Family Medicine Residency Program ( F P R P )
Family Medicine
Family Physicians possess unique attitudes, skills & knowledge that qualify them to provide
continuing & comprehensive medical care in a personalized manner, health maintenance & preventive
services to each member of a family regardless of sex, age or type of problems, be it biologic,
behavioral or social and are best qualified to serve as each patient's advocate to all health – related
matters including the appropriate use of consultants, health services & community resources.
Coordination & integration of all necessary health services with the least amount of fragmentation &
the skills to manage most medical problems allow family physicians to provide cost – effective health
care.
Devotion to continuing, comprehensive, personalized care to early detection of diseases and the
maintenance of health & to the ongoing management of patients in a community setting uniquely
qualifies the family physician to deliver primary care.
The rewards in family practice come largely from knowing patients intimately over time & sharing
their trust, respect and friendship.
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Family Medicine Residency Program
Mission
To produce fully competent community oriented physicians capable of providing high quality care to
their patients and skilled in the principles and practice of family medicine.
Structural Frame Work
The Family Medicine Residency Program (FMRP) is a four years training program both in accredited
family medicine training centers and hospitals.
Towards this end the residents must learn to gather essential & accurate information about patient and
use it together with up-to-date scientific evidence to make decisions about diagnosis and therapeutic
intervention. The residency program must ensure that its residents by the time they graduate provides
appropriate, effective & compassionate clinical care.
Principles and implications of Family Practice
The FPRP is built upon the principles of the specialty. At the end of the training program the family
physician will be expected to:
1- Demonstrate clinical excellence in identifying and managing all the medical problems (both acute
& chronic) presented by his / her patients seen:
* In the health center or doctor's office.
* At the patient's home.
* In hospital.
2- Provides continuing, comprehensive, compassionate & confidential care to all individuals with
emphasis on the family unit, irrespective of age, sex or diseased organ or system.
3- Demonstrate the commitment to the person rather than to a particular knowledge, group of
diseases or special technique (personalized care).
4- Demonstrate competence in serving the public as physician of first contact and means of entry
into the health care system (gate keeper).
5- Applying methods of disease prevention, health promotion and screening.
6- Demonstrate abilities to act as the patient's and family advocate in all health related matters and
services.
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7- Demonstrate the ability to integrate the behavioral, emotional, social and environmental factors
of families in promoting health and managing disease.
8- Demonstrate the ability of mastering skills in:
a- Consultation
b- Counseling
c- Resources management
d- Communication
e- Of breaking bad news
f- Uncertainty
g- Of dealing with conflict, dubious request & grief
9- Develop mutually satisfying physician, patient relationship, recognizing the impact of patients'
background, beliefs and expectations on:
* Problem identification
* Problem solving
* Compliance
* Patient education
10- Demonstrate the ability to cope with chronic disease.
11- Recognize the importance of continuing education after graduation as an absolute necessity to
maintain excellence in medical care.
12- Understand and evaluate the findings of published research and to apply its results to one's own
medical practice.
13- Perform self assessment and identifying learning needs and monitoring of quality of
performance (Audit).
14- Demonstrate competence in dealing with somatization strategies of prevention & management.
15- Seek to understand the context of illness and attach the importance to the subjective aspects of
medicine (many of the illnesses seen can't be fully understood unless they are seen in their
personal, family & social context).
16- Understanding & application of the knowledge & skills required for evidence based practice
and be able to use best evidence in critical decision making (Evidence based medicine).
17Demonstrate the ability of mastering resources management skills which includes the skills of
practice management and of consultation and referral (Family physician is a manager of
resources).
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18- Demonstrate a basic approach to ethical and medico-legal dilemmas.
19- Mastering the skills concerning patient safety.
Practical Skills
The resident should perform general clinical examination of organ systems, including digital rectal
& vaginal examination.
Proficient use of the following:
* Auroscope
* Sphygmomanometer
* Fetal stethoscope & / or sonicaid
* Tuning Fork
* Proctoscope
* Patellar hammer
* Ophthalmoscope
* Stethoscope
* Thermometer
* Visual acuity and colour tests
* Vaginal speculum
Proficiency in the following:
* Cardio-pulmonary resuscitation including use of a defibrillator.
* Controlling a hemorrhage.
* Venipuncture.
* Giving intravenous, intramuscular, subcutaneous or intradermal injections including via a syringe
driver.
* Performing & interpreting an electrocardiogram.
* Performing basic respiratory function tests.
* Administering oxygen safety.
* Use of a Nebulizer.
* Near patient testing e.g. urine analysis.
* Removal of ear wax.
* Introducing a urinary catheter.
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* Performing a cervical smear.
* Collecting other relevant samples including endocervical or per-nasal swabs.
* Suturing a wound.
* Minor surgical procedures e.g. cryotherapy, joint injection & aspiration and surgical excisions as
appropriate.
Seriously ill Patients
The resident should develop knowledge of handling, managing & appropriate referral of seriously ill
patients.
* Cardiovascular problems including cardiac arrest, acute myocardial infarction, acute left ventricular
failure, severe hypertension, life-threatening arrhythmias & dissecting aneurysms.
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Respiratory problems including acute severe asthma, pulmonary embolus, pneumothorax,
pneumonia, epiglottitis, bronchiolitis, foreign body aspiration & respiratory failure.
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Central nervous system problems including cerebrovascular problems such as strokes, seizures
including febrile convulsions, infections such as meningitis or encephalitis & signs of other
significant intracranial pathology such as tumors.
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Gastrointestinal problems including gastroenteritis especially in childhood, hemorrhage, acute
abdominal pain & liver failure.
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Infectious diseases e.g. malaria, TB.
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Shocked patients including septicaemia, cardiogenic & anaphylactic shock, hemorrhage & burns.
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Unconscious patients including those with diabetic problems such as hypoglycemia,
hyperglycaemic ketoacidosis & hyperosmolar non-ketotic coma.
Psychiatric problems including acute psychoses, acute organic reactions the suicidal patient,
psychological crises.
Urological problems including torsion of the testis, priapisms, paraphimosis, gross hematuria,
ureteric colic & acute retention of urine.
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Women's problems including severe vaginal bleeding & / for pelvic pain e.g. Ectopic pregnancy
& emergencies associated with pregnancy e.g. placenta abruption or eclampsia.
Terminally ill patients including symptomatic & palliative care.
Sudden unexpected death including sudden infant death syndrome, confirmation of death &
dealing with relatives (breaking bad news).
Complex & Undifferentiated Conditions
The resident should develop knowledge of handling undifferentiated conditions (skills of uncertainty).
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including symptoms & ill – defined conditions for which no diagnosis classifiable elsewhere in
recorded.
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Tiredness all the time / malaise / Fatique / weakness / Lassitude.
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Funny turns / dizziness / giddiness / blackouts / ataxia / gone off legs.
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Anorexia and / or weight loss.
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Weight gain and / or obesity & conditions which may be associated with obesity.
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Swelling: localized, mass, lump including single lymph nodes.
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Non – specific rashes.
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Fever including pyrexia of unknown origin.
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Allergic problems.
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Confusion, memory loss, poor concentration & forgetfulness.
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Frequency of micturation including metabolic causes.
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Trauma / Injuries / Toxic Effects
The resident should develop knowledge of handling, managing and appropriate referral of traumatic,
injured patients.
* Wounds (including surgical) and lacerations: management & principles of care.
* Fractures, sprains, strains & other significant soft-tissue trauma: recognition & principles of
management.
* Head injuries including minor with or without loss of consciousness, concussion & more serious
cranial or intracranial injuries.
* Internal injuries of the chest, abdomen or pelvis: recognition & principles of management.
* Poisoning including drugs, foods & other chemicals & including adverse effects of prescribed
drugs.
* Post operative complications including those related to the procedure, infections.
* Miscellaneous including epistaxis, foreign bodies, burns.
Medicine
The resident should develop competence for initial diagnosis, management & appropriate referral
criteria for common medical illnesses.
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Approach to the undifferentiated conditions.
Chest pain, syncope, palpitation, leg oedema
Dyspnoea, haemoptysis
Dyspepsia, abdominal pain, Jaundice
Dizziness, Blackout, Faints
Anorexia & weight loss
Tiredness, Fatique, body aches
Headache, seizures, coma
Anemia, lymphadenopathy
Backache, Arthralgia & arthritis
Pyrexia of unknown origin
Non-specific rashes
Haematuria & proteinuria
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Cardiovascular System
Congenital heart disease
Ischaemic heart disease, Hyperlipidemia
Hypertension
Heart failure
Arrythmias & Conduction defects
Valvular heart disease
Thrombo-embolic disorders, peripheral vascular disease
Carditis , Cardeomyopathy
Rheumatic fever, Infective endocarditis
Hypovolaemic shock, Cardiogenic shock, dissecting aneurysm of aorta
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Respiratory System
Acute bronchitis, chronic obstructive pulmonary disease (COPD)
Bronchial asthma & wheezy chest , allergic alveolitis, allergic rhinitis
Lobar pneumonia, bronchopneumonia, atypical pneumonia
Pulmonary abscess & ephymia
Tubercullosis, Aspergillosis
Broncgenic carcinoma, Adenoma, metastasis, mesothelioma
Pulmonary fibrosis & interstitial lung diseases
Pneumothorax
Bronchiectasis
Pleural effusion & pleuricy
Occupational lung diseases
Deformities of chest wall
Respiratory failure
Sleep apnoea syndrome
Pulmonary embolism
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Gastrointestinal tract
Gastroesophageal reflux, dysphagia, diffuse spasm of oesophagus
Carcinoma of oesophagus, Achalasia, slinding hiatus hernia, Paraoesophagel hernia
Peptic ulcer disease, Gastritis, upper gastrointestinal hemorrhage
Acute perforation, pyloric obstruction, Zollinger-Ellison syndrome
Carcinoma of stomach
Non-ulcer dyspepsia, irritable bowel disease
Malabsorption, Coeliac disease, Tropical sprue
Crohn's disease, ulcerative colitis, lactose intolerance
Acute abdomen (surgical & Medical) , Ischaemic colitis
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Diverticular disease, Angiodysplasia of colon
Neoplastic polyps, familial adenomatous polyposis, carcinoma lymphoma
Diarrhoea (acute & chronic) , Dysentery
Constipation, laxative abuse
Ascites
Nausea & / or vomiting & / or diarrhoea
Rectal bleeding & pain
Abdominal masses
Abdominal pain
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Liver & Biliary System
Jaundice (hemolytic, Hepatocellular & cholestatic)
Acute & chronic hepatitis
Chronic parenchymal liver disease, infection, Toxin, alcohol & drugs
Biliary obstruction
Cirrhoss of liver, hepatic encephalopathy, portal hypertension & Ascites
Alcoholic liver disease
Tumours of liver (primary & secondaries)
Liver abscess
Haemochromatosis, Wilson's disease, fibrocystic disease
Gall bladder diseases
Pancreatitis
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Diseases of the Kidneys
Urinary tract infection (Asymptomatic & symptomatic)
Glomerulonephritis
Nephrotic syndrome
Acute renal failure
Obstruction of urinary tract
Renal stones
Tumors of the kidney & urinary tract
Congenital abnormalities of kidneys & urinary tract
Haematuria
Proteinuria
Dysuria
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Endocrine & Metabolic diseases
Hypopituatarism, Growth hormone deficiency, tumours of pituitary glands
Acromegaly, cushing disease, Hyperprolactinoma, Diabetes Insipedus
Hyperthyroidism, subclinical hyperthyroidism
Hypothyroidism, subclinical hypothyroidism
Subacute thyroisitis, post partum thyroiditis
Simple goiter, solitary thyroid nodule
Thyroid tumours (benign & malignant)
Hyperparathyroidism, Hypoparathyroidism, Tetany
Addison's disease
Conn's Syndrome
Phaechromocytoma
Hypogonadism, impotence
Diabetes Mellitus
Hyperlipidemia
Hirsutism
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Haematology
Iron deficiency anemia
Megaloblastic anemia
Haemolytic anemia
Haemoglobinopathies, sickle cell anemia, Thalassemia
Polycythemia
Lymphoma
Neutropenia
Leukemias (Acute & chronic)
Bleeding disorders, Thrombocytopenia
Coagulation disorders, Haemophilia (A & B)
Acquired bleeding disorders
Disseminated Intravascular coagulation
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Neurology
Cerebrovascular
accidents
(CVA)
(Ischaemia,
hypertension,
haemorrhage
&
Arteriovenous malformation) & Transient Ischaemia Attack (TIA) seizures disorders
(CNS) Cranial Peripheral nerves infections
(meningitis, Encephalitis, Neurosyphilits & brain abscess.
Neuropathies, Neuralgias, Motor neurone disease, Encepalopathies
Dementia, Migraine, cluster headache, Giant cell arteritis, Tension headache, Space occupying
lesion (SOL) & brain tumours (Pry & 2ry)
Parkinsonism
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Multiple sclerosis
Tremor, chorea, Tics
Sleep disorders
Delerium & Confusional states
Disorders of cerebellum
Head injury & spinal cord injury
Syringomyelia & syringobulbia
Muscular atrophies, myotonia, Myasthenia Grave's
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Musculoskeletal & Connective tissue disorders
Rheumatoid arthritis, Sjogren disease
SLE
Polyarteritis nodosa
Scleroderma
Mixed Connective tissue disease
Seronegative arthritis (Ankylosing spondylitis, psoriatic arthritis, Reiter's disease)
Arthritis with inflammatory bowel disease & Behcet's disease)
Osteoarthritis
Gouty arthritis, pseudogout
Infective arthritis
Polymyositis & Dermatomyositis
Polymyalgia rheumatica & Giant cell arteritis
Wegenr's granulomatosis
Eosinophilic fascitites
Bursitis, Tendinitis, Tennis elbow
Fibromyositis, Torticollis
Neck pain, shoulder pain, Osteoporosis, Osteomyelitis
Neoplasm of bones (primary & Secondaries)
Head pain & ankle sprain
Back pain including mechanical, disc lesion or tumours
Neck pain including cervical spondylosis, torticollis or injuries
Sport medicine
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Infections & Parisites
Viruses e.g. AIDS, Measles, Rubella, Mumps, Chickenpox, infectious mononucleosisSTD
Bacteria e.g. scarlet fever, typhoid, Brucellosis, TB
Protozoa e.g. Malaria, Giardiasis, Amoebiasis, leishmaniasis
Helminth e.g. Bilharziasis, Ascaris, Thread worm, Tape worm
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Means & Control of transmission
Consent for testing issues of confidentiality
Role of public health services
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Health Promotion & Screening
Cardiovascular risk factors assessment, Hypertension, D.M, Exercise, Smoking Cessation,
Stress, Alcohol, Cancer of colon, breast, cervix , prostate, body weight, lipids, salt intake,
immunization, Harm minimization & promotion of a healthy life style.
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Serious Communicable Diseases
AIDS, TB, Hepatitis B & C
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Pharmaco-therapeutics
Application of the concept of rational prescribing especially with regard to patient safety
Awareness of drug combination, adverse effects, latrogenic disorders & potential interaction
Awareness of the factors affecting dose, drug requirements, compliance & monitoring
Evaluating independent evidence regarding the appropriateness of treatment (cost effectives
drug management)
Competency in recognizing & performing primary management for the following life
threatening & emergency conditions
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Acute MI, Pulmonary oedema, Acute respiratory failure, Malignant hypertension, G.I
Haemorrhage, Shock, Anaphylaxis, Status asthmaticus, Status epilepticus, Acute renal failure,
Diabetes ketoacidosis, hypoglycemia, Comatose patient
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The resident should be able to perform the following clinical skills
a) Procedures used in medical practice
ECG tracing & interpretation
Lumbar puncture
Arterial puncture
Peritoneal tap
Bone marrow aspiration
PPD testing & interpretation
Joint aspiration
Peak Flow Meter including pulmonary function tests
CPR
b) Interpretation of laboratory tests
c) Interpretation of CXR, abdominal x-ray , x-ray of bones & joints
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*Pediatrics
The resident should develop competence for initial diagnosis, management and appropriate referral
criteria for common pediatric illnesses.
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Prenatal diagnosis
Care of the new born babies, prematurity, birth asphyxia, Respiratory distress syndrome,
Neonatal sepsis
Approach to a child with Jaundice
Approach to a child with Fever
Approach to a child with stridor & wheezing
Approach to a child with poor appetite
Approach to a child with vomiting
Approach to a child with generalized lymphadenopathy
Approach to a child with vulvovaginitis
Approach to a child with nocturnal cough
Genetics & congenital abnormalities
Pediatric nutrition, breast feeding, modified cow's milk formula, recommended daily
requirements for protein carbohydrate, fat, vitamins & minerals
Weaning & sleep disorders
* Malnutrition
* Failure to thrive
Short stature
* Obesity
* Limping child
* Non-accidental injury
Poisoning & over dose
* Bow leg
Growth and developmental assays including knowledge of normal developmental milestones
Child health surveillance & screening, squint, hearing hypothyroidism, CDH, undescended
testes club foot
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Vaccination
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Infantile colic *
Nocturnal Enuresis
Behavioral disorders, learning disorders, mental retardation, language problems, hyperactivity
Upper respiratory tract infections, sorethroat, pharyngitis, Earache, otitis media, Glue ear,
deafness, Croup & epiglottitis
Role of antibiotics in upper respiratory tract infections
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Lower respiratory tract infection, pneumonia, bronchopneumonia, Tuberculosis, bronchiolitis
Bronchial asthma & Hay fever
Viral illnesses measles, rubella, mumps, chicken pox
Cardiovascular system heart murmurs, hypertension, congestive heart failure, arrythmias,
congenital heart disease (cyanotic & acyanotic).
Gastrointestinal system, gastroenteritis, vomiting, abdominal pain, acute and chronic diarrhoea,
acute & chronic constipation, Gastroesophageal reflux, intestinal infestations, malabsorption,
abdominal masses, acute abdomen, hepatitis & liver diseases, anal pain & fissure
Central nervous system, meningitis, encephalitis, febrile convulsions, epilepsy, raised
intracranial pressure, cerebral palsy, hyderocephalus.
Haematology, iron deficiency anemia, sickle cell anemia, thalassemia, G6PDD, haemolytic
crises, lymphadenopathy, leukaemia, bleeding disorders
Endocrine disorders
Diabetes mellitus & its complication, hypothyroidism, hyperthyroidism, hypopituatarism,
cushing disease, Dwarfism, Obesity.
Urinary system: urinary tract infections, nephrotic syndrome, glomerulonephritis, hematuria,
proteinuria, congenital anomalies, vesico-ureteric reflux, calculi & tumours
Musculoskeletal system: Arthralgia, rheumatoid arthritis, SLE, septic arthritis, osteomyelitis,
reactive arthritis
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Skin disorders: Exanthmatous rash, diaper rash, eczema, impetigo, pediculosis, scabies, skin
infection (viral, bacterial & fungal) , psoriasis
Pediatric emergencies:
Epiglottitis, chocking, Anaphylaxis, septic shock, Hypovolamic
shock, status asthmaticus, seizures disorder, congestive heart failure, cyanotic heart disease,
poisoning & overdose.
Woman Health
General training objectives for woman health
By the end of 6 months training and working in obstetric gynecology department and training PHC
centers the family physician should be able to provide preventive, curative primary health care to all
women before, during and after their reproductive age in all issues related to their reproductive system.
A- By the end of 6 months training the family physician residence should be able to:
1. Obtain a comprehensive history & perform a complete & accurate physical examination.
2. Understand anatomy & physiology of the female / reproductive system in all age groups,
before & during pregnancy.
3. Ability to recognize high risk pregnancy.
4. Utilizing appropriate resources including consultation.
5. Principles of preconceptual care.
6. Principles of antepartum & post partum care.
7. Recognition of mechanism of labor
8. Thorough knowledge of fetal monitoring
9. Recognition of abnormal labor.
10. Knowledge of modalities used in managing complications of labor & delivery.
11. Technical proficiency in handling instruments.
12. Understanding & appropriate use of consultation & communication with consultants.
B- At the end of the residency each resident should be aware of the following
principles:
1. Normal growth & development of female reproductive system & variants.
2. Sexual counseling.
3. Family planning counseling.
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Prenatal genetic counseling.
Prenatal counseling on (diet, activities & exercise, alcohol, smoking & environmental hazards).
General principles of prenatal conception & postnatal care.
Immunization during pregnancy.
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8. Screening during pregnancy.
9. Drug use during pregnancy.
10. Fetal monitoring.
11. Infertility, primary & secondary.
12. Osteoporosis risk assessment.
13. Screening of cancer.
14. Prevention of cancer.
15. Menopause counseling.
16. Breast diseases.
17. Pelvic masses, cysts, fibroid & malignancy.
18. Management of family violence.
19. Raped patient.
C- Resident should be able to evaluate, Diagnose, manage & refer when need the
following conditions:
1. Prenatal evaluation & care of common problems during pregnancy.
2. Normal labor & delivery.
3. Post partum care.
4. Care of normal new born.
5. Identification of high risk pregnancy.
6. Evaluation for Anemia, abortions.
* Diabetes Mellitus (abnormal GTT) * Hypertension
* Eclampsia & preeclampsia
* Rh. incomp.
* Asthma
7. Uterine prolapse.
8. Vaginisum.
9. Others disorders
* GI problems
* Infections during pregnancy
* Obstetrical emergencies e.g. Antepartum haemorrhages, placenta
previa
* Dx. Ectopic pregnancy (to have high index of suspesion)
* Premature ruptures of membrane & premature labour.
* Intrauterine growth retardation & intrauterine death.
10. Menstrual disorders: Amenorrhoea, dysmenorrhoea, endometriosis, abnormal
Uterine bleeding, intermenstrual bleeds, post coital & postmenopausal bleeds.
11. Management of menopause symptoms & it's consequence
12. Treatment of common problems during pregnancy.
13. Treatment of common problems
- Vaginitis, vaginal discharge, prurites vulvae, bacterial vaginosis.
- PID
- UTI & allied pelvic complaint
- Chronic pelvic pain
- Psychological Problems: PMS, Anxiety, Depression, Eating disorder
- Urinary malfunction
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D- At the end of rotation the resident should be able to perform the following skills:
1. Routine AN. Examination / Breast examination, Pelvic examination.
2. Spontaneous vaginal delivery.
3. Injection of local anesthesia in perineal region for delivery.
4. Episiotomy.
5. Repair of vaginal laceration.
6. Incision & drainage of Bartholin abscess.
7. Obtaining cervical cytology (pap smear) & interpretation of result.
8. Perform H.V.S with Wiff Test & wet preparations.
9. Rx of venereal diseases.
10. I.U.C.D insertion & removal.
11. U/S . General principles
a. Detection of gestational sac
b. Fetal echo
c. Heart beat
d. Gross abnormality
e. Localization of placenta
f. Measurement of (CRL, FL, BPD)
g. Assessment of the amniotic fluid adequacy
Surgery
The resident should develop competence for initial assessment, triage, diagnosis, management &
appropriate referral criteria for common surgical conditions.
1) Common Surgical Conditions
Experience & expertise should be gained in the recognition and appropriate initial management of
the following common conditions.
Abscesses, haematoma, cellulitis
Abdominal mass, Breast lumps, groin lumps, neck lumps
Burns: minor & major
Cancer e.g. lung, colon, breast, thyroid, prostate
Compartment syndrome
Foreign bodies
GIT bleeding, Rectal bleeding, intestinal obstruction & pyloric stenosis
Obstructive Jaundice & cholelithiasis
Ingrowing toenails
Perianal conditions, pilonidal abscess / sinus, haemorrhoids
Prostate disease, voiding difficulties, urinary incontinence
Head, hand, spinal, facial and pelvic injury
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Peripheral vascular disease, leg ulcers, varicose vein
Hydrocele, varicocele & undescended testicle
Hernias
II)
Be able to diagnose & refer acute surgical conditions
a) Acute abdomen
b) Intractable haemorrhage
c) Acute arterial occlusions
d) Torsion of the testes
e) Incarcerated hernia
III)
Be able to manage (stabilize, transport & perform life-saving procedures) in the following
conditions:
a) Penetrating trauma to neck, thorax or abdomen
b) Blunt trauma to head
c) Multiple fractures
d) Pneumothorax & hemothorax
e) Fractures of the spine
IV)
Be able to perform the following office surgical procedures
1) Suturing of simple wounds
2) Excisions of skin & subcutaneous lesions e.g. sebaceous cyst dermoid cyst &
Lipoma
3) Incision & drainage of abscesses
4) Removal of Ingrowing toe nails
5) Circumcision
6) Emergency care of burns
7) Casting & splint use
8) Management of uncomplicated fractures & complications
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Be able to perform preoperative & postoperative care.
VI)
Be familiar with:
a) Implementation of sterile technique
b) Wound healing & care
c) Application of local & regional anaesthesia
d) Familiarize with indications & complications of different surgical technique
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Conditions of the Eye
The resident should develop knowledge of initial diagnosis, management and appropriate referral
criteria for common eye problems.
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Conjunctival disorders
a) Conjunctivitis (Viral, Bacterial & Allergic)
b) Conjunctival nevus (Pterygium & Pinguecula)
c) Conjunctival tumors
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Skin & adnexal disorders
a) Infections (Horodelum, Cellulites, Dacryocystitis)
b) Inflammation (Graves' disease, chalazion)
c) Eyelid disorders (Entropion, Expropion, Ptosis)
d) Benign tumors (Milia, Papilloma, Keratoacanthoma, Nevus xanthelasma, Dermoid)
e) Malignant tumors (Basal cell care, Squamous cell care, Lymphoma, Malignant melanoma &
Ratinoblastoma)
Cornial diseases
a) Superficial trauma / infections (Corneal abrasion, Keratitis & Corneal ulcers)
b) Dry eye & associated diseases.
Iritis (Unequal pupits, Afferent papillary defect, Adie's pupil & Horner's syndrome).
Cataracts
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Glaucoma
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Retinal disease
a) Associated with visual loss (Central retinal vein occlusion, Central retinal artery occlusion,
Retinal detachment and vitreous hemorrhage)
b) Associated with medical conditions (Hypertension, Diabetes Mellitus)
c) Macular degeneration
d) Age – related changes
External muscular disorders (Cranial nerve palsies).
Trauma (Blunt and penetrating).
Refracting errors
a) Nearsightedness (myopia)
b) Farsightedness (hyperopia)
c) Presbyopia
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Ocular complications of systemic illness.
Effects of drugs and toxins on ocular function & disease.
Red eye.
Squint.
Papilloedema.
Ear, Nose & Throat Problems (ENT)
The resident should develop knowledge of initial diagnosis, management and appropriate referral
criteria for common ENT problems.
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Nasal problems including catarrh. hay fever, rhinitis, polyps, epistaxis, septal
deviation.
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Mouth problems including pain such as ulceration, infections such as gingivitis,
malignancies, disorders of salivary glands and medical problems associated
with the dentition.
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Sorethroat (Viral, Bacterial, Mechanical), tonsillitis & its complications (acute & long term),
indications for tonsillectomy. Nasopharyngitis, pharyngitis, peri-tonsillar abscess, epiglottitis,
laryngitis & tracheitis.
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Snoring, Hoarseness & Dysphagia.
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Sinus problems.
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Hearing problems including deafness, tinnitus, vertigo, dizziness & associated speech or
language disorders.
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Ear infections including otitis media & externa, glue ear, labyrinthitis.
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Benign paroxysmal positional vertigo (BPPV), Meneir's disease.
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Bell's palsy.
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Role of antibiotics in Upper Respiratory Tract Infections.
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Dermatological Problems
The resident should develop knowledge of initial diagnosis, management & appropriate referral
criteria for common dermatological problems.
* Acne & acne rosacea *
Dermatitis
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Eczema *
Psoriasis
* Skin infections (Viral, Fungal, Bacterial & Parasitic).
* Skin tumors including benign lesions such as malignant melanoma, squamous cell carcinoma,
basal cell carcinoma.
* Pruritus either generalized or localized
* Skin manifestations of systemic illnesses &skin markers of malignancy.
* Nail and / or hair disorders including alopecia.
* Skin pigmentation.
* Lichen planus.
* Sexually Transmitted Diseases.
* Drug reactions.
* Life threatening skin conditions.
* Pre cancerous skin lesions.
* Vesciculobullous eruption.
Human Behavior & Mental Health
The resident should develop knowledge of initial diagnosis, management and appropriate referral
criteria behavior & mental health problem.
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Diagnosis & management of psychiatric disorders in children & adults.
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Emotional aspects of non-psychiatric disorders.
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Co-morbidity: the association of psychiatric disorders with other medical conditions.
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Psychopharmacology.
Alcoholism & other substances abuse.
The physician / patient relationship.
Patient involving skills.
Counseling skills.
Normal psychosocial growth & development in indiviuals & families.
Stages of stress in a family life cycle.
Sensitivity to gender, race, age, sexual orientation & cultural differences in patients.
Family violence including child, partner & elder abuse (physical, sexual) as well as neglect &
its effect on both victims & perpetrators.
Medical ethics including patient autonomy, confidentiality & issues concerning quality of life.
Factors influencing patient compliance.
Communication problems including autistic spectrum disorder.
Behaviour problems such as attention deficit hyperactivity disorder, encopresis, school
problems.
Problems of particular life stages e.g. childhood, adolescence, old age.
Family, social & cultural context of psychiatric illness.
Mood disorders (major depressive disorder, Dysthymic, Bipolar disorders, assessment of
suicidal risk, detection of masked depression).
Anxiety disorders (panic attack, phobias, obsessive / compulsive disorder, post-traumatic stress
disorder, Acute stress disorder, Generalized anxiety disorder).
Major mental illness including psychiatric disorders such as schizophrenia.
22
*
*
*
*
*
*
*
*
Somatization disorders (somatization, Conversion, Pain & Hypochondriasis).
Delirium, Dementia, amnestic & other cognitive disorders.
Learning difficulties & mental disability.
Sleep disorders (Insomnia, Hypersomnia, Narcolepsy, Breathing related sleep disorder,
Circadian-rhythm sleep disorders, Parasomnias).
Adjustment disorders (Depressed mood, Anxiety, Mixed anxiety & depressed mood,
Disturbances of conduct).
Personality disorders.
Sexual & gender identity disorders.
Eating disorders (Anorexia nervosa, Bulimia nervosa).
Genetics
*
Autosomal dominant inheritance
*
Autosomal recessive inheritance
*
Sex-linked recessive
*
X-linked dominant disorders.
*
Genetic Counseling.
*
Detection of carriers.
*
Common chromosomal disorders.e.g. Down's Syndrome
*
Genetic of Cancer.
23
Methods of Teaching
Lectures, Seminars, Group Discussion
Tutorials
Clinical Problem solving, bedside teaching
Journal Club
Clinical / Consultation
Assessment
MCQ, OSCE
Daily Evaluation
Oral exam
24
-
Training Period
Internal Medicine
Pediatric
Surgery
Woman Health
Accident & Emergency
Orthopedic
Dermatology
Ophthalmology
Ear, Nose & Throat
Psychiatry
X-ray
Community
Elective
Family Medicine
8 Months
6 Months
4 Months
6 Months
3 Months
1 Month
2 Months
1 Month
1 Month
3 Months
1 Month
1 Months
2 Months
9 Months
25
‫ألخطه الدراسية للحصول على درجة االختصاص العالي في طب المجتمع‬
‫تمنح درجة االختصاص العالي في تخصص طب المجتمع من كلية الدراسات العليا بجامعة العلوم والتكنولوجيا األردنية شريطة ما‬
‫يلي ‪-:‬‬
‫‪ -1‬التقيد بالشروط المنصوص عليها في تعليمات برنامج االختصاص العالي في جامعة العلوم والتكنولوجيا االردنية الصادرة‬
‫عن مجلس العمداء‬
‫‪ -2‬اتمام المتطلبات التالية ‪:‬‬
‫اوال ‪ :‬المتطلبات الكاديمية ‪ .‬ويشتمل اتمام ‪ 34‬ساعة معتمدة بنجاح موزعة كما يلي ‪:‬‬
‫أ – متطلبات اجبارية ويخصص لها (‪ )20‬ساعة معتمدة هي ‪:‬‬
‫رمز ورقم المساق‬
‫ص ع ‪706‬‬
‫ص ع ‪707‬‬
‫ص ع ‪714‬‬
‫ص ع ‪720‬‬
‫ص ع ‪730‬‬
‫ص ع ‪740‬‬
‫ص ع ‪758‬‬
‫ص ع ‪760‬‬
‫برامج الرعاية الصحية‬
‫تصميم البحوث‪1‬‬
‫احصاء حيوي‪1‬‬
‫صحة البيئة‬
‫االدارة الصحية‬
‫مبادىء التثقيف الصحي‬
‫مقدمه تغذية المجتمع‬
‫علم االوبئة‬
‫اسم املساق‬
‫‪Primary Health Care Programs‬‬
‫‪Research Design I‬‬
‫‪Biostatistics I‬‬
‫‪Environmental Health‬‬
‫‪Health Management‬‬
‫‪Principlec of Health education‬‬
‫‪Introduction to Comm. Nutrition‬‬
‫‪Epidemiology‬‬
‫الساعات‬
‫المعتمدة‬
‫‪2‬‬
‫‪2‬‬
‫‪3‬‬
‫‪3‬‬
‫‪3‬‬
‫‪2‬‬
‫‪2‬‬
‫‪3‬‬
‫أ‪ -‬متطلبات اختيارية ويخصص لها (‪ )14‬ساعة معتمدة يختارها الطالب من بين المساقات المطروحه في قسم طب المجتمع‬
‫والصحة العامة والوارد ذكرها في الملحق(أ) المرفق ‪.‬‬
‫ثانيا ‪ :‬متطلبات التدريب العملي ‪ /‬االقامة ‪:‬‬
‫يشترط على ان يمضي بنجاح فترة االقامة ومدتها ‪ 16‬شهرا في ‪ 4‬وحدات تعليمية تدريبية يختارها الطالب من بين الخمس عشر‬
‫وحدة الوارد ذكرها في الملحق (ج) وبواقع ‪ 4‬شهور يمضيها في كل وحدة ‪.‬‬
‫يعتبر الطالب ناجحا في الوحدة التدريبية اذا استوفى في نهاية التدريب فيها الشروط التالية ‪:‬‬
‫أ‪ -‬حصوله على تقرير من مشرف الوحدة يشيد بمستواه العلمي وسلوكه المهني‬
‫ب‪ -‬ان يقدم تقريرا خطيا عن الوحدة التي اتم تدريبه فيها بحيث يشتمل التقرير على‪:‬‬
‫‪ ‬وصف عام لمكان التدريب وطاقاته وانشطته‬
‫‪ ‬المساهمة التي قدمها المتدرب للوحدة اثناء فترة تدريبه‬
‫ج‪ -‬ان يتقدم بخطة مشروع بحث علمي في الحقل الصحي الذي يقع ضمن مجال الوحدة‬
‫ثالثا ‪ :‬اجتياز االمتحان الشامل الخاص باالختصاص العالي في طب المجتمع يتكون االمتحان الشامل من شقين االول تحريري (‬
‫يتألف من ورقتين لكل منهما ‪ %30‬من العالمة النهائية ) والثاني شفهي ( وله ‪ %40‬من العالمة النهائية )‬
‫يعتبر الطالب ناجح اذا حصل عالمة ‪ %75‬فاكثر كمعدل نهائي في االمتحان الشامل بشقيه التحريري والشفهي ‪0‬‬
‫رابعا‪ :‬النجاح في تحضير وانجاز مشروع تخرج يقدر بــ ‪ 6‬ساعات معتمدة ‪0‬‬
‫المتطلب‬
‫السابق‬
714 ‫ص ع‬
760 ‫ص ع‬
704 ‫ص ع‬
‫الساعات‬
‫المعتمدة‬
2
2
2
3
2
3
2
2
2
3
3
3
3
3
3
3
2
2
2
2
2
3
3
2
2
2
2
3
2
2
2
2
1
2
2
1
2
2
3
2
‫اسم المساق‬
Demography and Vital Statistics
‫علم السكان‬
Computer in health Sciences
‫الحاسوب في العلوم الصحية‬
Health Information Systems
‫نظم المعلومات الصحية‬
Primary Health care
‫الرعاية الصحية االولية‬
PublicHealth Research Planning ‫تخطيط البحوث في الصحه العامه‬
Teaching Methodology
‫طرق التعليم الصحي‬
Primary Health care Programs
Research Design I
– ‫برامج الرعاية الصحية‬
-1‫تصميم البحوث‬
Research design II
Clinical Research Methods
Advanced Vital Statistics
Vital Statistics
2 ‫تصميم البحوث‬
‫اسالييب البحث السريري‬
‫االحصاء الحيوي‬
‫االحصاء الحيوي متقدم‬
Biostatistics I
1‫احصاء حيوي‬
Biostatistics II
2‫احصاء حيوي‬
Environmental Health
‫صحة البيئة‬
Occupational Health
‫الصحة المهنية‬
Occupational safety
‫السالمة المهنية‬
Occupational Toxicology
‫التسمم المهني‬
Environmental measurements
‫القياسات البيئية‬
Ait Pollution
‫تلوث الهواء‬
Environmental Risk Management
‫ادارة االخطار البيئية‬
Health Management
‫االدارة الصحية‬
Ioduction Health Policy ‫مقدمه في السياسة الصحية‬
‫تخطيط وتقييم البرامج الصحية‬
Evaluation of Health Programs& Planning
Public Health and the Law
‫الصحة العامة والقانون‬
Healt Economics
‫اقتصاديات الصحة‬
‫موجهه في االدارة الصحي مطالعات‬
Directed reading in Management
Hospital Administration
‫ادارة المستشفيات‬
Principles of Health Education
‫مبادىء التثقيف الصحي‬
‫تخطيط وتقييم برامج التثقيف الصحي‬
Plannin & Evaluation of Health Education Programs
Principles of Training Health Workers ‫اسس تدريب العامل الصحي‬
Behavior and social science ‫علم االجتماع والسلوك‬
‫طرق واساليب االتصال الصحي‬
Means and ways of Health Communication
Principles of health Behavior Change ‫مبادىء تغيير السلوك الصحي‬
Introductionto Mediacal Sociology ‫مقدمة في علم االجتماع الطبي‬
Communication for Health
‫التواصل من اجل الصحة‬
‫تنظيم المجتمع من اجل التنمية الصحية‬
Community Organization for Health Development
Leadership in Health Education
‫القيادية في التثقيف الصحي‬
‫تغذية االنسان‬
Introduction to Human Nutrition
‫ تقييم احلالة الغذائية‬Assessment of Nutritional Status
2 ‫اجلوانب الغذائية يف املرض‬
Nutritional Aspects of Human Diseas
2 ‫ النمو والتطور‬: ‫ التغذية‬Nutrition: Growth and development
)‫ملحق (أ‬
‫رقم ورمز‬
‫المساق‬
700 ‫ص ع‬
701 ‫ص ع‬
702 ‫ص ع‬
703 ‫ص ع‬
704 ‫ص ع‬
705 ‫ص ع‬
706 ‫ص ع‬
707 ‫ص ع‬
708 ‫ص ع‬
709 ‫ص ع‬
710 ‫ص ع‬
711 ‫ص ع‬
714 ‫ص ع‬
715 ‫ص ع‬
720 ‫ص ع‬
721 ‫ص ع‬
722 ‫ص ع‬
723 ‫ص ع‬
724 ‫ص ع‬
725 ‫ص ع‬
726 ‫ص ع‬
730 ‫ص ع‬
731 ‫ص ع‬
732 ‫ص ع‬
733 ‫ص ع‬
734 ‫ص ع‬
735 ‫ص ع‬
736 ‫ص ع‬
740 ‫ص ع‬
741 ‫ص ع‬
742 ‫ص ع‬
743 ‫ص ع‬
744 ‫ص ع‬
745 ‫ص ع‬
746 ‫ص ع‬
747 ‫ص ع‬
748 ‫ص ع‬
749 ‫ص ع‬
750 ‫ص ع‬
751 ‫ص ع‬
752 ‫ص ع‬
753 ‫ص ع‬
‫اجلوانب السريرية يف امراض التغذية‬
Clinical Aspects of Nutritional Diseases
2 ‫كيمياء وفيزيولوجيا التغذية‬
2
754 ‫ص ع‬
755 ‫ص ع‬
Clinical Aspects of Nutritional Diseases
2
‫مشاكل التغذية يف الدول النامية‬
756‫ص ع‬
Nutritional Problems of the Developing Countries
2
2
3
2
2
2
2
2
3
2
3
2
2
4
2
2
2
1
2
6
0
9
6
3
0
‫تقنيات البحث يف كيمياء التغذية‬
Research Techniques in Nutritional Biochemistry
‫مقدمة تغذية اجملتمع‬Introduction to Community Nutrition
Epidemiolog
‫علم االوبئة‬
Analytic Epidemiology I
1 ‫وبائيات تحليلية‬
‫وبائيات االمراض المعدية‬
Epidemiology of Communicable Diseases
dvanced Analytic epidemiology ‫وبائيات تحليلية متقدمة‬
Environmental epidemiology
‫وبائيات البيئة‬
Epidemiology of Health Services
‫وبائيات الخدمه الصحية‬
Maternal and Child health
‫صحة االم والطفل‬
‫تقييم امراض ووفيات االطفال‬
Mortality&Assessment of Child Morbidity
‫الحاله الصحيه لالمهات في سن الخصوبه‬
Status Assessment of Maternal Health
‫ادارة وبرامج صحة االسره‬
Analysis & Evaluation of Organized Health & Social
Services in Family Health
Women’s Reproductive Health
‫الصحة االنجابية للمرأة‬
International Health
‫الصحة الدولية‬
Directed Readings
‫مطالعات موجهه‬
Mental Health
‫الصحة العقلية‬
School Health
‫الصحة المدرسية‬
Seminar
‫ندوة‬
Special Topics
‫دراسات خاصة‬
Graduate Project
‫بحث التخرج‬
Comprehensive
‫االمتحان الشامل‬
Thesis
‫راسلة ماجستير‬
Thesis
‫راسلة ماجستير‬
Thesis
‫راسلة ماجستير‬
Thesis
‫راسلة ماجستير‬
757 ‫ص ع‬
758 ‫ص ع‬
760 ‫ص ع‬
761 ‫ص ع‬
762 ‫ص ع‬
764 ‫ص ع‬
765 ‫ص ع‬
766 ‫ص ع‬
770 ‫ص ع‬
771 ‫ص ع‬
772 ‫ص ع‬
773 ‫ص ع‬
774 ‫ص ع‬
775 ‫ص ع‬
780 ‫ص ع‬
781 ‫ص ع‬
782 ‫ص ع‬
790 ‫ص ع‬
792 ‫ص ع‬
795 ‫ص ع‬
798 ‫ص ع‬
‫ أ‬799 ‫ص ع‬
‫ ب‬799 ‫ص ع‬
‫ ج‬799 ‫ص ع‬
‫ د‬799 ‫ص ع‬
‫ملحق (ب)‬
‫االمتحان الشامل‬
‫يتكون من جزئين ‪:‬‬
‫‪ -1‬االمتحان الكتابي وله ‪ %60‬من العالمة ويجلس الطلبة لورقتين ‪:‬‬
‫أ‪ -‬ورقة عامه ولها ‪ %30‬من عالمة االمتحان التحريري‬
‫ب‪ -‬ورقة تخصص ولها ‪ %30‬من عالمة االمتحان التحريري‬
‫‪ -2‬االمتحان شفوي وله ‪ %40‬من العالمة‬
‫عالمة النجاح في كل ورقة ‪ %70‬بينما العالمة الكلية للنجاح هي ‪%75‬‬
‫‪ -3‬يكون الطالب مؤهال لالمتحان الشفوي بعد النجاح في االمتحان الكتابي‬
‫‪ -4‬لجنة الدراسات العليا في القسم هي التي تحدد موعد ونوع ومحتوى االمتحان ‪.‬‬
‫ملحق (ج)‬
‫التدريب العملي ‪:‬‬
‫الوحدات او البرامج الصحية التي يختارها المتدرب اربعة منها لقضاء فترة اقامة (‪ )Residency‬مدتها اربعة اشهر كل منها‬
‫‪ )1‬الرعاية الصحية االولية‬
‫‪ )2‬الصحة المدرسية‬
‫‪ )3‬الصحة المهنية‬
‫‪ )4‬الصحة البيئية‬
‫‪ )5‬الصحة النفسية‬
‫‪ )6‬مكافحة امراض االسهال‬
‫‪ )7‬مكافحة امراض المستوطنة‬
‫‪ )8‬مكافحة امراض المزمنه‬
‫‪ )9‬برامج التطعيم والتحسين‬
‫‪ )10‬تغذية االنسان والفئات الحساسة‬
‫‪ )11‬رعاية االمومه والطفوله‬
‫‪ )12‬التثقيف الصحي‬
‫‪ )13‬التخطيط الصحي والقوى البشرية‬
‫‪ )14‬االحصاء والمعلومات الصحية‬
‫‪ )15‬تأهيل المعاقين‬
‫ويمكن للقسم اعتماد وحدات او برامج صحية اخرى تتوفر فيها الشروط الخاصة في التدريب ‪.‬‬