med.asu.edu.egmed.asu.edu.eg/uploads/med/Master_in_Pediatrics_1.doc · Web viewCourse Notes Lecture...

Faculty of MedicineFaculty of MedicineAin Shams UniversityAin Shams University

Postgraduate StudiesPostgraduate Studies

Master of Science in Pediatrics

الماجستير األطفال درجة طب في

Program Code: PE600

Program Guide and Logbook

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

[start date][location][responsibilities]

[start and end date][location][responsibilities]

[start and end date][location][responsibilities]

Education[certificates][start and end date][school or college]

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 _______________________

TABLE OF CONTENTS: Page

I – Welcome StatementII - Mission StatementIII– Senior supervisor and affiliated departments and hospitalsIV – Pediatrics 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 First Part Physiology (PE6001) Biochemistry (PE6002) Pharmacology (PE 6003) Bacteriology ( PE6004) Clinical pathology (PE 6005) Pathology (PE6006) Embryology (PE 6007) Community, environmental and preventive medicine, medical statistics and research and basics of nutrition (PE6008) Second Part Pediatrics Elective courses Computer Course (E6047) Practical Clinical Statistics (E6009) Fever Hospital (E6114) Human Resources & Hospital Management (E6073) Practical vaccination program (E6116) Child’s rights (E6117)VI – Your log book 1 – Introduction 2 - Supervisors, Trainers and/or Educators 3 - Tables for training records 4 – Log book previewVII – Head of department approval for the exam entry

Detachable forms:

VIII – Thesis follow upIX – Evaluation forms

I – WELCOME STATEMENT:

The Department of Pediatrics welcomes you to the Master degree in Pediatrics. As a department we are committed to medical student education and continuously strive to improve your educational experience.This handbook presents information guide and logbook activity for the Master degree in Pediatrics administered by the Pediatric 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 this degree is to produce a competent general paediatrician able to work unsupervised, within a team, to deliver efficient, professional medical care to infants, children and adolescents. Furthermore, it aims to instil the values and principles inherent to good medical practice and a commitment to continuing medical education for the best interests of children.

III – SENIOR SUPERVISOR AND Affiliated DEPARTMENTS and hospitals

SENIOR SUPERVISOR

Prof.-------------------------------E-mail:

Affiliated DEPARTMENTS and hospitals

Pediatric department, Faculty of Medicine, Ain Shams UniversityChildren’s Hospital, Faculty of medicine Ain Shams UniversityNeonatology and Neonatal Intensive Care Unit (NICU), Obstetrics and

Gynecology Hospital, Faculty of medicine, Ain Shams UniversityPhysiology Biochemistry, Pharmacology , Pathology, Anatomy, Microbiology & Bacteriology, Clinical Pathology and Public Health departments, Faculty of Medicine, Ain Shams University.

IV – Program specifications

Basic Information1. Program title:Master of Science in Pediatrics2. Program type: Single Double Multiple3. FacultyFaculty of medicine, Ain-shams University.4. DepartmentPediatric department5. Assistant coordinator………………………………………………6. Coordinator………………………………………………7. Last date of program approval:……………………………………………………………

Professional Information:

Program aims:Providing a pediatrician who is able to:-Understand and apply the ethics of the profession.-Develop the desire for self-education.-Acquire theoretical knowledge in the field of pediatrics.-Communicate skillfully with the patient and his family-Develop clinical skills based on a systematic approach to diagnose pediatric diseases and to manage them efficiently and effectively.-Translate, interpret and extrapolate data to solve pediatric problems-Develop progressive skills to independently and safely perform noninvasive and invasive techniques necessary for diagnosis and management of pediatric patients. -Acquire sufficient experience to recognize and manage critically ill patients with utmost urgency.-Perform research with special emphasis on pediatric care within the community and advice on preventive measures.-Express oneself clearly on any topic related to pediatrics.

8

-Develop skills to become the leader of his team in the field of Pediatrics which needs patience and tolerance.-Respond in a positive and creative manner to a given problem

Intended learning outcomes (ILOs):Knowledge and understanding:By the end of this program the candidate will be able to:a1- Know the physiologic basis of pediatric disorders.a2-Recognize the biochemical basis of pediatric disorders.a3-Identify the pharmacologic approach to pediatric disorders.a4-Describe the pathologic basis of pediatric disorders.a5-Describe the microbiologic basis of pediatric disorders.a6-Know the clinical pathology investigations needed in pediatric practice. a7-Recognize the embryology of the fetus and embryologic basis of various congenital anomalies.a8-Identify the role of public health and preventive medicine in pediatrics a9-Describe the basis of nutrition.a10-Know and apply the statistical methods, study designs, data collection and analysis needed in research.a11-Describe pediatric behavioral and social disorders.a12-Identify normal and abnormal growth and development.a13-Know pediatric cardiovascular disorders.a14-Understand critical care and poisoning in pediatrics.a15-Know pediatric endocrinal disorders.a16-Describe pediatric gastrointestinal disorders.a17-Recognize pediatric hematological disorders.a18-Know pediatric hepatic disorders.a19-Recognize pediatric immunologic, allergic and rheumatologic disorders.a20-Understand pediatric infectious disorders and immunization.a21-Know pediatric genetic disorders.a22- Describe pediatric oncologic disordersa23-Neonatal disordersa24-Describe basics of pediatric nephrology and urology a25-Know pediatric neurologic disorders.a26-Recognize pediatric nutritional disorders.a27-Describe pediatric pulmonary disorders.a28-Recognize pediatric orthopedic, eye, and dermatologic problems.

Intellectual capabilities:By the end of this program the candidate will be able to:

9

b1-Identify, analyze and specify pediatric problemsb2-Select the appropriate investigational tool.b3-Interpret resultsb4-Make conclusions b5-Be capable of scientific discussion b6-Select from different choices.b7-Acquire creative thinking in solving problemsb8-Prioritize the needed investigational and treatment optionsb9-Recognize pediatric emergencies

Professional and practical skills:By the end of the program the candidate will be able to:c1-Take a good neonatal and pediatric history.c2-Examine properly the different body systems.c3-Integrate data from the history and examination.c4-Choose the proper investigations for a given medical problem.c5-Interpret the results of the investigationsc6-Define the diagnosis and differential diagnosis of different cases.c7-Write a treatment prescription for a given medical problem.c8-Identify patients needing hospitalization, and those needing neonatal or pediatric intensive care facilities.c9-Identify patients in need for higher specialization. c10-Perform the interventional skills specified in each specific coursec11-Apply up-to-date practice and promote evidence based medicine while committed to the highest standards of care and ethical and professional behavior .c12-Perform and prioritize the selected treatment options in pediatric emergencies

General and transferable skills:By the end of the program the candidate will be able to:d1-Gain communication skills with peers, patients and professors.d2-Use computer skills in research.d3-Apply computer skills in solving problems.d4-Develop skills of group working.d5-Apply management skills.d6- Respond positively to assessments and appraisals of their performance and participate in improving medical care, risk management and auditing

Attitudes and ValuesBy the end of the program the candidate will be able to:e1-Take decisions that are in the best interests of the child or young person and their families

10

e2-Respond adequately to cultural and religious beliefs of patient and their familiese3-Realize factors that influence compliance of children and parents/families to prescribed management/ treatment planse4- Develop strategies to help children, young people and their families to follow management planse5- Protect children’s rights e6- Understand and respect legal and ethical issues relating to consent and confidentiality in pediatrics e7- Develop a commitment to the principles and practice of effective teaching and learning in clinical settings and to learn/ improve their practice through reflective learninge8-Conduct research ethically and with honesty and integritye9-Gain the basic concepts in research design and methodology

Academic standards: (Benchmarks)Academic reference standards guided by Royal College of Pediatrics and Child Healthwww.rcpch.ac.ukCurriculum structure and contents:Program duration: 4 semesters (2 years) + thesis or essayProgram structure:المناهج

الدراسية الساعاتالكودالمقرراتالمعتمدة

الكلية العلمي متطلبات البحث أساسيات دورة

األول الجزء

فسيولوجى : ( – -1 األولى المجموعة( فارماكولوجى – حيوية كيمياء

PE6001-PE60032

بكتيريا : ( – -2 الثانية المجموعةاالمراض – علم اكلينيكية باثولوجيا

( جنينى– نموPE6004-PE60072

عامة ( – -3 صحة الثالثة المجموعة( احصاء – - تغذية وقائى PE60082طب

6الرسالةالثاني االطفال الجزء PE601217طب

المقرراتاالختيارية

من واحدة مادة الطالب : يختاركمبيوتر E6047- دورة احصاء دورةتطبيقى شهر E6009- طبى حضورالحميات موارد E6114- بمستشفى

مستشفيات وادارة E6073- بشرية

E6047E6009E6114E6073E6116

1

11

للتطعيمات عملى برنامج - حضورE6116 عن قانونية دورة حضور

الطفل E6117 حقوق

E6117

كراسة6األنشطة

36المجموع

Program courses:Semester 1 Compulsory: Basic SciencesCode No

Course Title No of credit hours

(Lecture hours)

Program ILOs covered (by No.)

PE6001 Physiology 0.7 10.5 a1PE6002 Biochemistry 0.7 10.5 a2PE6003 Pharmacology 0.6 9 a3PE6004 Microbiology

&Bacteriology0.5 7.5 a5

PE6005 Clinical Pathology 0.5 7.5 a6PE6006 Pathology 0.5 7.5 a4PE6007 Embryology 0.5 7.5 a7PE6008 Public Health, Preventive

Medicine & Nutrition Statistics

2 30 a8, a9

Semester 2, 3 and 4Compulsory

Code No.

Course Title Module

No. of credit hours

No. of hours Program ILOs covered (by No.)L C SDL

PE6012 Pediatrics

Module A 6 60 60 + a11,12,13,14,20, 27

&28Module B 6 60 60 + a15,16,17,18,21&22

Module C 5 53.5 40 + a23,24,25 &26

L = lecture, C = Clinical, SDL = Self directed learningModule A: Growth and Development

12

Behavioral and social Pediatrics Cardiovascular diseases Pulmonary diseases, ear, nose and throat Pediatric Critical Care and Poisonings Allergy, Immunology and Rheumatologic diseases Infections and vaccination Dermatology, Ocular and orthopedic disorders Module B: Gastroentrology Hepatology Endocrinology Diabetes Hematology and Oncology, Genetics and Inborn errors of MetabolismModule C: Neurology Neonatology Nutrition NephrologyStudents are required to attend all 3 modules to complete the program.

Elective courses (number required: 1)

Code No. Course TitleNo. of credit hours

No. of hours

E6047 Computer Course

1 15

E6009 Practical Clinical Statistics CourseE6114 Fever Hospital (1 month)

E6073 Human Resources & Hospital Management

E6116 Practical vaccination programE6117 Child’s rights Students are required to complete 1 elective course per program.

6. Program admission requirements::-6المادة ( الماجستير) : درجة على للحصول الطالب لقيد يشترط

جمهورية - 1 جامعات إحدى من والجراحة الطب في البكالوريوس درجة على حاصال يكون أنمعادلة درجة على أو العربية )2 مصر االمتياز- ( التدريب سنة أمضى قد يكون موافقة- 3 أن

العمل المستندات- 4 جهة واستيفاء األجهزة واستهالك التدريب ومصاريف الرسوم تسديد) الملحق في الجزء- 5) 1المطلوبة امتحان دخول قبل دراسيين فصلين لمدة للدراسة التفرغ

0الثاني التالية) : :-1ملحق ( األوراق الماجستير لدرجة اإللتحاق طالب يقدم

إلتحاق- 1 البكالوريوس- 2 0طلب اإلمتياز- 3 0شهادة مستخرج- 04شهادة أو الميالد شهادةالتجنيد- 05رسمي من المطلوب- 6 0الموقف والتفرغ التسجيل على العمل جهة -7 0موافقة

13

جديدة 6عدد فوتوغرافية جهة- 8 0صور ويحدد السفارة موافقة الطالب يقدم للوافدين بالنسبةصحية شهادة يقدم كما النفقات 0تحمل

7. Regulation for progression and program completionأغسطس): 8مادة ( أخر حتى يوليو أول من تبدأ السنة في واحدة مرة للماجستير التسجيل يتم

عام كل من أكتوبر شهر في الدراسة تبدأ أن والمعيدين 0على النواب تسجيل قبول ويجوزإمتحان بدخول لهم يسمح أال على ديسمبر أخر نوفمبرحتى أول من الفترة في والوافدين

المطلوبة الدراسة فترة إنقضاء بعد إال األول . الجزءعشر): 9مادة ( خمسة منهما كل مدة دراسيين فصلين على جامعى عام كل فى الدراسة توزع

. . دراسى فصل تنظيم مع فبراير منصف فى الثانى ويبدا أكتوبر أول فى االول يبدا اسبوعاعلى . بدايته من اسبوعين قبل الدراسى للفصل التسجيل يتم و اسابيع ستة لمدة مكثف صيفى

. فى الدراسى العبء يزيد أن والينبغى المسجلة المقررات حسب الشروط إستيفاء بعد االقلعن الواحد . 6الفصل من اسبوعين خالل المقررات تعديل للطالب ويجوز معتمدة ساعات

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

) : 11المادة ( شهرا وعشرون أربعة هى الماجستير أو الدبلوم درجة على للحصول الدراسة مدة ( للساعات( طبقا متكامال تدريبيا برنامجا الطالب فيها يجتاز جزئين على دراسية فصول أربعة

وال األنشطة متابعة كتيب فى منة المطلوب خاللها ويستوفى الرابع بالباب الموضحة المعتمدةالبرنامج من جزء كل في منة المطلوب أرباع ثالثة إستيفاء قبل اإلمتحان بدخول له 0يسمح

بعدها) : 12المادة ( يجتاز واحد دراسي فصل األول الجزء والماجستير الدبلوم في الدراسة مدة . والجزء الثاني الجزء في للدراسة لإلنتقال بالكامل فيه النجاح يشترط وال إمتحانا الطالبالمراكز أو المستشفيات بأحد دراسيين فصلين لمدة للتدريب الطالب تفرغ يتطلب الثاني

. الكلية من المعتمدةنظري) : 13مادة ( بحث شكل على الرسالة موضوع بتسجيل الماجستير لدرجة الدارس يقوم

شهور ستة بعد رسالتة يناقش أن ويجوز األقل على واحد دراسي فصل إستيفاء بعد عملي أودخول وقبل بالكامل األول الجزء مقررات فى نجح قد يكون أن على األقل على التسجيل من

درجات لها يخصص وال الثاني الجزء 0إمتحانومتطلبات) : 14مادة ( الرسالة تسجيل قبل الجامعة متطلبات بإستيفاء الماجستير دارس يقوم

. التويفل شهادة على الحصول هي الجامعة ومتطلبات الثاني الجزء إمتحان دخول قبل الكلية) بمجموع اإلنجليزية اللغة ) 450في دورات حضور هي الكلية ومتطلبات األقل على درجة

أو الطبى واإلحصاء العلمى البحث مناهج مجال في بالكلية العليا الدراسات لجنة من معتمدة . اللجنة تحددها خاصة إختبارات بإجتياز

) رسالة): 15مادة بتسجيل الماجستير درجة إستكمال الدبلوم درجة على للحاصلين يجوزإستيفاء بعد الدرجة على ويحصل الدبلوم درجة على الحصول من سنوات أربع خالل الماجستير

. بنجاح الرسالة ومناقشة والكلية الجامعة متطلبات) األقل): 16مادة على معتمدة ساعة ثالثون والماجستير الدبلوم لدراسة المعتمدة الساعات

األول للجزء األقل على ساعات ست وتشمل األنشطة متابعة لكتيب ساعات ست منها يخصصالثاني للجزء األقل على ساعة عشرة فى وثماني للرسالة ساعات ست إليها ويضاف

الماجستير. .22مادة ( سنوات): أربع الماجستير لدرجة القيد مدة

للماجستير): 24مادة ( النهائى االمتحان درجات منها 1200مجموع .300درجة األول للجزء درجةيوازى بما التراكمى الفصلى المعدل اليها .300ويضاف للماجستير درجة

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

) على): 26مادة الحصول بعد والماجستير العالى الدبلوم من مادة كل فى النجاح %60يكونالحصول بعد الدكتوراه مواد فى النجاح ويكون مجتمعة المادة لجان لكل الكلية الدرجة من

.60على حدة% على كل والشفوي واالكلينيكى والعملي التحريري درجة من

14

أخرى): 29مادة ( مرة التسجيل إعادة العليا الدراسات لطالب يمكن القيد مدة إستنفاذ حالة فى . إعادتهما ويجب الرسالة أو األول الجزء فى بالنجاح يعتد وال

Assessment Schedule and Weighing of Assessments

Item Mark

Poin

ts

GPA

scor

e

ب

حالةالطال

Stud

ent

stat

e

During semester

End of semester Total

First semester (If present) 100 300 400Second semester 100 100Third semester 100 100

Fourth semester Final exam

Written

900 900OralPractical /Clinical

Total 300 1200 1500

: التالى: الوجه على للنقاط طبقا الطالب درجات تعادل ملحوظةنقا4:فأكثر % 190 -

طA

من% 85من-2 أقل حتى 90 %

نقا3.67:ط

A-

من% 80من- 3 أقل حتى 85%

نقا3.33:ط

B+


نقا3.00:ط

B


نقا2.67:ط

B-


نقا2.33:ط

C+

من% 62من-7 أقل حتى 65%

نقا2.00:ط

C


نقا1.67:ط

C-

من - 9 60أقل صف:%ر

F

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

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

15

المعتمدة الساعات مجموع على مقسوما المعتمدة ساعاته عدد فى مضروبا مقررالكلية.

أو أوالماجستير الدبلوم فى المقررات من مجموعة أو مادة فى الرسوب حالة فى . الذى الفعلى التقدير حساب ويتم فقط المجموعة أو المادة فى اإلعادة يتم الدكتوراهتقدير النجاح عند له فيحسب رسوبة تكرر إذا أما فقط إعادة أول فى عليه يحصل

اى% (60 اى -1.67فقط ).cنقاط

First Part Course SpecificationsPHYSIOLOGY COURSE SPECIFICATIONUniversity: Ain Shams Faculty: Medicine

Course specificationProgram on which the course is given: Master of Science in PediatricsMajor or Minor element: MajorDepartment offering the program: Pediatric departmentDepartment offering the course: Physiology departmentAcademic year: Level: First semesterDate of specification approval: …………………………………………..…………..A. Basic InformationTitle: Physiology Code: PE6001Credit Hours (Chr): 0.7Lecture(s): 1.5hr/week (10.5 total) Co-coordinator: …………..………………………………………………

B. Professional InformationCourse Aims: By the end of this course the candidate will1. Acquire an appropriate background on the physiology of cells, tissues, organs

and systems in the pediatric age group.2. Integrate physiological data and mechanisms with the ongoing basic sciences:

anatomy, histology and biochemistry and clinical applications.3. Explore in detail the functions of the autonomic, the neuromuscular, the

respiratory, cardiovascular, renal, endocrinal and gastrointestinal systems as well as their integration to achieve homeostasis.

4. Develop the basic scientific research skills as well as effective communication and team work attitudes.

Intended Learning Outcomes (ILOs) from the Course:a- Knowledge and understanding

16

By the end of the course the candidate will be able to:a1-Recognize and describe basics of water, electrolyte and acid base balance and their disturbances in the pediatric age group (neonates, infants, children and adolescents)a2-Describe the normal physiology of growth in the pediatric age group and deviations from normala3-Understand the basis of thermoregulation and energy balance a4-Understand physiologic basis of endocrinal organs including calcium homeostasis, thyroid gland and glucose metabolisma5-Recognize the basics of cardiac and respiratory physiology a6-Describe the physiologic basis of hematologic disorders including hemostasis, anemias , WBCs and blood transfusiona7-Understand physiologic basis of gastrointestinal tract, Liver and pancreasa8-Recognize basis of renal physiologya9-Recall the physiology of the spleen and reticuloendothelial system-immune mechanisms and their disordersa10-Understand Neonatal physiology (cardiovascular, respiratory, metabolic, hematological, endocrinal, gastrointestinal, neurological changes and responses)a11-Understand CNS physiology including Control of voluntary movements and lesions, muscle state tone and its control, extrapyramidal physiology, nerve and muscle physiology)

b- Intellectual skillsBy the end of the course the candidate will be able to: b1-Interpret the most important physiological laboratory results (blood, cardiac, respiratory, urinary, gastrointestinal, hepatic, immunologic, endocrinal and neuromuscular), to distinguish a physiological from a pathological condition.b2-Comment, on some clinical parameters such as: ABP, ECG, nerve conduction velocity & pulmonary functions for a normal individual.b3-Integrate physiology with other basic and clinical sciences.

c-Professional skillsBy the end of the course the candidate will be able to:c1-Define hematological tests: estimation of blood hemoglobin, bleeding & clotting times, determination of the hematocrite value, the bleeding & clotting times and blood groups.c2-Recall how to record and read an electrocardiogram.c3-Present physiological scientific data in a graphical form.

d- General and transferable skills By the end of the course the candidate will be able to:

17

d1-Maintain honesty and integrity in all interactions with teachers, colleagues and others with whom physicians must interact in their professional lives.d2-Recognize the scope and limits of their role as students as well as the necessity to seek and apply collaboration with other workers.d3-Be responsible towards work.

Course content:Topic Lecture

hoursSDL

Water and electrolyte balance, acid-base balance and its disturbance

1

Physiology of pain and its control +Thermoregulation and fever, energy balance (obesity, undernutrition and malnutrition)

+

Calcium homeostasis and physiology of bone +Thyroid gland physiology +Physiology of growth & growth disturbances 1Glucose homeostasis and diabetes mellitus +Cardiac performance and failure, ECG and arrhythmias, arterial blood pressure – hypo & hypertension

1

Respiratory regulation-hypoxia, cyanosis & oxygen therapy 1Hemostasis, coagulation & fibrinolysis, anticlotting mechanisms and their disorders

1

Blood groups and blood transfusion +Physiology of RBCs and WBCs, anemia and WBCs disorders 1Detailed function of gastrointestinal tract, liver physiology, jaundice and hepatic failure

1

Urine formation, renal function tests and renal failure 1Physiology of the spleen and reticuloendothelial system-immune mechanisms and their disorders

0.5

Neonatal physiology (cardiovascular, respiratory, metabolic, hematological, endocrinal, gastrointestinal, neurological changes and responses)

1

CNS physiology including Control of voluntary movements and lesions, muscle state tone and its control, extrapyramidal physiology, nerve and muscle physiology)

1

L: Lecture and SDL: Self directed learning

Student Assessment MethodsShort essays to assess knowledgeMCQs to assess knowledge and intellectual skills

18

Oral exam to assess intellectual, professional and general skills

Weighing of assessments:Written examination: 28 marksOral examination: 7 marksTotal: 35 marksAssessment during semester 15 marks

References:

MEDICAL BIOCHEMISTRY AND MOLECULAR BIOLOGY COURSE SPECIFICATIONSUniversity: Ain Shams Faculty: Medicine

Course specificationProgram on which the course is given: Master of Science in PediatricsMajor or Minor element: MajorDepartment offering the program: Pediatric departmentDepartment offering the course: Department of Medical Biochemistry and Molecular BiologyAcademic year: …………..........................................................................Level: First semesterDate of specification approval: …………………………………………..…………..Basic InformationTitle: Medical Biochemistry and Molecular Biology Code: PE6002

Credit Hours (Chr): 0.7Lecture(s): 1.5 hr/2 weeks (total 10.5) Co-coordinator: …………..………………………………………………Professional InformationCourse Aims: By the end of this course the candidate will1. Provide postgraduate students with a basic understanding of the biological

processes in humans at a molecular level and to correlate any molecular defect or abnormality to medical problems

2. Provide postgraduate students with an integrated knowledge of how energy is stored, retrieved and generated (metabolism).

Intended Learning Outcomes (ILOs) from the Course:a- Knowledge and understanding

19

By the end of the course the candidate will be able to:a1-Describe the metabolic pathways of carbohydrates, lipids, and proteins, their energetic, their sites, and the ways of their integrationa2-Point out sources and fate of ammonia in human body and the causes of ammonia intoxication. a3-Define the possible metabolic errors arising from deficiency of certain metabolic enzyme a4-Summarize the functions and deficiency diseases of vitamins and minerals.a5-Describe the pathogenesis and complications of some metabolic diseases as diabetes and atherosclerosis.a6-Explain the importance of enzymes in clinical diagnosis

b- Intellectual skillsBy the end of the course the candidate will be able to: b1- Integrate basic biochemical facts with clinical diseases.

c-Professional skillsBy the end of the course the candidate will be able to:c1-Use the computer to retrieve and compare molecular biology data c2- Solve any subject-related problems provided by staff

d-General and transferable skills By the end of the course the candidate will be able to:d1-Work in a team and cooperate with their colleagues and staff.d2-Use basic computing skills and internet to fulfill problem-based learning d3-Communicate relevant information with teaching staff and colleagues

Course content:Topic Lecture hours SDL

Carbohydrate Metabolism 1.5 +Lipid metabolism 1.5 +General protein metabolism 1.5 +Amino acid metabolism 1 +Vitamins and Minerals 1Biosignalling 1Hyperbilirubinemia 1Hyperuricemia and Enzymes in clinical diagnosis

1

L: Lecture and SDL: Self directed learning4 - Student Assessment Methods

20

Quizzes at the end of each subject to assess understanding and weak pointsFinal term written exam Final term oral exam: to assess knowledge, understanding and information presentation ability


References:Course NotesLecture notes Essential Books (Text Books)Biochemistry for USMLE (Kaplan) Recommended BooksLippincott Biochemical Periodicals, Web Sites, … etchttp://mic2.shams.edu.eg/moodlewww.medicaleducationonline.orgwww.eul.edu.eg

Pharmacology COURSE SPECIFICATIONUniversity: Ain Shams Faculty: Medicine

Course specificationProgram on which the course is given: Master of Science in PediatricsMajor or Minor element: MajorDepartment offering the program: Pediatric departmentDepartment offering the course: Department of PharmacologyAcademic year: …………..........................................................................Level: First semesterDate of specification approval: …………………………..…………..

Basic InformationTitle: Pharmacology Code: PE6003Credit Hours (Chr): 0.6Lecture(s): 1hr / week (total 9)Co-coordinator: …………..………………………………………………A. Professional Information

21

http://www.eul.edu.eg/

http://www.medicaleducationonline.org/

1. Course Aims: The aim of this course is to provide candidates with an understanding of the basic principles of pharmacology in pediatrics which includes: medications, their pharmacokinetics, metabolism, mechanisms of action, dosing, side effects, drug interactions, compliance issues, and use in specific patient population.

2. Intended Learning Outcomes (ILOs) from the Course: a. Knowledge and understanding By the end of the course the candidate will be able to:a1 Discuss the pharmacokinetic, pharmacodynamic and pharmacotherapeutic properties of different groups of drugs used in neonates, infants, children and adolescents.a2 Define the adverse and toxic effects of drugs and their management.a3 Give an account on indications, limitations to the use of drugs, contraindications and drug interactions.a4 Define clinically relevant age, sex and genetic related variations that affect response to drugs.a5 Define the principles, the indications, the advantages and disadvantages of various pharmacotherapy modalities.a6 Recognize the rational and general guidelines for the use of drugs in the proper dose in neonates, infants, children and adolescents and in special conditions such in cases of liver and kidney impairment.b. Intellectual skills By the end of the course the candidate will be able to: b1 Calculate accurately drug’s dosage, bioavailability, plasma half life and volume of distribution in healthy and sick neonates, infants, children and adolescents.b2 Obtain and record a comprehensive drug history of the patient.b3 Document drug adverse reactions.b4 Observe, record and analyze the effect of drugs on biological tissuesb5 Write prescriptions for pediatric problems.b6 Audit prescriptions citing multiple drugs.c. Professional skills By the end of the course the candidate will be able to:c1 Use safe drugs that allow optimal growth and development of neonates, infants, children and adolescents.c2 Prioritize treatment options in pediatric multiple organ diseasec3 Use knowledge and understanding of the pharmacological sciences to formulate and apply the principles of scientific inquiry to address pharmacology-related problems. c4 Demonstrate competency in understanding, analyzing and interpreting

22

pharmacological datac5 Think independently, evaluate and reflect, set tasks and select appropriate and reasoned approaches to solve problemsc6 Integrate, analyze and summarize information relating to practical aspects or current advances, issues and controversies within the pharmacological sciences from a wide range of sources and evaluate this information to draw reasoned conclusions or sustainable judgmentsd. General and transferable skills By the end of the course the candidate will be able to:d1 Communication Skills: Provide appropriate basic drug education to the patient and his family. Demonstrate respect to all patients irrespective of their socioeconomic levels, culture or religious beliefs and use language appropriate to the patient’s culture.d2 Collaboration with healthcare professionals: Communicate effectively with other health care professionals to maximize patient benefits and minimize the risk of errors.d3 Life-long learning: Understand the importance of life-long self-learning and show a strong commitment to it. Use current I.T. for appropriate drug database to reach information about a specific medication.d4 Ethical behavior: Respect patient’s beliefs, values and privacy. Respect ethics related to drug prescription and use especially to drugs liable to produce abuse. Recognize and effectively deal with unethical behavior of other members of healthcare team.

3. Course content:

Topic Lecture hours

SDL

Drug therapy of heart failure. Diuretics Drug therapy of shock

1 +

Drug therapy of dysrhythmias 1Drug therapy of hypertension 1Anemia. and hemostasis 1Anti-emetics Drug therapy of acid related disorders Drug therapy of constipation and diarrhea

+

Drug therapy of DM 1

23

Thyroid disorders. Calcium metabolism, Sex hormones antagonists

+

Special chemotherapy: Antiviral, antifungal, antiprotozoal & antituberculous

1

Immunomodulators +Drug therapy of bronchial asthma. Corticosteroids 1Cancer chemotherapy 1Antihistaminic +Analgesics, Anti-bacterials 1


4. 4 - Student Assessment Methods 4.1 Written exam to assess knowledge, skills4.2 Oral exam to assess General and transferable skills


5. References: 5.1 -Course Notes (paper and / or electronic)5.2 -Recommended Books- Bennett PN and Brown JM: Clinical pharmacology .Churchill Livingstone10th edition.- Rang HP, Dale MM, Ritter GM and Flower RJ: Rang and Dale’s Pharmacology , Churchill Living stone 6th edition.

5.3- Periodicals, Web Sites, etchttp://www.centerwatch.com/drug-information/fda-approvals/drug-areas.aspx?AreaID=8http://www.medilexicon.com/drugsearch.php?a=19http://www.chilanti.com/olbooks/medbooks/Cochrane_Musculoskeletal_Group.htm

Microbiology & Immunology COURSE SPECIFICATIONSUniversity: Ain Shams Faculty: Medicine

Course specificationProgram on which the course is given: Master of Science in Pediatrics

24

http://www.chilanti.com/olbooks/medbooks/Cochrane_Musculoskeletal_Group.htm

http://www.chilanti.com/olbooks/medbooks/Cochrane_Musculoskeletal_Group.htm

http://www.medilexicon.com/drugsearch.php?a=19

http://www.centerwatch.com/drug-information/fda-approvals/drug-areas.aspx?AreaID=8

http://www.centerwatch.com/drug-information/fda-approvals/drug-areas.aspx?AreaID=8

Major or Minor element: MajorDepartment offering the program: Pediatric departmentDepartment offering the course: Department of Microbiology & Immunology Academic year: …………..........................................................................Level: First semesterDate of specification approval: …………………………………………..…………..Basic InformationTitle: Microbiology & Immunology Code: PE6002 Credit Hours (Chr): 0.5 Lecture(s): 1hr/ 2week (7.5 total) Co-coordinator: …………..……………………………A. Professional Information 1. Course Aims: By the end of this course the candidate will1. Select the appropriate diagnostic tools of different microbiological infections in pediatrics.2. Understand the immunological aspects of pediatric infections and immune prophylaxis.3. Understand the importance of hospital-acquired infections and to learn the appropriate measures of infection control.

2. Intended Learning Outcomes (ILOs) from the Course: a. Knowledge and understanding By the end of the course the candidate will be able to:a1 Recognize the epidemiological aspects of microbiological host- parasite relationships, diagnostic lab methods, and typing of the organisms.a2 Describe the microbiological aspects of the common and important pediatric infections.a3 Recall the immunological aspects of pediatric infections and immune prophylaxis.a4 Memorize hospital acquired infections and infection control measures.b. Intellectual skills By the end of the course the candidate will be able to: b1 Choose the appropriate diagnostic tools for different pediatric infections.b2 Classify the device- associated infections during hospital stay and categorize the different measures to deal with such situations.c. Professional skills By the end of the course the candidate will be able to:c1 Apply microbiologic and immunologic facts while assessing pediatric problems

25

c2 Integrate facts with clinical signs and symptomsc3 Correlate bacteriologic and basic immunologic data with patient outcomec4 Predict the modes of clinical presentation of a particular pathogend. General and transferable skills By the end of the course the candidate will be able to:d1- Work in a team and cooperate with their colleagues and staff.d2- Use basic computing skills and internet to fulfill problem-based learning d3- Communicate relevant information with teaching staff and colleagues

3. Course content:

Topic Lecture hours

SDL

Epidemiological aspects , Host parasite relationship, diagnostic lab methods and typing

0.5 +

Immunological aspects of pediatric infections and immunoprophylaxis.

1.5 +

Hepatitis and other GIT infections 1.5Upper and lower respiratory tract infections. 1 +Septicemia., Bacteremia , FUO & CNS infections 1Infection control measures ( Including device related infections, ventilator associated pneumonia, IC measures in the PICU)

1 +

Perinatal infections, congenital infections and IC measures in the NICU

1


4. 4 - Student Assessment Methods 4.1 Quizzes at the end of each subject to assess understanding and weak points 4.2 Written exam to assess knowledge, understanding and intellectual skills4.3 Oral exam to assess the ability to identify and apply microbiological knowledge and intellectual skills in a comprehensive oral way.


5. References:

26

5.1 Course notes: Medial microbiology and Immunology Department books5.2 Essential books: Elliott T, Worthington T, Osman H and Gill M Lecture Notes: Medical Microbiology and Infection Todd and Spickett: Lecture Notes: Immunology 5.3 Recommended Books Medical Microbiology (Jawetz, Melnick, & Adelberg’s) Medical Immunology (Parslow, Stites, Terr & Imoboden) Practical Medical Microbiolology (Collee, Fraser, Marmion & Simmons) Immunobiology (Janeway, Travers, Walport, Shlomchik) Medical Microbiology & immunology (Levinson & Jawetz) Basic Virology (Wagner)

Clinical Pathology Course SpecificationsUniversity: Ain Shams Faculty: Medicine

Course specificationProgram(s) on which the course is given: Master of Science in PediatricsMajor or Minor element of programs: MajorDepartment offering the program: Pediatric DepartmentDepartment offering the course: Clinical Pathology Department Academic year: 2009-2010 / Level: Postgraduate Date of specification approval:

A- Basic InformationTitle: Clinical Pathology Course Specifications Code: PE6005 Credit Hours: 1/2credit hour Lectures: 1hr/2weeks Total: Lectures 7.5 hrs

Course Coordinator: ………………………………………….B- Professional Information1- Overall aims of the course:By the end of this course the candidate will be able to:Learn the normal laboratory values in the pediatric age groupSelect the appropriate laboratory test to diagnose the different system disorders in pediatricsInterpret the results of different laboratory tests needed in the diagnosis of pediatric disease

27

2- Intended Learning Outcomes (ILOs) of the course:

a- Knowledge and understanding: By the end of the course the candidate should : a1: Recognize the epidemiological aspects o microbiological host- parasite relationships, diagnostic lab methods, and typing of the organisms. a2: Describe the microbiological aspects of the common and important pediatric infections. a3: Recall the immunological aspects of pediatric infections and immune prophylaxis. a4: Memorize hospital acquired infections and infection control measures.

b -Intellectual skills: By the end of the course the candidate should be able to : b1: Choose the appropriate diagnostic tools for different pediatric infections. b2: Classify the device- associated infections during hospital stay and categorize the different measures to deal with such situations.

c-Professional and Practical Skills: By the end of the course, candidates should be able to: c1- Apply microbiologic and immunologic facts while assessing pediatric problemsc2- Integrate facts with clinical signs and symptomsc3 – Correlate bacteriologic and basic immunologic data with patient outcomec4- Predict the modes of clinical presentation of a particular pathogen d- General and Transferable Skills: By the end of the course, candidates should be able to: d1- Work in a team and cooperate with their colleagues and staff.d2- Use basic computing skills and internet to fulfill problem-based learning d3- Communicate relevant information with teaching staff and colleagues

3- ContentsTopic Lecture Self learning

Anemia 1 +Reactive leucocyte disorders and leukemias 1 +Disorders of hemostasis 1 +Hepatobiliary and renal disorders 1 +Endocrine disorders 1 +Disorders of calcium and phosphorus 1 +

28

Autoimmune and immune deficiency diseases 1 +Principles of blood transfusion in pediatrics and neonatology

0.5 +

Total 7.5

4– Teaching and Learning Methods- Lectures: using data show - Discussion sessions - Collection of information using the internet5. Methods of assessment:1.MCQ during the semester2. Written exam to assess knowledge, understanding and intellectual skills3. Oral exam to assess the ability to identify and apply microbiological knowledge and intellectual skills in a comprehensive oral way.

Weighing of Assessments: Final term written exam: 20 marks Final-Term oral Exam: 5 marksTotal ………… 25 marksDuring the semester: 10 marks 6. List of referencesCourse notes: Department notesEssential books:Recommended BooksPettit and Moss (eds). Essential Haematology. Hoffbrand, Blackwell Publishing, Ltd, Oxford, UK Fifth edition, 2007,.William Marshal: Clinical Chemistry, , Blackwell science publications, 6th edition 2008

PATHOLOGY COURSE SPECIFICATIONSUniversity: Ain Shams Faculty: Medicine

Course specificationProgram on which the course is given: Master of Science in PediatricsMajor or Minor element: MajorDepartment offering the program: Pediatric departmentDepartment offering the course: Department of PathologyAcademic year: ………….....................................................................Level: First semesterDate of specification approval:

29

…………………………………………..…………..Basic InformationTitle: Pathology Code: PE6002 Credit Hours (Chr): 0.5 Lecture(s): 1hr/2 week (7.5 total ) Co-coordinator: …………..………………………………………………Professional Information

A. Professional Information 1. Course Aims:

By the end of this course the candidate will1. Providing adequate, recognizable and applicable knowledge and skills for

common diseases and life threatening illnesses affecting body organs and systems in the pediatric age group.

2. Enhancing the understanding of the causes of pediatric disease, the mechanisms of its development and the associated alterations of structure and function

3. Utilization of pathologic results in diagnosis and planning management of ill children

2. Intended Learning Outcomes (ILOs) from the Course: a. Knowledge and understanding

By the end of the course the candidate will be able to:a1 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), hemodynamic disturbances, neoplasia, infections and parasitic diseases.

a2 List the causes of common diseases affecting organs or systems in the pediatric age group.

a3 Explain the pathogenesis of common diseases affecting organs or systems of neonates, infants, children and adolescents.

a4 Recognize and describe the basic pathologic features (morphologic alterations) including the gross and microscopic pictures of various diseases affecting organs and systems of neonates, infants, children and adolescents.

a5 Describe how the pathological processes affect the structure and function of the organ systems of the human body neonates, infants, children and adolescents.

a6 Identify the functional consequences and clinical manifestations of common diseases affecting specific organs and systems.

a7 Explain the signs and symptoms of disease based on its pathogenesis, thereby demonstrating clinical reasoning.

a8 Interpret and identify the complications of common pediatric diseases.

30

a9 Describe the effect of environmental factors on causation and geographical variation of disease.

a10 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 skills By the end of the course the candidate will be able to:

b1 Correlate the pathologic features of the disease with its clinical presentation, laboratory investigations and complications.

b2 Develop skills of observation, interpretation and integration needed to analyze and diagnose human disease.

c. Professional skills By the end of the course the candidate will be able to:

c1 Recognize and interpret the important pathologic lesions in a pathology report that can provide reliable basis (sound foundation) for rational clinical care and therapy.

c2 Select appropriate preservative material necessary for different kind of specimens for different types of pathologic investigations.

c3 Select appropriate method of investigation for examination needed to reach a correct diagnosis.

d. General and transferable skills By the end of the course the candidate will be able to:

d1 Use database to collect material needed for research.d2 Gather and organize material from various sources (including library,

electronic and online resources).d3 Present a search assignment orally and deliver it in both written and

electronic form.d4 Ensure that request form and specimen identification is accurate and

identify and resolve any errors or discordance.d5 Communicate with pathologists promptly and accurately.d6 Understand the importance of continuing professional development.d7 Demonstrate knowledge of the importance of ethical approval and patient

consent for clinical research.d8 Work cooperatively and show respect for other opinions.

3. Course content:

Topic Lecture hours

SDL

General pathology +1- Acute and chronic inflammation

31

2- Cell injury adaptation and death3- Pathological calcification and pigmentation4- Intracellular accumulations5- Amyloidosis6- Tissue repair and healing7- Granulomas8- Parasitic Diseases9- Bacterial infections10- Hemodynamic disturbances11- Disorders of cellular growth, differentiation and

maturation12- Neoplasia

Systemic pathology1- Cardiovascular system 1 +

2- Kidneys and urinary tract 1 +

3- Respiratory system 1 +

4- Gastrointestinal tract 1 +

5- Liver, gall bladder and pancreas pathology Diabetes mellitus 1 +

6- Endocrine system 0.5 +

7- Lymphatic system and spleen 1 +

8- Diseases of the blood 1 +

9- Central nervous system10-Cerebral aneurysm +

L: Lecture and SDL: Self directed learning4 - Student Assessment Methods

4.1 Written exam: whether short questions, essay questions, multiple choice questions and problem solving cases (at the end of the term) to assess the knowledge, understanding and intellectual skills.

4.2 Oral exam: to assess knowledge and understanding, intellectual and communication skills.

Weighing of assessments:Written examination: 28 marks

32

Oral examination: 7 marksTotal: 35 marksAssessment during semester 10 marks

References:5.1 Course notes:General and systemic pathology notes written by staff members of pathology

department.5.2 Essential books (text books):Kumar, V. (Ed.), Cotran, R. S., Robbins, S. L. (2007). Basic Pathology (8th ed.).

Philadelphia, PA: W.B. Sauders.5.3 Periodicals, web sites, etc:http://www.webpath.comhttp://www.pathguy.comhttp://www.pathmax.comhttp://www.uwo.ca/pathol/resources.html

EMBRYOLOGY COURSE SPECIFICATIONSProgram on which the course is given: Master of Science in PediatricsMajor or Minor element: MajorDepartment offering the program: Pediatric departmentDepartment offering the course: Department of AnatomyAcademic year: …………..........................................................................Level: First semester

A. Basic Information Title: Embryology. Code: PE6007Credit Hours (Chr): 0.5 Lecture(s): 1 /2 weeks (7.5 total ) Co-coordinator: …………..………………………………………………

B. Professional Information 1. Course Aims:

By the end of this course the candidate will1. Understand the stages of normal prenatal development in human beings2. Recognize the terminology used in human embryology3. Describe the defects arising from faulty embryogenesis


By the end of the course the candidate will be able to:a1 Describe the basic principles of embryologic development

33

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

http://www.pathmax.com/

http://www.pathguy.com/

http://www.webpath/

a2 Recognize the terminology used in human embryology a3 Recall the specific embryologic changes of different body systems a4 Define the possible faulty embryologic development of different body

systemsb. Intellectual skills

By the end of the course the candidate will be able to: b1 Identify the embryologic facts while assessing stages of gestationb2 Integrate basic embryologic developmental facts of different systemsb3 Estimate embryologic changes with foetal outcomeb4 Locate the proper time of different system development

c. Professional skills By the end of the course the candidate will be able to:

c1 Apply the embryologic facts while assessing stages of gestationc2 Integrate basic embryologic facts with congenital abnormalitiesc3 Correlate embryologic changes with foetal outcomec4 Predict the different types of congenital abnormalities


d1 Work in a team and cooperate with their colleagues and staff.d2 Use basic computing skills and internet to fulfill problem-based learning d3 Communicate relevant information with teaching staff and colleagues

3. Course content:

Topic Lecture hours SDL

General Embryology:- Gametogenesis- Development of the embryo- Fetal membranes

+

Branchial or pharyngeal apparatus +The face, neck, nose & palateThe eye & ear

1 +

Human birth defects 1Respiratory and digestive systems 1Urogenital system 2Cardiovascular system 1 +Nervous system 1 +The Endocrine glands 0.5 +The musculoskeletal & integumentarySystems

+

34


4. 4 - Student Assessment Methods 4.4 Evaluation during the semester: quizes at the end of each subject to assess

understanding and weak points 4.5 Written exam to assess knowledge, understanding and intellectual skills4.6 Oral exam to assess the ability to identify and apply microbiological

knowledge and intellectual skills in a comprehensive oral way.


5. References: 5.1 Sadler T W: Langman’s Medical Embryology by. Williams and Wilkins Company, 8th edition,.5.2 Moore KL and Persaud TVN: Review of Medical Embryology b. Saunders Company6th edition.5.3 Cochard LR: Netter’s Atlas of Human Embryology. Saunders Company,1st edition.

COMMUNITY, ENVIRONMENTAL, PREVENTIVE AND OCCUPATIONAL MEDICINE, MEDICAL STATISTICS AND RESEARCH AND BASICS OF NUTRITION COURSE SPECIFICATIONS

Program on which the course is given: Master of Science in PediatricsMajor or Minor element: MajorDepartment offering the program: Pediatric departmentDepartment offering the course: Department of Community, Environmental and Occupational Medicine. Academic year: …………..........................................................................Level: First semesterDate of specification approval: ………………………………

A. Basic Information Title: Community, Environmental and Occupational Medicine. Code: PE6008-PE6011Credit Hours (Chr): 2

35

Lecture(s): 2hrs/week (total: 30) Co-coordinator: …………..………………………………………………

B. Professional Information 1. Course Aims:

By the end of this course the candidate will1. Assess the health status of the infants and children.2. Assess and monitor the worksite growth and nutritional status of the infants and

children3. Suggest the appropriate measurements for prevention and control of

communicable and non-communicable diseases4. Research for innovative solutions of priority health problems in childhood5. Identify environmental health hazards6. Understand the basic principles of research methodology and statistics


By the end of the course the candidate will be able to:a1 Assess environmental health hazards and respond to disasters.a2 Identify the natural history, methods of prevention, early detection,

management and control of common childhood diseases in the communitya3 Select the epidemiological and statistical method suitable to conduct

research to solve different problems in practical fieldsa4 Identify the health care system in Egypt and different health institutions.a5 Learn how to diagnose and prioritize the childhood health problems in

the communityb. Intellectual skills

By the end of the course the candidate will be able to: b1 Design epidemiological studies to investigate common childhood

diseases or understand new diseasesb2 Manage statistical data and interpretation of statistical results concerning

pediatric diseasesb3 Understand and criticize scientific medical papers concerning pediatric

health problemsc. Professional skills

By the end of the course the candidate will be able to:c1 Attaining medical statistics skillsc2 Counsel families and communicate effectively with diseased childrenc3 Perform field visits in order to identify major pediatric health problemsc4 Counseling and health education of parents for optimum health care


36

d1 Work efficiently within health care teamd2 Solve problems related to team workd3 Develop leadership skillsd4 Acquire presentation skillsd5 Practice time managementd6 Use the computer

3. Course content:

Topic Lecture hours

SDL

General epidemiology 2 +Principles of epidemiologic methods to assess pediatric diseases

2 +

Hazards of indoor and outdoor pollutants on the pediatric population

2 +

Malnutrition 1 +Prevention and control of communicable diseases 2Prevention and control of non communicable diseases 2Primary Healthcare 1Child health programs 1Quality improvement in child health care 1 +Vital statistics in pediatrics 1Medical statistics 14Research ethics 1


4. 4 - Student Assessment Methods 4.7 Quizzes at the end of each subject to assess understanding and weak

points 4.8 Written exam to assess knowledge, understanding and intellectual skills4.9 Oral exam to assess the ability to identify and apply microbiological

knowledge and intellectual skills in a comprehensive oral way.

Weighing of assessments: Written examination: 80 marksOral examination: 20 marksTotal: 100 marksAssessment during the semester 15 marks

5. References:

37

5.1 Gadallah MA: Community, Environmental and Occupational Medicine. Department of community, environmental and occupational medicine. Faculty of medicine, Ain-Shams University. 2008-2009Student notes on Medical Statistics and research methods 2nd edition, Cairo, Jan 2009.5.2 Gadallah MA & Moustafa ME Student notes on Medical Statistics and research methods Department of community, environmental and occupational medicine. Faculty of medicine, Ain-Shams University2nd edition Cairo, Jan 2009.5.3 Maxcy KF, Last JM, Wallace RB and Rosenau JM: Maxcy-Rosenau-Last Public Health & Preventive Medicine 15th edition, Appleton and Lange.

Second Part: Pediatrics Course Specifications

Program on which the course is given: Master of Science in PediatricsMajor or Minor element: MajorDepartment offering the program: Pediatric departmentDepartment offering the course: Pediatric departmentAcademic year: .............................................................................................Level: second, third and fourth semesters (1 module / semester)Date of specification approval: ………………………………..…………..

A. Basic information

Title: Pediatrics Code: PE6012Credit Hours (C Hr): total=17Lecture(s): 11 credit hour (165hr lectures ) Practical(s):6 credit hour (180 clinical &tutorial)Module A : 6 C hr, Module B: 6Chr & Module C: 5 C hrCo-coordinator: ……………………………………………………...…

B. Professional Information

1) Overall aims of the course: This course aims at providing a pediatrician who is able to:

1. Understand and apply the ethics of the profession.2. Develop the desire for self-education.3. Acquire theoretical knowledge in the field of pediatrics.4. Communicate skillfully with the patient and his family

38

http://www.bestwebbuys.com/Maxcy-Rosenau-Last_Public_Health_&_Preventive_Medicine-ISBN_9780838561850.html?isrc=b-search

http://www.bestwebbuys.com/Maxcy-Rosenau-Last_Public_Health_&_Preventive_Medicine-ISBN_9780838561850.html?isrc=b-search

5. Develop clinical skills based on a systematic approach to diagnose all pediatric diseases and to manage them efficiently and effectively.

6. Translate, interpret and extrapolate data to solve pediatric problems7. Develop progressive skills to independently and safely perform

noninvasive and invasive techniques necessary for diagnosis and management of pediatric patients.

8. Acquire sufficient experience to recognize and manage critically ill patients with utmost urgency.

9. Perform research with special emphasis on pediatric care within the community and advice on preventive measures.

10. Express himself clearly on any topic related to pediatrics.11. Develop skills to become the leader of his team in the field of Pediatrics

which needs patience and tolerance.12. Respond in a positive and creative manner to a given problem13. Works at all times to the best interest of children.

2) Intended Learning Outcomes (ILOs) from the Course: a. Knowledge and understanding:

By the end of the course the candidate will have a complete and updated knowledge and understanding of the following pediatric topics affecting neonates , infants, children and adolescents:

a1 Describe pediatric behavioral and social disorders.a2 Identify normal and abnormal growth and development.a3 Know pediatric cardiovascular disorders.a4 Understand critical care and poisoning in pediatrics.a5 Know pediatric endocrinal disorders.a6 Describe pediatric gastrointestinal disorders.a7 Recognize pediatric hematological disorders.a8 Know pediatric hepatic disorders.a9 Recognize pediatric immunologic, allergic and rheumatologic disorders.a10 Understand pediatric infectious disorders and immunization.a11 Know pediatric genetic disorders.a12 Describe pediatric oncologic disordersa13 Neonatal disordersa14 Describe basics of pediatric nephrology and urology a15 Know pediatric neurologic disorders.a16 Recognize pediatric nutritional disorders.a17 Describe pediatric pulmonary disorders.a18 Recognize pediatric orthopedic, eye, and dermatologic problems.

b. Intellectual skills :

39

By the end of the program the candidate will be able to: b1 Identify, analyze and specify pediatric problems (stated above)b2 Select the appropriate investigational tools to a specific pediatric problemb3 Prioritize the needed investigations and treatment based on multiple

factors as social, scientific, economic etc...b4 Prioritize and tailor the different treatment modalities and guide lines to

individual situations.b5 Select from different choices b6 Make conclusions and be able of scientific discussion.b7 Think in creative manner to solve problemsb8 Consider at all times the basic needs of pediatric patients

c. Professional and practical skills :

By the end of the program the candidate will be able to:c1 Take a targeted and complete medical history with proper analysis and

conclusions of different pediatric problems.c2 Examine properly the different body systems following the standard

guidelines and protocolsc3 Learn to elicit diagnostic clinical signc4 Interpret signs of general and local system examination correctly.c5 Correlate data from the history and examination.c6 Differentiate normal from abnormal patterns of growth and developmentc7 Recognize physiologic signs of system examination c8 Ask for the proper investigations for a given medical problem.c9 State the diagnosis and differential diagnosis of different cases.c10 Interpret general pediatric investigative forms and use their findings in

diagnosis and therapy c11 Write a treatment prescription for a given medical problem.c12 Calculate proper drug doses for different pediatric problems while

avoiding side effectsc13 Identify patients needing hospitalization, and those needing PICU or

NICU facilities.c14 Identifying patients in need for higher specialization.c15 Perform the different emergency and routine procedures necessary in the

general pediatric specialty.c16 Perform specific professional skills listed in the log bookc17 Gain abstracting and summarizing skills

d. General and transferable skills:

40

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

d1 Gain communication skills with peers, patients and professors.d2 Use computer skills in research.d3 Use computer skills in solving problems.d4 Work skillfully in a group.d5 Apply management skills.d6 Acquire leadership skills

3) Course Content: I. Module (A)

Total 6 credit hours: 60hrs lectures (4credit hours) & 60 Clinical & tutorial (2 credit hours)

IA. Growth and developmentTopic Lecture hours C/P

HoursSDL

Growth:

1 2.5 +

Development:

1 2.5 +

Total 2 5

L: Lecture, C/P: Clinical or Practical

IB. Pediatric pulmonologyTopic Lecture

hoursC/P SDL

History and examination 1 1 +

Respiratory emergencies 2 +

Ear, nose and throat diseases 2.5 +Upper respiratory infections 1

Lower respiratory infections 1.5 1 +

Bronchial asthma & wheezing disorders

1.5 1

Pediatric Tuberculosis 1 1 +

Supurative lung diseases 1 1

Pleural diseases 1 1 +

41

Pulmonary functions Inhalation therapy

1 1

Chest imaging 1 2 +

Total 12 10.5


IC. Pediatric CardiologyTopic Lecture

hoursC/P

hoursSDL

Common presentations of cardiac diseases in pediatrics

1 +

Congenital acyanotic heart disease 1.5 2 +

Congenital cyanotic heart disease 1.5 2 +

Rheumatic fever 1 +

Rheumatic heart disease 1.5 2 +

Cardiomyopathy, myocarditis, cardiac masses & the heart in systemic disorders

1 2 +

Cardiac Emergencies in pediatrics 1.5 +

The chest X-ray in cardiac disease 1 1

The normal and abnormal ECG 1.5 2 +

Applications of echocardiography in pediatrics & Other modalities for the diagnosis and assessment of cardiac disease

1

Total 11.5 12


ID. Pediatric Allergy, Immunology and Rheumatology

42

Topic Lecture hours

C/P hours

SDL

Atopy 1.5 1 +

Immunologic basis of Asthma, AEDS 1 1 +

Urticaria & angioedema AnaphylaxisFood allergyDrug allergy

1.5 1 +

Autoimmunity JRA

1.5 1.5 +

SLE , Dermatomyositis, scleroderma, MCTD

1.5 1.5 +

Vasculitis 1 1

Immunity: components of the immune system, immune responses.Classification of immunodeficiency diseases

1 +

Primary Immune deficiencies Disorders of phagocytosis Complement deficiencies Acquired immune deficiencies

1.5 +

Immunomodulation 1.5 2 +

X rays 1

Total 12 10


IE. Pediatric critical care medicine and PoisoningTopic Lecture

hoursC/P hours SDL

Basic life support 1.5 +

Advanced life support 1 +

How to recognize a critically ill child and when to refer to P.I.C.U

1

Sepsis and MOF 1

43

Shock 1

IV Fluid therapy & acid base balance

1.5 +

How to read ABGS? 1 +

Basics of Mechanical ventilation 1 +ARDS 1

Important procedures in PICU Endotracheal Intubation Central venous cannulationIntercostal tube insertion

4 +

D.C Shock Mechanical ventilationImportant monitoring dataPoisoning 1 1

+

+Total 7.5 8.5


IF. Infections and Vaccination Topic Lecture

hoursC/P hours SDL

Gram positive & Gram-negative bacterial infections

1 +

Anaerobic bacterial infections 1 +

Mycobacterial, Spirochetal ,Chlamydial &Mycoplasmal infections infections

1 +

Rickettsial &Mycotic infections +

Fever with rash 1.5 1 +Protozoal infections 1Helminthic diseases 1HIV infection 1

44

Viral infections & Poliomyelitis 1.5 1Vaccination 1.5 1

Total 7.5 6L: Lecture, C/P: Clinical or Practical

IG. Behavioral Pediatrics

Topic Lecture hours

C/P hours SDL

Classification and etiology of child psychiatric disorders

0.5

Nocturnal enuresis 1 1 +Autism & ADHD 1 1 +Learning disabilities 1 1 +Eating disorders 1 1 +Child abuse 1 1 +Total 5.5 5

L: Lecture, C/P: Clinical or PracticalIH. Dermatology , Ophthalmology and orthopedic problems

Topic Lecture hours

C/P hours SDL

Dermatologic Problems In Pediatrics ( acute & chronic skin rash, cutaneous & mucosal manifestations of systemic disease, hereditary skin disorders, hair disorders, principles of dermatologic therapy)

1 1.5 +

Eye Problems In Pediatrics(infections, Squint, Ptosis, proptosis, glaucoma papilledema, the eye and systemic disease)

++

Orthopedic Problems 1 1.5 ++Total 2 3


II. Module (B) 6 credit hours: 60hrs lectures (4credit hours) & 60 Clinical & tutorial (2 credit hours)

45

IIA. Pediatric GastroenterologyTopic Lecture

hoursC/P SDL

Symptoms and signs of gastroenterology diseases

1 1 +

Esophageal and gastric diseases

2 1 +

Mal-absorption diseases 2 2 +

Colonic diseases 2 1 +

Dehydration & Fluid replacement Miscellaneous

8 2 +

Endoscopy unit: observing sterilization, preparation and procedures (EGD, Colonoscopy)

2 +

Total 8 9

L: Lecture, C/P: Clinical or PracticalIIB. Pediatric Hepatology

Topic Lecture hours

C/P SDL

Viral hepatitis 1 1 +Portal hypertension 1 1 +Cholestasis 1 1Liver in systemic diseases and drug induced liver disease

1 +

Metabolic liver diseases 1Autoimmune liver disorders, diseases of biliary passages andHepatosplenomegaly

1 1 +

Liver cirrhosis and liver cell failure

1 +

Endoscopy ( emergency management of hematemesis)

1

46

Management of ascites 1 1Assessment of the liver by different diagnostic tools

1

Total 8 7L: Lecture, C/P: Clinical or Practical

IIC. Pediatric EndocrinologyTopic Lecture hours C/P hours SDL

Growth disorders 1.5 1.5 +

Disorders of hypothalamus and pituitary

1 1 +

Thyroid disorders 1.5 1.5 +

Abnormalities of Puberty 1 1 +

Adrenal cortex disorders 1.5 1.5 +

Disorders of sex differentiation 1.5 1.5 +

Endocrinal emergencies ½ 1 +

Parathyroid and Calcium related disorders

1 1 +

Obesity 1 1/2 +

Hyperlipidemia ½

Polyendocrinal disorders 1

Total 12 10.5


IID. Diabetes mellitus in PediatricsTopic Lecture

hoursC/P

hoursSDL

47

Neonatal diabetes 1

Type I DM diagnosis, management and complications

2 1 +

Type 2 DM in children and adolescence

1 +

Insulin: types, modes of administration 1 1

Associated autoimmune conditions 1 1 Hypoglycemia 1 1

Total 5 6


IIE. Pediatric hematology and OncologyTopic Lecture

hoursC/P

hoursSDL

Normal Hematopoiesis and how to interpret CBC

1 1

Platelet disorders and Bleeding disorders 1 1

Anemias 3 2Thrombosis and Thrombotic Diseases 1 1

Lymphadenopathy and Splenomegaly 1 1

Hematologic emergencies 1 1

Hematologic manifestations of systemic diseases

1

Non neoplastic leucocyte diseases 1 1

Transfusion therapy 1 1

Coagulation Disorders 1 1

Pediatric leukemia 1 1

Hodgkin and non Hodgkin lymphoma 1 1

48

Solid tumor 1 1

Oncological emergencies 1 1

Infection in immune compromised 1 1

Bone marrow failure & Bone marrow transplantation

1 1

Total 17 17


IIF. Medical GeneticsTopics Lecture hours C/P hours SDL

Gene structure, function, mutations and teratogens

1 +

Organization and structure of chromosomes, karyotype and their interpretation

1/21.5

Pedigree construction, Patterns of inheritance 1 1

Diagnostic techniques1

Management of genetic diseases: dietary, drug transplantation, stem cell, gene therapy and surgical intervention.

1+

Prenatal Diagnosis & Newborn Screening 1 1/2

Congenital malformations 1 1

Inborn Errors of Metabolism and metabolic bone diseases 1.5 2 +

Mitochondrial diseases 1 1

Genetics of diseases of different systems 1 2.5

Total 10 10.5


III. Module (C) 5 credit hours: 53.5 hrs lectures (3.5 credit hours) & 45 Clinical & tutorial (1.5 credit hours)

IIIA. Pediatrics Neurology

49

Topic Lecture hours

C/P hours

SDL

Neurologic history & examination 1 1 +

Neurologic Investigations: Lumbar Puncture , EEG and Neuroradiology,

1 1 +

Disorders of cranialShape & volume

1 1 +

Cong . anomalies of CNS and Spinal cord malformations

1 +

Seizures and their D.D 1.5 +

Congenital myopathy and muscle dystrophy

1 1 +

Neurocutaneous syndromes 1 1 +

Stroke 1 +

Brain tumors and Pseudotumor cereberi 1 1 +

Neuropathies (including facial palsy and Guillaine-Barre)and Transverse myelitis

1

Movement disorders 1 1

Encephalopathy & Neurodegenerative Diseases

1 1

CNS . infections 1

Neurologic Emergencies 1

Total 12.5 12

L: Lecture, C/P: Clinical or PracticalIIIB. Neonatology

Topic Lecture hours

C/P SDL

Normal newborn , routine care & neonatal resuscitation

2 3 +

Prematurity problems and management 3 3 +Birth injuries and neurological problems of newborns

2 2 +

50

Respiratory problems of the newborns 3 3 +

Metabolic and GIT problems of the newborns

2 2 +

Hematological problems of the newborns

2 1 +

Fetal and neonatal infections 2 1 +Miscellaneous problems and Neonatal screening.

3 1


IIIC. Pediatric Clinical Nutrition Topic Lecture

hoursC/P SDL

Dietetic history and nutritional assessment

1 1

Normal feeding in neonates, infants and children

1 1

Diseases of under nutrition 1 1Diseases of over nutrition 1 1Vitamin Deficiencies and excess 2 1Rickets 2 1Nutritional management of neonatal problems

1 1

Nutritional management of special pediatric problems

1 1


IIID. Nephrology Topic Lectur

e hours C/P SDL

Laboratory and radiological investigations of renal diseases

1 1 +

Glo

mer

ular

di

sord

ers

DD of hematuria and proteinuria 1 0.5Glomerulonephritis 1 0.5 +Nephritic syndrome 1 1 +

51

Tubular diseases 2 1 +Urinary tract anomalies and infections 1 1 +Acute and chronic renal failure 2 1 +Voiding disorders 1 1Urolithiasis 1 1 +Renal hypertension 1 1 +Total 12 9

L: Lecture, C/P: Clinical or Practical4) Student Assessment Methods:

4.1 Logbook fulfillment to assess performance and attending the different skills needed

4.2 Web CME certificates during the program period to assess capabilities of CME

4.3 Final written examination to assess theoretical knowledge, interpretative and problem solving abilities through essay questions, and MCQs.

4.4 Oral examination to assess knowledge, attitude and communication skills of the candidates

4.5 Practical examination through audio-visual presentation to assess clinical, investigational, procedural and interpretative abilities

4.6 Clinical examination of short and long cases to assess clinical skills and interpretative and analytical abilities

Assessment schedule of Pediatric CourseAssessment 1................. end of second semesterAssessment 2................. end of third semesterAssessment 3................. Final assessment at end of program

Weighing of assessmentsFinal-term examination: 430 marks (40.9%) Oral examination: 60 marks (5.7%)Clinical exam: 360 marks (34.2%)Total: 850 marks End of second semester : 100 marks (9.7%)End of third semester: 100 marks (9.7%)

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

Lecture notes Protocol for DKA management of Diabetes Unit, Pediatric department,

Ain Shams University. Nutrition guidelines and protocol of Diabetes Unit, Pediatric

department, Ain Shams University.

52

5.2 Essential Books (Text Books) Fundamentals of Pediatrics (Ain Shams Pediatric Department Notes) KliegmanRM, Jenson HB, Richard, EB and Bonita, FS: Nelson’s

textbook of Pediatrics:, 18th edition, Philadelphia. El-SEVIER / Saunders 2007.

Current Diagnosis & Treatment: Pediatrics, 19th Edition McGraw-Hill. British National Formulary for children BMJ group Tavistock square,

London W.C. 1H9JP UK last editionRPS publishing.

On line ordering www. pharon press.com

5.3 Recommended Books Kindig's text book for pediatric respiratory diseases (2006) Hugh D. Allen; David J. Driscoll; Timothy F. Feltes Robert E. Shaddy:;

Moss and Adams' Heart Disease in Infants, Children, and Adolescents: Including the Fetus and Young Adult. Lippincott Williams & Wilkins, US; 7Rev edition (1 Oct 2007).

Myung K. Park; Warren G Guntheroth: How to Read Pediatric ECGs, Mosby; 4 edition ,2006.

Oxford handbook of clinical immunology and allergy Rogers Textbook of Pediatric Intensive Care Dennis M. Styne handbook of Pediatric endocrinology Comprehensive pediatric nephrology ISPAD guidelines 2007. Medical management of type1 diabetes,American Diabetes

Association,fourth edition Nussbaum et al. Thompson & Thompson's Genetics in Medicine 7th

E dition, 2007. Fenichel: Clinical Pediatric Neurology Cloherty, JP, Eichenwald, EC and Stark, AR :Manual of Neonatal Care:

Lippincott Williams & Wilkins, Philadelphia5th edition, 2004.

ELECTIVE COURSES

E6047 Computer Course 1 15E6009 Practical Clinical Statistics CourseE6114 Fever Hospital (1 month)E6073 Human Resources & Hospital

53

http://www.studentconsult.com/content/default.cfm?ISBN=9781416030805

http://www.studentconsult.com/content/default.cfm?ISBN=9781416030805

ManagementE6116 Practical vaccination programE6117 Child’s rights Students are required to complete 1 elective course per program.

Medical statistics course specification

University: Ain Shams University Faculty: of Medicine

Course specificationsProgram on which the course is given: Master of Science in Pediatrics.Major or minor element of programs: Minor Department offering the program: Pediatrics department.Department offering the course: Community, Environmental and Occupational Medicine.Academic Level: Master – 4th semester.Date of specification approval: 2009-2010

1- Basic Information

Title: Medical statistics courseCode:Credit Hours: 1 hour Coordinator: Community, Environmental and Occupational Medicine

Department

2- Professional Information

1- Course Aim:

To enable the doctorate candidate to plan, conduct, analyze and interpret the results of a research in his specific field. This course unit introduces the application of statistical ideas and methodology to medical research.

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

a- Knowledge and understandingBy the end of the course the candidate will be able to:

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

54

statistics in medical researcha2- Define: Types of variables. Descriptive statistics. Presentation and summarization of data. Measures of central tendency and scatter. Principles of probability and probability distributions. Concepts of inferential statistics: confidence interval and hypothesis

testing. Different tests of statistical significance. Difference between parametric and nonparametric tests of

significance. Correlation and regression Concept of statistical modeling using multivariable and multivariate

statistical methods. Combining evidence from different studies and meta-analysis Importance and methods of sampling and how to determinate the

suitable sample size. Different types of research methodology: observational and

intervention studies and the different statistical issues related to the design, conduct, analysis and interpretation of the results of each study type.

Ethical aspects of medical research including those specifically applied to clinical trials.

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

b1- Interpret correctly the results of statistical analyses and critically evaluate the use of statistics in the medical literature.

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

c- Professional skillsBy the end of the course the candidate will be able to:

c1- Select appropriate study designs to address questions of medical relevancec2- Select and apply appropriate statistical methods for analyzing data

typically encountered in medical applications.c3- Use selected software packages for statistical analysis and data

management.

55

d- General and transferable skills By the end of the course the candidate will be able to:

d1- Work effectively in a group from different backgrounds. d2- Respects the role of staff and co-staff members regardless of degree or

occupation.d3- Communicate effectively with professional statisticians and the wider

medical community, including the ability to present results of statistical analyses through written and oral presentations

d4- Use of computer data bases and other computer skills.d5- Handle data appropriately and analyze them through: decision processes,

objective criteria, problem definition, project design and evaluation, risk management, teamwork and coordination.

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

3- Course content:

Topics T C/PIntroduction to medical statistics and its uses X xTypes of variables and Descriptive statistics X xGraphic presentation of data X xIntroduction to probability theory and rules X xSample and population: sampling distribution of mean and proportion

X x

Confidence interval of a mean and a proportion X xConfidence interval of a difference between two mean /proportion

X x

Testing a hypothesis about population mean/proportion X xTesting a hypothesis about the difference between two means/proportion

X x

Comparing between more than two means-Introduction to factorial analysis

X x

Cross-tabulation and introduction to categorical data analysis X xSimple correlation and simple regression X xIntroduction to multivariable and multivariate analysis X xStudy designs: observational studies X xStudy designs: Intervention studies: clinical trials X xStudy designs: Experimental animal studies X x

56

Study designs: Bias and Confounding X xEthical issues in medical research X xSample size estimation for continuous and binary outcome measures.

X x

Meta-analysis and publication bias. X xT: Tutorial and C/P: Clinical or Practical and SDL: Self directed learning

4- Student Assessment Methods

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

4-2 Weighing of assessmentWritten exam 50

Total 50

5- List of References

5.1- Course Notes (paper and / or electronic): Student Notes on Medical Statistics and Research Methods. Prof. Mohsen Abdel Hamid and Dr Moustafa El Houssinie. Department of Community, Environmental and Occupational Medicine.

5.2- Essential Books (Text Books): Statistics in Clinical Practice. avid Coggon. BMJ Books. 2nd edition 2003

5.3- Recommended Books: Handbook of Epidemiology. Springer 20055.4- Periodicals, Web Sites, etc

www.brettscaife.net/statistics/introstat/ onlinestatbook.com/rvls/ www. Epidemiolog.net http://www.shef.ac.uk/scharr/spss/

hospital management course specificationsUniversity: Ain Shams University Faculty: of Medicine

Course specificationsProgram on which the course is given: Master of Science in Pediatrics.Major or minor element of programs: Minor Department offering the program: Pediatrics department.Department offering the course: Community, Environmental and Occupational Medicine.Academic Level: Master – 4th semester.

57

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

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

A- Basic InformationTitle: Hospital Management Code: E6073Credit Hours: 1 hour Lecture: 1/w Total: 15

CoordinatorHealthcare Quality Unit at Department of Community Medicine

B - Professional Information

1- Course Aims:With the growing importance of hospital industry in providing health care to people across the country, hospital management courses are also becoming popular. The government of India is also paying attention on providing health care in both rural and urban areas. The requirement of professional administrators in the hospitals is growing at a rapid pace primarily because the nature of work in hospitals is quite deferent from other organizations. Hospitals are expected to deliver quality service 24 hours a day at a minimal cost. The urgent nature of its work and the level of efficiency that is expected have increased the need of well-formulated hospital management courses throughout the world providing participants with basic hospital management concepts

2- Intended Learning Outcomes (ILOs) from the Course:a- Knowledge and understandingBy the end of the course the candidate will be able to:a1- Put Strategic planninga2- Perform operational planninga3- Manage human resourcesa4- Manage healthcare quality

b- Intellectual skillsBy the end of the course the candidate will be able to: b1- Create effective management systems which allow hospital management to monitor and observe the performance of key hospital processes, organisation arrangements, people and resources. b2- Understand how to respond positively when performance is inadequate and change becomes necessary.

c- Professional skillsBy the end of the course the candidate will be able to:

58

c1- Manage and lead hospital staffc2- Support quality improvement initiatives.c3- Measure hospital performance

d- General and transferable skills By the end of the course the candidate will be able to:d1- Work within the organisational, interpersonal and inter-professional dynamics of the clinical team.d2- Make judgements about their strengths and weaknesses and take responsibility for personal support and professional development

3- Course content:

Topics No of hoursL

Basic concepts and principles of hospital management

3

Strategic planning 3Operational planning 7Human resources management 7Quality management 3Communication skills 2

4 - Student Assessment Methods4.1 written exam to assess knowledge, skills

Weighing of assessment4.1 written exam 50

Total 50

5 -- List of References5.1- Course Notes (paper and / or electronic)5.2- Essential Books (Text Books)5.3- Recommended Books5.4- Periodicals, Web Sites, etc

General Information1 – Monitoring Of Training and Submission of Training Reports

You must keep proper and updated records in your logbook to reflect the activities encountered in your training. Your logbook must be duly endorsed by an authorized signatory at the end of each semester.

59

You will be continuously assessed by your supervisors, in consultation with head of department. An assessment will be submitted within 2 weeks of completion of each semester.

2 - Miscellaneous Information:Injury and/or Blood or Body Fluid Exposure:During regular working hours, you should immediately report an exposure incident to Infection control unit in Ain Shams Hospital. If exposure occurs after regular working hours or during a weekend or holiday; please call the Emergency department in Ain Shams Hospital. For injury, please report to the Emergency Department. Please also be sure to inform the supervisors of any exposure incident and/or injury.

3 - Action 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 the post graduate secretariat.

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

VI – Your log book

1- Introduction

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

60

and doing.

It will give you a list of the important topics that you should think about and should be covered in:

1. Clinical or practical sessions 2. Tutorials Or3. Self-directed learning (SDL)

For each item there is also a list of1. Clinical conditions or Practical sessions to be seen or attended 2. Practical procedures to be seen and done

RememberThis 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………………………………………………………………………………………

………………………………………

3–Tables for Training RecordsPlease record the details and date of each activity, and the authorized staff member signature. Candidates are required to fulfill 75% of the listed activities in order to be legible 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 ActivityGeneral out patientclini

ER(12:00 pm –

Bedside education( مرور

Grand round مرور )االسات (ذة10 am

Journal club

Pediatric Depart weekly

Specialized clinics

Procedural activities

61

c8-12am

8:00 am)

المدرسين والنوا(ب

conf

Sat

1 1 All wards starting 8:0000

Ward 6PICU

Allergy and Immunology

NephrologyGeneticsPulmonolog

yHematology

and Oncology

Child Psychiatry

Endocrinology

DialysisGI

Endoscopy

Echocardiography

Cardiac non invasive lab

EEG lab

Sun

2 2 Wards 5&12 PICU

1, 2, 3, 4, 5, 6

NeurologyNutritionGastroenter

ologyNeonatolog

yHematology

and Oncology

Orthopedics

DialysisGI

Endoscopy

Echocardiography


Pulmonary function tests

EEG labMon

3 3 PICU 1,2,3,4,5 or 6


Pulmonology

CardiologyNephrology HepatologyGenetics

Brochoscopy

DialysisGI

Endoscopy

Echocardiography

Cardiac non

62

invasive lab

EEG labTue

4 4 Ward 4 PICU

CardiologyChild

Psychiatry

DiabetesGeneticsEndocrine

DialysisGI

Endoscopy

Echocardiography


EEG labWed

5 5 Wards 2&3PICU


HepatologyDiabetesNeurologyNutritionGastroenter

ology

DialysisGI

Endoscopy

Echocardiography


EEG labThu

6 6 PICU Hematology & oncology

DialysisEchocardiog

raphyCardiac non

invasive lab

EEG lab1= unit 1 4= unit 42= unit 2 5= unit 53= unit 3 6= unit 6The Journal Club and the Pediatric Department weekly conference will be held in the meeting room*Each candidate will attend activities according to his moduleYearly activity Pediatric Department, Ain Shams University yearly conferenceFaculty of Medicine, Ain Shams University yearly conference

Pediatric Department Weekly Conference

63

(NB. Minimum number required is 10)N

o

Dat

e

Plac

e

Topics Supervisor signature

12345678910

Grand Clinical Round attendance(NB. Minimum number required is 10)

No DatePlace

Supervisor signature

12345678910

Journal club attendance(NB. Minimum number required is 8)

No

Dat

e

Plac

e

Topics Supervisor signature

1234

64

5678

Case presentation (NB. Minimum number required is 12 divided by the 6 units)

No Date Place Diagnosis Supervisor signature

123456789101112

Thesis attendance (NB. Minimum number required is attending 10 )

No Date Place Name of the thesis Supervisor signature

12345678910

General Pediatrics Outpatient Clinics attendance (NB. Minimum number required is 10 )

65

No Date Supervisor signature12345678910

Specialized clinics attendance(minimum number required for each clinic is 3)

1. Chest clinic attendanceNo Date Supervisor signature123

2. Child Psychiatry clinic attendanceNo Date Supervisor signature123

3. Immunology & Rheumatology clinic attendanceNo Date Supervisor signature123

4. Cardiology clinic attendanceNo Date Supervisor signature123

5. Genetics clinic attendanceNo Date Supervisor signature

66

123

6. Endocrinology clinic attendanceNo Date Supervisor signature123

7. Diabetes clinic attendanceNo Date Supervisor signature123

8. Oncology and Hematology clinic attendanceNo Date Supervisor signature123

9. Gastroenterology clinic attendanceNo Date Supervisor signature123

10. Hepatology clinic attendanceNo Date Supervisor signature123

11.Nephrology clinic attendanceNo Date Supervisor signature123

67

12.Neurology clinic attendanceNo Date Supervisor signature123

13. Nutrition clinic attendanceNo Date Supervisor signature123

14.Neonatology clinic attendanceNo Date Supervisor signature123

Emergency attendance(NB. Minimum number required is 8)

No Date Place unit Supervisor signature12345678

PICU attendance(Minimum number is 5)


NICU attendance

68

(Minimum number is 5)


EEG attendance(Minimum number is 3)


EMG attendance(Minimum number is 3)


Gastroenterology endoscopy unit attendance (Minimum number is 3)


Echocardiography unit attendance(Minimum number is 3)


Pulmonary function tests attendance(Minimum number is 3)

69


Bronchoscopy attendance(Minimum number is 3)


Dialysis unit attendance(Minimum number is 3)


Web CME Pediatrics certificates(NB. Minimum number required is 8)


Patients to be seen with the following problems(A minimum of 75% of total cases is required to be seen)

70

Primary diagnosis Number Supervisor signatureRequired Seen

Critical care medicine and PICU

Cardio-respiratory arrest 3

Shock 5

Respiratory failure 5

Sepsis 5

Poisoning and drug overdoses 5

71

Conventional ventilation 5

Primary diagnosis Number Supervisor signatureRequired Seen

Critical care medicine and PICU

Cardio-respiratory arrest 3

Shock 5

Respiratory failure 5

Sepsis 5

Poisoning and drug overdoses 5

Conventional ventilation 5

72

Allergy, clinical immunology, rheumatologyRecurrent infections and immunodeficiency syndromes

8

Allergic rhinitis 5

Anaphylaxis 3

Acute and chronic Urticaria 5

Joint and limb pain 5

Septic arthritis and osteomyelitis

2

Acute and chronic arthritis

5

SLE 5

73

JIA 5

CardiologyAcyanotic heart disease 8

Common forms cyanotic heart disease

6

Cardiac murmurs 20

74

Syncope 4

Rheumatic fever and rheumatic heart disease

10

Chest pain 3

Kawasaki disease 3

Congestive heart failure 8

Cardiac arrhythmia 6

75

Cor pulmonale 2

Developmental and behavioral medicineDevelopmental delay and mental retardation

10

Autism spectrum disorders 4

Common behavioral problems 4

Crying infant, infantile colic, sleeping disorders, nightmares and terrors

5

Learning disabilities 5

76

Attention deficit disorder with or without hyperactivity

5

School avoidance 3

Enuresis 6

EndocrinologyGrowth retardation/short stature 6

Disorders of sexual development (ambiguous genitalia, intersex)

5

Thyroid disease 4

Inappropriate ADH secretion 1

77

Hypo/Hypercalcemia 3

Hypoglycemia 4

Pubertal disorders 5

Pituitary disorders 2

Congenital adrenal hyperplasia and adrenal disorders

2

Hyperlipidemia 2

Metabolic bone disease and osteoporosis

2

DiabetesType I and II diabetes mellitus 5

Diabetic ketoacidosis 2

78

GastroenterologyVomiting and regurgitation 20

Diarrhea (Acute/chronic) 15

Malabsorbtion 6

79

Intestinal bleeding 3

Abdominal pain (Acute/chronic) 20

Inflammatory bowel disease 5

Constipation/encorpresis 5

80

Dysphagia 4

Hepatology and biliary disease

Enlargement of the liver 20

Jaundice 15

81

Liver dysfunction and failure 8

Hepatitis 10

GeneticsDysmorphic child 20

82

Common genetic syndromes (e.g. Down syndrome, Turner syndrome, fragile X)

10

NephrologyDisorders of male and female external genitalia (e.g. hypospadius)

5

Congenital and acquired hydronephrosis 3

Vesicoureteric reflux and obstructive uropathy

3

Hematuria and nephritic syndrome 5

83

Urinary tract infection 8

Acute and chronic renal failure 8

Proteinuria and nephrotic syndrome 5

Undescended testis 4

Renal stones 4

84

Renal tubular disorders, Fanconi syndrome

4

Hematology/Oncology

Pallor/anemia 25

Bleeding and clotting disorders (congenital and acquired)

10

85

Cytopenias 10

Indications and complications of splenectomy

5

Hemoglobinopathies (e.g. thalasemia, sickle cell anemia)

7

Lymphadenopathy 10

86

Hepatosplenomegaly 10

Infections diseases

Common infectious diseases (viral, bacterial, fungal, parasitic, protozoan infections)

30

87

Fever without focus 20

Fever of unknown origin 5

Life threatening infections 5

88

Neonatology

Normal newborn 15

Respiratory distress 15

Cyanosis 10

89

Jaundice 15

Growth aberrance (e.g. IUGR, SGA/LGA)

15

Apnea 10

90

Prematurity 10

Bronchopulmonary dysplasia 5

Seizures 5

Floppy baby 5

Feeding difficulties/vomiting 15

91

Surgical problems of the newborn 6

Stridor 2

Neurology

Neurocutaneous syndrome 5

Seizures and sudden loss of consciousness

10

Stroke 3

Muscle disorders (e.g. dystrophies) 5

Disorders of peripheral nerves 5

92

Cerebral palsy 8

Breath holding spells 5

Tics 4

Movement disorders 5

CNS infections (e.g. meningitis, encephalitis, abscess)

3

NutritionFailure to thrive 7

Nutrient deficiencies and excess (e.g. 5

93

Marasmus)

Feeding disorders 5

Obesity 4

PulmonologyAcute and chronic cough 15

Asthma 15

94

Hemoptysis 5

Tuberculosis 5

Wheezy infant 8

Cystic fibrosis 3

Interstitial pulmonary fibrosis 3

Bronchiolitis 8

Bronchiectasis 3

Dermatology

95

Common skin infections/infestations 8

Common pigmentary or vascular congenital lesions (e.g. Nevi, café au lait macules, hemangiomas)

8

Eczema 8

Ophthalmology

Strabismus 4

Glaucoma 2

Refractory errors 2

96

Conjunctivitis 6

Practical skills (Agreement Scale)RequirementsCandidates 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.

A. General Procedures

Item No

Obs

erve

d

Dat

e an

d si

gn

assi

sted

Dat

e an

d si

gn

Don

e in

depe

nden

tly(A

, B, C

)

Dat

e an

d si

gn

1- Clinical anthropometry(5x3)

2- Pulse, respiratory rate, temperature and blood pressure measurement (5x3)

3- Intravenous canulation (4X3)

1234

4- Nasogastric tube placement (3X3)

123

5- Endotracheal intubation (2X3)

12

1

97

6- Male or female urinary catheter placement (2X3)

2

7- Electrocardiogram (5 X3)

1

2

3

4

5

8- Rectal tube placement (2X3)

12

9- Per-Rectal examination and comments (2X3)

12

10- Fundus examination and comments (2X3)

12

11- Otoscopic examination and comments (4X3)

1234

Special procedures

Item No

Obs

erve

d

Dat

e an

d si

gn

assi

sted

Dat

e an

d si

gn

Don

e in

depe

nden

tly(A

, B, C

)

Dat

e an

d si

gn

1- Lumbar puncture2

2- Adjustment of ventilation settings in NICU

2

98

3- Adjustment of ventilation settings in PICU

2

4- Adjustment of fluid therapy

2

5- Gastric lavage 26- Blood gas reading 47- Neonatal

resuscitation4

8- Exchange Transfusion

2

9- Umbilical catheterization

2

10- Intercostal tube insertion

2

11- Cranial U/S 212- Central venous line 213- TPN calculation 214- Bone marrow

aspirate2

15- Liver biopsy 216- Renal biopsy 117- Blood transfusion 518- DC shock 219- Intradermal

sensitivity test4

20- Tuberculin testing –perform and interpret

2

Communication Skills with patients and their families (1 per item)Skill observed performe

dsignature

Counseling patients/parents on avoidance measures to allergensCounseling parents on normal

99

growth, development and behavioral with provision of anticipatory guidance.Genetic counseling to a family/individuals with genetic diseasesPerform first line workup for a suspected inborn error of metabolism (critical sample)Counseling families with life threatening diseases and critical care appraisalCounseling for healthy nutrition & active livingImplementing the need for secondary prophylaxis against rheumatic feverAdvising patients at risk for infective endocarditis prophylaxisBreaking bad news to parents ie death

Interpretation of investigative tools(Minimum number required for each is stated)

1. Imaginga. Plain X rays

No

Date

Pt initials, AGE/SEX

Indication

Diagnosis Superviso

r signature

12345678

100

910

Contrast Radiographs

No

Date


Indication

Diagnosis Superviso

r signature

123

Computed tomography of different organs

No

Date


Indication

Diagnosis Superviso

r signature

123

Magnetic resonance imaging of different organsNo Date PT initials,

AGE/SEX Indication DiagnosisSupervisor signature

123

Radioisotope scans

No

Date


Indication

Diagnosis Superviso

r signature

123

Arteriography and venographyNo

Date

Pt initials,

Indication Diagnosis

Supervisor

101

AGE/SEX signature

12

Ultrasonography

No

Date


Indication

Diagnosis Superviso

r signature

123

Echocardiography

No

Date


Indication

Diagnosis Superviso

r signature

123

Karyotype

No

Date


Indication

Diagnosis Superviso

r signature

123

Hemogram

No

Date


Indication

Diagnosis Superviso

r signature

123

5 - Log book preview

102

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. This reflects the number of activity done by category. (According to each degree) The results of this review will be totaled in the summary chart below.

Summary

Semester 1st 2nd 3rd 4th Total

Activity No No No NoPediatric Department Weekly Conference (10)Grand Clinical Round attendance (10)Grand Clinical Round attendance (10)Journal club attendance (8)Case presentation (12 divided by the 6 units)General Pediatrics Outpatient Clinics attendance (10 )Specialized clinics attendance (3)PICU attendance (5)NICU attendance (5)EEG attendance (3)EMG attendance (3)Gastroenterology endoscopy unit attendance (3)Echocardiography unit attendance (3)Pulmonary function tests attendance (3)Bronchoscopy attendance (3)Dialysis unit attendance (3)Web CME Pediatrics certificates (8)Patients to be seen with the following problems (75% of total cases is required to be seen)A. General ProceduresB. Special proceduresCommunication Skills with patients and their families (1 per item)

103

Interpretation of investigative tools (stated)2. ImagingPlain X raysContrast RadiographsComputed tomography of different organsMagnetic resonance imaging of different organsRadioisotope scansArteriography and venographyUltrasonographyEchocardiographyKaryotypeHemogramSupervisor Signature

HEAD OF DEPARTMENT APPROVAL ON EXAM ENTRY----------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------

104

VIII – Thesis Follow up

/ التاريخ / لعام السنوى النصف التقريرالطالب / عن

ماجسيتر ( ) لدرجة المقيدبقسم /

المشرفين الاساتذة السادة تقريرالمقدمة كتابة و العلمية المادة محدودا بدأجمع شوطا قطع

الإنتهاء على الجمع أوشك من إنتهىالعملى محدودا بدأالجزء شوطا قطع

الإنتهاء على التحليل أوشك من إنتهىالنتائج محدودا بدأمناقشة شوطا قطع

الإنتهاء على التحرير أوشك من إنتهىالمشرف مع النهائية محدودا بدأالمراجعة شوطا قطع

الإنتهاء على تماما أوشك إنتهتالمشرفين السادة الطالب رأى قيد القيد إستمرار مد

الطالب قيد شطب

المناقشة لجنة تشكيل لانعم تمالتشكيل تاريخ

/ /

القيد / شطب مدالمشرفين السادة الكلية توقيع وكيل

105










/ /


107










/ /


109










/ /


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 Signed by candidateSigned by Supervisor Date

113








115








117






Comments by Supervisor ____________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________ __________________________________________________________________


119

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?


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


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

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

121

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


a) General Studies

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


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


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

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


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


IV. Concluding 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!

122

med.asu.edu.egmed.asu.edu.eg/uploads/med/Master_in_Pediatrics_1.doc · Web viewCourse Notes Lecture...

Documents

Transcript of med.asu.edu.egmed.asu.edu.eg/uploads/med/Master_in_Pediatrics_1.doc · Web viewCourse Notes Lecture...