of MB… · Web viewDiffuse parenchymal (Interstitial) lung diseases Lung cancer Pulmonary vascular disorders Diseases of the pleura Mediastinal and chest wall disorders Sleep related

Al- Azhar University

Faculty of Medicine, Cairo

Department of Chest Diseases

ج�ا�م�ع�ة� ا�أل�ز�ه�ر�ك�ل�ي�ة� ا�ل�ط�ب�,� ا�ل�ق�ا�ه�ر�ة�

ق�س�م� ا�أل�م�ر�ا�ض� ا�ل�ص�د�ر�ي�ة�

م�ق�ر�ر� ا�ل�س�ن�ة� ا�ل�خ�ا�م�س�ة�

ي�ة�أ�م�ر�ا�ض� ا�ل�ص�د�ر�ا�ل�ل�م�ا�د�ة�

ل�ط�ل�ب�ة� ك�ل�ي�ة� ا�ل�ط�ب�

CHEST MEDICINE

UNDERGRADUATE COURSE

(Fifth Year)

2014-2015

I – Course Specifications

Undergraduate Chest Medicine Course 2014-2015 Page 1

A- Basic Information1. Course title: chest disease (fifth academic year of MB.,B.CH. program).

2. Code: 07-501 chest

3. Faculty: Faculty of Medicine, Al- Azhar University

4. Department: Department of Chest Diseases

5. Total theoretical hours: 20 hours + 20 practical and clinical hours

6. Allocated marks: 10 marks

7. Course duration: 2 weeks / year

8. Co-coordinator: Prof. Salem Sabea

9. Assistant co-coordinator: Ass. Prof. Ayman Amin, Dr Ahmed Taha

10. Last date of program approval: May 2014

11. Teaching staff: Professors – Assistant Professors – Lecturers, Assistant lecturers, and Demonstrators.

B- Professional Information1- Course Aims:

Studying this course should produce a competent general practitioner:

1. With standard knowledge and skills of chest medicine, at the level of the primary health care system, with proper awareness of the social and community contexts of health care.

2. Able to diagnose and treat common chest diseases.3. Able to recognize and manage pulmonary conditions that require urgent intervention and when to

take the appropriate decision of referral.4. Have a diagnostic, problem solving and decision-making skills necessary for proper evaluation

and management of common chest diseases.5. Have appropriate ethical and professional skills necessary for establishment of excellent

communication with patients and colleagues.6. Able to develop positive attitude of continuous medical education and promotion of professional

skills and research capabilities7. Have basic administrative skills necessary for delivery of health services.

2- Intended Learning Outcomes (ILOs):


A- Knowledge and understanding

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

1. Describe the common respiratory problems and the life-threatening conditions resulting from it as regards etiology, risk factors (including the role of genetics in disease predisposition), pathogenesis, clinical features, differential diagnosis, complications and the principles of management including non-invasive and invasive interventions and palliative care.

2. Describe the theoretical basis of professional, practical skills and evidence based medicine (EBM).

3. Recognize basics of health and patient’s safety and safety procedures during practical and clinical rounds.

4. Define principles of clinical audit.5. Recognize the basic principles of formulating specific clinical sheets and the art of

utilizing sources of information.6. Interpretation of common diagnostic studies and proper choice among them according to

the situation.

B- Intellectual skills:

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

1. Integrate the results obtained from history, clinical examination and investigational data into meaningful diagnostic formulation.

2. Combine clinical and investigational data with evidence based knowledge and skill of deductive reasoning for clinical problem solving.

3. Select clinical decisions regarding the common chest diseases4. Design a management plan for common chest diseases. 5. Comment on a case study.6. Recognize the critical medical chest problems.7. Identify common (major) radiological and laboratory abnormalities of chest diseases.8. Interpret the results of commonly used diagnostic procedures.9. Identify the indications and logistics of referring patients to higher levels of experience or

specialization.10. Design scientific research through the formulation of research questions pertinent to

medicine and the collection, analysis and interpretation of medical data.

C. Professional and Practical Skills:

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

1. Take a thorough history of chest patients, relative to the clinical context.2. Demonstrate a complete general examination of chest patients.3. Demonstrate a complete local examination of chest (inspection, palpation, percussion and

auscultation).4. Clinically diagnose the main chest diseases including critical respiratory diseases.


5. Recognize urgent life-threatening conditions, and institute appropriate initial management.

6. Choose the oxygen level need for various respiratory cases.7. Formulate drug dosage based on patient's criteria and health condition.8. Write safe prescriptions of different types of drugs.9. Adopt suitable measures for safety and infection control.10. Practice inhalational methods for drug administration.

Procedures and technical skills will be learned under appropriate supervision during undergraduate and house officer training:

1. Insert intercostal tube drain.2. Perform sampling of arterial blood gases.3. Demonstrate aspiration of pleural effusion.4. Perform and interpret basic respiratory function tests.

D. General and Transferable Skills:

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

1. Have the ability to explore both disease and illness with patients, and meet their communication needs and those of their relatives.

2. Communicate effectively with the patients, their families and all health care personnels.3. Acquire standard ethical behavior.4. Exemplify good manners and attitude.5. Be able to work in a team.6. Demonstrate proper infection control.7. Avoid frightening of the patients and accept the unsuitable behavior of them.8. Deal with the patient as a person not as a disease.9. Exhibit and display a professional image (professional look), following the Islamic code

of medical ethics.10. Ensure confidentiality and privacy of patient's information.11. Treat all patients equally, and avoid stigmatizing any category regardless of beliefs,

culture, and behaviors.12. Work cooperatively demonstrating respect with other health care professions for effective

patient management.13. Be willing to share in all types of inter- professional activities including collaborative and

shared learning.14. Ensure the cost effectiveness of health care management.

UNDERGRADUATE CHEST MEDICINE COURSE CONTENTS

A: TOPICS


TOPICS WEIGHT (%)

1 (5)

4(20)

4(20)

1(5)

1(5)

1(5)

2(10)

3(15)

1(5)

1(5)

1(5)

20(100)

1. Radiology in chest diseases

2. Infectious diseases of the lung

3. Obstructive lung diseases

4. Occupational and environmental lung diseases

5. Diffuse parenchymal (Interstitial) lung diseases

6. Lung cancer

7. Pulmonary vascular disorders

8. Diseases of the pleura

9. Mediastinal and chest wall disorders

10.Sleep related disorders

11.Respiratory failure and oxygen therapy

Total

Practical and clinical hours are allocated in the following formats:

How to approach a case with chest disease 1h

History in a case with chest disease 1h

General examination in a case with chest disease 1h

Local examination in a case with chest disease 1h


Course Specifications

1. Radiology in chest diseases (1 hour)

(5 % of the course)

INTENDED LEARNING OUTCOMES: (ILOs)

1.1 Knowledge: By the end of the course the student will be able to: A1 and A6

Description Method of teaching Assessment1.1.1 CXR normal and abnormal findings

LecturesTutorials

Independent learning (IDL)

MCQShort Essay

VIVA

1.1.2 Chest CT conventional and HRCT1.1.3 MRI chest1.1.4 Thoracic ultrasound

2.2 Skills and Attitude: Level of competence (5)

By the end of this course the student will be able to:

The Skill Level of competence

Method of teaching

Assessment

1.2.1

B1ـــــB10C1ـــــC10D1ــــــD14

(5)

Clinical Rounds

Audiovisuals

Clinical examOSCEOSPE

1.2.2

1.2.31.2.4


2. Infectious diseases of the lung (4 hours) (20 % of the course)


2.1 Knowledge:

By the end of the course the student will be able to: A1 and A6

Description Method of teaching Assessment2.1.1 Bronchitis: definition , etiology , clinical picture, and

treatment Lectures

Tutorials


MCQ

Short Essay

VIVA

2.1.2 Pneumonia: definition, etiology, classification, pathology, clinical manifestations, investigations, signs of severity, complications, and treatment.

2.1.3 Lung abscess: definition, etiology and pathogenesis, clinical manifestations, differential diagnosis, investigations, complications, and treatment.

2.1.5 Tuberculosis: definition, causative organism, epidemiology, clinical course, primary tuberculosis,post-primary tuberculosis (clinical features, diagnosis, and treatment)




Method of teaching

Assessment

2.2.1

B1ـــــB10C1ـــــC10D1ــــــD14

(5)

Clinical Rounds

Audiovisuals

Clinical exam

OSCE

OSPE

2.2.2

2.2.32.2.42.2.5


3. Obstructive lung diseases (4 hour) (20 % of the course)


3.1 Knowledge:


Description Method of teaching Assessment3.1.1 Bronchial asthma: Definition, etiology, risk factors,

pathogenesis, pathology, classification, clinical manifestations, diagnostic testing, monitoring, differential diagnosis, complications, and management of chronic asthma, and asthma exacerbation.

Lectures

Tutorials


MCQ

Short Essay

VIVA

3.1.2 Chronic obstructive pulmonary disease (COPD): definition , etiology, risk factors, pathogenesis, pathology, clinical manifestations, investigations, differential diagnosis, complications, management of stable COPD and COPD exacerbations

2.1.4 Bronchiectasis: definition, etiology, clinical manifestations, investigations, complications, and treatment.

3.1.3 Cystic fibrosis: definition3.1.4 Bulbous diseases of the lung: enumeration.3.1.5 Bronchiolitis: definition, and presentations




Method of teaching

Assessment

3.2.1

B1ـــــB10C1ـــــC11D1 ــــــ D14

(5)

Clinical Rounds

Audiovisuals

Clinical exam

OSCE

OSPE

3.2.2

3.2.33.2.43.2.5


4. Occupational and environmental lung disease (1 hour)

(5 % of the course)


4.1 Knowledge:


Description Method of teaching Assessment4.1.1 Occupational and environmental lung diseases:

Definition and classification.

Lectures

Tutorials


MCQ

Short Essay

VIVA

4.1.2 Asbestos-Related Lung Disease, (Asbestosis): Clinical features, diagnosis, treatment and prognosis, mesothelioma: Clinical features, diagnosis, treatment and prognosis)

4.1.3 Chronic Beryllium disease: Definition, risk factors, clinical presentation, diagnosis, differential diagnosis, and treatment.

4.1.4 Coal Workers’ Lung Diseases|: Definition, risk factors, pathology, clinical features, diagnosis , and management.

4.1.5 Silicosis: Definition, risk factors, pathology, clinical features, diagnosis, and management.

4.1.6 Byssinosis: Definition, risk factors, pathology, clinical features, diagnosis, and management.




Method of teaching

Assessment

4.2.1


(5)

Clinical Rounds

AudiovisualsClinical examOSCEOSPE


5. Diffuse parenchymal (Interstitial) lung diseases (ILDs) (1 hour)

(5 % of the course)



Description Method of teaching Assessment5.1.1 Approach to a case of diffuse parenchymal lung

disease

Lectures

Tutorials


MCQ

Short Essay

VIVA

5.1.2 Idiopathic pulmonary fibrosis: Clinical features diagnosis , differential diagnosis, treatment and prognosis

5.1.3 Sarcoidosis: Definition, etiology, clinical presentations, classification, diagnosis, and treatment.

5.1.4 Hypersensitivity Pneumonitis: Definition, etiology, clinical features, and treatment

5.1.5 The Eosinophilic Pneumonias: definition, and enumeration




Method of teaching

Assessment

5.2.1


(5)

Clinical Rounds

Audiovisuals

Clinical exam

OSCE

OSPE


6. Lung cancer (1 hour) (5 % of the course)


6.1 Knowledge:


Description Method of teaching Assessment6.1.1 Bronchogenic Carcinoma: Definition, types, clinical

features, diagnosis, treatment and prognosis Lectures

Tutorials


MCQ

Short Essay

VIVA

6.1.2 The Solitary Pulmonary Nodule: A Systematic Approach




Method of teaching

Assessment

6.2.1


(5)

Clinical Rounds

Audiovisuals

Clinical exam

OSCE

OSPE


7. Pulmonary vascular disorder (2 hours) (10 % of the course)



Description Method of teaching Assessment7.1.1 Pulmonary Hypertension and CorPulmonale:

Definition, etiology, clinical presentations, and management

Lectures

Tutorials


MCQ

Short Essay

VIVA

7.1.2 Pulmonary Thromboembolic Disease: Definition, risk factors, clinical presentations, diagnosis, and treatment

7.1.3 Pulonary vsculitides: Enumeration




Method of teaching

Assessment

7.2.1


(5)

Clinical Rounds

Audiovisuals

Clinical exam

OSCE

OSPE


8. Diseases of the pleural space (3 hours) (15 % of the course)


8.1 Knowledge:


Description Method of teaching Assessment8.1.1 Pleurisy :Definition, causes, clinical presentations,

diagnosis, and treatment Lectures

Tutorials


MCQ

Short Essay

VIVA

8.1.2 Pleural Effusions: Definition, causes, clinical presentations, diagnosis, and treatment

8.1.3 Empyema: Definition, causes, clinical presentations, diagnosis, and treatment

8.1.4 Pneumothorax: Definition, etiology, classification clinical presentations, diagnosis, and treatment

8.2 Skills and Attitude:



Method of teaching

Assessment

8.2.1B1ـــــB10C1ـــــC10D1 ــــــ D14

(5)

Clinical Rounds

Audiovisuals

Clinical examOSCE OSPE

8.2.2 Insert intercostal tube (1) Clinical RoundsAudiovisuals

8.2.3 Demonstrate aspiration of pleural effusion

(1) Clinical RoundsAudiovisuals

8.2.4 Take a pleural biopsy (1) Clinical RoundsAudiovisuals


9. Diseases of the mediastinum and chest wall (1 hour)

(5 % of the course)


9.1 Knowledge:


Description Method of teaching Assessment9.1.1 Mediastinitis :Common causes, clinical presentations,

and diagnosis Lectures

Tutorials


MCQ

Short Essay

VIVA

9.1.2 Mediastinal masses: Common causes, clinical presentations, and diagnosis

9.1.3 Diaphragmatic weakness and paralysis: Common causes, clinical presentations, and diagnosis

9.1.4 Diaphragmatic hernias: Classification clinical presentations, and diagnosis




Method of teaching

Assessment


(5)

Clinical Rounds

Audiovisuals



10. Sleep related disorders (1 hour) (5 % of the course)


10.1 Knowledge:


Description Method of teaching Assessment10.1.1 Sleep Apnea :Definition, types, causes, clinical

presentations, diagnosis, and treatment Lectures

Tutorials


MCQ

Short Essay

VIVA




Method of teaching

Assessment


(5)

Clinical Rounds

Audiovisuals



11. Respiratory failure and oxygen therapy (1 hour)

(5 % of the course)


11.1 Knowledge:


Description Method of teaching Assessment11.1.1 Respiratory Failure: Definition, classification,

common causes, clinical presentations, diagnosis, and treatment

Lectures

Tutorials


MCQ

Short Essay

VIVA

11.1.2 Oxygen therapy: Indications, technique, and complications




Method of teaching

Assessment


(5)

Clinical Rounds

Audiovisuals



TEACHING AND LEARNING METHODS:

I) Methods used:

A. Lectures.

B. Tutorials.

C. Independent learning (IDL)

D. Clinical classes:

1) Clinical Lectures.2) Bedside education

3) Commentary

4) Case presentations.

II) Teaching plan:

a. Lectures:

At the lecture halls (No) on the __ floor in the in El- Hussein and/or

Bab Elshaareya University Hospital . One lecture/day. Each lecture

will take one hour according to the current t ime table in the general

lecture halls from 8.30 am to 9.30 am.

b. Tutorials:The students will discuss with the tutor some topics related to the

investigation and intervention in chest diseases (chest x ray, basic

pulmonary function, arterial blood gases, aspiration of pleural fluid,

chest tube insertion, pleural biopsy, bronchoscopy, and thorachoscopy)

which will take one hour every day in the tutorial classes (the same

lecture hall) from 9.30 am to 10.30 pm according to the current t ime

table in the general lecture halls.

c. Clinical classes: clinical Lectures:

The lecture halls (No ) on the __ floor in the in El- Hussein

University Hospital. One clinical lecture/day . Each lecture

will take one hour according to the current t ime table in the


general lecture halls from 10.30 am to 11.30am, and will be

followed by bedside education .

Commentary:

Alternating with clinical lectures in the same halls at the same

time which will take one hour according to the current time table

in the general lecture halls from 10.30 am to 11.30 am, and will

be followed by bedside education.

Case presentations:

Alternating with clinical lectures and commentary in the same

halls at the same time. The students will be divided into

3groups; each group will be supervised by assistant lecturer

and will be asked to prepare a case alternatively with other

group and present it in the clinical class according to the

current time table in the general lecture halls from 10.30 am to

11.30 am, and will be followed by bedside education.

Bedside education:

After the clinical course the candidate will be asked to detect

the physical sign in the admitted patient in the chest

department with his supervisor assistant lecturer.

d. Independent learning (IDL):Each group will be asked to prepare a research in a topic related to

their presented case and will present the research after termination

of case presentation.


III) Time plan:

Item Time schedule Total hours

Lectures one t ime/day, 1-2 hours

each between

9 am -11 am

20 hours

Clinical

lectures ,

tutorials,

commentary,

case

presentat ions

and bedside

education

2 hour/day

11 am - 1 pm

20 hours

Total 40 hours


IV) Teaching and learning facilities:

These include:

I. Lecture halls: Equipped with white board and data show projector.

El- Hussein University Hospital : The lecture hall (No ) on the fifth

floor of the new building.

Bab El Shaareya University : The lecture halls (No ) on the 11th floor

of the new surgery and pediatrics building.

II. Clinical rounds halls : they are equipped with facili ties to perform the

required work:

El- Hussein University Hospital The lecture halls (No ) on the fifth floor

of the newbuilding.

Bab El Shaareya University: The lecture hall ( No ) on the fifth floor of

the clinics building.

III. Tutorial classes: Held in the lecture halls.

IV. Bedside education:chest medicine department (30 ward beds ,and 6

respiratory intensive care beds ) at each hospital .

V. Commentary: in the clinical round hall .

VI. Case presentations: in the clinical round hall.

V) Student Assessment:

I. Attendance: The minimum acceptable attendance in the lectures, clinical

and tutorial classes is 75%. Students fail to attend the required percentage

will not be allowed to attend the final oral term exam.


II. Assessment tool:

Tool Purpose

Written

examination

Assessment of knowledge and understanding

Clinical

examination

Assessment of cl inical , intellectual and general

skil ls

Oral

examination

Assessment of attitude, knowledge and

understanding

Log book Assessment of attendance and sharing the

overall activities during the course.

III. Examination description:

A. Log book: (attached at the end of this curriculum) must be

completed during the course and every student should have to:

1. Attend at least 75% of the lectures and clinical classes.

2. Actively participate in case presentation and research

preparation .

B. Examination:

A. Formative examination: at the last day of the course (oral

examination)

B. Final examination: In June(internal medicine examination)

Those who fail to pass the final exam or postpone it can enter

the final exam re-held in September.


IV. Total marks (10 marks):

Items marks

Attendance 4 Attend at least 75% of

the lectures and

clinical classes

Formative examination 6 Examiner

Learning and reference material:

I. Basic materials:

II. Suggested materials (recommended books):

Course Co-ordinator: Prof. Salem Sabea.

Professor of Chest Diseases.


Documents

of MB… · Web viewDiffuse parenchymal (Interstitial) lung diseases Lung cancer Pulmonary vascular disorders Diseases of the pleura Mediastinal and chest wall disorders Sleep related