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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Unit : Neurology medicine



- Overall aims of the course :

Medical students should be able to :

a.1- Know the basic neuroanatomy and neurophysiology.

a.2- Know the common symptoms and signs of different neurological disorders.

a.3- Know Ethics in neurological practice.

a.4- Define types, clinical picture, prevalence, common etiology, differential diagnosis and broad line of management of.

a.4.1- Speech and Neurogenic bladder.

a.4.2- Stroke

a.4.3- Paroxysmal Disorders

a.4.4- Extrapyramidal syndromes

a.4.5- Cerebellum & Demylinating Diseases.

a.4.6- Dementia.

a.4.7- Spinal cord disease

a.4.8- C.N.S infection

a.4.9- Peripheral polyneuropathy

a.4.10- Muscle disease

a.4.11- There Neurological emergency
a.5- Perform neurological interview and elicit symptoms and signs .

a.6- Discussion with patient the diagnosis and prognosis of common neurological disorders.(Practical)
Intended learning outcome (ILOs)

Contents

I. Knowledge and understanding


Medical students should be able to:

  1. Understand the anatomical and physiological background of the nervous system.

  2. Mention and define the basic symptoms and signs of different neurological disorders.

  3. Identify and know etiology and clinical picture of cerebrovascular stroke , epilepsy, paraplegia, parkinsonism, ataxia, headache, peripheral neuropathy, muscle disease.

  4. Know Ethics in neurological practice .

  5. Can explain differential diagnosis among group of neurological disorders.

  6. Mention, indications and side effect of different groups of antiepiliptic, antiparkinsonian and anticholinestrase, drugs and steroids.

  7. Know some Neurological emergences (crebrovascular stroke, epilepsy and headache).

  8. Student must engage in lifelong learning program and updated regularly.

II. Professional clinical skills :

Medical student should be able to :

  1. Perform history taking and elicit different symptoms and signs of neurological disorder.

  2. Conduct general and systemic, and neurological examination for significant signs of the patient.

III- Intellectual skills :

Medical student should be able to :

  1. Formulate and summarize data obtained through history taking and examination to reach the proper diagnosis and logic differential diagnosis.

  2. Suggest possible investigation including EEG, EMG, CT, MRI and CSF examination.

  3. Interpret the clinical data with investigation.

IV- General and transferable skills:

Medical student should be able to:

  1. Write report for patients with neurological disorders.

  2. Communicate with other medical specialty in the medical center.

  3. Discus with the patient the nature of illness and management plane.

  4. Communicate with other medical centers through using, new technologies e.g. e mails and web sites.


يعاد صياغة عدد الساعات حسب المقترح فى اللائحة الجديدة

Topic

No of hours

Lecture

Practiced

* Neuroanatomy and neurophysiology.

* Ethics in Neurology.

* Symptoms and signs of neurological disorders

* Speech and Neurogenic bladder.

* Stroke

* Paroxysmal Disorders

* Extrapyramidal syndromes

*Cerebellum & Demylinating Diseases.

* Dementia.

* Spinal cord disease

* C.N.S infection

* Peripheral polyneuropathy

* Muscle disease

4

1

8
3

6

4

6

5

3

6

3

4

6

2

1

-
1

2

2

2

1

1

2

1

2

2

2

0

8
2

4

2 (Video)

4

4

2

4

2

2

4

Total

59

19

40



Course Schedule

Topic

Teaching methods

Covered ILOs

Hours

Time

By whom

Neuroanatomy and neurophysiology.
Ethics in Neurology.
Symptoms and signs of neurological disorders

Speech and Neurogenic bladder.

Stroke


Paroxysmal Disorders

Extrapyramidal syndromes


Cerebellum & Demylinating Diseases.

Dementia.

Spinal cord disease


C.N.S infection

Peripheral polyneuropathy


Muscle disease

Lecture

Video tapes
Lecture
Small group clinical teaching

Clinical round & demonstration
Lecture

Demonstration
Lecture

Clinical round + problem solving
Lecture

Video tapes
Lecture

Clinical round + problem solving
Lecture

Clinical round + problem solving
Lecture

Case study
Lecture

Clinical round + problem solving
Lecture

Clinical round & case study
Lecture

Clinical round + problem solving
Lecture

Clinical round & case study

a.1

a.5
a.3
a.2, a.5

a.5

a.4.1, a.4.11

a.4.1, a.4.11
a.4.2, a.4.11

a.4.2, a.4.11, a.5
a.4.3, a.4.11

a.4.11, a.6
a.4.4

a.4.11, a.6

a.4.5

a.6

a.4.6

a.4.6, a.6
a.4.7

a.4.11, a.6

a.4.8

a.4.11, a.6
a.4.9

a.4.9, a.4.11, a.6
a.4.10

a.4.10, a.6

2

2
1
0

8

1

2
2

4

2

2
2

4

1

4

1

2
2

4

1

2
2

2

2

4







Total







59









Assessment schedule

1- Assessment I end of the term exam week 4th (grade 4)

2- Assessment II end of the term exam week 4th (grade 5)

3- Assessment III end of the term exam week 10th (grade 6)

4- Assessment IV final term exam (including oral and practical exam)

September each year


Teaching and learning methods


  1. Interactive lectures.

  2. Demonstration.

  3. Small group clinical teaching.

  4. Problem-solving.

  5. Video-tapes.

  6. Case-study.

  7. Clinical rounds.

  8. Clinical conferences and seminars.

Curriculum


    1. Neuroanatomy and neurophysiology.

    2. Ethics in Neurology.

    3. Symptoms and signs of neurological disorders

    4. Speech and Neurogenic bladder.

    5. Stroke

    6. Paroxysmal Disorders

    7. Extrapyramidal syndromes

    8. Disease of Cerebellum & Demylinating Diseases.

    9. Dementia.

    10. Spinal cord disease

    11. C.N.S infection

    12. Peripheral polyneuropathy

    13. Muscle disease


V- Student Evaluation :

Upon successful completion of this course the student must pass by at least 70% accuracy through evaluation by the following.

  1. Written short notes to asses knowledge.

  2. Written MCQ examination to asses their ability to choose, analysis, decide and implement his knowledge appropriately.

  3. Commentary case presentation.

  4. Clinical examination: to asses professional clinical skills.

  5. Oral examination

can give – correct differential diagnosis

List : Indication and side effects of lines of management of different neurological disorders.

Assessment schedule:

Assessment 1: MCQ at Week 1

Assessment 2: MCQ at week 2

Assessment 3: MCQ + commentary case presentation at week 4

Assessment 4: By the end of the course through :

- Short notes

- Clinical exam.

- Oral exam.

Weighting of assessments


End of term exam at week I %

End of term exam at week II %

End of term exam at week IV %

End of the course %

- Written exam %

- Oral exam %

- Clinical exam %

Lists of references


  1. Course lecture notes: Notes on clinical neurology edited by staff members of department of neurology 2005.

  2. Neurology for the house officer.

  3. Recommended books: Brain’s diseases of nerves system 11th edition edited by Michael Donaghy 2001.

  4. Websites and periodical

Current opinion of neurology.

Faculties required for teaching and learning


    1. Computer and data show.

    2. Computer lab

    3. Medical journals

Course coordinator : Professor Dr. Eman Khedr

Dr. Nageh F. Kamel
Head of Department Professor Dr : Mohammed Ahmed Eissa
Date: 20/5/2006
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