Master Degree Program and Courses Specifications for. Immunology

Transcription

1 Faculty of Medicine Quality Assurance Unit Master Degree Program and Courses Specifications for Medical Microbiology and Immunology (According to currently applied bylaws)) Medical Microbiology and Immunology Department, Faculty of Medicine, Assiut University / ١

2 Contents Item Page Program Specification For Medical Microbiology & Immunology / A. Basic Information 4 B. Professional Information 5 1. Program aims 2. Intended learning outcomes (ILOs) for the whole program 3. Program academic standards 4. Program external references 5. Program structure and contents 6. Courses contents (Annex 1) 7. Admission requirements 8. Progression and completion requirements 9. Assessment methods and rules 10. Program evaluation 11. Declaration - Annex 1, Courses/ specifica ons Basic Course: Epidemiology, Methodology & Biostatistics. 20 Unit 1: Biosta stics Unit 2: Methodology Unit 3: Epidemiology 2- Specialized Course: Principles of Microbiology & Immunology. Unit 1: General Microbiology. Unit 2: Immunology. Unit 3: Systematic Microbiology: 3.1: Systema c Bacteriology 3.2: Virology 3.3: Mycology 3.4: Applied Microbiology - Annex 2, Program Academic Reference Standards (ARS) 92 - Annex 3, Teaching methods 97 - Annex 4, Assessment methods 100 ٢ 42

3 - Annex 5, Program evalua on tools - Annex 6 Matrixes: I- General Academic reference standards(gars) versus Program ARS 1-Graduate attributes 2-Academic Standards II-Program ARS versus program ILOs III- Program Matrix Annex 7, Addi onal informa on. 125 ٣

4 Assiut University Faculty of Medicine Quality Assurance Unit (QAU) Master degree of Medical Microbiology and Immunology. A. Basic Information Program Title: Master degree of Medical Microbiology and Immunology. Nature of the program: Single. Responsible Department: Medical Microbiology and Immunology Department Faculty of Medicine- Assiut University Program Academic Director (Head of the Department): Prof. Ahmed Sadek Ahmed. Coordinator (s): - Principle coordinator: Prof. Enas Abd Elmageed Daef - Assistant coordinator (s) Prof. Mohamed Aly Al Feky Prof. Mona Amin Hassan Dr. Noha Abdel-Haleem Afifi Dr. Nahla Mohamed K. El-Sherbeny Internal evaluators: Prof. Shaban Hashem. Prof. Ismail Sedik. External evaluator 1 Prof. Ahmed Omar (Banha University) 2 Prof. Mohamed Fouad Kenawy (Mansoura University) Date of Approval by the Faculty of Medicine Council of Assiut University: Date of most recent approval of program specification by the Faculty of Medicine Council of Assiut University: Total number of courses: 2 courses First part: one course. Second part: one course. ٤

5 B. Professional Information 1- Program aims 1/1 Extensive coverage of the following topics: bacteriology, virology and mycology, bacterial pathogenicity, immunology, molecular biology, microbial disease diagnosis, treatment and prevention, antimicrobials and chemotherapy, epidemiology and hospital acquired infection. 1/2 To enable the candidates to practice the principles of sterilization and infection control. 1/3 To enable candidates to keep with international standards of Bacteriology and common infectious diseases by teaching them high level of practical skills, update their medical knowledge and stress upon applied Microbiology. 1/4 Update candidates in the field of research as area of molecular biology and cytogenetic studies as well as genes and/or immunotherapy. 1/5 The acquisition of life-long habits of reading, literature searches, consultation with colleagues, attendance at scientific meetings, and the presentation of scientific work that are essential for continuing professional development (CPD). 1/6 Enable them to work effectively, in partnership with other health professionals, support staff and service users. 1/7 Enable them to understand and get the best of published scientific research and do their own. ٥

6 2- Intended learning outcomes (ILOs) for the whole program: 2/1Knowledge and understanding: A. Explain essential facts and principles of relevant basic sciences including Epidemiology and biostatistics related to medical microbiology and immunology. B. Mention essential facts and principles of clinical supportive sciences including Epidemiology which are related to medical Microbiology & Immunology. C. Demonstrate sufficient knowledge of the main subjects including diagnosis and management of bacterial, viral or fungal infections related to medical microbiology and immunology. D. Give the recent and update developments in the most important themes related to medical Microbiology and Immunology. E. Mention the basic ethical and medicolegal principles that should be applied in practice and relevant to medical Microbiology and Immunology. F. Mention the basics and standards of quality assurance to ensure good practice in the field of medical Microbiology and Immunology. G. Mention the ethical and scientific principles of medical research methodology. H. State the impact of common problems related to the field of medical Microbiology and Immunology on the society and how good practice can improve these problems. ٦

7 2/2 Intellectual outcomes A. Correlate the facts of relevant basic and clinically supportive sciences with clinical reasoning, Diagnosis and management of common Infectious diseases (bacterial, viral and fungal), immunological and genetic disorders related to medical microbiology and immunology. B. Demonstrate an investigatory and analytic thinking approach (problem solving) to common clinical situations related to medical Microbiology and Immunology. C. Design and /or present a case or review (through seminars/journal clubs) in one or more of common themes or problems relevant to medical Microbiology and Immunology. D. Formulate management plans and alternative decisions in different situations in the field of medical microbiology and Immunology. ٧

8 2/3/1 Prac cal skills A. Demonstrate competently relevant laboratory skills related to medical Microbiology & Immunology. B. Use the up to date technology for the following conditions related to medical Microbiology & Immunology. C. Develop plans for performing experiments related to medical microbiology and immunology. D. Carry out common experiments related to medical microbiology and immunology. E. Counsel and educate students, technicians and junior staff, in the lab about conditions related to medical microbiology and immunology including handling of samples, devices, safety and maintenance of laboratory equipments. F. Use information technology in situations related to medical microbiology and immunology. G. Share in providing health care services aimed supporting patient care, solving health problems and better understanding of the normal structure and function. H. Write competently all forms of professional reports related to Medical Microbiology & Immunology (lab reports, experiments reports). 2/3/2 General skills Including: Practice-based Learning and Improvement Interpersonal and Communication Skills Professionalism Systems-based Practice ٨

9 Practice-Based Learning and Improvement A. Perform practice-based improvement activities using a systematic methodology (share in audits and risk management activities and use logbooks). B. Appraises evidence from scientific studies. C. Conduct epidemiological Studies and surveys. D. Perform data management including data entry and analysis and using information technology to manage information, access online medical information; and support their own education. E. Facilitate learning of students and other health care professionals including their evaluation and assessment. Interpersonal and Communication Skills F. Maintain therapeutic and ethically sound relationship with different staff, patients, their families, lab technical staff and other health professionals. G. Elicit information using effective nonverbal, explanatory, questioning, and writing skills. H. Provide information using effective nonverbal, explanatory, questioning, and writing skills. I. Work effectively with others as a member of a health care team or other professional group. Professionalism J. Demonstrate respect, compassion, and integrity; a responsiveness to the needs of Microbiology &Immunology and society K. Demonstrate a commitment to ethical principles including provision or withholding of clinical care, confidentiality of patient information, informed consent, business practices L. Demonstrate sensitivity and responsiveness to patients culture, age, gender, and disabilities ٩

10 Systems-Based Practice M. Work effectively in relevant health care delivery settings and systems. N. Adopt cost-effective practice and resource allocation that does not compromise quality of services. O. Assist patients in dealing with system complexities. 3- Program Academic Reference Standards (ARS) (Annex 2) Academic standards for master degree in medical Microbiology and Immunology Assiut Faculty of Medicine developed master degree programs academic standards for different academic specialties. In preparing these standards, the General Academic Reference Standards for post graduate programs (GARS) were adopted. These standards set out the graduate attributes and academic characteristics that are expected to be achieved by the end of the program. These standards were approved by the Faculty Council on Program External References (Benchmarks) 1. ACGME (Accreditation Council for Graduate Medical Education). blic.asp 2. London: University of London, Queen Mary (MSc in Clinical Microbiology and Immunology). Queen Mary, University of London. ١٠

11 5. Program Structure and Contents A. Duration of program: 2 years (maximum 4 years) B. Structure of the program: Total number of hours 1560 hrs. #Didactic 728h (47%), practical 832h (53%),total 1560h. First part Didactic 208h (67%), practical 104h (33%).total 312hrs. Second part Didactic 520 hrs (42%) practical 728 hrs (58%).total 1248 hrs According the currently applied bylaws: Compulsory courses: 100% Optional courses: N/A. Hours % from total Basic courses % Specialized courses % Field training % #Didactics : lecture, seminars, tutorial. C. Program Time Table A- Duration of program 2-4 years divided into o Part 1: (30% from final marks) Program-related basic courses (one year) Students are allowed to sit the exams of these courses a er 12 months from applying to the master degree. o Part 2 (70% from final marks) Minimum 2 years Program related academic and specialized science courses and ILOs Students are not allowed to sit the exams of these courses before 2 years from applying to the master degree. ١١

12 o Part 3 ( no marks) Research pathway Master essay duration: one year should be officially registered an approved by the department and faculty council, Discussion and acceptance of the research should not be set before 12 months from registering the MSc essay. No marks are given to this section. Practical and/or clinical skills according to training plan and log book specifications. Minimum allocation for one year in the responsible department is required. The students pass if they get 60% from the summa ve wri en exams and 60% from oral and clinical exams. Total degrees 1000 marks. 300 m arks for first part 700 for second part Wri en exam 40% (280 marks). Clinical and oral exams 60% (420 marks). ١٢

13 D. Curriculum Structure: (Courses): courses of the program: Modules/ Units delivering courses and student work load list First Part Basic Courses -Course 1: Biostatics& Methodology& Epidemiology - Unit 1: Biostatistics -Unit 2: methodology -Unit 3: Epidemiology Second Part : Course 2 Principles of Microbiology &Immunology: Unit 1:General Microbiology Unit 2: Immunology Unit 3: Systema c Microbiology. Third Part Course Code Lectures/didactics training total MIC209 8h/wk=208h 4h/wk=104h MIC h Specialized courses Specialized Clinical Work 728h 2 hr /wk 2hrs/wk 3hrs /wk 4hrs/wk 5 hr/wks 8hrs/wk 312h 1248h 208hrs 364hrs 676hrs Total 728h 832h 1560h ١٣

14 6. Courses Contents (Annex 1) The competency based objectives for each course/module/rotation are specified in conjunction with teaching/training methods, requirements for achieving these objectives and assessment methods. See Annex 1 for detailed specifications for each course/ module Annex 6 II: Program Matrix 7-Admission requirements Admission Requirements (prerequisites) if any : I. General Requirements: - Grade good in the final exam from approved faculty of Medicine (except for students from abroad) - Completed his intern year after graduation from medical school - One year appointment within responsible department (for non Assiut University based registrars) II. Specific Requirements: - Fluent in English (study language) VACATIONS AND STUDY LEAVE The current departmental policy is 2 weeks before examination. FEES: As regulated by the postgraduate studies rules and approved by the faculty vice dean of post graduate studies and the faculty and university councils. ١٤

15 8-Progression and completion requirements Examina ons of the first part could be set at 12 months from applying to the master degree. Examina on of the second part cannot be set before 2 years from applying to the degree. Discussion of the master essay could be set a er 1 year from officially registering the subject. The minimum dura on of the program is 2 years. The students are offered the degree when: 1. Passing the exams of all basic and specialized courses of this program as regulated by the post graduates approved rules by the faculty council. 2. Comple ng all scheduled skills in the log book (minimum 75%). 3. Discussion and acceptance of the essay. ١٥

16 9- Program assessment methods and rules (Annex IV) Method Written examinations: Structured essay questions Objective questions MCQ Problem solving Practical: OSPE Structured oral Logbook assessment Research assignment ILOs measured K & I K,I, P &G skills K,I &G skills All I &G skills ١٦

17 Weighting of assessments: Courses First Part Course Written code Exam Basic Courses: Course1 Biostatistics & methodology &Epidemiology Specialized Courses: Course 2 Principles of Microbiology &Immunology - Unit 1 General Microbiology -Unit 2 immunology - Unit 3 Systematic Microbiology Bacteriology.,Virology, &Mycology& Applied Microbiology Oral Exam Degrees Practical / Clinical Exam Total MIC Mark MIC207 50% 25% 25% Second Part 280 for 2 papers (140 for each) 200 oral 220 practical Total 100% mark Examination system: First part: Wri en exam 3 hours in Biosta s cs & methodology &Epidemiology + practical exam+ oral exam Second part: Wri en exam Two papers 3 hours for each in Principles of Microbiology &Immunology + Oral exam+ practical ١٧

18 10-Program evaluation By whom method Sample Quality Assurance Unit Reports Field visits # Internal evaluators Report # External Evaluator Reports # (s):according to department council External Examiner (s): According to department council Field visits Stakeholders Reports # Field visits Questionnaires Senior students Questionnaires # Alumni Questionnaires # #Annex 5 contains evalua on templates and reports (joined in the departmental folder). 11-Declaration We certify that all of the information required to deliver this program is contained in the above specification and will be implemented. All course specifications for this program are in place. Contributor Name Signature Date Program Principle Coordinator Prof. Enas Abdel mageed Daef Head of the Responsible Department (Program Academic Director) Prof. Ahmed Sadek Ahmed ١٨

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20 Annex 1: specifications for courses Basic Course Course 1: Biostatistics, Methodology &Epidemiology Medical Microbiology & Immunology Department Faculty of medicine Assiut University / Course data Course Title: Biostatistics, Methodology & Epidemiology. Course code: MIC209 Specialty: Medical Microbiology and Immunology. Number of hours Didactic 208h (67%), practical 104h (33%).total 312h. Department delivering the course: Public Health and Community medicine Department in conjunction with microbiology and immunology. Coordinator (s): - Course coordinator: Prof. Enas Abdel Mageed Daef - Assistant coordinator (s) : - Prof. Ahmed Sadek Ahmed Prof. Mohamed Aly Al Feky Prof. Mona Amin Hassan Dr. Noha Abdel-Haleem Afifi Dr. Nahla Mohamed K. El-Sherbeny ٢٠

21 Date last reviewed: General requirements (prerequisites) if any : - Grade good in the final exam from approved faculty of Medicine (except for students from abroad) - Completed his intern year after graduation from medical school - One year appointment within responsible department (for non Assiut University based registrars) Requirements from the students to achieve course ILOs are clarified in the joining log book. This course is divided into 3 units : Unit 1 Biostatistics. Unit 2 Methodology Unit 3 Epidemiology. ٢١

22 2. Course Aims 1. Acquire a basic knowledge which are necessary for understanding principles of epidemiology and biostatistics. 2. Apply this knowledge to analysis of common infection problems; 3. be able to communicate their ideas in a written format; 4. become adept at retrieving and assimilating information from a variety of electronic and text sources; 5. Learn to solve problems as a group. 3.Course intended learning outcomes (ILOs): Unit 1: Biostatistics: A-Knowledge and understanding. ILOs Methods of Methods teaching/ Learning Evaluation A-Describe common clinical conditions and diseases related to Biostatistics. B. Outline essential factual basics and principles which are related to Biostatistics., including the following: -Methods of data collection. -Methods of data presentation. -Methods of data analysis and vital statistics. C. State update and evidence based Knowledge related to Biostatistics as: methods of data analysis. D. Mention the basics of quality assurance to ensure good professional skills in data analysis and presentation. E. Mention the ethical and scientific principles of medical research -didactic (lectures) -Critically appraised topic, Educational prescription Portfolios Log book Oral exam Written exam of ٢٢

23 B. Intellectual outcomes ILOs A. Correlates the facts of relevant basic and clinically supportive sciences with methods of data collection, analysis and presentation. B. Demonstrate an investigatory and analytic thinking (problem solving) approaches to conditions relevance to methods of data analysis. C. Design and present audits, cases, seminars in common problems related to methods of data analysis and presentation. C. Practical skills Methods of teaching/ Learning Didactic (lectures) -Critically appraised topic, Educational prescription, Practical teaching, seminar. Methods of Evaluation Portfolios Log book Oral exam Written Exam ILOs A. Perform the essential biostatistics skills including management of the following: - Data presentation: a) Numerical presentation. b) Graphical presentation. c) Mathematical presentation. - Data analysis (analytic statistics or tests of significance). - Population sample. - Vital statistics. B. Select the suitable statistical l tests for data analysis. Methods of teaching/ learning -Problem solving. Exercise. Methods of Evaluation Log book Objective structure Practical exam ٢٣

24 C. Interpret the methods and tests related to biostatistics including the following : - Data collection. - Data presentation: a) Numerical presentation. b) Graphical presentation. c) Mathematical presentation. - Data analysis (analytic statistics or tests of significance). - Population samples. - Vital statistics. D. Perform the statistical methods and tests that are mentioned in CC. E. Write the evaluating reports of the following: - data analysis (analytic statistics or tests of significance). - Population samples. - Vital statistics F. Perform the following basic experiments in related basic sciences to be utilized in the research work: - Data presentation: a) Numerical presentation. b) Graphical presentation. c) Mathematical presentation. - Data analysis. G. Use information technology to support decisions in common situations related to analysis of data related to infectious diseases. ٢٤

25 D. General Skills Practice-Based Learning and Improvement ILOs Methods of teaching/ learning A. Perform practice-based improvement activities using a systematic methodology (audit, logbook)for Data collection, analysis and interpretation. B. Appraises evidence from scientific studies as Researches and evidence based practice and internet updates. C. Participate in one audit or survey related to biostatistics of infectious diseases. D. Perform data management including data entry and analysis. E. Facilitate learning of junior students and other health care professionals. supervision Written & oral communication Interpersonal and Communication Skill ILOs Methods of teaching/ learning F. Maintain ethically sound relationship with senior staff, colleagues and technicians. G. Elicit information using effective nonverbal, explanatory, questioning, and writing skills. H. Provide information using effective nonverbal, explanatory, questioning, and writing skills. I. Work effectively with others as a member of the Infection control team or other professional group. J. Present data in seminars. supervision Written & oral communication Methods of Evaluation Log book Methods of Evaluation Simulation Record review (report logbook ٢٥

26 ILOs Professionalism K. Demonstrate respect, compassion, and integrity; a responsiveness to the needs of patients and society L. Demonstrate a commitment to ethical principles including provision or withholding of clinical care, confidentiality of patient information, informed consent, business practices M. Demonstrate sensitivity and responsiveness to patients culture, age, gender, and disabilities Methods of teaching/ learning Observation & supervision Didactic ) Educational prescription Methods of Evaluation 1.Objec ve structured practical examination 2.Student survey Systems-Based Practice. ILOs Methods of teaching/ learning N. Work effectively in relevant health care Observation delivery settings and systems Like statistical & analysis of patients' data. supervision O. Practice cost-effective health care and Didactic resource allocation that does not compromise (lectures) quality of care in performing special techniques Educational as data analysis and interpretation. prescription P. Assist patients in dealing with system complexities. Methods of Evaluation 1-student survey 2. por olios ٢٦

27 Unit 2: Methodology A-Knowledge and understanding ILOs Methods of teaching/ Learning A. Describe common clinical applications to different types of studies and screening methods. B. Outline the following factual basics and principles which are related to methodology study: -Types of studies: including; o Prospective study. o Retrospective study. o Cross sectional study. - Screening. C. State update and evidence based Knowledge related to different types of study designs and screening. D. Memorize the facts and principles of the other relevant basic and clinically supportive sciences related to microbiology including Epidemiology of infectious diseases. E. Mention the basic ethical and medicolegal principles revenant to the different types of study designs and screening. F. Mention the basics of quality assurance to ensure good professional skills as selection of the study design suitable for each clinical study. G. Mention the ethical and scientific principles of medical research Didactic (lectures)- Critically appraised topic, Educational prescription Methods Evaluation Written exam Log book Oral exam of ٢٧

28 B. Intellectual outcomes ILOs Methods of teaching/ learning A. Correlates the facts of relevant basic Didactic and clinically supportive sciences with (lectures)- methods of selection of study design Critically suitable for each case. appraised topic, B. Demonstrate an investigatory and Educational analytic thinking (problem solving) prescription approaches to conditions relevance to Tutorial selection of the study design suitable for each clinical study and screening of infectious diseases. C. Design and present audits, cases, seminars in common problems related types of study designs. Methods of Evaluation Portfolios Log book Oral exam Written exam ٢٨

29 ILOs C. Practical skills A. Perform the following basic skills that are related to the field including: -study designs in different clinical problems. - Screening methods for different nosocomial infections. B. Criticize published papers regarding the study design and structure. C. Perform practical exercises related to selection of the study design suitable for each clinical study and screening of infectious diseases. D. Write the evaluated reports: e. g. Criticism of published papers regarding the study design and structure. E. Perform the basic experiments related to basic sciences that be utilized in the research work: e. g. Application of different study designs in various research fields. F. Use information technology to support decisions in common situations related to selection of the study design suitable for each clinical study and screening of infectious diseases. Methods of teaching/ learning Problem solving Exercise Methods of Evaluation log book - Objective structure ٢٩

30 D. General Skills Practice-Based Learning and Improvement ILOs Methods of teaching/ learning A. Perform practice-based improvement activities using a systematic methodology (audit, logbook) for choosing proper study design and screening for nosocomial infections. B. Appraises evidence from scientific studies as researches and evidence based practice and internet updates. C. Participate in one audit or survey related to selection of the study design suitable for each clinical study and screening of infectious diseases. D. Perform data management including data entry and analysis. E. Facilitate learning of junior students and other health care professionals. supervision Written & oral communication Methods of Evaluation Log book ٣٠

31 Interpersonal and Communication Skills. ILOs F. Maintain ethically sound relationship with senior staff, colleagues and technicians. G. Elicit information using effective nonverbal, explanatory, questioning, and writing skills. H. Provide information using effective nonverbal, explanatory, questioning, and writing skills. I. Work effectively with others as a member of the Infection control team or other professional group. J. Present a study in seminars. K. Write a report criticizing a published paper regarding type of study design and structure. Methods of teaching/ learning Observation & supervision Methods of Evaluation Simulation Record review (report ILOs Professionalism L. Demonstrate respect, compassion, and integrity; a responsiveness to the needs of patients and society M. Demonstrate a commitment to ethical principles including provision or withholding of clinical care, confidentiality of patient information, informed consent, business practices N. Demonstrate sensitivity and responsiveness to patients culture, age, gender, and disabilities Methods of teaching/ learning Observation & supervision Didactic (lectures) Educational prescription Methods of Evaluation 1.Objec ve structured practical examination 2.Student survey ٣١

32 ILOs Systems-Based Practice O. Work effectively in relevant health care delivery settings and systems Like surveillance. P. Practice cost-effective health care and resource allocation that does not compromise quality of care in performing special techniques as choosing a design for a certain study or surveillance. Q. Assist patients in dealing with system complexities. Methods of teaching/ learning Observation & supervision Didactic Educational prescription Methods of Evaluation 1-student survey 2. por olios ٣٢

33 Unit 3: Epidemiology of infectious diseases & Environmental sanitation A-Knowledge and understanding ILOs Methods of teaching/ Learning A. Describe common clinical conditions and diseases related to the course including the following aspects : - Bacterial infections; e.g. Tuberculosis, Cerebrospinal meningitis, Brucellosis, Typhoid fever, Food poisoning. - Viral infections; e.g. Measles, Mumps, Rubella, Hepatitis, Influenza, AIDS. - Environmental sanitation e.g. Water purification, Sanitary sewage disposal, Sanitary refuse disposal. -Laboratory examination of food handlers. B. Outline the following factual basics and principles essential to the Epidemiology of infectious diseases ; - Bacterial infections: e.g. Tuberculosis, Cerebrospinal meningitis, Brucellosis, Typhoid fever, Food poisoning. - Viral infections e.g. Measles, Mumps, Rubella, Hepatitis, Influenza, AIDS. - Environmental sanitation: e.g. Water purification, Sanitary sewage disposal, Sanitary refuse disposal, Laboratory examination of food handlers. Didactic (lectures) -Critically appraised topic, Educational prescription Methods Evaluation Written exam Log book Oral exam Written exam of ٣٣

34 C. State update and evidence based Knowledge related to Epidemiology of infectious diseases and Environmental sanitation. D. Memorize the facts and principles of the other relevant basic and clinically supportive sciences related to specialty including diagnosis of infectious diseases. E. Mention the basic ethical and medicolegal principles relevant to the Epidemiology of infectious diseases and Environmental sanitation. F. Mention the basics of quality assurance to ensure good professional skills in diagnosis of Epidemiology of infectious diseases and Environmental sanitation. G. Mention the ethical and scientific principles of medical research ٣٤

35 B. Intellectual outcomes ILOs A. Correlates the facts of relevant basic and clinically supportive sciences with conditions and diseases of relevance to Epidemiology of infectious diseases and Environmental sanitation. B. Demonstrate an investigatory and analytic thinking (problem solving) approaches to environmental sanitations and conditions relevance to modes of transmission, causative agents, diagnosis, treatment, prophylaxis and control of infectious diseases. C. Design and present audits, cases, seminars in common problems related Epidemiology of infectious diseases and Environmental sanitation. C. Practical skills Methods of teaching/ learning Didactic (lectures) -Critically appraised topic, Educational prescription Methods of Evaluation Written exam Log book Oral exam ILOs A. Use information technology to support decisions in common situations related to the following: -Various prevention strategies for infectious diseases - Different used techniques and approaches for the following: Water purification, Sanitary sewage disposal, Sanitary refuse disposal, Laboratory examination of food handlers. ٣٥ Methods of teaching/ learning Problem solving Practical work Methods of Evaluation log book - Objective structure Practical exam

36 D. General Skills Practice-Based Learning and Improvement ILOs Methods of teaching/ learning A. Perform practice-based improvement activities using a systematic methodology (audit, logbook) for Prevention of infectious diseases and tracing the source of outbreaks of food poisoning and nosocomial infections. B. Appraises evidence from scientific studies as Researches and evidence based practice and internet updates. C. Participate in one audit or survey related to epidemiology of infectious diseases and tracing the source of outbreaks of food poisoning and nosocomial infections. D. Perform data management including data entry and analysis. E. Facilitate learning of junior students and other health care professionals. supervision Written & oral communication Methods of Evaluation Log book ٣٦

37 ILOs Interpersonal and Communication Skills Methods of teaching/ learning F. Maintain ethically sound relationship with senior staff, colleagues and technicians. G. Elicit information using effective nonverbal, explanatory, questioning, and writing skills. H. Provide information using effective nonverbal, explanatory, questioning, and writing skills. I. Work effectively with others as a member of the Infection control team or other professional group. J. Present a case in seminars. Observation & supervision Methods of Evaluation Portfolio Simulation Record review (report ILOs Professionalism K. Demonstrate respect, compassion, and integrity; a responsiveness to the needs of patients and society L. Demonstrate a commitment to ethical principles including provision or withholding of clinical care, confidentiality of patient information, informed consent, business practices M. Demonstrate sensitivity and responsiveness to patients culture, age, gender, and disabilities Methods of teaching/ learning Observation & supervision Didactic (lectures) Educational prescription Methods of Evaluation 1.Objec ve structured practical examination 2.Student survey ٣٧

38 ILOs Systems-Based Practice Methods of teaching/ learning Observation & supervision Didactic (lectures) Educational prescription N. Work effectively in relevant health care delivery settings and systems Like surveillance. O. Practice cost-effective health care and resource allocation that does not compromise quality of care in performing special techniques as choosing a design for a certain study or surveillance. P. Assist patients in dealing with system complexities. Methods Evaluation 1-student survey 2. por olios of ٣٨

39 4. Course contents (topic s/modules/rotation) Course Matrix Time Schedule: First Part Topic Covered ILOs Knowledge Intellectual Practical skill General Skills Unit 1: Biosta s cs Methods of data collection A,B,E A C A-P Presentation of data A-D A,C A,C,D,F A-P Methods of data analysis A-E A-C A-G A-P Unit 2: Methodology Principals of different study A- G A-C A-F A-Q designs. Bases of screening. A-C,E,G B A,C,F A-Q Unit 3: Epidemiology of infec ous diseases & Environmental sanita on: Epidemiology of infectious A-G A-C A A-P diseases Environmental sanitation A-C,E-G A,C A A-P 5. Course Methods of teaching/learning: 1. Lectures, didactics 2. Assignments 3. Discussion 4. Exercises, practical wok 5. Educational prescription. 6. Seminar. 7. Tutorial. 8. Observations and supervision. 9. Critical appraisal topics. 10. Written and oral communication ٣٩

40 6. Course Methods of teaching/learning: for students with poor achievements 1. Extra Didactic (lectures, seminars, tutorial) according to their needs 2. Extra training according to their needs 7. Course assessment methods: i. Assessment tools: 1. Wri en examina on 2. Oral exam 3. Practical exam 4. Objective structural assessment. 5. Logbook. 6. Por olio. 7. Simula on. 8. Record, review reports. 9. STUDENT SURVEY. ii. Time schedule: 6 months. iii. Marks: 300 =1 st part. ٤٠

41 8. List of references i. Lectures notes Department lecture notes ii. Essential books An epidemiologic Approach to Reproductive Health,CDC,FHI, and WHO Phyllis A. wingo, James E.Higgens, Goerge L. Rubin, and S.Christine Zahniser iii. Recommended books Evidence Based Medicine How to practice and teach EBM. David Sachett, Sharon E. Straus, W.Scott Richardson, William Rosenberg R.Brain Haynes iv. Periodicals, Web sites, etc - Dissertation workshop open courseware JHSPH. 9. Signatures Course Coordinator: Prof. Enas Abdel mageed Daef Date:.. Head of the Department: Prof. Ahmed Sadek Ahmed Date:.. ٤١

42 "Specialized course: Course 2 Principles of Microbiology & Immunology" Medical Microbiology & Immunology Department Faculty of medicine Assiut University / I. Course data Course Title: Principles of Microbiology& Immunology Course code: MIC207. Specialty: Medical Microbiology and Immunology Number of hours Didactic 520h (42%), practical 728h (58%).total 1248h. Department (s) delivering the course: Medical Microbiology &Immunology Department Coordinator (s): - Course coordinator: Prof. Enas Abdel Mageed Daef - Assistant coordinator (s) : - Prof. Ahmed Sadek Ahmed Prof. Mohamed Aly Al Feky Prof. Mona Amin Hassan Dr. Noha Abdel-Haleem Afifi Dr. Nahla Mohamed K. El-Sherbeny Date last reviewed: General requirements (prerequisites) if any : - Grade good in the final exam from approved faculty of Medicine (except for students from abroad) - Completed his intern year after graduation from medical school - One year appointment within responsible department (for non Assiut University based registrars) Requirements from the students to achieve course ILOs are clarified in the joining log book. ٤٢

43 2. Course Aims 2/1-The candidate is able to acquire the basic knowledge and skills that is essential and appropriate to common microbiology and immunology conditions and situations in different aspects of related eras including (general and systematic microbiology and immunology) in practice as follows; Unit (1): General Microbiology: 1. Bacterial morphology and structure: 2. Bacterial physiology and metabolism: 3. Methods for iden fica on of bacteria: 4. Microbial gene cs: 5. Control of microorganisms: a) Sterilization, disinfection and antiseptics b) Antimicrobial chemotherapy. 6. Host parasite rela onship. Unit (2): Immunology. Unit (3): systematic Microbiology: 3.1: Systema c Bacteriology. 3.2: Virology : General virology : Common viral diseases 3.3: Mycology. 3.4: Applied Microbiology: i. e. Hospital acquired infections and System wise microbial diseases ٤٣

44 3. Course intended learning outcomes (ILOs) Unit (1): General Microbiology A-Knowledge and understanding ILOs Methods of teaching/ Learning A. Describe the general microbiology basics including the following : - bacterial morphology and structure - bacterial physiology and metabolism - The methods for identification of bacteria. - Microbial genetics. - The difference between sterilization, disinfection and antiseptics. - Different levels of host parasite relationship. B. Outline the following factual basics and principles of bacterial morphology and structure, microbial genetics, chemoprophylaxis and methods for identification of bacteria. C. State update and evidence based Knowledge related to microbial genetics, sterilization, disinfection, antiseptics and chemoprophylaxis. D. Memorize the facts and principles of physiology and metabolism related to microbiology. E. Mention the basic ethical and medicolegal principles revenant to the application of chemoprophylaxis in medicine. F. Mention the basics of quality assurance to ensure good professional skills in Didactic (lectures, seminars, tutorial) -Journal club, -Critically appraised topic, Educational prescription Demonstrations Methods of Evaluation Portfolios Procedure/st ains Log book Oral exam Written exam ٤٤

45 identification of bacteria and differentiation between sterilization, disinfection and antiseptics. G. Mention the ethical and scientific principles of medical research H. State the impact of common problems related to the field of Microbiology on the society and how good practice can improve these problems. ٤٥

46 B-Intellectual outcomes ILOs A. Correlates the facts of relevant basic and clinically supportive sciences with conditions and diseases of relevance to genetics, host parasite relationship and application of chemoprophylaxis in medicine and other conditions that are mentioned in A.A. B. Demonstrate an investigatory and analytic thinking (problem solving) approaches to conditions relevance to application of chemoprophylaxis in medicine. C. Design and present audits, cases, seminars in common problems related to identification of bacteria and differentiation between sterilization, disinfection and antiseptics, bacterial metabolism, pathogencity and genetics. D. Formulate management plans and alternative decisions in different situations in the field of the specialty. Methods of teaching/ Learning Didactic (lectures) -Critically appraised topic, Educational prescription Methods of Evaluation Portfolios Log book Oral exam Written Exam ٤٦

47 C. Practical skills ILOs Methods of teaching/ learning A. Perform the following basic lab skills that are essential to general microbiology as follows : Identification of basic laboratory equipments. Preparation of bacteriological media used for isolation of pathogenic organisms. Performance of biochemical reaction needed to confirm diagnosis. Care and operation of Microscopes viz. Light, Dark ground Phase contrast, Fluorescent microscopes. Preparation of stains viz. Gram s Albert s, Ziehl Neelson and other special stains and performing of staining. Washing and sterilization of glassware including plugging and packing. Operation of autoclave, hot air oven, distillation plant, filters like Seitz and membrane and sterility tests Care and maintenance of common laboratory equipment like water bath, centrifuge, refrigerators, incubators etc. Preparation and pouring of ٤٧ - seminar -Direct observation of the practical work Methods Evaluation log book - Objective structure -Check list of

48 liquid and solid media Nutrient agar, Blood agar, MacConkey agar, sugars, TSI agar, Robertson s cooked meat, Lowenstein-Jensen s Sabouraud dextrose. Preparation of reagents oxidase, kovac, etc. Tests for beta-lactamases.. Collection of specimens for Microbiological investigations such as blood, urine, throat swab, rectal swab, stool, pus, specimens. B. use instruments and devices in sterilization of culture media, monitoring efficiency of sterilization, centrifugation of clinical samples, PCR C. Interpret the following non invasive procedures& experiments: Efficiency of sterilization Identification of the isolated microorganisms on culture media. Biochemical reactions.. PCR products. D. Perform the following non invasive& invasive procedures& experiments: Preparation, examination and interpretation of direct smears from clinical specimens, viz. Sputum for AFB ZN & auramine O, slit smears for M.Leprae.-ZN stain, conjunctival smear for Chlmydiae Giemsa/Iodine. Quantitative analysis of urine ٤٨

49 by pour plate method and semiquantitative analysis by standard loop test for significant bacteriuria. Plating of clinical specimens on media for isolation and purification. PCR E. Write and evaluate of the reports related to above mentioned experiments and procedures in CD. F. Perform the following basic experiments in related basic sciences to be utilized in the research work: PCR. G. Use information technology to support decisions in common situations related to practical skills for the advanced molecular techniques used for identification of isolated microorganisms. H. Develop and carry out plans for performing experiments related to Microbiology. I. Counsel and educate students, technicians and junior staff, in the lab about conditions related to microbiology; including handling of samples, devices, safety and maintenance of laboratory equipments. J. Share in providing health care services aimed solving health problems and better understanding of the normal structure and function. ٤٩

50 D. General Skills Practice-Based Learning and Improvement ILOs Methods of teaching/ learning A. Perform practice-based improvement activities using a systematic methodology(audit, logbook)in: Sample processing, microscopic examination and culture. B. Appraises evidence from scientific studies as topics researches and evidence based practice and internet updates. C. participate in one audit or survey related to the course D. Perform data management including data entry and analysis. E. Facilitate learning of junior students and other health care professionals about identification of bacteria and molecular methods for detection. Log book and supervision Written & oral communication Journal clubs Discussions seminars Scientific meetings participate seminars in in Methods Evaluation of Log book Portfolios Procedure/case presentation ٥٠

51 Interpersonal and Communication Skills. ILOs Methods of teaching/ learning F. Maintain ethically sound relationship with other members of the health care team. G. Elicit information using effective nonverbal, explanatory, questioning, and writing skills. H. Provide information using effective nonverbal, explanatory, questioning, and writing skills. I. Work effectively with others as a member or leader of a team in Infection control unit. J. Present a case in Microbiology. K. Write a report about type of organism and antimicrobial sensitivity results. Observation & supervision Methods Evaluation of Simulation Record review (report ٥١

52 Professionalism ILOs Methods of teaching/ learning L. Demonstrate respect, compassion, and integrity; a responsiveness to the needs of patients and society M. Demonstrate a commitment to ethical principles including provision or withholding of clinical care, confidentiality of patient information, informed consent, business practices N. Demonstrate sensitivity and responsiveness to patients culture, age, gender, and disabilities Observation & supervision Didactic, seminars, tutorial Educational prescription Methods Evaluation Objective structured practical examination 2.Student survey of ILOs Systems-Based Practice Methods of teaching/ learning Methods of Evaluation O. Work effectively in relevant health care delivery settings and systems as diagnosis of different infectious diseases. P. Practice cost-effective health care and resource allocation that does not compromise quality of care (if applied) in performing special techniques as special stains and cultures. Q. Assist patients in dealing with system complexities. Observation & supervision Didactic seminars, tutorial Educational prescription 1-student survey 2.por olios ٥٢

53 Unit (2): Immunology A-Knowledge and understanding ILOs Methods of teaching/ Learning A. Describe the essential concepts and patho- physiological processes of common clinical conditions and diseases related to immunology such as Immunodeficiency diseases. Autoimmune diseases. Hypersensitivity reactions. Graft rejection. B. Outline the following factual basics and principles: -Difference between natural immunity and acquired immunity. -The two limbs of the immune response (antibody mediated and cell mediated) -The cellular cooperation and interaction in an immune response. C. State update and evidence based Knowledge related to the immunological processes underlying: Protection against microbial Development of autoimmune diseases Immune deficiency diseases disease Protection against development of Didactic (lectures, seminars, tutorial) -Journal club, -Critically appraised topic, Educational prescription Methods Evaluation Written exam Portfolios Log book Oral exam of ٥٣

54 tumor Hypersensitivity or allergic reactions Rejection of transplanted tissues of organs. D. Memorize the facts and principles of the other relevant basic and clinically supportive sciences related to specialty including: Genetics controlling transplantation, autoimmune diseases and primary immune deficiency diseases. E. Mention the basics of quality assurance to ensure good professional skills in : Serological diagnosis of infectious diseases. Detection of tumor antigens. Diagnosis of autoimmune diseases and immune deficiency diseases. F. Mention the ethical and scientific principles of medical research. ٥٤

55 B. Intellectual outcomes ILOs Methods of teaching/ learning A. Correlates the facts of relevant basic Didactic and clinically supportive sciences with (lectures, conditions and diseases of relevance to seminars, the following: tutorial) - Protection against microbial disease -Journal club, - Protection against development of -Critically tumor appraised - Hypersensitivity or allergic reactions topic, - Rejection of transplanted tissues of Educational organs prescription - Development of autoimmune diseases - Immune deficiency diseases B. Demonstrate an investigatory and analytic thinking (problem solving) approaches to conditions relevance to autoimmune diseases and immune deficiency diseases. C. Design and present audits, cases, seminars in common problems related to immune disorders. D- Differentiate between different conditions related to immunology as follows: natural immunity and acquired immunity. self and non self recognition by the immune system. classes of immunoglobulin. the natural defense mechanisms Methods of Evaluation 1.Por olios 2.Procedure/stains 3.Log book 4.Oral exam 5.Wri en exam ٥٥

56 ILOs C. Practical skills A. Perform the following basic lab skills essential to the course: -Serological tests -Sero typing. -ELISA, IF. B. use instruments and devices as ELISA reader for reading the ELISA plate and the immunoflourescent microscope for detection of immunoflourescent antibodies. C. Interpret the following non invasive procedures/ experiments: Serological tests -Serotyping. -ELISA,IF D. Perform the following non invasive/invasive procedures/ experiments -Serological tests -Serotyping. -ELISA,IF E. Write and evaluate of the following reports: -Serological diagnosis of infectious diseases. -ELISA report. F. Perform the following basic experiments in related basic sciences to be utilized in the research work: Serological tests -Serotyping. -ELISA,IF G. Use information technology to support decisions in common situations related to diagnosis of autoimmune diseases, immune deficiency diseases and graft rejection. ٥٦ Methods of teaching/ learning - seminar -Direct observation of the practical work Methods of Evaluation log book - Objective structure

57 D. General Skills Practice-Based Learning and Improvement ILOs Methods of teaching/ learning A. Perform practice-based improvement activities using a systematic methodology(audit, logbook) in Serology and serotyping. B. Appraises evidence from scientific studies as researches, evidence based practice and internet updates. C. participate in one audit or survey related to the course D. Perform data management including data entry and analysis. E. Facilitate learning of junior students and other health care professionals of the basics of immunology. Log book and supervision Written & oral communication Journal clubs Discussions in seminars Scientific meetings participate in seminars Methods Evaluation of Log book Portfolios Procedure/case presentation ٥٧

58 Interpersonal and Communication Skills ILOs F. Maintain ethically sound relationship with senior staff, colleagues and technicians. G. Elicit information using effective nonverbal, explanatory, questioning, and writing skills. H. Provide information using effective nonverbal, explanatory, questioning, and writing skills. I. Work effectively with others as a member of a health care team or other professional group. J. Write a report about serologic diagnosis of infectious diseases. ILOs Professionalism K. Demonstrate respect, compassion, and integrity; a responsiveness to the needs of patients and society L. Demonstrate a commitment to ethical principles including confidentiality of patient information, informed consent, business practices M. Demonstrate sensitivity and responsiveness to patients culture, age, gender, and disabilities Methods of teaching/ learning Observation & supervision Methods of teaching/ learning Observation & supervision Methods of Evaluation Simulation Record review (report Methods of Evaluation Objective structured practical examinati on 2.Student survey ٥٨

59 ILOs Systems-Based Practice N. Work effectively in relevant health care delivery settings and systems for serological diagnosis and serotyping of etiological agents of different infectious diseases. O. Practice cost-effective health care and resource allocation that does not compromise quality of care (if applied) in performing special techniques as tube agglutination, complement fixation, ELISA, hem agglutination and immunofluorescence. P. Assist patients in dealing with system complexities. Methods of teaching/ learning Observation & supervision Educational prescription Didactic (lectures, seminars, tutorial Methods of Evaluation 1-student survey 2.por olios ٥٩

60 Unit (3): Systema c Microbiology: 3.1. Systema c Bacteriology A-Knowledge and understanding ILOs Methods of teaching/ Learning A. Describe common clinical conditions Didactic( and diseases related to pathogenic lectures, bacteria as regards to character of seminars, pathogenic strain, virulence, mode of tutorial) transmission, the diagnosis, treatment, -Journal club, prevention and control of the most Critically/ important infectious clinical conditions. Appraised B. Outline the following factual basics and topic, principles essential to Systematic Educational Bacteriology: Description.The principle virulence factor(s) of pathogenic strains. The mode(s) of transmission The key tests for laboratory diagnosis of the microbial diseases The main lines of treatment and prophylactic measures C. State update and evidence based Knowledge related to the laboratory diagnosis of the microbial diseases and the new lines of treatment and prophylactic measures D. Memorize the facts and principles of the other relevant basic and clinically supportive sciences related to specialty including: Epidemiology of infectious diseases. E. Mention the basic ethical and Methods of Evaluation Portfolios Procedure/stains Log book Oral exam Written exam ٦٠

61 medicolegal principles revenant to the laboratory diagnosis of infectious diseases. F. Mention the basics of quality assurance to ensure good professional skills in culture and sensitivity of pathological samples and detection of Antimicrobial resistance. G. Mention the ethical and scientific principles of medical research ILOs B. Intellectual outcomes A. Correlates the facts of relevant basic and clinically supportive sciences with conditions and diseases of relevance to diagnosis of infectious diseases as: - Epidemiology of infectious diseases. - Clinical diagnosis of infectious diseases - Genetic basis for antimicrobial resistance. B. Demonstrate an investigatory and analytic thinking (problem solving) approaches to laboratory diagnosis of infectious bacterial diseases and proper line of treatment. C. Design and present audits, cases, seminars in common problems related laboratory diagnosis, treatment, prevention and control of infectious diseases and detection of antimicrobial resistance. Methods of teaching/ learning Didactic (lectures, seminars, tutorial Methods of Evaluation Written exam; MCQ ٦١

62 ILOs C. Practical skills A. Perform the following basic lab skills essential to the course: Selection and use of the morphology, culture, biochemical reaction, serological and molecular diagnosis of the microorganisms (Gram positive and Gram negative cocci and bacilli). B. Use instruments and devices in morphological identification of microorganisms, serological diagnosis, molecular techniques and antimicrobial susceptibility testing. C. Interpret the following non invasive procedures: Staining, Culture, biochemical reactions, serological tests, molecular techniques, antimicrobial susceptibility testing and detection of antimicrobial resistance. D. Perform the following non invasive procedures: Processing of different clinical samples, Staining, Culture, biochemical reactions, serological tests, molecular techniques, antimicrobial susceptibility testing and detection of antimicrobial resistance. E. Write and evaluate of the following reports: - Serologic tests - Antimicrobial susceptibility testing F. Perform the following basic experiments in related basic sciences to be utilized in the research work: Various serologic and molecular techniques. G. Use information technology to support decisions in common situations related to identification of the pathogenic strains causing the infection and the new lines of diagnosis and treatment. Methods of teaching/ learning - seminar -Direct observation of the practical work Methods of Evaluation log book -Objective structure -Check list on steps of practical training ٦٢

63 D. General Skills Practice-Based Learning and Improvement ILOs Methods of teaching/ learning A. Perform practice-based improvement activities using a systematic methodology (audit, logbook)for Sample processing, microscopic examination, culture, serotyping and molecular diagnosis. B. Appraises evidence from scientific studies: Researches and evidence based practice and internet update. C. participate in one audit or survey related to the laboratory diagnosis of infectious diseases. D. Perform data management including data entry and analysis. E. Facilitate learning of junior students and other health care professionals. Log book and supervision Written & oral communication Journal clubs Discussions seminars Scientific meetings in Methods Evaluation Log book of Portfolios Procedure/case presentation ٦٣

64 Interpersonal and Communication Skills ILOs F. Maintain ethically sound relationship with senior staff, colleagues, clinicians and technicians. G. Elicit information using effective nonverbal, explanatory, questioning, and writing skills. H. Provide information using effective nonverbal, explanatory, questioning, and writing skills. I. Work effectively with others as a member or leader of a team in Infection control unit. J. Present a case in seminars. K. Write a report in Infection Control Lab. Methods of teaching/ learning Observation & supervision Methods of Evaluation Simulation Record review (report Professionalism ILOs L. Demonstrate respect, compassion, and integrity; a responsiveness to the needs of patients and society M. Demonstrate a commitment to ethical principles including provision or withholding of clinical care, confidentiality of patient information, informed consent, business practices N. Demonstrate sensitivity and responsiveness to patients culture, age, gender, and disabilities Methods of teaching/ learning Observation & supervision Didactic (lectures, seminars, tutorial Educational prescription Methods of Evaluation Objective structured practical examination 2.Student survey ٦٤

65 Systems-Based Practice ILOs Methods of teaching/ learning O. Work effectively in relevant health care delivery settings and systems as diagnosis of different infectious diseases.. P. Practice cost-effective health care and resource allocation that does not compromise quality of care (if applied) in performing special techniques as special stains, cultures, serological tests and PCR. Q. Assist patients in dealing with system complexities. Observation & supervision Didactic Educational prescription Didactic (lectures, seminars, tutorial Methods of Evaluation 1-student survey 2.por olios ٦٥

66 Unit 3.2. Virology A-Knowledge and understanding ILOs Methods of teaching/ Learning A. Describe common clinical conditions and diseases related to virology and the different types of viral infections. B. Outline the following factual basics and principles: - the general characteristics and structures of viruses. - The medically important RNA and DNA Viruses. - The natural habitat, source of infection, mode of transmission and role of carriers. -The pathogenesis and clinical presentation of the associated disease -Methods of laboratory diagnosis -Lines of management and possible prophylactic measures. C. State update and evidence based Knowledge related to the methods of laboratory diagnosis, lines of management and possible prophylactic measures. D. Memorize the facts and principles of the other relevant basic and clinically supportive sciences related to specialty including: Epidemiology of viral diseases. E. Mention the basics of quality assurance to ensure good professional skills for diagnosis of viral infections. F. Mention the ethical and scientific principles of medical research ٦٦ Didactic (lectures, seminars, tutorial) -Journal club, -Critically appraised topic, -Educational prescription Methods Evaluation of Portfolios Procedure/stains Log book Oral exam Written exam

67 B. Intellectual outcomes ILOs A. Correlates the facts of relevant basic and clinically supportive sciences with conditions and diseases of relevance to viruses as role of the immune system in protection against viral infections and other related conditions mentioned above in A. B-Demonstrate an investigatory and analytic thinking (problem solving) approaches to diagnosis of viral infections. C-Design presented audits, cases, seminars in common problems related to virology: viral infections, latent viruses, persistent viral infections and oncogenic viruses, and scheme for laboratory diagnosis and differentiation between living attenuated and inactivated virus vaccines. Methods of teaching/ learning -Critically appraised topic, -Educational prescription discussion Methods of Evaluation Oral exam Written exam ٦٧

68 C. Practical skills ILOs Methods of teaching/ learning A. Perform the following basic lab skills that are - seminar essential to the course: -Direct Selection & use different methods of virus observation purification. of the Recognition the suitable method of virus practical isolation and other laboratory procedures for work diagnosis of viral infections. B. Use instruments and devices in evaluation of virus purification, isolation and detection of viral antigens and antibodies. C. Interpret the following non invasive procedures/ experiments: -Different methods of virus purification. - Methods of viral isolation. -Serologic diagnosis of viral infections. - Molecular techniques for detection of viruses. Methods of Evaluation log book -Objective structure -Check list on steps of practical training D. Perform the following non invasive procedures/ experiments: -Different methods of virus purification. ٦٨

69 - Methods of viral isolation. -Serologic diagnosis of viral infections. - Molecular techniques for detection of viruses. E. Perform the following basic experiments in related basic sciences to be utilized in the research work: Serologic tests, IF, ELISA. F. Use information technology to support decisions in management and the possible prophylactic measures related to viral infections. D. General Skills Practice-Based Learning and Improvement ILOs Methods of teaching/ Learning A. Perform practice-based improvement activities using a systematic methodology (audit, logbook): Sample processing, tissue culture, serology and molecular diagnosis. B. Appraises evidence from scientific studies: Researches and evidence based practice and internet updates. C. participate in one audit or survey related to virology. D. Perform data management including data entry and analysis. E. Facilitate learning of junior students and other health care professionals about diagnosis of viral infections. Log book and supervision Written & oral communication Journal clubs Discussions seminars Scientific meetings in Methods of Evaluation Log book Portfolios Procedure/c ase presentation ٦٩

70 Interpersonal and Communication Skills ILOs F. Maintain ethically sound relationship with senior staff, colleagues and technicians. G. Elicit information using effective nonverbal, explanatory, questioning, and writing skills. H. Provide information using effective nonverbal, explanatory, questioning, and writing skills. I. Work effectively with others as a member of a health care team or other professional group for diagnosis of viral infections. J. Present a case in seminar. Professionalism Methods of teaching/ learning Observation & supervision Methods of Evaluation Simulation Record review (report ILOs Methods of teaching/ learning K. Demonstrate respect, compassion, and integrity; a responsiveness to the needs of patients and society L. Demonstrate a commitment to ethical principles including provision or withholding of clinical care, confidentiality of patient information, informed consent, business practices M. Demonstrate sensitivity and responsiveness to patients culture, age, gender, and disabilities Observation & supervision Educational prescription Didactic (lectures, seminars, tutorial Methods of Evaluation Objective structured practical examination 2.Student survey ٧٠

71 ILOs Systems-Based Practice N. Work effectively in relevant health care delivery settings and systems for as diagnosis of different viral diseases. O. Practice cost-effective health care and resource allocation that does not compromise quality of care (if applied) in performing special techniques as tissue culture, special serological tests and PCR. P. Assist patients in dealing with system complexities. Methods of teaching/ learning Observation & supervision Educational prescription Didactic (lectures, seminars, tutorial Methods of Evaluation 1-student survey 2. portfolios ٧١

72 Unit 3.3 Mycology A-Knowledge and understanding ILOs Methods of teaching/ Learning A. Describe common clinical conditions and diseases related to Mycology as superficial and invasive mycosis. B. Illustrate the following factual basics and principles related to Mycology :. Classification of fungi..pathogenesis of fungal infections. Laboratory diagnosis of fungal pathogens.systemic mycosis, subcutaneous mycosis,.superficial mycosis opportunistic mycosis. C. State update and evidence based Knowledge related to the diagnosis, treatment, prevention and control of fungal diseases. D. Memorize the facts and principles of the other relevant basic and clinically supportive sciences related to mycology as role of the immune system in protection against fungal infections and serologic tests and molecular techniques for diagnosis of fungal infections. E. Mention the basics of quality assurance to ensure good professional skills for diagnosis of fungal infections. F. Mention the ethical and scientific principles of medical research Didactic (lectures, seminars, tutorial) -Journal club, -Critically appraised topic, -Educational prescription Methods Evaluation of Portfolios Procedure/st ains Log book Oral exam Written exam ٧٢

73 ILOs B. Intellectual outcomes A. Correlates the facts of relevant basic and clinically supportive sciences with conditions and diseases of relevance to mycology as role of the immune system in protection against fungal infections, serologic tests and molecular techniques for diagnosis of fungal infections, clinical suspicion of fungal infections. B. Demonstrate an investigatory and analytic thinking (problem solving) approaches to conditions relevance to identification and diagnosis of fungal infections. C. Design presented audits, cases, seminars in common problems related mycosis and differentiation between them. Methods of teaching/ learning Didactics seminars Methods of Evaluation MCQ Written exam logbook ٧٣

74 C. Practical skills ILOs Methods of teaching/ learning A. Perform the following basic lab skills: the used method of laboratory diagnosis of fungal infections (microscopical examination culture, others like germ tube test, sugar assimilation serological and molecular diagnosis). B. use instruments and devices in microscopic identification, serologic and molecular detection of fungal pathogens. C. Interpret the following non invasive procedures/ experiments: Staining, Culture, sugar assimilation, serological tests, molecular techniques. D. Perform the following non invasive procedures/ experiments: Staining, Culture, sugar assimilation, serological tests and molecular techniques E. Perform the following basic experiments in related basic sciences to be utilized in the research work: Culture and Serologic tests. F. Use information technology to support decisions in common situations related to update methods for diagnosis of fungal Infections. - seminar -Direct observatio n of the practical work Methods of Evaluation log book - Objective structure -Check list on steps of practical training in practical exam ٧٤

75 D. General Skills Practice-Based Learning and Improvement LOs Methods of teaching/ learning A. Perform practice-based improvement activities using a systematic methodology (audit, logbook): Sample processing, culture, serology and molecular diagnosis. B. Appraises evidence from scientific studies: Researches and evidence based practice and internet updates. C. participate in one audit or survey related to mycosis. D. Perform data management including data entry and analysis. E. Facilitate learning of junior students and other health care professionals about diagnosis of fungal infections. Log book and supervision Written & oral communication Journal clubs Discussions seminars Scientific meetings in Methods of Evaluation Log book Portfolios Procedure/c ase presentation ٧٥

76 ILOs Interpersonal and Communication Skills Methods of teaching/ learning Methods of Evaluation F. Maintain ethically sound relationship with senior staff, colleagues and technicians. G. Elicit information using effective nonverbal, explanatory, questioning, and writing skills. H. Provide information using effective nonverbal, explanatory, questioning, and writing skills. I. Work effectively with others as a member of a health care team or other professional group. J. Present a case in seminars. Observation & supervision Simulation Record review (report ILOs Professionalism k. Demonstrate respect, compassion, and integrity; a responsiveness to the needs of patients and society L. Demonstrate a commitment to ethical principles including provision or withholding of clinical care, confidentiality of patient information, informed consent, business practices M. Demonstrate sensitivity and responsiveness to patients culture, age, gender, and disabilities Methods of teaching/ learning Observation & supervision Educational prescription Didactic (lectures, seminars, tutorial Methods of Evaluation Objective structured practical examination 2.Student survey ٧٦

77 Systems-Based Practice ILOs Methods of teaching/ learning N. Work effectively in relevant health care delivery settings and systems for diagnosis of different fungal diseases. O. Practice cost-effective health care and resource allocation that does not compromise quality of care (if applied) in performing special techniques as special serological tests and PCR. P. Assist patients in dealing with system complexities. Observation & supervision Educational prescription Didactic (lectures, seminars, tutorial Methods of Evaluation 1-student survey 2.por olios ٧٧

78 Unit 3.4. Applied Microbiology A-Knowledge and understanding ILOs A. Describe common clinical conditions and diseases related to the course including the following: -Hospital acquired infections and their predisposing factors such as misuse of antibiotics. - Sterilization and disinfection. - Biomedical waste disposal -Antimicrobial resistance. -Tracing nosocomial infection source. B. Outline the following factual basics and principles related to applied microbiology:.ways by which hospital associated diseases are acquired The sites of infection in the host and the microbial agents most frequently isolated from them The predisposing factors that contribute to hospital acquired infections Relationship between antibiotic use and hospital acquired inflections Techniques and practices that help to prevent hospital acquired infections.. Sterilization and disinfection. ٧٨ Methods of teaching/ Learning Didactic (lectures, seminars, tutorial) -Journal club, -Critically appraised topic, -Educational prescription: i.e. Demonstrate of how to process and stain the specimens in a the infection control laboratory Methods of Evaluation Portfolios Log book Oral exam Written exam

79 . Biomedical waste disposal.antimicrobial resistance..tracing nosocomial infection source. C. State update and evidence based Knowledge related to:.techniques and practices that help to prevent hospital acquired infections..sterilization and disinfection.. Biomedical waste disposal.antimicrobial resistance..tracing nosocomial infection source. D. Memorize the facts and principles of the other relevant basic and clinically supportive sciences related to specialty including: Epidemiology of infectious diseases, genetic basis foe antimicrobial resistance. E. Mention the basics of quality assurance to ensure good professional skills in his field. F. Mention the ethical and scientific principles of medical research ٧٩

80 B. Intellectual outcomes ILOs A. Correlates the facts of relevant basic and clinically supportive sciences with conditions and diseases of relevance to applied microbiology that mentioned above in A. B. Demonstrate an investigatory and analytic thinking (problem solving) approaches to conditions relevance to: -Hospital acquired inflections -Sterilization and disinfection. -Antimicrobial resistance. -tracing nosocomial infection source C. Design presented audits, cases, seminars in common problems related to: -Hospital acquired inflections -Sterilization and disinfection. - Biomedical waste disposal -Antimicrobial resistance. -tracing nosocomial infection source D. Formulate management plans and alternative decisions in different situations in the field of the Medical microbiology and immunology. Methods of teaching/ learning Seminar Tutorial, discussion, Didactics Methods of Evaluation Logbook, written exam MCQ Portfolios ٨٠

81 C. Practical skills ILOs A. Perform the following essential basic lab skills that are related to applied microbiology : - Methods selection for Isolation of the pathogenic organisms from the pathogenic specimens referred to Infection Control Lab. -Microbiological examination of water in the Dialysis units. -Monitoring efficiency of sterilization of autoclave, ethylene oxide -. - Application of basic infection control measures to prevent lab. acquired infections. -Application of the biosafety levels. - Evaluation of efficiency of disinfectants.- - Environmental swabbing of critical care areas and examination of such samples in infection control microbiology laboratory. This procedure will help in monitoring efficiency of disinfectants used in hospital and confirm strict implementation of basic I. C. measures by HCW. -. Diagnosis of all nosocomial infections and selection of the proper antimicrobial after isolation of the causative agent. - Detection of antimicrobial resistance. B. use instruments and devices in evaluation of efficiency of disinfectants, Microbiological examination of water in the Dialysis units, Monitoring efficiency of sterilization of autoclave, ethylene oxide Methods of teaching/ learning - seminar -Direct observation of the practical work Methods of Evaluation log book -Objective structure -Check list on steps of practical training of all steps ٨١

82 C. Interpret the following non invasive procedures& experiments: evaluation of efficiency of disinfectants, Microbiological examination of water in the Dialysis units, Monitoring efficiency of sterilization of autoclave, ethylene oxide, Environmental swabbing of critical care areas and examination of such samples in infection control microbiology laboratory and Diagnosis of all nosocomial infections and selection of the proper antimicrobial after isolation of the causative agent and detection of antimicrobial resistance. D. Perform the following non invasive procedures& experiments: evaluation of efficiency of disinfectants, Microbiological examination of water in the Dialysis units, Monitoring efficiency of sterilization of autoclave, ethylene oxide, Environmental swabbing of critical care areas and examination of such samples in infection control microbiology laboratory and Diagnosis of all nosocomial infections and selection of the proper antimicrobial after isolation of the causative agent and detection of antimicrobial resistance. E. Write the evaluated report of the following:.evaluation of efficiency of disinfectants,.microbiological examination of water in the Dialysis units,.efficiency of sterilization of autoclave, ethylene oxide,.environmental swabbing. Diagnosis of nosocomial infections and the antimicrobial sensitivity tests. F. Perform the following basic experiments in related basic sciences to be utilized in the research ٨٢

83 work: Serologic tests and molecular techniques to confirm the diagnosis and detection of antimicrobial resistance. G. Use information technology to support decisions in common situations related to recent methods for screening of antimicrobial resistant organisms, emerging nosocomial pathogens. D. General Skills Practice-Based Learning and Improvement ILOs Methods of teaching/ learning A. Perform practice-based improvement activities using a systematic methodology(audit, logbook): Sample processing, microscopic examination, culture and antibiotic sensitivity testing. B. Appraises evidence from scientific studies: Researches and evidence based practice and internet updates. C. participate in one audit or survey related to the course D. Perform data management including data entry and analysis. E. Facilitate learning of junior students and other health care professionals. Log book and supervision Written & oral communication Journal clubs Discussions in seminars Scientific meetings Methods Evaluation Log book of Portfolios Procedure/cas e presentation ٨٣

84 Interpersonal and Communication Skills. ILOs F. Maintain ethically sound relationship with senior staff, colleagues and technicians. G. Elicit information using effective nonverbal, explanatory, questioning, and writing skills. H. Provide information using effective nonverbal, explanatory, questioning, and writing skills. I. Work effectively with others as a member or leader of a team in Infection control unit. J. Present a case in seminars. K. Write a report about:.evaluation of efficiency of disinfectants,.microbiological examination of water in the Dialysis units,.efficiency of sterilization of autoclave, ethylene oxide,.environmental swabbing. Diagnosis of nosocomial infections and the antimicrobial sensitivity tests. Methods of teaching/ learning Observation & supervision Methods of Evaluation Simulation Record review (report ٨٤

85 ILOs Professionalism L. Demonstrate respect, compassion, and integrity; a responsiveness to the needs of patients and society M. Demonstrate a commitment to ethical principles including provision or withholding of clinical care, confidentiality of patient information, informed consent, business practices N. Demonstrate sensitivity and responsiveness to patients culture, age, gender, and disabilities ILOs Systems-Based Practice O. Work effectively in relevant health care delivery settings and systems as.evaluation of efficiency of disinfectants,.microbiological examination of water in the Dialysis units,.efficiency of sterilization of autoclave, ethylene oxide,.environmental swabbing and monitoring of environmental sanitation.. Diagnosis of nosocomial infections and the antimicrobial sensitivity tests P. Practice cost-effective health care and resource allocation that does not compromise quality of care. Q. Assist patients in dealing with system complexities. Methods of teaching/ learning Observation & supervision Educational prescription Didactic (lectures, seminars, tutorial Methods of teaching/ learning Observation & supervision Didactic (lectures, seminars, tutorial Educational prescription Methods of Evaluation Objective structured practical examinati on 2.Student survey Methods of Evaluation 1-student survey 2.por olios ٨٥

86 4. Course contents (topic s/modules/rota on) Course Matrix `Time Schedule: Second part Topic Covered ILOs Knowledge Intellectual Practical skill Unit 1: General Microbiology Basics of bacterial morphology and structure. Bacterial physiology and metabolism. ٨٦ General Skills A,B - - A-Q A,D C - A-Q Microbial genetics A,B,C A,C,D B,C,D,F-J A-Q Difference between sterilization, disinfection and antiseptics. A,C,F-H C,D A,B,C A-Q Chemoprophylaxis and its application in medicine. Methods of identification of bacteria B,C,E A,B - A-Q B,F-H C,D A-J A-Q Unit 2: Immunology Natural and acquired B A - A-P immunity. Antibody mediated immunity B,E B A-F A-P Cell mediated immunity B,E B - A-P Immunoregulatory B C - A-P mechanisms Protection against microbial A-C,F A,B A-G A-P disease Tumor immunology A-C,F A-D G A-P Hypersensitivity or allergic A-C,F A-D G A-P reactions Graft rejection A-F A-D G A-P Autoimmune diseases A-F A-D G A-P Immune deficiency diseases A-F A-D G A-P

87 Unit 3: Systema c Microbiology Systematic Bacteriology Principle virulence factor(s) B,D - - A-Q of pathogenic bacteria Mode(s) of transmission A,B,D A,B - A-Q Microbial features important B - - A-Q for laboratory diagnosis of pathogenic strains Laboratory diagnosis of A-C,E-G A-C A-G A-Q bacterial diseases Lines of treatment and A-C,E-G A-C A-G A-Q prophylactic measures Virology General characteristics of B - - A-P viruses Basic components and B - - A-P structure of viruses Natural habitat, source of A,B,D - - A-P infection, mode of transmission and role of carriers in viral diseases. Pathogenesis and clinical A,B,D - - A-P presentation of viral diseases Methods of laboratory A-C,E,F B,C A-F A-P diagnosis Management and possible A-C,F A-C - A-P prophylactic measures Mycology Basis of classification of fungi B - - A-P Pathogenesis of fungal A,B - - A-P diseases Laboratory diagnosis of fungal infections A-F A-C A-F A-P ٨٧

88 Treatment and prophylaxis of fungal infections Hospital acquired infections and their predisposing factors A-F B,C - A-P Applied Microbiology A-F A-D A-G A-Q Antimicrobial resistance A-F A-C A-G A-Q Tracing nosocomial infection A-C A-D A-G A-Q source. Sterilization and disinfection A-C A-D A-E A-Q of hospital environment Biomedical waste disposal A-C C - A-Q 5. Course Methods of teaching/learning: 1. Didactics: Lectures, tutorial, 2. Practical training in Medical Microbiology & Immunology Dep. 3. Practical training in Microbiology Infection Control laboratory of Assiut University Hospitals. 4. Case studies (problem solving). 5. Seminars, scientific meeting. 6. Journal club. 7. Educational prescription. 8. Critical appraisal topics. 9. Observation & supervision 10. Discussion 11. Written and oral communication. ٨٨

89 6. Course Methods of teaching/learning: for students with poor achievements 1. Extra Didactic (lectures, seminars, tutorial) according to their needs 2. Extra training according to their needs 7. Course assessment methods: i. Assessment tools: Written Examination; including MCQ A standardized examination using multiple-choice questions (MCQ). The in-training examination and written board examinations are examples. Examination Oral Uses structured realistic cases and patient case protocols in an oral examination to assess clinical decision-making. Case /problems assess use of knowledge in diagnosing or treating patients or evaluate procedural skills. Logbook. Portfolio. Simulation. Record, review reports. Check list on steps of practical training of all steps. Practical exam. ii. Time schedule: 2 years iii. Marks: 700 marks ٨٩

90 8. List of references i. Lectures notes ii. Essential books 1. Principles of bacteriology, Virology, Parasitology, & Immunology Vol. I to IV: Tobley &Wilson s. 2. Medical Microbiology. Vol. I to II: Greenwood, Slack, Pleutherer. 3. Basic Clinical Immunology. Fudenburg, S tes, Caldwell, Weils 4. Essen al Immunology. Ivon M. Roi 5. Immunology. Weir D.M. Stewart J. iii. Recommended books - Microbiology in Clinical Practice Shanson D.C iv. Periodicals, Web sites, etc Indian journal of Medical Microbiology Journal of infectious Diseases American Journal of Clinical Microbiology Indian Journal of Pathology & Microbiology. Annual Review of Microbiology. Indian Journal of Medical Research. Indian Journal of Immunology. Journal of Tropical Medicine. New England Journal of Medicine. W.H.O. Bulletin. ٩٠

91 Tubercle. Indian Journal of Tuberculosis. Infection Immunity. Immunology. International Journal of Leprosy. Indian Journal of Leprosy. Journal of American Medical Association. Lancet. British Medical Journal. Journal of Associations of Physicians of India. Pediatric Infectious Diseases. American Journal of Epidemiology. Clinical Microbiology Reviews. Journal of Hospital infection. 9. Signatures Course Coordinator: Prof. Enas Daef Date: Head of the Department: Prof. Ahmed Sadek Ahmed Date: ٩١

92 1- Graduate attributes for master degree of medical Microbiology and immunology The Graduate (after residence training and master degree years of study) must: 1- Have the capability to be a scholar, understanding and applying basics, methods and tools of scientific research and medical audit in the chosen field of Medical microbiology and immunology. 2- Appraise and utilise scientific knowledge to continuously update and improve clinical practice in related Medical microbiology and immunology. 3- Acquire sufficient medical knowledge in the basic biomedical, clinical, behavioural and clinical sciences, medical ethics and medical jurisprudence and apply such knowledge in patient care in the field of Medical microbiology and immunology. 4- Dealing with common problems and health promotion using updated information in the field of Medical microbiology and immunology. 5- Identify and share to solve health problems in his specialty. 6- Acquire all competencies including the use of recent technologiesthat enable him to provide safe, scientific, and ethical care including update use of new technology in the Medical microbiology and immunology field. ٩٢

93 7- Demonstrate interpersonal and communication skills that ensure effective information exchange with other health professions, the scientific community, junior students and the public. 8- Function as supervisor, and trainer in relation to colleagues, medical students and other health professions. 9- Acquire decision making capabilities in different situations related to his field of practice. 10- Show responsiveness to the larger context of the related health care system, including e.g. the organisation of health care, partnership with health care providers and managers, practice of cost-effective health care, health economics, and resource allocations. 11- Be aware of public health and health policy issues and share in system-based improvement of his practice and related health care. 12- Show appropriate attitudes and professionalism. 13- Demonstrate skills of lifelong learning and maintenance of competence and ability for continuous medical education and learning in subsequent stages in the Medical microbiology and immunology or one of its subspecialties. ٩٣

94 2- Competency based Standards for basic master degree graduates By the end of the program, the graduate should demonstrate satisfactory knowledge and understanding of 2-1-A- Established basic, biomedical, clinical, epidemiological and behavioral sciences related to the Medical microbiology and immunology. 2-1-B- The relation between practice in the specialty and the welfare of society. 2-1-C- Up to date and recent developments in common problems related to the field of Medical microbiology and immunology. 2-1-D- Ethical and medicolegal principles relevant to practice in the Medical microbiology and immunology field. 2-1-E -Quality assurance principles related to the good medical practice in the Medical microbiology and immunology field. 2-1-F- Ethical and scientific basics of medical research Knowledge and understanding 2.2- Intellectual skills: By the end of the program, the graduate should be able to demonstrate the following: 2-2-A- Correlation of different relevant sciences in the problem solving and management of common problems of the Medical microbiology and immunology. 2-2-B- Problem solving skills based on data analysis and evaluation (even in the absence of some) for common situations related to Medical microbiology and immunology. ٩٤

95 2.2- C- Demonstrating systematic approach in studying common themes or problems relevant to the Medical microbiology and immunology field. 2-2-D- Making alternative decisions in different situations in the field of the Medical microbiology and immunology. By the end of the program, the graduate should be able to 2-3-A - Provide practical and or laboratory services that can help patient care, solving health problems and better understanding of the normal structure and function. 2-3-B- Demonstrate practical / laboratory skills relevant to Medical microbiology and immunology C- Write and comment on reports for situations related to the field of Medical microbiology and immunology Clinical skills/practical skills 2.4- General skills By the end of the program, the graduate should be able to Competency-based outcomes for practice-based learning and improvement 2-4-A- Demonstrate practice-based learning and improvement skills that involves investigation and evaluation of their own practice, appraisal and assimilation of scientific evidence, improvements in provided services and risk management. 2-4-B- Use all information sources and technology to improve his practice. 2-4-C- Demonstrate skills of teaching and evaluating others. ٩٥

96 Competency-based objectives for interpersonal and communication Skills 2-4-D- Demonstrate interpersonal and communication skills that result in effective information exchange and teaming with patients, their families, lab technical staff and other health professionals. Competency-based objectives for Professionalism 2-4-E- Demonstrate professionalism behaviors, as manifested through a commitment to carrying out professional responsibilities, adherence to ethical principles, and sensitivity to a diverse patient population. Competency-based objectives for Systems-based Practice 2-4-F- Demonstrate an awareness of and responsiveness to the larger context and system of health care and academic services and the ability to effectively use system resources to provide care that is of optimal value. 2-4-G- Demonstrate skills of effective time management. 2-4-H- Demonstrate skills of self and continuous learning. ٩٦

97 ٩٧

98 Annex 3, Methods of teaching/learning Didactic (lectures, seminars, tutorial ) Patient care Medical knowledge Practicebased learning/ Improvemen t Interpersonal and communicatio n skills Professionalism Systemsbased practice X X X X X journal club, X X X Educational prescription Present a case (true or simulated) in a grand round Observation and supervision X X X X X X X X X X X X X X X X conferences X X X X Written assignments X X X X X X Oral assignments X X X X X X ٩٨

99 Teaching methods for knowledge v Didactic (lectures, seminars, tutorial ) v journal club v Critically appraised topic v Educational prescription (a structured technique for following up on clinical questions that arise during rounds and other venues). v Present a case (true or simulated) in a grand round v Others Teaching methods for patient care v Observation and supervision /Completed tasks procedure/case logs v On-the-job training without structured teaching is not sufficient for this skill (checklists). v Simulation is increasingly used as an effective method for skill/ teamwork training. Teaching methods for other skills v Written communication (e.g., orders, progress note, transfer note, discharge summary, operative reports, and diagnostic reports). v Oral communication (e.g., presentations, transfer of care, interactions with patients, families, colleagues, members of the health care team) and/or non verbal skills (e.g., listening, team skills) v Professionalism, including medical ethics, may be included as a theme throughout the program curriculum that includes both didactic and experiential components (e.g., may be integrated into already existing small group discussions of vignettes or case studies and role plays, computer-based modules) and may be modeled by the faculty in clinical practice and discussed with the resident as issues arise during their clinical practice. ٩٩

100 ١٠٠

101 Method Annex 4, ILOs evaluation methods for Master Degree students. Practica l skills Patient care K Intellectu al K I Practicebased learning/ Improveme nt General skills Interperso Professional nal and ism communica tion skills System s-based practic e Record review X X X X X X Checklist X X Global rating X X X X X X X Simulations X X X X X X Portfolios X X X X X Standardized oral examination X X X X X X Written examination X X X X X Procedure/ case log X X ١٠١

102 Annex 4, Glossary of Master Degree doctors assessment methods v Record Review Abstraction of information from patient records, such as medications or tests ordered and comparison of findings against accepted patient care standards. v Chart Stimulated Recall Uses the MSc doctor s patient records in an oral examination to assess clinical decision-making. v Mini clinical evaluation: Evaluation of Live/Recorded Performance (single event) A single resident interaction with a patient is evaluated using a checklist. The encounter may be videotaped for later evaluation. v Standardized Patients (SP) Simulated patients are trained to respond in a manner similar to real patients. The standardized patient can be trained to rate MSc doctor s performance on checklists and provide feedback for history taking, physical examination, and communication skills. Physicians may also rate the MSc doctor s performance. v Objective Structured Clinical Examination (OSCE) A series of stations with standardized tasks for the MSc doctors to perform. Standardized patients and other assessment methods often are combined in an OSCE. An observer or the standardized patient may evaluate the MSc doctors. v Procedure or Case Logs MSc doctors prepare summaries of clinical experiences including clinical data. Logs are useful to document educational experiences and deficiencies. ١٠٢

103 v PSQs Patients fill out Patient Survey questionnaires (PSQs) evaluating the quality of care provided by a MSc doctors. v Case /problems assess use of knowledge in diagnosing or treating patients or evaluate procedural skills. v Models: are simulations using mannequins or various anatomic structures to assess procedural skills and interpret clinical findings. Both are useful to assess practice performance and provide constructive feedback. v 360 Global Rating Evaluations MSc doctors, faculty, nurses, clerks, and other clinical staff evaluate MSc doctors from different perspectives using similar rating forms. v Portfolios A portfolio is a set of project reports that are prepared by the MSc doctors to document projects completed during the MSc study years. For each type of project standards of performance are set. Example projects are summarizing the research literature for selecting a treatment option, implementing a quality improvement program, revising a medical student clerkship elective, and creating a computer program to track patient care and outcomes. v Examination MCQ A standardized examination using multiple-choice questions (MCQ). The in-training examination and written board examinations are examples. v Examination Oral Uses structured realistic cases and patient case protocols in an oral examination to assess clinical decision-making. ١٠٣

104 v Procedure or Case Logs MSc doctors prepare summaries of clinical experiences including clinical data. Logs are useful to document educational experiences and deficiencies. v PSQs Patients fill out Patient Survey questionnaires (PSQs) evaluating the quality of care provided by MSc doctors. ١٠٤

105 ١٠٥

106 By whom Method sample Quality Assurance Reports # Unit Field visits External Evaluator Reports # (s):according to department council External Examiner (s): According to department council Field visits Stakeholders Reports # Field visits questionnaires Senior students questionnaires # Alumni questionnaires # ١٠٦

107 ١٠٧

108 I- General Academic Reference Standards (GARS) versus Program ARS 1- Graduate attributes NAQAAE General ARS for Postgraduate Programs ١- ا جادة تطبيق ا ساسيات و منهجيات البحث العلمي واستخدام ا دواته المختلفة ٢ -تطبيق المنهج التحليلي واستخدامه في مجال التخصص ٣ -تطبيق المعارف المتخصصة و دمجها مع المعارف ذات العلاقة في ممارسته ٤ -ا ظهار ٥ -تحديد وعيا الحديثة المشكلات المهنية بالمشاكل الجارية في مجال التخصص المهنية لها و الرو ى و ا يجاد حلولا ٦ -ا تقان نطاق مناسب من المهارات المهنية المتخصصة واستخدام الوساي ل التكنولوجيةالمناسبة بما يخدم ممارسته المهنية Faculty ARS 1- Have the capability to be a scholar, understanding and applying basics, methods and tools of scientific research and medical audit in medical microbiology and immunology. 2- Appraise and utilise scientific knowledge to continuously update and improve clinical practice in the medical microbiology and immunology 3- Acquire sufficient medical knowledge in the basic biomedical, clinical, behavioural and clinical sciences, medical ethics and medical jurisprudence and apply such knowledge in patient care in the field of specialty. 4- Dealing with common problems and health promotion using updated information in the field of speciality. 5- Identify and share to solve health problems in his specialty. 6- Acquire all competencies that enable him to provide safe, scientific, ethical care including update use of new technology in medical microbiology and immunology ١٠٨

109 1- Graduate attributes (Continuous) NAQAAE General ARS for Postgraduate Programs ٧ -التواصل بفاعلية و القدرة على قيادة فرق العمل ٨ -اتخاذ القرار في سياقات مهنية مختلفة ٩- توظيف الموارد المتاحة بما يحقق ا علي استفادة و الحفاظ عليها ١٠ -ا ظهار الوعي بدوره في تنمية المجتمع و الحفاظ على البيي ة في ضوء المتغيرات العالمية و الا قليمية ١١ -التصرف بما و يعكس الالتزام بالنزاهة و المصداقية الالتزام بقواعد المهنة ١٢ -تنمية ذاته ا كاديميا و مهنيا و قادرا علي التعلم المستمر Faculty ARS 7- Demonstrate interpersonal and communication skills that ensure effective information exchange with other health professions, the scientific community, junior students and the public. 8- Function as supervisor, and trainer in relation to colleagues, medical students and other health professions. 9- Acquire decision making capabilities in different situations related to medical microbiology and immunology field of practice. 10- Show responsiveness to the larger context of the related health care system, including e.g. the organisation of health care, partnership with health care providers and managers, practice of cost-effective health care, health economics, and resource allocations. 11- Be aware of public health and health policy issues and share in system-based improvement of medical microbiology and immunology 12- Show appropriate attitudes and professionalism. 13- Demonstrate skills of lifelong learning and maintenance of competence and ability for continuous medical education and learning in subsequent stages in medical microbiology and immunology one of its subspecialties. ١٠٩

110 ب- د- و- ج- 2-Academic standards NAQAAE General ARS for Postgraduate Programs ا - -النظريات و الا ساسيات المتعلقة بمجال التعلم وكذا في المجالات ذات العلاقة. المهنية وانعكاسها علي البيي ة. التخصص. -التا ثير المتبادل بين الممارسة -التطورات العلمية في مجال -المبادي الا خلاقية و القانونية للممارسة المهنية في مجال التخصص. ١-٢ ١-٢ ١-٢ ١-٢ ١-٢ -ه- مبادي و ا ساسيات الجودة في الممارسة المهنية في مجال التخصص - ا ساسيات وا خلاقيات البحث العلمي ١-٢ Faculty ARS 2.1. A - Established basic, biomedical, clinical, epidemiological and behavioral sciences related to medical microbiology and immunology 2.1. B- The relation between practice in medical microbiology and immunology and the welfare of society C- Up to date and recent developments in common problems related to the medical microbiology and immunology 2.1. D- Ethical and medicolegal principles relevant to practice in the medical microbiology and immunology field E- Quality assurance principle related to the good medical practice in the medical microbiology and immunology field F- Ethical and scientific basics of medical research. ١١٠

111 ب- د- ج- 2-Academic standards (Continuous) NAQAAE General ARS for Postgraduate Programs Faculty ARS ٢-٢ ا - - تحليل و تقييم المعلومات في مجال التخصص والقياس عليها لحل المشاكل 2.2. A- Correlation of different relevant sciences in the problem solving and management of common problems of the medical microbiology and immunology 2.2. B- Problem solving skills based on data analysis and evaluation (even in the absence of some) for common situations related to medical microbiology and immunology.. المشاكل حل توافر عدم مع المتخصصة - ٢-٢ 2.2. B- Problem solving skills based on بعض المعطيات data analysis and evaluation (even in the absence of some) for common situations related to medical microbiology and immunology - الربط بين المعارف المختلفة لحل المشاكل المهنية - ا جراء دراسة بحثية و /ا و كتابة دراسة ٢-٢ ٢-٢ 2.2. A- Correlation of different relevant sciences in the problem solving and management of common problems of medical microbiology and immunology 2.2. C- Demonstrating systematic approach ١١١

112 و- علمية منهجية حول بحثية مشكلة in studding common themes or problems relevant to the medical microbiology and immunology. ٢-٢ ه- تقييم الممارسات في المخاطر في المهنية 2.4. A- Demonstrate practice-based مجال التخصص learning and improvement skills that involves investigation and evaluation of their own practice, appraisal and assimilation of scientific evidence, improvements in provided services and risk management. مجال في الا داء لتطوير - التخطيط ٢-٢ 2.4. A- Demonstrate practice-based التخصص learning and improvement skills that involves investigation and evaluation of their own practice, appraisal and assimilation of scientific evidence, improvements in provided services and risk management. ١١٢

113 ز- ج- ب- 2-Academic standards (Continuous) NAQAAE General ARS for Postgraduate Programs - اتخاذ القرارات المهنية في سياقات مهنية متنوعة ا - - ا تقان المهارات المهنية الا ساسية و الحديثة في مجال التخصص ٣-٢ ٢-٢ Faculty ARS 2.2. D- Making alternative decisions in different situations in the field of medical microbiology and immunology 2.3. A- Provide practical and or laboratory services that can help patient care,solving health problems and better understanding of the normal structure and function. - كتابة و تقييم التقارير المهنية ٣-٢ - تقييم الطرق و الا دوات القاي مة في مجال التخصص ٣-٢ 2.3. B- Demonstrate practical / laboratory skills relevant to medical microbiology and immunology 2.3. C- Write and comment on reports for situations related to the field medical microbiology and immunology 2.3.A- Provide practical and or laboratory services that can help patient care,solving health problems and better understanding of the normal structure and function B- Demonstrate practical / laboratory skills relevant to medical microbiology and immunology ١١٣

114 ب- ج- 2-Academic standards (Continuous) NAQAAE General ARS for Postgraduate Programs ا - -التواصل الفعال با نواعه المختلفة - استخدام تكنولوجيا المعلومات بما يخدم الممارسة المهنية ٤-٢ ٤-٢ Faculty ARS 2.4. D- Demonstrate interpersonal and communication skills that result in effective information exchange and teaming with patients, their families, lab technical staff and other health professionals A- Demonstrate Practice-Based learning and Improvement skills that involves investigation and evaluation of their own practice, appraisal and assimilation of scientific evidence, improvements in provided services and risk management B- Use all information sources and technology to improve his practice. التقييم الذاتي وتحديد الشخصية احتياجاته التعلمية - ٤-٢ 2.4. A- Demonstrate Practice-Based learning and Improvement skills that involves investigation and evaluation of their own practice, appraisal and assimilation of scientific evidence, improvements in provided services and risk management B- Use all information sources and technology to improve his practice E-Demonstrate Professionalism behaviors, as manifested through a commitment to carrying out professional responsibilities, adherence to ethical principles, and sensitivity to a diverse patient population. ١١٤

115 و- د- ح- ز- 2-Academic standards (Continuous) NAQAAE General ARS for Postgraduate Programs - استخدام المصادر المختلفة ٤-٢ للحصول على المعلومات و المعارف ٤-٢ -ه- وضع قواعد ومو شرات تقييم ا داء الا خرين - العمل في فريق وقيادة فرق في مهنية سياقات مختلفة ٤-٢ Faculty ARS 2.4. A- Demonstrate Practice-Based learning and Improvement skills that involves investigation and evaluation of their own practice, appraisal and assimilation of scientific evidence, improvements in provided services and risk management C- Demonstrate skills of teaching and evaluating others F- Demonstrate an awareness of and responsiveness to the larger context and system of health care and academic services and the ability to effectively use system resources to provide care that is of optimal value. - ا دارة بكفاءة الوقت ٤-٢ 2.4. G- Demonstrate skills of effective time management. - التعلم المستمر و الذاتي ٤-٢ 2.4. H- Demonstrate skills of self and continuous learning. ١١٥

116 Comparison between ARS & ILOS for master degree (basic) 2-1- Knowledge and understanding 2-1-A- Established basic, biomedical, clinical, epidemiological and behavioral sciences related to medical microbiology and immunology 2-1-B The relation between practice in the Medical microbiology and immunology and the welfare of society. 2-1-C- Up to date and recent developments in common problems rel to the field of Medical microbiology and immunology. 2-1-D- Ethical and medicolegal principles relevant to 2-1- Knowledge and understanding 2-1-A- Explain the essential facts and principles of relevant basic sciences including epidemiology of infectious diseases and biostatistics related to medical microbiology and immunology 2-1-B- Mention essential facts of clinical supportive sciences related to medical microbiology and immunology 2-1-C- Demonstrate sufficient knowledge of the main subjects related to medical microbiology and immunology 2-1-H- State the impact of common problems related to the field of medical microbiology and immunology on the society and how good practice can improve these problems. 2-1-C- Demonstrate sufficient knowledge of the main subjects related to medical microbiology and immunology 2-1-D- Give the recent and update developments in the most important themes related to medical microbiology and immunology 2-1-E- Mention the basic ethical and medicolegal principles that should ١١٦

117 practice in the Medical microbiology and immunology field. 2-1-E-Quality assurance principles related to the good medical practice in the Medical microbiology and immunology field. 2-1-F- Ethical and scientific basics of medical research. be applied in practice and are relevant to the field of medical microbiology and immunology 2-1-F- Mention the basics and standards of quality assurance to ensure good practice in the field of medical microbiology and immunology. 2-1-G- Mention the ethical and scientific principles of medical research methodology. ١١٧

118 continuous continuous 2-2-A-Correlation of different relevant sciences in the problem solving and management of common problems of the Medical microbiology and immunology. 2-2-B-Problem solving skills based on data analysis and evaluation (even in the absence of some) for common situations related to Medical microbiology and immunology. 2-2-C- Demonstrating systematic approach in studding common themes or problems relevant to the Medical microbiology and immunology field. 2-2-D Making alternative decisions in different situations in the field of the Medical microbiology and immunology. 2-2-D Making alternative decisions in different situations in the field of the Medical microbiology and immunology Intellectual skills: 2-2- Intellectual skills: 2-3- Practical skills: 2-3-A- Provide practical and or laboratory services that can help patient care,solving health problems and better understanding of the normal structure and function. 2-2-A- Correlate the relevant facts of relevant basic and clinically supportive sciences with reasoning, diagnosis and management of common problems of the Medical microbiology and immunology. 2-2-B- Demonstrate an investigatory and analytic thinking approach (problem solving) to common clinical or practical situations related to Medical microbiology and immunology. 2-2-C- Design and /or present a case or review (through seminars/journal clubs.) in one or more of common themes or problems relevant to the Medical microbiology and immunology. 2-2-D- Formulate management plans and alternative decisions in different situations in the field of the Medical microbiology and immunology. 2-2-D- Formulate management plans and alternative decisions in different situations in the field of the Medical microbiology and immunology. 2/3/1/Practical skills) A- Demonstrate competently relevant laboratory skills related to Medical microbiology and immunology B- Use the up to date technology for the conditions related to Medical microbiology and immunology. ١١٨

119 2-3-B- Demonstrate practical/laboratory skills relevant to that Medical microbiology and immunology. 2-3-C- Write and comment on reports for situations related to the field Medical microbiology and immunology C- Develop plans for performing experiments related to Medical microbiology and immunology D- Carry out common experiments related to Medical microbiology and immunology E- Counsel and educate students, technicians and junior staff, in the lab about conditions related to Medical microbiology and immunology.; including handling of samples, devices, safety and maintenance of laboratory equipments F- Use information technology in some of the situations related to Medical microbiology and immunology G- Share in providing health care services aimed supporting patient care,solving health problems and better understanding of the normal structure and function H Write competently all forms of professional reports related to Medical microbiology and immunology (lab reports, experiments reports,). ١١٩

120 continuous continuous 2-4- General skills 2-4-A- Demonstrate practice-based learning and improvement skills that involves investigation and evaluation of their own practice, appraisal and assimilation of scientific evidence, improvements in provided services and risk management 2/3/2 General skills A- Perform practice-based improvement activities using a systematic methodology (share audits and risk management activities and use logbooks) B- Appraises evidence from scientific studies. in 2-4-B- Use all information sources and technology to improve his practice. 2-4-C- Demonstrate skills of teaching and evaluating others. 2-4-D- Demonstrate interpersonal and communication skills that result in effective information exchange and teaming with patients, their families, lab technical staff and other health professionals C- Conduct epidemiological Studies and surveys C- Conduct epidemiological Studies and surveys D-Performdata management including data entry and analysis and Using information technology to manage information, access on-line medical information; and support their own education E- Facilitate learning of students, lab technical staff and other health care professionals including their evaluation and assessment F- Maintain therapeutic and ethically sound relationship with patients, their families, lab technical staff and other health professionals G- Elicit information using effective nonverbal, explanatory, questioning, and writing skills. ١٢٠ H- Provide information using effective nonverbal, explanatory,

121 2-4-E-Demonstrate professionalism behaviors, as manifested through a commitment to carrying out professional responsibilities, adherence to ethical principles, and sensitivity to a diverse patient population. 2-4-F- Demonstrate an awareness of and responsiveness to the larger context and system of health care and academic services and the ability to effectively use system resources to provide care that is of optimal value. 2-4-G- Demonstrate skills of effective time management. 2-4-H- Demonstrate skills of self and continuous learning. questioning, and writing skills I- Work effectively with others as a member of a team or other professional group J- Demonstrate respect, compassion, and integrity; a responsiveness to the needs of patients and society K- Demonstrate a commitment to ethical principles including provision or withholding of clinical care, confidentiality of patient information, informed consent, business practices L-Demonstrate sensitivity and responsiveness to others culture, age, gender, and disabilities M-Work effectively in relevant academic and health care delivery settings and systems including good administrative and time management N- Adopt cost-effective practice and resource allocation that does not compromise quality of services O- Assist patients in dealing with system complexities M-Work effectively in relevant academic or health care systems and including good administrative time management A- Perform practice-based improvement activities using a systematic methodology (share audits and risk management activities and use logbooks). in ١٢١

122 II-Program matrix Knowledge and Understanding Course Course 1: Biostatistics, Methodology& Epidemiology Course 2: Principles of Microbiology & Immunology Program covered ILOs 2/1/A 2/1/B 2/1/C 2/1/D 2/1/E 2/1/F 2/1/G 2/1/H Intellectual Outcomes Course Course 1: Biostatistics, Methodology& Epidemiology Course 2: Principles of Microbiology & Immunology Program covered ILOs 2/1/A 2/1/B 2/1/C 2/1/D ١٢٢

123 Practical Skills Course Course 1: Biostatistics, Methodology& Epidemiology Course 2: Principles of Microbiology & Immunology Program covered ILOs 2/3/1/ 2/3/1/ 2/3/1/ 2/3/1/ 2/3/1/ 2/3/1/ 2/3/1/ 2/3/1/ A B C D E F G H General Skills Course Course 1: Biostatistics, Methodology& Epidemiology Course 2: Principles of Microbiology & Immunology Program covered ILOs 2/3/2/ 2/3/2/ 2/3/2/ 2/3/2/ 2/3/2/ 2/3/2/ 2/3/2/ 2/3/2 A B C D E F G /H ١٢٣

124 General Skills Course Course 1: Biostatistics, Methodology& Epidemiology Course 2: Principles of Microbiology & Immunology Program covered ILOs 2/3/2/I 2/3/2/ 2/3/2/ 2/3/2/ 2/3/2/ 2/3/2/ 2/3/2/ J K L M N O ١٢٤

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126 Department information: Our Mission: The mission of the Department of Microbiology and Immunology is to conduct the best possible research and provide the most rigorous and inspiring training in the areas of microbiology, immunology, host-pathogen interaction and related fields. Through such activities, our goal is to improve human and animal health. We hope to present an overview of our research and training activities and to inspire like-minded individuals to join us in our quest. Research The traditional focus of the Department of Microbiology and Immunology has been on how microbes survive and cause disease in an animal or human host and how that host's immune system discriminates between self, friend (commensal microbes) and pathogenic microbes. In recent years, the Department has expanded this scope to also include related disciplines such as genetics, biotechnology, and Infection control through inclusion of the infection control lab. ١٢٦