University: Alexandria Faculty: Medicine Programme ... · C6 . Conduct proper referral of health problems requiring special health care C7 .Follow up patients with chronic diseases

الهيئة القومية لضمان جودة التعليم واالعتماد

University: Alexandria

Faculty: Medicine

Programme Specifications

A. Basic Information:

1. Program title: Master Degree of Family Medicine

2. Department(s) offering the program: Community Medicine

B. Professional Information

1- Program Aims This program aims at:

1.1 Preparing participants for learning the principles and interventions for health promotion and disease prevention.

1.2 Enhancing and refining data collection, recording, assessment and problem solving skills.

1.3 Developing comprehensive experiences in managing common problems within the scope of family medicine care to be

competent family physicians.

1.4 Providing research and teaching skills for potential academic general practice careers.

2. Academic reference standards & Intended Learning Outcomes (ILOs)

On completion of this program, graduate should be able to:

Domain Core Competencies (by

area)

ILOs

A. Knowledge and

understanding • acquire sufficient

knowledge and

understanding of

practice of family

medicine and relevant

specialties

• accurately define and

describe the nature of

the discipline of family

medicine including its

history, philosophy and

practice

• demonstrate knowledge

and skills in a number

of chosen areas of

special interest as

defined in the objectives

and content of

individual elective

subjects of this course

A1. Identify the roles, responsibilities and

essential skills of family physicians.

A2. Acquire fundamental knowledge and

understanding of terminology, facts, general

concepts & basic principles concerning: family

medicine & relevant specialties namely;

Preventive & Social Medicine, internal

medicine, surgery, pediatrics, obstetrics &

gynecology, Biostatistics, Epidemiology and

basic research methodology, Social and

Behavioral Sciences & Communication.

A3. Acquire facts on concepts & measurement

of health, Prevention and control of

communicable and non communicable diseases,

Community Nutrition, Environmental and

Occupational Health

A4. Acquire basic knowledge on packages of

health care activities for all ages and both sexes

on population based strategies stressing upon

the demographic & epidemiological factors that

determine utilization of health care services

namely; National health policy and programs,

Program planning, and health informatics


Management, health team, adherence to medical

ethics, respect patients’ rights & principles of

Leadership in Family medicine practices. B. Intellectual

skills • Deal with common

health problems

within the scope of

family practice

• Contrast &

integrate family

physician practices

as a member of the

interdisciplinary

health care team to

reach appropriate

consultation and

referral of patients.

• practice critical

appraisal of

literature and

evidence for daily

practice

B1. Discriminate the different health problem

and the role of family physician in relation to

the different relevant medical specialties

B2. Apply evidence-based principles and the

scientific knowledge base to critical evaluation

and decision-making in clinical judgment in the

field of family medicine.


C. Professional

skills • Demonstrate

competencies in the

role of the family

physicians as the

gatekeeper of the

health care system

and the implications

of this role in

providing cost

effective primary

medical care to the

community

• Demonstrate an

understanding of the

theories of learning

and teaching and

their application to

teaching

undergraduate,

postgraduate and

members of the

community in

aspects of Family

Medicine.

C1. Manage common health problems with in

the scope of family medicine.

C2. Construct & implement appropriate basic

care for individuals and their families.

C3. Administer competent information

gathering, select appropriate investigation,

decide the diagnosis, utilize effective &

currently available drugs for proper treatment.

C4 . Initiate the management of emergency

situations.

C5. Perform screening tests and provide

counseling, behavior change motivation and

psychological support.

C6 . Conduct proper referral of health problems

requiring special health care

C7 .Follow up patients with chronic diseases

after being stabilized by specialist

C8.Use quality and performance indicators to

monitor and evaluate programs and health

services, taking into account legal, economic,

financing and effectiveness parameters and

manage time and work load effectively.

C9. Conduct teaching skills, including the

education of patients, doctors in training and

colleagues.

C10. Master communication, consultation and

counseling skills.

D. General and

transferrable

skills

• Identify the nature

and scope of general

practice research

including

similarities and

differences to

research in other

medical disciplines

D1.Use the basic concepts and skills involved in

culturally appropriate community engagement

and empowerment with diverse communities.

D2. Informing, educating, and empowering

people about health issues.

D3. Mobilizing community partnerships and

action to identify and solve health problems


D4.Use information technology as tools to

promote family medicine and to access,

evaluates, and interprets community health data.

D5.Prepare and present a scientific presentation

D6.Demonstrate leadership skills for building

partnerships among organizations focused on

family medicine goals. E. Attitudes and

ethical behavior • Identify the

significance of

patient centeredness

in differentiating

general practice

from other

disciplines

E1.Promote high standards of personal and

organizational integrity, compassion, honesty

and respect for all people.

E2.Appreciate the importance of working

collaboratively and effectively in a team with

diverse communities and constituencies (e.g.

researchers, practitioners, agencies and

organizations).

E3.Value commitment to lifelong learning and

professional service including active

participation in professional organizations.


3. Program courses / ILOs Matrix

ILOs

Course title

a1 a2 a3 a4 b1 b2 c1 c2 c3 c4 C5 C6 C7 C8 C9 C10 d1 D2 D3 D4 D5 D6 E1 E2 E3

Principles & practice of family medicine

X X X X X X X X X X X X X X X X X

Counseling, communication, health education & health care quality management

X X X X X X X X

Basic epidemiology & SPSS application

X X X X X X X

Preventive care I X X X X X X X X X X X X X X X X X

Preventive care II X X X X X X X X X X X X X X X X X

Preventive care III X X X X X X X X X X X X X X X X X

Internal medicine for family medicine I

X X X X X X X X X X X X X X X X

Internal medicine for family medicine II


Internal medicine for family medicine III


Minor surgery & surgical emergencies

X X X X X X X X X X

Medical emergencies for family medicine

X X X X X X X X X X X X

Obstetrics for family medicine

X X X X X X X X X X X X X X X

Gynecology for family medicine


Pediatrics for family medicine I


Pediatrics for family medicine II


Dermatology, STDs & Andrology for family medicine

X X X X X X X X X X X

Mental health for family medicine physician



3. Curriculum Structure and Contents:

4.1 Programme duration: Students should fulfill a total of 40 credit Hours ( 4 semesters & thesis)

4.2 Programme structure:

Students should fulfill a total of 40 Credit Hours:

1. Obligatory courses: 27 Credit Hours.

2. Preparatory courses: 3 Credit Hours “basic concepts of research” (course 1)

3. Thesis: 8 Credit Hours

4. Two elective courses: 1 credit hour each.

Obligatory Courses:

CREDIT

HOURS COURSE CODE ID

3 Basics of Research 05500801 1

1

Principles and Practice

of Family Medicine 05072801 2

1

Counseling, Communication ,Health

Education , and Health Care Quality

Management

05072802 3

1

Basic Epidemiology and SPSS

Application

05072803 4

2 Preventive Care I 05072804 5

2 Preventive Care II 05072805 6

2 Preventive Care III 05072806 7

2 Internal Medicine for

Family Medicine I 051508072 8

1 Minor Surgery &Surgical

Emergencies 053208072 9

2 Obstetrics for Family Medicine 052308072 10

2 Pediatrics for Family Medicine I 052908072 11


1 Dermatology, STDs &Andrology for

Family Medicine 050908072 12

1 Mental Health for Family Medicine

Physician 052128072 13


Family Medicine II 051508072.1 14


Family Medicine III 051508072.2 15

1 Medical Emergencies for

Family Medicine 051508072.3 16

2 Gynecology for Family Medicine 052308072.1 17

2 Pediatrics for Family Medicine II 052908072.1 18

Elective Courses:

CREDIT

HOURS COURSE CODE ID

1

Occupational Health for Family

Medicine 050718072 1

1

Medical Microbiology for Family


1 Clinical pharmacology for Family



Course description: 2 Code Credit hours (1) Course Prerequisites

05072801

Lectures Practical Principles and

Practice of Family

Medicine

0.5 0.5

This course includes:

• Principles and scope of family medicine

• Roles and tasks of the family doctor

• Primary Health care

• Medical Ethics Compliance

• Breaking bad news

• EPI

• ICD and International Health Regulations

• The referral system and reporting & surveillance.

• Electronic Medical records

• Assessment of nutritional status

• Evidence Based Medicine (EBM)

• Visiting and training in a family health center


3 Code Credit hours (1) Course Prerequisites

05072802 Lectures Practical Counseling,

Communication, Health

Education and Health

Care Quality

Management

0.5 0.5

This course includes: - Determinant of health of different health problems

- Health promotion & health education

- Categories of health behavior and

related health problems

- Factors affecting health behavior

- Stages of behavior change model

- Health believe model key concepts

- Application of stages of behavior

change model and Health believe

model

- Steps of planning of a health education Program

- Purposes and levels of evaluation

- Tools ,indicators and methods of measurement in health education evaluation

- Importance and elements of

communication

- Types and tools of communication

- Factors affecting communication

- Objectives of management

- Component of the management process

- Introduction to quality in health care :

- Concept of quality in health care

- Dimensions of quality in health care

- Different perspectives of quality in health care



05072803 Lectures Practical Basic Epidemiology and

SPSS application

0 1


• Literature review on a selected topic

• Construction of an appropriate research tool for data collection

• Selection of a suitable epidemiologic method and sampling technique

• Writing the research proposal.

After individual data collection, participants will be trained on:

• Data entry, processing analysis and interpretation using the SPSS program

(scientific package of social sciences).


05072804 Lectures Practical Preventive Care I

(under five

children)

1 1

These includes Introduction:

Family dynamics

Neonatal check up

Nutrition care, promotion of breast feeding and weaning

Immunization

Child care

Infant care

Preschool care

School care

Adolescent care

Periodic examination

Growth monitoring and developmental screening

Growth disorders and sleep problems



05072805 Lectures Practical Preventive Care II

(maternal health)

1 1

Introduction to demography

Population problem

Health indicators

Premarital care

Antenatal care

Natal care

Postnatal care

Family planning

Elderly care



05072806 Lectures Practical Preventive Care III

1 1


1- The impact of chronic illness on the patient

2- Disease causation (ecology)

3- The history and scope of prevention

4- Risk assessment and evaluation of preventive strategies

5- Conceptual framework for management of chronic NCDs in primary care setting

6- The role of the family doctor: (compare between family and clinical physicians)

7- Families of chronically ill patients

8- Prevention of cardiovascular diseases

9- Prevention of hypertension

10- Prevention of cancer

11- Prevention of diabetes mellitus

12- Prevention of anemia

13- Prevention of Osteoporosis


8

Code Credit hours (2) Course Prerequisites

051508072 Lectures Clinical Internal Medicine

for Family

Medicine I 1 1


Cardiology: the modern assessment and management of cardiovascular problems encountered by the

family doctor.

• Hypertension

• Rheumatic Fever , Rheumatic Heart disease

• Chest pain

• Arrhythmias

• Heart failure

• Cardiomyopathy

• ECG readings.

• Hyperlipidemia

• Ischemic heart disease

Respiratory:

• Asthma

• COPD

• Tuberculosis

• Pneumonia

• Pulmonary tumors

• Interstitial lung diseases

• Occupational lung diseases. • Respiratory infections:

Chronic bronchitis

• Pulmonary function tests



051508072.1 Lectures Clinical Internal Medicine

for

Family Medicine

II

1 1


Endocrinology:

Diabetes Mellitus:

• Definition

• Diagnosis

• screening for DM

• Management and guidelines of medical care for patients with DM

• Diabetes and pregnancy.

Common endocrinal disorders:

• Acromegaly

• Cushing disease

• Adrenal gland diseases

• Thyroid disorders

• Hyperparathyroidism

• Calcium metabolism disorders

Musculoskeletal problems:

• Seropositive and seronegative arthritis

• Osteomalacia and osteoporosis

• Neuropathy

• Chronic fatigue syndrome

• Low Back Pain.

3



051508072.2

Lectures Clinical Internal Medicine

for

Family Medicine

III

051508072.1

1 1


The gastrointestinal tract :

• Upper and lower GIT symptomatology( Nausea and Vomiting,

Dyspepsia, hematemesis, melena, diarrhea and constipation,

Dysphagia ….etc.)

• Peptic Ulcer

• Gastritis

• Acute Abdominal Pain

• Hepatitis

• Liver cirrhosis

Geriatric medicine:

• Common health problems of elderly population (dementia,

delirium, incontinence, falls and constipation

• How to adjust medical doses in such critical age group and

polypharmacy

• Cancer screening

• Elder abuse



053208072 Lectures Clinical Minor Surgery

& Surgical

Emergencies 0.5 0.5

• Preparation for minor surgery (nail extraction, abscess drainage, cut

wound suturing, removal of skin lesions like sebaceous cyst,

dermoid cyst, callosity, warts) and Male circumcision and breast

cancer diagnosis

• Emergencies: how to deal with bleeding patient

• First aid measures for patient exposed to burn with all its types

• First aid measures for choked patient

• First aid measures for patient with acute abdomen and intestinal

obstruction (surgical point of view)



051508072.3 Lectures Clinical Medical

Emergencies for

Family Medicine 0.5 0.5

1. Disturbed consciousness (delirium, dementia, Alzheimer& Coma)

2. Syncope& stroke

3. Convulsions – Epilepsy (status epileptics)

4. fever

5. CPR

6. dyspnea

7. Chest pain

8. Poisoning (drug overdose…)

9. Anaphylaxis (allergy), status asthmatics


052308072 Lectures Clinical Obstetrics for

Family Medicine

1 1

Normal and abnormal symptoms of pregnancy

Normal and high risk pregnancy

Medical and surgical diseases associated with pregnancy

Normal labor

Abnormal labor

Postnatal complication and care

Management of abnormal symptoms and signs of pregnancy



052308072.1 Lectures Clinical Gynecology for

Family Medicine

1 1


Course Content (Units/Topics) of Genecology:

Normal female genital tract

Diseases of the vulva and vagina (infections)

Normal and abnormal vaginal bleeding

Normal and abnormal cervix

Pelvic abdominal adnexal masses

Gynecological symptoms

premenstrual syndrome, menstrual disorders

Contraception

Infertility

Tumors of reproductive system

Reproductive health care: preconception, family planning and menopausal care



052908072 Lectures Clinical Pediatrics for Family

Medicine I

1 1

1- Neonatal resuscitation;

2- Neonatal examination; identification, assessment and management of neonatal

health problems (neonatal jaundice, congenital anomalies);

3- Referral guidelines for the neonate; Transport guidelines for the neonate;

Transport vehicle and equipment;

4- Early detection of congenital hypothyroidism.

5- Acute conditions:

- Acute respiratory disorders

– Gastrointestinal infections

- Meningitis

6- Conditions lead to disabilities

- Complicated respiratory infections

– Epilepsy

– Malignant diseases.

7-Common conditions:

- Feeding and sleep problems

– Malnutrition

- Parasitic infections – eczema

- Fevers



052908072.1 Lectures Clinical Pediatrics for

Family Medicine II

1 1

Pediatric sheet

Growth and development

Immunization

Febrile children management

Stomatitis/diaper rash

Down syndrome

Breast and artificial feeding

Weaning

Rickets

Developmental delay, Mental retardation

Cerebral Palsy

Seizures

Floppy baby

Acute flaccid paralysis

Feeding, speech and sleep problems

Diarrhea and dehydration

Newborn 1

Newborn 2

Cong Hypothyroidism, Endocrine referrals



050908072 Lectures Clinical Dermatology,

STDs &Andrology

for Family

Medicine

0.5 0.5

The course includes:

1- Skin infections:

a- Bacterial (impetigo& erysipelas)

b- Viral (warts, molluscum& herpes)

c- Fungal (taenia)

d- Parasitic (scabies& pediculosis)

2- Cutaneous manifestations of common internal malignancies

3- Acne& seborrhea

4- Psoriasis

5- Allergy ( urticaria, atopic dermatitis, contact dermatitis&

eczema)

6- STD (gonorrhea& AIDS)

7- Surgical dermatology (cautery, skin biopsy, removal of warts&

callosity)



052128072 Lectures Clinical Mental Health for

Family Medicine

Physicians 0.5 0.5

The course include the most common psychiatric problems:

Course orientation

Introduction to development of children & adolescents

Successful communication with children & adolescents

Relation between physical & mental illnesses

Childhood mental health problems

Risk taking behaviors

Psychosomatic disorders

Common psychiatric problems

Fatigue, stress, sleep and eating disorders

Women & elderly mental health problems

Psycho-pharmacology

Behavioral therapy


4. Program Admission Requirements: According to the regulations of the credit hour bylaws of the Faculty of Medicine Alexandria

University (annex).

5. Regulations for Progression and Program Completion: According to the regulations of the credit hour bylaws of the Faculty of Medicine Alexandria

University (annex).

6. Methods of student assessment:

Methods Intended Learning outcomes to be

assessed

1. Written Exam a1-a5, b1-b3,c2

2. Clinical Exam b4, c1,c3,e1,e2

3. Assignments c4-c8,d1-d9,e3

4. Thesis b4,c4, c7,c8,d1,d3,d4,d7,d9,e1-e3.

7. Methods of program evaluation:

Evaluator Tool

1. Students enrolled in the

program

Questionnaires, analysis

of the results and change

according to the

feedback.

2. Alumni (graduates) Statistical analysis of

exam results

3. Stakeholders (Employers) Not yet

4. External Evaluator (s) Yes

Prepared by:

Program manager/ coordinator: Dr. Sahar Khashab

Course SpecificationsUniversity: AlexandriaFaculty: MedicineDepartment: Community Medicine

Course InformationCourse Code: 053208072 Course Name: Minor surgery and surgical

emergencies

Program in which the Course is Given: Master degree in Family Medicine

Number of Credit Hours 1 Theoretical Clinical/Practical

Course Aims

- The course supports participants, step-by-step, in the recognition of clinical diagnosis ofminor surgical diseases mainly swellings, ulcers and breast diseases e.g. swelling, infection.Identify the related imaging and laboratory investigations. Interpreting the findings of imaging andlaboratory investigations, demonstrating the general guidelines for management or referral ofcommon problems e.g. abscess, cut wound, cyst. Observation of care for diabetic foot and malecircumcision and cancer breast diagnosis.

0.50.5

Intended Learning Outcomes (ILOs)Program ILO (refer to programmatrix)

Course ILOs

A. KnowledgeandUnderstanding

A1. Identify the roles,responsibilities and essentialskills of family physicians.

A2. Acquire fundamentalknowledge and understandingof terminology, facts, generalconcepts & basic principlesconcerning: family medicine& relevant specialties namely;Preventive & Social Medicine,internal medicine, surgery,pediatrics, obstetrics &gynecology, Biostatistics,Epidemiology and basicresearch methodology, Socialand Behavioral Sciences &Communication.

A4. Acquire basic knowledge onpackages of health careactivities for all ages and bothsexes on population basedstrategies stressing upon thedemographic &epidemiological factors thatdetermine utilization of healthcare services namely; Nationalhealth policy and programs,Program planning, and healthinformatics Management,health team, adherence tomedical ethics, respectpatients’ rights & principles ofLeadership in Familymedicine practices.

A1- Discuss the management plans ofcommon surgical diseases according tothe surgical guidelines

A2- Demonestrate the radiographic featuresof common surgical problems.

A3-Recognize clinical diagnosis ofcommon surgical conditions as swellings(neck, inguino-scrotal, or abdominal)

A4- Identify types of ulcers, sinuses &fistulae

A1-Recognize first aid managementaccording to the guidelines

A2- detect the triggering vital signs ofBurns, Hemorrhage & acuteappendicitis

A3- Discuss the grading criteria of clinicalgrading of burn, hemorrhage and pain

A4- Identify causes of acute abdomen,hematemesis, melena & fistulae

A5. Discuss causes of burn to determine theline of management

A6- Describe common surgical problems

requiring immediate intervention; nailextraction & ingrowing nail, abscessdrainage, cut wound suturing, sebaceouscyst, dermoid cyst, small subcutaneouslipoma.

A8- Recognize clinical diagnosis of breastdiseases as Tumors (Benign & cancer)and Infection (Abscess)

A9-Identify the different Screeningmeasures for breast cancer

B. Intellectualskills

B1. Discriminate the differenthealth problem and the role offamily physician in relation tothe different relevant medicalspecialties

B2.Apply evidence-basedprinciples and the scientificknowledge base to criticalevaluation and decision-making in clinical judgment inthe field of family medicine.

B1-Discriminate the differential diagnosis ofthe swellings and ulcers.

B2- analyze signs and symptoms of differentsurgical problems to reach to properdiagnosis / differential diagnosis

B3- Interpret laboratory and radiologicalfindings to reach to proper diagnosis ofcommon surgical presentation.

B4- Evaluate different lines of managementusing the principles of evidence basedmedicine.

C.Professionaland PracticalSkills

C3. Administer competentinformation gathering, selectappropriate investigation,decide the diagnosis, andutilize effective & currentlyavailable drugs for propertreatment.

C4 . Initiate the management ofemergency situations.

C1-Take history from patientsC2-Examine patients under supervisionC3-Differentiate between the common

surgical cases of swellings and ulcers.C4-Observe simple surgical intervention as

nail extraction, male circumcision, cystremoval

C5- Perform minor surgical procedure assuturing

C5. Perform screening tests andprovide counseling, behaviorchange motivation andpsychological support.

C6 . Refer patients with healthproblems requiring specialhealth care

C7 .Follow up patients withchronic diseases after beingstabilized by specialist

C9. Conduct teaching skills,including the education ofpatients, doctors in trainingand colleagues.

C6- Apply First aid treatment as abscessdrainage

C7- Detect and interpret findings on thelaboratory and radiologicalInvestigations and radiological

C8- Follow referral protocols of cases inneed of specialists intervention as tumorsundiagnosed cases of dysphagia

C9- conduct care for diabetic foot andvaricose ulcer

C10- Educate diabetic patients about care ofany wound

C11- Design and conduct counsellingpatients about the importance of earlydetection of swellings especially in thebreast

D. GeneralSkills

D1.Use the basic concepts andskills involved in culturallyappropriate communityengagement andempowerment with diversecommunities.

D3. Mobilizing communitypartnerships and action toidentify and solve healthproblems

D4.Use information technology astools to promote family

D1-Communicate effectively with hiscolleagues and teaching staff.

D2- Learn independently and seekcontinuous learning.

D3-Develop decision making, and problemsolving skills (analyzing, evaluatingevidence, and logical reasoning )

D4- Cooperate and actively participate withhis colleagues to effectively accomplishgroup work activities.

D5-Use the advanced technologies to

medicine and to access,evaluates, and interpretscommunity health data.

communicate information effectively.

D6- Manage time effectively on personaland team basis.

E. Attitudesand ethicalbehavior

E1.Promote high standards ofpersonal and organizationalintegrity, compassion, honestyand respect for all people.

E2.Appreciate the importance ofworking collaboratively andeffectively in a team withdiverse communities andconstituencies (e.g.researchers, practitioners,agencies and organizations).

E3.Value commitment to lifelonglearning and professionalservice including activeparticipation in professionalorganizations.

E1-Attend tutorials regularly, and arrivepunctually.

E2-Listen actively, and check forunderstanding.

E3-Accept personal responsibility for theirprogress and direction of learning.

E4-Listen to and respect others' opinion towork effectively with the team.

E5- Receive feedback in an open mannerand use teachers’ constructive feedbackto improve their level of performance.

Course Content(Units/Topics)

Teaching/Learning MethodsLectures self

learningPractical/ClinicalField

Smallgroupdiscussion

Othersassignments

1-Course orientation

Preparation forminor surgery(nail extraction,abscess drainage,cut woundsuturing, removalof skin lesionslike sebaceous

cyst, dermoidcyst, callosity,warts) and Malecircumcision

Brest cancerdiagnosis

Emergencies: howto deal withbleeding patient

First aid measuresfor patientexposed to burnwith all its types

First aid measuresfor choked patient

First aid measuresfor patient withacute abdomenand intestinalobstruction(surgical point ofview)

Please check () the appropriate method.

STUDENTASSESSMENT

Type of Assessment Method Timing Marks Distribution

Formative Assessment (No Marks Allocated):Formative and

Diagnostic Questions

Oral Questions and

Quizzes with Feedback

During Lectures or

Practical Sessions(No Marks)

Continuous Assessment: 40%

Portfolio AssessmentAll through the

Course20%

Mid term examWritten (MCQ)

Practical (OSPE)

7rd Week of the

Course20%

Summative Assessment: 60%End-of-Course Written (MCQ) End of Semester 40%

Final Exam

(Clinical)

OSCE

OSPEEnd of Semester 20%

Total 100%

List of Textbooks and ReferencesLecture Notes Lecture Handouts

PowerPoint presentations

Course Text Books Bailey & Love`s short practice of surgery

Suggested Extra Reading

Journals and Periodicals, others

Course Instructor

Name: Ass. Prof. Alaa Hussein Signature:

Program CoordinatorName: Assistant Prof. Dr. Sahar Kashab Signature:

Program Director (Head of Department)Name: Prof. Dr. Eman darweesh Signature:

Course Specifications


Faculty: Medicine

Department: Community Medicine

Course InformationCourse Code: 052308072 Course Name: Obstetrics for Family Medicine

Program in which the Course is Given: Master degree of family Medicine


Course AimsThis course includes The pregnant mother & antenatal care; The pregnant mother & associateddiseases; Natal care; Postpartum care; Post abortion care.Objectives of Obstetrics:

At the end of the training, the student should be able to:1. Provide quality antenatal care including the promotive and preventiveaspects.2. Undertake the initial management of common and life-threatening problemsduring pregnancy.3. Identify high risk patients, apply proper intervention and arrange anappropriate referral.4. Provide health education during pregnancy, child birth and care of thenewborn.5. Manage normal delivery.6. Demonstrate an understanding of the management of other abnormalities oflabour e.g. shoulder dystocia, breech, twins and multiple pregnancies.7. Train mothers on how to establish and maintain breast feeding.8.Plan management of physical and psychosocial problems of the mother in

postnatal period e.g. puerperal depression.9.Plan arrangements needed for home confinements.10.Use of accurate and detailed records in all aspects of obstetric care and

recognize the value of such records in clinical audit.

.

1 1


Course ILOs

A.KnowledgeandUnderstanding


A2. Acquire fundamentalknowledge and understandingof terminology, facts, generalconcepts & basic principlesconcerning: family medicine& relevant specialtiesnamely; Preventive & SocialMedicine, internal medicine,surgery, pediatrics, obstetrics& gynecology, Biostatistics,Epidemiology and basicresearch methodology,Social and BehavioralSciences & Communication.

A3. Acquire facts on concepts &measurement of health,Prevention and control ofcommunicable and noncommunicable diseases,Community Nutrition,Environmental andOccupational Health

A1. Describe the basic physiologicalbackground of pregnancy ,normalsymptoms and signs and abnormalsymptoms and signs and how to writefirst aid treatment or referral (when)

A2. Describe adverse effects of drugs and theenvironment.

A3. List different diseases associated withpregnancy(first aid treatment andreferral)

A4. Discuss different stages of normallabour.

A5. Describe nutritional needs of pregnantwomen.

A6. Discuss the antenatal care of normal andhigh risk pregnancy , basic physiologicalchanges produced by pregnancyoccurring in each trimestera and thebasic principles of antenatal care

A7. Describe the physiological changesduring puerperium and therecommended program of postnatalvisits with common abnormalitiesoccurring in puerperium and theirmanagement

A8. List pain management approaches duringlabour.

.

A4. Acquire basic knowledge onpackages of health careactivities for all ages and bothsexes on population basedstrategies stressing upon thedemographic &epidemiological factors thatdetermine utilization ofhealth care services namely;National health policy andprograms, Program planning,and health informaticsManagement, health team,adherence to medical ethics,respect patients’ rights &principles of Leadership inFamily medicine practices.

B.Intellectualskills

B1. Discriminate the differenthealth problem and the role offamily physician in relation tothe different relevant medicalspecialties.

B2.Apply evidence-basedprinciples and the scientificknowledge base to criticalevaluation anddecision-making in clinicaljudgment in the field of family

B1. Assess and interpret the gestational ageof a pregnant lady through historytaking, focused clinical examination,beta-HCG level, and ultrasoundassessment

B2. Detect the warning signs of latepregnancy and criteria for early referralto specialized centers

B3. Appraise different methods ofassessment of fetal well being andinterpret criteria of distressed fetuseswhich need immediate intervention

B4. Differentiate normal from abnormalneonate through Apgar score

B5. Critique different techniques used forassessing newborn status.

B6. Plan immediate care of the normalnewborn.

B7. Assess risk for unintended pregnancy,

medicine. sexually transmitted infections, cervicalpathology, breast malignancy,gynecologic malignancies and domesticviolence.


C1. Manage common healthproblems within the scope offamily medicine.

C2. Construct & implementappropriate basic care forindividuals and their families.


C1. Take patient histories with emphasis onobstetric and menstrual histories

C2. Perform basic physical examinationC3. Conduct and request a routine antenatal

visit, including appropriate history,examination and request investigations.

C4. Manage or refer appropriately minorproblems of pregnancy as backache,haemorrhoids, etc.

C5. Observe task prioritization on the labourward.

C6. Assess the female during labor and earlydetection of obstructed labor throughclinical symptoms and signs

C7. Perform and repair an episiotomy.Identify and manage minor lacerations

C8. Examine and treat perineal trauma,including vaginal laceration, or seconddegree tear and recognize sphincterinvolvement.

C9. Examine the neonate and recognizecommon problems, including feedingdifficulties and recognize situationsrequiring immediate intervetion innewborn care.

C11. Diagnosis complications of the thirdstage of labor and show how to applyfirst aid management of each till a seniorobstetrician is involved.


C6 . Refer patients with healthproblems requiring specialhealth care.


C8.Use quality and performanceindicators to monitor and evaluateprograms and health services,taking into account legal,economic, financing andeffectiveness parameters andmanage time and work loadeffectively.

C10. Master communication,consultation and counseling skills.

C12. Clinically assess fetal well-beingincluding movement and growth, andplot the partogram as a screening test forthe normal vaginal delivery.

C13. Interpret findings on partogram inmanagement of normal labor andidentify cases requiring referral

C14. Diagnose and initially manageintrapartum bleeding and refere to avoidshock or collapse.

C15. Follow up cases after being stabilizedby the specialists

C16. Examine, identify and assess risk inpregnant patients for medical or obstetriccomplications /conditions such asdiabetes, heart disease, anemia, bleeding,hypertension

C17. Design and conduct counseling sessionon preconception problems ,

genetic screening options, substance abuse,medications, immunizations andenvironmental hazards.

C 19 Perform routine obstetric andgynecologic examination

C20. Design and conduct counselling sessionon postpartum breast-feeding and familyplanning

C21. Communicate findings of examinationin well organized written and oral

reports.C22. design non-directive counselling

session for a woman with an unintendedpregnancy.

D. GeneralandtranseferableSkills


D2. Informing, educating, andempowering people abouthealth issues.


D4.Use information technology astools to promote familymedicine and to access,evaluates, and interpretscommunity health data.


D2-Learn independently and seek continuouslearning.

D3-Cooperate and actively participate withhis colleagues to effectively accomplishgroup work activities.

D4. Demonstrate interpersonal andcommunication skills that build trust byaddressing relevant factors includingculture, ethnicity, language/literacy,socioeconomic status,spirituality/religion, age, sexualorientation and disability.

D5-Develop decision making, and problemsolving skills (analyzing, evaluatingevidence, logical reasoning andsynthesizing).

D6-Use information technology to access,evaluates, and interprets reproductivedata.

D5.Prepare and present a scientificpresentation

D6.Demonstrate leadership skillsfor building partnershipsamong organizations focusedon family medicine goals.

D7-Practice self and peer-to-peer appraisaland evaluation.

D8- Manage time effectively on personal andteam basis.

E-Attitudesand ethicalbehavior




E1. Respect for cultural and religiousdifferences in attitudes to childbirth.

E2- Attend tutorials regularly, and arrivepunctually.


E4-Accept personal responsibility for theirprogress and direction of learning.

E5-Listen to and respect others' opinion.

E6-Receive feedback in an open manner anduse teachers’ constructive feedback toimprove their level of performance.

Course Content (Units/Topics)

Teaching/Learning Methods14lectures

selflearning

7Practical/Clinical

7 Smallgroupdiscussion

Others(seminar)

Normal and abnormal symptoms of

pregnancyNormal and high risk pregnancy Medical and surgical diseases associatedwith pregnancy

Normal labour ?? Abnormal labour Postnatal complication and care Management of abnormal symptoms andsigns of pregnancy

Please check ( ) the appropriate method.

STUDENTASSESSMENTType of Assessment Method Timing Marks Distribution



Oral Questions and


During Lectures or




Course20%


Practical (OSPE)

7rd Week of the

Course20%


Final Exam

(Clinical)

OSCE


List of Textbooks and ReferencesLecture Notes Hand outs and power points

Course Text Books Evidence based medicine gynecologyobstetrics



Course Instructor:

Name: Dr : Mohamed Abou Samra Signature

Program CoordinatorName: Assistant Prof Dr. Sahar kashab Signature:

Program Director (Head of Department)Name Prof Dr Eman Darweesh Signature:



Faculty: Medicine


Course InformationCourse Code: 052908072 Course Name: Pediatrics for Family Medicine

I

Program in which the Course is Given: Master Degree of Family Medicine.


Course AimsThe course supports participants in the Neonatal resuscitation; Neonatal examination;identification, assessment and management of neonatal health problems (neonatal jaundice,congenital anomalies); Referral guidelines for the neonate; Transport guidelines for the neonate;Transport vehicle and equipment; early detection of congenital hypothyroidism. Additionally, thecourse provides participants in the following conditions in relation to infants and preschool childnamely; Acute respiratory disorders, gastrointestinal infections, meningitis and Conditions lead todisabilities; Complicated respiratory infections, epilepsy, malignant diseases and Commonconditions of Feeding and sleep problems, malnutrition, parasitic infections, eczema and fevers.

Intended Learning Outcomes (ILOs)Program ILO (refer to program

matrix)Course ILOs



A1-Mention the characteristics of a goodpediatrics health care.

A2-Describe appropriate measures for healthpromotion as well as prevention ofdisease and injury in infants &preschool children.

11

A2. Acquire fundamentalknowledge and understandingof terminology, facts, generalconcepts & basic principlesconcerning: family medicine& relevant specialties namely;Preventive & SocialMedicine, internal medicine,surgery, pediatrics, obstetrics& gynecology, Biostatistics,Epidemiology and basicresearch methodology, Socialand Behavioral Sciences &Communication.

A3. Acquire facts on concepts &measurement of health,Prevention and control ofcommunicable and noncommunicable diseases.

A3-Define pediatrics problems.A4-Identify different types of childhood

disorders ( newborn, infants andpreschool)

A5-Recognize the impact of congenital andinherited diseases on children and theirfamilies.

A6-Demonestrate the causes andpathogenesis of the most importantneonatal and Pediatric problems.

A7-Describe the clinical symptoms andsigns of the most important neonataland Pediatric problems.

A8-Describe normal growth anddevelopment during infancy, childhood.

A9-Determine the nutritional requirementsand the most common nutritionaldisorders affecting infants and children,and describe appropriate managementfor disorders.

A10-Mention the most important behavioraland social issues during childhood.

A11-Identify the appropriate diagnostic tools(and describe how they would beinterpreted) and therapeutic lines for themost important neonatal and Pediatricproblems.

A4. Acquire basic knowledge onpackages of health careactivities for infants andpreschool child stressing uponthe demographic &epidemiological factors thatdetermine utilization of healthcare services namely; Nationalhealth policy and programs,adherence to medical ethics,respect patients’ rights &principles of Leadership inFamily medicine practices.

A12- Care and referral during infancy andpreschool childhood.

A13-Describe appropriate management forabnormalities affecting growth anddevelopment.

A14-Describe the indications,contraindications, administration andprecautions of the immunizationsnecessary for infants and childrenaccording to the national schedule andthe condition of the child.

A15- Discuss the management priorities fordifferent neonatal and Pediatricemergencies.


B1. discriminate the differenthealth problem and the role offamily physician in relation tothe different relevant medicalspecialties

B1- analyze the available statistics about theindicators of morbidity, mortality andmanagement in pediatrics

B2-Interpret the most important symptomsand signs of disease in Pediatricpatients.

B3- Analyze patient's clinical data in anorganized and informative manner, toreach a diagnosis or differentialdiagnosis.

B4-Formulate appropriate managementplans for individual patients presentingwith the most common Pediatricdisorders.

B5- Evaluate signs and symptoms presentedin case studies to reach to diagnosis ldifferential diagnosis

B6-Interpret X ray and CT films, blood gasand blood picture reports covering themost important Pediatric conditions.


B7- Evaluate scientific information on basisof best evidence to solve patients’problems using information technology.






C5. Perform screening tests and

C1. Take a proper history for a patient in thePediatric age group.

C2. Provide initial management of commonpediatrics emergencies, before referral.

C3.Perform an adequate clinicalexamination for a patient in thePediatric age group and identifydeviations from normal.

C4. Diagnose common neonatal andPediatric emergencies.

C5. Check vital signs in neonates, infants,and children.

C6. Assess physical and mental developmentin neonates, infants, and children

provide counseling, behaviorchange motivation andpsychological support.


C8.Use quality and performanceindicators to monitor andevaluate programs and healthservices, taking into accountlegal, economic, financingand effectiveness parametersand manage time and workload effectively.


according to standard milestones anddiagnose deviations from normal.

C7.Perform appropriate physicalexamination and anthropometricassessments of the nutritional status ofinfants and children.

C8. Counsel parents about proper infantsand children nutrition, prevention ofcommon pediatric infectious diseases,importance of compliance tovaccination schedule, and properadministration of drugs to sick children,with adequate doses and duration.

C9. follow the referral guidelines

C10. Demonstrate the applicability ofdifferent indicators for management orreferral

C13. Supervise the undergraduate indifferent specialized pediatrics clinicsand their attitude with children andparents.

D. General D1.Use the basic concepts and D1. Communicate effectively with his

andtranseferableSkills

skills involved in culturallyappropriate communityengagement andempowerment with diversecommunities.






colleagues and teaching staff.

D2. Learn independently and seekcontinuous learning.

D3. Cooperate and actively participate withhis colleagues to effectively accomplishgroup work activities.

D4. Develop decision making, and problemsolving skills (analyzing, evaluatingevidence, logical reasoning andsynthesizing).

D5. Use information technology to access,evaluate, and interpret pediatrics data.

D6. Practice self and peer-to-peer appraisaland evaluation.

D7. Manage time effectively on personaland team basis.



E2.Appreciate the importance of

E1. Attend tutorials regularly, and arrivepunctually.

E2. Listen actively, and check forunderstanding.

E3. Accept personal responsibility for theirprogress and direction of learning.

E4. Listen to and respect others' opinion.

working collaboratively andeffectively in a team withdiverse communities andconstituencies (e.g.researchers, practitioners,agencies and organizations).


E5. Receive feedback in an open manner,and use teachers’ constructive feedbackto improve their level of performance.

Pediatrics for Family medicine II

Course Content (Units/Topics)Teaching/Learning MethodsLectures self

learningPractical/Clinical


Studentpresentation(seminars)

1- Neonatal resuscitation;

2- Neonatal examination;identification,assessment andmanagement ofneonatal healthproblems (neonataljaundice, congenitalanomalies);

3- Referral guidelines forthe neonate; Transportguidelines for theneonate; Transportvehicle and equipment;

4- Early detection ofcongenitalhypothyroidism.

5- Acute conditions:

- Acute respiratorydisorders

– gastrointestinalinfections

- meningitis

6- Conditions lead todisabilities

- Complicatedrespiratoryinfections

– epilepsy

– malignantdiseases.

7-Common conditions:

- Feeding and sleepproblems

– malnutrition

- parasitic infections– eczema

- fevers





Oral Questions and


During Lectures or




Course20%


Practical (OSPE)

7rd Week of the

Course20%


Final Exam

(Clinical)

OSCE


Total 100%



Course Text Books 1- Essential Pediatrics (Department’s Book,editor: P. Dr. A.S. Madkour) 2010/20112- Nelson's Textbook of Pediatrics

Suggested Extra Reading Essential Family Medicine Textbook(part1&2) by Robert Rakel

Journals and Periodicals, others 1-J PEDIATRICS2-CLINICAL PEDIATRICS OF NORTHAMERICA3- New England Journal of Medicine

Course InstructorName: Dr : Hussein Abd Eldayem Signature





Faculty: Medicine


Course InformationCourse Code: 050908072 Course Name: Dermatology, STDs &

Andrology for Family Medicine


Number of Credit Hours: 1 Theoretical Clinical/Practical

Course AimsThe course supports participants in the Knowledge and understanding of the physiology , etiology,clinical appearance, investigation, and how to treat the most common dermatologic , STDs, andandrologic disorders, the importance of regular care, Identifying elements of proper care,Recording a complete history, Recognizing the dangerous symptoms and signs of complicatedcases, Interpreting the findings of laboratory investigations , identifying high risk patients,demonstrating the general guidelines for management of dermatology, STDs, and Andrology casesas well as referral advice and procedures and also Elaborating the multidisciplinary inter-relationsof health services.


Course ILOs


A2. Acquire fundamentalknowledge and understandingof terminology, facts, generalconcepts & basic principlesconcerning: family medicine& relevant specialties namely;Preventive & SocialMedicine, internal medicinedermatology and andrology,surgery, pediatrics, obstetrics& gynecology, mental health,Biostatistics, Epidemiologyand basic research

A1-Describe the characteristics of structureand function of the skin.

A2-Mention etiology, pathogenesis andclinical presentations of the differentdermatologic non infectious diseases.

A3-Describe the microbiological andimmunological characteristics of skinparasites, viruses, bacteria, and theireffects on the skin.

A4-Discuss the etiology, pathogenesis andclinical presentation of the differentepidermal and sub cutaneous tissue

0.50.5

methodology, Social andBehavioral Sciences &Communication.


diseases.

A5-Identify the etiology, pathogenesis andclinical presentation of skin diseasesdue to systemic disorders and commoninternal malignancies.

A6-Identify the microbiologicalcharacteristics of causative organismsand epidemiology of STDs.

A7-Describe the different clinicalpresentation of genital adenxalinfections.

A8- Discuss the disturbance in the immunesystem that may cause some of theacquired dermatoses.

A9-list the common investigations used indiagnosis common dermatologicalhealth problems

A10. Describe the different line of treatmentfor common dermatological healthproblems.

A10-Identify the lines of referral of patientsto the specialists


B1. Discriminate the differenthealth problem and the role offamily physician in relation to

B1- Apply basic biomedical sciences tounderstand pathogenesis of differentskin diseases.

the different relevant medicalspecialties


B2- Interpret different signs and symptomsto reach proper diagnosis /differentialdiagnosis .

B3- Relate the effect of genetic disturbancesand environmental factors on thepathogenesis of some skin andandrologic disorders.

B4. Interpret the clinical signs andsymptoms to reach a diagnosis/differential diagnosis.

B5-Analyze the side effects ofdermatological drugs to choose thesafest drug.

B6- Evaluate the new lines of treatmentusing the best evidence practices.




C3. Administer competentinformation gathering, selectappropriate investigation,decide the diagnosis, and

C1-Take full history and perform some skinand genital examination of patients.

C2- Conduct full physical examination toidentify signs of common skin problem.

C3- Diagnose and prescribe basic treatmentto common dermatological problems.

C4- Plan the appropriate investigation foreach patient to help reaching the properdiagnosis

utilize effective & currentlyavailable drugs for propertreatment.




C5. Examine and Diagnose cases of drugskin reactions

C6- Refer conditions requiring special care

C7-Follow up of chronic patients

D. GeneralandtransferableSkills



D2-Cooperate and actively participate withhis colleagues to effectively accomplishgroup work activities.

D3-Develop decision making, and problemsolving skills (analyzing, evaluatingevidence, logical reasoning andsynthesizing).


D4-Learn independently and seekcontinuous learning.

D5- Use information technology to access,evaluates, and interprets health data.

D6-Practice self and peer-to-peer appraisaland evaluation.

D7- Manage time effectively on personaland team basis.




E1-Follow the national code of ethics andrespect patients' rights.

E2-Deal with patients in a friendly andcaring manner.

E3-Council patients with appreciation andunderstanding.

E4-Reacts to situations of grief withempathy.

E5- Council patients with appreciation andunderstanding.

E6-Listen to and respect others' opinion towork effectively in a team.

E7-Receive feedback in an open manner anduse teachers’ constructive feedback toimprove their level of performance.





Othersassignment

1- Skin infections: √ √ √ √ √

a- Bacterial (impetigo& erysipelas) √ √ √

b- Viral (warts, molluscum& herpes) √ √ √

c- Fungal (taenia) √ √ √ √

d- Parasitic (scabies& pediculosis) √ √ √

2- Cutaneous manifestations ofcommon internal malignancies

√ √ √ √

3- Acne& seborrhea √ √ √

4- Psoriasis √ √ √

5- Allergy ( urticaria, atopicdermatitis, contact dermatitis&eczema)

√ √ √ √

6- STD (gonorrhea& AIDS) √ √ √ √

7- Surgical dermatology (cautery,skin biopsy, removal of warts&callosity)

√ √ √ √




Oral Questions and


During Lectures or




Course20%

Mid- term examWritten (MCQ)

Practical (OSPE)

7rd Week of the

Course20%


Final Exam

(Clinical)

OSCE


Total 100%


PowerPoint presentationsCourse Text Books 1- Tony Burns, Stephen Breathnach, Neil

Cox,Christopher Griffiths. Rook’s Textbook of Dermatology. 7th ed. Oxford,London, Boston, Melbourne: BlackwellScience Ltd, 2004.

2- Jean L Bolognia, Joseph L Jorizzo, RonaldP Rapini. Bolognia Dermatology.Second ed. Spain: Mosby Elsivier Ltd,2008.

Suggested Extra Reading Irwin M Freedbeerg, Arthur Z Iesen, KlausWolff, Thomas Fitzpatrick, Dermatology inGeneral Medicine

Journals and Periodicals, others American Journal Academy Dermatology ,British Journal Dermatology.

Course InstructorName: Prof. Dr Osama Hussein Signature

Program CoordinatorName: Assistant Prof. Dr. Sahar khashab Signature:

Program Director (Head of Department)Name: Prof. Eman Darweesh Signature:



Faculty: Medicine


Course InformationCourse Code: 052128072 Course Name: Mental Health for Family

Medicine

Program in which the Course is given: Master Degree of Family Medicine.

Number of Credit Hours 1Theoretical Practical

Course AimsThe course support participants to get knowledge to communicate and practice in a skillful way fordifferent mental health problems at family health centers

0.50.5

A. Knowledge andUnderstanding

A1. Apply fundamentalknowledge and understandingof mental health for familymedicine physicians

A2. Acquire facts on conceptand measurement of mentalhealth problem

A3- Acquire basic knowledgeon mental health careactivities

A4- Acquire basic knowledgeon pack ages of mental healthcare activates for all ages andboth sexes on population basedstrategies

A5-Program planning, andmental health information,management, mental healthteam, adherent to medicalethics, respect patients' rightsprinciples of leadership infamily medicine practices

A1Define the term of health promotionof mental health prevention andintervention for mental illnesses.

A2-Identify mental and behavioral healthproblems for different ages.

A3- Mention the factors that mayinfluence mental health.

A4-Recognize the stages of behavioralchange.

A5-State the concept of health believeand its limitations.

A6-Identifiy determinants of emotional,behavioral and cognitive for differenthealth problems

A7- Identify categories of healthbehavioral problems

A8- Mention the factors that mayindigence the emotional behavioraland cognitive aspects

A9- Recognize the stages ofpsychological changes

A10- State the key concepts of mentalhealth believe model and mention itslimitation

ــــــــــــــــــــــــــــــــــــــــــــــــــــــــــــــــــــــــــــA11- List the steps of planning of a

mental health education programA12- Identify the purpose levels and

steps of evaluation of a mental healtheducation program

A13- list the elements and importance ofcommunication

A14- state types and tools used incommunication

A15- List the 0bjective of managementA16- identify the different perceptive in

mental health care

.

Intended Learning Outcomes (ILOs)

Program ILO (refer toprogram matrix)

Course ILOs

B. Intellectual skills

C- Professional andPractical Skills

B1.Discriminate the differentmental health problems andthe role of family physicianin relation to differentrelative medical specialist

ــــــــــــــــــــــــــــــــــــــــــــــــــــــــــــ

B2- Apply evidence basedprinciples and scientificknowledge base to criticalevaluation and decision makingin clinical judgment in the fieldof family medicine

ــــــــــــــــــــــــــــــــــــــــــــــــــــــــــــــ

C1- Construct and implementappropriate mate basic carefor individual and thenfamilies

B1-Compare between determinant ofhealth problems

B2- Differentiate between the differentcategories of health behavior and itsrelation to the occurrence of differentmental health problem

B3- Interpret the different factors thatmay influence the occurrence of abehavior

ــــــــــــــــــــــــــــــــــــــــــــــــــــــــــــــــــــــــــــــــB4- Select the appropriate educationalstrategies to achieve a specific of mentalhealth educational sessions

B5- Criticize a communication situation(counseling session) using a check list

ـــــــــــــــــــــــــــــــــــــــــــــــــــــــــــــــــــــــــــــــــ

C1- Carry out behavioral and educationdiagnosis of a mental health molliesrelated to behaviors

C2- Formulate specific objectivesaccording to the need assessment anddiagnosis

C3- Construct appropriate plan forintervention according to the differentstage of readiness to charge a behaviorand the key concepts of the mental healthbelieve model

C4- prepare the contents of differentintervention a according to the stage ofbehavioral change

C5- use the concepts of the mental healthbelieve model for the preparation of a

ـــــــــــــــــــــــــــــــــــــــــــ

D- General andtransferable skills

C3- use quality andperformance indicators tomonitor and evaluateprograms and mental healthservices taking into accountlegal, economic, financingand effectiveness parametersand manage time and workload effectively

ــــــــــــــــــــــــــــــــــــــــــــــــــــــــــــ

D1- Use of basic concepts andskills involved in culturallyappropriate communityengagement andempowerment with diversecommunities

D2- Informing , educating andempowering people aboutmental health issues

mental health education message to helppeople to take health decision for somemental health problems.

C6- Select and use the appreciateindicators to evaluate the success of amental health education program at itsdifferent levels

C7- Train on conduction of teachingskills including the education of patientson topics related to behaviors

C8- Communicate with their colleaguesin the small group discussion aboutcounseling

ـــــــــــــــــــــــــــــــــــــــــــــــــــــــــــــــــــــــــــــــ

D1- Cooperate and actively participatewith his colleagues to effectivelyaccomplish group works

D2- Communicate effectively with hiscolleagues and teaching staff

D3- Cooperate and actively participatewith his colleagues to effectivelyaccomplish group work activities ofinforming education, and empoweringpeople about health issues

D4- Practice self and peer to peerparticipation to present a scientific talk

D5- Prepare and present a scientificpresentation

E-Attitude and ethicalbehavior

E2- Appreciate the importanceof working collaborativelyand effectively in a teamwith diverse communitiesand constituencies (eg.Researchers, practitionersagencies and organizations)

.

E1- Attend tutorials regularly, and arrivepunctually

E2- listen actively, and check forunderstanding

E3- Accept personal responsibility fortheir own progress and direction oflearning

E4- listen to and respect other opinion

E5- Receive feedback in an open mannerand use teacher's constructivefeedback to improve their level ofperformance.



Faculty: Medicine


Mental Health for Family Medicine Physician





Problemsolving &seminars

Course orientation

Introduction to development of children &

adolescents

Successful communication with children &

adolescents

Relation between physical & mental

illnesses

Childhood mental health problems

Risk taking behaviors

Psychosomatic disorders

Common psychiatric problems

Fatigue, stress, sleep and eating disorders

Women & elderly mental health problems

Psycho-pharmacology

Behavioral therapy

Course Content Lectures self-learning

Practical/Clinical

Small groupdiscussion

Problemsolving &seminars

Course orientation

Introduction

Successful

communication with

children &

adolescents

Anger Management

Relation between

physical & mental

illnesses

Childhood mental

health problems

ADHD Autismspectrum disorder

Risk taking behaving

Substance abuse

- Psycho somaticdisorder

- Eating disorder

- Sleep disorder

- Normal Sleep

- Elderly Mental healthproblem

Psycho-pharmacology

Student AssessmentMethods of Assessment Essay Objective questions

Case OSCE/OSPE

Assignment Logbook exercise fulfillment

Others

Schedule of Assessment Mid-term %

End of term 100 %Distribution of Marks Written Exam (MCQs & Essay) 70 %

Practical/ Exam 20 %Others (assignment ) 10 %


PowerPoint presentationsCourse Text Books 1- Okasha, A (2002)

A preliminary psychiatric observation in Egypt2- World health organization (who)

(2007) Report of mental healthworldwide.

Course InstructorName: Prof. Dr. Amira Seif El-Deen Signature:

Program CoordinatorName: Assistant Prof. Dr. Sahar Khashab Signature:

Program Director (Head of Department)Name: Prof. Dr. Iman Darweesh Signature:



Faculty: Medicine

Department: Community Medicine and Public Health

Course InformationCourse Code: 051508072.1 Course Name:

Internal Medicine for Family Medicine IIProgram in which the Course is GivenMaster degree in Family MedicineNumber of Credit Hours: 2 Theoretical Clinical/Practical

Course Aims: By the end of this course, the candidate will be able to manage common endocrinal& rheumatological problems within the scope of family medicine care to be competent familyphysicians, realize the impact of the common chronic disease, acquire the essential knowledge onthe professional diagnosis of different types and the skills in the primary health care measures.


Course ILOs



A2. Acquire fundamentalknowledge and understanding

A1. Identify the epidemiology of differenttypes of DM, thyroid diseases,peripheral neuropathy, arthritis, jointpain and swellings

A2. Discuss the impact of the previouslymentioned diseases on the community.

A3. Identify the principles of global healthcare.

A4. Describe etiology, risk factors,pathogenesis, and diagnosis of differenttypes of these diseases.

A5. Describe etiology, pathophysiolgy andclinical picture of acute complications.

A6. Identify the dangerous signs and properreferral

11

of terminology, facts, generalconcepts & basic principlesconcerning: family medicine.



A7. List the different lab investigations andradiological features that help indiagnosis and follow up of the chronicdiseases

A8. Describe the strategies which promotehealthy eating and life style for personswith or for persons at risk of acquiringthese chronic diseases


B1. Discriminate the differenthealth problem and the role offamily physician in relation tothe different relevant medical

B1. Classify common categories and typesof DM, thyroid diseases, peripheralneuropathy, arthritis, joint pain andswellings

B2. Differentiate between the clinical types

specialties


and complications to determine the roleof family physicians in relation to thesituations

B3. Apply the basic biomedical sciences inunderstanding the mechanism of thepreviously mentioned endocrinal andmusculoskeletal diseases and its acuteand chronic complications

B4. Interpret the patients’ symptoms andsigns and apply proper clinicalreasoning to reach adiagnosis/differential diagnosis.

B5. Formulate the plan of investigations inthe view of available clinical data.

B6. Integrate the clinical data with theresults of investigations to reach adiagnosis.

B7. Formulate the management plan ofDM [diet and exercise, types-indication-contraindications and side effects oftherapy].

B8. Evaluate new treatment strategies andchoose evidence based information touse in patients’ management

B9. Select effective, safe, suitable andeconomic drug(s) for treatment ofdifferent types.



C3. Administer competentinformation gathering, selectappropriate investigation,decide the diagnosis, andutilize effective & currently

C1. Perform a full physical exam; includinggeneral & system specific to the disease

C2. Plan and deliver primary health care forpatients.

C3. Examine and diagnose specificproblems.

available drugs for propertreatment.





C8.Use quality and performanceindicators to monitor andevaluate programs and healthservices, taking into accountlegal, economic, financing andeffectiveness parameters andmanage time and work loadeffectively.

C9. Conduct teaching skills,including the education ofpatients, doctors in training

C4. Diagnose, stabilize and refer patientswith acute emergencies.

C5. Perform screening tests to earlyDiagnose patients and detectcomplication .

C6. Detect the presence of differentcomplications requiring referral of thepatient to a specialist to initiate andtiterate doses of therapy.

.

C7.Conduct follow up for the chronically illpatients after being stabilized by themanagement of specialists

C8.Use performance indicators to verify andmonitor the effectiveness of treatment

C9.Perform an educational session for

and colleagues.

C10. Master communication,consultation and counselingskills.

patients with chronic disease to modifytheir life style

C10. Plan a dietary principles of patientswith different types of endocrinal (DM)and musculoskeletal diseases (Gout)

C11. Give subcutaneous injections of insulinin DM.

C12. Use effective interpersonal skills tobetter counsel patients with specialhealth problem and complications.

D. GeneralSkills

D1.Use the basic concepts andskills involved in culturally

appropriate communityengagement and empowerment

with diverse communities.

D2. Informing, educating, andempowering people about health

issues.

D1. Communicate and share ideas withprofessors to reach full understanding.

D2. Work in a group and communicate wellwith his colleagues.

D3-Use skills to access the different agegroups of diverse parameters of healthstatus

D4- Use skills to access the differentendocrinal and musculoskeletalinstabilities

D5- Educate people on the importance ofhealthy life style

D6- Empower people to maintain normalendocrinal and musculoskeletalsystems.

D7-Inform the people about the earlymanifestation of endocrinal andmusculoskeletal disorders

D8- Actively participate in the education ofpatients, families, students, peers andother health professionals

D3.Mobilizing communitypartnerships and action to identifyand solve health problems

D5.Prepare and presenta scientific presentation

D9- Mobilize community partnerships andaction to healthier lifestyle andbehaviours

D10. Participate in the interactive sessionswith other students and courseinstructors in the discussion of varioustopics.

D11. Search relevant materials in thetextbooks and electronic sources toprepare presentations.

D12- Present scientific presentation commonbad eating and drinking behaviors

D13- Present scientific presentation onguidelines for managing the commonendocrinal and musculoskeletalproblems

E- attitudesand ethicalbehaviors

E1.Promote high standards ofpersonal and organizationalintegrity, compassion, honesty andrespect for all people.

E2.Appreciate the importance ofworking collaboratively andeffectively in a team with diversecommunities and constituencies(e.g. researchers, practitioners,agencies and organizations).

E3.Value commitment to lifelonglearning and professional serviceincluding active participation inprofessional organizations.

E1. Respect colleagues and professors.E2. Promote high standards of honesty and

respect to patients

E3- Appreciate working in a team workwith researchers and other colleagues inthe area of renal and gaster-intestinal

E4- Appreciate working in a team workwith agencies and organizations tosolve the risk taking behaviors, andeating habits

E5- Appreciate working in a team workwith researchers and other colleagues inthe area of renal and gaster-intestinal

E6-Value the commitment to lifelonglearning and professional service inorganizations related to renal andgaster-intestinal

E7. Value the role of paramedical staff inthe laboratory work

Teaching/Learning Methods

Course Content (Units/Topics)Lectures self



Others

I- Endocrinology:

1. DM

Acromegaly

Cushing disease

Adrenal gland diseases

Thyroid disorders

II- Musculo-skeletal

Seropositive and seronegative arthiritis

Osteomalacia andosteoporosis

Neuropathy

Chronic fatigue syndrome

Low Back Pain.

Seropositive and seronegative arthiritis

Osteomalacia andosteoporosis

Neuropathy

Chronic fatigue syndrome

Please check () the appropriate method

STUDENTASSESSMENT




Oral Questions and


During Lectures or




Course20%


Practical (OSPE)

7rd Week of the

Course20%


Final Exam

(Clinical)

OSCE


Total 100%List of Textbooks and ReferencesLecture Notes Handouts-Power points

Course Text Books - Cecil Textbook of Medicine- Kumar Textbook of medicine.



Course InstructorName: Prof. Dr. Manal Tayel Signature:

Program Coordinator

Name: Assistant Prof. Dr.Sahar Kashab Signature:

Program Director

Name: Prof.Dr Eman Darweesh Signature



Faculty: Medicine

Department: Community Medicine and Public Health

Course InformationCourse Code: 051508072.2 Course Name:

Internal Medicine for Family Medicine IIIProgram in which the Course is Given Master degree in Family Medicine


Course Aims: By the end of this course the candidates will be able to understand the differentdiagnostic procedures, differential diagnosis and different lines of basic management of thecommonly encountered:

1. Gastrointestinal tract disorders; Peptic ulcer, abdominal pain/dyspepsia, gastritis, lowerintestinal problems; Inflammatory bowel diseases( diarrhea, steatorrhea, constipation& fecal impaction), helminthes, liver disease (hepatitis,cirrhosis& jaundice) and the related laboratory investigations and guidelines of medicalcare

2. Geriatric care:; the epidemiology of ageing, the ageing process and the physiologicalchanges in the aged. assessment of the mental and physical status of the aged, family andcommunity resources for the aged “supportive, preventive, and rehabilitative care”.and common problems of the elderly.

Additionally, each participant will be competent family physicians in managing the preliminarilycases or referring the advanced cases requiring specialized care and then maintain high qualityfollow up care.

11


Course ILOs


A2. Acquire fundamentalknowledge and understandingof terminology, facts, generalconcepts & basic principlesconcerning: family medicine& relevant specialties namely;Preventive & Social Medicine,internal medicine dermatologyand andrology, surgery,pediatrics, obstetrics &gynecology, mental health,Biostatistics, Epidemiologyand basic researchmethodology, Social andBehavioral Sciences &Communication.


A4. Acquire basic knowledge onpackages of health careactivities for all ages and bothsexes on population basedstrategies stressing upon thedemographic &

A1. - describe the most common causes ofrenal and gastero-intestinal complains.

A2. Identify the predisposing factors ofcommon internal medicine healthproblems encountered by familyphysician.

A3.Discuss the impact of clean water andfood on limiting communicablediseases

A4. list the most important screening testsfor early detection of ???diseases

A5. Describe the diagnostic procedures andmanagement of the common renal(colic, nephritis & failure) andgastrointestinal diseases.

A6. Identify the dangerous renal andgastero-intestinal signs thatnecessitate proper referral tospecialists

epidemiological factors thatdetermine utilization of healthcare services namely; Nationalhealth policy and programs,Program planning, and healthinformatics Management,health team, adherence tomedical ethics, respectpatients’ rights & principles ofLeadership in Familymedicine practices.




B1. Discriminate the common healthcomplains facing family physician inthe field of geriatric care andgastroenterology (nausea, dyspepsia,diarrhea, constipation…).

B2. Interpret the findings in labInvestigation and the abdominal US

B3. Analyze data presented to reach to thedifferential diagnosis of the mostcommon chronic diseases of elderlyand gastro-intestinal disorders

B4. Apply evidence-based principles andthe scientific knowledge base tocritical evaluation and decision-making in clinical judgment in thefield of family medicine relatedelderly and gastroenterology diseases.



C1. Manage common elderly andgastroenterological health problemswithin the scope of family medicine.





C2. Conduct the appropriate basic care forelderly and gastroenterologicalpatients and their families inaccordance to the guidelines

C3. Select appropriate digestiveinvestigation, and interpret them,decide the diagnosis, and utilizeeffective & currently available drugsfor proper treatment.

C4. Diagnose and stabilize patients of acuteinternal emergency such as vomiting,diarrhea and abdominal pain .

C5 Conduct a screening tests for commonrenal diseases

C6. conduct counseling sessions to patientsand their families about , feeding andnutrition for gastroenterologicalpatients.

C7. Follow referral protocols of seriousproblems of elderly andgastroenterological health problemsrequiring special health care at thesecondary or tertiary centers.

C8. Follow up patients with chronicdiseases l and gastroenterologicaldiseases after being stabilized byspecialist




C9. Conduct education session for patientsto orient them with the importance ofsafe water, food and regular urinationand defecation

D. GeneralSkills




D2- Use skills to access the different gastro-intestinal instabilities


D4- Empower people to maintain normalrenal and gastro-intestinal systems.

D5-Inform the people about the earlymanifestation of some chronic disesesof elderly and gastro-intestinal disorders


D3.Mobilizing communitypartnerships and action to identifyand solve health problems


D7- Mobilize community partnerships andaction to healthier lifestyle andbehaviors

D8- present scientific presentation oncommon bad eating and drinkingbehaviors

D9- present scientific presentation onguidelines for managing the commonelderly and gastro-intestinal problems





E1- Promote high standards of honesty andrespect to patients

E2- Appreciate working in a team work withresearchers and other colleagues in thearea of geriatric care and gastro-intestinal

E3-Appreciate working in a team work withagencies and organizations to solve therisk taking behaviors, and eating habits

E4- Appreciate working in a team work withresearchers and other colleagues in thearea of geriatric care and gastro-intestinal

E5-Value the commitment to lifelonglearning and professional service inorganizations related to renal and gaster-intestinal diseases





Others(seminars)

I- RenalInvestigations of renal diseases Urinary tract infection and dysuria Chronic kidney diseases: definitionand optimum management

Urinary incontinence Acute kidney injury Urinary retention Urinary stones Renal replacement therapy and renalfailure

Kidney Case presentations Gastero-interology-----Peptic ulcer

Gastritis (GERD)

Inflammatory bowel diseases (diarrhea, steatorrhea, constipation&fecal impaction)

Helminthes

Liver disease (hepatitis, cirrhosis&jaundice)

Related laboratory investigations andguidelines of medical care


STUDENTASSESSMENT




Oral Questions and


During Lectures or




Course20%


Practical (OSPE)

7rd Week of the

Course20%


Final Exam

(Clinical)

OSCE


Total 100%

List of Textbooks and ReferencesLecture Notes Handouts & power points

Course Text Books - Brenner and Rector’s The Kidney, 8thedition-2007

- Cecil Textbook of Medicine

- Kumar Textbook of medicine.

Suggested Extra Reading Primer on Kidney Diseases, Third Edition

Journals and Periodicals, others Kidney international journal and NephrologyDialysis Transplant journal.

Course InstructorName: Prof. Dr. Mohamed Samy Gad / Amany Elbanna Signature

Program CoordinatorName: Assistant Prof. Dr. Sahar kashab Signature:

Program Director (Head of Department)Name: Prof. Dr. Eman Darweesh Signature:



Faculty: Medicine


Course InformationCourse Code: 051508072.3 Course Name: Medical Emergencies for Family

Medicine



Course AimsBy the end of the course the candidates will be able to understand the essential knowledge and

basic skills of managing patients having convulsions, different cases of cerebrovascular strokes,diverse cases of syncopal attacks, and different comatosed patients, Identify the major actions taken tomanage cases of poisoning and drug overdosage, Identify the common presentations and measures tobe taken to manage different cases of dyspnea, acute chest pain, fever, status asthmatics, and diversetypes of anaphylaxis and manage techniques of cardiopulmonary resuscitation, and adherence tointernational protocols and guidelines for CPR.


Course ILOs



A1. Recognize the responsibilities andessential skills of managing patientshaving convulsions, different cases ofcerebrovascular strokes, diverse cases ofsyncopal attacks, and differentcomatosed patients.

A2.Define the state of normal conscious,A3. Identify common causes of syncope,anaphylaxis and coma.A4. Differentiate between different types ofconvulsions

0.50.5

A2. Acquire fundamentalknowledge and understandingof terminology, facts, generalconcepts & basic principlesconcerning: family medicine& relevant specialties namely;Preventive & SocialMedicine, internal medicine,surgery, pediatrics, obstetrics& gynecology, Biostatistics,Epidemiology and basicresearch methodology, Socialand Behavioral Sciences &Communication.


A4. Acquire basic knowledge onpackages of health care

A5. Discuss the major actions taken tomanage cases of poisoning and drugoverdosage as first aid measures.

A6. Identify the preventive measures toguard against the acute life threateningconditions

A7. Discuss different presentations ofsyncopal attacks, acute cerebrovascularstrokes, acute disturbances in consciouslevel, diverse types and causes of coma,and convulsions.

A8. Mention the most common causes of ofdyspnea, chest pain, anaphylaxis, fever,and acute asthmatic attacks in thecommunity.

A9. Classify the different levels and types ofcoma , anaphylaxis and convulsion

A10. Discuss the common presentations andlines of management of dyspnea, acutechest pain, fever, status asthmaticus,and diverse types of anaphylaxis.

activities for all ages and bothsexes on population basedstrategies stressing upon thedemographic &epidemiological factors thatdetermine utilization of healthcare services namely; Nationalhealth policy and programs,Program planning, and healthinformatics Management,health team, adherence tomedical ethics, respectpatients’ rights & principles ofLeadership in Familymedicine practices.




B1. Evaluate different cases studies relatedto common emergency problemsincluding poisoning, drug overdose,syncopal attacks, cerebrovascularstrokes, coma, disturbed consciouslevel, convulsions, dyspnea, fever, chestpain, anaphylaxis, acute asthmaticattacks, and sudden cardiac arrest andidentify the roles of family physician inmanaging such cases.

B2. Apply evidence-based principles and thescientific knowledge base to criticalevaluation and decision-making inclinical judgment in the different casesof fever, dyspnea, acute chest pain,anaphylaxis, acute asthmatic attacks,sudden cardiac arrest, convulsions,coma, disturbed sensorium,cerebrovascular strokes, syncopal

attacks, as well as cases of poisoningand drug overdosage.





C1. Take a detailed history from the cases ofcommon medical emergency includingfever, dyspnea, acute chest pain,anaphylaxis, acute asthmatic attacks,sudden cardiac arrest, convulsions,coma, disturbed sensorium,cerebrovascular strokes, syncopalattacks, as well as cases of poisoningand drug overdosage adequately in aspecialized attitude.

C2. Formulate a management plan for themost common cases of medicalemergencies including fever, dyspnea,acute chest pain, anaphylaxis, acuteasthmatic attacks, sudden cardiac arrest,convulsions, coma, disturbedsensorium, cerebrovascular strokes,syncopal attacks, as well as cases ofpoisoning and drug overdosage,

C3. Initiate the emergency management ofdifferent cases of fever, dyspnea, acutechest pain, anaphylaxis, acute asthmaticattacks, sudden cardiac arrest,convulsions, coma, disturbedsensorium, cerebrovascular strokes,syncopal attacks, as well as cases ofpoisoning and drug overdosage.

C4. Conduct counseling session to induce ,behavior change, motivation, andpsychological support for patientscommitting suicidal attacks anddifferent drug poisoning.

C5. Efficiently perform proper referralactions to transfer different patientshaving different conditions of fever,dyspnea, acute chest pain, anaphylaxis,




C8.Use quality and performanceindicators to monitor andevaluate programs and healthservices, taking into accountlegal, economic, financingand effectiveness parametersand manage time and work

acute asthmatic attacks, sudden cardiacarrest, convulsions, coma, disturbedsensorium, cerebrovascular strokes,syncopal attacks, as well as cases ofpoisoning and drug overdosage tohigher levels of specialization accordingto different emergency conditions.

C6. Construct and apply appropriate basicafter care of individuals needing specialfollow-up after cases of fever, dyspnea,acute chest pain, anaphylaxis, acuteasthmatic attacks, sudden cardiac arrest,convulsions, coma, disturbedsensorium, cerebrovascular strokes,syncopal attacks, as well as cases ofpoisoning and drug overdosage.

C7. Adequately follow up patients withdifferent clinical conditions of coma,convulsions, and cerebrovascular strokepatients after being stabilized.

C8. Interpret the vital signs to monitor theimprovement of the acute conditions

C9. Conduct teaching sessions for propereducation and training of patients,healthy populations, and health careproviders for further actions to be takento prevent and early diagnose andmanage the different clinical acuteconditions of fever, dyspnea, acute chestpain, anaphylaxis, acute asthmaticattacks, sudden cardiac arrest,convulsions, coma, disturbedsensorium, cerebrovascular strokes,syncopal attacks, as well as cases of

load effectively.


poisoning and drug overdosage.C10. Perform skills of basic life support on

simulated models to manage the casesof sudden cardiac arrest

D. General andtranseferableSkills




D1. Empower people in the relatedcommunity about health care issues forprophylaxis and adequate managementof different cases of fever, dyspnea,acute chest pain, anaphylaxis, acuteasthmatic attacks, sudden cardiac arrest,convulsions, coma, disturbedsensorium, cerebrovascular strokes,syncopal attacks, as well as cases ofpoisoning and drug overdosage.

D2. Propose and perform differentpromotion plans and interpretscommunity health data to precautions tobe taken and warning about differentconditions of fever, dyspnea, acute chestpain, anaphylaxis, acute asthmaticattacks, sudden cardiac arrest,convulsions, coma, disturbedsensorium, cerebrovascular strokes,syncopal attacks, as well as cases ofpoisoning and drug overdosage.

D3.Prepare scientific presentation on fist aidmanagement of coma, convulsion,syncope and anaphylaxis.

E-Attitudes andethical behavior




E1- Promote high standards of honesty andrespect to patients

E2- Appreciate working in a team workwith researchers and other colleagues inthe area of cardiology and chest

E3-Appreciate working in a team work withagencies and organizations to solve therisk taking behaviors, and eating habits

E4- Appreciate working in a team workwith researchers and other colleagues inthe area of cardiology and chest

E5-Value the commitment to lifelonglearning and professional service inorganizations related to cardiology andchest





Others(seminars)

1. Disturbed consciousness(delirium, dementia,Alzheimer& Coma)

2. Syncope& stroke

3. Convulsions – Epilepsy (statusepilepticus)

4. fever

5. CPR

6. dyspnea

7. Chest pain

8. Poisoning (drug overdose…)

9. Anaphylaxis (allergy), statusasthmaticus





Oral Questions and


During Lectures or




Course20%


Practical (OSPE)

7rd Week of the

Course20%


Final Exam

(Clinical)

OSCE


Total 100%

List of Textbooks and ReferencesLecture Notes Lecture notes are given to the candidates as

hand-outs, and are being downloaded to thecritical care department's site on the internet.

Course Text Books The ICU book, Paul Marino, third edition.



Course InstructorName: Dr. Signature:





Faculty: Medicine


Course InformationCourse Code: 052308072.1 Course Name: Gynaecology for

Family Medicine

Program in which the Course is Given: Master degree of Family Medicine


Course Aims

This course will provide postgraduate student with basic knowledge,understanding of wellbeing for the reproductive system and management ofCommon health problems about Reproductive system namely; preconceptione.g. premenstrual syndrome and menstrual disorders, infertility, Familyplanning care, menopause and reproductive tract infection, prolapsed, abnormalvaginal bleeding & malignancies.

Gyneacology:

1.Take a gynaecological history, carry out a full and appropriate examinationand conduct appropriate investigations.2. Advise, investigate and where appropriate refer patients with problemsrelating to infertility.3.Manage common problems relating to menstruation.4.Manage patients suffering from infections of the genital tract, includingsexually transmitted disease.5.Plan management of the menopause.6.Counsel couples in child spacing and assist in family planning clinics.7.Describe the steps required for the early diagnosis of neoplasia of the genitaltract and the Family Physician’s role in management.8.Apply preventive methods in Obs/Gyn.9.Perform technical procedures commonly practiced in primary care

1 1

Intended Learning Outcomes (ILOs)Program ILO (refer toprogram matrix)

Course ILOs

A.Knowledge andUnderstanding

A1. Identify the roles,responsibilities andessential skills of familyphysicians.

A2. Acquire fundamentalknowledge andunderstanding ofterminology, facts,general concepts &basic principlesconcerning: familymedicine & relevantspecialties namely;Preventive & SocialMedicine, internalmedicine, surgery,pediatrics, obstetrics &gynecology,Biostatistics,Epidemiology and basicresearch methodology,Social and BehavioralSciences &Communication.

A3. Acquire facts on

A1. Identify the common healthproblems facing the familyphysicians during his work

A2. Describe the basic physiologicalbackground of menstruation

A3. Recognize the normal femalegenital tract care

A4. Demonstrate diseases of thevulva and vagina

A5. Identify the different causes ofabnormal vaginal discharge

A6. Describe normal and abnormalvaginal bleeding .

A7. Describe pelvi- abdominalmasses

A8. Demonstrate gynaecologicalsymptoms among adolescentsand menopausal women

A9. Mention measures and types ofinfertility

A10. Identify the measures toassess the wellbeing in relationto the reproductive systemamong female population

concepts &measurement of health,Prevention and controlof communicable andnon communicablediseases, CommunityNutrition,Environmental andOccupational Health

A4. Acquire basic knowledgeon packages of healthcare activities for allages and both sexes onpopulation basedstrategies stressingupon the demographic& epidemiologicalfactors that determineutilization of health careservices namely;National health policyand programs, Programplanning, and healthinformaticsManagement, healthteam, adherence tomedical ethics, respectpatients’ rights &principles of Leadershipin Family medicinepractices.

A11. Mention the guidelines formanagement of preconception,interconception and menopausehealth problems

A12. Identify the different methodsof contraception provided in thefamily planning program

B.Intellectual skills

B1. Discriminate thedifferent health problemand the role of family

B1. Interpret parameters ofwellbeing about the health ofwomen reproductive system.

physician in relation tothe different relevantmedical specialties.

B2.Apply evidence-basedprinciples and thescientific knowledgebase to criticalevaluation anddecision-making inclinical judgment in thefield of family medicine.

B2. Propose the investigations andline of essential management orreferral for the adolescents andmenopausal health problems.

B3. Discriminate the reproductiveillnesses e.g. Premenstrualsyndrome, genital infections,infertility, abnormal vaginalbleeding and tumors.

B4. Apply evidence based studies toevaluate the common practicesin the field of gynecology.

.

C.Professional andPracticalSkills

C1. Manage common healthproblems within thescope of familymedicine.

C2. Construct & implementappropriate basic carefor individuals and theirfamilies.

C3. Administer competent

C1. Take patient histories withemphasis on obstetricgynecological and menstrualhistories

C2. Perform basic physicalexamination

C3. Conduct the pelvicExamination,

C4. Conduct abdominal examinationfor assessment of adenxalmasses.

C5. Apply Intra uterine devices andassess pelvic examinationbefore application

C6.Counsel patient as regardFamily planning care

information gathering,select appropriateinvestigation, decide thediagnosis, and utilizeeffective & currentlyavailable drugs forproper treatment.

C4 . Initiate themanagement ofemergency situations.

C5. Perform screening testsand provide counseling,behavior changemotivation andpsychological support.

C6 . Refer patients withhealth problemsrequiring special healthcare.

C7 .Follow up patients withchronic diseases afterbeing stabilized byspecialist

C7. Perform Preconceptionexamination and investigation.

C8. Perform lifesaving managementfor the cases of bleeding therefer to the hospital

C9. Assess the cervix and performscreening for high risk patients

C10. Follow referral protocols to thespecialists among Menopauseeither pre- menopause andpost- menopause

C11. Conduct follow up observationfor chronic cases of infectionsand premenopausal syndrome

C12. Assess Reproductive health

C8.Use quality andperformance indicatorsto monitor and evaluateprograms and healthservices, taking intoaccount legal, economic,financing andeffectivenessparameters and managetime and work loadeffectively.

care by the services providedeither by using qualitatively orquantitatively and themorbidity and mortalityindicators

D. Generalandtranseferable Skills

D1.Use the basic conceptsand skills involved inculturally appropriatecommunityengagement andempowerment withdiverse communities.

D2. Informing, educating,and empowering peopleabout health issues.

D3. Mobilizing communitypartnerships and actionto identify and solvehealth problems


D2-Learn independently and seekcontinuous learning.

D3-Cooperate and activelyparticipate with his colleagues toeffectively accomplish group workactivities.

D4. Demonstrate interpersonal andcommunication skills that buildtrust by addressing relevantfactors including culture,ethnicity, language/literacy,socioeconomic status,spirituality/religion, age, sexualorientation and disability.

D5-Develop decision making, andproblem solving skills (analyzing,evaluating evidence, logicalreasoning and synthesizing).

D4.Use informationtechnology as tools topromote familymedicine and to access,evaluates, andinterprets communityhealth data.

D5.Prepare and present ascientific presentation

D6.Demonstrate leadershipskills for buildingpartnerships amongorganizations focusedon family medicinegoals.

D6-Use information technology toaccess, evaluates, and interpretsreproductive data.

D6-Practice self and peer-to-peerappraisal and evaluation.

D7manage time effectively onpersonal and team basis.

E-Attitudes andethicalbehavior

E1.Promote high standardsof personal andorganizational integrity,compassion, honestyand respect for allpeople.

E2.Appreciate theimportance of workingcollaboratively andeffectively in a teamwith diversecommunities andconstituencies (e.g.researchers,practitioners, agenciesand organizations).

E1. Respect for cultural and religiousdifferences in attitudes tochildbirth.

E2-Attend tutorials regularly, andarrive punctually.


E4-Accept personal responsibility fortheir progress and direction oflearning.

E5-Listen to and respect others'opinion.

E3.Value commitment tolifelong learning andprofessional serviceincluding activeparticipation inprofessionalorganizations.

E6-Receive feedback in an openmanner and use teachers’constructive feedback to improvetheir level of performance.


Teaching/Learning Methods14lectures

selflearning

7Practical/Clinical

7 Smallgroupdiscussion

Others(seminars)

Normal female genitaltract

Diseases of the vulva andvagina (infections)

Normal and abnormalvaginal bleeding

Normal and abnormalcervix

Pelve abdominal adenxalmasses

Gynaecological symptoms premenstrual syndrome,menstrual disorders

Contraception Infertility Tumors of reproductivesystem

Reproductive health care:preconception, familyplanning and menopausalcare

Please check ( ) the appropriate method.

STUDENTASSESSMENTType of Assessment Method Timing Marks Distribution



Oral Questions and


During Lectures or




Course20%


Practical (OSPE)

7rd Week of the

Course20%


Final Exam

(Clinical)

OSCE


List of Textbooks and ReferencesLecture Notes Handouts and power points

Course Text Books Evidence based medicine gynaecologyobsetetrics



Course InstructorName::DR. Mohamed Abo Samra Signature:

Program CoordinatorName: Dr Sahar Kashab Signature:




Faculty: Medicine


Course InformationCourse Code: 052908072.1 Course Name: Pediatrics II



Course AimsThe course supports participants in identification of Pediatric sheet, Growth and development,immunization as well as febrile child management. Also the course help in diagnosis andmanagement of: stomatitis, diaper rash, down syndrome, cerebral palsy, seizures, acute flaccidparalysis. At the same time the course include breast feeding, weaning, developmental delay,speech problems diarrhea dehydration and floppy child.

Intended Learning Outcomes (ILOs)Program ILO (refer to program

matrix)Course ILOs



A2. Acquire fundamental

A1-Mention the characteristics of a goodpediatrics health care.

A2-Describe appropriate measures for healthpromotion as well as prevention ofdisease and injury in infants &preschool children.

11

knowledge and understandingof terminology, facts, generalconcepts & basic principlesconcerning: family medicine& relevant specialties namely;Preventive & SocialMedicine, internal medicine,surgery, pediatrics, obstetrics& gynecology, Biostatistics,Epidemiology and basicresearch methodology, Socialand Behavioral Sciences &Communication.

A3. Acquire facts on concepts &measurement of health,Prevention and control ofcommunicable and noncommunicable diseases.

A3- Describe the most common pediatricsproblems.

A4-Identify different types of childhooddisorders (newborn, infants andpreschool)

A5-Recognize the impact of congenital andinherited diseases on children and theirfamilies.

A6- Discuss the

causes and pathogenesis of the mostimportant neonatal and Pediatricproblems.

A7-Describe the clinical symptoms andsigns of the most important neonataland Pediatric problems.

A8-Describe normal growth anddevelopment during infancy, childhood.

A9-Determine the nutritional requirementsand the most common nutritionaldisorders affecting infants and children,and describe appropriate managementfor disorders.

A10-Recognize the most importantbehavioral and social issues duringchildhood.

A11-Identify the appropriate diagnostic tools(and describe how they would beinterpreted) and therapeutic lines for themost important neonatal and Pediatricproblems.

A4. Acquire basic knowledge onpackages of health careactivities for infants andpreschool child stressing uponthe demographic &epidemiological factors thatdetermine utilization of healthcare services namely; Nationalhealth policy and programs,adherence to medical ethics,respect patients’ rights &principles of Leadership inFamily medicine practices.

A12 Mention the different plans of Care andreferral during infancy and preschoolchildhood.

A13-Describe appropriate management forabnormalities affecting growth anddevelopment.

A14-Describe the indications,contraindications, administration andprecautions of the immunizationsnecessary for infants and childrenaccording to the national schedule andthe condition of the child.

A15-Discuss the management priorities fordifferent neonatal and Pediatricemergencies.

C1. Identification of the common pediatricsproblems from birth till adolescence.

C2. Compare between the pediatrics care indeveloping and developed countries.


B1. discriminate the differenthealth problem and the role offamily physician in relation tothe different relevant medicalspecialties

B1-Interpret the available statistics about theindicators of morbidity, mortality andmanagement in pediatrics

B2-Interpret the most important symptomsand signs of disease in Pediatricpatients.

B3- Analyze patient's clinical data in anorganized and informative manner, toreach a diagnosis or differentialdiagnosis.

B4-Formulate appropriate managementplans for individual patients presentingwith the most common Pediatric


disorders.

B5-Make decisions of diagnosis,management and/ or referral regardingcommon clinical situations, includingneonatal, and childhood problems usingappropriate problem solving skills.

B6-Interpret X ray and CT films, blood gasand blood picture reports covering themost important Pediatric conditions.

B7- Evaluate scientific information on basisof best evidence to solve patients’problems using information technology.




C3. Administer competentinformation gathering, selectappropriate investigation,decide the diagnosis, andutilize effective & currentlyavailable drugs for proper

C1. Record/ take a proper history for apatient in the Pediatric age group.

C2. Provide initial management of commonpediatrics emergencies, before referral.

C3. Perform an adequate clinicalexamination for a patient in thePediatric age group and identifydeviations from normal.

C6. Diagnose common neonatal andPediatric emergencies.

C7. Check vital signs in neonates, infants,and children.

treatment.




C8.Use quality and performanceindicators to monitor andevaluate programs and healthservices, taking into account

C8. Assess physical and mental developmentin neonates, infants, and childrenaccording to standard milestones anddiagnose deviations from normal.

C9.Perform appropriate physicalexamination and anthropometricassessments of the nutritional status ofinfants and children.

C10. Counsel parents about proper infantsand children nutrition, prevention ofcommon pediatric infectious diseases,importance of compliance tovaccination schedule, and properadministration of drugs to sick children,with adequate doses and duration.

C11. follow the referral guidelines

C12. Demonstrate the applicability ofdifferent indicators for management orreferral

C13. Supervise the undergraduate indifferent specialized pediatrics clinicsand their attitude with children andparents.

legal, economic, financingand effectiveness parametersand manage time and workload effectively.








D1.Communicate effectively with hiscolleagues and teaching staff.

D2. Learn independently and seekcontinuous learning.

D3. Cooperate and actively participate withhis colleagues to effectively accomplishgroup work activities.

D4. Develop decision making, and problemsolving skills (analyzing, evaluatingevidence, logical reasoning andsynthesizing).

D5. Use information technology to access,evaluate, and interpret pediatrics data.

D6. Practice self and peer-to-peer appraisaland evaluation.







E1. Attend tutorials regularly, and arrivepunctually.

E2. Listen actively, and check forunderstanding.

E3. Accept personal responsibility for theirprogress and direction of learning.


E5. Receive feedback in an open manner,and use teachers’ constructive feedbackto improve their level of performance.

Course Content (Units/Topics)Teaching/Learning MethodsLectures self


Small groupdiscussion

Studentpresentation(seminars)

Pediatric sheet Growth and development Immunization Febrile children management Stomatitis/diaper rash Down syndrome Breast and artificial feeding Weaning Rickets Developmental delay, Mental retardation Cerebral Palsy Seizures Floppy baby

Acute flaccid paralysis Feeding, speech and sleep problems Diarrhea and dehydration Newborn 1 Newborn 2 Cong Hypothyroidism, Endocrine referrals Please check () the appropriate method.




Oral Questions and


During Lectures or




Course20%

Mid-term examWritten (MCQ)

Practical (OSPE)

7rd Week of the

Course20%


Final Exam

(Clinical)

OSCE


Total 100%



Course Text Books 1- Essential Pediatrics (Department’s Book,editor: P. Dr. A.S. Madkour) 2010/2011

2- Nelson's Textbook of Pediatrics

Suggested Extra Reading Essential Family Medicine Textbook(part1&2) by Robert Rakel

Journals and Periodicals, others 1-J PEDIATRICS2-CLINICAL PEDIATRICS OF NORTHAMERICA3- New England Journal of Medicine

Course Instructor

Name: Dr : Hussein Abd Eldayem Signature





Faculty: Medicine


Medical Microbiology for Family Medicine





Others

1. Introduction and orientation 2. Enteric tract infections 3. Respiratory infections 4. Sexually transmitted diseases 5. Basics of immunity to various

infections

6. Decontamination 7. Fundamentals of vaccination 8. Healthcare associated infections 9. Hepatitis 10. Antimicrobial chemotherapy 11. Diagnostic microbiology 12. Clinical problems 13. Controversial issues e.g.

Antibiotic abuse, Widal testinterpretation.



Faculty: Medicine


Clinical Pharmacology for Family Medicine





Others

1- Introduction and orientation 2- Update knowledge in clinical

pharmacology and therapeutics.

3- Adverse drug reactions

4- -Enhance skills in rationalprescribing (according to theguidelines) which expected toapply by exercise and casestudies according to the commonhealth problems in the followingfields of medical practices: -

- Pediatrics,

- Obstetrics and gynecology,

- Minor surgery,

- Medical & surgicalEmergencies,

- Dermatology,

- Chest, Cardiology,

- Endocrinology,

- Rheumatology,

- Nephrology,

- gastroenterology.



Faculty: Medicine


Course InformationCourse Code: 05072801 Course Name: Principles and practice of

Family Medicine


Number of Credit Hours 1H. Theoretical Clinical/Practical

Course AimsPrepare a family - oriented physician capable of implementing their roles and tasks of

management, referral, reporting and surveillance on the individual, family and community levels andwithin the primary health care (PHC) setting following MOHP policies and protocols. Develop aphysician who is aware about the ethical points, difficult patients, and compliance and who canupdate his information and practice from medical literature evaluation and can conduct a research.

0.50.5

10


Course ILOs



A2. Acquire fundamentalknowledge and understandingof terminology, facts, generalconcepts & basic principlesconcerning: family medicine

A1- Identify the role of family physicianduring working with families

A2- Recognize the responsibilities offamily physician towards difficultpatients

A3- Define difficult patients and theircompliance

A4- Identify the principles and scope offamily medicine and concepts ofworking with families.

A5- Determine roles and tasks of familyphysicians considering ethics;managerial, diagnostic, and preventivemeasures.

A6- Recognize principles of researchprotocol and evidence based medicine.

A7- Identify measurements of healthaccording to reporting and surveillance

A8- Describe the health measurements forreferral of patients to the higher levels

A9 - Identify packages of some nationalhealth care programs; EPI, eradication,elimination, nutritional surveillance.

A10- Recognize the importance ofconsidering ethics, compliance anddifficult patients.



B1- Evaluate the different roles and tasksof working with families.

B2. Apply evidence-basedprinciples and the scientificknowledge base to criticalevaluation and decision-making in clinical judgment inthe field of family medicine.

B2-Apply evidence based to anticipate theproper delivery of health care, thedecision making in clinical judgmentof referral, reporting and surveillance

B3- Critique the related medical literatures

C. Professionaland PracticalSkills


C1-Manage the problem of difficultpatients, incompliance of patients andreluctance of some families to openthe files.

C2. Construct & implementappropriate principles in thefield of family medicine.

C2-Revise the tasks implemented in thefield of family medicine

C3- Conduct evidence based medicine.





C7.Use quality and performance

C4- Design management plan of improperpatient compliance, difficult patientsand sanitary regulation in emergencysituation

C5-Apply the preventive measures on casestudies namely; counseling, behaviorchange of life style, screening tests forearly detection

C6-Design and conduct counselling sessionto motivate patients to overcomeincompliance

C7- Follow referral protopcols to manage

indicators to monitor andevaluate programs and healthservices, taking into accountlegal, economic, financingand effectiveness parametersand manage time and workload effectively.

cases that needs referral or specialist

C8-Decide the importance of follow up forchronic patients in case studies

C9-Use health informatics data todetermine the quality of performanceof different services of healthprograms


C10- Propose collaborative partnershipswith relevant groups to work in teameffectively and educate the patients’families.

C11- Prepare a schedule of indicators toevaluate the performance or coverageof EPI

C12- Use nutritional assessment to monitornutritional health status on thecommunity level

D. General andtranseferableSkills




D4.Use information technology as


D2- Use the learning resources effectivelyduring their work

D3-Prepare education about health for thecommon health problems faced duringwork in the family medicine centers.

D4-Train on mobilization of communityparticipants to identify and solvehealth problems

tools to promote familymedicine and to access,evaluates, and interpretscommunity health data.

D5-Utilize information technology inliteratures of EBM to interpretcommunity data


D6- Prepare and present scientific talks bypower points about the seminar andassignments advocated topostgraduates.


D7-Carry leadership responsibilitieswhenever required during provision ofservices to the community.



E1-Behave towards others in a polite, kind,caring and respectful manner.

E2-Receive constructive feedback in anopen non-defensive manner.


E3- Participate actively as member of amultidisciplinary group in delivery ofhealth care, referral, reporting andsurveillance.


E4- Value commitment to lifelong learning



learningPractical/Clinical(exercises)


Others(assignment)

Principles and scope of familymedicine,

() ()

Roles and tasks of the family doctor, () ()

Primary Health Care () ()

Expanded immunization program

(EPI)

() () ()

Patient compliance () () ()

Ethical dilemmas, ()

Breaking bad news () () ()

Electronic medical records()

() ()

The referral system and reporting &surveillance.

() () ()

Evidence based medicine andevaluating medical literature

() () ()

Nutritional surveillance &assessment.

() () ()

ICD and International HealthRegulations

() ()q


STUDENT ASSESSMENT FOR NON CLINICAL COURSES

STUDENT ASSESSMENT STUDENT ASSESSMENT


Formative Assessment (No Marks Allocated):

Formative and


Oral Questions and


During Lectures or

Practical Sessions (No Marks)


Portfolio Assessment (Log book)All through the

Course20%


Practical

7rd Week of the

Course20%


Final ExamPractical End of Semester 20%

Total 100%




Oral Questions and


During Lectures or




Course20%


Practical

7rd Week of the

Course20%



Total 100%


List of Textbooks and ReferencesLecture Notes - PowerPoint presentationsCourse Text Books 1. Rakel R E. Essential family Medicine Fundamental

and Case studies. 3rd edition. 20062. Jon M. Last, Robert B. Walleance. Maxy-Rsenau

Public Health & Preventive Medicine. Prentice-HallInternational Inc. 13 th edition. Vol.21990

3. Bhalwar R. Text book of public health andcommunity medicine. In collaboration with WHO,

India Office, New Delhi 2009

4. Webber R. Communicable Disease Epidemiologyand Control:, London School of Hygiene andTropical Medicine

5. Beneson AS. Control of Communicable Diseases inMan:, American Public Health Association



Course InstructorName: Prof. Dr Nahla kishk Signature:

Program CoordinatorName: Dr Sahar Kashab Signature:

Program Director (Head of Department)Name: Prof. Dr Eman Daeweesh Signature:



Faculty: Medicine


Course InformationCourse Code: 05072802 Course Name: Counseling, Communication,

Health Education and HealthCare Quality Management


Number of Credit Hours:1 Theoretical Clinical/Practical

Course Aims:

The course supports participants in the Knowledge and understanding of Principles of Healtheducation, behavioral problems, communication, Management & Quality assurance.


Course ILOs


A2. Acquire fundamentalknowledge and understandingof terminology, facts, generalconcepts & basic principlesconcerning: family medicine& relevant specialties namely;Preventive & SocialMedicine, internal medicinedermatology and andrology,surgery, pediatrics, obstetrics& gynecology, mental health,Biostatistics, Epidemiologyand basic researchmethodology, Social andBehavioral Sciences &

A1- Define the term health, healthpromotion, health education, healthbehavior, health believe, attitude,perception ,counseling, communication

A2-Identify the definition and basicprinciples of evaluation & management.

A3- Identify the evolution of the concept ofquality in health care

A4- Define quality in health care

A5- List the contemporary dimensions ofquality in health care

A6- Define each dimension of quality inhealth care

0.50.5

Communication.



A7- Identify determent of health andbehavior for different health problems

A8- Identify categories of health behaviorA9- Mention the factors that may influence

the health behaviorA10- Recognize the stages of behavioral

changeA11- State the key concepts of health

believe model and mention thelimitations of the health believe model

A12- List the steps of planning of a healtheducation program

A13- Identify the purposes, levels and stepsof evaluation of a health educationprogram

A14- List the elements and importance ofcommunication

A15- State types and tools used incommunication

A16- List the objectives of managementA17- Describe the component and the

different levels of evaluationA18- Identify the different perspectives of

quality in health care


B1. Discriminate the differenthealth problem and the role offamily physician in relation tothe different relevant medical

B1- Compare between determents ofdifferent health problems

B2- Differentiate between the different

specialties


categories of health behavior and itsrelation to the occurrence of differenthealth problem

B3-Interpret the different factors that mayinfluence the occurrence of a behavior.

B4- Select the appropriate educationalstrategies to achieve a specificeducational objective of a healtheducation sessions

B5- Criticize a communication situation (counseling session) using a chick list




C8.Use quality and performanceindicators to monitor andevaluate programs and health

C1- Conduct a behavioral and educationaldiagnosis of a health problem related tobehaviors

C2-Formulate specific objectives accordingto the need assessment and diagnosis

C3- Construct appropriate plan forintervention according to the differentstage of readiness to change a behaviorand the key concepts of the healthbelieve model

C4- Formulate the contents of differentinterventions according to the stage ofbehavioral change

C5- Apply the concepts of the healthbelieve model for the preparation of ahealth education message to help peopleto take healthy decision for some healthproblem

C6- Select and use the appropriate indicatorsto evaluate the success of a healtheducation program at its different levels

services, taking into accountlegal, economic, financingand effectiveness parametersand manage time and workload effectively.



C7-Train on conduction of teaching skills,including the education of patients ontopics related to behaviors.

C8-Communicate with their colleagues inthe small group discussion aboutcounseling





D1-Cooperate and actively participate withhis colleagues to effectively accomplishgroup work activities about health data.


D3-Cooperate and actively participate withhis colleagues to effectively accomplishgroup work activities of Informing,educating, and empowering peopleabout health issues.

.

D4-Practice self and peer-to-peerparticipation to present a scientific talk.


E2.Appreciate the importance ofworking collaboratively andeffectively in a team withdiverse communities andconstituencies (e.g.researchers, practitioners,agencies and organizations)



E3-Accept personal responsibility for their

own progress and direction of learning.

E4-Listen to and respect others' opinion.

E5-Receive feedback in an open manner,and use teachers’ constructive feedbackto improve their level of performance.





Others(Assignment)

- Determinant of health of differenthealth problems

- Health promotion& healtheducation- Categories of health behavior and

related health problems- Factors affecting health behavior- Stages of behavior change model- Health believe model key concepts- Application of stages of behavior

change model and Health believemodel

- Steps of planning of a healtheducation Program- Purposes and levels of evaluation- Tools ,indicators and methods ofmeasurement in health educationevaluation- Importance and elements of

communication- Types and tools of communication- Factors affecting communication- How to prepare a health talk- Objectives of management- Component of the managementprocess- Introduction to quality in healthcare :

- concept of quality in health care- dimensions of quality in health

care- different perspectives of quality in

health care






Formative and


Oral Questions and


During Lectures or




Course20%


Practical

7rd Week of the

Course20%



Total 100%




Oral Questions and


During Lectures or




Course20%


Practical

7rd Week of the

Course20%



Total 100%




Course Text Books 1.Green LW, et al.Health education planning: ThePrecede framework 1980.2.Green LW, Kreuter MW.Health promotionplanning : an educational and environmentalapproach,2 nd edition, Mountain View, Torontoand London. Mayfield publishing Company 1991.

3.Health education and health promotion 2002.Lecture notes. School of Public Health and TropicalMedicine. James Cook University. 4.AdamsCarlton and others.Health education planning: AGuide for practicing quality health education.North Carolina State Department of Environment,Health and Natural Resources.1994.

Suggested Extra Reading 5.McDermott R J, Sarvela PD . Health educationevaluation and measurement. A Practitioner’sperspective 2nd edition ,1999


Course InstructorName: Prof. Dr. Nagwa Fouad Shokeir Signature:

Program CoordinatorName: Dr. Sahar Kashab Signature:




Faculty: Medicine


Course InformationCourse Code: 05072803 Course Name: Basic Epidemiology and SPSS

Application

Program in which the Course is given: Master Degree of Family Medicine.

Number of Credit Hours 1Theoretical Practical

Course AimsThe course trains participants on how to apply their acquired basics of epidemiology, biostatisticsand research methodology in conducting a research.

This includes: literature review on a selected topic, construction of an appropriate research tool,selection of a suitable epidemiologic method and sampling technique and writing the researchproposal. After individual data collection, participants will be trained on data entry, processing,analysis and interpretation using the SPSS program (scientific package of social sciences).

10

Intended Learning Outcomes (ILOs)

Program ILO (refer toprogram matrix)

Course ILOs

A1. Apply fundamentalknowledge andunderstanding ofBiostatistics, Epidemiologyand basic researchmethodology

A1-Identify the differentepidemiological study designs.

A2- Mention applications ofbiostatistics.A3- Discuss the suitable scale for

measurement of numerical andcategorical variables

A4- Describe various data collectiontechniques and tools, and state theirutilities and limitations.

A5-compare between different samplingtechniques, and state the utilities ofeach.

B. Intellectual skills B1.Apply evidence-basedprinciples and the scientificknowledge base to criticalevaluation and decision-making in clinical judgmentin the field of familymedicine.

B1-Select the most suitableepidemiologic study in scientificresearches.

B2-Ensure that the collected data isvalid & reliable.

B3-Select the appropriate statisticalmethods for analysis

B4-Determine and categorize studyvariables into numerical (continuous

or discrete) and categorical (ordinalor nominal)

B5- Distinguish between dependent,independent and confoundingvariables.

B6-Specify the data collectiontechniques that will be used (e.g.,record review, observing,interviewing, administering writtenquestionnaire) that will be used afterliterature review

B7- Design the plan of statisticalanalysis according to the type ofstudy variables, and thepurpose/objectives of the study.

C.Professional andPractical Skills

C1- Design a data collection tool (e.g.,interview guide, checklist,questionnaire)

C2- Conduct a plan for data collection(WHAT data?) according to the titleand aims of the study.

C3- Construct dummy tables for theresearch in accordance to its title,objectives & literature review.

C4- Conduct data entry, definition ofvariables, presentation, interpretationusing SPSS

.

C5- Apply the different statistical testsof significance & analysis usingSPSS

C6- Present data by using suitabletables, graphs & mathematicalmeasures of central tendency anddispersion.

C7- Interpret the presented dataaccording to the measures obtained.

C8- Use computer soft ware (SPSSprogram) to apply the practical stepsfor data processing; entry,Presentation, analysis, andinterpretation of the computer output.

C9-critique published medical articles,and recognize strengths andweaknesses of differentepidemiologic study designs.

.D. General Skills D1.Use information

technology as tools to access,evaluates, and interpretscommunity health data.

D1-Use information technology toaccess, evaluates, and interpretsepidemiological data.

D2.Prepare and present ascientific presentation

D2-Practice self and peer-to-peerappraisal and evaluation of thesituation and present it effectively


45-Cooperate and actively participatewith his colleagues to effectivelyaccomplish group work activitiesabout health data..

E- attitudes andethical behaviors

E1.Promote high standards ofpersonal and organizationalintegrity, compassion,honesty and respect for allpeople.



E3-Accept personal responsibility fortheir own progress and direction oflearning.

E4-Listen to and respect others' opinion.E5-Receive feedback in an open manner

and use teachers’ constructivefeedback to improve their level ofperformance.


Methods of teachingLectures(Illustratedlectures/Interactivepresentations)

Selfdirectedlearning

Smallgrouplearning(Tutorials,Groupdiscussions)

Practical:Groupwork/activities

OthersAssignments

How to write aresearch proposal

How to write aresearch tool

Data collection Data presentation Data interpretation Data analysis Data conclusion Data entry Data processing Computer outputs Please check () the appropriate method.

Student AssessmentMethods of Assessment Essay Objective questions

Case OSCE/OSPE

Assignment Logbook fulfillment

Others(Exercises)

Schedule of Assessment Mid-term 20 %

End of term 80 %Distribution of Marks

Practical/ Exam 60 %Others (assignment & exercise) 20%

List of Textbooks and ReferencesCourse Text Books 1-Jekel J. F., Katz D.L., Elmore J.G., and

Wild D.Epidemiology, Biostatistics andPreventive Medicine, 3rd edition. Saunders ·Published June 2007.2- Beth Dawson-Saunders, Robert G.Trapp.Basic & clinical Biostatistics 2nd edition. Alange medical book.1994.

Suggested Extra Reading Last J M, Wallace R B. Public health &preventive Medicine. 13th edition.1992.


Course InstructorName: Assistant Prof. Dr. Sahar Khashab Signature:

Program CoordinatorName: Assistant Prof. Dr. Sahar Khashab Signature:

Program Director (Head of Department)Name: Prof. Dr. Iman Darweesh Signature:

------ -----

------ ------

------



Faculty: Medicine


Course InformationCourse Code: 05072804 Course Name: Preventive Care I



Course Aims:

The course aims at developing the competence of the family physician on the preventive careaspect related to child health including neonatal check up, nutritional care and breast feeding. Thecourse focuses on the preventive care directed to infants, preschool, school children andadolescents. The course also aims at developing skills needed for periodic examination, growthmonitoring, developmental screening of children, diagnosing growth disorders and sleep problems.

Intended Learning Outcomes (ILOs)Program ILO (refer to program matrix) Course ILOs


A2. Acquire fundamental knowledgeand understanding of terminology,facts, general concepts & basicprinciples concerning: familymedicine & relevant specialtiesnamely; Preventive & SocialMedicine, internal medicinedermatology and andrology,surgery, pediatrics, obstetrics &gynecology, mental health,Biostatistics, Epidemiology andbasic research methodology, Socialand Behavioral Sciences &Communication.

A1-Define the family dynamicsA2-Identify the elements of proper

neonatal care, infant care,preschool care, school andadolescents care

A3-Identify the components ofneonatal check up

A4- List the categories of at riskneonates

A5- List the categories of at riskchildren

A6- Describe the principles ofnutritional care in neonatal period ,infancy and childhood period

A7- Identify the recommendations forpromotion of breast feeding andweaning practices

A8- Describe the preventive strategiesdirected to neonates and children inthe different age categories

11

A3. Acquire facts on concepts &measurement of health, preventionand control of communicable andnon communicable diseases,community nutrition, environmentaland occupational health

A4. Acquire basic knowledge onpackages of health care activities forall ages and both sexes onpopulation based strategies stressingupon the demographic&epidemiological factors thatdetermine utilization of health careservices namely: National healthpolicy and programs, Programplanning and health informaticsManagement, health team,adherence to medical ethics, respectpatients` rights &principles ofleadership in family medicinepractices

including screening programs.A9-Describe the strategies of

immunization Program andvaccines delivered

A10- Identify the importance ofperiodic examination

A11- Describe growth monitoringprocedure

A12- Identify growth disorders andsleep problems

A13 -Identify the steps ofdevelopmental screening

A14-Identify the important indicatorsfor the measurement of healthrelated to the neonatal problems

A15- Identify health indicators relatedto children problems

A16- discuss the role of healthindicators for assessment of infantand child health services

A17- Identify important communicablediseases in infancy, preschool andschool periods

A18- Identify communicable diseasesin adolescence

A19-List the important noncommunicable disease in infancy,preschool and school periods

A20- List the important noncommunicable diseases inadolescence

A21- Identify the components ofpackages for infants and childhealth services in family healthcenters

A22-Describe the components of theschool health program

A23- Identify the multidisciplinaryapproach for adolescent health careservices

A24- List factors that determine theutilization of child health services

B. Intellectualskills B1. discriminate the different health

B1- Interpret the significance andrelevance of abnormal signs related

problem and the role of familyphysician in relation to the differentrelevant medical specialties.

B2.Apply evidence-based principles andthe scientific knowledge base tocritical evaluation and decision-making in clinical judgment in thefield of family medicine.

to the health problems of neonates

B2- Interpret the data collected fromchildren in preschool and schoolages

B3- Interpret growth curves forchildren

B4- Apply the role of familyphysicians in relation to thedifferent problems encounteredamong children and adolescents

B5- Apply evidence based principles incritical evaluation and clinicaljudgment for infants and childrenhealth problems

B6- Apply evidence based principles incritical evaluation and clinicaljudgment for adolescents healthproblems


C1. Manage common health problemswithin the scope of family medicine.

C8. Use quality and performance

C1-Manage (problem solving) thecommon health problems amongnewborns

C2- Manage (problem solving) thecommon health problems related topost neonatal period

C3- Manage (problem solving) healthproblems related to preschoolperiod

C4- Manage (problem solving)problems of growth anddevelopment among children andadolescents

C5-Manage (problem solving)common health problems of schoolchildren and adolescents

C6-Use performance indicators to

indicators to monitor and evaluateprograms and health services takinginto account legal, economic,financing and effectivenessparameters and manage time andwork load effectively

C9. Conduct teaching skills, includingthe education of patients, doctors intraining and colleagues.

C10. Master communication,consultation and counseling skills.

monitor infant and child healthprograms

C7- Select performance indicators toevaluate the adolescents healthprograms

C8- Design and conduct healtheducation sessions for mothers inrelation to child care as a part ofthe family physician role

C9- Design and Conduct healtheducation sessions for adolescentsin relation to the different healthproblems occurring in this period

C10- Design and conduct training forsessions colleagues in the area ofchild care

C11-Design and conduct counselingsessions for mothers in relation tothe health problem of their children

C12- Design and conduct counselingfor adolescent for their differentphysical and psychologicalproblems

C13- Apply fully the differentcommunication methods to conducthealth education and counseling ofmothers and adolescents

D. GeneralandtransferrableSkills

D1.Use the basic concepts and skillsinvolved in culturally appropriatecommunity engagement andempowerment with diversecommunities.

D2. Informing, educating, andempowering people about healthissues.

D1-Use skills to access the differentmothers` groups of diversesocioeconomic status

D2- Use skills to access adolescentgroups

D3-Educate and empower women atchild care

D4- Educate women on the health

D3. Mobilizing community partnershipsand action to identify and solvehealth problems


D6.Demonstrate leadership skills forbuilding partnerships amongorganizations focused on familymedicine goals.

problems related to infants,preschool and school children

D5- Educate women about the growthand development

D6- Mobilize community partnershipsand action to identify and solvechildren health problems

D7- Mobilize community partnershipsand action to identify and solveadolescent health problems

D8- Present scientific presentation onhealth indicators related to childhealth services

D9- Present scientific presentation onhealth care during neonatal,postneonatal and preschoolperiods

D10- Present scientific presentation onschool health care

D11- Present scientific presentation onadolescent health problems

D12- Demonstrate leadership skills forbuilding partnerships amongorganizations focused on childhealth services

D13- Demonstrate leadership skills forbuilding partnerships amongorganizations focused on commonhealth problems of children


E1.Promote high standards of personaland organizational integrity,compassion, honesty and respect forall people.

E1- Promote high standards of honestyand respect to women in childhealth program

E2- Promote high standards of honestyand respect to adolescents

E2.Appreciate the importance ofworking collaboratively andeffectively in a team with diversecommunities and constituencies (e.g.researchers, practitioners, agenciesand organizations).

E3.Value commitment to lifelonglearning and professional serviceincluding active participation inprofessional organizations.

E3-Appreciate working in a team workwith researchers and othercolleagues in the area of child care

E4-Appreciate working in a team workwith agencies and organizations tosolve the health problems ofadolescents

E5- Appreciate working in a teamwork with researchers and othercolleagues in the area of nutritioncare, growth and development

E6-Value the commitment to lifelonglearning and professional service inorganizations related to child healthcare

E7- Value the commitment to lifelonglearning and professional service inorganizations related to adolescentscare.





Others

Course orientation Family dynamics Neonatal check up Nutrition care, promotion of breastfeeding and weaning

immunization Child care

Infant care Preschool care

School care Adolescent care Periodic examination Growth monitoring and developmentalscreening

Growth disorders and sleep problems






Formative and


Oral Questions and


During Lectures or




Course20%


Practical

7rd Week of the

Course20%



Total 100%




Oral Questions and


During Lectures or




Course20%


Practical

7rd Week of the

Course20%



Total 100%


Lecture Notes Lecture Handouts PowerPoint presentations

Course Text Books 1-Rajvir Bhalwar. Text book of public healthand community medicine department ofcommunity Medicine ,AFMC,Pune incollaboration with WHO,India office ,NewDelhi.1st edition 20092-Park J E., Park K. textbook of preventive andsocial medicine.12th edition. India 1989



Course InstructorName: Prof.Dr. Nadia Fouad Farghaly Signature:

Program CoordinatorName: Assistant Prof. Dr Sahar Kashab Signature:

Program Director (Head of Department)Name: Prof. Dr. Eman Daeweesh Signature:



Faculty: Medicine


Course InformationCourse Code: 05072805 Course Name: Preventive Care II


Number of Credit Hours 2 Theoretical Practical

Course Aims:The course aims at training the family physician on the preventive care aspect related toreproductive health including premarital care and maternity care. The course focuses on themonitoring of the mother during pregnancy and the postpartum period and family planning. Thecourse also aims at developing skills needed for preventive care of elderly group


Course ILOs


A2. Acquire fundamentalknowledge and understandingof terminology, facts, generalconcepts & basic principlesconcerning: family medicine

A1-Define the reproductive healthA2-Identify the elements of proper

premarital, antenatal ,natal and postnatalcare

A3-Identify the different pregnancy risksincluding biological, social, medical andobstetrical risks

A4- Describe the population-basedpreventive strategies directed to womenincluding screening programs.

A5-Identify the concept of family planningA6- Describe the impact of family planning

on maternal and child healthA7-Identify the health needs of the elderly

groupA8- Describe the components of

comprehensive geriatric assessment

11

A3. Acquire facts on concepts &measurement of health,Prevention and control ofcommunicable and noncommunicable diseases,Community Nutrition,Environmental andOccupational Health.

A9-Identify the important indicators for themeasurement of health related to thematernity problems

A10- Identify health indicators related tofamily planning

A11- Demonstrate the knowledge related tohealth indicators for elderly population


A12- Identify the activities of familyplanning program

A13- Identify the activities of maternityhealth care services

A14-Describe the activities of premaritalservices

A15- Mention the activities of elderly careservices



B1- Analyze the data collected from thepremarital assessment tool

B2- Interpret the significance and relevanceof abnormal signs related to the healthproblems (morbidity and mortality) ofmaternal origin

B3-Interpret adequately the results related tofamily planning assessmentquestionnaire

B4-Interpret the data collected from geriatric


patients

B5-Apply evidence based principles incritical evaluation and clinical judgmentfor premarital health problems

B6-Apply evidence based principles incritical evaluation and clinical judgmentfor maternal health problems

B7-Apply evidence based principles incritical evaluation and clinical judgmentfor elderly health problems



C1-Manage the common health problemsamong pregnant women

C2-Manage the common health problemsrelated to post neonatal period

C3-Manage health problems related toelderly


C4-Use performance indicators to evaluatematernity health service programs

C5-Use demographic data to evaluate thepopulation problem (death and birthrates and population growth)

C6-Use performance indicators to monitorfamily planning programs

C7-Use suitable indicators to monitor theelderly health program


C8-Conduct health education for pregnantfemales as a part of the family physicianrole

C9- Conduct training for colleagues in thearea of antenatal, Natal and postnatalcare

C10- Conduct health education for elderlypatients as regards their importanthealth problems


C11- Counsel females in relation to thefamily planning methods

C12- Conduct premarital counselingC13-Use skillfully the different

communication methods to conducthealth education and counseling ofpatients



D1-Use skills to access the different femalegroups of diverse socioeconomic status

D2- Use skills to access the different elderlygroups


D3-Educate and empower women atpremarital care

D4- educate women on the health problemsrelated to antenatal ,natal and postnatalperiods

D5- empower women about the familyplanning concept



D6- Mobilize community partnerships andaction to identify and solve maternalhealth problems

D7- Mobilize community partnerships andaction to identify and solve elderlyhealth problems

D8- Present scientific presentation on healthindicators


D9- Present scientific presentation on healthcare during antenatal ,natal andpostnatal periods

D10- Present scientific presentation onpremarital care

D11- Present scientific presentation onfamily planning program

D12- Present scientific presentation onelderly health program

D13- Demonstrate leadership skills forbuilding partnerships amongorganizations focused on maternity care

D14- Demonstrate leadership skills forbuilding partnerships amongorganizations focused on elderly care.




E1- Promote high standards of honesty andrespect to women in maternity healthprogram

E2- Promote high standards of honesty andrespect to elderly people in the geriatrichealth program

E3-Appreciate working in a team work withresearchers and other colleagues in thearea of family planning

E4-Appreciate working in a team work withagencies and organizations to solve thepopulation problem

E5- Appreciate working in a team work withresearchers and other colleagues in thearea of maternity health care

E6- Appreciate working in a team work withagencies and organizations in the areaof elderly care


E7-Value the commitment to lifelonglearning and professional service inorganizations related to family planningand maternity care.

E8- Value the commitment to lifelonglearning and professional service inorganizations related to elderly care.





Problemsolving

Course orientation Introduction to demography Population problem Health indicators Premarital care Antenatal care Natal care Postnatal care Family planning Elderly care Please check () the appropriate method.





Formative and


Oral Questions and


During Lectures or




Course20%


Practical

7rd Week of the

Course20%



Total 100%




Oral Questions and


During Lectures or




Course20%


Practical

7rd Week of the

Course20%



Total 100%

SS


PowerPoint presentationsCourse Text Books 1-Rajvir Bhalwar. Text book of public health

and community medicine department ofcommunity Medicine ,AFMC,Pune incollaboration with WHO,India office ,New

Delhi.1st edition 20092-Park J E., Park K. textbook of preventive andsocial medicine.12th edition. India 1989



Course InstructorName: Dr. Jehan Gawavel Signature:

Program CoordinatorName: Assistant Prof. Dr Sahar Kashab Signature:


1



Faculty: Medicine


Course InformationCourse Code: 05072806 Course Name: Preventive care III



Course AimsThis course aims at preparing participants for learning the principles and interventions forhealth promotion and disease prevention, as well as developing comprehensive experiencesin managing common non-communicable diseases within the scope of family medicine careto be competent family physicians.


Course ILOs


A2. Acquire fundamentalknowledge and understandingof terminology, facts, generalconcepts & basic principlesconcerning: family medicine& relevant specialties namely;Preventive & SocialMedicine, internal medicinedermatology and andrology,surgery, pediatrics, obstetrics& gynecology, mental health,Biostatistics, Epidemiologyand basic researchmethodology, Social andBehavioral Sciences &

A1. Identify methods of disease causationA2. Identify the major lifestyle diseasesA3. Explain socio-environmental changes

have led to increasingly unhealthylifestyles in populations

A4. Describe epidemiology of Ischemicheart disease (IHD) in terms of person,time and place

A5. Determine non-modifiable andmodifiable coronary risk factors

A6. Define hypertensionA7. Classify hypertension by different waysA8. Enumerate causes of secondary

hypertensionA9.Describe epidemiology of hypertension

in terms of person, time and placeA10. Determine non-modifiable and

modifiable hypertension risk factors

11

2

Communication.

A3. Acquire facts on concepts &measurement of health,Prevention and control ofcommunicable and noncommunicable diseases,Community Nutrition,Environmental andOccupational Health.


A11. Define and classify diabetes mellitusA12. Discuss complications of diabetesA13. Determine risk factors for diabetesA14. Describe the epidemiology of common

cancersA15. Determine magnitude of coronary heart

diseases & hypertensionA16. Determine magnitude of diabetes

mellitusA17. Determine the magnitude of cancerA18. Identify the majors risk factors for

cancersA19. Determine screening tests used for

common & important Cancers inEgyptian context

A20. Identify the major components oflifestyle modification

A21. Recognize primordial, primary,secondary and tertiary preventivestrategies for IHD

A22. Discuss strategies for prevention andcontrol of hypertension

A23. Outline broad strategy for preventionand control of diabetes

A24.Outline strategies for prevention ofcancers, as well as early diagnosis andeffective treatment in many instance

A25. Describe the types of demandsexperienced by the family system when afamily member is diagnosed with chronicillness.

A26. Describe the variations of copingresponses.

A27. Discuss the role of culture, race, andethnicity in family caregiving.

3




B1. Assess at risk people for selected non-communicable diseases

B2. Discriminate the basic care for theindividuals according to the non-communicable

B3. Use of evidence based nationalguidelines in the management ofselected non-communicable diseases

B4. Analyze different methods for patient’scoping with the chronic illness

B5. Differentiate between the key termsinvolved in discussions of chronic illness

B6. Interpret the major assumptions of crisistheory and their application for families withpatients experiencing chronic illness.

B7. Evaluate the impact of chronic illnesson the patient and the role of the patient'sdevelopmental stage in affecting themeaning and impact of chronic illness.

B8. Analyze the factors that influence howfamilies respond to the diagnosis of chronicillness.

B9. Assess the role of gender in familyadaptation to chronic illness.

B10. Detect the impact of spirituality andreligiosity in family adaptation to chronicillness.

B11. Distinguish between the terms"caregiving" and "caregiver," and define theconcept of caregiver stress.

B13. Apply various types of assessments

4

and interventions for the families ofchronically ill patients.







C9. Conduct teaching skills,including the education of

C1. Construct management plan for commonnon-communicable diseases

C2. Develop a management plan for selectedemergency situations in CHDs

C3. Evaluate national screening programsfor non-communicable diseases

C4. Choose the appropriate referral forhealth problems that require specialhealth care

C5. Plan a follow up strategy for patientswith chronic diseases after beingstabilized by specialist

C6. Prepare a check list for monitoring theperformance of preventive and controlprograms applied for non-communicable diseases

C7. Assess a counseling session forbehavioral modification andpsychological support

5

patients, doctors in trainingand colleagues.







D1.Communicate effectively with hiscolleagues, tutors and teaching staffusing verbal and written methods.


D3.Cooperate with his colleagues, tutors andteaching staff to accomplish group workduties effectively, and solve issuingproblems.

D4.Practice self and peer-to-peer appraisaland evaluation.

D5. Prepare and present a scientificpresentation

D6. Carry leadership responsibilitieswhenever required.



E2.Appreciate the importance ofworking collaboratively andeffectively in a team with

E1. Respect dignity and autonomy ofpatients

E2.Behave towards others in a polite, kind,caring, and respectful manner.

E3. Appreciate the importance of workingcollaboratively and effectively in a team

E4.Attend tutorials regularly, and arrive

6

diverse communities andconstituencies (e.g.researchers, practitioners,agencies and organizations).


punctually.

E5. Accept responsibility.


E7. Receive constructive feedback in anopen non-defensive manner.

E8. Value commitment to lifelong learningE9. Treats patients equallyE10. Shows empathy with patients





Students’presentation

The impact of chronic illness on thepatient

Disease causation & important riskfactors for NCD

General principles for prevention ofnon-communicable diseases

Risk assessment and evaluation ofpreventive strategies

Conceptual framework formanagement of Chronic NCDs inprimary care settings

Role of family doctor in non-communicable disease prevention &control

Families of Chronically-Ill Patients

Epidemiology of selected non-communicable diseases (assignment topics)

Cardio vascular diseases

7

Diabetes Mellitus

Hypertension

Cancer

Injury

Osteoporosis

Field visits

- diabetes risk factor scores

- dietary counseling for dyslipidemia

- Health education for osteoporosisprevention






Formative and


Oral Questions and


During Lectures or





Oral Questions and


During Lectures or


Continuous Assessment: 40%Portfolio Assessment All through the 20%

8



Course20%


Practical

7rd Week of the

Course20%



Total 100%

Course


Practical

7rd Week of the

Course20%



Total 100%


List of Textbooks and ReferencesLecture Notes

Course Text Books Rakel: Textbook of Family Medicine, 7th ed.Copyright © 2007 Saunders, An Imprint

of Elsevier

Practice national guidelines for family physicians volume 4Suggested ExtraReading

- Centers for Disease Control and Prevention (CDC). Centers for Disease Controland Prevention (CDC) : National Diabetes Surveillance System: Prevalence ofDiagnosed Diabetes by Age, United States, 1980-2003. National Center forHealth Statistics, National Health Interview Survey, April 2005c. Accessed July11, 2005- U.S. Preventive Services Task Force (USPSTF), 2002b. U.S. PreventiveServices Task Force (USPSTF) : Behavioral counseling in primary care topromote physical activity: Recommendations and rationale. Ann Intern

9

Med 2002; 137:205-207.- U.S. Preventive Services Task Force (USPSTF), 2002c. U.S. PreventiveServices Task Force (USPSTF) : Screening for breast cancer. Ann InternMed 2002; 137(Pt 1):344-346.- U.S. Preventive Services Task Force (USPSTF), July 2002d. U.S.Preventive Services Task Force (USPSTF) : Screening for ColorectalCancer: Recommendations and Rationale, Rockville, MD, Agency forHealthcare Research and Quality, July 2002.- U.S. Preventive Services Task Force (USPSTF), 2002e. U.S. PreventiveServices Task Force (USPSTF) : Screening for depression:Recommendations and rationale. Ann Intern Med 2002; 136:760-764.- U.S. Preventive Services Task Force (USPSTF), 2002f. U.S. PreventiveServices Task Force (USPSTF) : Screening for osteoporosis inpostmenopausal women: Recommendations and rationale. Ann InternMed 2002; 137:526-528.- U.S. Preventive Services Task Force (USPSTF), 2002g. U.S. PreventiveServices Task Force (USPSTF) : Screening for prostate cancer:Recommendations and rationale. Ann Intern Med 2002; 137:915-916.- U.S. Preventive Services Task Force (USPSTF), 2003a. U.S. PreventiveServices Task Force (USPSTF) : Behavioral counseling in primary care topromote a healthy diet: Recommendations and rationale. Am J PrevMed 2003; 24:93-100.- U.S. Preventive Services Task Force (USPSTF), November 2003b. U.S.Preventive Services Task Force (USPSTF) : Counseling to PreventTobacco Use and Tobacco-Related Diseases: Recommendation Statement,Rockville, MD, Agency for Healthcare Research and Quality, November

2003.Journals andPeriodicals, others

- American Heart Association, 2004. American Heart Association : HeartDisease and Stroke Statistics—2005 Update, Dallas, American HeartAssociation, 2004.

- American Academy of Family Physicians (AAFP). AmericanAcademy of Family Physicians (AAFP) : Number of office visits(in thousands) by patients of all ages to selected specialties rankedby the 20 most frequent principal diagnoses by the physician(ICD-9 three digit code in parentheses), 2002. Accessed July 17,2005.

- American Academy of Family Physicians (AAFP): AAFPSummary of Policy Recommendations for Periodic HealthExaminations. American Academy of Family Physicians(AAFP): AAFP Summary of Policy Recommendations forPeriodic Health Examinations. Annually released and available atJuly 12, 2005.

- American Cancer Society (ACS). American Cancer Society(ACS): Cancer Facts and Figures 2005.

10

Course InstructorName: Aida Mohey Mohamed Signature: Aida Mohey

Program CoordinatorName: Ass Prof.Sahar Khashab Signature:

Program Director (Head of Department)Name: Prof. Dr. Eman Darwish Signature:



Faculty: Medicine

Department: Cardiology

Course InformationCourse Code: 051508072 Course Name: Internal Medicine for Family

Medicine I

Program in which the Course is GivenMaster degree of family medicineNumber of Credit Hours 2 Theoretical Clinical/Practical

Course Aims: By the end of this course the candidates will be able to understand the differentdiagnostic procedures, differential diagnosis and different lines of basic management of thecommonly encountered:

1. Cardiac disorders: Arrhythmias, Palpitation, Hypertension, Hyper-lipidemias, Chest pain,Ischemic heart diseases, Heart failure & the related laboratory investigations and guidelinesof medical care.

2. Respiratory disorders; asthma, COPDs, TB, pneumonia, chronic bronchitis, occupationallung diseases, lung cancer and sleep apnea & the related laboratory investigations andguidelines of medical care.

Additionally, each participant will be competent family physicians in managing the preliminarilycases or referring the advanced cases requiring specialized care and then maintain high qualityfollow up care.


Course ILOs


A1. Acquire sufficient knowledgeand understanding of practiceof family medicine andrelevant specialties

A1. Identify the role of family physicianas regards the Cardiology andrecognize definitions andnomenclature of commonlyencountered chest conditions that are

11

A2. Acquire fundamentalknowledge and understandingof terminology, facts, generalconcepts & basic principlesconcerning: family medicine &relevant specialties namely;Preventive & Social Medicine,internal medicine, surgery,pediatrics, obstetrics &gynecology, Biostatistics,Epidemiology and basicresearch methodology, Socialand Behavioral Sciences &Communication.


A4. Acquire basic knowledge onpackages of health careactivities for all ages and bothsexes on population basedstrategies stressing upon thedemographic &epidemiological factors thatdetermine utilization of healthcare services namely; National

specified in this course content.

A2- Define the following cardicacdisorders: Arrhythmias, Palpitation,Hypertension, Hyper-lipidemias, Chestpain, Ischemic heart diseases, Heartfailure.

A3-Identify the elements of properdiagnosis of the above problems

A4-Identify the different risk takingbehaviors

A5- Recognize the pathophysiology ofcommon specified conditions

A6- List the etiology & risk factors ofcommon specified chest conditions

A7-. Identify classical and less commonpresentations of common specifiedchest conditions

A10-Describe the different lines ofmanagement of each of those cardiacdisorders

A11- Describe different diagnostic tools,different lines of treatment as well asways of prevention and control ofcommon specified chest conditions.

health policy and programs,Program planning, and healthinformatics Management,health team, adherence tomedical ethics, respectpatients’ rights & principles ofLeadership in Family medicinepractices.




B1- Analyze the data collected from thedifferent diagnostic tools of cardiology andApply knowledge to locate the patients’problems

B2- Analyze data obtained from clinicalinterview to reach a diagnosis/differentialdiagnosis

B4-Interpret the significance of thefindings in ECG

B5-. Interpret efficiently a posteroanteriorand a lateral view of chest x-ray

B6- Interpret efficiently a chest C.T.

B7- Analyze pulmonary function tests

B8-interpret adequately the complain andsigns of the individual for earlyrecognition and proper managementrelying upon evidence based studies.

B9- Construct a management planincluding efficient interpretation ofdiagnostic tools as well as selection offirst lines of treatment according toEBM.







C6 . Refer patients with health

C1- Manage the common cardiologicalhealth problems among children(rheumatic fever) and elderly(hypertension, IHDs & arrhythmia)

C2- Manage the common chest problemsnamely; asthma, infection & TB.

C3-Develop provisional diagnosis fromcase study and problem solving.

C4-Perform general examination withemphasis on signs related to specifiedchest conditions.

C5-Consult some cases to reach theaccurate diagnosis

C6- Conduct thorough local chestexamination with special tests.

C7- Apply first aid management for casesof IHDs with chest pain, asthma andsleep apnea

C8- refer cases requiring advanced healthcare e.g. heart failure, COPD and TB.

C9- Follow up chronic patients withkeeping medical records

problems requiring specialhealth care



C10- Conduct patient education for casesabout the importance of healthy lifestyle for diet, exercises andrehabilitation of work condition

C11-Conduct pulmonary function testsC12- Conduct and interpret the findings of

ECG

D. GeneralSkills



D3.Mobilizing communitypartnerships and action toidentify and solve healthproblems



D2- Use skills to access the differentcardiological instabilities


D4- Empower people to maintain normalhearts and circulation

D5-Inform the people about the earlymanifestation of cardiological andchest disorders


D7- Mobilize community partnerships andaction to healthier lifestyle and behaviours

D8- Present scientific presentationcommon risk taking behaviors

D9- Present scientific presentation onguidelines for managing the commoncardiological and respiratory problems

E1.Promote high standards of E1- Promote high standards of honesty and

personal and organizationalintegrity, compassion, honestyand respect for all people.



respect to patients

E2- Appreciate working in a team workwith researchers and other colleaguesin the area of cardiology and chest

E3-Appreciate working in a team workwith agencies and organizations tosolve the risk taking behaviors, andeating habits

E4- Appreciate working in a team workwith researchers and other colleaguesin the area of cardiology and chest

E5-Value the commitment to lifelonglearning and professional service inorganizations related to cardiology andchest





Others

I- Cardiology:

1. Rheumatic Fever , RheumaticHeart disease

2. Hypertension

3. Hyperlipidemia

4. Ischemic heart disease

5. Chest Pain

6. Heart Failure

7. Arrhythmia

8. ECG

II- Chest:1- Respiratory system complaints

√ √

2- Asthma √ √ √3- COPD √ √4- Tuberculosis √ √5- Respiratory infections:

Chronic bronchitisPneumonia

√ √

6- Occupational lung diseases √ √7- Lung cancer √ √8- Sleep apnea √ √


STUDENTASSESSMENT




Oral Questions and


During Lectures or




Course20%


Practical (OSPE)

7rd Week of the

Course20%


Final Exam

(Clinical)

OSCE


Total 100%

List of Textbooks and ReferencesLecture Notes Handouts and power point

Course Text Books - Cecil text book of Medicine- Kumar Textbook of medicine.



Course InstructorName: Prof. Dr. Wagdy Sherief Ayaad / Enas Elsayed Signature


Program Director (Head of Department)Name: Prof. Eman Darweesh Signature:

Documents

University: Alexandria Faculty: Medicine Programme ... · C6 . Conduct proper referral of health problems requiring special health care C7 .Follow up patients with chronic diseases