Course specifications - كليات الفارابيalfarabi.edu.sa/spc med/Course specifications -RESP-.pdf · The block will utilize the student-centeredness, integration and the

المملكة العربية السعوديةهلية

أ كلية الفارابي ال

Kingdom of Saudi Arabia

Alfarabi Private College

Title

Respiratory system

Course specifications





Code: RS351

Title: RESPIRATORY SYSTEM

Year: Three

Level: Five

No of weeks: Six

Type of educational unit: Longitudinal course Integrated block

No of credit hours: 4 (2+1+1)

Pre-requisites for the course: Principle of diseases II

Course principle coordinator: Dr. Mohamed Samer Rastam

Course support coordinator: Dr. Safaa Masoud Hanafy

Members of the Coordinating Committee:

1- Dr. Mohmed Samer Rastam

2-Dr. Ahmed Abdel Rahman Morsy

3- Dr. Mohamed Bahr

4- Dr. Safaa Masoud Hanafy

Description

The block is designed to provide in depth knowledge of normal and disease processes that involve the

lung and respiratory system. At completion of the course, students should understand the normal structure

and function of the respiratory system and know how these can be affected by disease. The course takes a

pathophysiologic approach, integrating anatomy and histology principles, physiology of respiration,

pathology of respiratory and lung disorders, relevant biochemistry, microbiology and pharmacologic

information.

The block will also introduce students to the various upper respiratory and pulmonary disorders, many of

which are common in the general population. Because many of these conditions are chronic and can

impact other tissues and organs, it is important that students understand their pathophysiology and

treatment. The module will introduce them to upper respiratory and pulmonary disorders, discuss

shortness of breath and other clinical features in the context of specific disorders, incorporate pertinent

laboratory tests and ancillary studies into clinical problem solving, and provide a solid background and

understanding of pharmacologic agents and non-pharmacologic interventions used to treat upper

respiratory and pulmonary disorders.





Objectives

NQF Learning Domains

And Course Learning Outcomes

Course Teaching

Strategies

Course Assessment

Methods

Knowledge

Explain the normal structure and function of the

respiratory system. (SaudiMEDS-1.1)

Lectures &

tutorials

Written

examinations

Explain the biochemical, molecular and cellular

mechanisms that are essential for maintaining body

homeostasis. (SaudiMEDS-1.3)

Lectures &

tutorials

Written

examinations

Explain the pathogenesis of various diseases such as

genetic, developmental, ischaemic, metabolic, toxic,

infectious, autoimmune, neoplastic, degenerative, and

traumatic factors, and the ways in which they affect the

respiratory system. (SaudiMEDS-1.4)

Lectures &

tutorials

Written

examinations

Explain the principles of essential clinical investigations

of patients with cardiovascular problems (SaudiMEDS-

1.5)

Lectures &

tutorials

Written

examinations

Demonstrate a basic knowledge of the pharmacological

principles of drugs relevant to clinical practice.

(SaudiMEDS-1.6)

Lectures &

tutorials

Written

examinations

Explain the general principles of cancer diagnosis

Describe and explain the basic aspects of common

clinical presentations relevant to the respiratory system

(SaudiMEDS-1.8)

Lectures &

tutorials

Written

examinations

Explain the facts and concepts relevant to common

clinical conditions including their epidemiology,

aetiology, pathophysiology, symptoms and signs,

complications, investigations, management and

prognosis. (SaudiMEDS-1.9)

Lectures &

tutorials

Written

examinations

Describe the principles of epidemiology of common

diseases within a defined population and a systematic

approach to screening to reduce the incidence and

prevalence of those diseases. (SaudiMEDS-9.1)

Lectures &

tutorials

Written

examinations

List causes and types of congestion and describe its

morphologic changes

Lectures &

tutorials

Written

examinations

Describe the pathophysiological basis and outcome of

embolism and thrombosis

Lectures &

tutorials

Written

examinations

Describe parasites classification, structure, life cycle,

pathogenesis, and host-parasite interaction

Lectures &

tutorials

Written

examinations

Describe the anatomy of the upper and lower respiratory

tracts.

Lectures &

tutorials

Written

examinations

Recognize and describe the functions of the respiratory

system and the mechanisms by which they are done (Gas

transport and exchange).

Lectures &

tutorials

Written

examinations

Describe the control of respiration and related problems. Lectures & Written





tutorials examinations

Describe the pathogenesis of the respiratory system

disorders.

Lectures &

tutorials

Written

examinations

State different methods used to investigate, manage and

control the respiratory diseases.

Lectures &

tutorials

Written

examinations

Recognize the effects of Sympathomimetics and

autacoids in addition to their related receptors on the

bronchial tree )

Lectures &

tutorials

Written

examinations

Describe different drug therapies used for treatment of

bronchial asthma& chronic obstructive lung diseases, as

well as chest infections.

Lectures &

tutorials

Written

examinations

Cognitive Skills

Select and apply the most appropriate and cost effective

diagnostic procedures. (SaudiMEDS-6.2)

Clinical &

Practical sessions

Spotter examination

Demonstrate the importance of psychosocial, spiritual,

religious, and cultural factors in patient management.

(SaudiMEDS-6.1)

Clinical &

Practical sessions

Spotter examination

Demonstrate reasoning skills to formulate and prioritize a

differential diagnosis. (SaudiMEDS-4.1

Clinical &

Practical sessions

Spotter examination

Critically analyze clinical data obtained through history,

physical examination, and investigation. (SaudiMEDS-

3.4)

Clinical &

Practical sessions

Spotter examination

Be able to demonstrate the histology of the upper and

lower respiratory tract.

Clinical &

Practical sessions

Spotter examination

Demonstrate the basic hospital infection control measures

for inhaled pathogens.

Clinical &

Practical sessions

Spotter examination

Interpersonal Skills & Responsibility

Manage appropriately patients with acute and chronic

medical conditions. (Saudi MEDS- 6.3)

Enumerate, describe and investigate the common

pathogens affecting the respiratory system.

Demonstrate proper techniques for history taking and

clinical examination of the

respiratory system.

Communication, Information Technology, Numerical

Psychomotor

Obtain an accurate and comprehensive medical history. (Saudi MEDS- 3.1) OSPE

Perform a complete systematic physical examination. (Saudi MEDS- 3.2) OSPE

Content

Topics to be covered in this block:

Lung volume, spirometry and pulmonary function tests

Exchange of gases

Embryology of the respiratory system





Regulation of ventilation

Epidemiology of lung diseases

Pathophysiology of lung diseases

Clinical presentation of obstructive lung disease

Pharmacological agents in bronchial asthma

Clinical presentation of restrictive lung disease

Pharmacological agents in bronchial asthma

Clinical presentation of restrictive lung disease

Microbiology of Tuberculosis

Pharmacological agents in Tuberculosis

Microbiology of Pneumonia

Antibiotics for pneumonia

Radiology in respiratory diseases

Lung tumors

Pleural diseases

Socio, cultural, community and ethical issues related to diseases of the respiratory system.

Mechanics of ventilation

Occupational lung diseases

Newly emerging respiratory pathogens

Pulmonary embolism

Chronic Obstructive Lung Disease

Restrictive Lung Disease

Learning strategy

The block will utilize the student-centeredness, integration and the PBL approaches to maximize

correlation, learning and retention of the learned knowledge, skills and attitudes. Lectures will be of the

interactive type and as few as possible. Certain materials will be studied through practical sessions and

some of the important issue related to seminars will be learned.

Hours Lecture PBL Practical sessions SKILL LAB Other Total

Contact 5x6 4x2 9 7 54

Credit 2 1+1

4

Timetable

Week One Respiratory infection 1

Type of activity Code Title of activity Male T. Female T.

Lecture 1 L1 Anatomy of upper respiratory

system

مسعودصفاء . د تامر دمحم. د

Lecture 2 L2 Lymphoid tissue of respiratory

system


Lecture 3 L3 Microorganisms affecting رهام الفوال د دمحم أمين. د





respiratory system إيمان النقيب. د

Lecture 4 L4 T.B microbiology رهام الفوال د دمحم أمين. د

إيمان النقيب. د

Lecture 5 L5 Pathology of upper respiratory

infections

أمال عبد الحافظ. د سامر رستم. د

Practical session 1 PS 1 Anatomy and imaging anatomy of

upper respiratory tract


Practical session 2 PS 2 Anatomy and imaging anatomy of

lower respiratory system


Practical session 3 PS 3 Histology of upper respiratory tract أحمد مرسي. د أحمد مرسي. د

Practical session 4 PS 4 Histopathology of upper respiratory

tract


Week Two Respiratory infection 2


Lecture 1 L6 Pathology of T.B أمال عبد الحافظ. د سامر رستم. د

Lecture 2 L7 Drug therapy of T.B دمحم بحر. د سيد دمحم ياسين. د

Lecture 3 L8 Pathology of pneumonia and lung

abscess


Lecture 4 L9 Treatment of lung infections دمحم بحر. د سيد دمحم ياسين. د

Lecture 5 L10 Functional anatomy of pulmonary

vessels


PBL 1 PBL 1 Case (1): brain storming

Skill lab SL1 History taking ( chest case ) الخوليأمل . د دمحم أمين. د

Practical session 1 PS 5 Histology of the lower

respiratory system

أحمد مرسي. د أحمد مرسي. د

Practical session 2 PS 6 Histopathology of lung infections عبد الحافظأمال . د سامر رستم. د

Week Three Lung mechanics


Lecture 1 L11 Pathophysiology of pulmonary

vascular diseases

رهام الفوال د سيد دمحم ياسين. د

Lecture 2 L12 Lung volumes and capacities رهام الفوال د سيد دمحم ياسين. د

Lecture 3 L13 Ventilation رهام الفوال د سيد دمحم ياسين. د

Lecture 4 L14 Lung histology مرسي أحمد. د مرسي أحمد. د Lecture 5 L15 Lung recoil and compliance رهام الفوال د سيد دمحم ياسين. د

PBL 1 PBL 2 Reporting of case 1 PBL2 PBL3 Case (2): brain storming Practical session 1 PS 7 Spirometry رهام الفوال د سيد دمحم ياسين. د

Skill lab SL 2 History taking الخوليأمل . د دمحم أمين. د

Week Four Obstructive pulmonary diseases






Lecture 1 L16 Airway histology مرسي أحمد. د مرسي أحمد. د Lecture 2 L17 Airway resistance and pulmonary

function tests


Lecture 3 L18 Pathology of bronchial asthma and

bronchiectasis

الحافظ عبد أمال. د سامر رستم. د

Lecture 4 L19 Treatment of bronchial asthma بحر دمحم. د سيد دمحم ياسين. د Lecture 5 L20 Pathology of chronic bronchitis and

emphysema


PBL 1 PBL 4 Reporting of case 2 PBL 2 PBL 5 Case (3): brain storming Skill lab SL 3 Chest physical examination الخوليأمل . د دمحم أمين. د

Skill lab SL 4 Chest physical examination الخوليأمل . د دمحم أمين. د

Week Five Restrictive pulmonary diseases


Lecture 1 L21 Clinical features of obstructive

pulmonary diseases

الخوليأمل . د دمحم أمين. د

Lecture 2 L22 Treatment of COPD بحر دمحم. د دمحم ياسينسيد . د Lecture 3 L23 Gas exchange and blood gases

transfer


Lecture 4 L24 Regulation of breathing رهام الفوال د سيد دمحم ياسين. د

Lecture 5 L25 Pathology of interstitial fibrosis and

cystic fibrosis

الحافظ عبد أمال. د سامر رستم .د

PBL 1 PBL 6 Reporting of case 3 PBL 2 PBL 7 Case (4): brain storming Practical session 1 PS 8 Histopathology of chronic

pulmonary diseases


SKILL LAB SL 5 Simulation of breathing sounds

(normal and abnormal)


Week Six Respiratory system neoplasm


Lecture 1 L26 Pathology of pneumoconiosis and

RDS


Lecture 2 L27 Clinical features of restrictive

pulmonary diseases


Lecture 3 L28 Pathology of vocal cord neoplasm

and its clinical features


Lecture 4 L29 Pleural neoplasm and pleural

effusion


Lecture 5 L30 Pathology of lung neoplasm and its

clinical features


PBL 1 PBL 8 Discussion of case 4 SKILL LAB 1 SL 6 Revision الخوليأمل . د دمحم أمين. د





SKILL LAB 2 SL 7 Revision الخوليأمل . د دمحم أمين. د

Practical session 2 PS 9 Histopathology of the respiratory

system neoplasm


Assessment strategy

Assessment of students will employ a battery of assessment tools that are fit-for-purpose and reliable.

Knowledge will be assessed through MCQ-type written exam and computer-based spotter exam. These

will be conducted at the middle of the block & at its end. In addition to the mid-block written exam,

continuous assessment will be done through the evaluation of performance in PBL sessions and through

assignments.

Schedule of assessment tasks for students during the course

Assessment task Week Due % of Total Assessment

1 PBL evaluation All weeks 10%

2 Midterm Exam 18-12-2016 20%

3 Spotter exam 8-1-2017 20%

4 OSCE 15-1-2017 10%

5 Final Written Exam 22-1-2017 40%

Recommended reading

Clinically Oriented Anatomy, 6th edition, 2009, Keith Moore.

The Developing Human: Clinically Oriented Embryology. K.L. Moore and T.V.N Persaud, 8th

edition. W.B. Saunders Co.

Textbook of Medical Physiology. Guyton and Hall, 12th edition. Elsevier’s Saunders.

Human Physiology from Cells to Systems. Sherwood, 7th edition. Yolanda Cossio.

Robbins and Cotran; Pathological Basis of Disease. Kumar, Abbas, Fausto and Aster, 8th edition,

Saunders.

Medical Microbiology. Patrick R. Murray, Ken S. Rosenthal, Michael A. Pfaller, 6th edition.

Mosby-Elsevier.

Basic & Clinical Pharmacology. B. G. Katzung, 12th edition. McGrow-Hill.

Bates' Guide to Physical Examination & History Taking. Bickley L.S., and P.G. Szilagyi, 10th

edition. Lippincott Williams & Wilkins.

Cecil Essentials of Medicine. Thomas E. Andreoli, C. C. Carpenter, R.C. Griggs, and J. Loscalzo,

8th edition. Saunders

Patrick R. Murray, Ken S. Rosenthal, Michael A. Pfaller, eds. Medical Microbiology. 6th

edn.,

Elsevier-Mosby, 2009.

Cedric Mims, Hazel M Dockrell, Richard V. Georing, eds. Medical Microbiology. 3rd

edn.,

Mosby, 2004.

Ellen Baron, Peterson L, Finegold S, eds. Bailey and Scott's Diagnostic Microbiology. 12th edn.,

Mosby, 2006.





Arthur C. Guyton, John E. Hall, eds. Textbook of Medical Physiology, 11

th Edn., Elsevier

Saunders, 2006.

Vinay Kumar, Abul K. Abbas, Nelson Fausto, eds. Robbins and Cotran Pathologic Basis of

Disease. 7th Edn. Saunders, 2004.

Robert K. Murray , Darryl K. Granner, Peter A. Mayes, Victor W. Rodwell, eds. Harper's

Illustrated Biochemistry. 27th Edn. Elsevier, 2006.

Douglas G, Nicol F, Robertson C, eds. Macleods Clinical Examination, 2005

Jacqueira LC, Carneiro J, Kelly RO, eds. Basic Histology. 11th edn., Lange Reviews, 2007.

Snell RS. Clinical Anatomy for Medical Student, 7th Edn. Lippincott, Williams &Wilkins, 2004.

T.W. Sadler. Langman’s medical Embryology. 12th Ed. Lippincott Williams and Wilkins (2009)

Bertram G Katzung, ed. Basic and Clinical Pharmacology, 10th edn. Lange. 2004.

Lee Goldman and Dennis Ausiello, eds. Cecil Textbook of Medicine. 22nd

Edn. Saunders

Publisher, 2004.

Recommended electronic resources

www.pharmacology2000.com

www.cdc.gov

www.webpath.com

www.imc.meded.com

www.med.unc.edu/embryo_images

www.anatomyatlases.org/atlasofanatomy/index.html

http://www.amazon.com/exec/obidos/search-handle-url/103-9478288-2483835?%5Fencoding=UTF8&search-type=ss&index=books&field-author=Robert%20K.%20Murray

http://www.amazon.com/exec/obidos/search-handle-url/103-9478288-2483835?%5Fencoding=UTF8&search-type=ss&index=books&field-author=Darryl%20K.%20Granner

http://www.amazon.com/exec/obidos/search-handle-url/103-9478288-2483835?%5Fencoding=UTF8&search-type=ss&index=books&field-author=Peter%20A.%20Mayes

http://www.amazon.com/exec/obidos/search-handle-url/103-9478288-2483835?%5Fencoding=UTF8&search-type=ss&index=books&field-author=Victor%20W.%20Rodwell

http://www.pharmacology2000.com/

http://www.cdc.gov/

http://www.imc.meded.com/

http://www.med.unc.edu/embryo_images

http://www.anatomyatlases.org/atlasofanatomy/index.html

Documents

Course specifications - كليات الفارابيalfarabi.edu.sa/spc med/Course specifications -RESP-.pdf · The block will utilize the student-centeredness, integration and the