FACULTY OF MEDICINE, ZAGAZIG UNIVERSITY DEPARTMENT OF CHEST DISEASE Postgraduate Programme Specifications of Master Degree in Chest Diseases (CMMS). A-Basic Information 1-Programme title: Master degree in Chest diseases 2- Programme type: Single Double Multiple 3-Department (Course code): Physiology department (CMMS 01) Pathology department (CMMS 02) Anatomy Department (CMMS 03) Biochemistry Departement (CMMS 04) Histology department (CMMS 05) Microbiology department (CMMS 06) Pharmacology department (CMMS 07) Community department (CMMS 08) Internal medicine department (CMMS 09) Chest department (CMMS 10 & MSTH) 4-Coordinator: Prof. Ramadan Nafea, Professor of Chest Diseases, Zagazig University Dr Abeer elhawary, Lecturer of Chest Diseases, Zagazig University Dr Nagwan Adel ,Assisstant Lecturer of Chest Diseases, Zagazig University Dr Maha Elsayed Elsadek ,Assisstant Lecturer of Chest Diseases, Zagazig University 5-External evaluators:Prof.Adel Khattab , Professor of Chest Diseases, Ain shams University 6-Last date of programme specifications approval: 1-4-2012 1 FACULTY OF MEDICINE, ZAGAZIG UNIVERSITY DEPARTMENT OF CHEST DISEASE B-Professional Information 1-Programme aims: The aim of this program is to make a pulmonologist who is competent to pursue a safe comprehensive medical practice in the field of Respiratory Medicine conforming to the standards of medical care and respecting the ethical, cultural and legal regulations and has the ability to deal with diagnostic and therapeutic uncertainty. The doctor should have the knowledge,skills, behaviours and competencies to practice as an independent specialist practitioner, at Consultant level. Furthermore the course making trainees qualified as a searcher and specialist in the field of pulmonology and respiratory intensive care. 2. Intended learning outcomes (ILOs): A- KNOWLEDGE and UNDRSTANDING On successful completion of the Program a candidate is able to: KU1- Identify the function of different body systems and understand the physiological mechanisms involved in its regulation. KU 2- Define the basic pathologic processes that disturb the structure and function of the body . KU 3-Identify and recognize the functional consequences ,clinical manifestations and complications of common diseases affecting organs and system KU 4- Describe the chemistry and structures of carbohydrates, lipids and proteins of biological importance, Nucleotides and nucleic acids ,heme and , immunoglobulin KU 5- Point out the significance and the principles of gene therapy KU 6- Discuss the pharmacokinetic, pharmacodynamic and pharmacotherapeutic properties of different groups of drugs. KU 7- Define the principles, the indications, the relative advantages and disadvantages of various drug therapy. 2 FACULTY OF MEDICINE, ZAGAZIG UNIVERSITY DEPARTMENT OF CHEST DISEASE KU 8- Illustrate the basic biology and classification of medically important microorganisms including bacteria, viruses and fungi . KU 9- Outline the basic knowledge about development ,structure and function of the lung. KU 10- Identify the basic principles of infection control in health care facilities.,obtain information about lung defence mechanisms KU 11-. Explain the beneficial role of the immune system in protection against microbial infections and development of tumors. KU 12- Describe the anatomy of any of the following: • Regions and spaces (mediastinum., Skeleton (sternum, ribs and thoracic vertebrae) , Joints and ligaments (intervertebral, vertebrocostal, sternocostal and interstemal: Type, articulations, ligaments)., Muscles , Vessels , Nerves , Lymph nodes ,Serous membrane (pleura), Viscera (lungs): location, surface projections, external features, lobes, relations, special features if any, serous covering, vascular supply, innervations, lymphatic drainage and applied anatomy.. KU 13- State the clinical manifestations and differential diagnosis of common medical disorders with an emphasis on the incidence of the different manifestations and their relative importance in establishing diagnosis, and the early manifestations of serious diseases (e.g. malignancy, emergencies .. . etc) KU 14-Describe the physiologic background and recognize the clinical features of the pulmonary disorder KU 15-Knowledge about epidemiology of different pulmonary disorders KU 16-Identify risk factors involved in different pulmonary diseases like smoking ,air pollution,…etc KU 17 - Outline the principles and role of invasive and non invasive investigations necessary to reach the diagnosis of these disorders KU 18- Define and can deal with problems in respiratory intensive care related to primary and secondary pulmonary disorders 3 FACULTY OF MEDICINE, ZAGAZIG UNIVERSITY DEPARTMENT OF CHEST DISEASE KU 19-Plan how to diagnose and manage various respiratory tract infections either acute upper respiratory tract infections ,empyema, lung abcess ,pulmonary tuberculosis, and to learn about epidemics how to deal with and how to manage KU 20-Analyze pulmonary manifestations of systemic illnesses KU 21-Identify medicolegal aspects of pulmonary disorders KU 22- Define medical statistics and identify uses and importance of medical statistics in medical research. KU 23-outline and Interpret results of chest X-rays and CTs, and of other basic imaging modalities B- Intellectual skills IS1-Integrate basic science of anatomy, pathology, physiology, biochemistry,and micrbiology of lung and thoracic cavity IS 2- Interpret the most important physiological laboratory results (blood, respiratory) to distinguish a physiological from a pathological condition. IS 3- Analyze symptoms & signs and make a differential diagnosis for common presenting complaints. IS 4- Design an appropriate diagnostic plan for evaluation of common presenting complaints IS 5- interpret the results of commonly used diagnostic procedures. IS 6- Identify risk factors for disease processes and injury, and institute the appropriate diagnostic, preventive, and therapeutic interventions. IS 7- Construct treatment plan, incorporating his knowledge, and patient's preferences in a cost effective manner C- Professional and Practical skills By the end of the course the candidate will be able to: PS1- Take a thorough history of appropriate depth and detail, relative to the clinical context. 4 FACULTY OF MEDICINE, ZAGAZIG UNIVERSITY DEPARTMENT OF CHEST DISEASE PS2- Demonstrate a complete and problem-focused physical examination. PS3-Integrate data acquired through history and physical examination to reach a provisional diagnosis of various pulmonary problems PS4- Recognize urgent life-threatening conditions, and institute appropriate initial management. PS5- perform routine diagnostic and therapeutic procedures, as pleural fluid aspiration, pulmonary function testes and select from different diagnostic alternatives the one that help reaching a final diagnosis for those problems PS6-conduct research study on a medical problem PS7- Provide acute respiratory and hemodynamic care (oxygen therapy, emergency airway management, initiation/management! weaning from invasive and noninvasive ventilatory support, fluids and vasoactive / inotropic support, and safe admirnsteration of blood and blood products) and monitor and respond to trends in physiological variables D-General and transferable skills GS1- Maintain honesty and integrity in all interactions with teachers, colleagues and others with whom physicians must interact in their professional lives GS 2- Identify personal learning needs GS 3 - Recognize the scope and limits of their role as students as well as the necessity to seek and apply collaboration with other workers. GS 4-Work in ateam and teams leadership in various professional contexts GS 5 - Be responsible towards work. And manage time effectively GS 6- Acquire the habit of life long learning especially continous self learning 5 FACULTY OF MEDICINE, ZAGAZIG UNIVERSITY DEPARTMENT OF CHEST DISEASE GS 7-Collect material needed for research using database.and learn effectively how to use information technology to serve the development of professional practice GS 8-Write scientific papers and present the results of researches. GS 9- Identify the importance of ethical approval and patient consent for clinical research. GS 10- Respects the role of staff and co-staff members regardless of degree or occupation. 3. Academic standards: 3a External references for standards (Benchmarks) Postgraduate Prospectus, Imperial College London (available on-line http://www.imperial.ac.uk/P1212.htm) and Royal Colleges of Physicians Training Board 3b Comparison of provision to external references Comparable ILOs in the faculty programme External Reference Royal Colleges of Physicians Training Board Purpose of the Curriculum The purpose of this curriculum is to describe the process of training in Respiratory Medicine and the competencies needed for the award of a certificate of completion of training (CCT) in the specialty. At CCT level, the doctor should have the knowledge ,skills, behaviors and competencies to practice as an independent specialist practitioner, at Consultant level, Entry Requirements and Training Pathway Specialty training in Respiratory Medicine consists of core and higher specialty training. To enter core training in Medicine, trainees must first have successfully completed a Foundation Training Programme or recognized equivalent. Core training provides physicians with (a) the ability to investigate treat and diagnose patients with acute and chronic general medical symptoms and (b) high quality review skills for managing such patients in both the inpatient and outpatient setting. Higher specialty training then builds on these core skills to develop the specific competencies Remarks -100% Fullfilled Covered by our aim Respiratory medicine master degree Zagazig university ,faculty of medicine Programme description It compromise two parts 1- Academic science(physiology pathology, anatomy,histology,microbiology,pharmac ology Chest and respiratory intensive care and internal medicine course: 2-theoretical course .- clinical course 6 100% Fullfilled FACULTY OF MEDICINE, ZAGAZIG UNIVERSITY DEPARTMENT OF CHEST DISEASE required to practise independently as an NHS consultant in Respiratory Medicine Additional recommended entry requirements for specialist training in Respiratory Medicine include: • An Advanced Life Support (ALS) qualification or equivalent. • Successful competition, at open interview, for selection to a specialty training programme in Respiratory Medicine - other activities in LOG BOOK - thesis(dissertation ) Imperial College London Programme Learning Outcomes A Knowledge and understanding of: Covered by: KU1,2,3,4,14,15 genetics, diagnosis, clinical features, investigations and management of respiratory disease chest radiology, microbiology, allergy, immunology, chest physiotherapy KU9,10,11,14,15,16 KU17 cupation in respiratory disease KU14,15,16, KU14,15,16 90% cultures making process of their own management 4- Curriculum structure and contents: 4-a- Programme duration: 24 months …………………………………………………. 4-b- Programme structure-First part - Second part - Dissertation: thesis, the candidate can start working on thesis after 6 months from registration on programme. The duration of thesis is 6 months. (i) Number of hours per week: Lectures 30 h Total:48h (ii) No. of hours of basic sciences courses: 48h 7 Practical/Clinical : 18h FACULTY OF MEDICINE, ZAGAZIG UNIVERSITY DEPARTMENT OF CHEST DISEASE (iii) No. of hours of other courses:38h 5. Programme courses Level/Year at program…First part……………………………. Code No. CMMS 01 CMMS 02 CMMS 03 CMMS 0 4 CMMS 05 CMMS 06 CMMS 07 CMMS 08 CMMS 09 Course Title No. of units Physiology Pathology Anatomy Biochemistr y Histology Microbiolog y Pharmacolo gy Community Internal medicine No of hours per Program ILOs covered week by No. Lect. Lab. 3HOURS KU1,IS1,IS2 1HOUR KU2,KU3,KU4,IS1,IS2 2HOURS KU12,IS1 3HOURS KU5,KU6,IS1 2HOURS 1HOUR - KU1,IS1 KU9,KU10,KU11,IS1 1HOUR - KU7,IS8,IS1 2HOURS - KU17,IS1,IS6 2HOURS 4HOUR KU13,IS1,IS2,IS3,IS4,IS5 S Level/Year at program Second part………………………………. Code No. Course Title No of hours per week Program ILOs covered by No. No. Lect. Lab. of units CMMS 10 MSTH CHEST Chest intensive care unit 4HOURS 26HOURS KU14,KU15,IS1-7,P1-5 2HOURS 3HOURS KU16,IS1-5,P1-6 Thesis 8 FACULTY OF MEDICINE, ZAGAZIG UNIVERSITY DEPARTMENT OF CHEST DISEASE Remarks Generic academic standards of master ILOs of the MSc in Chest programme medicine المعايير األكاديمية العامة لبرامج الدراسات العليا programme )برامج الماجستير( Faculty of medicine Zagazig University 100 % is fulfilled المعرفة و الفهم-1 KU1-5, KU9-12 أ -النظريات و األساسيات المتعلقة بمجال التعلم و كذا في المجاالت ذات العالقة KU6-8, KU13 KU14 KU15 ب -التأثير المتبادل بين الممارسات المهنية و انعكاسها -.التطورات العلمية في مجال التخصصت ث -المبادئ األخالقية و القانونية للممارسة المهنية في مجال التخصص. مبادئ و أساسيات الجودة في الممارسات المهنية في جمجال التخصص. KU17 -أساسيات و أخالقيات البحث العلميح KU16 100% is fulfilled المهارات الذهنية تحليل و تقييم المعلومات في مجال التخصص و القياس أعليها لحل المشاكل. حل المشاكل المتخصصة مع عدم توافر بعض بالمعطيات الربط بين المعارف المختلفة لحل المشاكل المهنية.ت اجراء دراسة بحثية\ أو كتابة دراسة علمية منهجية ثلحل مشكلة بحثية. تقييم المخاطر في الممارسات المهنية في مجال جالتخصص. التخطيط لتطوير األداء في مجال التخصص.ح -أتخاذ القرارات المهنية في سياقات مهنية متنوعة.خ IS1-2, IS4 IS5 IS3, IS 6-9 IS 10 IS 11 IS 12-13 IS14 100% is fulfilled المهارات المهنية اتقان المهارات المهنية األساسية و الحديثة في مجال -أ .التخصص .كتابة و تقييم التقارير المهنية -ب الطرق و األدوات القائمة في مجال التخصص تقييم -ت PS1-6, PS 12 PS7, PS9, PS13 PS8, PS10-11 9 FACULTY OF MEDICINE, ZAGAZIG UNIVERSITY DEPARTMENT OF CHEST DISEASE المهارات العامة و المتنقلة 100% is fulfilled أ- التواصل الفعال بأنواعه المختلفة GS1 ب- استخدام تكنولوجيا المعلومات بما يخدم الممارسة GS2 المهنية. ت- التقييم الذاتي و تحديد احتياجاته التعليمية الشخصية. GS9 ث- استخدام المصادر المختلفة للحصول علي احتياجاتهGS3-4, GS10 التعليمية الشخصية. ج- و ضع قواعد و مؤشرات تقييم أداء األخرين. GS6-7 ح- العمل في فريق و قيادة فرق في سياقات مهنية GS5, GS11 مختلفة. خ- إدارة الوقت بكفاءة. GS8 د- التعلم الذاتي و المستمر. GS12 6- Programme admission requirements The student to have the Bachelor of medicine and surgery (M.B.B.CH) approved by the Egyptian Ministry of higher education with the qualification grades according to the guidelines put annually by the Ministry of higher education with at least good degree. The candidate should pass the house officer training year Those who are not university hospitals residents should pass a training for at least 12 months in chest department To follow postgraduate regulatory rules of Zagazig University Faculty of medicine 7- Regulations for progression and programme completion 1st level/Yearـsemester: The 1st year complies 25% of the total degree of the student and occupies the 1 st 6 monthes. The fulfillment of the log book is a must with 75%completion to enter the exam of the 1st year. The student has to pass the first part by 60% achievement at least. 0 2nd level/Year|/semester: The second year complies 75%of the total marks of the master degree and occupies 18 months. The student has to finish English test (TOEFFL) with 400 at least with passing 3 courses in computer skills to discuss his assay. The student can defense his Thesis before or after entering the 2nd part exam. The student has to pass 2nd part with 60% achievement at least. The student has to finish the 3parts (1st, 2nd & thesis) to obtain his degree. 10 FACULTY OF MEDICINE, ZAGAZIG UNIVERSITY DEPARTMENT OF CHEST DISEASE 8- Evaluation of programme intended learning outcomes Evaluator 1- Exams results 4-Stakeholders 2- Students 3-Graduates after achieving MSc degree *- teaching staff. *- Technicians. *- Regional medical institutes *- International medical institutes. *- other Governmental faculties *- Non governmental faculties 5-External Evaluator 6-Others(If Present) Tool Sample Results analysis All the students Report Questionnaires All the students Questionnaires – 10 at least group discussion Interviews Internet contact Phone calls Questionnaires 10 at least Questionnaires 10- References: 2- Essential Books: * CMMS 01 -Fox SI (2003): Human physiology , McGraw-Hill, USA. -Gyton AC and Hall JE (2009) : medical physiology . Saunders, Philadelphia, USA. - Refinetti, R. (2006): Circadian Physiology 2nd Edition Taylor & Francis, London New York * CMMS 02 * CMMS 03 -Grays Anatomy text book * Chest 09 Kasper DL, Braunwald E, Fauci AS, Hauser SL, Longo DL, Jameson JL, Loscalzo J. (2008). Harrison's principles of internal medicine (17th ed.). New York: McGraw-Hill Medical Publishing Division. ISBN 9780071466332. 11 FACULTY OF MEDICINE, ZAGAZIG UNIVERSITY DEPARTMENT OF CHEST DISEASE * CMMS 10 1. Course Notes (paper and /or electronic) Electronic lectures 2. Essential Books (Text Books) -Fishman's Pulmonary Diseases and Disorders -MACLEOD Clinical Examination 3. Recommended Books Pulmonary medicine Crofton and Douglas respiratory diseases 4.Management of the mechanically ventilated patients VII-B) SUGGESTED MATERIALS: -Browsing web sites of physiology: www.Zu.edu.eg, Entrez pubmed -Medical journals: Arthritis Rheum, Ann of Rheumatic diseases, Rheumatology, Osteoarthritis & Cartilage. 11- Supports for Candidates and their Learning: Candidates and their learning are supported in a number of ways: Printed copies of the programme and Chest courses (Candidates aware of the ILOs and requirement of the Master degree in Rheumatology & Rehabilitation). Availability of University central library. Availability of the Faculty postgraduate library Availability of the Department Postgraduate library. Availability of the faculty digital library. Availability of the other educational resources included in every course. Supervisors of the Master thesis (three Staff members according to the research specialty for each candidate) 12- Methods used for improving the programme: Peer teaching observations and feedback to the programme management team and the coordinator (written reports at the end of the courses). Faculty appointed external examiners. Candidates evaluation of teaching (Questionnaires). Contact with Oxford University & Albany Medical Collage asking for their support. 13- Committee with responsibility for monitoring and evaluating quality: Internal Evaluators: 1-Prof. Dr. Abeer Albiomy ,lecturer of physiology,faculty of medicine, Zagazig University. 12 FACULTY OF MEDICINE, ZAGAZIG UNIVERSITY DEPARTMENT OF CHEST DISEASE 2- Member from Quality unit in the faculty. External Evaluator : Prof.Adel Khattab, prof . of chest diseases faculty of medicine Ain shams university. Regulations of assessment by-laws of the master (MSc) degree postgraduate of the faculty of medicine: CMMS 01 1- Attendance of at least 75% of the teaching courses. 2- Log book fulfilled and approved by the head of the department. Tools Written exam Oral exam Total marks Percentage of the total mark master 75 50 % 75 50 % 150 100% CMMS 02 2- Attendance of at least 75% of the teaching courses. 3- Log book fulfilled and approved by the head of the department. Tools Written exam Oral exam Total marks Percentage of the total mark 50 50 100 40 % 60 % 100% CMMS 03 1-Attendance of at least 75% of the teaching courses. 2- Log book fulfilled and approved by the head of the department. Tools Written exam Oral & Practical exam Total marks Mark 75 75 150 Percentage of the total mark 50 % 50 % 100% CMMS 04 1-Attendance of at least 75% of the teaching courses. 2- Log book fulfilled and approved by the head of the department. Tools Written exam Oral & Practical exam Total marks Mark 25 25 50 CMMS 05 1-Attendance of at least 75% of the teaching courses. 13 Percentage of the total mark 50% 50 % 100% FACULTY OF MEDICINE, ZAGAZIG UNIVERSITY DEPARTMENT OF CHEST DISEASE 2- Log book fulfilled and approved by the head of the department. Tools Written exam Oral & Practical exam Total marks Mark 25 25 50 Percentage of the total mark 50 % 50 % 100% CMMS 06 1-Attendance of at least 75% of the teaching courses. 2- Log book fulfilled and approved by the head of the department. Tools Written exam Oral exam Total marks Percentage of the total mark 25 40 % 25 60 % 50 100% CMMS 07 1-Attendance of at least 75% of the teaching courses. 2- Log book fulfilled and approved by the head of the department. Tools Written exam Oral exam Total marks Mark 25 25 50 Percentage of the total mark 50 % 50 % 100% NB: Examinations are conducted twice yearly. CMMS 08 1-Attendance of at least 75% of the teaching courses. 2- Log book fulfilled and approved by the head of the department. Tools Mark Percentage of the total mark Written exam 100 50% Oral exam 100 50% Total marks 200 100% CMMS 09 1-Attendance of at least 75% of the teaching courses. 2- Log book fulfilled and approved by the head of the department. Tools Written exam Oral & practical exam Total marks Percentage of the total mark Mark 60 90 150 % 40% 60 % 100% 14 FACULTY OF MEDICINE, ZAGAZIG UNIVERSITY DEPARTMENT OF CHEST DISEASE Thesis (MSTH) Preregistration seminar Registration of the thesis title. Perform the thesis within at least 6 months of registration. After finishing the Master thesis Candidate perform a seminar about the thesis results. Three progression reports are introduced by each supervisor (one every 3 months). Master thesis acceptance by the supervisors. Master thesis acceptance by the judgment committee in an advertised public session by three professors including one of the supervisors, one from the faculty and third from other faculty. Four copies of the thesis must be given to the postgraduate library. Pass the exam of course CMMS 0 1,2,3,4,5,6,7,8,9 (at least 60% of total Mark). Attendance of at least 75% of the teaching courses. Log book fulfilled and approved by the head of the department. CMMS 10 1- Pass the exam of course CMMS 0 1,2,3,4,5,6,7,8,9 (at least 60% of total Mark). 2-Attendance of at least 75% of the teaching courses. 3- Log book fulfilled and approved by the head of the department. Tools Written exam Oral exam Practical exam Total marks Mark 200 200 200 Percentage of the total mark 33.3% 33.3% 33.3% 600 14- Rules for awarding the Master Degree in Chest medicine : * Candidates must pass the final exam of course CMMS 01,2,3,4,5,6,7,8 , 9as a prerequest to registrate the master thesis , and course CMMS10 * Master thesis must be accepted by the judgment committee before attend the final exam of CMMS 10 * Candidates must pass the final exam of course CMMS 10 (at least 60% ). 15