Course Specification of Internal Medicine University: Assiut Faculty: Medicine Course specifications: Internal Medicine Programme(s) on which the course is given: M. B. B. ch Departments offering the course



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b. Practical skills:

Students should be able to:

A.1.b.1 take an accurate medical history (direct observation)

A.1.b.2 perform proper clinical examination (direct observation – log book)

A.1.b.3 examine the urine as a bedside test to differentiate between types of jaundice (direct observation).
c. Intellectual skills:

Students should be able to:

A.1.c.1 integrate the patient's history, physical signs, and investigations to reach clinical diagnosis (case scenario)

A.1.c.2 order and interpret the relevant investigations (case study)

A.1.c.3 plan a diagnostic strategy for a patient with jaundice (patient management plan).

d. Transferable skills:

Students should be able to:

A.1.d.1 counsel a patient with specific cause of jaundice about prognosis (direct observation).
2. Acute Hepatitis
a. Knowledge and investigations:

Students should be able to:

A.2.a.1 define acute hepatitis (oral exam, clinical round, OWE)

A.2.a.2 list causes of acute hepatitis, with stress on infectious causes (oral exam, clinical round, OWE)

A.2.a.3 describe epidemiology of acute viral hepatitis (essay, oral exam)

A.2.a.4 illustrate the natural history of acute viral hepatitis (essay, oral exam)

A.2.a.5 describe different clinical presentations (essay, oral exam):

  • non-icteric

  • icteric

  • cholestatic

  • fulminant

  • relapsing

  • post-hepatitic syndrome

A.2.a.6 describe management of acute hepatitis.
b. Practical skills:

Students should be able to:

A.2.b.1 obtain an accurate medical history (direct observation)

A.2.b.2 perform proper abdominal examination (direct observation)

A.2.b.3 identify change in color of urine in acute hepatitis (direct observation).
c. Intellectual skills:

Students should be able to:

A.2.c.1 order and interpret the relevant investigations (case study)

A.2.c.2 select specific hepatitis markers for serological diagnosis of acute viral hepatitis (patient management plan, OWE).

d. Transferable skills:

Students should be able to:

A.2.d.1 counsel patient about the natural history, prognosis, and follow up measures (direct observation)

A.2.d.2 explain preventive and control measures for acute viral hepatitis among household and nursing staff including role of vaccination (direct observation, care plan).

3. Chronic viral hepatitis
a. Knowledge and understanding:

Students should be able to:

A.3.a.1 define chronic hepatitis (OWE, clinical round)

A.3.a.2 list causes of chronic hepatitis (OWE, clinical round)

A.3.a.3 mention clinical symptoms and signs of chronic hepatitis (essay, oral exam, OWE)

A.3.a.4 illustrate the natural history of chronic hepatitis B and chronic hepatitis C (essay, oral exam)

A.3.a.5 mention diagnostic criteria of chronic hepatitis (essay, oral exam, clinical round):

  • clinical

  • laboratory

  • pathological

A.3.a.6 describe therapeutic measures of chronic hepatitis (essay, oral exam, clinical round)

A.3.a.7 describe lines of treatment of liver cell failure (essay, oral exam, clinical round).
b. Practical skills:

Students should be able to:

A.3.b.1 obtain an accurate medical history (direct observation)

A.3.b.2 perform proper clinical examination (direct observation, log book):

  • to elicit clinical signs of chronic hepatitis:

    • general e.g. jaundice, arthritis, spider nevi, bruises, palmar erythema

    • abdominal e.g. signs of chronic abdominal disease, hepatomegaly, splenomegaly.

  • to elicit signs of liver cell failure: fever, jaundice, circulatory changes, fetor hepaticus, cutaneous manifestations, endocrinal changes, hepatic encephalopathy, ascites.

A.3.b.3 perform different clinical methods of liver examination (direct observation, log book).
c. Intellectual skills:

Students should be able to:

A.3.c.1 order and interpret the relevant diagnostic tests (case study)

A.3.c.2 order serological markers for diagnosis of etiology chronic hepatitis regarding the clinical diagnosis (case scenario, case study)

A.3.c.3 formulate a plan of follow up of a case of chronic hepatitis (patient management plan).
d. Transferable skills:

Students should be able to:

A.3.d.1 counsel patient about the course and possible outcomes of the disease (direct observation)

A.3.d.2 explain to the family how to deal with their patient and how to avoid exposure to infection (preventive measures, direct observation, care plan)

A.3.d.3 retrieve evidence based guidelines for management of chronic viral hepatitis (project report).
4. Ascites
a. Knowledge and understanding:

Students should be able to:

A.4.a.1 define ascites (clinical round)

A.4.a.2 list causes of ascites (OWE, clinical round)

A.4.a.3 explain pathogenesis of ascites in liver cirrhosis (essay, clinical round)

A.4.a.4 mention clinical symptoms and signs of ascites (OWE, essay, clinical round)

A.4.a.5 list investigations for a case of ascites (OWE, clinical round)

A.4.a.6 mention the physical and biochemical criteria of the ascitic fluid in different causes of ascites (clinical round, OWE, oral exam)

A.4.a.7 mention complications of ascites (essay, oral exam, clinical round)

A.4.a.8 list the lines of treatment of ascites in patients with (clinical round, essay, OWE, oral exam):

  1. liver cirrhosis:

  • salt restriction

  • diuretic therapy

  • paracentesis

  • salt free albumin

  • TIPS

  • liver transplant

  1. tuberculous ascites

A.4.a.9 describe mechanism of action and side effects of diuretics (clinical round, OWE, oral exam).
b. Practical skills:

Students should be able to:

A.4.b.1 obtain an accurate medical history (direct observation)

A.4.b.2 perform proper clinical examination (direct observation)

A.4.b.3 elicit different clinical methods of ascitic fluid examination (direct observation, log book)

A.4.b.4 perform safe sampling of ascitic fluid (direct observation, log book)

A.4.b.5 examine urine for proteinuria (direct observation).
c. Intellectual skills:

Students should be able to:

A.4.c.1 integrate the patient's history, physical signs, and ascitic fluid study results to reach clinical diagnosis (case study, clinical round, patient management plan).
d. Transferable skills:

Students should be able to:

A.4.d.1 counsel patient about the prognosis (direct observation)

A.4.d.2 counsel family about diet regulation and nutrition of the patient (direct observation)

A.4.d.3 retrieve evidence based guidelines for treatment of ascites due to liver cirrhosis (project report).

5. Splenomegaly
a. Knowledge and understanding:

Students should be able to:

A.5.a.1 list causes of splenomegaly in relation to the size of the spleen (clinical round, oral exam, OWE)

A.5.a.2 mention the investigations for diagnosis of the etiology of splenomegaly (case study, case scenario, oral exam).
b. Practical skills:

Students should be able to:

A.5.b.1 obtain an accurate medical history (direct observation)

A.5.b.2 perform proper clinical examination (direct observation, log book)

A.5.b.3 perform different clinical methods of splenic examination (direct observation, log book).
c. Intellectual skills:

Students should be able to:

A.5.c.1 integrate the patient's history, physical signs, and investigations to reach clinical diagnosis (case scenario, case study)

A.5.c.2 set a plan of management of a case of splenomegaly with or without: fever, hepatomegaly and/or lymphadenopathy (patient management plan).
d. Transferable skills:

Students should be able to:

A.5.d.1 counsel patient about the prognosis regarding the etiology of splenomegaly (direct observation)

A.5.d.2 counsel patient about the treatment (direct observation).


B. Fever, infectious diseases, and chemotherapy
1. Fever
a. Knowledge and understanding:

Students should be able to:

B.1.a.1 define fever, hyperthermia, and hypothermia (oral exam, OWE)

B.1.a.2 describe mechanism of heat regulation (essay)

B.1.a.3 explain pathogenesis of fever (essay, clinical round)

B.1.a.4 list causes of fever (oral exam, OWE)

B.1.a.5 define pyrexia of unknown etiology [PUO] (oral exam, OWE)

B.1.a.6 list causes and investigations of PUO (essay, oral exam)

B.1.a.7 identify symptoms and signs common in most febrile diseases (OWE, oral exam)

B.1.a.8 describe clinical symptoms and complications of hyperpyrexia (essay, oral exam)

B.1.a.9 describe first aid measures of fever and hyperpyrexia (essay, oral exam).
b. Practical skills:

Students should be able to:

B.1.b.1 obtain an accurate medical history (direct observation)

B.1.b.2 measure body temperature accurately [oral, axillary, groin, and rectal temperature] (direct observation, log book)

B.1.b.3 perform proper clinical examination and elicit important signs in relation to fevers as rash, pulse rate in relation to fever, lymph gland enlargement, splenomegaly, and hepatomegaly (direct observation).
c. Intellectual skills:

Students should be able to:

B.1.c.1 plan a diagnostic strategy for a patient with PUO (patient management plan, OWE)

B.1.c.2 set a plan of management of cases of fever with: splenomegaly, hepatomegaly, and/or lymphadenopathy (patient management plan, OWE, case study)

B.1.c.3 set a plan of management of cases of hyperpyrexia (patient management plan).

2. Infectious diseases and chemotherapy
a. Knowledge and understanding:

Students should be able to:

B.2.a.1 describe epidemiology, clinical presentation, and complications of the following infectious diseases (essay, oral exam, OWE):

  • Salmonella

  • cholera

  • brucellosis

  • tuberculous enteritis

  • Helicobacter pylori infection

  • tetanus

  • HIV

  • schistosomiasis

  • malaria

  • amebiasis

  • giardiasis

  • filariasis

B.2.a.2 list relevant investigations for each (oral exam, OWE, case study, case scenario)

B.2.a.3 describe therapeutic measures for each (essay, oral exam)

B.2.a.4 describe strategy for antimicrobial use, including (essay, OWE, oral exam):

  • empirical antimicrobial chemotherapy

  • failure of antimicrobial chemotherapy

  • combination antimicrobial chemotherapy

  • bactericidal versus bacteriostatic chemotherapy

  • chemoprophylaxis.

B.2.a.5 list indications of empirical antimicrobial therapy (OWE, oral exam)

B.2.a.6 describe antibiotic therapy for eradication of Helicobacter pylori infection (OWE, oral exam).
b. Transferable skills:

Students should be able to:

B.2.b.1 counsel patient and families about the mode of transmission and prevention, including vaccination (direct observation)

B.2.b.2 counsel patient about the course and prognosis of his illness (direct observation)

B.2.b.3 retrieve evidence based guideline for treatment of Helicobacter pylori (project report).
D. Vitamins, minerals, and nutrition
1. Vitamins and minerals
a. Knowledge and understanding:

Students should be able to:

D.1.a.1 define vitamins (OWE, oral exam)

D.1.a.2 enumerate water and fat soluble vitamins (OWE, oral exam)

D.1.a.3 mention sources of each (OWE, oral exam)

D.1.a.4 mention causes of deficiency of each (OWE, oral exam)

D.1.a.5 list clinical manifestations of deficiency of each (OWE, oral exam, essay)

D.1.a.6 define minerals (iron and calcium) (OWE, oral exam)

D.1.a.7 mention sources of iron and calcium (OWE, oral exam)

D.1.a.8 mention causes of iron and calcium deficiency (OWE, oral exam)

D 1.a.9 mention clinical manifestations of iron and calcium deficiency (OWE, oral exam, essay)

D.1.a.10 describe diagnostic tests for iron deficiency (OWE, oral exam)

D.1.a.11 describe appropriate replacement therapy for vitamins, iron, and calcium deficiency (OWE, oral exam).
b. Practical skills:

Students should be able to:

D.1.b.1 elicit signs of vitamins and minerals deficiency in various clinical cases (direct observation).
2. Nutrition
a. Knowledge and understanding:

Students should be able to:

D.2.a.1 list nutritional disorders (OWE, oral exam)

D.2.a.2 define BMI (OWE, oral exam)

D.2.a.3 define malnutrition (OWE, oral exam)

D.2.a.4 list causes of secondary of malnutrition (OWE, oral exam)

D.2.a.5 list clinical symptoms and signs of malnutrition (OWE, oral exam, essay)

D.2.a.6 mention different methods of nutritional status assessment (OWE, oral exam).
b. Practical skills:

Students should be able to:

D.2.b.1 elicit signs of malnutrition in various clinical cases (direct observation)

D.2.b.2 measure BMI (direct observation)

D.2.b.3 conduct clinical methods of nutritional status assessment in clinical cases (direct observation).
E. Imaging
1. Imaging of the gastrointestinal tract

2. Imaging of the hepatobiliary system

3. Gastrointestinal endoscopy
a. Knowledge and understanding:

Students should be able to:

E.a.1 list indications for each type of imaging (OWE, clinical round, oral exam)

E.a.2 mention endoscopic and ultrasonographic findings in related diseases (OWE, clinical round, oral exam).
b. Practical skills:

Students should be able to:

E.b.1 identify endoscopic and ultrasonographic findings in related diseases (Clinical round).


F. Abdominal Case Taking
a. Knowledge and understanding:

Students should be able to:

F.a.1 items of history taking (clinical round)

F.a.2 items of abdominal examination (clinical round).
b. Practical skills:

Students should be able to:

F.b.1 take accurate medical history (direct observation)

F.b.2 perform accurate abdominal examination (direct observation)
c. Intellectual skills:

Students should be able to:

F.c.1 integrate patient history and physical signs to reach a provisional diagnosis (clinical scenario)

F.c.2 plan for the investigations (patient management plan)

Table of course contents and teaching hours

Contents

Total hours

Lectures

Tutorials

Clinical

Hepatology

Jaundice

7

2

2

3

Acute hepatitis

3

1

1

1

Chronic hepatitis:

  • Definition, causes, clinical presentations

2

1

__

1

  • Natural history of HBV and HCV

2

1

1

__

  • Complications

8

2

2

4

2

2

__

__

Ascites

5

1

2

2

Splenomegaly

2

__

1

1




Fever, infectious diseases and chemotherapy

Fever:

Heat regulation

Fever (definition, causes, pathogenesis, and

common symptoms associated with fever)

2



1



__



1



PUO (definition, causes, diagnosis)

2

1

1

__

Hyperpyrexia (definition, causes, clinical presentation, complications, and management)

1

1

__

__

Infectious diseases

Enteric fever

2

1

1

__

Brucellosis

1

1

__

__

Cholera and Tetanus

1

1

__

__

Helicobacter pylori

2

1

1

__

Schistosomiasis

2

1

__

1

Malaria

1

1

__

__

Other parasitic diseases of liver

1

1

__

__

Filariasis

1

1

__

__

Giardiasis

1

1

__

__

Human immunodeficiency virus

1

1

__

__

Chemotherapy

Antibiotics

4

3

1

__

Antihelminthics

1

1

__

__

Vitamins, minerals and nutrition

Vitamins and minerals:

Vitamins (definition, types, sources,

clinical manifestations, diagnosis, and replacement therapy)

3


2


1


__


Minerals (definition, types, sources Clinical manifestations, diagnosis, and replacement therapy)

1

1

__

__

Nutrition:

Nutritional disorders (types, clinical presentations, and diagnosis)

2

1

__

1

Imaging

Imaging of gastrointestinal tract

1

__

1

__

Imaging of hepatobiliary system

1

__

1

__

Gastrointestinal endoscopy

1

__

1

__

Abdominal Case Taking

Abdominal case taking

4

__

2

2

Total

90

42

27

21




Topic

Teaching methods

Covered ILOs

Hours

Time

Whom

Hepatology

Jaundice

Lecture

A.1.a.1-7

2







Skill practice session

A.1.b.1-3

3







Case study

A.1.c.1-3

1







Role play

A.1.d.1

1







Acute hepatitis

Lecture

A.2.a.1-6

1







Skill practice session

A.2.b.1-3

1







Case study

A.2.c.1-2

1







Chronic hepatitis

Lecture

A.3.a.1-7

2







Skill practice session

A.3.b.1-3

8







Case study

A.3.c.1-3

2







Role play

A.3.d.1-3

2







Ascites

Lecture

A.4.a.1-9

1










Skill practice session

A.4.b.1-5

2










Case study

A.4.c.1

1










Role play

A.4.d.1-3

1







Splenomegaly

Lecture

A.5.a.1-2

__







Skill practice session

A.5.b.1-3

2







Case study

A.5.c.1-2

1







Role play

A.5.d.1-2

__







Fever, infectious diseases, and chemotherapy

Fever

Lecture

B.1.a.1-9

3







Skill practice session

B.1.b.1-3

1







Case study

B.1.c.1-3

1







Infectious diseases

Lecture

B.2.a.1-3

10







Role play

B.2.b.1-3

2







Chemotherapy

Lecture

B.2.a.4-6

4







Case study




1







Gastroenterology

Dysphagia and odynophagia


Lecture

C.1.a.1-4

1







Skill practice session

C.1.b.1-2

1







Case study

C.1.c.1-2

1







Vomiting, regurgitation, water brash, and heartburn

Lecture

C.2.a.1-5

1







Skill practice session

C.2.b.1-2

1







Case study

C.2.c.1

1







Gastrointestinal bleeding

Lecture

C.3.a.1-5

2







Clinical simulation

C.3.b.1-2

2







Role play

C.3.c.1-2

1







Abdominal pain

Lecture

C.4.a.1-4

1







Skill practice session

C.4.b.1-2

__







Case study

C.4.c.1-2

1







Diarrhea

Lecture

C.5.a.1-8

2







Skill practice session

C.5.b.1-2

1







Case study

C.5.c.1-4

2







Enterocolitides

Lecture

C.6.a.1-5

2







Case study

C.6.b.1-2

2







Role play

C.6.c.1

1







Vitamins, minerals, and nutrition

Vitamins and minerals

Lecture

D.1.a.1-11

3







Skill practice session

D.1.b.1

1







Nutrition

Lecture

D.2.a.1-6

1







Skill practice session

D.2.b.1-3

1







Imaging

  • Imaging of GIT

  • Imaging of hepatobiliary system

  • Gastrointestinal endoscopy

Lecture

E.a.1-2

1







Practical skills

E.b.1

2







Abdominal Case Taking

Abdominal case taking

Practical skills

F.a.1

2







F.a.2

Tutorial

F.b.1

2

F.b.2

F.c.1

F.c.2

Total







90








Student Assessment Methods


  • Case plan:

  • A.2.d.2

  • A.3.d.2




  • Case scenario:

  • A.1.c.1

  • A.3.c.2

  • A.5.a.2

  • A.5.c.1

  • B.2.a.2

  • C.1.c.1

  • C.2.c.1

  • C.3.b.1

  • C.3.b.2

  • C.4.c.1

  • C.5.c.1




  • Case study:

  • A.1.c.2

  • A.2.c.1

  • A.3.c.1

  • A.3.c.2

  • A.4.c.1

  • A.5.a.2

  • A.5.c.1

  • B.1.c.2

  • B.2.a.2

  • C.1.c.1

  • C.6.b.2




  • Clinical round:

  • A.1.a.2

  • A.1.a.3

  • A.1.a.4

  • A.1.a.6

  • A.2.a.1

  • A.2.a.2

  • A.3.a.1

  • A.3.a.2

  • A.3.a.5

  • A.3.a.6

  • A.3.a.7

  • A.4.a.1

  • A.4.a.2

  • A.4.a.3

  • A.4.a.4

  • A.4.a.5

  • A.4.a.6

  • A.4.a.7

  • A.4.a.8

  • A.4.a.9

  • A.4.c.1

  • A.5.a.1

  • B.1.a.3

  • C.1.a.1

  • C.1.a.2

  • C.2.a.1

  • C.2.a.2

  • C.2.a.3

  • C.2.a.4

  • C.3.a.1

  • C.3.a.2

  • C.3.a.3

  • C.3.a.4

  • C.3.a.5

  • C.4.a.1

  • C.4.a.2

  • C.4.a.3

  • C.4.a.4

  • C.5.a.4

  • C.5.c.2

  • C.6.a.1

  • C.6.b.1

  • E.a.1

  • E.a.2

  • E.b.1

  • F.a.1

  • F.a.2




  • Direct observation:

  • A.1.b.1

  • A.1.b.2

  • A.1.b.3

  • A.1.d.1

  • A.2.b.1

  • A.2.b.2

  • A.2.b.3

  • A.2.d.1

  • A.2.d.2

  • A.3.b.1

  • A.3.b.2

  • A.3.b.3

  • A.3.d.1

  • A.3.d.2

  • A.4.b.1

  • A.4.b.2

  • A.4.b.3

  • A.4.b.4

  • A.4.b.5

  • A.4.d.1

  • A.4.d.2

  • A.5.b.1

  • A.5.b.2

  • A.5.b.3

  • A.5.d.1

  • A.5.d.2

  • B.1.b.1

  • B.1.b.2

  • B.1.b.3

  • B.2.b.1

  • B.2.b.2

  • C.1.b.1

  • C.1.b.2

  • C.2.b.1

  • C.2.b.2

  • C.3.c.1

  • C.3.c.2

  • C.4.b.1

  • C.4.b.2

  • C.5.b.1

  • C.5.b.2

  • C.5.d.1

  • C.6.c 1

  • D.1.b.1

  • D.2.b.1

  • D.2.b.2

  • D.2.b.3

  • F.b.1

  • F.b.2




  • Essay:

  • A.1.a.1

  • A.1.a.5

  • A.1.a.6

  • A.1.a.7

  • A.2.a.3

  • A.2.a.4

  • A.2.a.5

  • A.3.a.3

  • A.3.a.4

  • A.3.a.5

  • A.3.a.6

  • A.3.a.7

  • A.4.a.3

  • A.4.a.4

  • A.4.a.7

  • A.4.a.8

  • B.1.a.2

  • B.1.a.3

  • B.1.a.6

  • B.1.a.8

  • B.1.a.9

  • B.2.a.1

  • B.2.a.3

  • B.2.a.4

  • C.1.a.4

  • C.2.a.5

  • C.3.a.4

  • C.3.a.5

  • C.5.a.1

  • C.5.a.6

  • C.5.a.8

  • C.6.a.3

  • C.6.a.5

  • D.1.a.5

  • D 1.a.9

  • D.2.a.5




  • Log book:

  • A.1.b.2

  • A.3.b.2

  • A.3.b.3

  • A.4.b.3

  • A.4.b.4

  • A.5.b.2

  • A.5.b.3

  • B.1.b.2




  • Oral exam:

  • A.1.a.5

  • A.1.a.6

  • A.1.a.7

  • A.2.a.1

  • A.2.a.2

  • A.2.a.3

  • A.2.a.4

  • A.2.a.5

  • A.3.a.3

  • A.3.a.4

  • A.3.a.5

  • A.3.a.6

  • A.3.a.7

  • A.4.a.6

  • A.4.a.7

  • A.4.a.8

  • A.4.a.9

  • A.5.a.1

  • A.5.a.2

  • B.1.a.1

  • B.1.a.4

  • B.1.a.5

  • B.1.a.6

  • B.1.a.7

  • B.1.a.8

  • B.1.a.9

  • B.2.a.1

  • B.2.a.2

  • B.2.a.3

  • B.2.a.4

  • B.2.a.5

  • B.2.a.6

  • C.1.a.1

  • C.1.a.2

  • C.1.a.3

  • C.1.a.4

  • C.2.a.1

  • C.2.a.2

  • C.2.a.3

  • C.2.a.4

  • C.2.a.5

  • C.3.a.1

  • C.3.a.2

  • C.3.a.3

  • C.3.a.4

  • C.3.a.5

  • C.4.a.1

  • C.4.a.2

  • C.4.a.3

  • C.4.a.4

  • C.5.a.2

  • C.5.a.3

  • C.5.a.4

  • C.5.a.5

  • C.5.a.6

  • C.5.a.7

  • C.5.a.8

  • C.6.a.1

  • C.6.a.2

  • C.6.a.3

  • C.6.a.4

  • C.6.a.5

  • C.6.b.1

  • D.1.a.1

  • D.1.a.2

  • D.1.a.3

  • D.1.a.4

  • D.1.a.5

  • D.1.a.6

  • D.1.a.7

  • D.1.a.8

  • D 1.a.9

  • D.1.a.10

  • D.1.a.11

  • D.2.a.1

  • D.2.a.2

  • D.2.a.3

  • D.2.a.4

  • D.2.a.5

  • D.2.a.6

  • E.a.1

  • E.a.2




  • OWE:

  • A.1.a.2

  • A.1.a.3

  • A.1.a.4

  • A.2.a.1

  • A.2.a.2

  • A.2.c.2

  • A.3.a.1

  • A.3.a.2

  • A.3.a.3

  • A.4.a.2

  • A.4.a.4

  • A.4.a.5

  • A.4.a.6

  • A.4.a.8

  • A.4.a.9

  • A.5.a.1

  • B.1.a.1

  • B.1.a.4

  • B.1.a.5

  • B.1.a.7

  • B.1.c.1

  • B.1.c.2

  • B.2.a.1

  • B.2.a.2

  • B.2.a.4

  • B.2.a.5

  • B.2.a.6

  • C.1.a.1

  • C.1.a.2

  • C.1.a.3

  • C.1.c.1

  • C.2.a.1

  • C.2.a.2

  • C.2.a.4

  • C.3.a.1

  • C.3.a.2

  • C.3.a.3

  • C.3.a.4

  • C.3.a.5

  • C.3.b.2

  • C.4.a.1

  • C.4.a.2

  • C.4.a.3

  • C.4.a.4

  • C.5.a.2

  • C.5.a.3

  • C.5.a.4

  • C.5.a.5

  • C.5.a.7

  • C.6.a.1

  • C.6.a.2

  • C.6.a.3

  • C.6.a.4

  • D.1.a.1

  • D.1.a.2

  • D.1.a.3

  • D.1.a.4

  • D.1.a.5

  • D.1.a.6

  • D.1.a.7

  • D.1.a.8

  • D 1.a.9

  • D.1.a.10

  • D.1.a.11

  • D.2.a.1

  • D.2.a.2

  • D.2.a.3

  • D.2.a.4

  • D.2.a.5

  • D.2.a.6

  • E.a.1

  • E.a.2




  • Patient management plan:

  • A.1.c.3

  • A.2.c.2

  • A.3.c.3

  • A.4.c.1

  • A.5.c.2

  • B.1.c.1

  • B.1.c.2

  • B.1.c.3

  • C.1.c.2

  • C.4.c.2

  • C.5.c.3

  • C.5.c.4

  • F.c.2

  • Preventive measures:

  • A.3.d.2




  • Project report:

  • A.3.d.3

  • A.4.d.3

  • B.2.b.3

  • A.3.d.3

  • A.4.d.3

  • B.2.b.3


Unit: Cardiology

  1. Professional Information
1- Overall aims of course

By completing this course, the students are oriented to:

1-deal with a cardiac patient for both diagnosis and treatment .

  1. to get samiliar with common cardiac problem in our locality .

3-The basic assessment and primary management of valvular heart disease .

4-The basic assessment and primary management of Ischemic heart disease .

5-The basic assessment and primary management of hypertension.

6-The basic assessment and primary management of arrhythmias .

7-The basic assessment and primary management of congenital heart disease in adults .

8-The basic assessment and primary management of myocardial and pericardial disease.

9- The basic assessment and primary management of pulmonary hypertension and pulmonary embolism.
2- Intended learning outcomes from the course :

a-knowledge and understanding:

1-Mention Basic knowledge the scientific background of valvaular heart disease

( Rheumatic or congenital )

2-give principles of emberylogy and congenital cardiac and malformation.

3- give principles of astherosclerosis and ischemic heart diseases.

4- give principles of cardiac rhythm disturbance, normal and abnormal conduction.

5- give principles of actiology and lines of management and complication of hypertension.

6- give principles of myocardial, pericardia and cardio pulmonary diseases.

7- give principles of heart failure and liner of management.
b- Intellectual kills:

1- assess cases with valvular heart disease as regards the sexuality and dominant valve lesions and best alternatives for treatments.

2- assess a case of ischemic heart diseases and alternatives lines for diagnosis and treatment.

3- assess a case presented of arrhythmias and conduction a abnormality as regards primary diagnosis and suitable acute interference.

4- assess a case of hypertension and best drugs for each patient according to the associated conditions.

5-plain Primary management of case with heart failure as regards diagnosis and possible lines of treatment.

6- interpret history and examination knowledge to reach the nearest possibilitiesfor diagnosis
C- Clinical skills:

1- take history of different cardiac problems.

2- examine and assess of vital signs.

3- do classic cardiac examination to detect different abnormalities.

1- diagnose different pulse abnormalities

2- auscultaic different murmurs and to diagnose different valvular diseases

3- diagnose different cardiac disease and describe the primary lines of treatment..

4- recognize different risk factors related to different diseases and the possible methods of presentation.


D- General skills:
1-Write a good medical report for patients with cardiac problem.

  1. Communicate with other medical centre to ask medical service not available in his locality.

3- Discuss with the patient his disease etiology, pathogenesis, clinical features, and complications and give proper medical advice principles of prevention and management.
3- Contents

Topic

No. of Hours

Timing

Case taking

1

1

Valvular heart disease

6

4

Heart Failure

3

2

Hypertension

2

1

Cor pulmonal

1

1

Congenital heart disease

3

2

Ischemic heart disease

5

3

Heart and systemic disease

1

1

Arrhythmias

4

2

Percardities

1

1

Heart and pregnancy

1

1

Diseases of the myocardium

2

1



Topic

No. of Hours

Timing

History + General apperance

4

1st week

Pulse + BP + Neck Veins

4

2nd week

Inspection + Palpitation + Percussion

4

3rd week

Auscultation (1)

4

4th week

Auscultation (2)

4

5th week


4- Teaching and Learning methods

1- Lectures

2- Practical session to gain practical skills.

3-Discussions sessions.


5-Teaching and Learning methods for disables students

  1. Office hours


6- Teaching and learning methods for distinguished students

  1. Open discussion at the end of each lecturer

  2. Practical round to assessment their ability for case taking and directing them, to improve their skills for examination and diagnosis and to avoid their mistakes.


7- Student assessment methods

  1. Tools:

-Written exam at the end of the term and then in the final -exam.

-Practical “ Clinical” exam.

-Oral exam

-Multiple choice exam.

2-Time schedule:

- Mid term exam week 5

- Final exam week 10

- Practical exam week 10

- Oral exam week 10

3-Grading system

Mid – term examination 12%

Final – term examination 26%

Oral examination 25%

Practical examination 37%

Semester work -

Other types of assessment -

Total 100%

Any formative only assessment -


8- List of reference

1- Course notes lecturer: Lecturer

2- Required books: Davison text book

3-Recommended books: Topols manual book of cardiology


9- Facilities required for teaching and learning.

Date: / /



.

Unit: Neurology and psychatry
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