University: Alexandria Faculty : Medicine Program Specifications (Academic year: 2013/ 2014)

Transcription

1 الهيئة القومية لضمان جودة التعليم واالعتماد University: Alexandria Faculty : Medicine Program Specifications (Academic year: 2013/ 2014)

2 الهيئة القومية لضمان جودة التعليم واالعتماد A. Basic Information: 1. Program title: Master Degree of Physical Medicine, Rheumatology & Rehabilitation 2. Program Award: Master Degree. 3. Department (s) offering the program; Physical Medicine, Rheumatology& Rehabilitation. 4. Program Coordinator :Ass Prof Dr Enas Shahin 5. External evaluator(s) : Prof Dr Alessandro Guistini 6. Type of the program: Single 7. Date of most recent program specifications approval: 10/3/2014 B. Professional Information: 1- Program Aims: The aim of this program is to: 1.1. Qualify candidates with skills needed for diagnosing, treating and rehabilitating rheumatic and joint diseases, regional pain syndromes and all locomotor problems. 1.2 Provide a training program in orthotic and prosthetic prescription, electrodiagnosis and physical therapeutic modalities 1.3 Offer a special training program for rehabilitating patients with disability, besides all neurological, orthopedic, pediatric and surgical problems that necessitate rehabilitation 2- Academic reference standards (ARS)& ILOs: Academic reference standards of Mater Degree in Physical Medicine, Rheumatology & Rehabilitation designed and approved by Department of Physical Medicine, Rheumatology & Rehabilitation Faculty of Medicine. Alexandria University. Based on: Generic Academic Reference Standards (ARS): Postgraduate Medical Education, Egypt (2009). Published by National Authority for Quality Assurance and Accreditation of Education (NAQAAE) National [ Benchmarks : guided by Accreditation Council for Graduate Medical Education (ACGME) program requirement Domain A. Knowledge and understanding Academic Reference Standards Graduate of this program must have : Basic facts and theories of Physical Medicine, Rheumatology & Rehabilitation and related subjects/fields Ilos By the end of the program the PG students will be able to: A1- Describe the characteristics of structure, and function of different components of musculoskeletal system A2- Identify the effect of different factors involved in the pathogenesis of musculoskeletal disorders A3- Discuss the etiology, pathogenesis and clinical presentation of the different musculoskeletal disorders A4- Describe the management protocols &/or procedures adopted in management And rehabilitation of neuromusculoskeletal affections.

3 الهيئة القومية لضمان جودة التعليم واالعتماد Main advances in the field of Physical Medicine, Rheumatology & Rehabilitation and relevant update literature A5 Recognize the recent advances in the diagnosis of musculoskeletal diseases. A6 Describe up-to-date management procedures of neuro-musculoskeletal disorders. A7-Describe management and rehabilitation of cardiovascular and pulmonary disorders. Quality standards of practice in the field of Physical Medicine, Rheumatology & Rehabilitation A8 Recognize the quality standards of practice in the field of Physical Medicine, Rheumatology and Rehabilitation in relation to diagnosis. A9 Recognize the quality standards in practice of Physical Medicine, Rheumatology & Rehabilitation in relation to management. B. Intellectual skills Basics and ethics of scientific research, especially in what concerns disabled and handicapped Graduate must have the following : Interpret clinical findings to reach appropriate differential diagnosis A10 Review basics and ethics of scientific research in general. A11 Recognize basics and ethics specifically relevant to disabled and handicapped. By the end of the program the PG students will be able to: B1- Analyze the clinical signs and symptoms of musculoskeletal problems to reach a diagnosis /differential diagnosis Use available information to plan for a comprehensive management plan for the patient B2- Use the structural & functional characteristics of the musculoskeletal system to explain the different pathological problems B3- Plan the appropriate investigations for each patient to help reaching the diagnosis B4 Solve common and some uncommon problems not conforming to classic cases. B5 Evaluate risks imposed to the patient or the managing team during professional

4 الهيئة القومية لضمان جودة التعليم واالعتماد practice related to the field of the specialty Co-operate in a team for conduction of scientific research in a field related to the specialty. B6 Recognize the essential principals of scientific medical research. B7 Plan for professional improvement in physical medicine, rheumatology and rehabilitation. B8 Critically appraise current literature on physical medicine, rheumatology & Rehabilitation C. Professional skills Graduate must have the following: Conduct all basic technical procedures in the fields of Rheumatology, Physical Medicine, Rehabilitation and Electrodiagnosis By the end of the program the PG students will be able to: C1- Perform full examination of different components of the musculoskeletal system C2. Manage the common types of musculoskeletal disorders within internationally accepted standards of time and competency. C3- Evaluate patients functionally. C4- Perform basic electrodiagnostic procedures. Conduct some advanced technical procedures in the fields of Rheumatology, Physical medicine, Rehabilitation and Electrodiagnosis C5 perform advanced electrodiagnostic procedures. C6- Perform different pain control techniques. C7 Perform techniques for control of spasticity. C8 Prescribe the appropriate physical agent modalities and exercises for neuromusculoskeletal disorder. C9 Prescribe the appropriate orthosis or prosthesis for locomotory disorders. C10 Supervise the physical rehabilitation plan. C11 Perform intrarticular and soft tissue injection. c12aspirate synovial fluid for major joints

5 الهيئة القومية لضمان جودة التعليم واالعتماد Write comprehensive medical report C13 Recognize basics of medical reporting C14 Report patient status in a comprehensive professional way. D. General and transferrable skills Graduate must have the following: Effective Communication skills with his colleagues and superiors, different members of the rehabilitation team & patients of different social levels Practice self appraisal and determine learning needs. Leadership capabilities & ability to work in multidisciplinary teams Able to manage time and By the end of the program the PG students will be able to: D1- Retrieve information from all sources (printed, electronic, communications etc ). D2-Verify the accuracy of scientific material on basis of best evidence in medicine and in practice D3-Present scientific information to individuals and groups of different educational and social levels D4 Communicate effectively with different members of the rehabilitation team D5 Use information technology to improve his professional practice and improve his learning abilities. D6- Lead the rehabilitation team. D7 Contribute efficiently in a

6 الهيئة القومية لضمان جودة التعليم واالعتماد E. Attitudes and ethical behavior resources effectively Graduate must have the following: Awareness of national code of ethics & respect patients rights Present ethical manners when dealing with team members, colleagues and seniors. multidisciplinary team. D8 Plan rehabilitation programs in reference to available resources (place, equipment, team and time). D9 Evaluate the sufficiency and efficiency of available medical resources in view of the work load. By the end of the program the PG students will be able to: E1-Follow national code of ethics & respect patients rights E2-Council patients & parents with appreciation and understanding E3-Respect rights of disabled & handicapped E4-Deal with different team members in a professional and cooperative manner

7 الهيئة القومية لضمان جودة التعليم واالعتماد Program courses ILOs Matrix ILOs Course title Applied Anatomy for Physical Medicine, Rheumatology & Rehabilitation Physiology for Physical Medicine, Rheumatology & Rehabilitation Internal Medicine for Physical Medicine, Rheumatology & Rehabilitation Neuropsychiatry for Physical Medicine, Rheumatology & Rehabilitation A A A A A A A A A A A B B 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 B 3 B 4 B 5 B 6 B 7 B 8 Neurosurgery for Physical Medicine, Rheumatology & Rehabilitation Orthopedic Surgery for Physical Medicine, Rheumatology & Rehabilitation X X X X X X X X X X X X X X X X X Pathology for Physical X X X X X X Medicine, Rheumatology & Rehabilitation Applied Physics for Physical Medicine, Rheumatology & Rehabilitation X X X X X Physical Medicine I (Physical X X X X X X X X X Agent Modalities & Electrotherapy) Physical Medicine II X X X X X X (Exercises, Hydrotherapy, Manipulation, Traction and Massage) Rheumatology I X X X X X X X X X X X X X X X X X Rheumatology II X X X X X X X X X X X X X X X X X Regional Pain X X X X X X X X X X Electrodiagnosis X X X X X X X X X X X X X X Neurorehabilitation X X X X X X X X X X Rehabilitation in Pediatrics X X X X X X X X X X X X X X Rehabilitation in Orthopedic and Surgical Disorders X X X X X X X Rehabilitation in X X X X X X X X Rheumatological Conditions Chest and Cardiac X X X Rehabilitations Geriatric Rehabilitation and X X X X X X X X X X X Rehabilitation of Special Conditions Orthotics, Prosthetics & X X X X X X Assistive Devices Biomechanics & kinesiology X X X X X X Thesis X X X X

8 الهيئة القومية لضمان جودة التعليم واالعتماد ILOs Course title Applied Anatomy for Physical Medicine, Rheumatology & Rehabilitation Physiology for Physical Medicine, Rheumatology & Rehabilitation Internal Medicine for Physical Medicine, Rheumatology & Rehabilitation Neuropsychiatry for Physical Medicine, Rheumatology & Rehabilitation Neurosurgery for Physical Medicine, Rheumatology & Rehabilitation Orthopedic Surgery for Physical Medicine, Rheumatology & Rehabilitation C 1 C 2 X X C 3 C 4 C 5 C 6 C 7 C 8 C 9 C 1 0 C 1 1 C 1 2 C 1 3 X X X X X X X X X X X X X X X X C 1 4 D 1 X D 2 X D 3 D 4 D 5 D 6 D 7 X D 8 D 9 E 1 E 2 E 3 E 4 Pathology for Physical Medicine, Rheumatology & Rehabilitation Applied Physics for X Physical Medicine, Rheumatology & Rehabilitation Physical Medicine I X X X X X X X X X X X X (Physical Agent Modalities & Electrotherapy) Physical Medicine II X X X X X X X X (Exercises, Hydrotherapy, Manipulation, Traction and Massage) Rheumatology I X X X X X X X X X X X X X X X X X Rheumatology II X X X X X X X X X X X X X X X Regional Pain X X X X X X X X X X X X X Electrodiagnosis X X X X X X X Neurorehabilitation X X X X X X X X X X X X X X X X Rehabilitation in Pediatrics X X X X X X X X X X X X X Rehabilitation in X X X X X X X X X X X X X X X X Orthopedic and Surgical Disorders Rehabilitation in X X X X X X X X X X X X X Rheumatological Conditions Chest and Cardiac X X X X X X Rehabilitations Geriatric Rehabilitation and Rehabilitation of Special Conditions X X X X X X X X Orthotics, Prosthetics & X X X X X X X X Assistive Devices Biomechanics & X X X kinesiology Thesis X X X X

9 الهيئة القومية لضمان جودة التعليم واالعتماد 3- Curriculum Structure: -Program duration: This program is fulfilled in not less than 2 years with a maximum of five years. -Program structure: Total 40 Credit Hours 1. Basics of research: 3 Credit Hours. 2. Obligatory subjects: 29 Credit Hours. 3. Thesis: 8 Credit Hours Obligatory Courses: Code Course Credit hours CREDIT HOURS LECTURES CLINICAL OTHERS Basics of research Applied human Anatomy for Physical Medicine, Rheumatology & Rehabilitation 1 1/2 1/ Medical Physiology for Physical Medicine, Rheumatology & Rehabilitation Internal Medicine for Physical Medicine, 1 1/2 1/2 Rheumatology & Rehabilitation Neuropsychiatry for Physical Medicine, 1 1/2 1/2 Rheumatology & Rehabilitation Neurosurgery for Physical Medicine, Rheumatology 1 1/2 1/2 & Rehabilitation Orthopedic Surgery for Physical Medicine, 1 1/2 1/2 Rheumatology & Rehabilitation Pathology for Physical Medicine, Rheumatology & Rehabilitation Applied Physics for Physical Medicine, Rheumatology & Rehabilitation Physical Medicine I (Physical Agent Modalities & Electrotherapy) Physical Medicine II (Exercises, Hydrotherapy, 1 1/2 1/2 Manipulation, Traction and Massage) Rheumatology I Rheumatology II Regional Pain 1 1/2 1/ Electrodiagnosis Neurorehabilitation Rehabilitation in Pediatrics 1 1/2 1/ Rehabilitation in Orthopedic and Surgical Disorders 1 1/2 1/ Rehabilitation in Rheumatological Conditions 1 1/2 1/ Chest and Cardiac Rehabilitations 1 1/2 1/ Geriatric Rehabilitation and Rehabilitation of Special 1 1/2 1/2 Conditions Orthotics, Prosthetics & Assistive Devices Biomechanics & Kinesiology 1 1/2 1/2

10 الهيئة القومية لضمان جودة التعليم واالعتماد COURSE DESCRIPTION 1 Code Credit hours (1) Course Lectures Practical Applied Anatomy for Physical Medicine, Rheumatology & Rehabilitation Given as 7lectures + 14 hours of practical teaching/semester. It includes: anatomy of muscles, nerves, bones, joints and blood vessels of the upper and lower limbs in addition to neuroanatomy, anatomy of the chest, spinal articulations, trunk muscles, muscles & articulations of the head & neck. 2 Code Credit hours (1) Course Lectures Practical Physiology for Physical Medicine, Rheumatology & Rehabilitation 1 - Physiology of respiration, exercises, muscles, nerves, autonomic nervous system, bones, endocrinal system and circulation as well as neurophysiology. It is given as 14 lectures. 3 Code Credit hours (1) Course Lectures Clinical Internal Medicine For Physical Medicine, Rheumatology & Rehabilitation. Given as 7 lectures + 14 hours of clinical teaching /semester. It includes: musculoskeletal manifestations of internal medicine diseases, clinical immunology, geriatric medicine, chest diseases, cardiovascular diseases, endocrinal disorders, connective tissue diseases, renal diseases, blood diseases & DM. 4 Code Credit hours (1) Course Lectures Clinical Neuropsychiatry for Physical Medicine, Rheumatology & Rehabilitation Given as 7 lectures + 14 hours of clinical teaching /semester. It includes: Neurology: Neurological examination, neuropathies, myopathies, motor neurone disease, spinal muscle atrophy, disorders of neuromuscular junction, hemiplegia, paraplegia, ataxia and other CNS diseases (demyelinating, inflammatory, infective & degenerative), Psychiatry: depression, anxiety, hysteria & psychosis. Psychiatric disorders presenting with musculoskeletal manifestations & those which are common in disabled persons. 5 Code Credit hours (1) Course Lectures Clinical Neurosurgery for Physical Medicine, Rheumatology & Rehabilitation Given as 7 lectures + 14 hours of clinical teaching /semester. It includes: Peripheral nerve injuries, head injuries, spinal cord injuries, hydrocephalus, intervertebral disc prolapse & spinal/brain tumors. Care following neurosurgery. 6 Code Credit hours (1) Course Lectures Clinical Orthopedic Surgery for Physical Medicine, Rheumatology & Rehabilitation Given as 7 lectures + 14hours of clinical teaching /semester. It includes: Orthpedic examination of the hip, knee, foot, shoulder, elbow, hand & spine. The common musculoskeletal injuries (including ligament & meniscal injuries), shoulder dislocation, foot deformities, post-fracture complications, compartmental syndrome, avascular necrosis, slipped epiphysis, CHD, reconstructive surgery in brachial plexus injuries, reconstructive surgery in CP, reconstructive surgery following hand injuries, limb lengthening, arthroplasty and care following orthopedic surgery.

11 الهيئة القومية لضمان جودة التعليم واالعتماد 7 Code Credit hours (1) Course Lectures Practical Pathology for Physical Medicine, Rheumatology & Rehabilitation 1-14 lectures/semester. It includes: pathology of connective tissue & joint diseases (i.e. OA, spondylosis, RA, vasculitis, systemic sclerosis, AS, SLE, MCTD, polymyositis/dermatomyositis, Behcet disease, palindromic rheumatism, septic arthritis, TB arthritis, gouty arthritis, ochronosis, Haemophilic arthropathy) as well as bone diseases, (i.e. Osteoporosis; Osteogenesis imperfecta Osteomalacia; Parathyroid osteodystrophy; Paget's disease of bone;perth s disease). In addition to pathology of neuropathies & myopathies. 8 Code Credit hours (1) Course Lectures Practical Applied Physics for Physical Medicine, Rheumatology & 1 - Rehabilitation It is given as: A) 7 lectures on basic physics. It includes: 1) Electricity, electric resistance, capacitance, inductance, magnetism. Physics of sound & light. Spectrum of light. Physics of heat & physics of water. 2) Mechanics of the body (lever system, pulleys, etc). B) 7 lectures on: Applied clinical physics: It includes: Physical properties, physiological effects & hazards/precautions of: 1) Sinusoidal, direct & pulsed currents used for muscle & nerve stimulation or pain relief (including diadynamic currents & amplitude modulating currents), 2) Ultraviolet light, laser, radio waves, short waves, infrared radiation,, paraffin wax baths, sound waves, ultrasound waves, 3) Examples for the different lever systems in the human body. 9 Code Credit hours (2) Course Lectures Clinical Physical Medicine I 1 1 (Physical Agent Modalities & Electrotherapy) It includes the indications, precausions, contraindications, techniques of applications of: 1. Heat therapy (infrared, hot packs, wax bath, contrast baths, SWD, USD, MWD, Hydrotherapy and spa therapy). 2. Electric stimulation of innervated and denervated muscles. 3. Electrical stimulation for pain relief (Diadynamic currents, interferential therapy, TENS, ). 4. Electrical stimulation for spasticity management. 5. Laser therapy. 6. UVL. 7. Functional electric stimulation. 8. Magnetic field therapy. 9.Biofeedback 10. Acupuncture 11. Hyperbaric oxygen 10 Code Credit hours (1) Course Lectures Clinical Physical Medicine II (Exercises, Hydrotherapy, Manipalation, Traction and Massage) It includes: 7 lecture + 14hours of clinical training. The physiological effects, purpose, techniques, indications and contraindication of the different forms of exercise therapy and massage are given. The benefits, hazards, precausions, indications, contraindications, techniques and uses of hydrotherapy, spinal traction and manipulation are given. 11 Code Credit hours (2) Course Lectures Clinical Rheumatology! 1 1 It is given 2 CH (1 lectures/wk + 2 hours of clinical teaching/wk x 14 wks). It includes: 1.Synovial fluid cfaracteistics. 2. Techniques of joint aspiration and intraarticular injection 3. Techniques of local injection4. Osteoarthritis and degenerative joint diseases5. Disorders of the spine and intervertebral disc degeneration and prolapse. 6. Crystal arthropathies. 7. Rheumatoid arthritis. 8. Ankylosing spondylitis. 9. Spondyloarthropathies

12 الهيئة القومية لضمان جودة التعليم واالعتماد 12 Code Credit hours (3) Course Lectures Clinical Rheumatology II 2 1 It is given 3CH (1 lecture/wk + 4 hours of clinical teaching/wk x 14 wks). It includes: 1. The different joint diseases, arthritis including their diagnosis, differential diagnosis, investigations and treatment. 2. Soft tissue rheumatism: tenosynovitis, bursitis, periarthritis, trigger fingers, polymyalgia rheumatica, myofascial pain, fibromyalgia. 3. Joint diseases associated with blood disorders. 4. Intermittant arthritic syndromes & periodic rheumatic diseases. 5. Clinical examination & investigations in rheumatic diseases. 6. SLE & antiphospholipid syndrome. 7. Scleroderma & calcinosis. 8. Mixed connective tissue diseases and overlap syndrome. 9. Metabolic bone diseases & osteoporosis Vasculitis. 11. Rheumatic diseases of childhood. 12. Arthritis accompanying systemic disorders. 13. Arthritis associated with malignancy. 14. Management of rheumatic diseases. 13 Code Credit hours (1) Course Lectures Clinical Regional Pain It is given as 7 lecture + 14hours of clinical training. It includes the causes, diagnosis, differential diagnosis and treatment of knee, ankle, foot, hip, low back, upper back, neck, shoulder, elbow, wrist and hand pains. The causes include all rheumatological, orthopedic, neurological & neuromuscular causes as well as refered pain. 14 Code Credit hours (3) Course Lectures Clinical Electrodiagnosis 1 2 It is given as 1 lecture and 4 hours of practical training/week x 14 weeks. It includes: motor nerve conduction, sensory nerve conduction, reflex studies (Blink reflex, H-reflex), F-wave studies, electromyography, somatosensory evoked potential and motor evoked potential. The course includes: techniques, rational and interpretation of results. 15 Code Credit hours (2) Course Lectures Clinical Neurorehabilitation 1 1 It includes the evaluation, determining the aim, methods of rehabilitation & physical modalities that should be used in all neurological and locomotory problem e.g. stroke, paraplegia, quadriplegia, spinal cord injuries, TBI, facial palsy, polyneuropathy, mononeuropathy, entrapment neuropathy, peripheral nerve injuries, ataxias, myopathies, muscle dystrophies and parkinsonism. 16 Code Credit hours (1) Course Lectures Clinical Rehabilitation in Pediatrics The examination & evaluation of all pediatric locomotory problems. The physical modalities & the rehabilitation methods that can be used in the management of the common pediatric problems that necessitates rehabilitation are given. It includes:: cerebral palsy, brachial plexus birth injuries, floppy infant syndrome, neuropathy and myopathies in children, joint deformities, spinal deformities and joint diseases.

13 الهيئة القومية لضمان جودة التعليم واالعتماد 17 Code Credit hours (1) Course Lectures Clinical Rehabilitation in Orthopedic and Surgical Disorders It includes the plan, modalities and techniques of physical therapy; and rehabilitation procedures (including the use of orthoses, assistive devices or walking aids) of orthopedic and surgical problems that need physical therapy and/or rehabilitation such as: postburn contracture, post-skin graft, following tendon repair, post-menisectomy, post-spinal surgery, following repair of ligament injury, post-plaster fixation, post-joint replacement, following joint injuries or surgery, muscle wasting, muscle weakness, joint stiffness, post abdominal or limb surgery & rehabilitation of amputee. 18 Code Credit hours (1) Course Lectures Clinical Rehabilitation in Rheumatological Conditions It includes: 1. Evaluation in rheumatic diseases (clinical, laboratory and functional) 2. The physical therapy that is used in rheumatology (modalities, techniques, indications, contraindications, precausions, plan of treatment & procedures). 3. Rehabilitation methods. 4. The common surgical procedures that can be applied in the management & rehabilitation of the different rheumatological conditions. 19 Code Credit hours (1) Course Lectures Clinical Chest and Cardiac Rehabilitations It includes: functional evaluation in chest diseases and heart diseases. Breathing exercises and postural draining as well as principles of cardiac rehabilitation. 20 Code Credit hours (1) Course Lectures Clinical Geriatric Rehabilitation and Rehabilitation of Special Conditions It is given as 7 lectures + 14 hours of clinical training/semester. It includes the common problems in elderly. Also, it includes the rehabilitation of elderly, diabetic foot ulcer, patients with malignancy & post-organ transplant. 21 Code Credit hours (1) Course Lectures Clinical Orthotics, Prosthetics & Assistive Devices 1 - It includes: 1. The different upper limb orthoses, lower limb orthoses, upper limb prostheses, lower limb prostheses, spinal orthoses. Functional and static varieties are included. Special emphesis is made on principles of orthotic and prosthetic prescription and the various forms of orthoses and prostheses. 2. The different methods for assessment in the practice of rehabilitation medicine (evaluation of muscle power, joint ROM, ADL activities, assessment of spinal deformities and movement, principles of posturography & balance assessment, ). 3. Walking aids: crutches, walkers, canes,. 4. Assistive devices used for eating, dressing, washing, working. 5. Shoe modifications: for painful feet, foot deformity, paralysis. 22 Code Credit hours (1) Course Lectures Clinical Biomechanics & Kinesiology It includes 1.The principles of normal biomechanics 2. The main pathological biomechanics 3. Basics of kinesiologic assessment 4. Principles of muscle testing 5. Principles of goniometry

14 الهيئة القومية لضمان جودة التعليم واالعتماد 4- Program Admission Requirements: According to the regulations of the credit hour bylaws of the Faculty of Medicine Alexandria University (annex). 5- Regulations for Progression and Program Completion: According to the regulations of the credit hour bylaws of the Faculty of Medicine Alexandria University (annex). 6- Methods of student assessment: Methods 1. Written Exam a1-a11, b1-b5 2. Clinical Exam c1-c14, e1-e4 4. Assignments b6-b8,d1-d9,e1-e4 5. Thesis a6, b6-b7,d1-d3 Intended Learning outcomes to be assessed 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. Others: Program Director: Prof Dr Dia Mohasseb Program Coordinator: Ass Pr Dr Enas Shahine

15 Course Specifications University: Alexandria Faculty: Medicine Department: Physical Medicine, Rheumatology and Rehabilitation. Course Information Course Code: Course Name: Applied Human Anatomy for Physical Medicine, Rheumatology & Rehabilitation Program in which the Course is Given Master Degree of Physical Medicine, Rheumatology & Rehabilitation Number of Credit Hours 1 Theoretical 1/2 Clinical/Practical 1/2 Course Aims It aims at providing the student with information about : anatomy of muscles, nerves, bones, joints and blood vessels of the upper and lower limbs in addition to neuroanatomy, anatomy of the chest, spinal articulations, trunk muscles, muscles & articulations of the head & neck. Intended Learning Outcomes (ILOs) Program ILO (refer to program Course ILOs A. Knowledge and Understanding matrix) a1- Describe the characteristics of structure, and function of different components of musculoskeletal system a1-recognize anatomy of muscles, nerves, bones, joints and blood vessels of the upper and lower limbs. a2-recognize musculoskeletal structures of the upper and lower limbs, in addition to chest and trunk muscles. a3-recognize musculoskeletal structures of the head and neck, in addition to spinal articulation. a4-recognize neuroanatomical structures. a3- Discuss the etiology, pathogenesis and clinical presentation of the different musculoskeletal disorders a5- Identify the etiology and pathogenesis of musculoskeletal affections of upper limbs, lower limbs, head and neck, trunk and central nervous system in terms of anatomical alterations. a6-discuss the clinical presentations of different anatomical abnormalities of upper and lower limbs, trunk, chest and head and neck in terms of anatomical structures.

16 B. Intellectual skills a4- Describe the management protocols &/or procedures adopted in management and rehabilitation of neuromusculoskeletal affections. b2- Use the structural & functional characteristics of the musculoskeletal system to explain the different pathological problems a7- Discuss the management protocols of different musculoskeletal affections based on the recognition of the anatomy of different body structures. a8- Identify the impact of anatomical alterations on the rehabilitation of neuromusculoskeletal disorders. b1- Use the structural characteristics of the musculoskeletal system to explain some clinical problems. b2- Use anatomical knowledge to explain clinical presentation of peripheral nerve injuries b3- Use anatomical knowledge to explain clinical presentation of CNS disorders b4. Analyze skeletal deformities on anatomical basis b5. Determine mechanical joint derangement in light of anatomical structure and biomechanics C.Professional and Practical Skills D. General Skills E- Attitudes and ethical behavior Course Content (Units/Topics) Anatomy of muscles, nerves, bones, joints and blood vessels of the upper limbs. Anatomy of muscles, nerves, bones, joints and blood vessels of the lower limbs Anatomy of muscles, nerves, bones, joints and blood vessels of the chest. Teaching/Learning Methods Lectures self Practical/ learning Clinical () () () () () () Small group discussion Others

17 Neuroanatomy. () () Anatomy of spinal articulations. () () Anatomy of trunk muscles. () () anatomy of the muscles & articulations of the head & neck. Please check () the appropriate method. () () Student Assessment Methods of Assessment Essay Objective questions () Case Assignment OSCE/OSPE Logbook fulfillment Others () Schedule of Assessment Mid-term % End of term 100 % Distribution of Marks Written Exam 70 % Practical/Clinical Exam 30 % Others % List of Textbooks and References Lecture Notes Course Text Books Suggested Extra Reading Lecture notes for each topic. Last s Anatomy regional and applied text book. Gray s anatomy atlas. Journals and Periodicals, others Course Instructor Name: Prof.Dr. Madeha Signature: Program Coordinator Name: Ass.Prof. Dr. Enas Shahine Signature: Program Director (Head of Department) Name: Prof. Dr. Diaa Mohasseb Signature:

18 Course Specifications University: Alexandria Faculty: Medicine Department: Physical medicine, Rheumatology and Rehabilitation. Course Information Course Code: Course Name: Medical Physiology for Physical medicine Program in which the Course is Given : Master degree of Physical medicine, Rheumatology and Rehabilitation. Number of Credit Hours : 1 CH Theoretical 1 Clinical/Practical Course Aims : The aim of this program is to revise the basic facts and introduce the student to the recent advances relating to the physiology of respiration, exercises, muscles, nerves, autonomic nervous system, bones, endocrinal system and circulation as well as neurophysiology. Intended Learning Outcomes (ILOs) Program ILO (refer to program Course ILOs A. Knowledge and Understanding matrix) By the end of the program the PG students will be able to: a1- Describe the characteristics of structure, and function of different components of musculoskeletal system By the end of the course the PG students will be able to : a1- Describe the functional divisions of the nervous system and their role a2. Describe the different types of receptors and the neural pathways for different sensations. a3. Explain the structures and pathways involved in a reflex arc. a4. Describe the origin, pathway and significance of the different tracts a5. Identify the structures involved in the control of speech and equilibrium A6. Explain the mechanisms of nerve conduction A7. Explain the mechanism of muscle tone, contraction and fatigue

19 B. Intellectual skills C.Professional and practical skills D. General Skills a3- Discuss the etiology, pathogenesis and clinical presentation of the different musculoskeletal disorders By the end of the program the PG students will be able to: b1- Analyze the clinical signs and symptoms of musculoskeletal problems to reach a diagnosis /differential diagnosis By the end of the program the PG students will be able to: 1- Retrieve information from all sources ( printed, electronic, communications etc ). 2-Verify the accuracy of scientific material on basis of best evidence in Medicine and in practice A8- explain the role of aberrations in different nervous system functions in the pathogenesis of musculoskeletal disorders By the end of the course the PG students will be able to : b1. Analyze the different types of sensations b2. Distinguish different types of pain b3. Describe the integration of sensory input and motor responses in correlation to the clinical signs and symptoms. b4. Explain the respiratory and cardiovascular effects of exercise in relation to the signs and symptoms. b5. Analyze neurological signs and symptoms based on physiological principles. By the end of this course the PG students will be able to : d1- Retrieve information related to the physiology of the neuromusculoskeletal system from all sources ( printed, electronic, communications etc ). d2-creticize scientific material on basis of best evidence in Medicine and in practice. d3. Appraise websites concerned with applied physiology of neuromusculoskeletal systems. d4. Identify the journals dealing with physiology of neuromusculoskeletal systems. d5. Identify recent evidence based information regarding the regenerative potential capabilities

20 of muscle and nerves. Course Content (Units/Topics) Neuro-physiology ( including CNS and ANS). Muscle and nerve physiology. Teaching/Learning Methods Lectures self Practical/ learning Clinical Small group discussion Others Bone physiology Physiology of the endocrinal system. Exercise physiology ( including effect of exercise on respiration and circulation) Please check () the appropriate method. Student Assessment Methods of Assessment Essay Objective questions Case Assignment Others OSCE/OSPE Logbook fulfillment Schedule of Assessment Mid-term % End of term 100 % Distribution of Marks Written Exam 80 % Practical/Clinical Exam -- % Others (assignment) 20 % List of Textbooks and References Lecture Notes Course Text Books Human physiology and mechanisms of disease, ( A. Guyton) Suggested Extra Reading Review of medical physiology,( W. F. Ganong)

21 Course Instructor Name: Prof. Dr. Abeer El Emam Program Coordinator Name: Ass. Prof. Dr. Enas Shahine Program Director (Head of Department) Name: Prof. Dr. Diaa Mohasseb Signature: Signature: Signature:

22 Course Specifications University: Alexandria Faculty: Medicine Department: Physical Medicine, Rheumatology & Rehabilitation Course Information Course Code: Program in which the Course is Given: Master Degree of Physical Medicine, Rheumatology & Rehabilitation Course Name: Internal Medicine for Master of Physical Medicine, Rheumatology and Rehabilitation. Number of Credit Hours : 1 Theoretical 0.5 Clinical/Practical 0.5 Course Aims: The aim of this course is: To train and teach PG the different skills for diagnosing and treating some of the Internal Medicine diseases related to the Physical Medicine, Rheumatology and Rehabilitation Intended Learning Outcomes (ILOs) Program ILO (refer to program matrix) A. Knowledge and Understanding a2-identify the effect of different factors involved in the pathogenesis of musculoskeletal disorders Course ILOs A1. Identify the musculoskeletal changes that occur in elderly. A2. List the musculoskeletal changes in renal diseases. A3.Name the musculoskeletal changes in endocrinal diseases. A4. Identify the musculoskeletal changes in blood diseases. a3-discuss the etiology, pathogenesis and clinical presentation of the different - musculoskeletal disorders A5-Identify the clinical presentation of certain connective tissue diseases eg. SLE, rheumatoid arthritis. A6-Identify the etiology, pathogenesis& clinical presentation of musculoskeletal involvement in diabetes mellitus and other endocrinal disorders. A7. Recognize the etiology, pathogenesis& clinical presentation of musculoskeletal

23 involvement in blood diseases. A8. Identify the etiology, pathogenesis& clinical presentation of musculoskeletal involvement in renal diseases. B. Intellectual skills a4-describe the management protocols &/or procedures adopted in management of musculoskeletal affections a5-recognize the recent advances in the diagnosis b1-analyze the clinical signs and symptoms of musculoskeletal problems to reach a diagnosis /differential diagnosis. A9-Describe the management of ischemic heart disease, chronic obstructive pulmonary disease. A10. Describe the management of musculoskeletal manifestations in diabetes mellitus. A11.Describe the management of musculoskeletal manifestations in renal diseases. A12.Describe the management of connective tissue diseases A13.Discuss recent advances in diagnosis of diabetes mellitus. A14.Recognize the new trends in diagnosis of ischemic heart disease. A15.Identify the recent imaging studies used for early diagnosis of chest problems. A16.Identify the recent methods in diagnosis of renal diseases. B1-Analyze the clinical symptoms & signs of rheumatoid arthritis, SLE, ischemic heart disease, COPD, thyroid diseases & diabetes mellitus. B2. Assess activity and severity of connective tissue diseases as RA and SLE. B3. Detect musculoskeletal manifestations of endocrinal diseases especially diabetes mellitus. B4. Distinguish musculoskeletal manifestations of renal diseases. b3-plan the appropriate investigations for each patient to help reaching the diagnosis. B5. Recommend the appropriate imaging technique to diagnose musculoskeletal involvement in endocrinal, renal and chest diseases. B6. Appraise the role of electrodiagnosis in detecting neuromuscular involvement in

24 C.Professional and Practical Skills b4-solve common and some complex problems not conforming to classic cases. c1-perform full examination of different components of the musculoskeletal system elderly, endocrinal and renal diseases as well as paraneoplastic syndrome. B7-Analyse the atypical presentation of certain diseases that may occur in elderly. C1-Perfom correct examination of different body systems with special stress to musculoskeletal system. C2. Perform proper clinical examination in elderly. D. General Skills c2- Manage the common types of musculoskeletal disorders within internationally accepted standards of time and competency. d7-contribute efficiently in a multidisciplinary team C3-Integrate laboratory tests& radiological examinations with the clinical data to reach a diagnosis. C4. Prescribe pharmacological therapy for endocrinal and renal diseases, ischemic heart disease, chest diseases and connective tissue diseases. d1-present data clearly to other team members d2- Work effectively with a team. Course Content (Units/Topics) musculoskeletal manifestations of internal medicine diseases Teaching/Learning Methods Lectures self Practical/ learning Clinical clinical immunology and connective tissue diseases geriatric medicine cardiovascular diseases chest diseases endocrinal disorders renal diseases and blood diseases Diabetes mellitus Please check () the appropriate method. Small group discussion Others

25 Student Assessment Methods of Assessment Essay Objective questions Case Assignment Others Schedule of Assessment Mid-term % OSCE/OSPE Logbook fulfillment End of term 100 % Distribution of Marks Written Exam 80% Practical/Clinical Exam 20 % Others % List of Textbooks and References Lecture Notes Printout of lectures Course Text Books Suggested Extra Reading Kumar Text book of Medicine Journals and Periodicals, others Course Instructor Name: Prof.Dr. Susan Abo Raya Program Coordinator Name: Ass Prof Dr Enas Shahine Program Director (Head of Department) Name: Pr Dr Dia Mohasseb Signature: Signature: Signature:

26 Course Specifications University: Alexandria Faculty: Medicine Department: Physical Medicine, Rheumatology, & Rehabilitation Course Information Course Code: Course Name: Neuropsychiatry for Physical Medicine, Rheumatology, & Rehabilitation Program in which the Course is Given: Master Degree of Physical Medicine, Rheumatology, & Rehabilitation Number of Credit Hours 1 Theoretical 1/2 Clinical/Practical 1/2 Course Aims To teach and train doctors the different skills for recognizing and managing the neurologic problems. Intended Learning Outcomes (ILOs) Program ILO (refer to program matrix) A. Knowledge and Understanding By the end of the course the participants should be able to: a2- Identify the effect of different factors involved in the pathogenesis of musculoskeletal disorders Course ILOs By the end of the course the participants should be able to: A1- Identify risk factors of stroke. A2. Define the environmental factors that lead to some neuromuscular disorders as exposure to toxins, nutritional deficiencies etc. A3. Identify the role of undue stress in inducing neurological as well as psychiatric disorders. a3- Discuss the etiology, pathogenesis and clinical presentation of the different musculoskeletal disorders A4- Recognize the etiology, pathogenesis and clinical presentation of the common peripheral nervous system disorders. A5. Recognize the etiology, pathogenesis and clinical presentation of the common central nervous system disorders. A6. Identify the clinical presentation and pathogenic mechanisms responsible for the neurological and neuromuscular manifestations of systemic diseases. A7. Recognize the clinical presentation and the pathogenesis of somatoform disorders.

27 A8. Discuss the pathology and manifestations of some psychiatric disorders. a4- Describe the management protocols &/or procedures adopted in management and rehabilitation of neuro-muscular affections. A9- Identify the workup for diagnosis of a case of headache and the possible lines of treatment. a10. Recognize the workup for diagnosis of different peripheral nervous system disorders and the pharmacological and non pharmacological lines of treatment. A11. Describe the pharmacological and non pharmacological management of stroke and paraplegia. A12. Identify the pharmacological and non pharmacological management of some psychiatric disorders. A13. Identify the pharmacological and non pharmacological management of epilepsy. A14. State the grades of coma and the characteristics of each grade. a5- Recognize the recent advances in the diagnosis of musculoskeletal diseases. A15- Identify the recent imaging techniques used to diagnose and quantify neural damage in central nervous system disorders. A16. Recognize the recent biochemical markers and molecular genetic studies which support the diagnosis of some neurological disorders. a6 -Describe up-to-date management procedures of neuro-musculoskeletal disorders. A17. Recognize the role of gene therapy in some neuromuscular diseases. A18. Identify the role of stem cell therapy in some neurological disorders. A19. Define the role of repetitive transcranial magnetic stimulation in treatment of some neurological disorders. A20. Recognize the updates in management of epilepsy. B. Intellectual skills a11- Recognize basics and ethics specifically relevant to disabled and handicapped. b1- Analyze the clinical signs and symptoms of musculoskeletal problems to reach a diagnosis /differential diagnosis A21- Define the ethical guidelines for disabled and handicapped. B1- Integrate the historical and clinical data to diagnose patients with neuromuscular/neurological disorders. B2- Analyze meticulously the clinical data to limit the differential diagnosis of some

28 neuromuscular/neurological disorders as persistent headache, paraplegia etc B3- Distinguish the neuromuscular/neurological findings among patients with systemic diseases. b2- Use the structural & functional characteristics of the musculoskeletal system to explain the different pathological problems B4- Relate the clinical data to the anatomical structure of the peripheral or central nervous systems to determine where is the lesion. B5- Explain the clinical findings in view of the function ( physiology) of the peripheral or central nervous systems. b3- Plan the appropriate investigations for each patient to help reaching the diagnosis B6- Determine the proper imaging study in neurological patients. B7- Recommend the laboratory tests that may help diagnosing neuromuscular/neurological disorders as cerebrospinal fluid (CSF) analysis, detection of toxins or autoantibodies in blood or CSF etc. B8- Assess the physiological function and integrity of neural structures and muscles using electrophysiological examination. b4 Solve common and some uncommon problems not conforming to classic cases. B9-Distinguish the unusual manifestations of patients with neuromuscular/neurological disorders. B10-- Specify the most appropriate investigations to reach the most probable diagnosis of such patients. b5 Evaluate risks imposed to the patient or the managing team during professional practice related to the field of the specialty B11-Appraise the risks imposed to patients with certain neuropsychiatric disorders as epilepsy, psychiatric diseases when the drug therapy is inadequate. C.Professional and Practical Skills c1- Perform full examination of different components of the musculoskeletal system C1- Examine all systems of the body with stress on detailed peripheral and central nervous system examination. c2- Manage the common types of musculoskeletal disorders within internationally accepted standards of time and competency. C2- Apply the diagnostic criteria to diagnose neuromuscular/neurological disorders. C3- Assess the severity of neuromuscular/neurological disorders using the

29 approved severity scales. C4- Recommend the most appropriate investigations to diagnose neuromuscular/neurological disorders. C5- Plan the relevant lines of treatment of neuromuscular/neurological diseases whether pharmacological or non pharmacological. D. General Skills c14- Report patient status in a comprehensive professional way. d1- Retrieve information from all sources (printed, electronic, communications etc ). C6- Deliver clear, concise, and thorough oral and written presentations of a patient's history and examination. D1- Identify the websites concerned with neuropsychiatric diseases. D2- Read information about neuropsychiatric diseases from specialized journals. d2-verify the accuracy of scientific material on basis of best evidence in medicine and in practice D3-Appraise the evidence based neuropsychiatric information in the fields of diagnosis and treatment. E. Attitudes and ethical behavior e3-respect rights of disabled & handicapped E1- Appraise the importance of indulging disabled & handicapped secondary to neurological or psychiatric disorders in the community so long as their conditions are controlled. Course Content (Units/Topics) Teaching/Learning Methods Lectures self learning Practical/ Clinical Stroke Small group discussion Others Epilepsy Muscle diseases Peripheral neuropathy Paraplegia Headache Cranial pains Neurological manifestations of systemic disorders

30 Coma Anxiety Somatoform disorders Delirium Dementia Please check () the appropriate method. Student Assessment Methods of Assessment Essay Objective questions Case OSCE/OSPE Assignment Logbook fulfillment Others Schedule of Assessment Mid-term End of term 100 % Distribution of Marks Written Exam 90 % Practical/Clinical Exam Others 10 % List of Textbooks and References Lecture Notes - Lectures Course Text Books 1. Principles of Neurology 2. Localization in Clinical Neurology 3. Neurology in Clinical Practice Suggested Extra Reading - Internet web sites Journals and Periodicals, others - Annals of Neurology Course Instructor Name: Prof. Dr. Doaa Program Coordinator Name: Ass Prof Dr Enas Shahine Program Director (Head of Department) Name: Prof. Dr. Dia Mohasseb Signature: Signature: Signature:

31 Course Specifications University: Alexandria Faculty: Medicine Department: Physical Medicine, Rheumatology and Rehabilitation. Course Information Course Code: Course Name: Neurosurgery for Physical Medicine, Rheumatology & Rehabilitation Program in which the Course is Given: Master of Physical Medicine, Rheumatology and Rehabilitation. Number of Credit Hours 1 Theoretical 0.5 Clinical/Practical 0.5 Course Aims Recognize peripheral nerve injuries, head injuries, spinal cord injuries, hydrocephalus, intervertebral disc prolapse & spinal/brain tumors. Intended Learning Outcomes (ILOs) Program ILO (refer to program Course ILOs A. Knowledge and Understanding matrix) a2- Identify the effect of different factors involved in the pathogenesis of musculoskeletal disorders A1. Identify the effect of the different factors involved in the pathogenesis of neurosurgical disorders. A2. Define the common types of traumas that lead to head and spinal cord injuries. a3- Discuss the etiology, pathogenesis and clinical presentation of the different musculoskeletal disorders A3. Identify mechanisms and types of hydrocephalus. A4. Recognize the stages and clinical presentation of intervertebral disk prolapse (IVDP). A5. Discuss the mechanisms, stages and pathogenesis of head and spinal cord injuries and their clinical correlates. A6. Describe clinical pictures of peripheral nerve and brachial plexus injuries. A7. Recognize the different imaging

32 a4- Describe the management protocols &/or procedures adopted in management and rehabilitation of neuromusculoskeletal affections. techniques used for the diagnosis of head and spinal cord injuries, IVDP, hydrocephalus and brain tumors. A8. Describe the surgical principles for IVDP, hydrocephalus, brain tumors, nerve injuries and head and spinal cord injuries. a5 Recognize the recent advances in the diagnosis of musculoskeletal diseases. A9. Recognize recent trends in diagnosis of neurosurgical problems. A10. Identify the new imaging modalities used in diagnosing neurosurgical problems. a6 Describe up-to-date management procedures of neuro-musculoskeletal disorders. A11. Discuss the most recent advances in management of common neurosurgical disorders. A12. Discuss the results of the new lines of treatment as stem cell therapy in some neurosurgical problems as spinal cord or peripheral nerve injuries, or the use of gamma rays (γ knife) in treating brain tumors etc. A13. Recognize the recent surgical procedures used in common neurosurgical problems. B. Intellectual skills b1- Analyze the clinical signs and symptoms of musculoskeletal problems to reach a diagnosis /differential diagnosis B1. Analyze the clinical symptoms and signs to reach diagnosis or differential diagnosis of neurosurgical problems. B2. Determine the degree of head and spinal cord injuries based on clinical manifestations. B3. Judge the severity of nerve injury according to the clinical manifestations. B4. Analyze the clinical data in terms of the differential diagnosis of back pain. B5. Analyze the clinical data in terms of the differential diagnosis of headache.