Medical Doctorate in General Surgery. Program Code: GS 700. Program Guide and Logbook

Transcription

1 Faculty of Medicine Ain Shams University Postgraduate Studies Medical Doctorate in General Surgery Program Code: GS 700 Program Guide and Logbook

2 C a n d i d a t e C u r r i c u l u m v i t a e [Name] Please attach your recent photo [telephone no] [mobile no] [mailing address] [ address] [postcode] Experience [organization] [your present job title] [start date] [location] [responsibilities] [organization] [previous job title] [start and end date] [location] [responsibilities] 2

3 [organization] [previous job title] [start and end date] [location] [responsibilities] Education [certificates] [start and end date] [school or college] 3

4 Training [any other training that will be useful in your job] Filled by post graduate authorities Date of Registration First semester Second semester Third semester Fourth semester Fifth semester Sixth semester 4

5 TABLE OF CONTENTS: I Welcome Statement II - Mission Statement III Senior supervisor and affiliated departments and Hospitals IV Program specifications 1 - Basic Information 2 Professional Information 3 Academic standards 4 - Curriculum structure and contents 5 - Program courses 6. Program admission requirements 7. Regulation for progression and program completion Page General Surgery Course Specifications Special Surgery Course Specifications Electives Course Specifications -1 إدارة ان سخشفياث -2 أخالقياث ان ه انطبيت -3 قا ى ان ه انطبيت -4 حك ىنىجيا ان عهىياث انطبيت -5 اإلحصاء انطب -6 انعهىو انسهىكيت V - General information VI Your log book 1 Introduction 2 Supervisors Tables for training records Logbook Preview VII - Head of department approval for the exam entry Detachable forms: VIII Essay/Thesis follow up IX - Evaluation forms 5

6 I Welcome Statement: The Department of General Surgery welcomes you to the Doctorate degree in General Surgery. As a department we are committed to medical education and continuously strive to improve your educational experience. This handbook is an information guide, and logbook of the activities of the program of Doctorate degree in General Surgery, that is administered by the department of General Surgery, Faculty of Medicine, Ain Shams University. II - Mission Statement: The mission of the Faculty of Medicine, Ain Shams University is The preparation of a competent graduate, who is able to compete on both national and regional levels, capable of lifelong learning, training and tutoring, while adhering to the codes of practice of medical health services and ethics. The college as well, seeks continuous development of programs and courses. It also enhances expansion of applied scientific research and health programs for community services and environmental development. Moreover, through providing distinguished academic and research cadres of teaching staff, supporting the administrative system and sustainability of own resources, the college is able to achieve goals and objectives. The mission of this degree is to prepare a surgeon of adequate knowledge, skills and experience to manage common and complex surgical conditions and perform common and advanced surgical procedures, and capable of recognizing her/his abilities and capacity, and capable of recognizing conditions that demand consultation and referral to senior surgeons or surgeons of other specialties. III Senior Supervisor and Affiliated Departments and Hospitals Senior Supervisor Professor Dr. Imam Fakhr 6

7 Affiliated Departments and Hospitals Military Hospitals Ministry of Interior Hospitals Ministry of Health Hospitals University Hospitals Government Hospitals Specialized and Private Hospitals Approved by the Department IV Program Specifications A- Basic Information 1. Program title: Doctorate Degree in Medicine in General Surgery 2. Program type: Single 3. Faculty of Medicine, Ain Shams University 4. Department of General Surgery 5- Coordinator Department of General Surgery 6. Last date of program approval: December 2009 B- Professional Information: 1. Program aims: The aim of this program is to provide an organized and comprehensive postgraduate education and training course in general surgery, to help graduate a capable surgeon, a thoughtful researcher and an educator, equipped with the appropriate knowledge, skills and attitudes necessary for a highly qualified safe academic surgeon. 2. Intended learning outcomes (ILOs): a. Knowledge and understanding: By the end of the program the candidate will be able to: a1-explain the biochemical, physiological and pathological processes underlying common surgical diseases and conditions a2-explain the anatomical basis of surgical conditions, diseases and interventions a3-describe the embryological basis of common congenital surgical diseases and conditions a4-correlate common surgical infections with the causative pathogens a5-describe the presentations of common surgical diseases a6-define the relevant investigations required to reach an accurate diagnosis 7

8 a7-explain the medical treatment of surgical patients, its indications, contraindications, side effects, and mode of administration a8- Describe conservative management of surgical conditions, its indications, contraindications, and modalities a9-explain the principles of operative surgery a10-describe the appropriate technique and steps of common surgical procedures a11- Outline the principles of advanced and complex operations and surgical procedures a12- Outline the importance of patient education in surgery b. Intellectual capabilities: By the end of the program the candidate will be able to: b1- Classify surgical diseases and conditions b2 Differentiate surgical diseases and conditions from each other b3 - Select appropriate laboratory and radiological investigations for each surgical condition b4 - Interpret the results of laboratory and radiological investigations b5- Select the proper line of treatment b6- Demonstrates the ability to solve common surgical problems c. Professional and practical skills: By the end of the program the candidate will be able to: c1- Examine different systems of the body, including the neck, abdomen, breast, and extremities as well as different swellings c2- Detect manifest clinical abnormalities c3- Construct a plan of management for a given clinical situation c4- Independently perform common minor and medium Surgical Procedures with adequate proficiency c5- Instruct the patient as regards the postoperative management and complications c6-prepare the patient for medium and major surgical procedures c7- Consult the patient as regards the surgical options and outcome c8- Assist with efficiency and recognize challenges and difficulties during major surgical procedures d. General and transferable skills: By the end of the program the candidate will be able to: d1- Apply sound communication skills in interviewing patients and their relatives d2- Apply team working skills in working with peers d3- communicate and cooperate efficiently and professionally with paramedical personnel 8

9 d4- Maintain honesty and integrity in all interactions with lecturers, seniors, colleagues, patients and administrative tasks d5- Recognize the scope and limits of her/his role d5- Be responsible towards oneself and others in the workplace and in the community at large d6- Maintain a professional image concerning behavior, dress and speech 3. Academic standards: (Benchmarks) American Board of Surgery Program structure and contents: 4a- Program duration: Six Semesters 4b- Program structure: 9 ان اهج ان قزراث انذراسيت يخطهباث انكهيت انجزء األول انزسانت دورة أساسياث انبحث انعه ي ال يىجذ انكىد انساعاث ان عخ ذة GS 7001 GS6007 E7034 E7050 E7043 E7017 E7024 E7070 انجزء انثا ان قزراث االخخياريت كزاست األ شطت ان ج ىع انجزاحت انعايت و فزوعها انباثىنىجيا انجزاحيت و انجزاحاث انخاصت يخخار انطانب يادة واحذة ي : إدارة ان سخشفياث 5- أخالقياث ان ه انطبيت 2- قا ى ان ه انطبيت 3- حك ىنىجيا ان عهىياث انطبيت 4- اإلحصاء انطب 5- انعهىو انسهىكيت 6-5. Program courses: 5.1. Compulsory Code Course title No of hours L C OR GS7001 General Surgery Course Specifications 15 GS7002 Special Surgery Course Specifications Elective courses: Code Course title No of hours

10 E7034 إدارة ان سخشفياث 7- E 7050 أخالقياث ان ه انطبيت 8- E7043 قا ى ان ه انطبيت 9- E7017 حك ىنىجيا ان عهىياث انطبيت 56- E7024 اإلحصاء انطب 55- E7070 انعهىو انسهىكيت 52- L: Lecture, C: Clinical and OR: Operating room L C OR 6. Program admission requirements: ان ادة )7(: يشخزط نقيذ انطانب نهحصىل عه درجت انذكخىرا :- 1- أ ن زبصال ػي دسخخ اى بخغز ش ف بدح اىزخصص أ إزذ اى اد األعبع خ اى زصيخ ث ب إزذ اىدب ؼبد اى صش خ أ ػي دسخخ ؼبدىخ ى ب.2- افقخ خ خ اىؼ و ػي زطيجبد اىذساعخ. 3- رغذ ذ اىشع صبس ف اىزذس ت إعز الك األخ ضح إعز فبء اى غز ذاد اى طي ثخ ف اى يسق )2( 4- اىزفشؽ ىيذساعخ ى ذح خ ظ فص ه دساع خ ػي األقو قجو دخ ه اال زسب اى بئ. ن أ ز اىزذس ت ى فظ اى ذح ػي األقو ف ازذ اى غزشف بد أ اى شامض اىؼي خ اى ؼز ذح اىني خ ثؼذ اعز فبء اىشش ط اىز رسذد ب األقغب اى خزصخ. 7. Regulation for progression and program completion يادة )8(: ز اىزغد و ىذسخبد اىذمز سا شر ف اىؼب : األ ى أ ه ى زز آخش أغغطظ اىثب خ أ ه ف جش زز آخش د غ جش 0 يادة )9(: ر صع اىذساعخ ف مو ػب خب ؼ ػي فصي دساع ذح مو ب خ غخ ػشش اعج ػب. جذا اال ه ف أ ه أمز ثش جذا اىثب ف صف فجشا ش. غ ر ظ فصو دساع ص ف نثف ى ذح عزخ اعبث غ. ز اىزغد و ىيفصو اىذساع قجو اعج ػ ثذا ز ػي االقو ثؼذ إعز فبء اىشش ط زغت اى قشساد اى غديخ. ال جغ أ ض ذ اىؼتء اىذساع ف اىفصو اى ازذ ػ 6 عبػبد ؼز ذح. د ص ىيطبىت رؼذ و اى قشساد خاله اعج ػ ثذا خ اىفصو اىذساع ( ثبىسزف ا االضبفخ (. م ب د ص ى اال غسبة خاله عز اعبث غ ازذ اى قشاسد د اززغبث ساعجب ف. يادة )57(: ذح اىذساعخ ىيسص ه ػي اىذمز سا عزخ ثالث ش شا )عذ فص ه دساع خ( دزبص خالى اىطبىت ثش ب دب رذس ج ب زنب ال ثبىقغ طجقب ىيغبػبد اى ؼز ذح اى ضسخ ثبىجبة اىخب ظ غز ف خالى ب اى طي ة ف مز ت زبثؼخ األ شطخ ال غ ر ى ثذخ ه اإل زسب قجو إعز فبء ثالثخ أسثبع اى طي ة اىغبػبد اى ؼز ذح. يادة )58(: ذح اىذساعخ ف اىدضء األ ه ىيذمز سا إ خذ فصو دساع ازذ دزبص ثؼذ اىطبىت إ زسب ب ال شزشط اى دبذ ف ثبىنب و ىإل زقبه ىيذساعخ ف اىدضء اىثب شزشط خالى ب اىزذس ت ثإزذ اى غزشف بد اىدب ؼ خ أ اى شامض اى ؼز ذح اىقغ ىد خ اىذساعبد اىؼي ب ثبىني خ ع اء ثبىذاخو أ اىخبسج ػي أ ز إعزن به اىذساعخ طجقب ىيغبػبد اى ؼز ذح. يادة )59(: ق اىذاسط ىذسخخ اىذمز سا ثزغد و ض ع اىشعبىخ غ اىق ذ ىيذسخخ ال رد ص بقشخ اىشعبىخ قجو ش س ػب ػي اىزغد و ىيذسخخ ال خصص ى ب دسخبد. يادة )26(: ق اىذاسط ىذسخخ اىذمز سا ثإعز فبء زطيجبد اىدب ؼخ قجو اىزغد و زطيجبد اىني خ بقشخ اىشعبىخ قجو دخ ه إ زسب اىدضء اىثب. زطيجبد اىدب ؼخ اىسص ه ػي ش بدح اىز فو ف اىيغخ اإل دي ض خ ) د ع 550 دسخخ( زطيجبد اىني خ زض س د ساد ؼز ذح ىد خ اىذساعبد اىؼي ب ثبىني خ ف دبه اىزخط ظ اىذساعبد اىطج خ اإلزصبء اىطج أ إخز بص إخزجبساد خبصخ رسذد ب اىيد خ. 10

11 يادة )25(: اىغبػبد اى ؼز ذح ىذساعخ اىذمز سا عذ رغؼ عبػخ ب عذ ثالث عبػخ ر ذ دساعز اث بء اى بخغز ش ضبف عز عبػخ ؼز ذح ػي األقو خصص ب خ ظ ػششح عبػخ ىنز ت زبثؼخ األ شطخ خ ظ ػششح عبػخ ىيشعبىخ عذ عبػبد ػي األقو ىيدضء األ ه إ خذ. يادة )22(: ذح اىق ذ ىذسخخ اىذمز سا خ ظ ع اد د ص ى ديظ اىدب ؼخ ث بءا ػي طيت ديظ اىني خ ثؼذ افقخ ىد خ اىذساعبد اىؼي ب ثبىني خ ثؼذ طيت ديظ اىقغ إعز بدا إى رقبس ش ع خ خ غ اى ششف ػي اىطبىت اىغ بذ ثإضبفخ ػب ازذ ثسذ أقص ث ب ع اد ربس خ اىق ذ ىيسص ه ػي دسخخ اىذمز سا. يادة )23(: ريزض االقغب اى ؼ خ ثبألشزشاك غ أقغب اى اد اى شرجطخ ث ضغ إ زسب بد ض ػ خ رش و عبئو اىزق اى خزيفخ أعئيخ ط يخ قص شح زؼذدح اإلخز بساد إخزجبساد إمي ن خ ق خ رق ظ اى بساد اى خزيفخ ػي أ رش و مشاعخ اى ب ح رفبص و رىل رؼز ذ ىد خ اىذساعبد اىؼي ب ثبىني خ. يادة )24(: د ع دسخبد اال زسب اى بئ ىيذمز سا 1500 دسخخ ب 300 دسخخ ىيدضء األ ه إ خذ. ضبف اى ب اى ؼذه اىفصي اىزشام ث ب اص. 400 يادة )25(: ؼقذ إ زسب اىذ س األ ه ف أمز ثش ف جش مو ػب ؼقذ إ زسب اىذ س اىثب ف أثش و ب مو ػب. يادة )26(: ن اى دبذ ف اد اىذمز سا ثؼذ اىسص ه ػي %60 دسخخ اىزسش ش اىؼ ي االمي ن اىشف مو ػي زذح. Assessment Schedule and Weighing of Assessments: يس ظخ: رؼبده دسخبد اىطبىت طجقب ىي قبط ػي اى خ اىزبى : * 1500 if there is no first semester 11 A قاط 4 : % 96 فأكثز A قاط 3667 : ي %85 حخ أقم ي % B قاط 3633 : ي %86 حخ أقم ي %85-3 B قاط 3666 : ي %75 حخ أقم ي % B قاط 2667 : ي %76 حخ أقم ي %75-5 قاط 2633 : ي %65 حخ أقم ي %76-6 C +

12 C قاط 2666 : ي %62 حخ أقم ي % C قاط 5667 : ي %66 حخ أقم ي %62-8 F : صفز - 9 أقم ي %66 ز زغبة اى ؼذه اىفصي )GPA( ػي أعبط د ع زبصو ضشة قبط مو قشس ضش ثب ف ػذد عبػبر اى ؼز ذح قغ ب ػي اىغبػبد اى ؼز ذح ىي قشساد اىز دسع ب اىطبىت ف اىفصو اىذساع. م ب ز زغبة اى ؼذه اىزشام ىيطبىت )CGPA( ػي أعبط د ع زبصو ضشة اى قبط اىز زصو ػي ب اىطبىت ف مو قشس ضش ثب ف ػذد عبػبر اى ؼز ذح قغ ب ػي د ع اىغبػبد اى ؼز ذح اىني خ. ف زبىخ اىشع ة ف بدح أ د ػخ اى قشساد ف اىذثي أ اى بخغز ش أ اىذمز سا ز اإلػبدح ف اى بدح أ اى د ػخ فقظ. ز زغبة اىزقذ ش اىفؼي اىز سصو ػي ف أ ه إػبدح فقظ أ ب إرا رنشس سع ثخ - قبط ا C(6 ف سغت ى ػ ذ اى دبذ رقذ ش %60 فقظ )ا 1.67 General Surgery Course Specifications University: Ain Shams University Faculty: of Medicine Course specifications Program on which the course is given: Doctorate Degree in Medicine in General Surgery Major or minor element of programs: Major Element. Department offering the program: General Surgery Department offering the course: General Surgery Academic year / Level: MD; All 6 semesters Date of specification approval: December 2009 A- Basic Information Title: General Surgery Code: GS 7001 Credit Hours: 22 Lectures: 4 credit hours (60 actual hours) Clinical: 8 credit hours (240 actual hours) OR: 10 credit hours (600 actual hours) Total: 900 Actual hours Coordinator Department of General Surgery B - Professional Information 1- Course Aims: The aim of this program is to provide an organized and comprehensive postgraduate education and training program in general surgery, to establish the basis of sound surgical knowledge, skills and attitudes necessary for a qualified safe surgeon. 12

13 2. Intended learning outcomes (ILOs): a. Knowledge and understanding: By the end of the program the candidate will be able to: a1-explain the biochemical, physiological and pathological processes underlying common and complex surgical diseases and conditions a2-explain the anatomical basis of surgical conditions, diseases and interventions a3-describe the embryological basis of common congenital surgical diseases and conditions a4- Correlate surgical infections with the causative pathogens a5-describe the presentations of common and complex surgical diseases and situations a6-define the relevant investigations required to reach an accurate diagnosis a7-explain the medical treatment of surgical patients, its indications, contraindications, side effects, and mode of administration a8- Describe the conservative management of surgical conditions, its indications, contraindications, and modalities a9-explain the detailed techniques of operative surgery a10-describe the appropriate technique and steps of common surgical procedures a11- Outline the principles of advanced and complex operations and surgical procedures a12- Outline the importance of patient education in surgery b. Intellectual capabilities: By the end of the program the candidate will be able to: b1- Classify surgical diseases and conditions b2 Differentiate surgical diseases and conditions from each other b3 - Select appropriate laboratory and radiological investigations for each surgical condition b4 - Interpret the results of laboratory and radiological investigations b5- Select the proper line of treatment b6- Demonstrate the ability to solve common surgical problems c. Professional and practical skills: By the end of the program the candidate will be able to: c1- Examine different systems of the body, including head and neck, chest, abdomen, breast, and extremities as well as different swellings c2- Detect manifest clinical abnormalities c3- Construct a plan of management for a given clinical situation c4- Prepare the patient for various surgical procedures c5- Consult the patient as regards the surgical options and outcome 13

14 c6- Independently perform minor, medium and major Surgical Procedures with adequate proficiency c7- Detect and manage postoperative complications c8- Instruct the patient as regards the postoperative management and complications d. General and transferable skills: By the end of the program the candidate will be able to: d1- Apply sound communication skills in interviewing patients and their relatives d2- Apply team working skills in working with peers d3- communicate and cooperate efficiently and professionally with paramedical personnel d4- Maintain honesty and integrity in all interactions with lecturers, seniors, colleagues, patients and administrative tasks d5- Recognize the scope and limits of her/his role d5- Be responsible towards oneself and others in the workplace and in the community at large d6- Maintain a professional image concerning behavior, dress and speech 3. Academic standards: (Benchmarks) American Board of General Surgery 3- Course contents: Topics Care of the Surgical Patient 1. Evidence-Based Surgery 2. Nutrition 3. Perioperative Fluids and Electrolytes 4. Hemostasis and Coagulation 5. Transfusion Therapy 6. Diagnosis and Treatment of Infection 7. Wounds: Biology, Pathology, and Management 8. Trauma: Priorities, Controversies, and Special Situations 9. Shock and Resuscitation 10. Critical Care: A System-Oriented Approach 11. Monitoring Techniques and Complications in Critical Care 12. Burns No. of hours L C OR SDL

15 13. Perioperative Management Gastrointestinal and Abdominal Disease 14. Peritoneum and Acute Abdomen 15. General Principles of Minimally Invasive Surgery 16 Esophagus 17 Stomach and Duodenum 18 Pancreas 19 Biliary System 20 Liver & Portal Hypertension 21. Small Intestine 22. Appendix 23 Colon, Rectum, and Anus 24 Spleen 25 Hernias and Abdominal Wall Defects 26 Abdominal Trauma Endocrine Surgery 27. Parathyroid 28 Thyroid 29 Adrenal 30.Neuroendocrine Tumors of the Pancreas and Gastrointestinal Tract and Carcinoid Disease 31 Multiple Endocrine Neoplasia 32 Diseases of the Breast Skin, Head and Neck 33 Melanoma and Other Cutaneous Malignancies 34 Soft Tissue Sarcoma 35 Head and Neck Malignancies Vascular Surgery 36. Cerebrovascular Disease 37 Diseases of the Thoracic Aorta and Great Vessels 38 Diseases of the Abdominal Aorta and Its Branches 39 Arterial Disease of the Lower

16 Extremity 40 Venous Disease and Pulmonary Embolism 41 Vascular Trauma 42 Minimally Invasive Approaches to Vascular Disease Cardiothoracic Surgery 43 Lung Neoplasms 44 Lung Infections and Trauma 45 Pleura: Anatomy, Physiology, and Disorders 46 Pericardium and Mediastinum 47 Congenital Heart Disease 48 Adult Heart Disease Transplantation 49 Immunology of Transplantation 50 Principles of Organ Preservation 52 Kidney Transplantation and Dialysis Access 53 Pancreas and Intestine Transplantation 54 Liver Transplantation 55 Lung Transplantation 56 Heart Transplantation Pediatric Surgery 57 Pediatric Surgical Emergencies 58 Pediatric Surgical Diseases Total 60hrs 240h 600hrs Total Credit Hours L: Lecture, T: Tutorial, C: Clinical OR: Operative and SDL: Self directed learning 4 - Student Assessment Methods 4.1. Written Exam to assess knowledge 4.2. Multiple Choice Exam to assess problem-solving abilities 4.3. Oral Exam to assess intellectual skills and professional skills 4.4. Operative Exam to assess practical surgical skills 4.5. Surgical Pathology and Radiology Exam to assess ability to integrate results of investigations in decision making 16

17 4.6. Clinical Exam to assess practical clinical skills and communication skills Weighing of assessment 4.1. Written and MCQ Exam Oral Exam Operative Exam Clinical Exam 180 Total: 1130 Degrees End semester exam 400 Total: 1530 Degrees 5 -- List of References 5.1- Course Notes (paper and electronic) 5.2- Essential Books (Text Books) Surgical Anatomy and Technique: A Pocket Manual by Skandalakis JE, Skandalakis LJ, Skandalakis PN The Anatomy of General Surgical Operations by Jamieson GG General Surgical Operations by Kirk, RM Current Surgical Therapy by Cameron JL Bailey and Love's Short Practice of Surgery by Williams NS, Bulstrode CJK, and O'Connell PR 5.3- Recommended Books Rob & Smith Operative Surgery Greenfield's Surgery: Scientific Principles And Practice by Mulholland MW, Lillemore KD, Gerard M. Doherty GM, Maier RV Principles of Surgery by Schwartz SI, Shires GT, Spencer FC, and Daly JM Schwartz's Principles of Surgery by Brunicardi F, Andersen D, Billiar T, and Dunn D Maingot's Abdominal Operations Sabiston Textbook of Surgery, by Townsend CM, Jr., Beauchamp RD, Evers BM, and Mattox KL 5.4- Periodicals and Web Sites Recent Advances in Surgery Surgical Clinics of North America

18 Surgical Pathology and Special Surgery Course Specifications University: Ain Shams University Faculty: of Medicine Course specifications Program on which the course is given: Medical Doctorate Degree in General Surgery Major or minor element of programs: Major Element. Department offering the program: General Surgery Departments offering the course: General and Special Surgery Departments Academic year / Level: 2 nd and 3 rd semesters Date of specification approval: December Coordinator Department of Surgery A- Basic Information Title: Surgical Pathology and Special Surgery Code: GS 7002 Credit Hours: 6 Lectures: 1 credit hour (15 actual hours) Clinical Practice: 2 credit hours (60 actual hours) Operative: 3 credit hours (180 actual hours) 1- Course Aims: a) Provide candidates with basic knowledge on the general management of common orthopedic cases, urologic problems, neurological and plastic surgery cases b) Acquire the appropriate knowledge of surgical pathology required for a sound surgical practice c) Formulate an appropriate management plan for trauma patients d) Manage emergency situations with a holistic approach 2- Intended Learning Outcomes (ILOs): a. Knowledge and understanding: By the end of the program the candidate will be able to: a1-explain the pathological processes underlying common surgical diseases and conditions a2-describe the pathological appearance of common surgical specimens a3-describe the presentations of common orthopedic diseases a4-outline the management of common fractures a5-outline the management of common urological emergencies a6-describe the preliminary and general management of neurological diseases and emergencies 18

19 a7-describe the principles of management of different burn cases a8- Explain the principles of performing different types of grafts and flaps a9-discuss the appropriate referral of relevant cases a10- Discuss the cooperative management of complex cases and cases in need for multidisciplinary surgical interventions b. Intellectual capabilities: By the end of the program the candidate will be able to: b1- Classify orthopedic, urological, neurosurgical and plastic surgical diseases and conditions b2- Differentiate orthopedic, urological, neurological, and plastic surgical diseases and conditions from each other b3 - Select appropriate laboratory and radiological investigations for each orthopedic, urological, neurosurgical and plastic surgical condition b4 - Interpret the results of laboratory and radiological investigations b5- Select the proper line of treatment for common orthopedic, urological, neurosurgical and plastic b6- Demonstrate the ability to formulate a management plan for common orthopedic, urological, neurosurgical and plastic surgical problems c. Professional and practical skills: By the end of the program the candidate will be able to: c1- Perform examination of bones, joints, genitor-urinary systems, neurological examination and examination of burns, maxillofacial and neck fractures c2- Detect manifest clinical abnormalities of bones, joints, the genitor-urinary system, CNS and peripheral nerves c3- Construct a plan of general management for a given common orthopedic, urological, neurosurgical and plastic surgical problems c4- Discuss the referral and cooperative management of common orthopedic, urological, neurosurgical and plastic surgical problems c5- Instruct the patient as regards the postoperative management and complications d- General and transferable skills By the end of the program the candidate will be able to: d1- Apply sound communication skills in interviewing patients and their relatives d2- Apply team working skills in working with peers d3- communicate and cooperate efficiently and professionally with paramedical personnel d4- Maintain honesty and integrity in all interactions with lecturers, seniors, colleagues, patients and administrative tasks d5- Recognize the scope and limits of her/his role 19

20 d5- Be responsible towards oneself and others in the workplace and in the community at large d6- Maintain a professional image concerning behavior, dress and speech Course Content Topics No. of hours L C OR SDL 1.Common Fractures Pelvic Fractures Common Bone Tumors Stones of the Kidney, Ureter, Bladder and 2 6 Urethera 5.Tumors of the Kidney, Bladder and Prostate Management of Burns Head and Neck Injuries Peripheral Nerve Injuries Principles of Common Head and Neck 6 20 Procedures 10.Principles of Common Gynecologic Surgery 20 Procedures 11.Principles of Grafts, Flaps, and Common 20 Plastic Surgery Procedures 12.Principles of Essential Vascular Surgery 40 Procedures 13.Principles of Common Genitourinary 6 40 Procedures 14. Principles of Thoracic Surgery Procedures 20 Total Actual Hours Total Credit Hours L: Lecture, T: Tutorial, C: Clinical and OR: operative, SDL: Self directed learning 4 - Student Assessment Methods 4.1 Written exam to assess knowledge 4.2 Multiple choice exam to assess problem-solving capabilities 4.3 Slides exam to assess ability to diagnose common clinico-pathological situations, and correlate clinical and pathological pictures Weighing of assessment 4.1. Written and MCQ Exam Oral Exam Practical Exam 90 Total

21 5 -- List of References 5.1- Course Notes (paper and / or electronic) 5.2- Essential Books (Text Books) Text Book of the Department of Surgery 5.3- Recommended Books Principles of Surgery by Schwartz SI, Shires GT, Spencer FC, and Daly JM Schwartz's Principles of Surgery by Brunicardi F, Andersen D, Billiar T, and Dunn D Sabiston Textbook of Surgery, by Townsend CM, Jr., Beauchamp RD, Evers BM, and Mattox KL 5.4- Periodicals and Web Sites Recent Advances in Surgery Surgical Clinics of North America Elective Courses You have to take and pass one elective course during the 4 th semester. There are 6 elective courses to choose one. The course should be different than the elective course passed during the Master of Science in General Surgery Degree. Hospital management course specifications University: Ain Shams University Faculty: Medicine Course specifications Program on which the course is given: Medical Doctorate in General Surgery Major or minor element of programs: Minor Department offering the program: General Surgery Department offering the course: Community, Environmental and Occupational Medicine Academic Level: MD 4 th semester Date of specification approval: December 2009 A- Basic Information Title: Hospital Management Credit Hours: 2 hours Lecture: 2 h/week Total: 30 hours Code: E

22 Coordinator Department of Community, Environmental and Occupational Medicine B - Professional Information 1- Course Aims: The requirement of professional administrators in the hospitals is growing at a rapid pace primarily because the nature of work in hospitals is quite deferent from other organizations. Hospitals are expected to deliver quality service 24 hours a day at a minimal cost. The urgent nature of its work and the level of efficiency that is expected have increased the need of well-formulated hospital management courses throughout the world providing participants with basic hospital management concepts 2- Intended Learning Outcomes (ILOs) from the Course: a- Knowledge and understanding By the end of the course the candidate will be able to: a1. Understand the Strategic planning requirements a2. Know how to perform operational planning a3. Understand human resource management a4. Know about the quality measures of health care b- Intellectual skills By the end of the course the candidate will be able to: b1. Create effective management systems which allow hospital management to monitor and observe the performance of key hospital processes, organization arrangements, people and resources. b2. Accept and apply new strategies for hospital management. c- Professional skills By the end of the course the candidate will be able to: c1. Apply resource management concepts (personnel, finance, and material resources) and the processes and strategies needed in specific hospital sectors, c2. Communicate effectively and develop a leadership and teambuilding abilities c3. Apply modern Change Management and Innovation Management concepts to optimize structures, c4. Analyze existing hospital service policies and enhance their alignment within the local and national context. c5. Support quality improvement initiatives. 22

23 c6. Measure hospital performance d- General and transferable skills By the end of the course the candidate will develop the following skills: d1. The skills necessary to undertake a higher research degree and/or for employment in a higher capacity in professional practice; d2. A capacity to evaluate their own achievement and that of others; d3. Self direction and effective decision making in complex and unpredictable situations; d4. A capacity for independent learning and the ability to work in a way which ensures continuing professional development; d5. The ability to communicate effectively both in writing and orally to an appropriate audience; d6. The ability to critically engage in the development of professional/disciplinary boundaries and norms; d7. The skills required for postgraduate study including literature searching, critical reading, group working, assignment planning, data presentation and IT skills. 3- Course content: Topics Basic concepts and principles of hospital 4 management Strategic planning 4 Operational planning 6 Human resources management 6 Quality management 5 No of hours Communication skills Student Assessment Methods 4.1 written exam to assess knowledge, intellectual, and problem-solving skills Weighing of assessment 4.1 written exam List of References 5.1- Course Notes (paper and / or electronic) 5.2- Essential Books L C 23

24 Managing a Modern Hospital: Second Edition by A. V. Srinivasan (2008) 5.3- Recommended Books Management Lessons from Mayo Clinic: Inside One of the Worlds Most Admired Service Organizations by Leonard Berry and Kent Seltman (2008) Messages: The Communication Skills Book by Matthew McKay (2008) 5.4- Periodicals Journal of healthcare protection management Bioethics course specifications University: Ain Shams University Faculty: of Medicine Course specifications Program on which the course is given: Medical Doctorate in General Surgery Major or minor element of programs: Minor Department offering the program: General Surgery Department offering the course: Department of General Surgery Academic Level: MD 4 th semester Date of specification approval: December 2009 A- Basic Information Title: Bioethics Code: E 7050 Credit Hours: 2 hours Lecture: 2 h/week Total: 30 hours Coordinator Department of Surgery B - Professional Information 1- Course Aims: 1- Explain the importance of ethics and law to medical practice 2- Appreciate the influence of values on medical decisions 3- Legal Issues dealing with the law, intentional and quasi-intentional torts, professional liability insurance, informed consent issues and documentation. 4- Ethical issues in health occupations 5- Common areas of liability and litigation that include administrative and medical records, laboratory, medical equipment, patient care and conflict management. 2- Intended Learning Outcomes (ILOs) from the Course: a- Knowledge and understanding By the end of the course the candidate will be able to acquire the knowledge about : a1- Principles and guidelines of medical ethics 24

25 a2- Aware of the medical laws of Egypt a3- Weighing between advancement of science and well-being of patients a4- Outline the legal requirements for standard of care b- Intellectual skills By the end of the course the candidate will be able to acquire the skills of: b1) Explain the difference between statute and common law and between criminal and civil law b2) Outline the law and professional guidelines on patient confidentiality, distinguishing between statute and common law requirements c- Professional skills By the end of the course the candidate will be able to c1- Explain the circumstances under which a doctor patient relationship exists c2- Describe the requirements of a successful suit for medical negligence c3- Outline Patients' rights c4- Define patient and family responsibilities c5- Identify situations of ethical controversy d- General and transferable skills By the end of the course the candidate will be able to: d1-deals with patients as participants having rights to be respected d2-respects the role of other doctors in treatment of his patients d3- Communicate effectively with his patients and medical team 3- Course content: Topics L Introduction to medical ethics 3 Introduction to legal and professional guidelines 3 Personal values and medical decision making 3 Confidentiality and rights 3 Duty of care and medical negligence 3 Autonomy and informed consent 3 Data protection and access to records 3 Human experimentation 3 Mental health law 3 Futility and Terminal Care 3 Total 30 H T: Tutorial and C/P: Clinical or Practical and SDL: Self directed learning P 4 - Student Assessment Methods 25

26 4.1 written exam to assess knowledge, skills Weighing of assessment 4.1 written exam 100 Total 100 Essential book Medical Ethics & Law: The Core Curriculum by Tony Hope MA PhD MBBch FRCPsych MFPH, Julian Savulescu BMedSci MB BS MA PhD Judith Hendrick BA LLM Websites NIH's Bioethics Resources CIOMS International Ethical Guidelines for Biomedical Research Involving Human Subject_files Medical Law Course Specification University: Ain Shams University Faculty: of Medicine Course specifications Program on which the course is given: Medical Doctorate in General Surgery Major or minor element of programs: Minor Department offering the program: General Surgery Department offering the course: Department of General Surgery and Forensic Medicine Academic Level: MD 4 th semester Date of specification approval: December A- Basic Information Title: Medical Law course Code: E 7043 Credit Hours: 2 hours Lecture: 2 h/week Total: 30 hours Coordinator: Department of surgery B - Professional Information 1- Course Aims: Recognition of medical liability issues in surgical practice Understanding the legal aspects of surgical practice Recognition of the law of medical practice Recognition of reporting of issues of legal relevance 26

27 2- Intended Learning Outcomes (ILOs) from the Course: a- Knowledge and understanding By the end of the course the candidate will be able to: a1 Discuss the law of the medical profession a2 Define the surgical issues of legal importance a3 Outline areas and cases of confidentiality a4- Identify the legal rights of doctors and medical institutions; hospitals, clinics, medical centers, pharmacies, etc a5- Describe the legal responsibilities of doctors and medical institutions a4- Identify the legal steps of medical claims and procedures in case of trial of a doctor b- Intellectual skills By the end of the course the candidate will be able to: b1 - Interpret correctly the legal issues in surgical practice b2 - Integrate legal considerations in surgical practice b3- Formulate a consent relevant to the surgical intervention b4- Integrate the principles of patient privacy and patient-doctor confidentiality in surgical practice c- Professional skills By the end of the course the candidate will be able to: c1- Write a proper medical report c2- Document surgical procedures and interventions c3- Communicate an informed consent to the patient c4- Write an accurate death certificate d- General and transferable skills By the end of the course the candidate will be able to: d1 - Work effectively in a group of different backgrounds d2 - Respect the role of staff and co-staff members regardless of degree or occupation d3 - Communicate effectively with professional statisticians and the wider medical community, including the ability to present results of statistical analyses through written and oral presentations d4 - Use of computer data bases and other computer skills d5 - Handle data appropriately and analyze them through: decision processes, objective criteria, problem definition, project design and evaluation, risk management, teamwork and coordination d6 - Learn independently with open-mindedness and critical enquiry 27

28 3- Course content: Topics No. of hours L C SDL The medical profession law 3 Legal issues in surgical practice I 3 Legal issues in surgical practice II 3 The legal rights of doctors and medical 3 institutions; hospitals, clinics, medical centers, pharmacies, etc The legal responsibilities of doctors and medical 3 institutions Consent for a surgical intervention 3 A proper medical report and the Principles of 3 Documentation of surgical procedures and interventions Patient privacy and patient-doctor confidentiality 3 in surgical practice The death certificate 3 The legal steps of medical claims and procedures 3 in case of trial of a doctor L: Lecture, T: Tutorial, C: Clinical and SDL: Self directed learning 4 - Student Assessment Methods 4.1 written exam to assess knowledge and intellectual skills Weighing of assessment 4.1 written exam 100 Total List of References 5.1- Course Notes (paper and / or electronic) Lecture notes 5.2- Essential Books (Text Books) 5.3- Recommended Books 5.4- Periodicals, Web Sites, etc Medical Information Technology Course Specification: University: Ain Shams University Faculty: Medicine Course specifications Program on which the course is given: Medical Doctorate in General Surgery Major or minor element of programs: Minor 28

29 Department offering the program: General Surgery Department offering the course: Community, Environmental and Occupational Medicine Academic Level: MD 4 th semester Date of specification approval: December A- Basic Information Title: Medical Information Technology Code: E 7070 Credit Hours: 2 hours Lecture: 2 h/week 10 w Practical: 2 h/week 10 w Total: 20 hours Lectures 20 hours Practical Coordinator Department of General Surgery B - Professional Information 1- Course Aims: By the end of the course, the student should become aware of computer science principles and tools, how to do a presentation, how to use internet in communication and getting knowledge and updated sciences. 2 Intended Learning Outcomes of Course (ILOs): A- Knowledge and Understanding: a1- Know computer components a2- Understand principles of computer a3- Know commonly used software B- Intellectual Skills: b1- How to get maximum from computer facilities b2-how to use internet to get knowledge b3-how to do a presentation with the help of computer C- Professional and Practical Skills c1- Use of computer in an optimum way c2- Use Microsoft office properly c3- Use of internet D- General and Transferable Skills d1- Communicate with colleagues through the net. d2- Communicate with staff through computer d3- Interchange data with colleagues and staff 3.Course Contents : Topic Concepts of Information Technology 2 29 No. of hours /week lectures practical Tutorial

30 Using the Computer & Managing files 3 4 Word Processing 3 4 Spreadsheets 3 4 Database 3 3 Presentation 3 3 Information & Communication 3 2 Total 20 hours 20 hours 4 - Student Assessment Methods 4-1 Written exam to assess knowledge and understanding with special emphasis on problem solving questions 4-2 Weighing of assessment Written exam 100 Total List of References 5.1- Course Notes (paper and / or electronic) Lecture notes 5.2- Essential Books (Text Books) 5.3- Recommended Books 5.4- Periodicals, Web Sites, etc Medical statistics course specification University: Ain Shams University Faculty: Medicine Course specifications Program on which the course is given: Medical Doctorate in General Surgery Major or minor element of programs: Minor Department offering the program: General Surgery Department offering the course: Community, Environmental and Occupational Medicine Academic Level: MD 4 th semester Date of specification approval: December 2009 A- Basic Information Title: Medical statistics course Code: E 7024 Credit Hours: 2 hours Lecture: 2 h/week Total: 30 hours Coordinator Community, Environmental and Occupational Medicine Department 30

31 B - Professional Information 1- Course Aim: To enable the candidate to plan, conduct, analyze and interpret the results of a research in his specific field. This course unit introduces the application of statistical ideas and methodology to medical research. 2- Intended Learning Outcomes (ILOs) from the Course: a- Knowledge and understanding By the end of the course the candidate will be able to: a1 - Define medical statistics and identify uses and importance of medical statistics in medical research a2 Define: Types of variables. Descriptive statistics. Presentation and summarization of data. Measures of central tendency and scatter. Principles of probability and probability distributions. Concepts of inferential statistics: confidence interval and hypothesis testing. Different tests of statistical significance. Difference between parametric and nonparametric tests of significance. Correlation and regression Concept of statistical modeling using multivariable and multivariate statistical methods. Combining evidence from different studies and meta-analysis Importance and methods of sampling and how to determinate the suitable sample size. Different types of research methodology: observational and intervention studies and the different statistical issues related to the design, conduct, analysis and interpretation of the results of each study type. Ethical aspects of medical research including those specifically applied to clinical trials. b- Intellectual skills By the end of the course the candidate will be able to: b1 - Interpret correctly the results of statistical analyses and critically evaluate the use of statistics in the medical literature. b2 - Integrate and evaluate information from a variety of sources. c- Professional skills By the end of the course the candidate will be able to: c1- Select appropriate study designs to address questions of medical relevance 31

32 c2 - Select and apply appropriate statistical methods for analyzing data typically encountered in medical applications. c3- Use selected software packages for statistical analysis and data management. d- General and transferable skills By the end of the course the candidate will be able to: d1 - Work effectively in a group of different backgrounds d2 - Respect the role of staff and co-staff members regardless of degree or occupation d3 - Communicate effectively with professional statisticians and the wider medical community, including the ability to present results of statistical analyses through written and oral presentations d4 - Use of computer data bases and other computer skills d5 - Handle data appropriately and analyze them through: decision processes, objective criteria, problem definition, project design and evaluation, risk management, teamwork and coordination d6 - Learn independently with open-mindedness and critical enquiry 3- Course content: Topics T C/P Introduction to medical statistics and its uses X X Types of variables and Descriptive statistics X X Graphic presentation of data X X Introduction to probability theory and rules x X Sample and population: sampling distribution of mean and proportion x X Confidence interval of a mean and a proportion x X Confidence interval of a difference between two mean /proportion x X Testing a hypothesis about population mean/proportion x X Testing a hypothesis about the difference between two x X means/proportion Comparing between more than two means-introduction to factorial x X analysis Cross-tabulation and introduction to categorical data analysis x X Simple correlation and simple regression x X Introduction to multivariable and multivariate analysis x X Study designs: observational studies x X Study designs: Intervention studies: clinical trials x X Study designs: Experimental animal studies x X Study designs: Bias and Confounding x X Ethical issues in medical research x X 32

33 Sample size estimation for continuous and binary outcome measures. x X Meta-analysis and publication bias. x X T: Tutorial and C/P: Clinical or Practical and SDL: Self directed learning 4 - Student Assessment Methods 4-1 Written exam to assess knowledge and understanding with special emphasis on problem solving questions 4-2 Weighing of assessment Written exam 100 Total List of References 5.1- Course Notes (paper and / or electronic) Student Notes on Medical Statistics and Research Methods. Prof. Mohsen Abdel Hamid and Dr Moustafa El Houssinie. Department of Community, Environmental and Occupational Medicine Essential Books (Text Books) Statistics in Clinical Practice. avid Coggon. BMJ Books. 2 nd edition Recommended Books Handbook of Epidemiology. Springer Periodicals, Web Sites, etc onlinestatbook.com/rvls/ www. Epidemiolog.net Behavioral Sciences Course specifications University: Ain Shams Faculty of Medicine Course Specifications: Program in which the course is given: Medical Doctor in Medicine in General Surgery Major or minor element of programs: Minor Department offering the program: Department of General Surgery Department offering the course: Department of Psychiatry Academic year: 4 th semester Date of specification approval: December 2009 A- Basic Information: Title: Behavioral Science Code: E 7070 Credit Hours: 2 hours Lecture: 2 h/week Total: 30 hours 33

34 Coordinator: Department of General Surgery B - Professional Information: 1- Course Aims: 1- Understand individual behavior. 2- Recognize doctor-patient relationship. 3- Identify types of personality and personality disorders 4- Understand social behavior, and the role of family in health care of a diseased family member 2- Intended Learning Outcomes (ILOs) from the Course: a- Knowledge and Understanding: By the end of the course the candidate will be able to: a1- Recognize biological bases of behavior a2- Outline social behavior in health and disease. a3- Define the main issues in doctor-patient relationship. a4- Recognize different personalities and personality disorders, and behavioral consequences of disease a5- Recognize psychological and social issues in health care delivery. b- Intellectual Skills: By the end of the course the candidate will be able to: B1- Interpret patient and family behavior. B2- Decide the correct doctor behavior in various ethically and behaviorally problematic situations B3- Integrate psychological concerns in doctor-patient relationship c- Professional Skills: By the end of the course the candidate will be able to: C1- Communicate to the patient medical information taking into account patient's personality C2- Deal correctly with angry patients and families C3- Solve disputes between patients and their families on one side and the hospital staff on the other side C4- Convey bad news to the patient and family d- General and transferable skills By the end of the course the candidate will be able to: d1. Maintain honesty and integrity in all interactions with professors, colleagues and others with whom physicians must interact in their professional lives d2. Recognize the scope and limits of her/his role as a surgeon in training d3. Apply communication skills in team working with other staff members d3. Recognize the responsibility towards work 34

35 3- Course Content: Topics T Biological Basis of Behavior 1 Behavior in health and disease 2 Personal values and medical decision making 2 Family, Culture and Illness 2 Childhood Development, Adolescence and Adulthood 2 Aging, Death and Bereavement 2 Doctor-patient relationship 2 Mood Disorders 2 Cognitive Disorders 2 Psychiatric Disorders 2 Personality and personality disorders 2 Duty of care and medical negligence 2 Autonomy and consent 2 Psychological and social issues in health care delivery 2 Legal and Ethical Issues in Surgical Practice L: Lecture, SDL: Self-directed learning 4 - Student Assessment Methods 4.1 written exam to assess knowledge, skills Weighing of assessment 4.1 written exam 100 Total List of References 5.1- Course Notes (paper and / or electronic) Lecture notes 5.2- Essential Books (Text Books) 5.3- Recommended Books 5.4- Periodicals, Web Sites, etc SDL Modules Semester Elective Special Total Lectures Clinical Operative

36 Total First Semester (Title: Module 1) Total: 3 credit hours General Surgery Total: 3 Credit hours Clinical: 60 Actual hours Operative: 60 Actual hours Module 1 Code GS7001 Second Semester (Title: Module 2) Total: 6 credit hours Surgical Pathology/ Special Surgery: 36 Topics General Surgery Lectures Clinical Operative Credit hours General Surgery Total: 3 Credit hours Lecture: 15 Total actual hours Clinical: 30 Total actual hours Operative: 60 Total actual hours Module 2 Code Topics GS7002 Surgical Pathology/Special Surgery 3 credit hours GS7001a General surgery Lectures Clinical Operative 1 (1-11) 1 1 Third Semester (Module 3) Total: 6 credit hours Surgical Pathology/Special Surgery General Surgery General Surgery: Module 3 Code GS Credit hours Total: 3 Credit hours Lectures: 30 Total actual hours Clinical: -- Total actual hours OR: 60 Total actual hours Topics Surgical Pathology/Special Surgery