Final Revised Orthoapedic Master

FFaaccuullttyy ooff MMeeddiicciinnee

AAiinn SShhaammss UUnniivveerrssiittyy

PPoossttggrraadduuaattee SSttuuddiieess

Master of Science in Orthopaedic

Surgery

درجح اناجستير في جراحح انعظاو

Program Code: OS600

Program Guide and

Logbook

2

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

[Name]

Please attach your recent photo photo here.

[telephone no]

[mobile no]

[mailing address]

[email address]

[postcode]

Experience

[organization]

[your present job title]

[start date]

[location]

[responsibilities]

[organization]

[previous job title]

[start and end date]

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[responsibilities]

3

[organization]

[previous job title]


[location]

[responsibilities]

Education

[certificates]


[school or college]

4

Training

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

Filled by post graduate authorities

Date of Registration

First semester _______________________

Second semester _______________________

Third semester _______________________

Fourth semester _______________________

5

TABLE OF CONTENTS:

Page

I – Welcome Statement

II - Mission Statement

III – Senior supervisor and affiliated departments and Hospitals

IV – Program specifications

1 - Basic Information

2 - Professional Information

3 – Academic standards

4 - Curriculum structure and contents

5 - Program courses:

6. Program admission requirements:

7. Regulation for progression and program completion

8. Appendix: course specifications

Surgical anatomy and embryology course specifications

Histology course specifications

Physiology course specifications

Biochemistry course specifications

General pathology course specifications

Bacteriology course specifications

Pharmacology course specifications

General surgery course specifications

Orthopaedic diseases and surgery course specifications

Traumatology course specifications

Medical statistics course specifications

Rehabilitation course specifications

Forensic medicine course specifications

V - General information

VI – Your log book

1 – Introduction

2 – Supervisors

3 - Tables for training records

4 – Log book preview

VII - Head of department approval for the exam entry

Detachable forms:

VIII – Thesis follow up

IX - Evaluation forms

6

I – Welcome Statement:

The Department of Orthopaedic Surgery welcomes you to the Master of

Science in Orthopaedic Surgery program. As a department we are committed to

medical student education and continuously strive to improve your educational

experience.

This handbook presents information guide and logbook activity of this degree

administered by the Orthopaedic Surgery department, Faculty of Medicine, Ain

Shams University.

II - Mission Statement:

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

“Preparation of a trained physician, researcher and life long tutor capable of

following standards of medical care and ethics, with managerial and technical

skills in his specialty. Furthermore, promotion outstanding programs of health

care to serve the society, environmental development and targeted scientific

research for continual improvement of health”.

The mission of this degree is to prepare a well-trained knowledgeable

orthopaedic surgeon capable of diagnosing, managing, and planning correctly for

the treatment of orthopaedic cases. In addition to being capable of communicating

efficiently with his colleages, patients, working staff and coping with the

advancing scientific progress in the field of orthopaedic surgery.

III – Senior Supervisor and Affilated Departments and Hospitals

Senior Supervisor

Prof.

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

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

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

E-mail: ------------------------

Affilated Departments and Hospitals

El- Demerdash University Hospital

Ain Shams University Specialized Hospital

IV – Program Specifications

A- Basic Information

1. Program title:

Master Degree in Orthopaedic Surgery

2. Program type: single

3. Faculty

Faculty of Medicine

7

4. Department

Orthopaedic Surgery

5. Assistant co-ordinator

Prof. Dr.Khaled Emara

Dr. Mohamed Abdel-Moneim

Dr. Ahmed Morsi

Dr. Osama El-Shazly

6. Co-ordinator

Prof. Dr.Rafik Sadek & Prof. Dr. Ali Ibrahim

7. Last date of program approval:

…………………August 2009……………………………

B- Professional Information:

1. Program aims:

The aim of this degree is to prepare a well-trained knowledgeable

orthopaedic surgeon capable of diagnosing, managing, and planning correctly for

the treatment of orthopaedic cases. In addition to being capable of communicating

efficiently with his colleages, patients, working staff and coping with the

advancing scientific progress in the field of orthopaedic surgery.

2. Intended learning outcomes (ILOs):

a. Knowledge and understanding:

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

a1- Know the anatomy of the upper limbs, lower limbs, and trunk.

a2- Recognize the histology of bone, cartilage, muscle, and connective tissue.

a3- Understand the musculoskeletal pathology

a4- Understand the pharmacologic principles of drug therapy in orthopaedics

a5- Understand the principles of case management and operative intervention in

different orthopaedic subspecialities including trauma, sport medicine, tumours,

pediatrics, spine, arthroplasty, hand and foot.

b. Intellectual capabilities:

By the end of this program the student should be able to:

b1- Classify orthopaedic disorders.

b2- Differentiate orthopaedic disorders from each other.

b3- Assess multi-system disease.

b4- Select appropriate laboratory tests.

b5- Interpret appropriate laboratory tests.

b6- Select appropriate imaging technique for diagnosis of orthopaedic diseases.

b7- Interpret radiological imaging.

b10- Select the proper line of treatment.

8

c. Professional and practical skills:

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

c1- Clinical examination of orthopaedic cases with variable presentation in the

outpatient clinic

c2- Orthopaedic case management in the emergency room

c3- Bedside orthopaedic techniques in the ward

c4- Operative intervention in different orthpaedic subspecialities

d. General and transferable skills:

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

d1- Communication skills and teamwork

d2- Presentation and language skills

d3- Problem solving and brainstorming skills

d4- Computer skills

d5- Time and stress management skills

3. Academic standards: (Benchmarks)

- SICOT training manual

- Canadian Orthopaedic Association Standards

4. Curriculum structure and contents:

4a- Program duration: 2 years (4 Semesters)

4b- Program structure:

انناهج

انكىد انقزراث انذراسيتانساػاث

انؼخذة

دورة أساسياث انبحث انؼهي يخطهباث انكهيت

انجزء األول

OS6001 2 وانهسخىنىجيا واننى انجنين انخشزيح انجزاح

انفسيىنىجيا وانكيياء انحيىيت و باثىنىجيت انجزاحت

انؼايتOS6002 2

رياكىنىجياانبكخزيىنىجيا و انفا

و يقزر ػه وػه واكهينيك ف انجزاحت انؼايت

وفزوػها

OS6003 2

6 انزسانت

انجزء انثاني OS6004 9 ايزاض جزاحت انؼظاو و انباثىنىجيا انجزاحت انخاصت

OS6005 8 اصاباث انؼظاو

االخخياريت انقزراث

:يخخار انطانب يادة واحذة ين

E6147-حأهيم األصاباث E6009-األحصاء انطب E6148طب شزػ

E6009 E6147 E6148

1

6 كزاست األنشطت

36 انجىع

9

5. Program courses:

a- Compulsory

Course title Code

Surgical anatomy & embryology

histology

OS6001a

OS6001b

Physiology

Biochemistry

General pathology

OS6002a

OS6002b

OS6002c

Bacteriology

Pharmacology

General surgery

OS6003a

OS6003b

OS6003c

Orthopaedic Diseases OS6004

Orthopaedic Trauma OS6005

b- Elective courses

Course title Code

Medical statistics E6009

Rehabilitation E6147

Forensic medicine E6148

6. Program admission requirements:

10

7. Regulation for progression and program completion

.

11

Assessment Schedule and Weighing of Assessments

Item Mark

Po

ints

GP

A s

core

ةغان

اننححا

Stu

den

t

sta

te

During

semester

End of

semester Total

First semester (If present) 100 300 400

Second semester 100 100

Third semester 100 100

Fourth

semester

Final exam

Written

900 900

Oral

Practical

/Clinical

Total 300 1200 1500

12

:عه انىج انتانتعادل درجاخ انغانة عثقا نهقاط : يهحىظح

نقاط 4 : فأكثز % 99 -1 A

نقاط 3663 : % 99حخ أقم ين % 85ين -2 A-

نقاط 3633 : %85حخ أقم ين % 89ين- 3 B+

نقاط 3699 : %89حخ أقم ين % 35ين - 4 B

نقاط 2663 : %35حخ أقم ين % 39ين- 5 B-

نقاط 2633 : %39حخ أقم ين % 65ين- 6 C+

نقاط 2699 : %65حخ أقم ين % 62ين -3 C

نقاط 1663 : %62حخ أقم ين % 69ين- 8 C-

F صفز : %69أقم ين - 9

درجح نهجسء 011درجح يها 0011يجىع درجاخ االيتحا انهائ نهدتهىو انعان واناجستير

.درجح نهجسء األول إ وجد 011درجح يها 0011األول ويجىع درجاخ االيتحا انهائ نهدكتىرا

درجح 011رجح نهدتهىو انعان واناجستير ود 011ه انتراك تا يىازي صويضاف إنيها انعدل انف

.نهدكتىرا

عهى ساىاش يجىىع حاضىم نىرب قىاط كىم يقىرر يضىروتا ( GPA)ويتى حساب انعدل انفصه

. ف عدد ااعات انعتدج يقسىيا عه انساعاخ انعتدج نهقرراخ انت دراىها انغانىة فى انفصىم اندرااى

عهى ساىاش يجىىع حاضىم نىرب انقىاط انتى حصىم ( CGPA)انة انعدل انتراك نهغ كا يتى حساب

.عهيها انغانة ف كم يقرر يضروتا ف عدد ااعات انعتدج يقسىيا عه يجىع انساعاخ انعتدج انكهيح

يىىتى سو انىىدكتىرا واناجسىىتير فىى انىىدتهىو س قىىرراخ انفىى حانىىح انراىىىب فىى يىىادج سو يجىعىىح يىى

ويتى حساب انتقىدير انفعهى انىيي يحصىم عهيى فى سول إعىادج فقىظ سيىا إ ا . انجىعح فقظ اإلعادج ف انادج سو

قاط اي 0.01اي)فقظ % 01تكرر راىتح فيحسة ن عد انجاح تقدير -

C)6

Anatomy and Emberyology course specification

University: Ain Shams University Faculty: of Medicine

Course specifications

Program on which the course is given: Master degree in Orthopedics

Major or minor element of programs: Major

Department offering the program: Orthopedic department- Ain Shams

University

Department offering the course: Anatomy department.

Academic Level: Master – 1st semester

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


Title: Anatomy course Code: OS6001a

Credit Hours: 1 hour Lecture: 0.5h / week Total: 15

13

Coordinator

Anatomy department

B - Professional Information

1- Course Aims:

At the completion of this course students will have an understanding of the

functional anatomy of the human musculoskeletal system including major nerve

and vascular trunks:

1. Anatomical terminology and the skeleton

2. Upper limb musculature, joint structure, vasculature and innervation

3. Lower limb, musculature, joint structure, vasculature and innervation

4. Axial musculature joint structure, vasculature and innervation

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) Describe the basic principles of structure of the the musculoskeletal

system of the human body.

a2) Describe the surface landmarks of the underlying bones, muscles and

tendons.

a3) Outline major clinical applications of anatomical facts.

b- Intellectual skills

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

b1) Apply the anatomical facts while examining the living subject in order

to reach a proper diagnosis.

b2) Identify the different surface markings and determine the position or

course of internal structures.

b3) Interpret the normal anatomical structures on radiographs and

ultrasonography, CT scan and nuclear magnetic resonance images.

c- Professional skills


c1- Differentiate anatomical structures of the musculoskeletal system.

c2- Select the proper surface markings for an anatomical structure.

c3- Differentiate between normal and abnormal anatomical structure of the

musculoskeletal system.

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d- General and transferable skills


d1) Maintain honesty and integrity in all interactions with teachers,

colleagues, patients and others with whom surgeons 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.

d4) Maintain a professional image concerning behavior, dress and speech.

3- Course content:

Topics No of hours

L SDL

Bones and Skeleton – Overview 1

Joints and Muscles - Overview 1

Shoulder, Arm 1

Elbow, Forearm 1

Wrist, Hand 1

Upper Limb - Nerves & Vessels, surface anatomy 1

Hip, Thigh 1

Knee 1

Ankle and Foot 1

Lower Limb - Nerves & Vessels, surface anatomy 1

Neck 1

Vertebral Column 1

Spinal Muscles, surface anatomy of the back 1

Introduction to Biomechanics 2

L: Lectures and SDL: Self directed learning

4 - Student Assessment Methods

4.1 written exam to assess knowledge

4.2 Practical exam to assess skills

4.3 Oral exam to assess General and transferable skills

Weighing of assessment

4.1 written exam 40

4.2 Practical 10

4.2 oral exam 10

Total 60

5 -- List of References

5.1- Course Notes (paper and / or electronic)

None

5.2- Essential Books (Text Books)

15

Gray's Anatomy, 39th

edition, 2005

5.3- Recommended Books

Moore, K.L. and A.F. Dalley, Clinically Oriented Anatomy, 5th edition,

Lippincott, Williams & Wilkins, 2005.

Tank, P.W., Grant's Dissector, 13th edition, Lippincott, Williams and Wilkins,

2005

Agur, A.M.R. and Dalley, A.F. Grant's Atlas of Anatomy, 11th edition,

Lippincott, Williams & Wilkins, 2005

5.4- Periodicals, Web Sites, etc

http://www.med.mun.ca/anatomyts/msk/msktut.htm

http://www.med.mun.ca/anatomyts/radioanat/radiology/msk/limbmsk.htm

http://uwmsk.org/RadAnatomy.html

http://www.rad.washington.edu/academics/academic-sections/msk/muscle-atlas/

http://www.medmatrix.org/_SPages/rheumatology.asp

Histology course specification University: Ain Shams University Faculty: of Medicine


Program on which the course is given: Master degree in Orthopedics


Department offering the program: Orthopedic department- Ain Shams

University

Department offering the course: Histology department.




Title: Histology course Code: OS6001b

Credit Hours: 1 hour Lecture: 0.5h/week Total: 15

Coordinator

Histology department


1- Course Aims:

The main purpose of this course is introducing the academic background and

practical experience about the preparation of tissues and organs of all animal body

and describe them microscopically






16




a1- Understand the microscopic and ultra structure of the cell.

a2- Know the structure of the cells in correlation to their functions.

a3- Recognize basic microscopic structure of the cell, the connective tissue, the

cartlage, bone, muscular tissue, vascular system and endocrine system.



b1- Describe and identify the microscopic structure of the given sample.

b2- Correlate the normal structure with the function.

b3- identify the normal from the abnormal structures.



c1- Examine and describe examined histological specimens.



d1) Maintain honesty and integrity in all interactions with teachers, colleagues,

patients and others with whom surgeons 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.


d4) Maintain a professional image concerning behavior, dress and speech.

3- Course content :

(1) THE CELL:

The cell membrane: L.M, E.M. and molecular structure

The cytoplasm: cell organelles, cytoskeleton, cell inclusions

The nucleus

(2) CONNECTIVE TISSUE

Types of connective tissue cells ( L.M, E.M & functions)

Types of connective tissue fibers

Types of connective tissue proper and function

(3) CARTILAGE:

Cartilage cells

Types of cartilage

Growth of cartilage.

17

(4) BONE:

Function

Types of bone

Bone cells

Bone matrix

Ossification

Repair of fracture

Joints.

(5) MUSCULAR TISSUE:

Skeletal muscles: light and electron microscopic structure.

(6) NERVOUS TISSUE:

Neuron: structure by L.M & E.M.

Types of nerve cells

Nerve ganglia

Synapses

(7) VASCULAR SYSTEM:

General microscopic structure of blood vessels.

Arteries: Medium sized arteries & large elastic arteries

Veins: medium sized veins & large veins

Blood capillaries: types & structures.

(8) ENDOCRINE SYSTEM:

Pituitary gland

Thyroid gland

Parathyroid gland

Suprarenal gland







4.1 written exam 20

4.2 Practical 10

4.2 oral exam 10

Total 40


18


None


Gray's Anatomy, 39th

edition, 2005


Moore, K.L. and A.F. Dalley, Clinically Oriented Anatomy, 5th edition,

Lippincott, Williams & Wilkins, 2005.

Tank, P.W., Grant's Dissector, 13th edition, Lippincott, Williams and Wilkins,

2005

Agur, A.M.R. and Dalley, A.F. Grant's Atlas of Anatomy, 11th edition,

Lippincott, Williams & Wilkins, 2005







Physiology course specification

University: Ain Shams University Faculty: of Medicine


Program on which the course is given: Degree in orthopedics surgery


Department offering the program: Orhthopedic department.

Department offering the course: Physiology department.




Title: Physiology course Code: OS6002a

Credit Hours: 0.6 Lecture: 1.2h/ 2 week Total: 9 hours

Coordinator

Physiology department


1- Course Aims:






19

The aims of this course are to enable students to:

1. Acquire an appropriate functional background of cells, tissues, organs &

systems.

2. Integrate physiological data & mechanisms with the ongoing basic sciences:

anatomy, histology & biochemistry and clinical applications.

3. Follow the rapidly changing and inflating details about molecular biology &

genetics.

4. Explore in detail the functions of the autonomic, the neuromuscular5. Develop

the basic scientific research skills as well as effective communication and team

work attitudes.

II. INTENDED LEARNING OUTCOMES:


a- Knowledge and understanding 1. Describe the cellular functions at the organelle and molecular level.

2. Describe & explain the functions of the nerve cell the nerve and muscle fiber

grossly and at the molecular level.

3. Describe & explain the functions of the muskloskeletal system both grossly and

at the molecular level.

4. Describe some biophysical laws and their relation to physiology.



1. Interpret the most important physiological laboratory results (blood,

neuromuscular), to distinguish a physiological from a pathological condition.

2. Comment, on some clinical parameters such as: EMG, nerve conduction velocity

for a normal individual.

3. Integrate physiology with other basic and clinical sciences.



C1. Present physiological scientific data in a graphical form.



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.


III. COURSE CONTENTS:

20

3- Course content:

Topics No of hours

L SDL

Calcium homeostasis and regulation 1

Physiology of skeletal muscles 1

Muscle Tone (Hypo. & Hypertonia). 0.5

Physiology of nervous system 1

VoIuntary Control and Motor Lesions. 0.5

Sensations and Sensory Lesions 0.5

Autonomic nervous system 0.5

Absorption & Malabsorption. 0.5

Body response to trauma. 1

Pituitary gland 0.5

Acid base and fluid balance. 0.5

Resp. Functions 0.5

Resp. Failure, Hypoxia, Cyanosis & O2 Therapy. 0.5

Energy Balance & Obesity. 0.5


. 4 - Student Assessment Methods





4.1 written exam 20

4.2 Practical 6

4.2 oral exam 6

Total 32



Lecture notes.


Guyton: Textbook of Medical Physiology.

Ganong: Review of Medical Physiology.

Illustrated medical physiology

medical biochemistry and Molecular biology course specification University: Ain Shams University Faculty: of Medicine

21


Program on which the course is given: Master of orthopedics.

Major or minor element of programs: Major.

Department offering the program: Orthopedic department.

Department offering the course: Medical biochemistry and Molecular biology

department.




Title: Medical biochemistry and Molecular biology course Code: OS6002b

Credit Hours: 0.6 Lecture: 1.2h/ 2 week Total: 9 hours

Coordinator

Medical biochemistry and Molecular biology department


1- Course Aims:

1. To enable students to understand the essential topics of biochemistry including

micro- and macromolecules of carbohydrates, lipids, proteins, nucleotides and

nucleic acids.

2· To enable the student to describe the biological membrane, the role of free

nucleotides in signal transduction control, and macromolecules involved in

transmission of information from gene expression to the formation of functioning

proteins.

3· To familiarize the students with basic principles of Molecular biology and

protein synthesis.

4· To enable the student to be familiar with biotechnology methods and their

clinical implications.

5· To make the student oriented with the physico-chemical basis of the biological

systems; and the related clinical problems




a1. Describe the structure and properties of caribodydrates, lipids and proteins of

biological importance.

a2. Describe the structure of cell membrane and point out its importance.

a3. Describe the structure of heme and proteins of the extra-cellular matrix.

22

a4. Demonstrate the structure and importance of immunoglobulins.

a5. Describe the chemistry of nucleotides and nucleic acids.

a6. Point out the processes of replication, transcription and translation.

a7. Describe recombinant DNA biotechniques.

a8. Point out the significance of human genome project and the principles of gene

therapy.



1. Interpret the observations of chemical tests to identify unknown sugar or protein

solutions.

2. Identify electrophoresis bands and comment on them.

3. Interpret the photographs of electrophoresis runs of Polymerase chain reaction

(PCR) products.



c1 - Select the proper investigation.

c2 - Read and evaluate scientific literatures.



d1 - Work effectively in a group during preparation of seminars.

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

occupation.

3- Course content:

Topics No. of hours

L

Carbohydrate metabolism 1

Lipid metabolism 1

Metabolism of protein 1

Hormone biosignaling 1

Calcium metabolism 1

Vitamins and diseases 1

Hyperuricemia 0.5

Diagnostic enzymology 0.5

Tumour markers 0.5

Hepatitis markers 0.5

Molecular biology 0.5

Stem cells 0.5

23

L: Lecture






4.1 written exam 20

4.2 Practical 6

4.2 oral exam 6

Total 32



Electronic lectures


Lecture notes on molecular medicine


Harper's Biochemistry.

* Lippincott's Illustrated Biochemistry.


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




Department offering the program: orthopedic department

Department offering the course: Pathology department.




Title: Pathology course Code: OS6002c

Credit Hours: 0.8 Lecture: 1.6 h/ 2 week Total: 12 hours

Coordinator

Pathology department

B- Professional Information

1. Overall Aims of Course

24

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

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

and applicable knowledge and skills for common diseases and life threatening

illnesses affecting body organs and system. It helps the candidate to understand the

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

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

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

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

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

2. Intended Learning Outcomes of Course (ILOs)

a- Knowledge and Understanding:


a.1- Recognize and define the basic pathologic processes that disturb the structure

and function of the body including cell injury, tissue response to injury

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

infections and parasitic diseases.

a.2- List the causes of common diseases affecting organs or systems.

a.3- Explain the pathogenesis of common diseases affecting organs or systems

a.4- Recognize and describe the basic pathologic features (morphologic

alterations) including the gross and microscopic pictures of various common

diseases affecting organs and systems.

a.5- Describe how the pathological processes affect the structure and function of

the organ systems of the human body

a.6. Identify the functional consequences and clinical manifestations of common

diseases affecting specific organs or systems.

a.7-Explain the signs and symptoms of disease based on its pathogenesis, thereby

demonstrate clinical reasoning.

a.8- Interpret and identify the complications of common diseases.

a.9- Describe the effect of environmental factors on causation and geographical

variation of disease.

a.10- Recognize and be fully familiar with the terminology used in the

classification, investigation and description of disease, enabling effective

communication with professional colleagues and patients.

b-Intellectual Skills


25

b.1- Correlate the pathologic features of the disease with its clinical presentation,

laboratory investigations and complications.

b.2- Develop skills of observation, interpretation, and integration needed to

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

c- Professional and Practical Skills


c.1- Recognize and interpret the important pathologic lesions in a pathology

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

and therapy.

c.2- Select appropriate preservative material necessary for different kind of

specimens for different types of pathologic investigations.

c.3- Select appropriate method of investigation for examination needed to reach a

correct diagnosis.

c.4- Handle and select appropriate tissue from fresh specimen for frozen section

examination.

d- General and Transferable Skills


d.1-Use database to collect material needed for research.

d.2-Gather and organize material from various sources (including library,

electronic and online resources).

d.3- Present a research assignment orally and deliver it in both written and

electronic forms.

d.4- Ensure that request form and specimen identification is accurate and identify

and resolve any errors or discordance.

d.5- Communicate with pathologists promptly and accurately.

d.6- Understand the importance of continuing professional development.

d.7- Demonstrate knowledge of the importance of ethical approval and patient

consent for clinical research.

d.8- Work cooperatively and show respect for others opinions.

3- Course content:

Topics No of hours

L

General Pathology

Course:

Acute and Chronic Inflammation

Cell Injury Adaptation and Death

Pathological Calcification and

Pigmentation

Intracellular accumulations

2

26

Amyloidosis

Tissue Repair and Healing

Granulomas

Parasitic Diseases

Bacterial Infections

Haemodynamic Disturbances

Disorders of Cellular Growth,

Differentiation and Maturation

Neoplasia

Systemic Pathology

Course

Metabolic bone diseases

Richets/ osteomalacia

Hyperparathyroidism

Crystal deposition diseases

Osteoporosis

Pagets disease

1

Rheumatic disorders

Rheumatoid arthritis

Rheumatic fever

SLE

Seronegative arthropathies

1

Infections of bone

Osteomyleitis

Septic arthritis

T.B.

Syphilis

1

Benign bone tumours

1

Cartilaginous 1

2

osseus 1

Malignant bone tumours

1

cartilagenous

1

2 Osseus 2

Metastasis 1

Tumour like conditions 1






4.1 written exam 20

4.2 Practical 8

4.2 oral exam 8

27

Total 36



General and Systemic Pathology Notes written by staff members of Pathology

Department


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

edition

Philadelphia, PA: W.B. Saunders.


…………………………………………………………………………………


http://www.webpath,

http://www.pathguy

http://www.pathmax.com,

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

Clinical bacteriology course specification University: Ain Shams University Faculty: of Medicine



Major or minor element of programs: Major.

Department offering the program: Orthopedic department.

Department offering the course: Microbiology and Immunology department.




Title: Clinical microbiology course Code: OS6003a

Credit Hours: 0.5 hour Lecture: 1/ 2 week Total: 7.5 hs

Coordinator

Microbiology and Immunology department.


1- Course Aims:

1· To educate students about the basic features of general bacteriology, virology

and mycology and to provide students with an understanding of the immune

http://www.pathguy/

http://www.pathguy/

http://www.pathmax.com/

28

system, its protective functions and its role in the patho-physiology of infectious

and non- infectious diseases

2· To familiarize students with the common infections and diseases of medical

importance, their microbial causes, as well as laboratory diagnosis, treatment,

prevention and control of such diseases

3· To enable the students to practice the principles of sterilization and infection

control.




a1. Illustrate general bacterial morphology, physiology and genetics.

a2. Understand the host parasite relationship and microbial pathogenesis.

a3. Explain the physiology of the immune system, its beneficial role, as well as its

detrimental role in hypersensitivity, autoimmunity and transplant rejection.

a4. Describe the morphology, culture, antigenic structure and virulence factors of

microorganisms of medical importance.

a5. Recognize the most important infectious clinical conditions and outline the

diagnosis, treatment, prevention and control of the most likely organisms causing

such diseases.

a6. Describe the most important methods of decontamination and principles of

infection control

a7. Describe recombinant DNA biotechniques.

a8. Describe the basics of antimicrobial uses and resistance.



b1- Interpret results of microbiological, serological and molecular tests

b2- Interpret microbiological, immunological and molecular reports

b4-Formulate a systematic approach for laboratory diagnosis of common infectious

clinical conditions and select the most appropriate and cost-effective tool leading

to the identification of the causative organism

b5-Evaluate according to evidence the causal relationship of microbes and diseases

b6- Categorize a microorganism as a bacterium, virus or fungus according to

standard taxonomy

b7- Report and appraise a concise scientific activity according to standard

scientific thinking and integrity

b8- Appreciate the danger of handling and use of infectious agents on community

and environment as a part of their ethical heritage

29



c1 - Identify medically important bacteria based on microscopic examination of

stained preparations

c2 -Perform a Gram stain and a Ziehl-Neelsen stain and identify, according to

morphology and characteristics, stained preparations

c3- Identify culture media and biochemical tests commonly used for bacterial

identification and distinguish positive and negative results

c4- Perform hand wash and control of steam sterilization

c5 -Select the proper investigation.

c6 - Read and evaluate scientific literatures.





occupation.

3- Course content:

Topics No. of hours

L

Sterilization techniques 1

Bacterial structure, physiology, & classification 0.5

Neisseria and Parvobacteria (Haemophilus, Bordetella, Brucella,

Legionella, Yersinia & Pasteurella)

0.5

Enterobacteriaceae 0.5

Pseudo monads, Vibrios, Campylobacter & Helicobacter Gram

negative anaerobic bacteria

0.5

Spirochetes Mycobacteria Chlamydia, Mycoplasma, Rickettsia 0.5

Basic Mycology: classification of fungi, antifungal drugs 0.2

Basic Virology Major Virus Groups 0.3

Basic immunology: Tissues and cells of immune response, types of

immune response, Immunoglobulins, Humoral immune response

,complement, Ag-Ab reactions Cell-mediated immunity, Cytokines,

immunity to bacterial infection and immunoprophylaxis

1

Hospital-acquired infection and infection 0.5

Hypersensitivity 0.5

Autoimmunity and tumor Immunology 0.5

Immupodeficiency and infections in immunocompromized host 1

L: Lecture

30






4.1 written exam 15

4.2 Practical 5

4.2 oral exam 5

Total 25




Jawetz, Melnick and Adelberg’s Medical Microbiology



o [email protected]

o http://www.phage.org/black09.htm

o http://www.microbe.org/microbes/virus_or_bacterium.asp

o http://www.bact.wisc.edu/Bact330/330Lecturetopics

o http://whyfiles.org/012mad_cow/7.html

o http://www.microbelibrary.org/

o http://www.hepnet.com/hepb.htm

o http://www.tulane.edu/~dmsander/Big_Virology/BVHomePage.html

o http://www.mic.ki.se/Diseases/c2.html

o http://www.med.sc.edu:85/book/welcome.htm

o http://www.biology.arizona.edu/immunology/microbiology_immunology.ht

ml

Pharmacology course specification University: Ain Shams University Faculty: of Medicine




Department offering the program: Orthopedic deprtment

Department offering the course: Pharmacology department.



31


Title: pharmacology course Code: OS6002b

Credit Hours: 0.5 hour Lecture: 1/ 2 week Total: 7.5 hs

Coordinator

Pharmacology department


1- Course Aims:

The aim of this course is to provide students with an understanding of the

principles of pharmacology. For each medication, understand the dosing,

pharmacokinetics, metabolism, mechanisms of action, side effects, drug

interactions, compliance issues, costs, and use in specific patient populations, such

as renal insufficiency and including fertile, lactating, pregnant women, pediatric

and geriatric population.




a1) Discuss the pharmacokinetic, pharmacodynamic and pharmacotherapeutic

properties of different groups of drugs.

a2) -Discuss the adverse and toxic effects, and their management of commonly

used groups.

a3) Give an account on limitations to the use of drugs such as 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 relative advantages and

disadvantages of various pharmacotherapy modalities.

a6) Discuss the role, prevalence and limitations of alternative and complementary

therapies commonly in use.

a7) Recognize the rational and general guidelines of the use of drugs in the proper

dose in special population such as pediatrics, geriatrics, pregnancy and lactation

and in cases of liver and kidney impairment.



b1) Calculate accurately drug’s dosage, bioavailability, plasma half life and

volume of distribution in different patient populations.

b2) Obtain and record a comprehensive drug history of the patient.

b3) Document drug adverse reactions.

32

b4) Observe, record and analyze the effect of drugs on biological tissues

b5) Write prescriptions for musculoskeletal diseases.

b6) Audit prescriptions citing multiple drugs.



c1) integrate, analyse and summarise 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 judgements;

c2) think independently, evaluate and reflect, set tasks and select appropriate and

reasoned approaches to solve problems;

c3) use knowledge and understanding of the pharmacological sciences to

formulate and apply theprinciples of scientific inquiry to address pharmacology-

related problems;

c4) apply the knowledge and understanding of the pharmacological sciences to

plan and undertake hypothesis-driven pharmacological research.

c5) demonstrate confidence and competency in understanding, analysing and

interpreting pharmacological data



d1- Demonstrate respect to all patients irrespective of their socioeconomic levels,

culture or religious beliefs and use language appropriate to the patient’s culture .

d2- Provide appropriate basic drug education to the patient and his family.

d3-Communicate effectively with other health care professionals to maximize

patient benefits and minimize the risk of errors.

d4 - Understand the importance of life-long self-learning and show a strong

commitment to it.

d5 - Use current IT for appropriate drug database to reach information about a

specific medication.

d6- Respect patient’s beliefs, values and privacy.

d7- Respect ethics related to drug prescription and use specially to drugs liable to

produce abuse.

d8- Recognize and effectively deal with unethical behavior of other members of

healthcare team.

- Course content:

Topics No of hours

L

Analgesics: non- steroid anti- inflammatory I 0.5

33

Analgesics : NSAIDS II 0.5

Recent Anti cox drugs 0.5

Opiates and opiate like drugs 0.5

Muscle relaxants 0.5

Corticosteroids 0.5

Anticoagulants: oral 0.5

Anti coagulants: Low molecular 0.5

Calcium metabolism and drugs of osteoprosis 0.5

Antibacterials: General 0.5

Antibacterials: Gram +ve 0.5

Antibacterials: Gram –ve 0.5

Special Chemotherapy: T.B.- Antivirals 0.5

Cancer chemotherapy 0.5

Drugs used in anaesthesia 0.5







4.1 written exam 15

4.2 Practical 5

4.2 oral exam 5

Total 25



None



Principles of Clinical Pharmacology


http://www.centerwatch.com/drug-information/fda-approvals/drug-

areas.aspx?AreaID=8

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

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

m

General surgery course specification University: Ain Shams University Faculty: of Medicine

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

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

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

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

34


Program on which the course is given: Master of Science in orthopedics.


Department offering the program: Orthopedic deprtment

Department offering the course: General surgery department.




Title: General surgery course Code: OS6002c

Credit Hours: 1 hour Lecture: 1h / week Total: 15

Coordinator

General surgery department


1- Course Aims:

To provide the student with the knowledge, and skills which enable him/her to

identify, analyze, manage and/or refer clinical surgical problems in order to

provide efficient, cost effective and humane patient care.

To provide the student with an appropriate background covering the common

and/ or important surgical emergencies.

To enable the student to detect cancer at an early stage.

To enable the development and application of appropriate professional attitudes,

ethical principles and communication skills.




a1- Describe the anatomy of surgically-important regions, organs and structures of

the body.

a2- Describe the etiology, pathogenesis and pathology of important and/ or

common surgical diseases.

a3- Discuss the clinical manifestations, complications, diagnostic modalities,

outcome and treatment plans for common and/or important surgical problems, with

special emphasis on emergencies and malignancies.

a4- Explain the methods of screening and early detection of cancer.

a5- Recognize the ethical principles that govern decision-making in surgical

practice.

a6- Discuss the principles and practice of preoperative preparation and

postoperative care.

35

a7- Describe the basic steps needed for the conduction of safe anesthesia.

a8- Outline the physiologic effects of pain and the principles of its management.



b1- Interpret patient symptoms and physical findings in terms of their anatomic,

pathologic and functional diagnostic significances.

b2- Identify problems, prioritize them, and generate a list of differential diagnosis

for each problem.

b3- Select the most appropriate and cost-effective diagnostic and therapeutic

procedure for each problem.

b4- Interpret the results of commonly used diagnostic procedures.

b5- Use the results of all the tests ordered to modify the problem list and the

differential diagnosis accordingly.

b6- Combine the clinical and investigational database, with the evidencebased

knowledge and the skill of deductive reasoning to be proficient in clinical problem-

solving.

b6- Interpret the observations of chemical tests to identify unknown sugar or

protein solutions.



c1 18- Recognize patients with life/organ-threatening surgical conditions and

perform appropriate initial therapy.

c2- Identify and outline management of patients with chronic surgical conditions

requiring long-term follow-up, rehabilitation and pain relief.

c3- Perform routine bedside procedures.

c4- Apply the principles of sterile techniques and infection control guidelines.

c5- Achieve consensus with the patient or patient surrogate on the treatment plan

selected.

c6- Monitor the effectiveness of therapy by identifying clinical and investigative

parameters to be used in assessing the patient’s response to treatment and re-

evaluate management plan accordingly.





occupation.

36

3- Course content:

Topics No. of hours (L)

General Surgery 2

Plastic surgery 2

Vascular surgery 2

Head and neck 2

GIT & abdominal surgery 1

Cardiothoracic 1

Urology 1

Anesthesia 2

Neurosurgery 2

L: Lecture






4.1 written exam 30

4.2 Practical 10

4.2 oral exam 10

Total 50

End semester exam 100





Bailey and Love’s Short Practice of Surgery, 23rd Edition.

Current Surgical Diagnosis and Treatment, 11th Edition.

Browse NL: An introduction to the Symptoms and Signs of Surgical Disease.


orthopedic surgery and orthopedic pathology course specification University: Ain Shams University Faculty: of Medicine




37

Department offering the program: Orthopedic surgery department

Department offering the course: Orthopedic surgery department.




Title: Orthopedic surgery and orthopedic pathology course Code: OS6004


Clinical: 2.7h/ week Total: 81

Field: 1.8 h / week Total: 108

Coordinator

Orthopedic surgery department


1- Course Aims:

To provide the candidate with the academic knowledge and clinical skills

necessary for accurate diagnosis and management of different orthopaedic

pathologies.

To develop the candidate,s ability to interpret and analyse orthopaedic cases in

order to reach a provisional diagnosis, and carry on a reasonable deduction to

reach a difintive diagnosis

To provide the candidate with the basic operative skills necessary for the

management of different orthopaedic conditions/diseases.

2- Intended Learning Outcomes (ILOs) from the Course: (Review the attched detailed orthopaedic training program content)



nderstand the scientific basis of:

a1- Infections of bones and joints

a2- Benign and malignant bone tumours

a3- Pediatric orthopaedic disorders

a4- Inflammatory/degenerative conditions of bones and joints

a5- Disorders of the spine

a6- Metabolic bone disorders



38

b1- Carry on systematic analysis of orthopaedic cases based on history and clinical

examination

b2- Conclude the possible differential diagnoses and order necessary investigations

b3- Interpret and brainstorm radiographic and laboratory data

b4- Correlate clinical findings with investigation results

b5- Reach a definitive diagnosis for different orthopaedic pathologies

b6- Perform careful decision making for the plan of treatment



c1- Perform clinical orthopaedic examination for different joints/regions

c2- Carry out bedside orthopaedic interventions in the ward

c3- Perform operative intervention for different orthopaedic pathologies

c4- Carry out surgical approaches for different joint/regions

c5- Use a diversity of orthopaedic implants and prsotheses





occupation.

d3- Acquire computer and language skills in preparing case presentations and

lectures or performing research

d4- Decision making and brainstorming skills

d5- Leadership and teamwork skills

3- Course content: (Please review the attched detailed orthopaedic training program content)

Topics No. of hours

L C F

1-Bone and joint infections 7 9 12

2-Benign bone tumours 7 9 12

3-Malignant bone tumours 7 9 12

4-Paediatric orthopaedic disorders 7 9 12

5-Inflammatory/crystal induced arthropathy 7 9 12

6-Degenerative bone and joint disorders 7 9 12

7-Diseases of the spine 7 9 12

8-Osteonecrosis 7 9 12

9-Metabolic bone disorders 7 9 12

L: Lecture, C: Clinical and F: Field


39




4.4 Clinical exam to assess skills


4.1 written exam 250

4.2 Practical 50

4.2 oral exam 50

4.4 Clinical exam 100

Total 450




Orthopaedics from A to Z


Campell,s operative orthopaedics

Roger Dee principles of orthopaedic practice

Apley,s system of orthopaedics


Journal of Bone and Joint Surgery

Clinical Orthopaedics and related research

www.aaos.com

www.orthogate.com

www.orthotears.com

www.sicot.org

Traumatology course specification University: Ain Shams University Faculty: of Medicine




Department offering the program: Orthopedic surgery department

Department offering the course: Orthopedic surgery department.




Title: Traumatology course Code: OS6005


Clinical: 2.4h/ week Total: 72

Field: 2.4h / week Total: 144

http://www.aaos.com/

http://www.orthogate.com/

http://www.orthotears.com/

http://www.sicot.org/

40

Coordinator

Orthopedic surgery department


1- Course Aims:

To provide the candidate with the academic knowledge and clinical skills

necessary for accurate diagnosis and management of orthopaedic trauma cases




a1- Understand the mechanism of injury for different types of fractures

a2- Understand the basis of fracture healing

a3- know the complications of different types of fractures and how to avoid

a4- Understand the biomechanics of different orthopaedic implants

a5- Understand the basis of conservative versus operative management of

orthopaedic trauma



b1- Classify different types of fractures

b2- Decide on the management of a fracture whether conservative or operative

b3- Make right decisions towards the choice of suitable orthopaedic

interventions/implantrs

b4- Put a carefull follow up and rehabilitation plan

b5- Prioritize the managements performed for polytrauma cases

b6- Recognize different types of joint dislocations



Perform:

C1- Closed reduction of fractures (distal radius, humerus, BB leg, pediatric BB

forearm, etc..)

C2- Closed reduction of joint dislocations (shoulder, hip, elbow, etc..)

C3- Percutaneous pinning of fractures using K-wires

C4- Application of different types of plaster casts and splints or traction for

different fractures relative to anatomic locations

C5- Application of skeletal traction pin

C6- Application of external fixators and debridement for open fractures

C7- Open reduction and internal fixation of fracture by tension band techniques in

different anatomic locations (olecranon, patella, medial malleolus)

C8- Open reduction and internal fixation of fractures by different types of plate and

screw systems according to anatomic location (small DCPs for BB forearm, broad

41

DCP for humerus, proximal and distal tibial buttress, distal femoral buttress, 1/3

tubular for lateral malleolus, proximal humeral buttress, volar plating of distal

radius, etc..)

C9- Intramedullary nailing of long bone fractures (ILN tibia, femur, humerus)

C10- Pinning of femoral neck fractures

C11- Application of dynamic hip screw in trochanteric fractures

C12- Hemiarthroplasty for femoral neck fractures

C13- Application of dynamic condylar screw in subtrochanteric and supracondylar

femoral ractures

C14- Application of angled blade plates in proximal and distal femur

C15- Supracondylar nailing of distal femoral fractures

C16- Open reduction and internal fixation of different types of intra-articular

fractures (tibial plateau, pilon fracture, intercondylar distal femur, barton,s fracture,

comminuted distal humerus, miniplate fixation of radial head)

C17- Open reduction and internal fixation of pediatric fractures including

epiphyseal injuries and elastic nailing of long bone fractures

Excision of the radial head in comminuted radial head fractures

C18- Open reduction and internal fixation of scaphoid fractures

C19- Open reduction and internal fixation of fracture calcaneum, talus, navicular

C20- Operative fixation of metacarpal and metatarsal fractures and management of

complex hand or foot trauma

C21- Open reduction and internal fixation of acetabular and pelvic fractures

C22- Application of pelvic external fixator in open book type pelvic fractures

C23- Posterior spinal fusion for unstable vertebral fractures

C24- Application of ilizarov or hybrid external fixators in comminuted intra-

articular fractures

C25- Bone grafting of fractures in delayed union

C26- Performing corrective osteotomies for malunions in different anatomic

locations




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

occupation.

d3- Perform Brainstorming and decision making skills

d4- Time and stress management skills

d5- Psychomotor operative skills

3- Course content: (Please review the attched detailed orthopaedic training program content)

Topics No. of hours

42

L C F

1-Principles of fracture healing/ first aid of fractures 6 9 18

2-Biomechanics of orthopaedic implants 6 9 18

3-Fractures of the lower extremity 6 9 18

4-Fractures of the upper extremity 6 9 18

5-Fractures of the axial skeleton 6 9 18

6-Joint dislocations 6 9 18

7-Sport medicine injuries and arthroscopic/open management 6 9 18

8-Management of polytrauma cases 6 9 18

L: Lecture, C: Clinical and F: Field





4.4 Clinical exam to assess skills


4.1 written exam 240

4.2 Practical 50

4.2 oral exam 10

4.4 Clinical exam 100

Total 400





Rockwood and Green (fractures in adults/children)

Kouval handbook of fractures

Campell,s operative orthopaedics


www.aaos.com

www.orthogate.com

www.orthotears.com

www.sicot.org

2nd

semester Title: Module 1 Code:

Credit Hours: 6 Lecture: Total actual hours 39

Clinical: Total actual hours 54

http://www.aaos.com/

http://www.orthogate.com/

http://www.orthotears.com/

http://www.sicot.org/

43

Field: Total actual hours 84

Module 1

Code Topics

OS6004a Orthopedic surgery and

orthopedic pathology (1-3)

OS6005a Traumatology (1-3)

3rd





Module 2

Code Topics

OS6004b Orthopedic surgery and


OS6005b Traumatology (4-6)

4th





Module 3

Code Topics

OS6004c Orthopedic surgery and


OS6005c Traumatology (7-8)

Elective course

Rehabilitation of Orthopedics surgery course specification University: Ain Shams University Faculty: of Medicine


Program on which the course is given: Master of Orthopedics

Major or minor element of programs: Minor

Department offering the program: Orthopedic department

44

Department offering the course: Physical medicine rheumatology and

rehabilitation department

Academic Level: Master – 1st or 2

nd or 3

rd or 4

th semester



Title: Rehabilitation of orthopedic surgery Code: E6089

Credit Hours: 1 hour Lecture: 1h / week Total: 15

Coordinator

Physical medicine, rheumatology and rehabilitation department.


1- Course Aims:

a) knowledge of Methods of rehabilitation: for each method, understand principles,

mechanism of action, indications, precautions and contraindications, potential side

effects, and costs.

b) Importance of multidisciplinary approaches to rehabilitation and pain control.

Appropriate use of and referral/prescription to rehabilitation specialists and pain

clinics.




a1 - know when is Rehabilitation appropriate

a2 - know When is physiotherapy appropriate

a3 - know What is the role of the occupational therapist

a4 - know When to refer to a pain clinic

a5 - estimate value of physical therapies

a6 - recognize Rehabilitation Modalities



b1- master the musculoskeletal examination

b2 – plan for physiotherapy for the patient

b3 – assess the disability.



c1- tell when Rehabilitation is appropriate

c2 - refer When physiotherapy is appropriate

c3- refer to the occupational therapist when indicated

c4 - refer to a pain clinic

c5 –select proper Rehabilitation Modalities


45


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

communication needs and those of their relatives through the acquisition of

effective Comprehensive Clinical Method;

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

dynamics of the clinical team;

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

responsibility for continuing learning, personal support and professional

development

3- Course content:

Topics No. of hours

L T C/P SDL

Patient education 1

when is Rehabilitation appropriate 1

When is physiotherapy appropriate 1

What is the role of the occupational therapist 1

When to refer to a pain clinic 1

value of physical therapies 1

Rehabilitation Modalities

(1) Rest and splinting

(2) Modalities and hydrotherapy: ultrasound,

TENS iontophoresis, spa therapy

(3) Joint protection and energy conservation

techniques

(4) Adaptive equipment and assistive devices

(5) Job site/home evaluation and adaptation

(6) Footwear and orthotics

(7) Acupuncture and other alternative modalities

5

Rehabilitation of Shoulder surgery 1

Rehabilitation of Back pain 1

Rehabilitation of Limb pain 1

Rehabilitation of Knee surgery 1

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


4.1written exam to assess knowledge and understanding


4.1 written exam 50

Total 50



46

…………………………………………


Physical medicine and rehabilitation review


…………………………………………


…………………………………………

Medical statistics course specification University: Ain Shams University Faculty: of Medicine


Program on which the course is given: Medical Doctorate in Orthopedics


Department offering the program:

Orthopedics department

Department offering the course:

Community, Environmental and Occupational Medicine

Academic Level:

Master -2nd

or 3rd

or 4th

semester


Basic Information

Title: Medical statistics course

Code: E6009

Credit Hours: 1 hour

A credit hour = one hour lecture or practical weekly for 15 weeks

Coordinator

Community, Environmental and Occupational Medicine Department


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.

47


Knowledge and understanding


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

in medical research

a2 – Define:

Types of variables.

Descriptive statistics.

Presentation and summarization of data.

Measures of central tendency and scatter.

Principles of probability and probability distributions.

Concepts of inferential statistics: confidence interval and hypothesis testing.

Different tests of statistical significance.

Difference between parametric and nonparametric tests of significance.

Correlation and regression

Concept of statistical modeling using multivariable and multivariate statistical

methods.

Combining evidence from different studies and meta-analysis

Importance and methods of sampling and how to determinate the suitable sample

size.

Different types of research methodology:

observational and intervention studies and the different statistical issues related to

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

Ethical aspects of medical research including those specifically applied to clinical

trials.



b1 - Interpret correctly the results of statistical analyses and critically evaluate the

use of statistics in the medical literature.

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



c1- Select appropriate study designs to address questions of medical relevance

48

c2 - Select and apply appropriate statistical methods for analyzing data typically

encountered in medical applications.

c3- Use selected software packages for statistical analysis and data management.



d1 - Work effectively in a group from different backgrounds.

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

occupation.

d3 - Communicate effectively with professional statisticians and the wider medical

community, including the ability to present results of statistical analyses through

written and oral presentations

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

d5 - Handle data appropriately and analyze them through: decision processes,

objective criteria, problem definition, project design and evaluation, risk

management, teamwork and coordination.

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

3- Course content:

Topics

L

Introduction to medical statistics and its uses 1

Types of variables and Descriptive statistics 1

Graphic presentation of data 1

Introduction to probability theory and rules 1

Sample and population: sampling distribution of mean and proportion 1

Confidence interval of a mean and a proportion 1

Confidence interval of a difference between two mean /proportion 1

Testing a hypothesis about population mean/proportion 1

Testing a hypothesis about the difference between two means/proportion 1

Comparing between more than two means-Introduction to factorial analysis 1

Cross-tabulation and introduction to categorical data analysis 1

Simple correlation and simple regression 1

Introduction to multivariable and multivariate analysis 1

Study designs: observational studies 1

Study designs: Intervention studies: clinical trials 1

Study designs: Experimental animal studies 1

Study designs: Bias and Confounding 1

Ethical issues in medical research 1

49

Sample size estimation for continuous and binary outcome measures. 1

Meta-analysis and publication bias. 1

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


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

problem solving questions

4-2 Weighing of assessment

Written exam 50

Total 50

5 - List of References


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

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

and Occupational Medicine.


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

edition 2003


Handbook of Epidemiology. Springer 2005


www.brettscaife.net/statistics/introstat/

onlinestatbook.com/rvls/

www. Epidemiolog.net

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

forensic medicine course specification University: Ain Shams University Faculty: of Medicine


Program on which the course is given: Master of Science in Orthopedics


Department offering the program: Orthopedic department

Department offering the course: Forensic medicine and Toxicology department

50

Academic Level: Master - 2nd

or 3rd

or 4th

semester



Title: Forensic medicine Code: E6148

Credit Hours: 1 hour Lecture: 1h/w Total: 15 hs

Coordinator

Forensic medicine and Toxicology department.

Course Aims

The aim of the course is:

1. To provide basic background of different medico legal aspects of living and

dead individuals

2. To provide basic knowledge of medical ethics and malpractice

3. To provide ability to diagnose and manage intoxicated patients.

INTENDED LEARNING OUTCOMES

a- knowledge and Understanding:

By the end of the course the student must be able to:

a1- Describe different medicolegal aspects of living and dead individuals regarding

personal identification, diagnosis of death, causes and manner of death,

postmortem changes and differentiation between types of wounds.

a2. Explain medicolegal (ML) aspects of different cases of sexual offences.

a3. Explain maternal morbidity and mortality from ML point of view

a4. Explain various medicolegal aspects of malpractice

a5. Describe basic background of medical ethics

a6. List different classes of common toxic substances and environmental pollutants

a7. Explain the circumstances of intoxication, toxic doses, toxic kinetics clinical

picture, differential diagnosis of different drugs and toxic substances.

a8. Explain initial appropriate first aid treatment and antidotal measures for

different drugs andtoxic substances.

b- Intellectual Skills:


b1- Recognize common ethical dilemmas and suggest a proper solution.

b2- Analyze case scenario of clinical forensic medicine and recognize their

medicolegal aspects.

b3- Analyze different problems of malpractices

c- Professional Skills:


51

c1- Identify living and dead individuals

c2- Diagnose death by different clinical and investigatory methods.

c3- Determine time of death through assessment of post mortem changes

c4- Identify different causes of death and manner of death as well.

c5- Examine different wounds and injuries and write a proper primary wound

report

c6- Make prelimenary tests for blood grouping and toxicological screen



d1- Work effectively in a group from different backgrounds.


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.

Course content

Topics

1

1. Identification (Of Living And Deceased) 1

2. Death (Manner Of Death, Ml Aspects Of Brain Death , Death Under

Anesthesia, Estimation Of Postmortem Interval)

1

3. Ml Aspects Of Sudden Death 1

4. ML Aspects Of Wounds (Fire Arm Injuries, Head Injuries, Thermal

Injuries,

1

Injuries Of Other Parts Of The Body, Transportation Injuries) 1

5. Paternity Investigations 1

6. Ml Aspects Of Child Abuse And Domestic Violence (Ml Conflict) 1

7. DNAEvidence 1

8. Sexual Offences 1

9. ML Aspects Of Abortion 1

10. 11-Violent Asphyxia 4 2 2 (Museum) 1

11-ML Aspects Of Suspected Death In Childhood 1

12. Medical Ethics 1

13. Malpractice 1

52





4.1 written exam 50

Total 50

V- General Information

1 – 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.

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. If exposure occurs after regular working hours or

during a weekend or holiday; please call the infection control representative or ER.

For injury, please report to the Emergency Department.

Please also be sure to inform the supervisors of an exposure incident and/or

injury.

3 - Action Completion Of Clinical Training

Once all training sessions are completed the log book should be signed by

the senior supervisor and the head of the department and then should be submitted to

post graduate Secretariat.

4- Reference

The Training Guide is available at the post graduate Secretariat and could be

downloaded from the following website is

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

53

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

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 or

2. Tutorials

or

3. Self-directed learning (SDL)

For each item there is also a list of

1. Clinical conditions or Practical sessions to be seen or

attended (According to each degree)

2. Practical procedures to be seen and done

Remember

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

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

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

2 - Supervisors

Make a list of Supervisors or the delegated personels for signature

………………………………………………………………………………………

……………………………………………………………………………

……………………………………………………………………………

……………………………………………………………………………

………

3–Tables for Training Records

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

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

are free to attend more and record your extra attendance.

54

Weekly Department Plan

Day /time Saturday Sunday Monday Tuesday Wednesday Thursday

Bedside

education

4th

Group

2nd

group 3rd

group 1st

group

Conference Departmental

Sceintific

Conference

Intensive

Course

Lectures

Grand

round

4th

Group

2nd

group 3rd

group 1st

group

Emergency

attendance

2nd

Group

3rd

group 1st

group

4th

group

Operative

day

1st

Group

4th

Group

2nd

group 3rd

group

Clinic day 2nd

Group

3rd

group 1st

group

4th

group

Specialized

Clinics

Paediatric Paediatric

Ilizarov

Sport

Medicine

Oncology

Spine

Hand

Monday Conference:

Includes clinical case presentation, lectures & articles prersentation (Journal club),

morbidity and mortality cases

Monthly & Yearly activities:

Arthroclub (Arthoplasty conference): 4 times per year

Trauma club: 3 times per year

Tumour club: 2 times per year

Pediatric & Ilizarov club: 2 times per year

Sport medicine meeting: 2 times per year

Annual spine congress

Egyptian Orthopaedic Association (EOA) clinical meeting Hosted by Ain Shams

University: yearly in February

EOA annual meeting: yearly in November

EOA deformity congress: yearly in April

Conferences attendance (NB. Minimum number required is 24)

No

Da

te

Pla

ce

Topics Supervisor

signature

1

2

55

3

4

5

6

7

8

9

10

11

12

13

14

15

16

17

18

19

20

21

22

23

24

Thesis attendance (NB. Minimum number required is 10)

No Date Place Name of the thesis Supervisor

signature

1

2

3

4

5

6

7

8

9

10

56

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

No Date Place Name of the Clinic Supervisor

signature

1

2

3

4

5

6

7

8

9

10

11

12

13

14

15

16

17

18

19

20

21

22

23

24

25

26

27

28

29

30

31

32

33

34

35

57

36

37

38

39

40

41

42

43

44

45

46

47

48

49

50

51

52

53

54

55

56

57

58

59

60

Operative cases Attended (NB. Minimum number required is 80)

Item

No

Obse

rved

Date

assi

sted

Date

Don

e in

dep

enden

tly

(A, B

, C

)

Acc

ord

ing t

o e

ach

dep

artm

ent

Date

Su

per

vis

or

sign

atu

re

Closed reduction of

fractures

1

2

58

3

Closed reduction of

dislocations

1

2

3

Compression plating

of diaphyseal

fractures

1

2

3

Buttress plating of

metaphyseal fractures

1

2

3

ORIF of intra-

articular fractures

1

2

3

Percutaneous

pinning by K wires

1

2

3

Interlocking nailing

of long bone

fractures

1

2

3

Application of DHS

DCS, and pinning of

neck femur

1

2

3

External fixation ,

and debridement of

open fractures

1

2

3

Hip hemiarthroplasty,

and bipolar

arthroplasty

1

2

3 ORIF for 1

59

hand/carpal bone

fractures 2

3

ORIF for foot/tarsal

bone fractures

1

2

3

Posterior/Anterior

spinal fusion

1

2

3

Surgical Knee/

Shoulder arthroscopy

1

2

3

Corrective

Osteotomies

1

2

3

Total hip/knee

Arthroplasty

1

2

3

Excision of benign

bone tumours

1

2

3

Limb salvage for

malignant bone

tumours

1

2

3

Pediatric DDH and

TEV surgery

1

2

3

Pediatric deformity

correction + Ilizarov

1

2

3

60

Soft tissue surgery

1

2

3

Debridement of bone

and joint infections

1

2

3

Treatment of

nonunions/malunions

+ B.G.

1

2

3

ORIF for fracture

pelvis / acetabulum

1

2

3

ACL/PCL

reconstructive

surgery

1

2

3 A- Poor, B- Satisfactory, C- Excellent

Yearly activities Attended

(NB. Minimum number required is 8)

No Date Place Name Supervisor

signature

1

2

3

4

5

6

7

8

61

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

No Date Place Department Supervisor

signature

1

2

3

4

5

6

7

8

9

10

11

12

13

14

15

16

17

18

19

20

21

22

23

24

25

26

27

28

29

30

31

32

33

62

34

35

36

37

38

39

40

41

42

43

44

45

46

47

48

49

50

51

52

53

54

55

56

57

58

59

60

Case presentations (NB. Minimum number required is 6)

No Date Place Diagnosis Supervisor

signature

1

2

3

4

5

6

63

Practical skills (Agreement Scale)

Requirements

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

eligible for the exam entry. The minimum number required for each

activity = 75%. You are free to attend more and record your extra

attendance

5 - Log book preview

The candidate logbook will be reviewed and patients seen/ skills

performed summarized by diagnosis groups during the semester evaluation and at

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

in the summary chart below.

Summary

Semester 1st 2

nd 3

rd 4

th Total

Emergency room attendance

Out-patient clinic attendance

Operative cases attendance

Conference attendance

Thesis attendance

Case presentations

Yearly activities attendance

Supervisor signature

64

VII - Head Of Department Approval For The Exam Entry

__________________________________________________________________

__________________________________________________________________

__________________________________________________________________

__________________________________________________________________

__________________________________________________________________

__________________________________________________________________

__________________________________________________________________

__________________________________________________________________

__________________________________________________________________

__________________________________________________________________

__________________________________________________________________

__________________________________________________________________

______

65

VIII – Thesis Follow up

/انخاريخ / انخقزيز اننصف انسنىي نؼاو / ػن انطانب

(ياجسيخز ) انقيذ نذرجت /بقسى

حقزيز انسادة االساحذة انشزفين

بذأ جغ انادة انؼهيت و كخابت انقذيت

قطغ شىطا يحذودا

أوشك ػه اإلنخهاء

إنخه ين انجغ

بذأ انجزء انؼه

غ شىطا يحذوداقط


إنخه ين انخحهيم

بذأ يناقشت اننخائج



إنخه ين انخحزيز

بذأ انزاجؼت اننهائيت يغ انشزف



إنخهج حايا

إسخزار قيذ انطانب ي انسادة انشزفينرأ

يذ انقيذ

شطب قيذ انطانب

نؼى حى حشكيم نجنت انناقشت

ال حاريخ انخشكيم

/ /

شطب انقيذ / يذ

وكيم انكهيت فينحىقيغ انسادة انشز

66

67

/انخاريخ/ انخقزيز اننصف انسنىي نؼاو / ػن انطانب



بذأ انقذيتجغ انادة انؼهيت و كخابت















إنخهج حايا

إسخزار قيذ انطانب رأي انسادة انشزفين

يذ انقيذ




/ /


وكيم انكهيت حىقيغ انسادة انشزفين

68

69

/انخاريخ/ انخقزيز اننصف انسنىي نؼاو / انطانب ػن










ين انخحهيمإنخه








إنخهج حايا


انقيذيذ




/ /



70

71

/انخاريخ/ انخقزيز اننصف انسنىي نؼاو / ػن انطانب





اإلنخهاءأوشك ػه













إنخهج حايا


يذ انقيذ




/ /



72

73

VIII – Evaluation Forms

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

Candidate

Supervisor

Location

Aim of training

__________________________________________________________________

__________________________________________________________________

__________________________________________________________________

Agreed educational objectives and timescale in which objectives should be

achieved.

__________________________________________________________________

__________________________________________________________________

__________________________________________________________________

Comments by Candidate

__________________________________________________________________

__________________________________________________________________

__________________________________________________________________

__________________________________________________________________

__________________________________________________________________

__________________________________________________________________

Comments by Supervisor

__________________________________________________________________

__________________________________________________________________

__________________________________________________________________

__________________________________________________________________

__________________________________________________________________

__________________________________________________________________

__________________________________________________________________

Date of next meeting

Signed by candidate

Signed by Supervisor Date

74

75



Candidate

Supervisor

Location

Aim of training

__________________________________________________________________

__________________________________________________________________

__________________________________________________________________


achieved.

__________________________________________________________________

__________________________________________________________________

__________________________________________________________________


__________________________________________________________________

__________________________________________________________________

__________________________________________________________________

__________________________________________________________________

__________________________________________________________________

__________________________________________________________________


__________________________________________________________________

__________________________________________________________________

__________________________________________________________________

__________________________________________________________________

__________________________________________________________________

__________________________________________________________________

__________________________________________________________________


Signed by candidate

Signed by Supervisor

Date

76

77



Candidate

Supervisor

Location

Aim of training

__________________________________________________________________

__________________________________________________________________

__________________________________________________________________


achieved.

__________________________________________________________________

__________________________________________________________________

__________________________________________________________________


__________________________________________________________________

__________________________________________________________________

__________________________________________________________________

__________________________________________________________________

__________________________________________________________________

__________________________________________________________________


__________________________________________________________________

__________________________________________________________________

__________________________________________________________________

__________________________________________________________________

__________________________________________________________________

__________________________________________________________________

__________________________________________________________________


Signed by candidate


Date

78

79



Candidate

Supervisor

Location

Aim of training

__________________________________________________________________

__________________________________________________________________

__________________________________________________________________


achieved.

__________________________________________________________________

__________________________________________________________________

__________________________________________________________________


__________________________________________________________________

__________________________________________________________________

__________________________________________________________________

__________________________________________________________________

__________________________________________________________________

__________________________________________________________________


__________________________________________________________________

__________________________________________________________________

__________________________________________________________________

__________________________________________________________________

__________________________________________________________________

__________________________________________________________________

__________________________________________________________________


Signed by candidate


Date

80

81

Degree Program Evaluation Form by The Candidate

To be completed at the end of your degree.

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

view and tick one box or answer the question.

I. Individual Information

1. Are you a graduate of ASU?

yes no to some degree

2. Year and semester when studies began:

II. General Questions

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

University ASU?

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

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

employment according to the demands and expectations of those institutions?


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

difficulties or inconveniences?


III. Structure of Degree Program

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

beginning of the program?


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

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

82

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

seminars, conferences, and book exams?


a) General Studies

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


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

quantitative and qualitative research methods)?


b) Courses

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

Please specify.

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


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


IV. Concluding Points

1. Did the degree program meet your expectations?


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

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

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

Thank you!

Documents

Final Revised Orthoapedic Master