Course Information Booklet Vol 2

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    A message from course coordinator

    Praise be to Allaah, Lord of the Universe. May Peace and blessings be upon Prophet Muhammad,the last of the Prophets and Messengers and upon his family and esteemed Companions.

    As a course coordinator, I welcome you to the General Pathology course. The pathology is a veryrelevant and important subject for dental students because this is the subject bridges basic dental sciences

    with clinical sciences. This course especially prepare the students to understand the oral pathology (which

    deals with oral and para oral diseases) in the following year of BDS program.

    This study guide will show you details of necessary knowledge related to the subject. During

    lectures you will notice that we will cover only the major aspects of the subject, which means that you are

    required to put more effort on self-directed learning strategies. Ultimately, you should be guided to become

    a lifelong learner.

    Being aware of the fact that students worry too much about examinations, we have made an effort

    to disperse the assessment over the whole period. In the section on assessment you will see the details of

    this process.I will be there to receive your feedback and comments and to try to resolve any difficulties during

    the implementation of the course. Please do not hesitate to contact me at any time if you need any help. The

    other staff members teaching the course are also available for any help you may need in case you have

    subject-related enquiries.

    May Allaah Subhaanuwa Taala bless you with success in the course. May All aah Subhaanuwa

    Taala guide and direct you to become a good practicing Muslim dental doctor.

    Course Coordinator

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    Course Learning Outcomes

    National Qualification Framework (NQF) Learning Domains & Course

    Learning Outcomes

    Course

    Teaching

    Strategies

    Course

    Assessment

    Methods

    1.0 Knowledge : At the end of the course, the student will be able to

    1.1 List the etiology and pathogenesis to comprehend the clinical presentation. Lectures MCQ Exam

    1.2 Recognize the altered development, growth, structure and function of the

    body that occurs as a result of disease to order investigation for confirmation

    of disease process.

    Lectures MCQ Exam

    1.3 Describe and discuss characteristic gross and microscopic pictures of

    different pathologic lesions within specific organ system and the associated

    functional disturbances to plan the treatment.

    Lectures

    Laboratory

    MCQ Exam

    OSPE

    1.4 Name the appropriate types of fixatives and the way of handling pathological

    samples, different laboratory and processing techniques to ensure the

    effectiveness of tissue transported to laboratory which facilitates the tissue

    based diagnosis.

    Laboratory OSPE

    2.0 Cognitive Skills : At the end of the course, the student will be able to

    2.1 Differentiate and analyze the pathologic pictures of different disorders based

    on gross and microscopic pictures aiming at reaching a correct diagnosis

    Lectures,

    Laboratory

    MCQ Exam,

    OSPE

    2.2 Stimulate the creative thinking for problem identification based on the

    underlying histopathological and other laboratory investigations to bring

    solutions to the identified problem.

    Lectures,

    Laboratory

    MCQ Exam,

    OSPE

    3.0 Interpersonal Skills & Responsibility:

    4.0 Communication, Information Technology, Numerical: At the end of the course, the student will be able to

    4.1 Question themselves by improving descriptive capabilities and

    communication skills.

    Group

    Discussions

    Rubric scoring

    4.2 Prepare scientific based oral and poster presentation and present in an

    effective method.

    Presentations Rubric scoring

    5.0 Psychomotor: At the end of the course, the student will be able to

    5.1 Examine specific organs or tissue slide showing particular disease process tointerpret diagnosis.

    Laboratory OSPE

    5.2 Draw the histopathology changes and diseases process through regular

    assignments to enhance their memorization process.

    Laboratory Laboratory

    Assessment

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    Course Contents

    Introduction to study of pathology

    - Definition and scope of pathology, subdivisions of pathology.

    -

    Techniques in pathology, characteristics that apply to the study of diseases.- Diagnostic pathology: biopsies, cytology and role of autopsies.

    Cellular adaptations and injury

    -

    Definitions, pathological and clinical features of atrophy, hypertrophy, hyperplasia, hypoplasia, aplasia andmetaplasia.

    - Sub cellular alterations and its causes.

    - Intracellular storage disorders: fat, glycogen, iron, lipofuscin, melanin and exogenous pigments.

    - Calcification: dystrophic and metastatic.

    - Reversible cell injury

    - Irreversible cell injury: Hypoxia and free radicals

    -

    Necrosis and Apoptosis & Cellular ageing

    Inflammation and tissue repair

    -

    Definition, etiology, classification and clinical manifestation of inflammation.

    - Cells and tissues involves in inflammation.

    - Inflammatory response and chemical mediators of inflammation.

    -

    Granulomatous inflammation: tuberculosis & actinomycosis.

    - Osteomyelitis: etiology, pathogenesis, clinical features and laboratory investigations

    - Wound healing and repair, fracture healing.

    Hemodynamic and circulatory disorders

    - Fluid disturbances and edema.

    -

    Hemostasis & thrombosis, embolism and infarction.

    - Hemorrhage & shock

    Environmental and nutritional pathology

    - Smoking, alcohol and radiation.

    - Obesity, protein energy malnutrition and vitamin deficiencies.

    Neoplasia

    -

    Definition, classification and characteristics of benign & malignant tumours.- Dysplasia, carcinoma in situ, anaplasia (cellular atypia, abnormal mitosis), invasion and metastasis.

    -

    Carcinogenesis: oncogenes and tumour suppressor genes (Rb and P53).

    - Carcinogens: physical, chemical and microbiological carcinogens.

    - Clinical and laboratory investigations of neoplasia.

    - Oral cancer screening.

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    Faculty Details

    Faculty Details College & Student

    Counselling Time

    Email ID Mobile

    01 Dr. Suban Mohammed

    Gouse

    MBBS MD (Pathology)

    Assistant Professor

    &

    Course Coordinator

    Office Room No: 615

    Extension No: 657

    College Time:

    08.00 AM05.00 PM

    Counselling Time

    Females

    Monday:08.00 AM10.00 AM

    Males

    Monday:01.00 PM02.00 PM

    [email protected] 0530490171

    In case of urgency / emergency: Students are welcome to call course coordinator in mobile, if he is not answeringsend text message and he will call back. Female Students should bring female securi ty staff or f acul ty duri ng

    counselling.

    02 Dr. N. Sylvester

    MBBS MD (Pathology)Assistant ProfessorOffice No: 611Extension No: 611

    College Time: 08.00

    AM05.00 [email protected] 0552979395

    Technician Details

    01 Nejiba Al Jhinaoui

    Room No: 637Extension: 615 & 636

    College Time: 08.00

    AM05.00 PM

    [email protected] -

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    Teaching Schedule

    Weeks Classes No Topics Faculty In charge

    1stWeek

    Lecture 01 Introduction to Pathology Dr Sylvester

    Practical 01 Tissue processing and staining. Normal oral mucous & skin Dr Suban

    2ndWeek

    Lecture 02 Cellular adaptations Dr Sylvester

    Practical 02 Hyperplasia, hypoplasia, aplasia, metaplasia Dr Suban

    3rdWeek

    Lecture 03 Subcellular alterations Dr Sylvester

    Practical 03 Hypertrophy & atrophy Dr Suban

    4thWeek

    Lecture 04 Cellular InjuryTypes, causes & mechanisms Dr Sylvester

    Practical 04 Pigmented oral lesions, calcification & fatty liver Dr Suban

    5thWeek

    Lecture 05 Cellular InjuryNecrosis & apoptosis Dr Sylvester

    Practical 05 Coagulative & Liquefactive necrosis Dr Suban

    6thWeek

    Lecture 06 Acute inflammation Dr Sylvester

    Practical 06 Acute inflammation Dr Suban

    7thWeek

    Lecture 07 Doubts clearing session on lectures Dr Sylvester

    Practical 07 OSPEMSE 1 Dr Suban & Dr

    Sylvester

    Mid Semester Examination 1 (Theory Examination)

    8thWeek

    Lecture 08 Chronic InflammationTuberculosis & Osteomyelitis Dr Sylvester

    Practical 08 Chronic inflammation Dr Suban

    9thWeek

    Lecture 09 Tissue & Fracture healing Dr Sylvester

    Practical 09 Aided and Non-aided healing, Dry socket & infected wound Dr Suban

    10thWeek

    Lecture 10 Infectious disease (Bacteria and Virus) Dr Sylvester

    Practical 10 Bacterial and viral infections Dr Suban

    11thWeek

    Lecture 11 Infectious disease (Fungus) Dr Sylvester

    Practical 11 Fungal infections Dr Suban

    12thWeek

    Lecture 12 Edema Dr Sylvester

    Practical 12 Concept of fluid dynamics Dr Suban

    13thWeek

    Lecture 13 Hemostasis, Thrombosis & Embolism Dr Sylvester

    Practical 13 Congestion, thrombus and embolus Dr Suban

    14thWeek

    Lecture 14 Doubts clearing session on lectures Dr Sylvester

    Practical 14 OSPEESE 1 Dr Suban & DrSylvester

    End Semester Examination 1 (Theory Examination)

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    Weeks Classes No Topics Faculty In charge

    15thWeek

    Lecture 15 Infarction Dr Sylvester

    Practical 15 Morphology of infarction Dr Suban

    16thWeek

    Lecture 16 Shock Dr Sylvester

    Practical 16 Bleeding disorders Dr Suban

    17thWeek

    Lecture 17 Tobacco, Alcohol & its effect Dr Sylvester

    Practical 17 Effect of alcohol on liver Dr Suban

    18thWeek

    Lecture 18 Radiation & its effect Dr Sylvester

    Practical 18 Effect of therapeutic radiation Dr Suban

    19thWeek

    Lecture 19 Obesity Dr Sylvester

    Practical 19 Obesity and NASH Dr Suban

    20

    th

    Week

    Lecture 20 PEM & Vitamin deficiencies Dr Sylvester

    Practical 20 Disorders of protein and vitamin deficiency Dr Suban

    21stWeek

    Lecture 21 Doubts clearing session on lectures Dr Sylvester

    Practical 21 OSPEMSE 2 Dr Suban & DrSylvester

    Mid Semester Examination 2 (Theory Examination)

    22ndWeek

    Lecture 22 Definition, classification & nomenclature of neoplasia Dr Sylvester

    Practical 22 Cytopathology Dr Suban

    23rd

    Week

    Lecture 23 Characteristics of benign & malignant tumours Dr Sylvester

    Practical 23 Morphology of benign and malignant tumours Dr Suban

    24thWeek

    Lecture 24 Normal cell cycle & carcinogenesis (Multi step)Oral cancer Dr Sylvester

    Practical 24 Precancerous oral lesions Dr Suban

    25thWeek

    Lecture 25 Carcinogens Dr Sylvester

    Practical 25 Squamous cell carcinoma Dr Suban

    26thWeek

    Lecture 26 Grading and staging of oral cancer Dr Sylvester

    Practical 26 Poster & Oral presentation assessment Dr Suban

    27thWeek

    Lecture 27 Systemic effect of cancer (cachexia, Paraneoplastic syndrome, tumor markers) Dr Sylvester

    Practical 27 Poster & Oral presentation assessment Dr Suban

    28thWeek

    Lecture 28 Doubts clearing session on lectures Dr Sylvester

    Practical 28 OSPEESE 2 Dr Suban & DrSylvester

    End Semester Examination 2 (Theory Examination)

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    Teaching Session

    Students Lecture Histopathology Laboratory

    Day Time Day Time

    Male

    (Group 1)

    Wednesday 11 AM12 Noon Monday 3 PM - 5 PM

    Female

    (Group - 1)

    Monday 10 AM - 11 AM

    Monday 11 AM 01 PM

    Female

    (Group - 2)

    Wednesday 10 AM 12 Noon

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    Learning Resources

    Text Books (Theory)

    - Kumar, Abbas Robbins Basic Pathology 9thEdition, Elsevier Saunders publication, USA.

    - Harsh Mohan Text Book of Pathology 6thEdition, Jaypee Publications, India.

    Work Book (Practical)

    - Suban Mohammed Gouse Pathology practical work book, 1stEdition, ISNC, KSA.

    Web sites:

    - http://www.webpathology.com

    -

    http:/medicalschoolpathology.com

    - http://library.med.utah.edu/WebPath/

    Note: Students are advised to read strictly from any of the above mentioned text books or other standard

    text books of General pathology. Handouts of lecture or practicals are meant only for revision of the classesNOT for the study of subject.

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    Mode of Assessment

    Formative Assessment(No marks are allocated to formative assessment):

    - Doubts clearing sessions (4 sessions conducted in last lecture hour before the assessment week(before MSE1, ESE1, MSE2 & ESE2)

    MCQs, Clinicopathological discussions & Quiz competition

    Students will be encouraged to interact and discuss. Gift will be given to best participatedstudent.

    Summative Assessment:

    Minimal procedure experience - MPE:

    Part1/ Laboratory sessions are evaluated according to the parameters given in assessment form.

    Students are evaluated for each session, points scored are converted to marks. Each session carries one

    mark, in the end of each exam (MSE 1, ESE 1, MSE 2, ESE 2) the marks scored in total sessions will be

    converted for maximum 3 marks.

    Part2/ oral & poster presentation are evaluated according to the parameters given in oral & poster

    presentation assessment form. Students has to present one poster & one oral presentation for the course.

    Poster and oral presentation carries 4 marks each.

    Total marks for minimal procedure experience:

    Laboratory Assessment Presentation Assessment Total

    MSE 1 ESE 1 MSE 2 ESE 2 Poster Oral

    3 3 3 3 4 4 20

    Caution Note:

    - Mobile phones are strictly not permitted to use inside the laboratory. Anyone found talking or

    texting or using the mobile for any reason will be given first warning. If the student repeat it for

    the second time, the internal mark for that session will be considered as ZERO, the columns will

    be marked with alphabet letter M (Irrespective of the student performance).

    - If there is breach in the dress code, student will not be allowed inside the lab. Automatically leads

    to ZERO mark for the session.

    - If student fail to submit the assignment continuously for two session; he or she has to get permission

    from the vice Dean Dr. Othman Wali. Loss / Missing Work Book: In the event of loss of student

    workbook, written report has to be given immediately to the course coordinator. However thelaboratory and clinical procedures recorded in the book has to be repeated.

    - Students fail to present his or her poster and oral presentation on the designated date announced by

    the department of pathology, he or she has to get permission from the Vice Dean Dr. Othman Wali,

    before OSPEESE 2. If he or she fails to get permission or come after OSPE ESE2, will be

    considered as invalid and the student will be awarded with ZERO MARKS for presentation

    assessment.

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    Objective structured practical evaluation (examination) OSPE:

    Station based objective structured practical evaluation (examination). 10 Stations in each exams (MSE1 /

    ESE1 / MSE2 / ESE2). Marks distributed for OSPE in each exam is five. Total marks for OSPE is 20.

    OSPE will be conducted in multiple batches. All the batch students should come prepared with all the

    practical content taught in the respective sessions. Students will be evaluated from the entire practical

    content. Total marks for practical session: 20 (MPE) + 20 (OSPE) = 40 Marks

    Station 1 & 2

    (Observer)

    Station 3 & 4

    (Observer)

    Station 5 & 6

    (Non Observer)

    Station 7 & 8

    (Non Observer)

    Station 9 & 10

    (Observer)

    Instruments

    Students has to:Identify and mentionuses & features ofinstruments

    Reagents / Stains

    Students has toIdentify and mentionuses & features ofreagents & stains

    Spotter

    Spot diagnosis ofgross specimens

    Spotter

    Spot diagnosis ofmicroscopic slides

    Objective reasoning

    Students has to:Describe & explainabout the changeswhich happened in the

    given scenario

    Examinations & type of questions:

    End Semester Exam 2

    (ESE2)

    Mid Semester Exam 2

    (MSE2)

    End Semester Exam 1

    (ESE1)

    Mid Semester Exam 1

    (MSE1)

    Questions

    20 Marks(50 MCQs)

    10 Marks(40 MCQs)

    12 Marks(50 MCQs)

    10 Marks(40 MCQs)

    MCQs

    05 Marks

    (5 short answers)

    -03 Marks

    (3 short answers)-Short Answers

    Overall mode of assessment:

    Examinations

    Mode of Assessments

    Laboratory

    Assessment

    OSPE MCQ

    s

    Short

    Answers

    Poster

    Presentation

    Oral

    Presentation

    Total

    MSE 1 03 05 10 - - - 18

    ESE 1 03 05 12 03 - - 23

    MSE 2 03 05 10 - - - 18

    ESE 2 03 05 20 05 - - 33

    Presentations

    (Before

    ESE2)

    - - - - 04 04 08

    Total Marks 100

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    Attendance Policy

    ISNC Student/s Attendance Policy: APP-ISNC-SA-008:

    - The maximum absence of a medical excuse acceptable is not more than 25%. If any student ofISNC cross the limit of absenteeism he/she will not be allowed to enter in the Examination.

    - After five weeks of the beginning of every semester announcement of the percentages of students

    who exceeded their absence will be posted in the college.

    -

    Students who are not allowed to take the examination, will not receive any warning letters, insteadan announcement will be posted in the academic affairs in the college.

    - If there is an absence due to a medical condition, students should provide a medical progress reports

    to the department of Academic Affairs in a period of not more than five days from the date of thecondition. A medical report has to be submitted by the student or their parents within the time framementioned. In case of any delay in the submission of medical report, college is not responsible for

    any excuse after this period.

    - If the student's absence from the Quiz, practical, midterm or end block examination and endsemester examination, a medical excuse is accepted by the dean.

    - Students have no right to claim and ask for the resit exam if the students fee is not completed.

    - After Nine weeks of the beginning of the semester, the students who exceeded above 25% of

    absenteeism the end of the ninth week a second announcement is made.

    - After 11 weeks, a final announcement of the students who have no right to enter in the finalexamination. The students who are crossing the absence above 25% in the semester will be posted

    in the college.

    Attendance Regulations for General Pathology:

    - This is a yearly course with one lecture and one laboratory session every week in each semester.

    One poster and one oral presentation session in the course. (Before the OSPEESE2).-

    A student who misses total of 6 classes in the course (year) will be warned first, followed by 9classes in the course (year) & student will be excluded from course if he misses 12 classes in thecourse (year). In case of sick leave 3 more absence are considered which makes a maximum of 15absences in the course (year) for exclusion of a student from the course in any given condition.

    Note: 1. Excluded students has to repeat the course in the next academic year he or she is not entitled forresit examination.Note: 2.No formal letters are given to the students for first and second warning; their names are displayed

    on the notice board of dentistry program at the end of 5th week or 9th week or 11th week or 13th week of

    semester. However for exclusion from course a letter is issued on the student name signed by the vice dean

    of dentistry program.