor and affiliated departments and HospitalsIV – Program specifications 1 – Basic Information 2 - Professional Information 3 – Academic standards 4 - Curriculum structure and contents 5 - Program courses: 6. Program admission requirements: 7. Regulation for progression and program completion 8. Appendix: course specifications Surgical anatomy course specifications Pathology course specifications Plastic surgery course specifications Psychiatry course specification Medical photography course specification Sculpture Art course specification Computer science course specificationV - General informationVI – Your log book 1 – Introduction 2 – Supervisors 3 - Tables for training records 4 – Log book previewVII – Head of department approval for the exam entryDetachable forms:VIII – Thesis follow upIX - Evaluation forms

6

I – Welcome Statement:The Department of Plastic Surgery welcomes you to the Medical Doctorate in

Plastic Surgery program. As a department we are committed to doctorate candidate education and continuously strive to improve your educational experience.This handbook presents information guide and logbook activity of this degree administered by the Plastic Surgery 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 life long 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.

The mission of the medical doctorate degree in plastic reconstructive surgery and burn is to qualify a physician to be able to manage patients having congenital, traumatic, burn disorders (including diagnosis, non-operative and operative treatment) as well as planning correctly for the treatment of aesthetic cases. In addition to being capable of communicating efficiently with his colleages, patients, working staff and to be able to conduct research in the field of plastic surgery as well as coping with the advancing scientific progress for the benefit of health improvement.

III – Senior Supervisor and A ffilated Departments and Hospitals Senior SupervisorProf.--------------------------------------------------------------E-mail: ------------------------

A ffilated Departments and Hospitals El- Demerdash University HospitalAin Shams University Specialized Hospital

7

Other Universities HospitalsTeaching Hospitals

Military Hospitals Alhelmia Military Hospital Almaady Military Hospital Air Force Armed Hospitals

Insurance Hospitals Nasr Insurance Hospital Nile Insurance Hospital

Ministry of Health Specialized Hospitals Nasser Institute Dar Alshefaa Hospital Elhelal Hospital Elzaitoun Specialized Hospital

IV – Program SpecificationsA- Basic Information1. Program title: Medical Doctorate in Plastic and Recostructive Surgery and Burn2. Program type: single3. Faculty Faculty of Medicine4. DepartmentPlastic and reconstructive Surgery and Burn5. Assistant co-ordinatorProf Dr. Ayman Aboelmakarem shaker6. Co-ordinatorProf. Dr.Ikram Safe

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

B- Professional Information:1. Program aims:

The aim of this degree is to qualify a physician to be able to manage patients having congenital, traumatic, oncologic, burn and cosmetic disorders (including diagnosis and non-operative and operative treatment) as well as planning correctly for the treatment of deformed cases. In addition to being capable of communicating efficiently with his colleages, patients, working staff and to be able to conduct research in the field of

8

Plastic surgery as well as coping with the advancing scientific progress for the benefit of health improvement.

2. Intended learning outcomes (ILOs):a. Knowledge and understanding:By the end of the program the candidate will be able to: a1- Know the surgical anatomy of the head and neck, upper limbs, lower limbs, and trunk.a2- Recognize the histology and pathology of skin, bone, cartilage, muscle, and connective tissue.a3- Understand the basic plastic surgery research and its toolsa4- Understand the pharmacologic principles of drug therapy in plastic surgerya5- Understand the principles of case management and operative intervention in different plastic surgery subspecialities including congenital anomalies, trauma, tumours and burn. Medicolegal and quality assurance aspects should be considered.a6- List red flags for plastic surgeons to refuse to treat certain patients with psychiatric disordersa7- Know the required positions for photographing each anatomical region.a8- Enumerate different types of sculpture. Sculpture materials should be environmental friendly.a9- Identify computer graphics medical applicationsb. Intellectual capabilities:By the end of this program the student should be able to: b1-Interpret the anatomical bases of common surgical problems.b2- Correlate the pathologic features of the disease with its clinical presentation, laboratory investigations and complications.b3- Classify plastic surgery disorders in head and neck, hand and other body regions.b4- Differentiate disorders from each other.b5- Assess multi-system disease and evaluate risk.b6- Select appropriate laboratory tests and interpret results.b7- Select appropriate imaging technique for diagnosis of plastic surgery diseases and interpret radiological imaging.b8- Know different options of treatment, perform scientific research to add to these knowledge and writing scientific papers properly.b9- Select the proper line of treatment and plan to improve outcome and be innovative.

9

b10- Diagnose body image disorders and refers it to a psychiatrist followed by performing a scientific debate about the case.b11- Select proper distance for each situation of photography.b12- Analyze aesthetics of human structures.b13- Recognize the standard procedure of images synthesize on computer.

c. Professional and practical skills:By the end of the program the candidate will be able to c1- Apply the anatomical principles to common surgical proceduresc2- Recognize and interpret the important pathologic lesions in a pathology report that can provide reliable basis (sound foundation) for rational clinical care and surgical managament.c3- carry out clinical examination of plastic surgery cases with variable presentations in the outpatient clinic. Write medical reports and evaluate written reports.c4- carry out trauma case management in the emergency room.c5- carry out bedside management techniques in the ward. c6- carry out operative intervention in different plastic surgery subspecialities. Evaluate and improve operative techniques and personel performancec7- identify and manage properly complications of burn and complications of

surgical procedures.c8- Perform questionnaire and tests to help in diagnosis of certain psychiatric disorders in plastic surgery patientsc9- Capture photographs in all the standard views for each medical regionc10- Restore features of the structure and camouflage defects using recent technology toolsc11- Practice Image editing and enhancement techniques on computer

d. General and transferable skills:By the end of the program the candidate will be able to acquire:d1- Communication skills and teamworkd2- Presentation and language skills and managing meetings and time controld3- Problem solving, brainstorming skills, self evaluation, teaching and evaluating othersd4- Computer skillsd5- Keep privacy and confidentiality of patients’ photographs and other documentary materials.d6- Research design and conduction and ability to collect data by different means

3. Academic standards: (Benchmarks)Academic reference standards guided by

10

Case Western Reserve University Comprehensive Plastic Surgery curriculum (Department of Surgery, The Ohio State Universi

4. Curriculum structure and contents:4a- Program duration: 3 years (6 Semesters) + thesis4b- Program structure:

المناهجالساعاتالمعتمده

الكود الدراسيه المقررات

البحث أساسيات دورةالعلمى

متطلباتالكلية

يوجد ال األول الجزء15 الرساله3 PRB7001 الجراحي الثانى التشريح الجزء3 PRB7002 الجراحي األمراض علم22 PRB7003 التجميل جراحة علم

2E7039E7077E7078E7026

من واحدة مادة اختيار يتمالنفسي – 1 الطبالطبي - 2 التصؤير

النحت- 3 فنالكمبيوتر- 4 علم

المقرراتاألختياريه

15 كراسة األنشطه

60 المجموع

5. Program courses:a- Compulsory courses:

Code Course title No of hoursL P/C F SDL

PRB7001 Surgical anatomy 3PRB7002 Surgical Pathology 3PRB7003 Plastic surgery 6 4 12

b- Elective courses

11

Code Course title No of hoursL P/C SDL

E7039 Psychiatry 1 3/4 1/4E7077 Medical Photography 1/2 1 ½E7078 Art (Sculpture) 1/4 1 3/4E7026 Computer science 2

6. Program admission requirements:

الدكتوراه): :-7المادة ( درجة على للحصول الطالب لقيد يشترطالمواد - 1 إحدى أو التخصص مادة في الماجستير درجة على ً حاصال يكون أن

لها . معادلة درجة على أو المصرية الجامعات إحدى من بها المتصلة -2األساسية.جموافقة الدراسة متطلبات على العمل درجة- 3هة على الحصول يشترط

العامة الجراحة فى التدريب- 4 0الماجستير ومصاريف الرسوم تسديد) الملحق في المطلوبة المستندات وإستيفاء األجهزة التفرغ- 5 0) 2وإستهالك

. الثاني الجزء امتحان دخول قبل األقل على دراسية فصول خمس لمدة للدراسةالمراكز أو المستشفيات احد فى األقل على المدة لنفس التدريب يتم أن ويمكن

األقسام تحددها التى الشروط أستيفاء بعد الكلية من المعتمدة العلميةالمختصة.

: التجميل جراحة بقسم الخاصة الماجستير- الشروط رسالة موضوع يكون أن - - علي عام يمر أن األقل على جيد الماجستير تقدير يكون أن التجميل جراحة يتبع

التجميل - جراحة قسم أو وحدة بها عمل بجهة يعمل أن الماجستير على أن-الحصولالدكتوراة تمهيدي إمتحان في ينجح

7. Regulation for progression and program completion

حتى : ): 8مادة ( يوليو أول من األولى العام فى مرتين الدكتوراه لدرجات التسجيل يتمحتى نوفمبر أول من والثانية أغسطس ديسمبر آخر 0آخر

خمسة ): 9مادة ( منهما كل مدة دراسيين فصلين على جامعى عام كل فى الدراسة توزعمن . فى الثانى ويبدا أكتوبر أول فى االول يبدا ً اسبوعا . تعشر فصل تنظيم مع فبراير صفللفصل . التسجيل يتم و اسابيع ستة لمدة مكثف صيفى اسبوعين دراسى قبل الدراسى

. يزيد أن والينبغى المسجلة المقررات حسب الشروط إستيفاء بعد االقل على بدايته منعن الواحد الفصل فى الدراسى . 6العبء تعديل للطالب ويجوز معتمدة ساعات

له ( ). يجوز كما االضافة او بالحذف الدراسى الفصل بداية من اسبوعين خالل المقررات . فيه ً راسبا احتسابه دون المقرارت احد من اسابيع سته خالل االنسحاب

فصول ( ): 17مادة ( ست ً شهرا وثالثون ستة الدكتوراه على للحصول الدراسة مدةالمعتمدة) للساعات ً طبقا بالقسم ً متكامال ً تدريبيا ً برنامجا الطالب خاللهم يجتاز دراسية

متابعة كتيب فى منه المطلوب خاللها ويستوفى الخامس بالباب وال األنشطة الموضحةم المطلوب أرباع ثالثة إستيفاء قبل اإلمتحان بدخول له المعتمدة يسمح الساعات من . نه

للدكتوراه ): 18مادة ( األول الجزء في الدراسة وجد مدة بعده إن يجتاز واحد دراسي فصلويشترط الثاني الجزء في للدراسة لإلنتقال بالكامل فيه النجاح يشترط وال ً إمتحانا الطالب

الجامعية المستشفيات بإحدى التدريب المراكز خاللها ولجنة أو القسم من المعتمدة

12

الخارج أو بالداخل سواء بالكلية العليا ً الدراسات طبقا الدراسة إستكمال يتم أن علىالمعتمدة . للساعات

الرسالة ): 19مادة ( موضوع بتسجيل الدكتوراه لدرجة الدارس القيد يقوم وال مع للدرجة.ت درجات لها يخصص وال للدرجة التسجيل على عامين مرور قبل الرسالة مناقشة جوز

التسجيل ): 20مادة ( قبل الجامعة متطلبات بإستيفاء الدكتوراه لدرجة الدارس يقومالكلية الرسالة ومتطلبات الثاني ومناقشة الجزء إمتحان دخول الجامعة .قبل ومتطلبات

مجموع ( اإلنجليزية اللغة في التويفل شهادة على الحصول ) 550هي ومتطلبات درجةالتخطيط مجال فى بالكلية العليا الدراسات لجنة من معتمدة دورات حضور هى الكلية . اللجنة تحددها خاصة إختبارات إجتياز أو الطبي واإلحصاء الطبية والدراسات

الدكتوراه ): 21مادة ( لدراسة المعتمدة ثالثون الساعات و ست منها ساعة تسعون و ستستون يضاف و الماجستير اثناء دراستهم تمت ويخصص معتمدة ساعة ساعة األقل على

متابعة لكتيب ساعة عشرة خمس وست األنشطة منها للرسالة ساعة عشرة وخمساألول للجزء األقل على وجد ساعات . إن

على ): 22مادة ( ً بناءا الجامعة لمجلس ويجوز سنوات خمس الدكتوراه لدرجة القيد مدةالقسم مجلس طلب بعد بالكلية العليا الدراسات لجنة موافقة وبعد الكلية مجلس طلب

واحد عام بإضافة السماح الطالب على المشرفين جميع من سنوية تقارير إلى ً وإستنادا. الدكتوراه درجة على للحصول القيد تاريخ من سنوات ثمان أقصى وبحد

ا ت): 23مادة ( ب لتزم المرتبطة المواد أقسام مع باألشتراك المعنية إمتحانات القسام وضع ، اإلختيارات ومتعددة وقصيرة طويلة أسئلة من المختلفة التقييم وسائل تشمل موضوعية

المناهج كراسة تشمل أن على المختلفة المهارات تقيس مقننة إكلينيكية وإختباراتبالكلية . العليا الدراسات لجنة من وتعتمد ذلك تفاصيل

للدكتوراه ): 24مادة ( النهائى االمتحان درجات منها 1500مجموع للجزء 300درجة درجة . الف المعدل اليها ويضاف وجد إن يوازى صاألول بما التراكمى . 400لى

الدور ): 25مادة ( إمتحان ويعقد عام كل من ونوفمبر أكتوبر في األول الدور إمتحان يعقد . عام كل من ومايو أبريل فى الثاني

على ):26مادة ( الحصول بعد الدكتوراه مواد فى النجاح درجة% 60يكون التحريري من. حدة على كل والشفوي واالكلينيكى والعملي

Assessment Schedule and Weighing of Assessments:

13

التالى: الوجه على للنقاط طبقا الطالب درجات تعادل :ملحوظة 4:فأكثر % 90 -1

نقاط

A

أقل% 85من- 2 حتى %90من

:3.67 نقاط

A-

أقل% 80من -3 حتى%85من

:3.33 نقاط

B+

أقل% 75من -4 حتى%80من

:3.00 نقاط

B

أقل% 70من -5 حتى%75من

:2.67 نقاط

B-

أقل% 65من -6 حتى%70من

:2.33 نقاط

C+

أقل% 62من- 7 حتى%65من

:2.00 نقاط

C

أقل% 60من -8 حتى%62من

:1.67 نقاط

C-

من -9 Fصفر:%60أقل

14

الفصلى ( المعدل حساب مقرر) GPAويتم كل نقاط ضرب حاصل مجموع أساس علىالتى للمقررات المعتمدة الساعات على ً مقسوما المعتمدة ساعاته عدد فى ً مضروبا

. حساب يتم كما الدراسى الفصل فى الطالب للطالب ( درسها التراكمى )CGPAالمعدل ً مضروبا مقرر كل فى الطالب عليها حصل التى النقاط ضرب حاصل مجموع أساس على

. الكلية المعتمدة الساعات مجموع على ً مقسوما المعتمدة ساعاته عدد فىمن مجموعة أو مادة فى الرسوب حالة الدكتوراه مقررات الفى فى فى اإلعادة يتم

. فقط المجموعة أو إعادة المادة أول فى عليه يحصل الذى الفعلى التقدير حساب ويتمتقدير النجاح عند له فيحسب رسوبة تكرر إذا أما اى% (60فقط اى 1.67فقط .)C-نقاط

Surgical Anatomy course Specifications University: Ain Shams University Faculty: of Medicine

Course specificationsProgram on which the course is given: Medical Doctorate of Plastic SurgeryMajor or minor element of programs: Major Department offering the program: Plastic and Reconstructive Surgery Department offering the course: Plastic and Reconstructive Surgery departmentAcademic Level: Doctorate all semestersDate of specification approval: …………………………..

A- Basic InformationTitle: Surgical anatomy course Code: PRB 7001Credit Hours: 3 Lecture: 1/2h/week Total: 45 hours

CoordinatorPlastic and Reconstructive Surgery Department B- Professional Information1. Overall Aims of CourseThe aim of the course is to correlate the surgical anatomy basics with the patient’s clinical presentation and to make the utmost use in diagnosis, surgical planning and throughout the surgical procedure to maximize patient outcomes and minimize hazards and complications. II. INTENDED LEARNING OUTCOMES:2- Intended Learning Outcomes (ILOs) a- Knowledge and Understanding:By the end of the course the candidate will be able to: Acquire the appropriate knowledge of surgical anatomy Integrate surgical anatomical information with other functions of various organs and systems Explain the anatomical bases of surgical diseases and conditions

15

Apply surgical anatomical knowledge and principles in performing common surgical procedures Interpret complications and iatrogenic injuries in light of anatomical knowledge Describe the anatomical bases of minimally invasive interventions Recite the embryologic origin of the skin Discuss the structure and function of the skin epidermis, dermis and skin appendages. Describe the structure and function of the nails. Discuss he structure and function of subcutaneous tissue and fascial layers. Recite the terminology of flap vascular supply including random flap, island flap, free flap, etc. Identify the variations in flap anatomy including cutaneous flap, fasciocutaneous flap, musculocutaneous flap, etc. Explain the concept of dermatomes and angiosomes and their implications on wounds and flaps. List in detail the anatomy for harvesting the most common flapsa. Discuss the embryology of the head and neck.b. Recite the tenets of growth of the craniofacial skeleton.c. Know the anatomy of the head and neck with particular concern to the jaws and craniofacial skeleton.d. Describe the anatomy of the skull including sutures, foramina, and cranial nerves. e. Identify the anatomy of the facial bones.f. Know detailed anatomy of face, forehead and temporal regionsg. Recite the basic anatomy of the dental structures and the TMJh. Discuss the principles of odontogenesisi. Identify the anatomy of the eye including normal dimensions, bony structures, eyelids, extraocular muscles, innervation, vascular supply, and lacrimal apparatus, medial and lateral canthi.j. Know detailed anatomy of the nosek. Know detailed anatomy of the auriclel. Discuss the etiology, genetics, embryology and anatomy of congenital disorders of the head and neck. m. Demonstrate intimate knowledge of the common congenital disorders of the head and neck including cleft lip and palate, craniofacial syndromes, vascular malformations, and auricular abnormalities

16

n. Be familiar with growth and development of the craniofacial skeleton and its affect on anomalies and their treatmento. Recite the lymphatic drainage pattern of the head and neck structures and the relationship to the management of malignant tumors.p. Describe the mechanical and structural properties of the facial skeleton as they relate to fracture patterns in facial trauma.q. Describe the neuroanatomy, cranial nerve anatomy and soft tissue anatomy pertinent to facial fractures.

Describe the embryologic development and the physiologic theories which explain the etiology of hand anomalies. Recite the classification system for congenital hand anomalies including; failure of part formation; failure of differentiation, duplication, overgrowth,

undergrowth, congenital bands and generalized musculoskeletal anomalies Describe in detail the anatomy and physiology of the muscles, tendons, ligaments, and bones of the hand and upper extremity. Identify in detail the anatomy of the vascular tree of the upper extremity including relationships to the surrounding structures. Identify in detail the anatomy of the brachial plexus, major nerves and their branchings in the upper extremity including relationships to surrounding structures. Demonstrate the detailed radiographic anatomy of the bony structures of the upper extremity. Know the vascular pattern of flaps in the hand Know detailed anatomy of the hand Discuss the embryonic development of the trunk, abdominal wall, and breast. Recite the knowledge of the glandular structure and function, as well as understand hormonal influence on breast development and function. Discuss the differences in breast structures and function in adolescence, reproductive years, pregnancy, lactation and menopause. Draw the musculature, blood supply, lymphatic drainage and innervation of the trunk, abdominal wall, and breast. Draw the anatomy of the breasts, including; location on the chest wall, underlying structures, glandular structure: lobes, lobules, alveoli/histology, the nipple and its ducts, variations in anatomy: polymastia, polycythemia, vasculature, innervation and lymphatic drainage.

17

Discuss the anatomy of the trunk, anterior and posterior abdominal wall, including: muscles forming the abdominal wall, deep and superficial fascia of the abdominal wall, anatomy of trunk muscles as related to flaps for reconstructive purposes, fat distribution, innervation, blood supply, and lymphatic drainage, skin and its elastic quality and the male and female escutcheon Discuss the normal male and female breast growth and development Discuss the developmental chest wall deformities. Recite the surgical aspects of treatment of patients with developmental chest wall deformities such as pectus carinatum and pectus carivatum. Discusses basic principles and techniques of the surgical treatment of common developmental breast anomalies including amastia, Poland’s syndrome, asymmetry, ectopic mammary tissue, virginal hypertrophy and gynecomastia. Discuss the knowledge of the common deformities of the posterior trunk. Recite the embryology and developmental anatomy of congenital abdominal deformities such as gastrocscesis, prune belly and omphalocele. Know the embryology of male and female genitalia Know the congenital anomalies of genitalia Discuss the structure and function of the male, as well as female genitalia. a. Recite the basic lower extremity embryology, abnormal development and its sequelae. b. Recite the common congenital deformities of the lower extremity c. Know the vascular, neural and osseous anatomy of the lower extremity. d. Describe the anatomy as applied to specific lower extremity flaps including; skin flaps,muscle and skin-muscle flaps, fascial and fasciocutaneous flaps, sensate flaps and flaps which include bone.e. Explain the concept of fasciocutaneous flaps and be able to design them on the distal lower extremity.f. Describe the cutaneous margins and vascular anatomy of foot flaps such as medical plantar, lateral plantar, V-Y plantar, and dorsalis pedis-based flaps. g. Describe the neuroanatomy of and boundaries of sensate flaps in the lower extremity.

b-Intellectual SkillsBy the end of the course the candidate will be able to:b1-Interpret the anatomical bases of common surgical problems.b2-Comment on the anatomical bases of clinical situationsb3-Apply the anatomical facts while examining the living subject in order to reach a proper diagnosis.

18

b4-Identify the different surface markings and determine the position or course of internal structures.b5-Interpret the normal anatomical structures on radiographs and ultrasonography, CT scan   and nuclear magnetic resonance imagesb6-Correlate surgical anatomy with clinical presentation, laboratory investigations and complications.b7-Integrate surgical anatomical information with other basic and clinical information to plan management of common surgical problemsb8-Use information technology to prepare for surgical cases, bringing to the OR the knowledge of current modalities of care for patients with lower extremity diagnoses and the scientific evidence for that care. b9-Discuss biomechanics of handb10- Describe the biomechanics of the lower extremity including: function of specific muscles and muscle groups, gait and functional consequences of use of specific muscles as flaps.

c- Professional and Practical SkillsBy the end of the course the candidate will be able to: Identify common anatomical landmarks of surgical conditions Apply anatomical information in examining surgical patients Identify surface anatomical landmarks on patients Apply the anatomical principles to common surgical procedures Perform the various local anesthetic facial blocks for procedures done in oral and maxillofacial surgery. Participate in the cephalometric analysis, prediction tracing, and preoperative surgical planning of maxillofacial surgery patients. Participate in preoperative model surgery. Participate in operations incorporating the full spectrum of flaps Obtain cephalometric measurements and analyze cephalometric data in the presurgical planning. Perform a comprehensive head and neck exam followed by facial form analysis. Critically analyze patients with developmental chest wall deformities for aesthetic and functional reconstruction. Evaluate and participate in the multispecialty surgical evaluation of patients with congenital deformities of the posterior trunk. Participate in the evaluation and surgical planning of posterior trunk congenital defects. Participate in the evaluation and surgical planning (in concert with other surgical specialists) of congenital abdominal wall deformities.

19

Apply anatomic and biomedical knowledge to the choice of procedures for lower extremity reconstruction. Draw the normal anatomy of the breast and axillae. Draw the various aesthetic deformities of the ear and know the techniques of their correction. Discuss the principles and techniques of orthognathic surgery for the treatment of craniofacial skeletal dysharmony. Perform complete assessment of patients presenting for facial plastic surgery. Perform preoperative markings for reduction mammoplasty. Recite the principles of and infiltration techniques of local anesthesia used in different regions.d- General and Transferable SkillsBy the end of the course the candidate will be able to:d1. Maintain honesty and integrity in all interactions with professors, colleagues and others with whom physicians must interact in their professional livesd2. Apply communication skills in team working with other staff membersd3- Demonstrate knowledge of the importance of ethical approval for clinical research.d4- Work cooperatively and show respect for others’ opinions. d5-Participates in multidisciplinary planning and treatment for patients with complex diagnoses.

3. Course content:Basic anatomy in 1st semester (1/2 credit hour)1- Anatomy and histology of skin2- Anatomy of skin flaps3- Anatomy of muscle flaps4- Histology of bone5- Histology of cartilage6- Histology of nerve

Anatomy in the 2nd semester (1/2 credit hour)1- compartments of the upper limb (to help classify soft tissue sarcomas)2- compartments of the lower limb (to help classify soft tissue sarcomas)3- lymphatics of the head and neck4- lymphatics of the trunk5- lymphatics of the upper limb6- lymphatics of the lower limb

Anatomy of the 3rd semester (1/2 credit hour)

20

1- embryology of the head and neck2- anatomy of the head and neck3- surgical anatomy of TMJ4- surgical anatomy of the mandible, zygoma, maxilla, frontal bone5- surgical anatomy of the oral cavity and teeth6- surgical anatomy of the cleft lip and palate7- surgical anatomy of the nose8- surgical anatomy of the external ear9- surgical anatomy of the eyelids10- surgical anatomy of facial nerve

Anatomy of the 4th semester (1/2 credit hour)1- embryology of the extremities2- anatomy of upper limb3- anatomy of the fingertip and nailbed4- anatomy of flexor tendons, flexor sheath and pulleys5- anatomy of extensor complex

Anatomy of the 5th semester (1/2 credit hour)1- anatomy of the lower limb including the foot2- lymphatic drainage of the lower limb3- angiosomes4- anatomy of the male genitalia5- anatomy of the female genitalia6- anatomy of the abdominal wall7- anatomy of the gluteal region8- anatomy of the perineum9- anatomy of the back10- anatomy of the chest wall and breast

Anatomy of the 6th semester (1/2 credit hour)1- surgical anatomy of eyebrow, forehead and eyelids2- surgical anatomy of the nose3- surgical anatomy of the ear4- superficial musculoapponeurotic system of the face5- superficial fascial system of the body6- topographic anatomy of the arms, thighs, buttocks, and abdomen7- anatomy of breast, nipple and areola

4 - Student Assessment Methods

21

4.1 written exam to assess knowledge4.2 Practical exam to assess skills4.3 Oral exam to assess General and transferable skills

Weighing of assessment4.1 written exam4.2 oral exam Total 150End semesters exam mini-exam of 30 marks

5 -- List of References5.1- Course Notes (paper and / or electronic)5.2- Essential Books (Text Books)2. Gray's Anatomy, 39th edition, 20055.3- Recommended Books1. Moore, K.L. and A.F. Dalley, Clinically Oriented Anatomy, 5th edition, Lippincott, Williams & Wilkins, 2005.2. Tank, P.W., Grant's Dissector, 13th edition, Lippincott, Williams and Wilkins, 20053. Agur, A.M.R. and Dalley, A.F. Grant's Atlas of Anatomy, 11th edition, Lippincott, Williams & Wilkins, 20055.4a- Periodicals, Web Sites, etc (surgical anatomy)http://www.med.mun.ca/anatomyts/msk/msktut.htmhttp://www.med.mun.ca/anatomyts/radioanat/radiology/msk/limbmsk.htmhttp://uwmsk.org/RadAnatomy.htmlhttp://www.rad.washington.edu/academics/academic-sections/msk/muscle-atlas/http://www.medmatrix.org/_SPages/rheumatology.asp

Pathology Course Specifications University: Ain Shams University Faculty: of Medicine

Course specificationsProgram on which the course is given: Medical doctorate in Plastic SurgeryMajor or minor element of programs: MajorDepartment offering the program: Plastic and Reconstructive Surgery Department Department offering the course: Plastic and Reconstructive Surgery Department Academic Level: doctorate all semestersDate of specification approval: …………………………..

A- Basic Information

22

Title: Surgical Pathology course Code: PRB 7002Credit Hours: 3 hour Lecture: 1/2 h/week Total: 45 hours

CoordinatorPlastic and Reconstructive Surgery Department B- Professional Information1. Overall Aims of The CoursePathology is considered is basic for understanding different aspects of disorders in all fields of Plastic Surgery. The main aim of teaching Surgical Pathology course is to provide the candidate with adequate, recognizable and applicable knowledge and skills for congenital, oncologic, burn, some inflammatory disorders. It helps the candidate to understand the causes (aetiopathology) of disease, the mechanisms of its development (pathogenesis) and the associated alterations of structure (histopathology) and function (physiopathology and biopathology) to be able to determine the most likely diagnosis of the disease and management of the patient when provided with the clinical history, the anatomical lesions, and the laboratory data.

2. Intended Learning Outcomes of Course (ILOs)a- Knowledge and Understanding:By the end of the course the candidate will be able to:

a.1- Recognize and define the basic pathologic processes that disturb the structure and function of the body including cell injury, tissue response to injury (inflammation, healing and repair), haemodynamic disturbances, neoplasia, infections and parasitic diseases. a.2- List the causes of diseases related to plastic surgery.a.3- Explain the pathogenesis of these diseases.a.4- Recognize and describe the basic pathologic features (morphologic alterations) including the gross and microscopic pictures of various diseases.a.5- Describe how the pathological processes affect the structure and function of an organ (s) of the human body.a.6. Identify the functional consequences and clinical manifestations of such diseases. a.7-Explain signs and symptoms of disease based on its pathogenesis, thereby demonstrate clinical reasoning.a.8- Interpret and identify the complications of those diseases. a.9- Describe the effect of environmental factors on causation and geographical variation of disease.

23

a.10- Recognize and be fully familiar with the terminology used in the classification, investigation and description of disease, enabling effective communication with professional colleagues and patients.

b-Intellectual SkillsBy the end of the course the candidate will be able to:

b.1- Correlate the pathologic features of the disease with its clinical presentation, laboratory investigations and complications.b.2- Develop skills of observation, interpretation, and integration needed to analyze basic clinical and pathologic data and to diagnose human disease.

c- Professional and Practical SkillsBy the end of the course the candidate will be able to:

c.1- Select appropriate preservative material necessary for different kind of specimens for different types of pathologic investigations.c.2- Select appropriate method of investigation for examination needed to reach a correct diagnosis. c.3- Handle and select appropriate tissue from fresh specimen for frozen section examination.c.4- Recognize and interpret the important pathologic lesions in a pathology report that can provide reliable basis (sound foundation) for rational clinical care and surgical managament.

d- General and Transferable SkillsBy the end of the course the candidate will be able to:

d.1- Use database to collect material needed for research. d.2- Gather and organize material from various sources (including library, electronic and online resources).d.3- Present a research assignment orally and deliver it in both written and electronic forms.d.4- Ensure that request form and specimen identification is accurate and identify and resolve any errors or discordance.d.5- Communicate with pathologists promptly and accurately.d.6- Understand the importance of continuing professional development. d.7- Demonstrate knowledge of the importance of ethical approval and patient consent for clinical research.d.8- Work cooperatively and show respect for others opinions.

24

3- Course content:

Basic pathology in the 1st semester (1/2 credit hour)

1- inflammation2- bacterial infection3- repair and healing4- degeneration and necrosis5- circulatory disturbance:a- hyperemiab- thrombosisc- embolismd- ischemiae- infarctionf- gangreneg- edemah- hemorrhage i- shock6- the immune response, immunity and hypersensitivity

Pathology in the 2nd semester (1/2 credit hour)

1- disturbance in pigment metabolism2- disturbance in calcium metabolism3- tumors and neoplasiaa- benign skin tumorsb- hamartomas c- hemangiomas and vascular malformationsd- cutaneous carcinomase- benign and malignant primary salivary gland tumorsf- soft tissue sarcomas4- pathology of burn5- effect of ionizing radiation

Pathology of the 3rd semester (1/2 credit hour)

1- cleft lip and palate2- speech pathology3- facial fractures

25

4- benign and malignant tumors of the oral cavity5- solid and cystic tumors of the jaw6- craniofacial tumors

Pathology of the 4th semester (1/2 credit hour)

1- pathology of the nail2- dupuytren's disease3- tumors of the hand

Pathology of the 5th semester (1/2 credit hour)

1- pathology of pressure sores2- pathology of diabetic foot3- pathology of venous ulcers4- pathology of lower limb ischemia5- pathology of lymphedema6- ambigious genitalia7- pathology of breast (congenital, traumatic, atrophy, hypertrophy, benign tumors and malignant tumors)

Pathology of the 6th semester (1/2 credit hour)

1- aging face2- pathology of nose3- pathology of ears4- abnormal contour of the body (difference between males and females)5- breast atrophy, hypertrophy, ptosis6- gynecomastia7- obesity

4 - Student Assessment Methods4.1 Written exam to assess knowledge4.2 Oral exam to assess knowledge and communication skills

Weighing of assessment4.1 written exam 1204.2 oral exam 30

Total 150

5 -- List of References

26

5.1- Course Notes (paper and / or electronic)Surgical Pathology Notes written by staff members of Pathology Department5.2- Essential Books (Text Books)Kumar, V. (Ed.), Cotran, R. S., Robbins, S. L. (2007). Basic Pathology 8th edition Philadelphia, PA: W.B. Saunders. 5.3- Recommended Books……Shaffer…………………………………………………………………………5.4- Periodicals, Web Sites, etchttp://www.webpath, http://www.pathguy http://www.pathmax.com,http://www.uwo.ca/pathol/resources.htmlPlastic surgery Course Specifications

University: Ain Shams University Faculty: MedicineCourse specificationsProgram on which the course is given: Doctorate degree in Plastic and Reconstructive Surgery and BurnMajor or minor element of programs: MajorDepartment offering the program: Plastic and Reconstructive SurgDepartment offering the course: Plastic and Reconstructive SurgAcademic Level: Doctorate – 1st to 6th semester Date of specification approval: …………………………..

A- Basic InformationTitle: Plastic Surgery Code: PRB7003Credit Hours: 22 hourCoordinatorDepartment of Plastic Surgery

B- Professional information1- Program aimsThe plastic surgery curriculum (goals and objectives) is provided to candidate and attendings for education and assessment. The curriculum not only is an educational tool, but a guide for assessment. Candidate should utilize the curriculum to direct independent study and self assessment. Attendings should utilize the curriculum to direct candidate teaching and assessment. The curriculum is the tie between education and assessment.

2- Intended learning outcomes (ILOs):a- Medical Knowledge

27

By the end of the program the candidate will be able to: I- General Plastic SurgeryWound Healing-Understand normal and abnormal wound healing.-Identify the pharmacologic agents and other nonsurgical methods for treatment of abnormal healing. -Describe the management of dressings, splints and other techniques utilized in wound management. -Draw and plan techniques of scar revision (such as Z-plasty and W-plasty).-Describe the various lines of the skin (such as relaxed skin tension) and their importance in placement of incisions for maximum aesthetic result. -Discuss the role of nutrition in the wound healing process and the standard methods for diagnosis and treatment of nutritional deficiencies.-Understand the differences in suture materials and indications for the use of different materials. Flaps and Grafts-Discuss the terminology of flap movement including advancement flap, rotation flap, transposition of flap, etc.-Explain in detail the specific physiology of split and full thickness skin grafts, dermal grafts, cartilage grafts, bone grafts, tendon grafts, nerve grafts, fascial grafts, and composite grafts.-Explain the differences in primary and secondary skin contraction versus contracture. -Discribe the principles and applications of special grafting techniques including dermabrasion and over-grafting, the crane principle, xenografts and skin substitute -Recite the Mathes Classification of muscle flaps. -Discuss the technological, pharmacological, and physiological monitoring techniques including fluorescence, capillary refill, thermal monitoring, laser flow probes, oxygen saturation, pH monitoring, etc.Microsurgery-Explain the use of the operating microscope and the technical aspects of microvascular anastomosis (artery and vein) and microneural repair.-Discribe the indications for, the contraindications to, and the techniques for accomplishing replantation of amputated parts. Recognize the techniques of monitoring the success of replantation.-List the terms and types of free tissue flaps – skin, skin/muscle, skin/muscle/bone, skin/tendon, muscle alone.-Discuss radiologic techniques for evaluation of both donor and recipient sites.-Discuss the technologic, pharmacologic and physiologic principles of postoperative monitoring of free flaps.-Explain the principles of repair of nerve injury including need for nerve grafting,

28

the anatomy of nerve graft donor sites, and the physiology, timing and techniques of primary, delayed primary and late nerve repair.-Discuss the principles and techniques of hematologic manipulation of abnormal vascular flow characteristics.-Discuss the technical aspects of microsurgery including; microscopes – principles, usage, sutures – types, indications, microvascular coupling devices, suturing techniques.Discuss the use of electrophysiologic tools in the evaluation of nerve injury (EMG,NCS).

Implants/Biomaterials-Discuss the various types of breast implants and the factors involved in implant choice including surface content characteristics; be aware of the issues regarding silicone and be able to discuss these with a patient.-Discern the effects of breast implant surface characteristics on formation of capsular contracture.-Discuss the various injectable materials for subcutaneous filling and the principles of their use.Special Techniques-Discuss the basic principles, the common techniques and the instrumentation of suction lipectomy including tumescence, standard and ultrasonic liposuction.-Recite the indications and for contraindications to suction lipectomy, and be familiar with the principles of patient assessment; recognize the limitations of liposuction.-Explain the preoperative, intraoperative and postoperative management of the patient undergoing suction lipectomy; be familiar with the complications of liposuction and their management.-Discriminate the various techniques for tissue expansion and be familiar with the differing expansion devices.-Discuss the principles of management of patients undergoing tissue expansion; recognize and treat the complications of tissue expansion. -Discuss the physiologic and pathologic principles of dermabrasion, chemical peel and laser resurfacing; recognize the differences between the techniques and the indications for choice between the techniques.-Recite the principles of pre- and postoperative management of patients undergoing facial resurfacing; recognize the complications of the technique and its management.-Explain the pharmacologic aspects and the techniques of chemical peel.-Discriminate the biophysical properties of commonly used lasers, and choose different lasers for different types of problems.-Discuss the indications for and contraindications to laser treatments and

29

techniques of laser use, and the various complications of laser therapy and their treatment.Transplantation/ImmunologyPharmacology/Therapeutics-Discuss the indications and proper antibiotics and antimicrobials -List the principles of use (including dosage and complications) of common analgesics (oral and parenteral).-Discuss the pharmacology and clinical use of steroids in plastic surgery patients (including scar treatment, hand problems, steroid-dependent patients).-Discuss the pharmacology of the major types of antibiotics and the indications for their use.-Discuss the commonly used anti-inflammatory agents including dosage and mechanism of action.-Discuss the pharmacology, complications and clinical use of common chemotherapeutic agents for treatment of skin and head and neck malignancies. -Discuss the principles of management of extravasation injuries involving chemotherapeutic agents and other drugs.Patient Management/Office ManagementII- Plastic Surgery of the Integument-Discern the role of lasers in the management of various skin conditions.-Describe common inflammatory disorders of the skin such as cellulitis, lymphangitis, hidradenitis suppurativa, necrotizing fasciitis, and its medical and surgical treatment.-Recite the basic principles of medical management and surgical treatment of common congenital disorders of the skin.III- Plastic Surgery of the Head and Neck-Discuss the cephalometric landmarks and analysis in the presurgical planning of patients with congenital head and neck anomalies.-Recognize the clinical presentation of squamous cell carcinoma of the head and neck.-Recite the methods for diagnosis and the options for treatment of squamous cell carcinomas of the head and neck.-Recite the TNM staging system for tumors of the head and neck; know the features and biologic behavior of these lesions. -Describe the general principles and techniques of adjuvant therapy such as radiation therapy and chemotherapy for head and neck malignancies. -Discuss the indications for and the role of neck dissection in the treatment of head and neck malignancies.-Recite the process of long-term follow-up for patients with head and neck malignancies.-Recite the diagnosis of and principles of care for; rhinophyma, eyelid and lacrimal

30

neoplasms, infections of the head and neck, disease of nasal cavity and paranasal sinuses-Discuss the treatment options, including steroid therapy, laser therapy, and surgery for hemangiomas and vascular malformations of the head and neck. Trauma -Describe the priorities involved in treating patients with head and neck injuries.-Describe the mechanical and structural properties of the facial skeleton as they relate to fracture patterns in facial trauma.- List the principles of bone fixation and bony healing.- Recite the techniques of the treatment of facial fractures, including: frontal sinus, fractures, orbital fractures, nasal fractures, NOE fractures, midface and maxillary fractures, mandibular fractures and management of teeth in fractures.-Discuss the advantages and disadvantages of various techniques of treatment of facial fractures including; nonoperative treatment, closed reduction, mandibulomxillary fixation, open reduction with and without fixations, intraoral splints, external fixation and bone grafting. -Describe the treatment of facial fracture complications including; secondary deformities, infections and osteomyelitis, malocclusion, nonunions and malunions.- Discuss the unique treatment of pediatric facial fractures.- Discuss the concepts of internal fixation and its influences on fracture healing.- List the classification and terminology of open and closed fractures.- Discuss the acute management of open and closed fractures.- Discuss the soft tissue management in open fractures.- Discuss the diagnosis and management of malunions, nonunions, and osteomyelitis.Describe the neuroanatomy, cranial nerve anatomy and soft tissue anatomy pertinent to facial fractures. -Recite the treatment of soft tissue injuries of the head and face including; parotid gland and duct, facial nerve and lacrimal apparatus.-Describe the evaluation and treatment of secondary deformities of facial fracture including; malocclusion, enophthalmos, frontal sinus mucoceles, facial nerve paralysis, soft tissue contractures.-Discuss the principles of care and the surgical steps in the treatment of the following facial fractures; frontal sinus, naso-orbital ethmoid, orbital, zygomatic, nasal, maxillary, Mandibular and pan-facial.- Recite the principles of and infiltration techniques of local anesthesia used in the head and neck.- Describe the cephalometric analysis of maxillofacial surgery patients.

31

- Discuss the common diagnoses in maxillofacial surgery and their management, including; retrogenia, mandibular excess and deficiency, vertical maxillary excess and maxillary deficiency.- Discuss the different kinds of occlusion, including; overjet, overbite, Angle classification, cross-bites.- Discuss the use of distraction osteogenesis in maxillofacial surgery.- Discuss orthognathic cleft surgery-Discuss orthodontia in cleft patient.- Describe the acquired diseases of the TMJ and their management- Describe the use of dento-facial prosthetics.- Discuss the basic science component of fracture and soft tissue injury and healing.IV- Plastic Surgery of the Hand and Upper Extremity- Recite the operations including timing and techniques used in the surgical management of hand anomalies.- Describe the principles and techniques of management of upper extremity tumors.- Describe the etiologic factors, epidemiology, and modalities of treatment for tumors of the upper extremities. - Describe the clinical manifestations of both soft and hard tissue tumors of the upper extremities. - Describe the reconstructive principles and techniques for restoration of form and function after surgical resections.- Recite the indications and use of adjunctive therapy (i.e. radiation therapy and chemotherapy) in the management of and the prognosis for upper extremity tumors.- Describe the principles and techniques of management for upper extremity tumors, including reconstruction after surgical extirpation, for; vascular tumors, nerve tumors, benign deep soft tissue tumors, malignant deep soft tissue tumors and primary bone tumors.- Rationalize the utilization of radiotherapy, medical oncology, hand therapy, occupational therapy, and prosthetics where appropriate for patients with upper extremity tumors. - Recite the principles and applications of diagnostic techniques for the evaluation of hand and upper extremity trauma.- Recite the criteria for the diagnosis of compartment syndrome.- Describe the techniques for operative management of traumatic injuries of the upper extremity, their indications and contraindications, and their possible complications and the treatment thereof.- Explain the indications for, contraindications to, and techniques in nonoperative management of traumatic injuries of the hand and upper extremity.- Describe the options for soft tissue coverage of upper extremities including: skin

32

grafts, local flaps and free tissue transfer- List the surgical and nonsurgical treatment of nerve compression and entrapment syndromes of the upper extremity. - Draw the pathologic anatomy and physiology of upper extremity contractures and Dupuytren’s disease.- Recite the management of upper extremity lymphedema Reconstruction- Recite the diagnostic techniques for evaluation of function including EMG and conduction studies, arteriography, CT scan, and MRI evaluation.- Recite the use of tendon transfers.

V- Plastic Surgery of the Trunk- Recite the surgical aspects of treatment of patients with developmental chest wall deformities such as pectus carinatum and pectus carivatum.- Discusses the basic principles and techniques of the surgical treatment of common developmental breast anomalies including amastia, Poland’s syndrome, asymmetry, ectopic mammary tissue, virginal hypertrophy and gynecomastia.- Discuss the knowledge of the common deformities of the posterior trunk.- Discuss the reconstructive surgery of posterior trunk lesions, including meningomyelocele, sacrococcygeal teratomas, etc., and recognize the benefit of a team approach to these problems.- Discuss the reconstructive surgical management of congenital abdominal deformities such as gastroscesis, prune belly, and omphalocele. - Describe the biologic behavior, histologic characteristics, and clinical manifestation of malignancies of the breast.- Discuss the plastic surgical options for management of breast reconstruction after mastectomy for carcinoma and the principles of long-term follow-up patients with breast carcinoma.- Discuss the diagnostic techniques and treatment methods (surgical and nonsurgical) for management of premalignant disease and other processes of the breast.- Discuss the implications of genetic predisposition to breast cancer and the options of prophylactic mastectomy. - Describe the etiology of gynecomastia and be familiar with the surgical options for treatment.- Discuss the various treatment protocols (including surgery, radiation, and chemotherapy plus combinations) for management of carcinoma of the breast including sentinel node survey. - Discuss the complete treatment of malignancy of the breast including; pathology and biologic behaviour, diagnostic techniques, principles of primary treatment, techniques of primary treatment, secondary treatment, management of the opposite breast after mastectomy.

33

- Recite the basic principles of medical and surgical management of common acute traumatic trunk and breast injuries including sternal infections. - Recite the etiology and nonsurgical management of pressure sore ulcers (including preventative measures). - Recite a detailed knowledge of surgical aspects of pressure sore reconstruction. - Discuss the surgical aspect of breast reconstruction and the rationale for choices between different methods.- Discuss the use of prosthetic devices for breast reconstruction, including implants, tissue expanders, and external prosthesis.

VI- Plastic Surgery of the Lower Extremity- Recite the indications for and timing of closure of soft tissue defects of the lower extremity. - Describe coverage techniques (including skin grafts, flaps, distant flaps, musculocutaneous flaps, and free flaps) for soft tissue closure of the lower extremity. - Describe the management of infectious processes (including osteomyelitis) related to traumatic injuries of the lower extremity. - Describe the pathophysiology of and techniques for nonoperative and operative management of traumatic, ischemic, venous stasis, hypertensive and infectious ulcers.- Recite the etiology and treatment of lymphedema (including non operative measures).- Recite the basis for classification of tibial fractures and the treatment modification appropriate for injuries of varying severity.- Understand the orthopedic management of long-bone injuries including internal and external fixation, leg lengthening, and standard techniques for replacement of bone defects. - Recite the common congenital deformities of the lower extremity (including constriction defects and syndactyly) and their management. - Describe the indications of and techniques for replantation or revascularization of lower extremity devascularizing or amputative injuries. - Recite the principles and techniques of aesthetic contouring of the lower extremity (including excisional and liposuction techniques).VII- Aesthetic Plastic Surgery- Discuss the various surgical techniques for breast reduction, the indications for and contraindications to the procedures. - Discuss the complications of breast reduction, their prevention and management. - Describe the various surgical techniques for breast augmentation, the indications for and contraindications to the procedures. - Discuss the complications of augmentation mammoplasty, their prevention and

34

management. - Discuss the different types of breast implants and the reasons for choosing a particular type for a particular problem. - Describe the basic techniques for mastopexy, the indications for and contraindications to these procedures. - Discuss the complications of mastopexy, their prevention and management. - Discuss techniques for treatment of aesthetic trunk deformity such as panniculectomy and abdominoplasty, the indications for them and contraindications to the procedures. - Discuss the complications of panniculectomies and abdominoplasties and their prevention and management. - Discuss the treatment options for congenital breast anomalies such as Pollands syndrome. - Describe the techniques of suction lipectomy as applied to aesthetic deformities of the trunk, as well as aesthetic management for these procedures. - Recite the principles of selection of mastopexy vs. augmentation mammoplasty. - Recite the principles of selection of abdominoplasty vs. liposuction. - Explain the basic principles and techniques for treating other aesthetic deformities of the breast and drunk such as inverted nipples, localized lipodystrophy, tubular breast deformity, etc. - List the long-term consequences of augmentation mammoplasty such as capsular contraction and its treatment as well as methods for follow-up including special techniques for mammography. - Discuss the post-obesity deformity and the options for body contouring surgery.Aesthetic Surgery of the Head and Neck- Discuss the concepts of beauty and aesthetic principles of the facial structures.- Identify the principles and techniques of aesthetic rhinoplasty as well as the differences in approach between primary and secondary rhinoplasty.- Recite the diagnostic and therapeutic techniques in the management of nasal airway obstruction. - Discuss the application of aesthetic principles to the cleft patient.- Explain the complications of rhinoplasty and septoplasty, their prevention and treatment. - Discuss the varying effects of aging and sun exposure on the facial structures.- Demonstrates the techniques of rhytidectomy, suction lipectomy, genioplasty, blepharoplasty, and other methods for treatment of the aging face. - Discuss the complications of facial aesthetic surgery, their prevention and treatment. - Draw the various aesthetic deformities of the ear and know the techniques of their correction. - Discuss the aesthetic and functional problems of the eyelid, including

35

blepharochalasis and ptosis; knows the treatment for these diagnoses, complications and prevention. - Discuss the diagnostic methods and treatment options for the patient with facial palsy. - Describe the diagnostic principles and treatment techniques for alopecia pattern baldness including tissue expansion, scalp flaps, and hair transplantation. - Discuss the principles and techniques of orthognathic surgery for the treatment of craniofacial skeletal dysharmony. - Discuss the various ancillary techniques for management of the aging face, including chemical peel, Retin A, dermabrasion, collagen injection, laser resurfacing, injection of filling material, botulinum toxin, hydroxyapatite, hyaluronic acid, and skin care products. - Discuss the use of lasers for the treatment of unwanted hair, tattoo removal, and facial resurfacing, include laser biophysics and safety. - Discuss the various techniques used for face lifting, including the role of platysma, SMAS, subperiosteal, deep plan, composite, etc. - Discuss the different types and appropriate uses of liposuction.Burn Surgery- discuss the techniques of resuscitation of major burns.- recite the criteria for superficial and deep partial thickness, as well as full-thickness classification of burns.- discuss the three zones of a burn wound.- discuss the properties of split thickness vs. full thickness skin grafts, as meshed and sheet grafts.- discuss the treatment of inhalation injuries.- describe the resuscitation and management of electrical burns.- describe the indications of fasciotomies and escharotomies.- list the details regarding the use of skin substitutes, biological dressings, and xenografts in the treatment of the burn patient.- discuss the reconstruction for burn contractures.- recite the use of pressure garments and silicone therapy in the prevention of abnormal scars.- describe management of thermal, chemical, and electrical injury and inhalation injury and relationship to mortality, morbidity, and course of patient recovery.- discuss the epidemiology, prevention, and socioeconomic and psychological impact of burns.

b- Intellectual capabilities:By the end of the program the candidate will be able to: - Use information technology to prepare for surgical cases, bringing to the OR the knowledge of current modalities of care and the scientific evidence for that care.

36

- Routinely analyzes the effectiveness of own practices in caring of patients. - Improve own practices in the care of patients by integrating appropriately gathered data and feedback.- Educate medical students and other healthcare professionals. - Function independently with graduated advancement and appropriate faculty supervision. - Continue to keep apprised of new techniques used in plastic surgery. - use library sources to perform research and perform literature searches.- Use laboratories in training and researches.-Understand the principles of clinical research and the application of biostatistics.-Advocate for patients within the health care system.- Demonstrates knowledge of cost-effective care.- Understands the basics of the Worker’s Compensation. - Educate patients and families in post-operative strategies for reconstructive surgery. - Provide adequate counseling and informed consent to patients. -Educate patients and families in pre- and post-operative care of surgical patients. -Provide adequate counseling and informed consent to patients. -Assimilate data and information provided by other members of the health care team. -Effectively obtain truly informed consent from patients. -Effectively explore the motives of patients seeking cosmetic surgery. Coordinate care of patients with primary care providers. - Function within the organization of specialty clinics - Understand the value of and function within a team approach to treat patients - Participates in multidisciplinary planning and treatment for patients with head and neck malignancies. - Refers patients to the appropriate practitioners and agencies.-Coordinate all aspects of rehabilitation, including splinting, pressure garment use, physical therapy, occupational therapy, and social work. -Direct the rehabilitation by partnering with the following; Physical Therapy, Occupational Therapy, prosthetic and orthotics specialists, sensory reeducation, and maxillofacial prosthetics. ENT cancer services, Speech and swallow specialists.- Demonstrate appreciation of the psychosocial aspects of all fields in plastic surgery.

c- Practical and Clinical skills:By the end of the program the candidate will be able to: -Participate in the care and treatment of scars and keloids, including; surgical

37

techniques (Z-plasty, W-plasty, etc), nonsurgical techniques, camouflage techniques.-Evaluate patients and their nutritional status as related to wound healing, including; diagnosis of deficiency, treatment of deficiency-Participate in planning surgical incisions, with respect to; selection in relation to skin lines, techniques for closure, suture materials – types and uses. -Participate in wound management, including; debridement, use of splints, dressings, casts, topics agents, use of biologic substitutes.-Treat complex wound problems such as dehiscence, delayed healing of complex traumatic wounds.-Evaluate patients with scar problems and revise scars to achieve functional and aesthetic benefit.-Perform surgical and pharmacologic treatment of hypertrophic scars and keloids.-Utilize splints, casts, dressings, topical agents, etc., to optimize healing.-Place incisions for elective surgery in such a way as to achieve the greatest aesthetic benefit.-Utilize biologic and artificial skin substitutes in wound management.-Participate in the surgery of grafts and flaps including: skin, dermis, cartilage, bone, tendon, muscle, fascia, combined tissue; specifically; grafting techniques, instruments for harvesting grafts, graft preservation techniques, donor site management, recipient site management, special techniques, xenografts.-Perform operations incorporating the full spectrum of flaps and grafts including skin grafts, local flaps, fascial and musculocutaneous flaps, free tissue transfers, bone grafts, composite grafts, etc.-Treat patients who have complications of flaps and grafts including skin graft loss, flap necrosis, wound dehiscence, wound infection, etc.participate in the use of the operating microscope; perform microvascular anastomosis and microneural repair in the laboratory and operating room. -Participate, with graduated independent experience, in surgical procedures for free tissue transfer; harvest flaps and manage donor sites; when competent, perform vascular anastomosis for free tissue transfer.-Diagnose and treat a variety of nerve injuries, using microsurgery and nerve grafts where appropriate.-Conduct preoperative evaluation and postoperative management of patients undergoing free tissue transfer.-Manage long-term aspects, including donor site problems, of patients who have undergone free tissue transfers.-Participate, with graduated independent experience, in surgical procedures for replantation of amputated parts, perform vascular anastomosis and nerve repairs during replantation procedures.

38

-Conduct preoperative evaluation and postoperative management of patients undergoing replantation of amputated parts and revascularization procedures.-Manage long-term aspects, including rehabilitation, of patients who have undergone replantation and revascularization procedures.-Evaluate and treat patients with localized lipodystrophy, using suction lipectomy techniques.-Participate in the evaluation and treatment of patients with a wide variety of congenital and acquired defects using tissue expansion techniques.-Evaluate and treat patients using dermabrasion and/or chemical peel.-Evaluate and treat patients with problems amenable to laser therapy.-Participate in obtaining informed consent from patients; effectively documenting that agreement.-Evaluate patients for aesthetic surgery from a physical and psychological perspective.-Contribute effectively and accurately to the medical record of both inpatients and outpatients.-Diagnose and treat patients with surgical wound infections.-Evaluate and treat patients with infections of the head and neck, breast, skin and hand.-Prescribe analgesics for postoperative care and for pain management.-Prescribe anti-inflammatory agents for appropriate cases.-Utilize steroids for treatment of a variety of plastic surgical problems and in the postoperative care of steroid-dependent patients.-Participate in the management of patients undergoing chemotherapy for head and neck and/or skin malignancies.-Manage patients with localized extravasation injuries.-Participate in outpatient management including both a clinic experience in which the resident has independent responsibility and an observation of faculty managing private patients including initial consultation and management of complications.-Attend risk management seminar or studies risk management techniques and discuss principles with faculty; apply these principles in daily practice of plastic surgery.-Evaluate both simple and complex cutaneous lesions, and proceed with diagnostic steps necessary to secure a definitive diagnosis. -Formulate definitive treatment plan for particular skin lesions by choosing a surgical or nonsurgical treatment modality (based on size, anatomical location, and physical condition of the patient). - Participate in diagnostic studies of the skin, including incisional and excisional biopsy, needle biopsy, and punch biopsy.-Participate in extirpative surgery for a variety of benign and malignant skin lesions and associated locoregional disease, choosing the optimal treatment for the

39

particular region to be treated.-Participate in complex procedures (including skin grafts, local or distant flaps, or free tissue transfer) for the reconstruction of surgical wounds resulting from skin tumor extirpation. -Perform, with graduated surgical experience, laser treatments for conditions of the skin including; Vascular lesions, pigmented lesions, unwanted hair, skin resurfacing.-Participate in surgery on patients with congenital skin disorders.-Evaluate and treat patients with bacterial, viral and fungal infections such a cellulitis, lymphangitis, necrotizing fascitis, and gas gangrene.-Perform surgical extirpation and reconstruction for hidradenitis suppurativa.-Participate in the surgical care of patients with generalized dermatological conditions such as scleroderma and lupus erythematosis. -Formulate a definitive treatment plan for regional or distant sites of malignant cutaneous metastasis. - Perform a comprehensive head and neck exam followed by facial form analysis.- Utilize radiographic and special diagnostic studies to evaluate head and neck anomalies.- Formulate a definitive short- and long-term treatment plan for common congenital disorders, choosing the most appropriate surgical or nonsurgical modality. - Draw the reconstruction of a cleft lip and palate. - Diagnose and develop a treatment plan for velopharyngeal incompetence. - Coordinate nonsurgical treatment of congenital head and neck disorders.- Provide perioperative care and participate in surgical treatment of patients with craniofacial anomalies. - Utilize diagnostic techniques for head and neck tumors including radiographic methods (e.g., sialogram, MRI scan, etc) and fine needle aspiration. - Perform fine needed aspirate biopsies.- Recite the steps in the surgical treatment of; oropharyngeal tumors, salivary gland tumors, neck dissections and tumors of bony and dental origin.- Participate in the extirpative surgery for oropharyngeal tumors, including performing neck dissection.- Evaluate and treats patients with head and neck tumors of a vascular origin.- Perform an orderly and systematic physical examination of the patient with facial trauma.- Interpret radiographic diagnostic studies including panorex films, cephalograms, CT/3D CT scans, MR imaging, and angiography with respect to the head and neck trauma patient. - Perform the staged management of devastating open facial injuries including wound care, debridement and reconstruction.

40

- Perform surgical procedures of facial fracture management including; maxillary, mandibular, orbital, frontal sinus, zygomatic, zygomatic arch, nasal and panfacial.- Perform all surgical techniques of access to the craniofacial skeleton.-- Perform with graduated surgical independence bony fixation of the craniofacial skeleton.- Perform acute repair of soft tissue facial trauma.- Perform secondary scar revision from facial trauma.- Perform the various local anesthetic facial blocks for procedures done in oral and maxillofacial surgery.- Perform the facial evaluation for orthognathic surgery patients.- Participate in the cephalometric analysis, prediction tracing, and preoperative surgical planning of maxillofacial surgery patients.- Participate in preoperative model surgery.- Participate in common maxillofacial surgical procedures, including ; facial fractures, genioplasties, sagittal split mandibular osteotomies, maxillary LeFort I osteotomies and bimaxillary osteotomies.- Participate in the creation and application of dental splints in maxillofacial surgery.- Perform a comprehensive examination of the facial nerve. -Perform primary facial nerve repair, and associated procedures (i.e. global weight, static, and dynamic reconstruction) for the patient with facial paralysis.- Participate in the treatment of patients with facial nerve palsy including; nerve graftsplacement of gold weights, suspensory static procedures, dynamic procedures, free tissue transfer. Perform systemic therapy and local injection of steroids for treatment of facial hemangiomas.- Perform the clinical techniques for physical examination of the hand and upper extremity.- Performs the procedures for the acute management and participates in the post-operative rehabilitation of traumatic injuries of the upper extremity including; fractures and dislocations, nerve injury including brachial plexus, major amputation and avulsions, joint injury, tendon extensor and flexor injury of the hand, muscle and tendon injury of the arm, nail bed injuries, infections, fingertip and other minor injuries.- Perform the surgical techniques used to treat congenital and developmental hand anomalies.- Perform postoperative care of patients with congenital and developmental anomalies of the upper extremity.- Apply casts and splints for the preoperative and postoperative care of hand patients.

41

- Utilizes the diagnostic techniques for upper extremity tumors.- Demonstrate the techniques of management of extremity tumors.- Perform the surgical treatment options for contractures. - Perform treatment for tenosynovitis and tendon rupture. - Describe the indications for and perform the techniques of tendon reconstruction including tendon grafting – sources, methods, indications- Perform the management of nerve injuries including primary, delayed primary and secondary repair. - Perform the techniques for reconstruction of the amputated thumb including lengthening, pollicization, free toe to thumb, and free wrap-around techniques.- Perform the technical methods of soft tissue coverage including skin grafts, local flaps, distant flaps, and transfers.

- Perform reconstructive surgery on the trunk, breast, and abdomen with increasing independence and surgical responsibility. - Participate in treatment of patients with malignancy of the trunk, thorax and abdominal wall. - Participate in the surgical management of thoracic and abdominal wall reconstruction with graduated independence, including; reconstruction following sternal dehiscence and/or infection, reconstruction after tumor resection utilizing flaps and grafts, reconstruction of radiation injury of the thorax and trunk, abdominal wall fascial reconstruction, abdominal wound dehiscences and hernias utilizing prosthetic material, grafts, separation of parts. - Participate in surgical and nonsurgical management of pressure sores including; etiology and staging, prevention, nonsurgical considerations and management including patient compliance, pressure sore surgery utilizing local flaps, muscle and myocutaneous flaps, and distant flaps, complications of surgery, rehabilitation. - Participate in the surgical care of common developmental breast anomalies, with graduated surgical independence, including amastia, Poland’s syndrome, asymmetry, ectopic mammary tissue, virginal hypertrophy, and gynecomastia.- Participate in the full spectrum of reconstructive surgery after breast carcinoma, including procedures on the opposite breast; participate in long-term treatment and follow-up of these patients. - Evaluate and treat patients with premalignant diseases of the breast, including prophylactic mastectomy in selected patients. - Evaluate and surgically treat patients with gynecomastia.- Participate in breast reconstruction following mastectomy, including; tissue expanders, implants, flaps, nipple reconstruction, other procedures including tattooing, management of contralateral breast.- Participate in the evaluation and treatment of patients with post surgical breast deformities.

42

- Participate in the evaluation of patients with developmental breast abnormalities and perform diagnostic studies; interact with appropriate consultants in allied areas.- Perform perioperative care and surgery on patients with developmental and acquired breast abnormalities, including breast hypertrophy, asymmetry, tubular deformity, and Poland’s syndrome.- Critically analyze patients with developmental chest wall deformities for aesthetic and functional reconstruction.- Participate in reconstructive surgery on patients with developmental chest deformities. - Participate in the surgical care of posterior trunk lesions, including meningomyelocele, sacrococcygeal teratomas, etc.- Evaluate and participate in the multispecialty surgical evaluation of patients with congenital deformities of the posterior trunk. - Participate in the reconstruction of posterior trunk congenital defects. - Participate in the surgical care of congenital abdominal wall deformities such as gastroscesis, prune belly, and omphalocele. - Participate in the evaluation and surgical planning (in concert with other surgical specialists) of congenital abdominal wall deformities.- Classify lower extremity tibial fractures.- Participate in the reconstruction of congenital deformities of the lower extremity.- Participate in the surgical and nonsurgical multidisciplinary care of left ulcers.- Evaluate and treat patients with lower extremity ulceration of different etiologic origins. - Undertake perioperative management and surgical treatment of patients with devascularizing injuries or conditions of the lower extremity.- Evaluate and treat patients with lymphedema of the lower extremity.- Perform aesthetic reconstruction and liposuction of the lower extremities. - Perform complete assessment of patients presenting for facial plastic surgery.- Perform the following breast surgeries with graduated operative independence including; reduction mammoplasty, augmentation mammoplasty, ptosis correction and mastopexy.- Perform the following surgeries including pre-operative markings with graduated operative independence, including; suction lipectomy, panniculectomy, abdominoplasty, body lifts, brachioplasties and thigh lifts- Perform preoperative markings for reduction mammoplasty.- Perform a comprehensive (internal/external) nasal exam and participate in surgery of the nose including; primary and secondary rhinoplasty, cleft lip nasal deformity airway obstruction and septoplasty.- Participate in facial aesthetic surgery including; rhytidectomy, brow lift, facial, liposuction, blephanoplasty, genioplasty, jaw disharmony

43

- Perform ancillary procedures for the aging face such as chemical peels, skin care, injection of fillers and botox, etc. -Evaluate patients with minor, moderate, and major burns of chemical and thermal origin.-Manage inpatients with major burns including resuscitation, nutrition, inhalation injury, and rehabilitation.-Participate, with graduated surgical independence, in the treatment of acute burns including escharotomies, fasciotomies, excision, grafting, etc.evaluate the appearance of the burn wound in relation to its depth, bacteriologic condition, healing potential, and requirement for intervention.- perform burn wound debridement and preparation for skin grafting.- perform split thickness skin grafts.- perform full thickness skin grafts.- utilize skin substitutes, biological dressings, and xenografts in the treatment of burn wounds.- utilize splinting and pressure garments to minimize scar formation and post burn contractures.- perform the surgical treatment of post-burn contractures with releases, z-plasties, and grafting.Manage patients with burns of the hand including the operative and postoperative therapy and late reconstructive surgery.- treat patients who are victims of electrical burns.-Evaluate and treat patients with acute and chronic radiation injuries.--Manage patients with frostbite injuries. -Manage patients with chemical burns including intravenous infusion injuries.-Perform reconstructive surgery on burn patients including functional and aesthetic procedures.-Manage outpatient burns operatively and non-operatively.

d. General and transferable skills:By the end of the program the candidate will be able to: -Use information technology to prepare for surgical cases, bringing to the OR the knowledge of current modalities of care for patients and the scientific evidence for that care. -Routinely analyzes the effectiveness of own practices in caring for patients. -Improve own practices in the care of patients by integrating appropriately gathered data and feedback.-Educate medical students and other healthcare professional in the practices of surgical patients.-Function independently with graduated advancement and appropriate faculty supervision in the evaluation and treatment of patients.

44

-Be reliable, punctual, and accountable for own actions in the OR and clinic. -Respect and appropriately integrate other members of the healthcare team. -Function within the organization of specialty clinics including the coordination of all special services in the evaluation of patients. - Assimilate data and information provided by all members of the health team including; tumor board genetic, pediatric general surgeons, radiation oncologists, orthopaedic, vascular, neurosurgery. - Understand the benefits and functionality of multidisciplinary teams.-Participates in multidisciplinary planning and treatment for patients with complex diagnoses. -Provide appropriately prompt consultations when requested. -Understand the benefits and functionality of multidisciplinary health care teams.- Participate in and appreciate the value of outcome studies in all fields of plastic surgical reconstruction. -Participate in tumor-board conference.- Function within the organization of specialty clinics (diabetic clinic, venous stasis clinic, amputation clinic) including the coordination of all special services in the evaluation of lower extremity lesions. - Direct the rehabilitation of patients by partnering with the following: physical therapy, occupational therapy and prosthetic and orthotics specialists, spina bifida clinic, physical medicine and rehabilitation specialists, wound care specialists, PRM physicians, social workers, nutritionalists-Accurately and honestly council patients regarding risks and complications of breast implant surgery. -Demonstrate knowledge of cost-effective surgical care. -Advocate for patients within the health care and insurance system.-Develop a sensitivity of the unique stress placed on families under care for surgery.-Understand the physician/patient relationship.-Effectively deal with dissatisfied patients.-Facilitate the timely discharge of patients. -Educate patients and families in the strategies of preoperative care, postoperative care, rehabilitaion and prevention of some diseases. -Provide adequate counseling and informed consent to patients. - Charts and records accurate information.- Coordinates all aspects care for patients.- Demonstrates knowledge of cost-effective care.- Advocates for patients within the health care system.- Refers patients to the appropriate practitioners and agencies.- Facilitates the timely discharge of same day surgery patients

45

- Works with primary care physicians, and other consultants such as cardiologists, toward the safe administration of anesthesia.- Exhibits an unselfish regard for the welfare of surgical patients.- Is respectful to patients and their families especially in times of stress to the family unit.-Be able to explain in a comprehensible but simplified manner to patients the nature of disease, its extent, treatment options and long term results. - Provides appropriately prompt consultations when requested.- Demonstrates sensitivity to the individual patient’s profession, life goals, and cultural background as they apply to health care.- Accurately assess patient’s expectations of aesthetic plastic surgery and honestly educate them on appropriate surgical intervention. - Provide non-biased consultations for patients presenting for aesthetic surgery.- Understand the impact of psychological issues, such as body dysmorphic disorder and psychosocial stressors, in patients who present for cosmetic surgery. - Adhere to strict ethical principles and professionalism specifically with respect to advertising, recruiting, educating and treating patients. - Appreciate the potential conflict of interest that exists in the practice of aesthetic plastic surgery with respect to patient’s surgical needs and expectations and the surgeon’s financial rewards. - Maintains patient confidentiality.

3- Course content:

Semester Course Credit hours duration1st Plastic (general) 3 15 weeks

Basic Anatomy 1/2Basic Pathology 1/2

2nd Elective course 2 15 weeks

Plastic (Integument) 3

Anatomy 1/2

Pathology 1/2

3rd Plastic (craniomaxillofacial) 4 15 weeksAnatomy 1/2Patholgy 1/2

4th Plastic (Hand) 4 15 weeks

46

Anatomy 1/2Pathology 1/2

5th Plastic (lower limb& trunk) 4 15 weeksAnatomy 1/2Pathology 1/2

6th Plastic (Aesthetic) 4 15 weeksAnatomy 1/2Pathology 1/2

General plastic surgery:1- Biology of tissue injury and repair2- Basic principles of surgical techniques3- Skin grafting4- Basic principles of skin flaps5- Muscle and musculocutaneous flaps6- Composite grafts7- Principles of bone transplantation8- Basic principles of tendon grafting9- Principles of cartilage grafting10- Principles of nerve grafting11- Biomaterials in plastic surgery12- Tissue expansion13- Laser in plastic surgery

Integument 1- Repair of traumatic cutaneous injuries involving skin and soft tissue2- Scar revision3- Cutaneous carcinomas4- Benign skin tumors5- Surgical management of cutaneous melanoma6- Management of benign and malignant primary salivary gland tumors7- Surgical management of soft tissue sarcomas of the extremities8- Cutaneous vascular anomalies: hemangiomas and malformations9- Burn injuries10- Principles and management of injuries from chemical and physical agents11- Dermabrasion, chemical peel and collagen injection

47

12- Hair restoration surgery

Craniomaxillofacial 1- Cleft lip and palate2- Orthodontics and cephalometrics3- Facial osteotomies4- Management of facial fractures5- Reconstruction of the nose6- Reconstruction of the eyelids7- Reconstruction of ear8- Facial paralysis9- Microvascular reconstruction of head and neck defects10- Free vascularized bone grafts and osteocutaneous flaps

Hand1- Cutaneous coverage in acute hand injuries2- Replantation of amputated parts3- Congenital hand deformities4- Fingertip and nail bed injuries and their treatment5- Tendon injuries of the hand6- Peripheral nerve injuries7- Dupuytren's disease8- Tumors of the hand9- Basic principles of recinstruction of the thumb10- Hand infection11- Fracture and dislocations of the hand12- Basic principles of microsurgery13- Principles of microneurosurgeryLower limb and trunk1- Pressure sores2- Lymphedema of the extremities3- Principles of soft tissue reconstruction of the lower extremity4- Foot ulceration in diabetic and vascular disease patients5- Principles of fasciocutaneous flaps6- Cutaneous free flaps7- Free muscle and musculocutaneous flaps8- Anomalies of the male genitalia9- Congenital deformities of the female genitalia10- Gender reassignment surgery

48

11- Necrotizing infection, lymphedema, and trauma of male genitalia12- Penile scrotal lymphedema and scrotal gangrene13- Congenital and developmental deformities of the breast and breast asymmetries14- Medical management of high-risk disease of the breast15- Surgical management of high-risk disease of the breast16- Breast reconstruction after mastectomy17- Total autogenous latissimus breast reconstruction18- Breast reconstruction with the (TRAM) flap19- Microsurgical breast reconstruction20- Alternatives in autogenous free-flap breast reconstruction21- Nipple areola reconstruction22- Mediastinitis

Aesthetic surgery1- Aesthetic surgery of the brow, face, and neck2- Blepharoplasty, forehead and eyebrow lift3- Facial contouring4- Aesthetic rhinoplasty5- Secondary rhinoplasty6- Aesthetic surgery of the ears7- Body contouring of the arms, abdomen, thighs, hips and buttocks8- Post massive weight loss body contouring9- Aspirative lipoplasty10- Augmentation mammaplasty11- Management of complications following augmentation mammaplasty12- Breast imaging in women with plastic surgery of the breast13- Hypermastia and ptosis14- The circumareolar approach for moderate ptosis15- gynecomastia

4 - Student Assessment Methods4.1 Written exam to assess knowledge4.2 Oral exam to assess knowledge and communication skills

Weighing of assessment4.1 written exam 12004.2 oral exam 300

Total 1500

5 -- List of References

49

5.1- Course Notes (paper and / or electronic)Surgical 5.2- Essential Books (Text Books)

5.3- Recommended Books- Plastic Surgery: 1st edition by Joseph McCarthy 1990& 2nd edition by Stephen Mathes 2006- Plastic Surgery(indications, operations and outcomes) Achauer et al 2000- Georgiade (Plastic, Maxillofacial and Reconstruction Surgery)3rd edition- Reconstructive Surgery(principles, anatomy& technique) by Stephen Mathes and Foad Nahai- Pediatric Plastic Surgery by Michael Bentz- Grabb and Smith's Plastic Surgery 5th edition

Psychiatry Course Specifications University: Ain Shams University Faculty: Medicine

Program on which the course is given: Doctorate degree in Plastic and Reconstructive SurgeryMajor or minor element of programs: Minor Department offering the program: Plastic and Reconstructive Surgery Depament offering the course: Psychiatry Department

Academic Level: 2nd semester Date of specification approval:

A-Basic Information

Title: Psychiatry Code: E7039Credit Hours: 2 Lecture 1 3/4/ Tutorial: 1/4

CoordinatorPlastic Surgery departmentPsychiatry department

B- Professional Information1 – Overall Aims of CourseThe student fully understands potential psychosocial problems or matters that may impact the outcome of plastic surgery. The student will recognize global, cultural,

50

social, ethnic and religious impacts on patient’s approaches and attitudes. The student will be able to analyze and interpret patient’s perception of deformity, motivations, expectations and decision making to have plastic surgery. The student will identify which patient needs psychiatric treatment and who may benefit from combined psychotherapy and plastic surgery. Also he or she or should acquire coping skills and professionalism necessary for caring of burn, reconstructive and aesthetic patients. 2 – Intended Learning Outcomes of Course (ILOs)a) Knowledge and Understanding:At the end of the course the candidate will be able to:a1 Understand the biological, psychological and social factors in the

development of psychiatric disorders.a2 Know the epidemiology, psychopathology and outcome of psychiatric

disorders.a3 Acquire basic knowledge about pharmacotherapy, psychotherapy and other

modalities of therapeutic interventions in psychiatry.a4 Describe personality traits and disorders.a5 Describe mood disorders, anxiety disorders, mental disorders, Drug Use

disorders, psychotic disorders and dissociative disorders.a6 Describe psychiatric emergencies.a7 List red flags for plastic surgeons to refuse to treat certain patients.a8 Know basics of psychiatric interview.a9 Know basics of doctor- patient relationship.a10 Know ethical and legal issues in plastic surgery and psychiatry.a11 Define body image.a12 Describe psychopathology and management of disturbed body image.a13 Know psychiatric disorders that usually first diagnosed in childhood.a14 Know psychiatric impacts in congenital anomalies in children and parents.a15 Know psychological aspects and changes in Adolescence.a16 Define gender identity.a17 Describe psychopathology of transexualism.a18 Differentiate between transexualism and intersex.a19 Know role of psychiatry in sex reassignment surgery.a20 Describe eating disorders.a21 Know psychopathology of obesity.a22 Know psychiatric emergency in burns. a23 Know preoperative status and postoperative sequalea.a24 Know how to manage dissatisfied patient.b) Intellectual SkillsAt the end of the course the candidate will be able to:

51

b1 Differentiate between neurotic and psychotic disorders.b2 Differentiate between personality disorders and traits.b3 Interpret and analyze patient’s complaint.b4 Diagnose body image disorders and refers it to a psychiatrist.b5 Diagnose gender identity disorders and refers it to a psychiatrist.b6 Diagnose eating disorders and refers it to a psychiatrist.b7 Diagnose psychiatric emergency if he or she faces and refers it to a

psychiatristb8 Diagnose dissatisfied patient.b9 Write a psychiatric report.c) Professional and Practical SkillsAt the end of the course the candidate will be able to:c1 Master diagnostic interviewing skills.c2 Assign a correct diagnosis and make reasonable differential diagnosis.c3 Able to formulate a systemic risk assessment.c4 Carry out investigation in an efficient way.c5 Demonstrate a working knowledge of prevention.c6 Perform questionnaire and tests to help in diagnosis of certain disorders in

plastic surgery patients.c7 Solve problems that elicited patient dissatisfaction.d) General and Transferable SkillsAt the end of the course the candidate will be able to:d1 Appreciate the impact of real disfigurement on quality of lifed2 Conduct an efficient doctor patient relationship.d3 Demonstrate issues of confidentiality, ethical and legal practice.d4 Give comprehensive information and health education to the patients and

their families.d5 Demonstrate familiarity with the application of the multidisciplinary team

with psychiatry.3- Contents

Topics Hrs Lecture Tutor ClinicalMODULE 1 General Psychiatry Personality Disorders and Traits in Psychiatry Mood Disorders Anxiety Disorders Organic Mental Disorders Drug Use Disorders Psychotic Disorders Dissociative Disorders

11 8 0 3

52

Psychiatric EmergenciesMODULE 2 Interview in Plastic Surgery Psychiatric Interview Interview of Plastic Surgery Patient Patient Selection Doctor- Patient Relationship Ethical and Legal Issues In Psychiatry In Plastic Surgery

4 3 0 1

MODULE 3 Body Image Body Image Psychopathology of disturbed body image Unexplained Somatic Symptoms (Somatoform Disorders) Management of disturbed body imageGlobal and Media Effects Psychological Aspects of Adolescence Congenital Anomalies

6 4 0 2

MODULE 4 Gender Gender identity Transexualism Intersex Sex Reassignment Surgery

3 2 0 1

MODULE 5 Eating Disorder Eating disorder (NOS) Anorexia Nervosa Bulimia Nervosa Obesity

3 2 0 1

MODULE 6 Burns Matter of life and death Disfigurement Rehabilitation Contacts

1 1 0 0

MODULE 7 Psychiatric aspects of plastic surgery Preoperative patient’s attitudes and concerns Postoperative compliance

2 2 0 0

53

Postoperative sequlae Dissatisfied patient4– Teaching and Learning Methods4.1 Lecture4.2 Clinical 4.3 Research assignment 4.4 Discussions 5- Student Assessment Methods5.1 Written exam to assess Understanding5.2 Patient Management Problem

Commentary to assess Application

5.3 Clinical exam to assess Problem SolvingWeighting of Assessments

Marks

Clinical Examination 50Semester Work 30

Total 80Final degree exam 100

Total 180

6- List of References6.1- Course Notes-Brief notes in Psychiatry: Ghanem M. 20086.2- Essential Books (Text Books)Handbook of psychiatric drugs, Lawrence J., Rhoda K., Christopher, 2005Synopsis of psychiatry (three volumes), Benjamin James Sadock, Virginia Alcott Sadock, 20046.3- Recommended BooksPatient management problems in psychiatry, Olumoroti; Kassim, 2005Comprehensive Textbook of psychiatry, Benjamin J Sadock; Virginia A Sadock, 2004The ICD-10 classification of mental and behavioral disorder, World Health Organization, 1992 6.4- Periodicals, Web Sites, … etcArchives of General PsychiatryAmerican Journal of PsychiatryBritish Journal of PsychiatryJournal of Clinical Psychiatry

54

World PsychiatryPsychosomatic MedicineJournal of Current psychiatryEgyptian Journal of psychiatry7- Facilities Required for Teaching and LearningLecture Room Clinic Office

Approval:Name Signature Date:

Course Coordinator: Prof Mohammad Ghanem / /2009

Head of Department: / /2009

Medical Photography Course

Course SpecificationsCourse Specifications

Program on which the course is given Medical Doctorate in Plastic, Reconstructive Surgery and Burn

Major or Minor element of programs Minor

Department offering the program Department of Plastic and Reconstructive Surgery

Department offering the course Department of Photography- Faculty of Applied Arts- Helwan University

Academic year / Level MD 2nd. Semester

Date of specification approvalA- Basic Information

Course Title: Medical Photography Course E7077

55

Code:Credit Hours: 2 Lecture: 1h/

2wTotal: (7h)

Practical: 3h/w Total: (45h)

B- Professional Information1 – Overall Aims of CourseThe student should fully understand basics of medical photography. The student will recognize distances, shades and lights. The student will capture patient’s photographs without flaws. 2 – Intended Learning Outcomes of Course (ILOs)e) Knowledge and Understanding:By the end of the course the candidate will be able to:A1 know basics of camera designA2 know different types of lensesA3 know causes of errorsA4 Know standards of life size photographyA5 Know views for each anatomical regionA6 Knows different types of light sourcesA7 Describe function of different types of lensesA8 Know methods of light distribution on the modelA9 Know methods of exposure adjustments; diaphragm, shutter speed A10 Know different types of video camerasA11 Describe function of video cameraA12 Know the rules of depth of field and the requirements of the captureA13 Know the required positions for each anatomical regionf) Intellectual SkillsBy the end of the course the candidate will be able to:B1

Select the proper lens for each situation.

B2

Select proper distance for each situation.

B3

Decide which depth of field is required

B4

Select proper light source; spot or flood light.

B5

Select angle of view.

b6 Select the ISO according to the prerequisite of the desired photograph

56

b7 Select depth of fieldg) Professional and Practical SkillsBy the end of the course the candidate will be able to:c1 Handle cameras in correct way.c2 Readjust focal lens according to the chosen distance.c3 Readjust depth of field.c4 Readjust angle of capture.c5 Use the exposure meter to determine the suitable focal number and the

shutter speed according to the ISO speed.c6 Capture close up shots.c7 Capture photographs in all the standard views for each medical region.c8 Adjust the focus of the picture on the desired area.c9 Adjust the patient in the proper positions required for each anatomical

region.c10 Capture the picture.c11 Check the captured picture.c12 Have patient’s consents. h) General and Transferable SkillsBy the end of the course the candidate will be able to:d1 Maintain honesty and integrity in all interactions with professors, trainers,

colleagues and patients.d2 Apply communication skills in team working with staff members and

colleagues.d3 Work cooperatively and show respect for others’ opinions.d4 Work in discipline and care for studio structure componentsd5 Keep privacy and confidentiality of patients’ photographs and other

documentary materials. 3- Contents

Topics Hrs Lecture

Tutor

Practice

MODULE 1 BASICS OF MEDICAL PHOTOGRAPHY History of Medical Photography Ethical and Legal Issues of Medical Photography Standard Medical Photography; Views, positions, Background, Time Different Techniques of Photography; Traditional

2 2 0 0

57

Digital Video MODULE 2 BAICS OF CAMERA DESIGN AND USE Optical systems on the camera: Lenseso Focal lengtho Focal number View finders Mechanical or electronical systems on the camera:o Diaphragmo Shuttero Focuso Exposure triangleo Shutter speedo Apertureo ISO

9 1 0 8

MODULE 3 LIGHTING Lightingo Artificialo Flash Light Light Distribution Key Light Filler Light Back Light Background Light Light Measurement Lenses and angle of view

11 1 0 10

EXERCISE 3 3MODULE 4 CLOSE UP AND MACROPHOTOGRAPH Macro lenses Supplementary lenses

9 1 0 8

58

Extension deviceso Extension tubeso Extension bellows Flash for Macro – Ring Flash MODULE 5 MICROPHOTOGRAPHY

4 1 0 3

EXERCISE 3 3MODULE 6 VIDEO Lighting Camera ActionO TiltingO PanningO Still Cadr

11 1 10

4– Teaching and Learning Methods4.1 practical training / lab 4.2 Lecture Weighting of Assessments

Marks

Final-Semester Examination 40Semester Work 40

Total 80Final degree exam 100

Total 1806- List of References6.1- Course NotesNone 6.2- Essential Books (Text Books)Close-Up Photography: Alan constant. Photography With Microscope: Fred Rost and Ronald field6.3- Recommended BooksStandards of Photography In plastic and Reconstructive Surgery:  Harvey A. Zarem6.4- Periodicals, Web Sites, … etchttp://www.bobatkins.com/photography/pmwiki/pmwiki.php/Techniques/MacroPhotographyAnnals of plastic surgery

59

7- Facilities Required for Teaching and LearningStudioLecture Room Microsurgery laboratoryApproval:

Name Signature Date: Course Coordinator: Prof Usama Saqr /

/2009Head of Department: /

/2009

Sculpture Art Course Specifications University: Ain Shams University Faculty: of Medicine

Course specifications

Program on which the course is given Medical Doctorate in Plastic, Reconstructive Surgery and Burn

Major or Minor element of programs Minor Department offering the program Department of Plastic and

Reconstructive SurgeryDepartment offering the course Department of Sculpture- Faculty of

Fine Arts- Helwan University

Academic year / Level MD 2nd. Semester

Date of specification approvalA- Basic InformationCourse Title: Sculpture Art Course Code: E7078

Credit Hours: 2 Lecture: 1 /4 Total: 4

Practical: 1 ¾ Total: 52B- Professional Information1 – Overall Aims of CourseThe student should fully understand basics of sculpture art. The student will recognize standards and measurements of beauty. This may help in developing of imagination, planning, suggestions to solve problems and getting skills which can be applied in Plastic Surgery. Combining surgical and sculpture handcrafts could provide the plastic

60

surgery patient the utmost benefit.2 – Intended Learning Outcomes of Course (ILOs)i) Knowledge and Understanding:By the end of the course the candidate will be able to:a1 Know importance of beauty and its intimate relationship to the function.a2 Know basics of anthropometry.a3 Know ethnic and cultural differences.a4 Define harmony and symmetry.a5 Define mass and space.a6 Enumerate different types of sculpture.a7 Enumerate different types of tools.a8 Describe the function of each tool.a9 Describe form of human structures.a10 Describe form of head and neck.a11 Describe form of full face.a12 Describe form of nose.a13 Describe form of auricle.a14 Describe form of hand.j) Intellectual SkillsBy the end of the course the candidate will be able to:b1 Recognize standards of beauty.b2 Analyze aesthetics of human structures.b3 Anticipate the aesthetic corrections of shapes.b4 Analyze 3 D structure and detect areas of beauty to create it a similar one

through sculpture techniques.b5 Recognize areas of attraction.b6 Recognize areas of shades and light.k) Professional and Practical SkillsBy the end of the course the candidate will be able to:c1 Handle different materials as clay, plaster, animal horn and wax.c2 Carve and shape mandible.c3 Carve and construct maxilla.c4 Carve and construct an auricle.c5 Carve and construct phalanges.c6 Model and form head and neck.c7 Model and form full face.c8 Model and form hand.c9 Finish the 3 D structure.c10 Restore features of the structure and camouflage defects.l) General and Transferable Skills

61

By the end of the course the candidate will be able to:d1 Maintain honesty, and integrity in all interactions with professors, trainers and

colleagues.d2 Apply communication skills in team working with staff members and

colleagues.d3 Work cooperatively and show respect for others’ opinionsd4 Work in discipline and care for workshop, tools and materials.d5 Aim to achieve precision.3- Contents

Topics Hrs Lecture Tutor PracticeMODULE 1 Basics of Sculpture Art Beauty and Function Mass and Space Anthropometry

4 4 0 0

MODULE 2 Carving Different techniques of Carving Carving of mandible Carving of Maxilla Carving of Orbits Carving of Nose Carving of Auricle Carving of digits

24 0 0 24

MODULE 3 Modeling and forming Modeling and forming of head and neck Modeling and forming of the facial details Modeling and forming of the trunk

24 0 0 24

MODULE 4 Restoration Restoration of fractured model

6 0 0 6

TESTS , MID TERM AND FINAL EXAMS

4– Teaching and Learning Methods4.1 practical training / lab Discussions 4.2 Lecture 4.3 case study5- Student Assessment Methods5.1 Semester Work To assess Understanding, analysis,

62

intellectual and transferable skills

5.2 Final Exam To assess Practical skills Weighting of Assessments

Marks

Final-Semester Examination 40Semester Work 40

Total 80Final degree exam 100

Total 1806- List of References6.1- Course NotesNone6.2- Essential Books (Text Books)The Portrait In Clay: A Technical and Artistic Journey Toward Understanding The Dynamic and Creative Forces in Portrait Sculpture: Peter Rubino Watson- Guptill Publications/ New York 1997Sculpting Basics: Everything you need to Know to create Fantastic Three Dimensional Art: Karin Hessenberg: Quarto Publishing plc, London, 2005Roman Portrait: Harisson and Sons, Great Britain, New York, 19436.3- Recommended BooksSculpture Principles and Practice: Louis Slobodkin. Dover Publications, New York 1973The Sculpture’s Handbook: Series Consultant Editors: Stan Smith and H F Ten Holt, Macdonald and Co, London and Sydney, 19846.4- Periodicals, Web Sites, … etcJournal of Science and Arts: Studies and ResearchesHelwan University (Arabic)7- Facilities Required for Teaching and LearningWorkshop Lecture Room Approval:

Name Signature Date: Course Coordinator: Prof Ahmad Abdalazeez

Ahmad / /2009

Head of Department: / /2009

63

Computer Science Course

Program on which the course is given Medical Doctorate in Plastic, Reconstructive Surgery and Burn

Major or Minor element of programs Minor

Department offering the program Department of Plastic and Reconstructive Surgery

Department offering the course Design Information Center / Department of Metal Work and Jewelry - Faculty of Applied Arts- Helwan University

Academic year / Level MD 2nd. Semester

Date of specification approvalA- Basic InformationCourse Title: Computer Science Course Code: E7026

Credit Hours: 2 Lecture: 0 Total: 0

Practical: 60 Total: 60B- Professional Information1 – Overall Aims of CourseThe student fully understands computer graphics basics and fundamental issues involved. The student will be also capable of practicing image editing and image enhancement techniques. Further more the student is trained on 3D model creation and animation. This enables him or her to explore possible frontiers for applications of computer grahics in plastic surgery. 2 – Intended Learning Outcomes of Course (ILOs)m) Knowledge and Understanding:a1 Define the term computer graphics.a2 Describe different uses of computer graphicsa3 Identify basic computer graphics equipmenta4 Identify major types of display equipment used in computer graphics a5 List special display algorithms (data-processing procedures) to create

64

realistic images a6 Describe different types of computer Images:a7 Know the main disadvantage of both raster and vector graphicsa8 Describe uses of frame buffer in storing graphicsa9 Review the major concepts of computer graphics structurea10 Describe how computer graphics are made by the computer.a11 Define basic computer graphics terminologya12 List major fields of computer graphics applicationsa13 Identify computer graphics applications in the area of designa14 Identify computer graphics applications in the area of arta15 Identify computer graphics medical applications a17 Identify image processing purposes a18 Distinguish image restoration and image enhancementa19 Specify uses of image editinga20 List reasons of image analysisa21 Recognize computer models and their importancea22 Review how computer models are built.a23 Identify image processing purposes a24 Recognize the standard procedure of images synthesizea25 List reasons of image analysis?a26 Specify uses of image editinga27 Recognize computer models and their importancea28 Review how computer models are builta29 List different types of 3D Graphica30 Describe the principles of each type of 3D graphics is baseda31 Identify the computer 3D approach a32 Identify types Computer-Generated 3-D Modelsa33 Review 3D models creation stagesa34 Recognize how computer graphics are made by the computera35 List major types of 3D computer graphicsa36 Review the major methods of computer graphics structurea38 Differentiate between image editing and drawing programsa39 Discuss how computer animations are accomplisheda40 Describe how the human eye perceives colorsa41 State the reason for using different ways of describing colorsa42 Review the properties that define color scientificallya43 Detail the properties of each color modea44 Specify the properties of each color modela45 List ways of specifying a color

65

a46 Understand what a color management system is and how it worksa47 Specify causes of problems in color matchinga48 State reasons for using smaller palettesa49 Acknowledge The properties of colora50 List a standard procedure to converting one mode to anothern) Intellectual Skillsb1 Classify major computer graphics according to method of constructionb2 Characterize two approaches to avoid color matching problemsb3 Identify computer graphics industrial applications b4 Recognize the standard procedure of images synthesizeb5 State ways of mixing colors for printingb6 Distinguish two general categories of image compressionb8 Distinguish image restoration and image enhancement.o) Professional and Practical Skillsc1 Practice Morphing creation, editing and utilizationc2 Practice Image editing and enhancement techniquesc3 Practice 3D modeling construction and animationc4 Practice Image basic editing features c5 Practice color corrections and manipulation techniquesp) General and Transferable Skillsd1 Managing time and stress skillsd2 Computer Graphics basic skills d3 Ability to identify problems of simulations and modelingd4 Ability to estimate cost of modeling and image processing d5 Research design and conductiond6 Ability to diagnose image recognitiond7 Teamwork and communication skills in model constructiond8 Presentation and language skillsd9 Employ brainstorming skills in problem solving3- Contents

Topics Hrs Lecture Tutor PracticeMODULE 1 INTRODUCTION AND SURVEY OF COMPUTER GRAPHICSWHAT IS COMPUTER GRAPHICSTYPES OF COMPUTER IMAGESCOMPUTER GRAPHICS BASICSHOW COMPUTER GRAPHICS WORK

4

MODULE 2 COMPUTER GRAPHICS APPLICATIONS

4

66

EDUCATIONDESIGNENTERTAINMENT , FINE ARTS, AND ANIMATIONSSCIENTIFIC VISUALIZATION, AND MODELSHUMAN-COMPUTER INTERFACESINDUSTRIAL APPLICATIONS.MILITARY APPLICATIONS.PRINTING INDUSTRY.BUSINESSES GRAPHICSMEDICAL APPLICATIONSMODULE 3 IMAGE PROCESSINGREASONS FOR IMAGE PROCESSING IMAGES SYNTHESIZETHE STANDARD PROCEDURE OF IMAGES SYNTHESIZECOMPUTER IMAGES PROCESSING IMAGE ENHANCEMENT AND RESTORATIONIMAGE ENHANCEMENTIMAGE RESTORATION IMAGE ANALYSIS AND RECOGNITIONIMAGE ANALYSISIMAGE RECOGNITIONIMAGE EDITING EXAMPLES COMPUTER MODELINGHOW COMPUTER MODELS ARE BUILTAPPLICATION OF MODELS

4

4

4

MODULE 4 3D COMPUTER GRAPHICSTHREE-DIMENSIONAL GRAPHICS PROGRAMSSTEREOGRAPHSANAGLYPHSPOLARIZED 3-D IMAGESAUTOSTEREOGRAMSCOMPUTER-GENERATED 3-D MODELSCOMPUTER 3D APPROACH3D MODELS CREATION STAGES3D Animation and character building

4

44

67

MODULE 5 ADVANCED 3D TECHNIQUSMODELINGSIMULATIONVIRTUAL REALITY3D PRINTINGRAPID PROTOTYPINGCOMPUTER NUMERICAL CONTROL

4444

MODULE 6 COLOR AND COLOR SYSTEMSCOLOR PERCEPTIONCOLOR MOOD ASSOCIATIONSPROPERTIES OF COLORSDEFINING COLORS IN COMPUTERSCOLOR MATCHINGCOLOR SEPARATIONCOLOR MODELSCOLOR MODES

4

TESTS , MIDTERM AND FINAL EXAMS

8

4– Teaching and Learning Methods4.1

Information collection 4.4

discussions

4.2

research assignment 4.5

case study

4.3

practical training / lab

5- Student Assessment Methods5.1 Class test (1)………. to assess Understanding ……………5.2 Class test (2) …………………. to assess Understanding ……………5.3 Image Editing Exercise ………. to assess Image Editing practical

skills …5.4 3D Model Creation……………. to assess Problem Solving

…………………5.5 3D Model Kinetics……………. to assess Problem Solving

…………………5.6 Exam to assess Gains of completed topics

………Weighting of Assessments

68

Marks

Semester Work 50Final-Semester Examination 30

Total 80Final degree exam 100

Total 1806- List of References6.1- Course NotesIntroduction to Computer Graphics (attached)6.2- Essential Books (Text Books)None6.3- Recommended BooksComputer Graphics Basis Terner, D, McGraw HillComputer Graphics & Design Davies, P, McMillan6.4- Periodicals, Web Sites, … etchttp ://www.ergo-eg.comhttp ://www.webopedia.comhttp ://www.pcguide.comhttp://www.stars.com/Authoring/Graphics/3d/http://www.HowStuffWorks.com/http://www.hypergraph.com/7- Facilities Required for Teaching and LearningComputer Laboratory Lecture Room Approval:

Name Signature Date: Course Coordinator: Prof Ahmed W Moustafa / /2009Head of Department: / /2009

V- GENERAL INFORMATION

1 - MONITORING OF TRAINING AND SUBMISSION OF TRAINING REPORTS

69

You must keep proper and updated records in your logbook to reflect the activities encountered in your training. Your logbook must be duly endorsed by an authorized signatory at the end of each semester.You will be continuously assessed by your supervisors, in consultation with head of department. An assessment will be submitted within 2 weeks of completion of each semester.

2 - MISCELLANEOUS INFORMATION:

INJURY AND/OR BLOOD OR BODY FLUID EXPOSURE: During regular working hours, you should immediately report an exposure incident to --------------------------. If exposure occurs after regular working hours or during a weekend or holiday; please call the ----------------------------------------. For injury, please report to the Emergency Department. Please also be sure to inform the supervisors of an exposure incident and/or injury.

3 - ACTION ON COMPLETION OF CLINICAL TRAININGOnce all training sessions are completed the log book should be signed by the senior supervisor and the head of the department and then should be submitted to post graduate Secretariat.

4- REFERENCEThe Training Guide is available at the post graduate Secretariat and could be downloaded from the following website

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

VI – Your log book

1- Introduction

70

The aim of this book is to give you a guide to the expectations for each item. It will be a guide for both you and your teachers to what you should be seeing and doing.

It will give you a list of the important topics that you should think about and should be covered in:1. Clinical or practical sessions or2. Tutorialsor3. Self-directed learning (SDL)For each item there is also a list of1. Clinical conditions or Practical sessions to be seen or attended (According to each degree)2. Practical procedures to be seen and doneRemember

This document is only a guide. It is not an exhaustive list. It is not just a checklist to score points. It is a guide to encourage you to read and learn more. This book is for your benefit. It will form a record of your clinical training and experience.

2 - Supervisors Make a list of Supervisors or the delegated personels for signature………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………

3–Tables for Training RecordsCandidates are required to fulfill 75% of the listed activities in order to be eligible for the exam entry. The minimum number required for each activity = 75%. You are free to attend more and record your extra attendance.

Weekly Department PlanPlastic surgery

Day /time

Saturday

Sunday

Monday

Tuesday

Wednesday

Thursday

Friday

Bedside

71

educationResident teaching

Rom 7am to 9am

Grand round

From 9am to 2pm

Emergency attendance

Operative day

Clinic day

Specialized Clinics

Laser clinic

Laser clinic

Pediatric &phoniatric

Microsurgery

BurnsDay /time

Saturday

Sunday

Monday

Tuesday

Wednesday

Thursday

Friday

Bedside education

Resident teaching

Rom 7am to 9am

Grand round

From 9am to 2pm

Emergency attendance

Operative day

Clinic day

72

Tuesday meeting:Includes clinical case presentation, lectures & articles prersentation (Journal club), morbidity and mortality cases

Monthly & Yearly activities:Winter meeting of the Egyptian Society of Plastic SurgerySummer meeting of the Egyptian Society of Plastic SurgeryInstructional course annual meeting of the Plastic Surgery department, Ain Shams UniversityOther meetings organized by Egyptian Society of Plastic SurgeryOther international plastic surgery meetings

Tuseday conferences attendance(NB. Minimum number required is 24)

No

Dat

e

Plac

e Topics Supervisor signature

123456789101112131415161718192021

73

222324

Thesis attendance(NB. Minimum number required is 10)

No Date Place Name of the thesis Supervisor signature

12345678910

Microsurgery course attendance(NB. Minimum number required is 12)

No Date Place Name of the thesis Supervisor signature

123456789101112

Out patient Clinics attendance(NB. Minimum number required is 60)

74

No Date Place Name of the Clinic Supervisor signature

12345678910111213141516171819202122232425262728293031323334353637

75

3839404142434445464748495051525354555657585960

Operative cases Attended(NB. Minimum number required is 100)

Surgery Observed Assisted Done Supervisor Harvest split-thickness skin graft (minimum 10)

76

Harvest full-thickness skin graft(minimum 5)

Harvest cartilage graft(minimum 2)

Harvest bone rib graft(minimum 2)

Harvest calverial graft

Harvest iliac bone graft(minimum 2)

Harvesting vein graft

Harvest tendon graft(minimum 1)

Harvest nerve graft(minimum 1)

Application of skin gafts(minimum 10)

77

Flaps for decubitus ulcers(minimum 1 for each location) (3)

Reconstruction of minor eyelid defect

Reconstruction of minor nose defect

Reconstruction of minor ear defect

Reconstruction of minor lip defect

Reconstruction of cheeks

Tissue expander application(minimum 2)

78

Tissue expander delivary(minimum 2)

Excision of small-sized tumors& reconstruction

Coverage of congenital skin defects of the trunk

Coverage of skin defect of extremities

Reconstruction of moderate eyelid defect

Reconstruction of moderate nasal defect

Reconstruction of moderate ear defect

Reconstruction of moderate lip defect

Excision& Reconstruction of large sized skin tumors(minimum 2)

79

Reconstruction of large eyelid defect

Reconstruction of large nasal defect

Reconstruction of large ear defect

Reconstruction of large lip defect

Simple hand fracture(minimum 5)

Complex hand fracture(minimum 2)

Extensor tendon injury(minimum 5)

Flexor tendon injuries(minimum 5)

80

Simple congenital hand deformities (minimum 2)

Secondary tendon repairs including tendon grafting(minimum 1)

Soft tissue coverage of hand using regional flaps(minimum 5)

Complex congenital deformities

Latissmus dorsi flap(minimum 1)

Rectus abdominis flap(minimum 1)

Gastrocnemius flap(minimum 1)

Soleus flap(minimum 1)

81

Gluteus maximus

Tensor fascia lata flap(minimum 1)

Pectoralis major flap

Transverse back flap

Forehead flap(minimum 1)

Microneural anastomoses

Microvascular anastomoses

Replantations

Craniofacial exposures (intraoral incisions)(minimum 1)

Craniofacial exposure (periorbital)(minimum 1)

Craniofacial exposure (submandibular)(minimum 1)

82

Craniofacial exposures (coronal& preauricular)(minimum 1)

Isolated simple nasal fracture(minimum 1)

Isolated simple mandibular fracture(minimum 1)

Isolated simple maxillary fracture(minimum 1)

Unilateral complete cleft of lip(minimum 3)

Unilateral complete cleft of palate(minimum 2)

Bilateral complete clefts(minimum 1)

Otoplasty(minimum 1)

83

Complex mandibular fracture(minimum 1)

Isolated zygomaticomaxillary complex fractures(minimum 1)

Complex maxillofacial fracture(minimum 1)

Total ear reconstruction

Vascular lesions by laser

Pigmented lesions by laser

Laser resurfacing

Abdominoplasty(minimum 2)

Liposuction(minimum 2)

Rhinoplasty(minimum 2)

84

Augmentation mammaplasty

Reduction mammaplasty(minimum 2)

Face and neck lift

Coronal hypospadias

Distal penile hypospadias(minimum 1)

Midpenile hypospadias

Proximal penile hypospadius(minimum 1)

Penoscrotal hypospadias

Yearly activities Attended(NB. Minimum number required is 8)

No Date Place Name Supervisor signature

1

85

2345678

Emergency room attendance(NB. Minimum number required is 60)

No Date Place Department Supervisor signature

1234567891011121314151617181920212223242526

86

27282930313233343536373839404142434445464748495051525354555657585960

Case presentations(NB. Minimum number required is 6)

No Date Place Diagnosis Supervisor signature

87

123456

Journal club(NB. Minimum number required is 12)

No Date Place Article Supervisor signature

123456789101112

Lectures for residents(NB. Minimum number required is 3)

No Date Place Lecture Supervisor signature

123

Practical skills (Agreement Scale)

Requirements

88

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

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 2nd 3rd 4th 5th 6th TotalEmergency room attendance 60Out-patient clinic attendance 60Operative cases attendance 100Tuesday conference attendance 24Thesis attendance 10Case presentations 6Yearly activities attendance 8Microsurgery course attendance 12Journal club presentation 12Lectures for residents 3

Supervisor signature

VII - Head Of Department Approval For The Exam Entry______________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

89

________________________________________________________________________

90

VIII – Thesis Follow up

/ التاريخ / لعام السنوى النصف التقريرالطالب / عن

ماجسيتر ) ( لدرجة المقيدبقسم /

المشرفين االساتذة السادة تقرير

و العلمية المادة جمعالمقدمة كتابة

شوطا بدأ قطعمحدودا

على أوشكاإلنتهاء

من إنتهىالجمع

العملى شوطا بدأالجزء قطعمحدودا

على أوشكاإلنتهاء

من إنتهىالتحليل

النتائج شوطا بدأمناقشة قطعمحدودا

على أوشكاإلنتهاء

من إنتهىالتحرير

مع النهائية المراجعةالمشرف

شوطا بدأ قطعمحدودا

على أوشكاإلنتهاء

تماما إنتهت

السادة رأىالمشرفين

قيد إستمرارالطالب

القيد مد

قيد شطب الطالب

91

لجنة تشكيل تمالمناقشة

نعم ال

تاريخالتشكيل

/ /

القيد / شطب مدالمشرفين السادة الكلية توقيع وكيل

92

/ التاريخ / لعام السنوى النصف التقريرالطالب / عن

ماجسيتر ) ( لدرجة المقيدبقسم /

المشرفين االساتذة السادة تقرير

و العلمية المادة جمعالمقدمة كتابة

شوطا بدأ قطعمحدودا

على أوشكاإلنتهاء

من إنتهىالجمع

العملى شوطا بدأالجزء قطعمحدودا

على أوشكاإلنتهاء

من إنتهىالتحليل

النتائج شوطا بدأمناقشة قطعمحدودا

على أوشكاإلنتهاء

من إنتهىالتحرير

93

مع النهائية المراجعةالمشرف

شوطا بدأ قطعمحدودا

على أوشكاإلنتهاء

تماما إنتهت

السادة رأىالمشرفين

قيد إستمرارالطالب

القيد مد

قيد شطب الطالب

لجنة تشكيل تمالمناقشة

نعم ال

تاريخالتشكيل

/ /

القيد / شطب مدالمشرفين السادة الكلية توقيع وكيل

94

/ التاريخ / لعام السنوى النصف التقريرالطالب / عن

ماجسيتر ) ( لدرجة المقيدبقسم /

المشرفين االساتذة السادة تقرير

و العلمية المادة جمعالمقدمة كتابة

شوطا بدأ قطعمحدودا

على أوشكاإلنتهاء

من إنتهىالجمع

العملى شوطا بدأالجزء قطعمحدودا

على أوشكاإلنتهاء

من إنتهىالتحليل

النتائج شوطا بدأمناقشة قطع

95

محدوداعلى أوشكاإلنتهاء

من إنتهىالتحرير

مع النهائية المراجعةالمشرف

شوطا بدأ قطعمحدودا

على أوشكاإلنتهاء

تماما إنتهت

السادة رأىالمشرفين

قيد إستمرارالطالب

القيد مد

قيد شطب الطالب

لجنة تشكيل تمالمناقشة

نعم ال

تاريخالتشكيل

/ /

القيد / شطب مدالمشرفين السادة الكلية توقيع وكيل

96

/ التاريخ / لعام السنوى النصف التقريرالطالب / عن

ماجسيتر ) ( لدرجة المقيدبقسم /

المشرفين االساتذة السادة تقرير

و العلمية المادة شوطا بدأ جمع قطع

97

المقدمة محدوداكتابةعلى أوشكاإلنتهاء

من إنتهىالجمع

العملى شوطا بدأالجزء قطعمحدودا

على أوشكاإلنتهاء

من إنتهىالتحليل

النتائج شوطا بدأمناقشة قطعمحدودا

على أوشكاإلنتهاء

من إنتهىالتحرير

مع النهائية المراجعةالمشرف

شوطا بدأ قطعمحدودا

على أوشكاإلنتهاء

تماما إنتهت

السادة رأىالمشرفين

قيد إستمرارالطالب

القيد مد

قيد شطب الطالب

لجنة تشكيل تمالمناقشة

نعم ال

تاريخالتشكيل

/ /

القيد / شطب مدالمشرفين السادة الكلية توقيع وكيل

98

/ التاريخ / لعام السنوى النصف التقريرالطالب / عن

ماجسيتر ) ( لدرجة المقيد

99

بقسم /المشرفين االساتذة السادة تقرير

و العلمية المادة جمعالمقدمة كتابة

شوطا بدأ قطعمحدودا

على أوشكاإلنتهاء

من إنتهىالجمع

العملى شوطا بدأالجزء قطعمحدودا

على أوشكاإلنتهاء

من إنتهىالتحليل

النتائج شوطا بدأمناقشة قطعمحدودا

على أوشكاإلنتهاء

من إنتهىالتحرير

مع النهائية المراجعةالمشرف

شوطا بدأ قطعمحدودا

على أوشكاإلنتهاء

تماما إنتهت

السادة رأىالمشرفين

قيد إستمرارالطالب

القيد مد

قيد شطب الطالب

لجنة تشكيل تمالمناقشة

نعم ال

تاريخالتشكيل

/ /

القيد / شطب مدالمشرفين السادة الكلية توقيع وكيل

100

101

/ التاريخ / لعام السنوى النصف التقريرالطالب / عن

ماجسيتر ) ( لدرجة المقيدبقسم /

المشرفين االساتذة السادة تقرير

و العلمية المادة جمعالمقدمة كتابة

شوطا بدأ قطعمحدودا

على أوشكاإلنتهاء

من إنتهىالجمع

العملى شوطا بدأالجزء قطعمحدودا

على أوشكاإلنتهاء

من إنتهىالتحليل

النتائج شوطا بدأمناقشة قطعمحدودا

على أوشكاإلنتهاء

من إنتهىالتحرير

مع النهائية المراجعةالمشرف

شوطا بدأ قطعمحدودا

على أوشكاإلنتهاء

تماما إنتهت

السادة رأىالمشرفين

قيد إستمرارالطالب

القيد مد

قيد شطب الطالب

لجنة تشكيل تمالمناقشة

نعم ال

تاريخالتشكيل

/ /

القيد / شطب مدالمشرفين السادة الكلية توقيع وكيل

102

103

VIII – Evaluation Forms

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

Candidate SupervisorLocation

Aim of training ______________________________________________________________________________________________________________________________________________________________________________________________________ Agreed educational objectives and timescale in which objectives should be achieved. ______________________________________________________________________________________________________________________________________________________________________________________________________

Comments by Candidate____________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

Comments by Supervisor ______________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

Date of next meeting

104

Signed by candidateSigned by Supervisor Date

105

VIII – Evaluation Forms

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

Candidate SupervisorLocation

Aim of training ______________________________________________________________________________________________________________________________________________________________________________________________________ Agreed educational objectives and timescale in which objectives should be achieved. ______________________________________________________________________________________________________________________________________________________________________________________________________

Comments by Candidate____________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

Comments by Supervisor ______________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

Date of next meeting

106

Signed by candidateSigned by Supervisor Date

107

VIII – Evaluation Forms

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

Candidate SupervisorLocation

Aim of training ______________________________________________________________________________________________________________________________________________________________________________________________________ Agreed educational objectives and timescale in which objectives should be achieved. ______________________________________________________________________________________________________________________________________________________________________________________________________

Comments by Candidate____________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

Comments by Supervisor ______________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

Date of next meeting

108

Signed by candidateSigned by Supervisor Date

109

VIII – Evaluation Forms

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

Candidate SupervisorLocation

Aim of training ______________________________________________________________________________________________________________________________________________________________________________________________________ Agreed educational objectives and timescale in which objectives should be achieved. ______________________________________________________________________________________________________________________________________________________________________________________________________

Comments by Candidate____________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

Comments by Supervisor ______________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

Date of next meeting

110

Signed by candidateSigned by Supervisor Date

111

VIII – Evaluation Forms

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

Candidate SupervisorLocation

Aim of training ______________________________________________________________________________________________________________________________________________________________________________________________________ Agreed educational objectives and timescale in which objectives should be achieved. ______________________________________________________________________________________________________________________________________________________________________________________________________

Comments by Candidate____________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

Comments by Supervisor ______________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

Date of next meeting

112

Signed by candidateSigned by Supervisor Date

113

VIII – Evaluation Forms

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

Candidate SupervisorLocation

Aim of training ______________________________________________________________________________________________________________________________________________________________________________________________________ Agreed educational objectives and timescale in which objectives should be achieved. ______________________________________________________________________________________________________________________________________________________________________________________________________

Comments by Candidate____________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

Comments by Supervisor ______________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

Date of next meeting

114

Signed by candidateSigned by Supervisor Date

115

Degree Program Evaluation Form by The CandidateTo 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 Information1. Are you a graduate of ASU?

yes no to some degree2. Year and semester when studies began:

II. General Questions1. What are the advantages/disadvantages of the general study environment at the University ASU?

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

3. Do you feel that the degree program prepares you well for your future studies or employment according to the demands and expectations of those institutions?

yes no to some degree

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

yes no to some degree

III. Structure of Degree Program1. Did you receive enough guidance in planning your study schedule in the beginning of the program?

yes no to some degree

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

116

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

4. In your opinion, does the degree program offer a good balance of lectures, seminars, conferences, and book exams?

yes no to some degree

a) General Studies

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

yes no to some degree

ii) Do you feel that you have acquired sufficient knowledge on research skills (eg. quantitative and qualitative research methods)?

yes no to some degree

b) Courses i) Have you had some special difficulties in completing some of the courses? Please specify.

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

yes no to some degree

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

yes no to some degree

IV. Concluding Points1. Did the degree program meet your expectations?

yes no to some degree2. 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!

117

118