AFMG The Faculty of Medicine for Girls AL-AZHAR University كلية الطب "بنات" جامعة األزهر Faculty of Medicine (for Girls) Al-Azhar University Quality Assurance Unit 0 Faculty of Medicine (for Girls) Al-Azhar University General Information: Name of Institution: Faculty of Medicine (for Girls), Al-Azhar University Address: Nasr City, Cairo – Egypt - 11754 Tel & Fax: Tel: 202-22638359 Faculty Website: www.fmgazhar.edu.eg Faculty e-mail: fmg@azhar.edu.eg Dean of the Faculty: Prof. Maha Farid Aqle Vice – Dean: Prof. Hala El-Kolaly Fax: 202-22638357 Faculty Statistics 2013 Number of Students (Egyptian + Malaysian): 1962 +381 Number of Graduated Batches: 42 Number of Faculty Staff Members: 792 Number of Non Academic Staff: 423 Number of Academic Departments: 31 1 Historical Background The Faculty of Medicine (for Girls) was established as one of the applied science faculties of Al-Azhar University following law no. 103 issued in May 1961, which is concerned with the reorganization of Al-Azhar and its institutions. The foundation stone of the establishment of the Faculty of Medicine (for Girls) was laid down in 1964; when the University Council issued a decree for setting up a section for studying Medicine and Surgery. It was affiliated to the Islamic Faculty for Girls. It was responsible for teaching medical sciences according to the Egyptian system of medical education. This responsibility includes teaching medical sciences, carrying out scientific researches in the field of diagnostic, curative and preventive medicine, together with its peculiarity in teaching Islamic related sciences and keeping the distinguished Islamic values. Studying the curriculum started in 1965, with the preliminary year. This was followed by the establishment of academic departments and finally the clinical ones, where in 1969 the academic studying commenced in the laboratories of the Faculty, while the clinical studying started in the Hospital of Manshiet El-Bakry after an agreement with the Ministry of Health. Postgraduate studies started in all the departments of the Faculty in 1971. In 1979, the Republican decree no. 116 for the year 1979 has been issued for transforming the section to an independent faculty which showed continuous expansion and progress in all its departments throughout the following years and up till now. In 1983, the Faculty of Medicine was able to attain an educational hospital; namely, “Al-Zahraa University Hospital”. At the time being, the Faculty of Medicine (for Girls) contains 31 departments and 2 specialized units. The Faculty awards a Bachelor degree of Science in Medicine and Surgery, 33 master degrees, 27 diplomas and 33 doctorate degrees in the different specialties of medicine. It is unique as an only Faculty of Medicine all over Egypt that awards a master degree in virology. Consequently a number of masters in different sub-specializations are going to be awarded in the near future. 2 Faculty Vision, Mission and Values Our vision Leadership and excellence of medical education, scientific research and community service at the local, regional and global level. Our mission is to inculcate and acquire the quality standards in preparing the female graduates with medical knowledge, skills, technicalities and professional behavior in medicine based upon legislation sciences and Islamic culture; and also to apply the basics of scientific thinking and research, and to encourage continuous learning for preparing graduates to provide health care and to progress in the fields that serve the community and environment. Our Values are ethics, honesty and respect of patient’s rights 3 Heads of Scientific Departments Scientific Department Head of Department 1st & 2nd Year Departments - Anatomy and Embryology - Histology - Biochemistry - Prof. Reem Mohamed Helmy Shaker - Prof. Eslam Mohamed Khalil El-Behairy - Prof. Hoda Mohamed El-Sayed El-Kholy - Physiology - Prof. Seham Farrag Mohamed Farrag 3rd Year Departments - Pathology - Pharmacology - Microbiology - Prof. Hanaa Abd-Allah Hassan - Prof. Neamat El-Baz Mohamed - Prof. Azza Hassan El-Salkawy - Parasitology - Prof. Sohair Mohamed Atef 4th Year Departments - Community and Industrial Medicine - Forensic Medicine and Toxicology - Ophthalmology - Prof Layla Abdel Reheem Moustafa - Prof. Nora Mohamed Tawfik - Prof. Fatma Abdel Wahab Attwa - Oto-rhino-laryngology (E.N.T) - Prof. Sayed Mahmoud Mekheimar 5th Year Departments - General Medicine Pediatrics Cardiology Chest Tropical Endocrinology Neurology Psychiatry Physical Medicine and Rheumatology Clinical pathology - Dermatology and Venereology - Prof. Mona Abdel Raouf Abel Kader Prof. Iman Mohamed Khaled Prof. Adel Ahmed Mazen Hussein Prof. Samiha Mohamed Abu Bakr Prof Somaya Hassan El-Shazly Prof. Hanaa Taha Mohamed Kandeel Prof. Hoda Mohamed Ali Massoud Prof. Hussein Mohamed Hussein Attia Ass. Prof. Taghreed Mohamed Abdel Wahab Prof. Seham Mohamed Abdel Ghafour - Prof. Faten Abdel Wadoud Abdel Kawy 4 Heads of Scientific Departments (cont…) Scientific Department Head of Department 6th Year Departments - General Surgery Gynecology and Obstetrics Orthopedic Surgery Urosurgery Anaesthesia and intensive care Diagnostic Radiology Neurosurgery - Cardiothoracic Surgery - Prof. Adel Abdel Guelil Allam Prof. Nadia Yassin Gazar Prof. Adel Hamed Awad-Allah Prof. Sayeda Ibrahim Ali Prof. Mervat Saeid Mahmoud Metwally Prof. Emam Mohamed Abdel Aziz Prof. Tawfik Ibrahim Helmy - Prof. Hosny Moustafa El-Sallab 5 Program Specification (2013-2014) University: Al-Azhar University Faculty: Faculty of Medicine for Girls A. Basic Information 1. Program Title: Bachelor of Medicine & Surgery (MB.B.Ch) 2. Program Type: Single 3. Departments Responsible for the Program: 1. Anatomy 11. Oto-rhino-laryngology 2. Histology 12. Ophthalmology 3. Physiology 13. Internal Medicine & Specialties 4. Biochemistry 14. Pediatrics 5. Pathology 15. General Surgery & specialties 6. Pharmacology 16. Obstetrics and Gynecology 7. Parasitology 17. Islamic Studies 8. Microbiology 18. Computer sciences 9. Community and Industrial Medicine 19. English/Arabic language 10. Forensic Medicine and clinical toxicology B. Professional Information 1- Program General Aims: 1.1. Provide female graduates with knowledge and understanding of health and its promotion, and of disease prevention, management and rehabilitation laying stress on update and evidence based approach to be clinically competent for safe and effective medical practice based on Islamic ethics. 6 1.2. Prepare graduates to be proficient in basic clinical skills, demonstrate competency in the performance of a limited number of basic technical procedures and to pursue lifelong learning and problem solving skills. 1.3. Encourage the acquisition of research skills and stimulating approach to the major public health problems related to the community. 1.4. Impart appropriate professional and personal attitudes and behavior based on Islamic principles for the achievement of high standards of medical practice. 2- Intended Learning Outcomes (ILOs) 2.1. Knowledge and Understanding: Graduates attaining basic medical education should have knowledge & understanding that enable them to: 2.1.a) Recognize basic sciences and different stages of development at a level sufficient to understand normal structure, ultra-structure and function of human body and basics of normal and abnormal behaviors. 2.1.b) Identify molecular, biochemical and cellular mechanisms important in maintaining homeostasis. 2.1.c) Outline the immune system and the different defence mechanisms against injury and disease. 2.1.d) Describe the causative organisms of all diseases that may affect the human body including bacteria, viruses, fungi and parasites stressing on methods of its isolation and identification and methods of infection control. 2.1.e) Identify the etiology, genetics, pathology and prognosis of all physical and mental diseases in humans, laying stress on community health problems. 2.1.f) Describe pharmacological principles of treatment using drugs, their efficacy in the management and symptomatic relief of diseases, and their adverse reactions, stating different modalities of pain relieve and palliative treatment including care of life threatening illnesses and terminally ill diseases. 2.1.g) Recognize principles of: disease surveillance & screening, disease prevention, early detection of common community health problems, healthcare planning, prioritization of services, environmental & industrial health hazards, communicable disease control, health promotion and rehabilitation. 2.1.h) Recognize epidemiological principles of demography and biological variability and how population-based approaches to health care services can improve medical practice. 7 2.1.i) Demonstrate knowledge and understanding of medicolegal aspect of medical practice and intervention and recognize the basis of clinical toxicology. 2.1.j) Consider the legal responsibilities of the medical profession and the competencies of defining the medical ethics based on an Islamic view. 2.1.k) Recognize basics of health and safety procedures during practical and clinical years. 2.1.l) Describe different types of diseases related to all body systems and management at all age groups. ways of 2.1.m) Recognize principles of normal and abnormal Obstetrics/Gynaecology structure and function, and its related diseases including family planning and evidence-based medicine and ways of management. 2.1.n) Understand basis of surgical conditions and their management including basic preand post operative care and non invasive and invasive available intervention. 2.1.o) Describe causes and mechanisms of diseases related to Oto-Rhino-Laryngology and define the proper management. 2.1.p) Identify the aetiologies ,pathogenesis and features Ophthalmology and describe its proper management. of diseases related to 2.1.q) Identify basics of diagnosis and management of common acute and chronic neonatal, infant, childhood and adolescent healthcare problems and preventive pediatrics. 2.1.r) Describe aging process and principles of geriatric medicine. 2.1.s) Understand the principles of musculoskeletal biomechanics and replacement therapy as well as physical methods used in the investigation, evaluation and diagnosis of musculoskeletal diseases and disability. 2.1.t) Recognize the principles of non-pharmacological therapies including psychotherapies. 2.1.u) Understand basic Islamic Jurisprudence and other related religious subjects that can ascertain good medical practice. 2.1.v) Acquire appropriate level of English/Arabic languages that enables them to learn medicine and Islamic subjects efficiently. 2.2. Intellectual capabilities: Graduates attaining basic medical education should develop Intellectual skills that enable them to: 8 2.2.a) Relate basic anatomical, histological, biochemical and physiological facts to clinical data. 2.2.b) Analyze, interpret, and objectively evaluate data obtained from patient’s history and physical findings for choosing the appropriate diagnostic procedures required. 2.2.c) Identify the appropriate investigations required for diagnosis. 2.2.d) Use analytical thinking in problem-solving and apply decision making skills for appropriate management of common acute and chronic conditions taking into consideration the social status of the patient. 2.2.e) Apply principles of scientific research and recognize the importance of rigor in collecting, analyzing and interpreting data in solving medical problems based on evidence . 2.2.f) Recognize different elements of risk assessments (to select appropriate tests for detecting patients at risk for specific diseases or in the early stage of disease), and to determine strategies for responding appropriately. 2.2.g) Demonstrate their ability to recognize and cope with uncertainty by i. Accepting that uncertainty is unavoidable in the practice of medicine; ii. Using appropriate cognitive and intellectual strategies to deal with uncertainty when it arises. 2.2.h) Design an initial course of management for stabilizing patients with serious illness. 2.2.i) Recognize, define and prioritize medical problems and its solving. 2.3. Skills: 2.3.1 Professional and practical skills Graduates attaining basic medical education should develop Professional and Practical skills that enable them to: 2.3.1.a) Demonstrate essential practical skills in basic sciences. 2.3.1.b) Take accurate and organized, patient-centered, structured and relevant medical history. 2.3.1.c) Perform accurate relevant and systematic physical and mental state examination in a sensitive manner, appropriate for age, gender, culture and clinical condition. 2.3.1.d) Define problems and formulate a differential diagnosis. 9 2.3.1.e) Produce and maintain recent, legible and accurate records for patients under their care. 2.3.1.f) Give advice on health promotion and diseases prevention and control. 2.3.1.g) Evaluate the health needs of patients with chronic illness and disability. 2.3.1.h) Choose the best cost-effective diagnostic measures and the proper treatment. 2.3.1.i) Work out drug dosage based on patient's weight, age, and health condition and write safe prescriptions of different types of drugs. 2.3.1.j) Recognize and manage effectively and efficiently different emergency conditions including cardio-pulmonary resuscitation, injured and critically ill. 2.3.1.k) Perform first aid measures, simple intervention and basic medical procedures. 2.3.1.l) Make clinical decisions based upon evidence and findings. 2.3.1.m) Plan an appropriate management strategies for patients. Graduates at the end of the house officer year should be competent in performing the following: 2.3.1.n) Practice the procedures learnt during undergraduate in real situations 2.3.1.o) Perform venepuncture and collect blood samples 2.3.1.p) Insert a cannula into peripheral veins 2.3.1.q) Give intramuscular, subcutaneous and intravenous injections 2.3.1.r) Perform suturing of superficial wounds. 2.3.1.s) Demonstrate competency in cardiopulmonary resuscitation and basic life-support 2.3.1.t) Administer compulsory childhood, maternal and international vaccines 2.3. 1.u) Perform basic bedside tests 2.3.1.v) Perform and interpret ECG 2.3.1.w) Administer basic oxygen therapy 2.3.1.x) Use a nebulizer (inhalation therapy) correctly 2.3.1.y) Insert a nasogastric tube 2.3.1.z) Perform bladder catheterization 2.3.1.aa) Perform procedure of normal labor 10 2.3.1.ab) Adopt suitable measures for infection control 2.3.2 General Skills: Graduates attaining basic medical education should develop General and Transferable skills that enable them to: 2.3.2.a) Communicate properly with patients, their relatives, colleagues, nurses, other health professionals and the community. 2.3.2.b) Search through medical data base and adopt the principles of self-directed lifelong learning. 2.3.2.c) Use updated information technology resources to be independent thinkers and selflearners. 2.3.2.d) Work effectively within a team. 2.3.2.e) Practice effectively in a continually changing and developing environment. 2.3.2.f) Present information clearly in written, electronic and oral forms, and communicates ideas and arguments effectively. 2.3.2.g) Effectively manage time and resources and set priorities; 2.3.2.h) Identify the needs and expectations of patients. 2.3.2.i) Solve problems related to patients, work management, and among colleagues. 2.3.2.j) Improve their linguistic capabilities and computer related skills; 2.3.2.k) Show leadership skills when appropriate. 2.3.2.l) Study topics in depth. 2.3.2.m) Analyze and use numerical data (use simple statistical methods). 2.3.2.n) Evaluate their work and that of others using constructive feedback. 2.3.2.o) Behave ethically and professionally and be committed to their Islamic principles. 2.3.2.p) Respect human beings rights and cultural beliefs irrespective of diversity with no stigmatizing of patients. 2.3.2.q) Cope with situations where communication is difficult including breaking bad news. 2.3.2.r) Show compassion to the patients and their relatives in situations of stress and grief. 11 2.3.2.s) Acquire a respectable appearance and performance. 2.3.2.t) Apply the main principles of medical ethics and be able to explain the reasoning behind a decision. 2.3.2.u) Respect the role of other healthcare professionals and share in all types of interprofessional activities. 2.3.2.v) Recognize the limits of their professional competence. 2.3.2.w) Work with colleagues in the ways that best serve patients’ interests. 2.3.2.x) Notify/report about any physical or mental conditions related to himself, colleagues or any other person that might affect patients safety. 3- Academic Standards of the program National Academic Reference Standards (NARS) were implemented in May 2008 and were consequently adopted. 4- Reference indices (Benchmarks) Subject benchmark statements of the General Medical Council (GMC) - UK- (www.qaa.ac.uk) Program Admission Requirements The regulations of Al-Azhar University only select female students who are holding Al-Azhar Education Secondary Certificate (AESC). Applicants are residing in Cairo as well as all other governorates. Those having the highest grades are prioritized. Students from other countries, mainly, Arab, holding equivalent certificate are also accepted. Students with the highest rank are having the best chance for acceptance. The annual students’ intake is determined by AlAzhar Supreme Council. According to the regulations of Al-Azhar University and its by-law (subject 2-annex 2), the undergraduate program of education provides general education that prepares the students for all career options in medicine. It is a discipline based six-year curriculum, followed by twelve months Pre-Registration House Officer (PRHO) period in the university and community hospitals in order to be licensed for practicing medicine. Curriculum Structure and Contents: The curriculum is derived from the content of all medical sciences individually and in a parallel way. 12 Al-Azhar University, as a major Islamic institution is unique in studying an extra curriculum dealing with science from an Islamic perspective. This issue is clearly presented in the mission and objectives. Its outline curriculum includes studying basic Islamic sciences in all its faculties. In the medical school, Islamic studies are included in the first four years; these studies include Qur'an as a basic subject taught throughout the four years together with other related Islamic subjects, ethics and jurisprudence. These subjects are: . األخالقيات الطبية من منظور إسالمي- تاريخ إسالمي – حديث – تفسير- عقيدة وأخالق- فقه إسالمي The curriculum is divided into three phases; phase one: first and second years of medicine (the preliminary phase), phase two: the third year of medicine (the intermediate phase). Both phases cover the basic medical sciences and the preclinical years, phase three: the fourth, fifth and sixth years of medicine (the final phase), where students start their clinical clerkships. Islamic related subjects are studied in the first four years, they are taught in Arabic. English language (replaced by Arabic language for Malaysian students) and humanity & behavioral sciences are studied in the first and second years while computer is studied in the first year only. All medical courses are studied in English. A wide variety of instructional methods are used. These include: lectures, tutorial classes, practical training in the laboratories and museum, clinical in-patient and out-patient rounds, and research work. In the academic phases (I & II) the students study the following basic science courses: Anatomy and Embryology, Physiology, Biochemistry and Histology in phase I, Pathology, Pharmacology, Microbiology & Immunology and Parasitology in phase II. The behavioral and social science courses within the faculty medical educational program are: Community Medicine and Public Health, Forensic Medicine and Medical Psychology. They are taught in the 1st, 2nd, 3rd and 4th years of the educational program. In the Public Health courses, students study the basics of health administration, management and communication, communicable and non-communicable diseases’ prevention as part of epidemiology course, Medical Ethics and Jurisprudence are integrated in the Forensic Medicine course as well as religious subjects. Clinical sciences and their applicable clinical skills are taught starting from the fourth year through the sixth year. Medical students study Ophthalmology, Oto-rhino-laryngology, Community Medicine & Public Health, and Forensic Medicine during the fourth year. During the fifth year, they study Internal Medicine & Specialties, and Pediatrics. Through the final sixth year they are taught General Surgery & Specialties, Obstetrics and Gynecology. The teaching methods consist of traditional lectures and clinical rounds. During clinical rounds different clinical skills as history taking, physical examination, investigations, differential diagnosis, management, and communication are taught and acquired. During clinical 13 clerkship, students interact with different patients, and they are required to interact with different situations. Their tutors and staff members serve as role models. Teaching starts daily at 8:00 a.m. and ends at 4:00 p.m. The details of the subjects, which are taught through these six years, are demonstrated in the following table which represents the duration of theoretical, practical and clinical courses in each discipline. Subject Year No. of Study hours/week Theoretical Practical/Clinical Methods of Teaching Anatomy and Embryology First year 5 6 Lectures, dissection lab and museum Physiology First year 5 2 Lectures and lab Histology First year 2 3 Lectures and lab Biochemistry First year 5 2 Lectures and lab English (but not for foreigner students) First year 4 ---- Lectures Holy Qur’an First year 1 ---- Lectures Creed and Ethics First year 2 ---- Lectures Islamic Jurisprudence First year 2 ---- Lectures Computer First year 1 1 Lectures Anatomy and Embryology Second year 4 6 Lectures, dissection lab and museum Physiology Second year 5 2 Lectures, lab and tutorials Histology Second year 2 3 Lectures, lab and tutorials Biochemistry Second year 5 2 Lectures, lab and tutorials Human behavioral sciences Second year 1 ---- Lectures 14 Subject Year No. of Study hours/week Theoretical Practical/Clinical Methods of Teaching English (but not for foreigner students) Second year 2 ---- Lectures Holy Qur’an Second year 1 ---- Lectures Islamic history Second year 2 ---- Lectures Pathology Third year 4 4 Lectures, lab and museum Pharmacology Third year 4 4 Lectures, lab and tutorials Microbiology and Immunology Third year 2 2 Lectures, lab and tutorials Parasitology Third year 2 2 Lectures, lab and tutorials Holy Qur’an Third year 1 ---- Lectures Interpretation of Qur'an Third year 1 ---- Lectures Ophthalmology Fourth year 2 2 months/year Lectures, inpatient and outpatient clinical rounds. Otolaryngology Fourth year 1 1 month/year Lectures and clinical rounds Community and Public Health Fourth year 4 2 months/year Lectures and community visits Forensic Medicine and Toxicology Fourth year 2 2 months/year Lectures Medical ethics based on Islamic principles Fourth year 2 ---- Lectures Holy Qur’an Fourth year 1 ---- Lectures Hadieth (prophets sayings) Fourth year 1 ---- Lectures 15 Subject Internal Medicine and Specialties Pediatrics Surgery and Specialties Obstetrics and Gynecology Year No. of Study hours/week Theoretical Fifth year Fifth year Sixth year Sixth year 9 2 9 4 Practical/Clinical Methods of Teaching 8 months/year Lectures, inpatient and outpatient clinical rounds 3 months/year Lectures, Inpatient and outpatient clinical rounds 8 months/year Lectures, inpatient and outpatient clinical rounds 4 months/year Lectures, inpatient and outpatient clinical rounds Theoretical (Hours/year) in specialties in medicine: 30 hrs/year in Skin & Venereal disease 15 hrs/year in Chest disease 15 hrs/year in Cardiology & vascular medicine 15 hrs/year in Neurology & Psychiatry 15 hrs/year in Tropical Medicine 15 hrs/year in Endocrinology 15 hrs/year in Clinical Pathology 6 hrs/year in Physical Medicine & Rheumatology There's 15 days round in each of the following specialties: Chest - Cardiology - Neurology - Tropical Medicine - Clinical Pathology - Skin & Venereal disease - Physical Medicine & Rheumatology – Psychology & Endocrinology Theoretical (Hours/year) in specialties in surgery: 30 hrs/year in Anesthesia 15 hrs/year in Orthopedic Surgery 15 hrs/year in Urology 15 hrs/year in Radiology 15 hrs/year in Emergency Medicine There's 15 days round in: each of the following specialties: Orthopedic Surgery - Anesthesia & Intensive care –Neurosurgery - Radiology - Urology Emergency Medicine 16 The academic year is 32 weeks starting in mid-September and ending in mid-June (From the 1st to 4th years). It includes a mid-year vacation for two weeks in January. Final exam begins in May and ends by the end of June. In the 5th and 6th years, the academic year is 42 weeks starting from first of October for the 5th year and first of December for the 6th year. Phase I and II are not semester based, while the last three clinical years are divided in blocks in term of months. Pre-registration training include house officer position which represents the linking period (1 year long) between undergraduate medical education and the post graduate subsequent stage of training and practice. The house officer spends this year as intern rotating among different departments. They spend two months, by rotation, in General Surgery, Pediatrics, Obstetrics & Gynecology, and Internal Medicine departments, then they have to select one special medicine course for two months, and another two months in a special surgery during which they choose among different branches that suit their interest and career options. During this year they are involved in direct patient care, examination, diagnosis and requesting different investigations. They have the opportunity to deal with different medical and surgical emergency situations. They participate in the daily patients’ rounds and practice different surgical procedures. All these activities are under the supervision of residents, assistant lecturers and staff. Adequate performance is essential for the completion of the round. This year can be spent either in the University Hospital or in other Ministry of Health Hospitals. Methods and rules of evaluation of students enrolled in the program: Method What is measured of the intended learning outcome 1) Essay questions Assess low level of Knowledge and Understanding 2) MCQs Assess high level of understanding 3) Practical examination Assess practical skills 4) Clinical examination Assess clinical skills 5) Oral examination Assess intellectual capabilities & attitude 6) Problem solving questions Assess high levels of thinking 7) OSCE Assess multiple areas of thinking 8) OSPE Assess multiple areas of thinking 9) Student researches Assess general skills, IT, team working, attitude, team leading 17 Method What is measured of the intended learning outcome 10) Formative assessment Assess the degree of achievements during lectures 11) Field visit assessment Assess general skills 12) Practical book Assess the ability to maintain record 13) Logbook Total comprehensive assessment 14) Assignments Assess intellectual skills 15) Identification of histological Assess practical skills slides using data show 16) Open book exam in pediatric department Assess intellectual skills Evaluation of Program Intended Learning Outcomes Evaluator Tool Sample 1- Students of last level Questionnaires 20% 2- Graduates Questionnaires 20% 3- Stakeholders (Employers) 4- External Evaluator (s)/ Examiner(s) External 5- Other methods 18 Report