Embed Size (px)
Citation preview
1
Student’s Name:
Student’s Number:
Group:
Lab:
Museum:
2
PPaatthhoollooggyy DDeeppaarrttmmeenntt
Student’s Guide and Activity Book
FFaaccuullttyy ooff MMeeddiicciinnee
AAiinn SShhaammss UUnniivveerrssiittyy
2011 - 2012
3
جامعة عين شمس –كلية الطب
Faculty of Medicine, Ain Shams University
لرؤيــــةا
ن تكون األولى بمنطقة الشرق ألى إتصبو كلية الطب جامعة عين شمس
صالح فى التعليم إلباء ذوى قدرات تنافسية وأن تقود ااألوسط لتخريج أط
.الطبى
Vision Statement
To be the first in the Middle East in providing graduates
with a competitive edge and to lead reform of medical
education.
الرسالـــــة
تهدف كلية الطب جامعة عين شمس إلى إعداد خريج مدرب ذى مهارة تنافسية
، وقادر على التعليم والتعلم والتدرب مدى اإلقليمىعلى المستوى المحلى و
.نيةالحياة وملتزم بمعايير الخدمة الطبية واألخالق المه
وتسعى الكلية إلى التطوير المستمر للبرامج والمقررات ودعم وتطوير البحث
العلمى مع التوسع فى األبحاث العلمية التطبيقية وبرامج الرعاية الصحية
.حتياجات المجتمع وتنمية البيئةالخدمة
ضاء هيئة من أع وبحثيا كاديميا الكلية إلى توفير كوادر متميزة أ كما تهدف
دارى واالرتقاء بالنظم المؤسسية وتوفير الموارد ريس ودعم الجهاز اإلالتد
.الذاتية لتحقيق الغايات واألهداف
Mission Statement
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.
4
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.
القيـــــم
فى كل الصدقوليس لمجرد األداء، ونمارس التميزنحن نمارس عملنا بقصد
بين الحق والتوازنفى الحقوق لمساواةاما نفعل، ونسعى دائما لتحقيق
لمصلحة الفرد والمجموع نعمل معا ، ونحناالحترام المتبادلوالواجب مع
Value Statement We carry out our job aiming at excellence and not just
performance, we practice honesty in everything we do, we
always strive to achieve equality and the balance between
right and duty, with mutual respect and we work together
for the benefit of one and all.
5
Introduction
Pathology is the bridge between the basic science and clinical medicine. The main aim of Pathology course is to provide the third year medical student with adequate and applicable knowledge and skills to recognize common pathologic conditions and diseases and life threatening illnesses affecting body organs and system. It helps the student to understand the causes (aetiology) of disease, the mechanisms of its development (pathogenesis) and the associated alterations of structure (morphologic changes) and function (clinical manifestations and complications) to be able to determine the most likely diagnosis of the disease and management of the patient when provided with the clinical history, the anatomical, histopathological lesions, and the laboratory data.
1. Overall Aims of the Pathology Course
Aim 1 Adequate, recognizable and applicable knowledge for common
pathologic conditions and diseases affecting body organs.
Aim 2
Ability to identify and describe gross and microscopic
pathological structural changes.
Aim 3
Integration of pathological findings, clinical data and other
investigations to determine the most likely diagnosis of the
disease and management of the patient.
Aim 4
Motivation and readiness to continuous and lifelong learning for
evolving medical information and skills.
6
2. Intended Learning Outcomes of Course (ILOs)
A. Recall of Knowledge and Understanding:
By the end of the course, students will be able to:
Course ILO
a1
Define and describe the basic pathologic processes that disturb
the structure and function of the body including cell injury, tissue
response to injury (inflammation, healing and repair),
haemodynamic disturbances, neoplasia, infections and parasitic
diseases.
a2 List the causes of common pathologic conditions and diseases
affecting organs or systems.
a3 Explain the pathogenesis of common pathologic conditions and
diseases affecting organs or systems.
a4
Describe the basic pathologic features (morphologic alterations)
including the gross and microscopic pictures of various common
pathologic conditions and diseases affecting organs and systems
a5 Describe how the pathological processes affect the structure and
function of the organ systems of the human body
a6 List the clinical manifestations and complications of common
pathologic conditions and diseases.
a7 Compare the pathological features of different pathological
conditions and diseases that share common clinical features
a8
Identify the terminology used in the classification and
investigations of common pathologic conditions and diseases,
enabling effective communication with professional colleagues
and patients
B. Intellectual Skills
By the end of the course, students will be able to:
Course ILO
b1
Correlate the pathologic features (morphologic alterations) of
common pathologic conditions and diseases with their clinical
presentation, laboratory investigations and complications
b2 Analyze basic pathologic and clinical data to solve clinical
problems and diagnose human disease
7
C. Professional and Practical Skills
By the end of the course, students will be able to:
Course ILO
c1
Identify and describe gross pathological lesion in a gross
specimen of common pathologic conditions and diseases with
correlation to relevant clinical data
c2
Identify and describe microscopic findings of common pathologic
conditions and diseases using a light microscope with correlation to
relevant clinical data.
c3 Apply safety measures during learning in laboratory and museum
sessions
D. General and Transferable Skills
By the end of the course, students will be able to:
Course ILO
d1
Respect and communicate appropriately with staff members,
department employees and colleagues in laboratory and museum
sessions.
d2 Gather, organize and appraise information from various resources
including the use of information technology where applicable.
d3 Work constructively and cooperatively within a team of his / her
colleagues to prepare a presentation on a given subject.
d4 Present the collected material (medical information) in written,
oral, and electronic forms.
d5 Communicate ideas and arguments effectively during interactive
teaching and learning
d6 Be prepared for the lifelong learning needs of the medical
profession.
d7 Manage time effectively.
d8 Practice critical self evaluation through formative assessment.
8
3. Course Content
The study of pathology is divided into general and systemic pathology. The former is concerned with the basic reactions of cells and tissues to abnormal stimuli that underlie all pathologic conditions and diseases. The later examines the specific responses of specialized organs and tissues to more or less well defined stimuli.
Topics Teaching and Learning Methods
% L P T SDL EL O
General Pathology
Introduction 1 1
Acute and Chronic
Inflammation
8
(4%) 4 4
Tissue Repair and Healing 6
(3%) 2 4
Bacterial Infections 2
(1%) 2
Cell Injury Adaptation and
Death
8
(4%) 4 4
Pathological Calcification
and Pigmentation
5
(2.4%
)
1 4
Haemodynamic
Disturbances
10
(4.8%
)
4 6
Granulomas
13
(6%)
4 4
Parasitic Diseases 8
(4%) 7 6
Disorders of Cellular
Growth, Differentiation and
Maturation
Neoplasia
28
(13%) 8 20
9
Revisions 4
Systemic Pathology
Cardiovascular System 11
(5%) 7 4
Respiratory System 11
(5%) 7 4
Blood
2
(1%)
2
Lymphatic System and
Spleen
7
(3%) 3 4
Gastrointestinal Tract 11
(5%) 7 4
Liver, Gall Bladder and
Pancreas
12
(5.7%) 8 4
Endocrine System 7
(3%) 3 4
Kidneys 11
(5%) 7 4
Urinary Bladder & Male
Genital System
7
(3%) 3 4
Female Genital System 10
(4.8%) 6 4
Diseases of Breast 6
(2.8%) 2 4
Central Nervous System 7
(3%) 3 4
Bones and Joints 7
(3%) 3 4
Revisions 8
Total 210 98 112
L: lecture, P: Practical, T: Tutorial, SDL: Self Directed Learning, EL: e-
learning, O: Others
10
4. Teaching and Learning Methods
Teaching
/
Learning
Methods
Recall of
Knowledge/
Understanding
Intellectual
skills
Professional/
Practical GTS
4.1-
Lectures a1 - a8
4.2-
Tutorial
4.3-
Practical b1, b2 c1 – c3 d1–d8
*4.4-
E-
learning
c1 – c3
**4.5-
Self
directed
learning
c1 – c3 dl –d8
GTS: general transferable skills
* Teaching Pathology laboratory and museum
**Projects and homework assignments
11
5. Student Assessment Methods
Methods:
Type Time Assessment Method ILOs Measured
Formative
Assessment
Weekly Assessments in
Practical Sessions
a1 - a8
b1, b2
c1 - c3
Online Quizzes (MCQs) &
Others
a1 - a8
b1, b2
c1 - c3
Home Assignments a1 - a8
b1 - b3
Summative
Assessment
Continuous
Assessment
&
Midterm
Assessment
Presentation of Research d1 - d8
MCQ, Short Essay
Questions and Practical
Exam
Practical Exam
at Computer Lab
a1 - a8
b1, b2
c1 – c3
c1 - c3
Written Exam
[MCQ and Short Essay
Questions]
a1 - a8
b1, b2
Final
Assessment
Practical Exam c1 - c3
Written Exam a1 - a8
b1 - b3
Oral Exam a1- a8
b1- b3
Time Schedule
Week Method
Available to students all through
the year
Formative Assessment:
Weekly Assessments in Practical Sessions
All through the year Home Assignments
12
Week 2 – 3 (2nd
semester) Presentations for Research Projects
Week 4 (1st semester)
Week 6 (1st semester)
Week 8 (1st semester)
Week 3 (2nd
semester)
Week 5 (2nd
semester)
Continuous Assessment
End of 1st Term (Week ) Midterm examination
End of Year
Practical exams: for gross pathologic specimens
and microscopic examination of slides. Data show
projector slides will be used as another method of
assessment.
Written Exam:
Multiple Choice Questions
Short Essay Questions
Problem Solving Cases
Oral exam
6. Weighing of Assessments
Type of
Assessment
Percentage
(Marks) Method Weight %
Continuous
Assessment
&
Mid-Term
Examination
20%
(60 Marks)
Quizzes 6.7 % (20 Marks)
Research Activity 3.3 % (10 Marks)
Written Exam 10 % (30 Marks)
Final Exam
80%
(240 Marks)
Written Exam 50 % (150 Mark)
Oral Exam 10 % (30 Marks)
Practical Exam 20 % (60 Marks)
Total 100% (300 Marks)
13
7. List of References
Course Notes
General and Systemic Pathology Notes written by staff members of
Pathology Department
Essential Books (Text Books)
Robbins Basic Pathology (2007) Kumar, V., Robbins S.L., 8th
Edition.
Philadelphia: Saunders/Elsevier
Recommended Books (Available at the faculty library)
Rubin's Pathology: Clinicopathologic Foundations of Medicine
(2008) Raphael Rubin and David S. Strayer (Editors) 5th Edition
Wolters Kluwer Lippincott Williams & Wilkins
Textbook of Pathology Harsh Mohan (2010) 6th Edition Jaypee
Brothers Medical Publishers (P) LTD
Curran’s Atlas of Histopathology (2000) 4th
Revised Edition
Harvard Miller Publisher Oxford University Press
Periodicals, Web Sites, etc
http://www.webpath, http://www.pathguy , http://www.pathmax,
http://www.uwo.ca/pathol/resources.html, http://mic1.shams.edu.eg
14
Laboratory Microscopic Examination Practical Lessons
Lesson Date Semester Work
Assessment
Formative Assessment
Staff Member Signature & Notes
Inflammation
Healing, Pathological Calcification & Pigmentation
Granulomas
Parasitic Diseases
Circulatory Disturbances
Disorders of Growth
Benign Tumours (I)
Benign Tumours (II)
Malignant Tumours (I)
Malignant Tumours (II)
Cardiovascular System Respiratory System
Lymphatic System
Gastrointestinal Tract, Liver & Gall Bladder
Endocrine System
Kidney
Urinary Bladder & Male Genital System
Female Genital System
Breast, CNS & Bone
15
Museum Gross Examination Practical Lessons
Lesson Date Semester Work
Assessment
Formative Assessment
Staff Member Signature & Notes
Inflammation & Healing
Inflammation & Healing
Cell injury, Pathological Calcification & Pigmentation
Cell injury, Pathological Calcification & Pigmentation
Granuloma
Granuloma
Granuloma & Parasitic Diseases
Circulatory Disturbances
Circulatory Disturbances
Disturbances of Growth & Tumours
Cardiovascular System
Respiratory System
Lymphatic System
Gastrointestinal T, Liver & Gall Bladder
Endocrine & Kidney
Urinary Bladder & Male Genital System
Female Genital System & Breast
CNS & Bone
16
Observational Rating Scale for Students’ Attitude in
Pathology Practical Sessions Name of Student: ID number: Revision Session of Lab / Museum Please notice that: 1 = occasional, 2= sometimes, 3= mostly always and 4= always Criteria for judging: 10 – 19 = needs improvement, 20 -29 = satisfactory, and 30 -40 = good
Any additional comments can be added: ……………………………………………………………………………………………………………………………………………………………………………………………………………… Date: Instructor: Or Junior Staff Member:
Specific Observable Behaviour 1 2 3 4
1. Comes in time (punctual)
2. Greets or smiles to the instructor when entering
3. Uses the microscope cautiously (as instructed previously)
4. Holds the jar cautiously (as instructed previously)
5. Asks for help from the tutor in an appropriate way
6. Thanks the tutor after being aided
7. Helps his colleagues willingly when asked
8. Uses appropriate language when dealing with colleagues and staff member
9. Keeps the place clean
10.Responds positively to constructive criticism by improving behaviour
Total
Total Score
17
Presentation Skills Evaluation Form Student’s Name: Date Pathology Staff Member: Presentation Please tick the appropriate response to each of the following
1 2 3
1. The presentation was organized and structured properly (introduction, body and conclusion).
2. Visual aids were well designed and used effectively
3. The student used good presentation skills (good language and pronunciation)
4. The student involved the audience appropriately
5. Participants' questions were answered satisfactorily
6. The presentation met the expectations (was understood).
7. The information was accurately presented.
8. Any additional comment
1= borderline, 2= acceptable, 3=excellent
Mark Awarded: Marker: Date:
18
Guidelines for your research assignment presentation
1. Determine some basic objectives before planning a
presentation. 2. Write down some main ideas first, in order to build a
presentation around them. 3. Develop an introduction that will catch the attention of your
audience and still provide the necessary background information.
4. The conclusion must refer back to the introduction and, if appropriate, may contain a call-to-action statement.
5. The visual aids used are carefully prepared, simple, and easy to read.
6. Rehearse so there is a minimum focus on notes and maximum attention paid to audience.
7. The notes contain only "key words" so avoid reading up from a manuscript or technical paper.
8. Prepare answers to anticipated questions, and practice responding to them.
9. Arrange seating (if appropriate) and check audio-visual equipment in advance of the presentation.
10. Keep your voice strong, clear and not a monotone.
19
Students’ Questionnaire
To be filled after completion of the Pathology course & delivered on the last day of your exam
In this questionnaire:
1 stands for: no, very poor or bad
2 stands for: equivocal or intermediate
3 stands for: yes, very strong or very good
No
Questions Rating
1 2 3
Objectives & general frame:
1 Were the course objectives clear?
2 In general, to what extent were these objectives achieved?
3 Was the time allocated sufficient for the learning activities?
4 Was students’ number an obstacle in your learning?
Learning facilities:
5 Grade the lecture hall facilities
6 Grade the practical lab facilities
7 Grade the pathology museum facilities
8 Did you find the “Student’s Guide Book” a useful tool to assist your learning?
Learning activities:
Grade the following activities as regard their contribution to your learning:
9 Lectures
10 Practical lab lessons
11 Practical museum lessons
12 Student’s research presentation
13 Practical revision classes
20
Student’s Assessment:
14 Did the final exam evaluate ALL course objectives?
15 Did the final exam evaluate all students by the same criteria (objective exam)?
16 To what extent was the final exam evaluating your practical skills (valid exam)?
In general, how would you rate the staff as regard:
17 The commitment of the staff in attendance & performance
18 The attitude towards students
19 Delivering information and teaching skills
20 Accepting others’ opinion
At the end of the course:
21 To what extent you are now competent to - Correlate the pathologic features of the disease with its clinical presentation, laboratory investigations and complications?
22 In general, are you satisfied with the course?
23 In general, did you feel that a lot of information is a repetition of what you already know?
24 Do you think that the course in its present format needs improvement? If yes, include your suggestions in a separate sheet.
Additional Comments
………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………
