University: Alexandria Faculty: Medicine Program Specifications (Academic year: 2015/ 2016)

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1 الهيئة القومية لضمان جودة التعليم واالعتماد University: Alexandria Faculty: Medicine Program Specifications (Academic year: 2015/ 2016)

2 الهيئة القومية لضمان جودة التعليم واالعتماد A. Basic Information: 1. Program title: Doctorate Degree of Audiology 2. Program Award/Degree: Doctorate Degree. 3. Department (s) offering the program: Otorhinolaryngology-Audiology 4. Program Coordinator: Prof. Dr. Ossama Sobhy 5. External evaluator(s): Prof. Dr. Nadia M Kamal, Professor of Audiology, Ain Shams University. 6. Type of the program: Single. 7. Date of most recent program specifications approval: November 2016 B. Professional Information: 1- Program Aims: The aim of this program is to: 1.1. Expand the knowledge of doctorate candidates in the field of audiology Introduce recent technologies and improve current ones in diagnostic & rehabilitative audiology. 1.3 Develop the capacities of juniors to be competent teachers and skilled researchers able to conduct an independent successful scientific research and professional service in these areas. 1.4 Manage difficult professional problems. 2- Academic reference standards (ARS) & ILOs: Academic reference standards of Doctorate Degree in audiology are designed and approved by the Department of Otolaryngology. Faculty of Medicine. Alexandria University. Based on: Generic Academic Reference Standards (ARS): Postgraduate Medical Education, Egypt (2009). Published by the National Authority for Quality Assurance and Accreditation of Education (NAQAAE). [ Domain A. Knowledge and understanding Core Competencies (by area) Graduate of this program must have deep and broad knowledge and understanding in: The areas of diagnostic & rehabilitative audiology concerning both the hearing & the balance mechanisms. Recent and evolving theories in the field of hearing & vestibular research. ILOs By the end of the doctoral program, the graduate will be able to: A1. Revise and upgrade their knowledge about the anatomy & physiology relevant to their research topic. A2. Revise & upgrade their knowledge in the basic sciences related to the field of hearing & equilibrium, including acoustics, psychoacoustics, and other basic medical sciences pertained to the field of audiology. A3. Discuss the Etiology, Pathogenesis and clinical presentations of different otologic disorders (both common & less common ones). A4. Recognize recent advances in

3 الهيئة القومية لضمان جودة التعليم واالعتماد B. Intellectual skills C. Professional skills Analyze, evaluate & use information from different sources. Create research methods Critically appraise published relevant medical literature. Perfect all basic and advanced procedural skills related to the field of audiology. Improve and suggest alternative methods for diagnosis & rehabilitation of patients in the field of specialty. the technologies of diagnostic & rehabilitative audiology. B1. Use the basic knowledge and understanding in the field of hearing & equilibrium to explain the different pathological problems of patients at different ages. B2. Design the appropriate diagnostic protocol for a given disorder. B3. Evaluate and modify diagnostic methods used in a particular problem. B4. Improve techniques used in diagnostic and rehabilitative audiology based on structured scientific research. B5. Critically appraise current literature in the specialty of audiology. B6. Prepare a project proposal for scientific or clinical application. C1. Perform and supervise competently all basic and all required advanced diagnostic & rehabilitative procedures in the field of audiology. C2. Write full report including comprehensive details about clinical & audiologic findings as well as suggested remediation plans. C3. Decide alternative procedures that could be applied if ideal clinical facilities are lacking. C4. Present clearly organized information in variable forms to students and peers. C5. Work in advanced research lab to enrich specialty knowledge and write and publish scientific

4 الهيئة القومية لضمان جودة التعليم واالعتماد D. General and transferrable skills E. Attitudes and ethical behavior Graduate should be competent in the following: Teaching skills and planning research. Lead teams and co-operate with colleagues and seniors Retrieving and processing different sources of information to obtain data from multiple technologic sources. Planning of developed courses to improve practice of juniors. Teach and implement ethical regulations in his/her professional and clinical practices. articles. D1. Demonstrate effective written and oral skills for presentation of scientific information to different audiences in the field of audiology. D2. Co-operate efficiently in a multi-professional team working. D3. Lead or participate in an organized research team in the field of audiology. D4. Co-ordinate a team for educational settings. D5. Use information technology to access, evaluate and interpret scientific data. D6. Face challenges and improve existing situations E1. Follow the national code of ethics & respect patients rights in dealing with patients. E2. Promote high standards of personal and organizational integrity, compassion, honesty and respect for seniors, colleagues, assistants and students. E3. Council hearing-impaired patients or their guardians with great deal of patience, sympathy & understanding.

5 الهيئة القومية لضمان جودة التعليم واالعتماد Program courses ILOs Matrix ILOs Course title Advanced Auditory Anatomy and Physiology Advanced Vestibular Anatomy and Physiology Psychology of Hearing Advanced biomedical statistics Audiological Research Genetic Hearing Disorders Immune-mediated Ear diseases Sensory neural Hearing loss Auditory Electrophysiology I Auditory Electrophysiology II Auditory Electrophysiology III Auditory Electrophysiology IV Auditory Electrophysiology V Central auditory Disorders A1 A2 A3 A4 B1 B2 B3 B4 B5 B6 C1 C2 C3 C4 C5 D1 D2 D3 D4 D5 D6 E1 E2 E3 X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X

6 الهيئة القومية لضمان جودة التعليم واالعتماد Rehabilitative audiology for children X X X X X Rehabilitative X X X X X audiology for Adults Advanced amplification for the hearing impaired X X X X X Implantable hearing devices X X X X X X Noise X X X X Preventive X X X X X X audiology Educational audiology Advanced X X X X X X X X X X X X vestibular disorders and measurements Computers and internet in audiology X X X X X X X X Seminar in Hearing II X X X 3- Curriculum Structure: -Program duration: This program is fulfilled in not less than 3 years with a maximum of seven years (5 semesters& thesis). -Program structure: 1. Obligatory Courses: 45 Credit Hours. 2. Thesis: 7 Credit Hours. 5. Total of the program: 52 hours.

7 الهيئة القومية لضمان جودة التعليم واالعتماد -Program Content: A. Obligatory Courses: Code Course Credit Hours Contact hours Lectures Practical Advanced Auditory Anatomy and Physiology Advanced Vestibular Anatomy and Physiology Psychology of Hearing Audiological research Genetic Hearing Disorders Immune-mediated disorders Sensoryneural Hearing Impairment Auditory Electrophysiology I Auditory Electrophysiology II Auditory Electrophysiology III Auditory Electrophysiology IV Auditory Electrophysiology V Central Auditory Disorders Rehabilitative audiology for children Rehabilitative audiology for Adults Advanced amplification for the hearing impaired Implantable hearing devices Noise Preventive audiology Educational audiology Advanced vestibular

8 الهيئة القومية لضمان جودة التعليم واالعتماد disorders and measurements Computers and internet in audiology Seminar in Hearing II C. Doctoral Dissertation: 20 credit hours. 4- Program Admission Requirements: According to the regulations of the credit hour by laws of the Faculty of Medicine Alexandria University. 5- Regulations for Progression and Program Completion: According to the regulations of the credit hour by laws of the Faculty of Medicine Alexandria University (annex). 6- Methods of student assessment: Methods Intended Learning outcomes to be assessed 1. Written Exam A1, A2, A3, A4,B1, D1 2. Practical Exam B2, B3, C1, C2, C3, E3 3. Assignments B4, B5, C3, D2, D4, D5 1. Thesis B4,B5, B6, C3, C4, C5, D1, D3, D5, E1. 7- Methods of program evaluation: Evaluator Tool Sample 1. Students enrolled in the program Questionnaires. 2. Alumni Stakeholders (Employers) Focus group 4. External Evaluator (s) Yes 5. : Program Coordinator: Prof. Dr. Ossama Sobhy Signature: Head of Audiology Unit: Prof. Hesham Kozou Signature: Head of ORL Dept.: Prof. Mohamed Hassab Signature:

9 الهيئة القومية لضمان جودة التعليم واالعتماد COURSE DESCRIPTION 1 Code Credit hours (1) Course Prerequisites Advanced Auditory Anatomy and Physiology - The external ear, middle ear, inner ear, auditory nerve, the central nervous system, binaural mechanisms, thalamocortical projections, cortical auditory areas, auditory cortical connections. 2 Code Credit hours (1) Course Prerequisites Advanced Vestibular Anatomy and Physiology The vestibular labyrinth, the central vestibular system, saccadic eye movements, smooth persuit eye movements, optokinetc eye movements, visual vestibular interaction. Vestibulo-cerebellar connections. Vestibular sensations. Vestibular reflexes. Posture control. 3 Code Credit hours (1) Course Prerequisites Psychology of Hearing Hearing thresholds, loudness contours, scaling measurements. Detection of intensity changes, loudness fatigue, adaptation, loudness recruitment and scaling. Frequency analysis, masking, critical bands. Pitch perception, space perception, and auditory pattern and object perception. Speech perception. Signal detection theory. 4 Code Credit hours (1) Course Prerequisites Audiological research Basic research design. Experimental design and statistical analysis techniques. Single group designs, time series design, control group designs, random assignment. Placeboes.Ethics, legal constraints. Critical evaluation of research. Mistakes made in conducting experiments.

10 الهيئة القومية لضمان جودة التعليم واالعتماد 5 Code Credit hours (1) Course Prerequisites Genetic Hearing disorders - Basic genetics - Prevalence of genetic hearing loss. - Non-syndromic hearing loss. - Syndromal hearing loss. - Laboratory investigations of genetic hearing loss. - Experimental genetic therapy. 6 Code Credit hours (1) Course Prerequisites Immune-mediated Disorders - Basic Immunology. - Immune responses of the ear. - Animal models of immune mediated ear diseases. - Otologic manifestations of immune diseases. - Otologic manifestations of systemic immune diseases. - Therapeutic approaches. 7 Code Credit hours (1) Course Prerequisites Sensoryneural Hearing Impairment - Pathology and pathophysiology. - Diagnosis. - Impact on speech and language development. - Impact on aural communication. - Early intervention concepts. - Therapy and rehabilitation. 8 Code Credit hours (1) Course Prerequisites Auditory Electrophysiology I

11 الهيئة القومية لضمان جودة التعليم واالعتماد - Generators. - Fundamental considerations in stimulation, recording and analysis techniques. - Equipment design, hardware and software features. - Temporal domains. - Analysis of responses. - Animal experiments, stimulation and ablations. - Clinical applications and limitations. - Relationship to imaging techniques. 9 Code Credit hours (2) Course Prerequisites Auditory electrophysiology (II) - Early auditory potentials: sensory potentials, neural potentials, brainstem pathways, generators, peripheral threshold effects, maturation, site of lesion diagnosis, auditory screening, clinical uses and protocols. 10 Code Credit hours (2) Course Prerequisites Auditory electrophysiology (III) - Middle, late and cognitive auditory potentials: morphology and subject interaction, generators, maturation, protocol of stimulation and measurement, assessment of sensory memory, central auditory discrimination processses, central compensatory mechanisms in the human brain. 11 Code Credit hours (2) Course Prerequisites Auditory electrophysiology (IV) - Otoacoustic emissions: measurement tool of auditory amplifier mechanism, stimulation and recording techniques, site of lesion detection, monitor disease or drug effects on the inner ear, study of central efferent mechanisms.

12 الهيئة القومية لضمان جودة التعليم واالعتماد 12 Code Credit hours (1) Course Prerequisites Auditory electrophysiology (V) - Intraopertive monitoring: concepts, operating theater, methodology, equipment, electrical interferences and contaminations, study cochlear implant monitoring, auditory nerve monitoring, brainstem monitoring, facial nerve monitoring. 13 Code Credit hours (2) Course Prerequisites Central Auditory Disorders Central auditory disorders: - Definition, manifestations, classification, concepts in measurements, diagnosis, treatment strategies. 14 Code Credit hours (2) Course Prerequisites Rehabilitative Audiology for Children - Early intervention, screening, therapies, single handicap, multiple handicaps, psychological evaluations, amplification and auditory training, cochlear implants, speech and language development therapies, educational consultations, assistive listening in classrooms. 15 Code Credit hours (2) Course Prerequisites Rehabilitative Audiology for Adults - Diagnosis for hearing impairment, diagnosis for aphasics, amplification and auditory training, cochlear implants, support groups, questionnaires of self assessment, vocational guidance. 16 Code Credit hours (2) Course Prerequisites Advanced Amplification for the Hearing Impaired - Advance technologies in signal processing, features of the hearingimpaired in relation to speech perception, fitting techniques and outcome measures.

13 الهيئة القومية لضمان جودة التعليم واالعتماد 17 Code Credit hours (2) Course Prerequisites Implantable Hearing Devices - Middle ear implants. - Cochlear implants. - Brainstem implants. - Device features and computer programming protocols. 18 Code Credit hours (1) Course Prerequisites Noise - Acoustic features, noise measurements, damage risk criteria, TTS, PTS, psychological impacts, noise pollution, hazardous noise, industrial noise, preventive approaches from noise damage. 19 Code Credit hours (1) Course Prerequisites Preventive Audiology - Screening for age-dependent populations, screening in schools, factories. Genetic counseling, early diagnostic and rehabilitative intervention, support group strategies, regulations for safety noise exposure, training programs. 20 Code Credit hours (1) Course Prerequisites Educational Audiology - Nature of educational audiology, educational audiology services, habilitative interventions. 21 Code Credit hours (2) Course Prerequisites Advanced Vestibular Disorders and Measurements - Vertigo, vestibular diseases, battery approach in evaluation, behavioral vestibular measurements, ENG, VNG, Rotatory chair test, posturography, questionnaires.

14 الهيئة القومية لضمان جودة التعليم واالعتماد 22 Code Credit hours (1) Course Prerequisites Computers and Internet in Audiology - E-learning - Audiology tele-practice - Website design and publishing 23 Code Credit hours (1) Course Prerequisites Seminar in Hearing II Current literature Reviews, subject reviews, difficult case presentations. Program Coordinator: Prof. Dr. Ossama Sobhy Signature: Head of Audiology Unit: Prof. Hesham Kozou Signature: Head of ORL Dept.: Prof. Mohamed Hassab Signature:

15 Course Specifications University: Alexandria Faculty: Medicine Department: Otolaryngology Course Information Course Code: Program in which the Course is Given: Doctorate of Audiology Course Name: Auditory Electrophysiology III Number of Credit Hours Two Theoretical 2 Clinical/Practical Course Aims Middle, late and cognitive auditory potentials: morphology and subject interaction, generators, maturation, protocol of stimulation and measurement, assessment of sensory memory, central auditory discrimination processes, central compensatory mechanisms in the human brain. Intended Learning Outcomes (ILOs) Program ILO (refer to program matrix) A. Knowledge and Understanding A1. Revise and upgrade their knowledge about the anatomy & physiology relevant to their research topic. Course ILOs Graduates should be able to: A1. Upgrade their knowledge in the anatomy of the ear and central auditory pathway. A1. Upgrade their knowledge in the physiology of the ear and central auditory pathway. A4. Recognize recent advances in the technologies of diagnostic & rehabilitative audiology A2. Realize basic concepts in signal sampling, digitization and processing that will be needed in recording the evoked potentials. A3. Discuss different instrumentations used for recording the middle & cortical auditory evoked potentials. A4. Discuss the different parameters that

16 B. Intellectual skills B2. Design the appropriate diagnostic protocol for a given disorder. affect the late auditory evoked potentials. B1. Design the appropriate test protocol incorporating the cortical auditory evoked responses. B2. Appreciate the limitations of each technique. B3. Evaluate and modify diagnostic methods used in a particular problem. B4. Improve techniques used in diagnostic and rehabilitative audiology based on structured scientific research. B3. Suggest alternative tools to address problems such as frequency specificity, response clarity & reliability. B4. Improve techniques used recording the middle & cortical potentials based on structured scientific research. C.Professional and Practical C1. Perform and supervise competently all basic and all required advanced diagnostic & rehabilitative procedures in the field of audiology. C3. Decide alternative procedures that could be applied if ideal clinical facilities are lacking. C5. Work in advanced research lab to enrich specialty knowledge and write and publish scientific articles. C1. Perform different techniques of recording the middle & late evoked potentials. C2. Tutor junior staff (residents) in recording the auditory potentials. C3. Decide alternative procedures in cases of equipment lack or shortcoming of existing procedures. C4. Work in an electrophysiology lab as a research assistant. C5. Write & publish data in the field of auditory evoked potentials D. General D5. Use information technology to access, evaluate and interpret scientific data. D6. Face challenges and improve existing situations D1. Use information technology to collect, evaluate, interpret and present scientific data. D2. Appreciate limitations & shortcomings of procedures & suggest alternatives to improve utility of current procedures.

17 Course Content (Units/Topics) Middle latency responses Cortical auditory evoked potentials Event-related potentials Please check () the appropriate method. Teaching/Learning Methods Lectures self Practical/ learning Clinical Small group discussion Student Assessment Methods of Assessment Essay Objective questions Case Assignment OSCE/OSPE Logbook fulfillment Schedule of Assessment Mid-term % End of term 100 % Distribution of Marks Written Exam 100 % Practical/Clinical Exam % % List of Textbooks and References Lecture Notes Course Text Books Suggested Extra Reading -The auditory brainstem response, Ernest Moore - Handbook of clinical audiology, Jack Katz. Journals and Periodicals, others Course Instructor Name: Dr Hesham Kouzo Signature: Program Coordinator Name: Prof Ossama Sobhy Signature:

18 Program Director (Head of Department) Name: Prof. Mohamed Hassab Signature:

19 Course Specifications University: Alexandria Faculty: Medicine Department: Otolaryngology Course Information Course Code: Program in which the Course is Given: Doctorate of Audiology Course Name: Auditory Electrophysiology IV Number of Credit Hours Two Theoretical 1 Clinical/Practical 1 Course Aims Otoacoustic emissions: measurement tool of auditory amplifier mechanism, stimulation and recording techniques, site of lesion detection, monitor disease or drug effects on the inner ear, study of central efferent mechanisms. Intended Learning Outcomes (ILOs) Program ILO (refer to program Course ILOs matrix) A. Knowledge and Understanding A1. Revise and upgrade their knowledge about the anatomy & physiology relevant to their research topic. Graduates should be able to: A1. Upgrade their knowledge in the anatomy of the ear and central auditory pathway with emphasis on the efferent pathway. A2. Upgrade their knowledge in the physiology of the ear and central auditory pathway with emphasis on the efferent pathway. A2. Revise & upgrade their knowledge in the basic sciences related to the field of hearing & equilibrium, including acoustics, psychoacoustics, and other basic medical sciences pertained to the field of audiology. A3. Discuss basic concepts in signal sampling, digitization and distortion that will be needed in recording the otoacoustic emissions. A4. Recognize different instrumentations used for recording the emissions.

20 B. Intellectual skills B3. Evaluate and modify diagnostic methods used in a particular problem. B1. Design the appropriate test protocol incorporating the otoacoustic emissions as a screening tool. B2. Appreciate the limitations of the emissions. B3. Suggest alternative tools to address problems such as frequency specificity & threshold detection. B4. Improve techniques used in diagnostic and rehabilitative audiology based on structured scientific research. B4. Improve techniques used in recording the emissions based on structured scientific research. C.Professional and Practical C1. Be competent in performing & supervising all basic and all required advanced diagnostic & rehabilitative procedures in the field of audiology. C3. Decide alternative procedures that could be applied if ideal clinical facilities are lacking. C5. Work in advanced research lab to enrich specialty knowledge and write and publish scientific articles. C1. Record the different types of otoacoustic emissions. C2. Tutor junior staff (residents) in recording the emissions. C3. Decide alternative procedures in cases of equipment lack. C4. Work in an electrophysiology lab as a research assistant. C5. Write & publish data in the field of otoacoustic emissions. D. General D5. Use information technology to access, evaluate and interpret scientific data. D6. Face challenges and improve existing situations D1. Use information technology to collect, evaluate, interpret and present scientific data. D2. Appreciate limitations & shortcomings of procedures. D3. Suggest alternatives to improve utility of current procedures. Teaching/Learning Methods

21 Course Content (Units/Topics) Lectures self learning Practical/ Clinical Classification of Otoacoustic emissions Spontaneous emissions Transient-evoked emissions Distortion-product emissions Stimulus-frequency emissions Clinical Applications of otoacoustic emissions Please check () the appropriate method. Small group discussion Student Assessment Methods of Assessment Essay Objective questions Case Assignment OSCE/OSPE Logbook fulfillment Schedule of Assessment Mid-term % End of term 100 % Distribution of Marks Written Exam 70 % Practical/Clinical Exam 30 % % List of Textbooks and References Lecture Notes Course Text Books Suggested Extra Reading - The otoacoustic emissions, James Hall III - Handbook of clinical audiology, Jack Katz. Journals and Periodicals, others Course Instructor Name: Prof Ossama Sobhy Signature:

22 Program Coordinator Name: Prof Ossama Sobhy Signature: Program Director (Head of Department) Name: Prof. Mohamed Hassab Signature:

23 Course Specifications University: Alexandria Faculty: Medicine Department: Otolaryngology Course Information Course Code: Program in which the Course is Given: Doctorate of Audiology Course Name: Auditory Electrophysiology V Number of Credit Hours Two Theoretical 1 Clinical/Practical 1 Course Aims Intraopertive monitoring: concepts, operating theater, methodology, equipment, electrical interferences and contaminations, study cochlear implant monitoring, auditory nerve monitoring, brainstem monitoring, facial nerve monitoring. Intended Learning Outcomes (ILOs) Program ILO (refer to program Course ILOs matrix) A. Knowledge and Understanding A1. Revise and upgrade their knowledge about the anatomy & physiology relevant to their research topic. Graduates should be able to: A1. Upgrade their knowledge in the anatomy of the ear and central auditory pathway with emphasis on electrophysiology. A1. Upgrade their knowledge in the physiology of the ear and central auditory pathway with emphasis on electrophysiology. B. Intellectual skills A4. Recognize recent advances in the technologies of diagnostic & rehabilitative audiology B4. Improve techniques used in diagnostic and rehabilitative A2. Outline basic concepts in signal sampling, digitization and distortion that will be needed in recording the evoked potentials in the operating rooms A3. Discuss different instrumentations used for intra-operative monitoring, with special emphasis on those used during cochlear implant surgery. B1. Appreciate the difficulties of intraoperative monitoring. B2. Suggest alternative tools to address

24 audiology based on structured scientific research. problems such as electric interference, response clarity, and time constraints. B3. Improve techniques used in recording the evoked potentials in operating theaters. C.Professional and Practical C1. Perform and supervise competently all basic and all required advanced diagnostic & rehabilitative procedures in the field of audiology. C1. Perform intraoperative recording of evoked potentials, especially those used in cochlear implant surgery. C2. Interpret results of intra-operative data to surgeons to help them take appropriate decisions. C3. Tutor junior staff (residents) in recording the neural telemetry in cochlear implantations. C3. Decide alternative procedures that could be applied if ideal clinical facilities are lacking. C3. Decide alternative procedures in cases of equipment lack. D. General D5. Use information technology to access, evaluate and interpret scientific data. D6. Face challenges and improve existing situations D1. Collect and evaluate scientific data from different sources. D2. Interpret and present scientific data to different audiences. D3. Appreciate limitations & shortcomings of procedures. D4. Suggest alternatives to improve utility of current procedures. Course Content (Units/Topics) Teaching/Learning Methods Lectures self Practical/ learning Clinical Intra-operative monitoring: overview, instrumentation & interferences Auditory nerve monitoring Facial nerve monitoring Telemetry for cochlear implantation Intra-operative stapedial muscle reflex Small group discussion

25 in cochlear implantation Please check () the appropriate method. Student Assessment Methods of Assessment Essay Objective questions Case Assignment OSCE/OSPE Logbook fulfillment Schedule of Assessment Mid-term % End of term 100 % Distribution of Marks Written Exam 70 % Practical/Clinical Exam 30 % % List of Textbooks and References Lecture Notes Course Text Books - Handbook of clinical audiology, Jack Katz. Suggested Extra Reading Journals and Periodicals, others Course Instructor Name: Prof Mona Mourad Signature: Program Coordinator Name: Prof Ossama Sobhy Signature: Program Director (Head of Department) Name: Prof. Mohamed Hassab Signature:

26 Course Specifications University: Alexandria Faculty: Medicine Department: otolaryngology Course Information Course Code: Course Name: Auditory Electrophysiology I Program in which the Course is Given Doctoral of Audiology Number of Credit Hours one Theoretical 1 Clinical/Practical Course Aims Study the following areas related to auditory electrophysiology: - Generators of different potentials. - Fundamental considerations in stimulation, recording and analysis techniques. - Equipment design, hardware and software features. - Temporal domains. - Analysis of responses. - Animal experiments, stimulation and ablations. - Clinical applications and limitations. - Relationship to imaging techniques. Intended Learning Outcomes (ILOs) Program ILO (refer to program matrix) A. Knowledge and Understanding A1. Revise and upgrade their knowledge about the anatomy & physiology relevant to their research topic. Course ILOs A1. Upgrade their knowledge in the anatomy of the ear and central auditory pathway. A2. Upgrade their knowledge in the physiology of the ear and central auditory pathway.

27 B. Intellectual skills A4. Recognize recent advances in the technologies of diagnostic & rehabilitative audiology. A3. Discuss basic concepts in signal sampling, digitization and processing. A4. Outline different instrumentations used for recording the auditory evoked potentials. A5. Correlate the generator site of different potentials with their clinical applicability in audiological practice. C.Professional and Practical D. General D5. Use information technology to access, evaluate and interpret scientific data. D6. Face challenges and improve existing situations D1. Collect, evaluate, interpret and present scientific data related to the field of electrophysiology. D2. Interpret and present scientific data related to the field of electrophysiology. D3. Appreciate limitations & shortcomings of procedures. D4. Suggest alternatives to improve utility of current procedures. Course Content (Units/Topics) Classification of auditory evoked potentials Generators Teaching/Learning Methods Lectures self Practical/ learning Clinical Small group discussion Instrumentations Response morphology & analysis Clinical applications Please check () the appropriate method.

28 Student Assessment Methods of Assessment Essay Objective questions Case Assignment OSCE/OSPE Logbook fulfillment Schedule of Assessment Mid-term % End of term 100 % Distribution of Marks Written Exam 100 % Practical/Clinical Exam % % List of Textbooks and References Lecture Notes Course Text Books - The auditory brainstem response, Ernest Moore - Handbook of clinical audiology, Jack Katz. Suggested Extra Reading Journals and Periodicals, others Course Instructor Name: Prof. Ossama Sobhy Signature: Program Coordinator Name: Prof. Ossama Sobhy Signature: Program Director (Head of Department) Name: Prof. Mohamed Hassab Signature:

29 Course Specifications University: Alexandria Faculty: Medicine Department: otolaryngology Course Information Course Code: Course Name: Auditory Electrophysiology II Program in which the Course is Given Doctoral of Audiology Number of Credit Hours Two Theoretical 1 Clinical/Practical 1 Course Aims Study the following areas related to early auditory electrophysiology: Sensory potentials (cochlear microphonics & summating potentials), neural potentials, brainstem pathways, generators, peripheral threshold effects, maturation, site of lesion diagnosis, auditory screening, clinical uses and protocols. Intended Learning Outcomes (ILOs) Program ILO (refer to program Course ILOs A. Knowledge and Understanding matrix) A1. Revise and upgrade their knowledge about the anatomy & physiology relevant to their research topic. Graduates should be able to: A1. Upgrade their knowledge in the anatomy of the ear and central auditory pathway. A2. Upgrade their knowledge in the physiology of the ear and central auditory pathway. A2. Discuss basic concepts in signal sampling, digitization and processing. A4. Recognize recent advances in the technologies of diagnostic & rehabilitative audiology. A3. Describe different instrumentations used for recording the early auditory evoked potentials.

30 B. Intellectual skills B2. Design the appropriate diagnostic protocol for a given disorder. B3. Evaluate and modify diagnostic methods used in a particular problem. B4. Improve techniques used in diagnostic and rehabilitative audiology based on structured scientific research. B1. Design the appropriate test protocol incorporating the early auditory evoked responses. B2. Appreciate the limitations of each technique. B3. Suggest alternative tools to solve problems such as frequency specificity, response clarity & reliability. B4. Improve techniques used in recording the early potentials based on structured scientific research. C.Professional and Practical C1. Perform and supervise competently all basic and all required advanced diagnostic & rehabilitative procedures in the field of audiology. C1. Perform different techniques of early evoked potentials recording. C2. Tutor junior staff (residents) in recording the auditory potentials. C3. Decide alternative procedures that could be applied if ideal clinical facilities are lacking. C5. Work in advanced research lab to enrich specialty knowledge and write and publish scientific articles. C3. Decide alternative procedures in cases of equipment lack. C4. Work in an electrophysiology lab as a research assistant. C5. Write & publish data in the field of auditory evoked potentials. D. General D5. Use information technology to access, evaluate and interpret scientific data. D6. Face challenges and improve existing situations D1. Use information technology to collect, evaluate, interpret and present scientific data. D2. Appreciate limitations & shortcomings of procedures. D3. Suggest alternatives to improve utility of current procedures. Teaching/Learning Methods

31 Course Content (Units/Topics) Lectures self learning Practical/ Clinical Receptor potentials Electro-cochleography Auditory brainstem responses (ABR) Stimulus, subject & recording parameters affecting the ABR Clinical Applications Limitations & solutions The auditory steady-state responses (ASSR) Please check () the appropriate method. Small group discussion Student Assessment Methods of Assessment Essay Objective questions Case Assignment OSCE/OSPE Logbook fulfillment Schedule of Assessment Mid-term % End of term 100 % Distribution of Marks Written Exam 100 % Practical/Clinical Exam % % List of Textbooks and References Lecture Notes Course Text Books - The auditory brainstem response, Ernest Moore - Handbook of clinical audiology, Jack Katz. Suggested Extra Reading Journals and Periodicals, others

32 Course Instructor Name: Prof. Ossama Sobhy Signature: Program Coordinator Name: Prof. Ossama Sobhy Signature: Program Director (Head of Department) Name: Prof. Mohamed Hassab Signature:

33 Course Specifications University: Alexandria Faculty: Medicine Department: Otolaryngology Course Information Course Code: Course Name: Program in which the Course is Given: Doctorate of Audiology Noise Number of Credit Hours One Theoretical 1 Clinical/Practical Course Aims: - Acoustic features, noise measurements, damage risk criteria, TTS, PTS, psychological impacts, noise pollution, hazardous noise, industrial noise, preventive approaches from noise damage. Intended Learning Outcomes (ILOs) Program ILO (refer to program Course ILOs A. Knowledge and Understanding matrix) A2. Revise & upgrade their knowledge in the basic sciences related to the field of hearing & equilibrium, including acoustics, psychoacoustics, and other basic medical sciences pertained to the field of audiology. Graduates should be able to: A1. Describe noise features, impact on life & especially on hearing (temporary & permanent threshold shifts). A2. Discuss methods of sound measurement. A3. Acquire knowledge as to different methods of noise prevention. B. Intellectual skills C.Professional and Practical C5. Work in advanced research lab to enrich specialty knowledge and write and publish scientific articles. C1. Operate sound level meters to obtain sound & noise measurement. C2. Evaluate impact of noise in a specific situation & provide appropriate counseling to alleviate this problem.

34 D. General D2. Co-operate efficiently in a multi-professional team working. D3. Lead or participate in an organized research team in the field of audiology.. D1. Cooperate with individuals working in industrial preventive audiology & occupational medicine to help diagnose noise-related conditions. D2. Evaluate utility of preventive measures against noise. D3. Co-operate efficiently in a multiprofessional team working. D4. Formulate a research team in the field of audiology. D5. Participate in the work with an organized research team in the field of industrial audiology. Course Content (Units/Topics) Acoustic features of noise Teaching/Learning Methods Lectures self Practical/ learning Clinical Small group discussion Noise measurement Damage risk criteria Noise prevention Please check () the appropriate method. Student Assessment Methods of Assessment Essay Objective questions Case Assignment OSCE/OSPE Logbook fulfillment Schedule of Assessment Mid-term End of term 100 % Distribution of Marks Written Exam 100 %

35 Practical/Clinical Exam List of Textbooks and References Lecture Notes Course Text Books - Handbook of clinical audiology, Jack Katz. Suggested Extra Reading Journals and Periodicals, others Course Instructor Name: Prof. Hesham Kozou Signature: Program Coordinator Name: Prof. Ossama Sobhy Signature: Program Director (Head of Department) Name: Prof. Mohamed Hassab Signature:

36 Course Specifications University: Alexandria Faculty: Medicine Department: Otolaryngology Course Information Course Code: Program in which the Course is Given: Doctorate of Audiology Course Name: Rehabilitative Audiology for Adults Number of Credit Hours Two Theoretical 1 Clinical/Practical 1 Course Aims: - Diagnosis for hearing impairment, diagnosis for aphasics, amplification and auditory training, cochlear implants, support groups, questionnaires of self assessment, vocational guidance. Intended Learning Outcomes (ILOs) Program ILO (refer to program Course ILOs matrix) A. Knowledge and Understanding A4. Recognize recent advances in the technologies of diagnostic & rehabilitative audiology. Graduates should be able to: A1. Recognize the importance of hearing diagnosis for peripheral & central hearing loss. A2. Identify different rehabilitative measures for adults, especially cochlear implantation. A3. Acquire advanced knowledge about self-assessment questionnaires. B. Intellectual skills B4. Improve techniques used in diagnostic and rehabilitative audiology based on structured scientific research. B1. Design the proper rehabilitative protocol for the hearing impaired. B3. Modify rehabilitative protocol to reach better outcome. B5. Improve tests used in evaluating outcome from rehabilitation based on structured research. C.Professional C1. Be competent in performing & C1. Implement different self-assessment

37 and Practical supervising all basic and all required advanced diagnostic & rehabilitative procedures in the field of audiology. C2. Write full report including comprehensive details about clinical & audiologic findings as well as suggested remediation plans. scales to evaluate the hearing impaired. C2. Tutor junior staff (residents) in auditory rehabilitation. C3. Interpret data of hearing impaired obtained from different sources including self-assessment inventories. D. General D2. Co-operate efficiently in a multi-professional team working. D1. Cooperate with the staff of the phoniatric unit, as well as other departments if indicated, in rehabilitating the hearingimpaired. Course Content (Units/Topics) Teaching/Learning Methods Lectures self Practical/ learning Clinical Hearing loss diagnosis Aphasia Auditory training Cochlear implants for adults Self-assessment questionnaires for hearing loss. Please check () the appropriate method. Small group discussion Student Assessment Methods of Assessment Essay Objective questions Case OSCE/OSPE Assignment Logbook fulfillment MCQ Schedule of Assessment Mid-term %

38 End of term 100 % Distribution of Marks Written Exam 70 % Practical/Clinical Exam 30 % % List of Textbooks and References Lecture Notes Course Text Books - Handbook of clinical audiology, Jack Katz. Suggested Extra Reading Journals and Periodicals, others Course Instructor Name: Prof. Mona Mourad Signature: Program Coordinator Name: Prof. Ossama Sobhy Signature: Program Director (Head of Department) Name: Prof. Mohamed Hassab Signature: Date of department council approval: November, 2016

39 Course Specifications University: Alexandria Faculty: Medicine Department: Otolaryngology Course Information Course Code: Program in which the Course is Given: Doctorate of Audiology Course Name: Rehabilitative Audiology for Children Number of Credit Hours Two Theoretical 1 Clinical/Practical 1 Course Aims: - Early intervention, screening, therapies, single handicap, multiple handicaps, psychological evaluations, amplification and auditory training, cochlear implants, speech and language development therapies, educational consultations, assistive listening in classrooms. Intended Learning Outcomes (ILOs) Program ILO (refer to program Course ILOs matrix) A. Knowledge and Understanding A4. Recognize recent advances in the technologies of diagnostic & rehabilitative audiology. Graduates should be able to: A1. Discuss the importance of hearing screening & acquire knowledge about different screening protocols. A2. Identify different rehabilitative measures for hearing impaired children. A3. Acquire advanced knowledge about cochlear implants. B. Intellectual skills B4. Improve techniques used in diagnostic and rehabilitative audiology based on structured scientific research. B1. Design the proper rehabilitative protocol for the hearing impaired child. B3. Modify rehabilitative protocol to reach better outcome. B5. Improve tests used in evaluating outcome from rehabilitation based on structured research. C.Professional C1. Perform and supervise C1. Implement different self-assessment

40 and Practical competently all basic and all required advanced diagnostic & rehabilitative procedures in the field of audiology. C2. Write full report including comprehensive details about clinical & audiologic findings as well as suggested remediation plans. scales to evaluate hearing impaired children C2. Tutor junior staff (residents) in auditory rehabilitation. C3. Write & publish data in the field of rehabilitation of the hearing impaired children. D. General D2. Co-operate efficiently in a multi-professional team working. D1. Cooperate with the staff of the phoniatric unit, as well as other departments if indicated, in rehabilitating deaf children. D2. Prepare & present patients data for cochlear implant candidacy meetings attended by involved health professionals. Course Content (Units/Topics) Teaching/Learning Methods Lectures self Practical/ learning Clinical Early intervention & screening protocols Multiple handicapped Psychological evaluation Speech & language therapy Classrooms & assistive devices Please check () the appropriate method. Small group discussion Student Assessment Methods of Assessment Essay Objective questions Case Assignment OSCE/OSPE Logbook fulfillment Schedule of Assessment Mid-term %

41 End of term 100 % Distribution of Marks Written Exam 70 % Practical/Clinical Exam 30 % % List of Textbooks and References Lecture Notes Course Text Books - Handbook of clinical audiology, Jack Katz. Suggested Extra Reading Journals and Periodicals, others Course Instructor Name: Prof. Mona Mourad Signature: Program Coordinator Name: Prof. Ossama Sobhy Signature: Program Director (Head of Department) Name: Prof. Mohamed Hassab Signature:

42 Course Specifications University: Alexandria Faculty: Medicine Department: Otolaryngology Course Information Course Code: Course Name: Seminar in Hearing II Program in which the Course is Given: Doctorate of Audiology Number of Credit Hours one Theoretical 1 Clinical/Practical Course Aims: Current literature Reviews, subject reviews, difficult case presentations. Intended Learning Outcomes (ILOs) Program ILO (refer to program Course ILOs matrix) A. Knowledge and Understanding A4. Recognize recent advances in the technologies of diagnostic & rehabilitative audiology. Graduates should be able to: A1. Discuss new technologies in diagnostic & rehabilitative audiology by reading & presenting current literature reviews. A2. Acquire knowledge through reviewing a subject by whole-book presentations. B. Intellectual skills B5. Critically appraise current literature in the specialty of audiology. B1. Critically appraise current literature in the specialty of audiology through participating in current literature review seminars. B2. Present whole-book reviews. C.Professional and Practical

43 D. General D5. Use information technology to access, evaluate and interpret scientific data. D1. Use information technology to access scientific data, evaluate and interpret literature. D2. Present different scientific data in front of peers & professors in different formats such as power points, posters, audio-visuals etc. D3. Prepare & present difficult case presentations. Course Content (Units/Topics) Current literature reviews Teaching/Learning Methods Lectures self Practical/ learning Clinical Small group discussion Difficult case presentations Whole-book reviews Please check () the appropriate method. Student Assessment Methods of Assessment Essay Objective questions Case Assignment OSCE/OSPE Logbook fulfillment Schedule of Assessment Distribution of Marks Mid-term End of term 100 % Written Exam Practical/Clinical Exam

44 : Fulfillment of assignment List of Textbooks and References Lecture Notes Course Text Books Suggested Extra Reading Journals and Periodicals, others Course Instructor Name: Prof. Ossama Sobhy Signature: Program Coordinator Name: Prof. Hesham Kozou Signature: Program Director (Head of Department) Name: Prof. Mohamed Hassab Signature:

45 Course Specifications University: Alexandria Faculty: Medicine Department: Otorhinolaryngology Course Information Course Code: Course Name: Audiological Research Program in which the Course is Given: Doctor degree of Audiology Number of Credit Hours: One Theoretical 1 Clinical/Practical Course Aims: This course covers Basic research design. Experimental design and statistical analysis techniques. Single group designs, time series design, control group designs, random assignment. Placeboes.Ethics, legal constraints. Critical evaluation of research. Mistakes made in conducting experiments. Intended Learning Outcomes (ILOs) Program ILO (refer to program Course ILOs A. Knowledge and Understanding B. Intellectual skills matrix) A2. Revise & upgrade their knowledge in the basic sciences related to the field of hearing & equilibrium, including acoustics, psychoacoustics, and other basic medical sciences pertained to the field of audiology. B4. Improve techniques used in diagnostic and rehabilitative audiology based on structured scientific research. Graduates should be able to: A1. Revise & upgrade their knowledge in biostatistics pertained to the field of audiology. A2. Acquire knowledge as to the different research designs applied in the field. B1. Improve techniques used in diagnostic and rehabilitative audiology based on structured scientific research using his/her advanced knowledge and understanding of biostatistics. B5. Critically appraise current literature in the specialty of audiology. B2. Critically appraise current literature in the specialty of audiology based on advanced knowledge in diagnostic & rehabilitative audiology. B3. Identify mistakes made in conducting research based on their knowledge in different research designs.

46 C.Professional and Practical B6. Prepare a project proposal for scientific or clinical application. C4. Present clearly organized information in variable forms to students and peers. B4. Prepare a research proposal as a doctoral dissertation or a clinical paper. B5. Prepare comments on different literature publications in the field of audiology. C1. Acquire recent knowledge related to biostatistics from different sources. C2. Present clearly organized information related to biostatistics in variable forms to students and peers. D. General C5. Work in advanced research lab to enrich specialty knowledge and write and publish scientific articles. D1. Demonstrate effective written and oral skills for presentation of scientific information to different audiences in the field of audiology. D3. Lead or participate in an organized research team in the field of audiology. D5. Use information technology to access, evaluate and interpret scientific data. C3. Share in the clinical part of different research works held in the audiology unit. C4. Participate in writing & publishing research works based on active participation in the clinical as well as in the editorial part. D1. Demonstrate effective written and oral skills for presentation of scientific information related to biostatistics to different audiences in the field of audiology. D2. Lead or participate in an organized research team in the field of audiology based on advanced knowledge and understanding of diagnostic & rehabilitative audiology. D3. Access, evaluate and interpret scientific data based on statistical analysis. D4. Use information technology to prepare publications in different forms such as posters, power points, and audio-visual materials. Course Content (Units/Topics) Basic research design. Experimental design and statistical analysis techniques. Single group designs. Time-series design. Control group designs. Random assignment. Placeboes. Teaching/Learning Methods Lectures self Practical/ learning Clinical Small group discussion

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