1* Ear Nose and Throat ENT 316 Basic Information Program Title Bachelor of Medicine and Surgery; MB, BCh Department Offering the Course Ear Nose and Throat Academic Year / Level Fourth Date of Specification Approval 17/11/2011 (department council approval) Total Teaching Hours Allocated Marks Total 128 hours Lecture: 80 hours Tutorials: Clinical Round: 48 hours 200 Marks Allocated Duration 8 weeks (as per student) Course Director Prof. Dr. Hisham El Sherbiny Head of Department Teaching Staff 47 Professors 22 Assistant Professors 19 Lecturers 24 Assistant lecturers 1 of 11 2011-2012
Professional Information 1- Overall Aims of Course ENT Course Provides Students with: Aim 1 Aim 2 Aim 3 Aim 4 Ability to diagnose and manage common frequently occurring Ear Nose and Throat problems that they are going to face as primary health care provider. Ability to provide safe care in some Ear Nose and Throat emergencies. Awareness of alarming symptoms and signs of serious Ear Nose and Throat diseases especially head and neck tumors, immune based disorders and potentially life threatening conditions to refer to higher special care and management. Application of basic principles in health education. 2- Intended Learning Outcomes of Course (ILOs) A. Recall of Knowledge and Understanding: By the end of the course, students will be able to: Course ILO a1 a2 a3 a4 Describe structure and function of the ear, nose, pharynx and larynx. Recognize principles of special senses of hearing, smell, voice, speech and language Describe Etiology and Pathogenesis of Common Ear Nose and Throat diseases Describe Epidemiology, Clinical Features, Differential Diagnosis and Complications Of Common Ear Nose and Throat diseases. Program ILO A4 A4 A6 A7 2 of 11 2011-2012
a5 a6 Describe principles of investigations and management of common Ear Nose and Throat diseases. Describe principles of prevention of common Ear Nose and Throat diseases. a7 Discuss principles of diagnosis of head and neck tumors. A7 a8 Discuss principles of investigations and management of head and neck tumors in the context of early diagnosis, quality of life and A8 rehabilitation through new technological options of treatment. a9 Describe indications, perioperative management and complications of common Ear Nose and Throat operations. A8 a10 a11 a12 Mention the concepts of certain emergency procedures in Ear Nose and Throat. Describe prevention, diagnoses and management of iatrogenic illness related to pharmacotherapy and surgery in the field of Ear Nose and Throat. Recognize medical ethics in Ear Nose and Throat Surgery Practice. A8 A10 A8 A12 A11 B. Intellectual Skills By the end of the course, students will be able to: b1 b2 Course ILO Correlate structural, functional and immunological alterations of different ENT diseases. Select appropriate investigations for common Ear Nose and Throat diseases, emergency and life threatening conditions and interpret results. Program ILO b3 Solve clinical problems as regards ENT diseases B4 b4 Design the initial course of management for Ear Nose and Throat emergencies C. Professional and Practical Skills B2 B3 B7 By the end of the course, students will be able to: Course ILO Program ILO c1 Obtain and record Ear Nose and Throat relevant history. C2 c2 Perform external and internal examination of ears using Otoscope. C3 c3 Perform external and internal examination of noses using nasal speculum. C3 3 of 11 2011-2012
c4 Perform examination of oral cavity using tongue depressor and light source. c5 Perform neck examination. C3 c6 Perform and interpret tuning fork test. C3 c7 c8 c9 Identify pathologic conditions in different imaging modalities and charts. Simulate first aid measures in emergency Ear Nose and Throat situations. Practice Basics of health and patient s safety and safety procedures in clinical situations. C3 C4 C7 C6 c10 Identify and enumerate uses of Diagnostic sets, ENT instruments and devices e.g., otoscopes, tongue depressors, tuning forks, tracheostomy tube C7 c11 Communicate clearly, sensitively and effectively with patients. C8 D. General and Transferable Skills By the end of the course, students will be able to: Course ILO Program ILO d1 Valuing the interests and dignity of patients and families. D1 d2 d3 d4 Respect superiors, colleagues and any other members of the health profession. Gather and organize information including the use of information technology where applicable. Be prepared for the lifelong learning needs of the medical profession. D3 D4 D8 3- Course Contents Topics Introduction Ethics in Ear, Nose and Throat Total % Teaching and Learning Methods 1 L T P/ C O OTOLOGY (50%) Anatomy and Physiology of the Ear History and Clinical Examination External Ear: 63 39 24 4 of 11 2011-2012
Congenital, Traumatic and Infectious Diseases Middle Ear: Congenital and Traumatic Diseases Earache: Acute Otitis Media (in Children and Adults)Otosclerosis Atticoantral Chronic Suppurative Otitis Media Ear Discharge Tubotympanic Chronic Suppurative Otitis Media Non-Suppurative Otitis Media: Otitis Media with Effusion, Adhesive otitis media Tumors of the Ear and Cerebellopontine Angle Inner Ear Disease Facial Paralysis Hearing loss and Tinnitus Extracranial, cranial and intracranial complications of Otitis Media Vestibular System and Vertigo AUDIOLOGY Introduction to Audiology Hearing Evaluation in Adults Hearing Evaluation in Children RHINOLOGY (20%) Anatomy and Physiology of the Nose Clinical Diagnosis of Nasal Disease Acute Sinusitis and its complications Chronic Sinusitis and its complications Nasal Allergy Vasomotor Rhinitis Nasal Polyposis Epistaxis Acute and Chronic Rhinitis Cysts and Tumors of the Nose and Paranasal Sinuses Nasal Deformity and Trauma Cerebrospinal Fluid Leaks Congenital Choanal Atresia LARYNGOLOGY (30%) (16/8) 26 16 10 (6/4) 5 of 11 2011-2012
Anatomy and Physiology of the Larynx, Pharynx, Trachea and Esophagus Symptoms, Examination and Investigation of the Larynx and Trachea Congenital and Traumatic Laryngeal Diseases Inflammatory Laryngeal Diseases Vocal Fold Paralysis Tracheostomy Neoplasms of the Larynx Anatomy and Physiology of the Pharynx and Esophagus Deep Neck Infections Diseases of the Nasopharynx Dysphagia Diseases of the Hypopharynx and Esophagus Introduction to Head and Neck Oncology Obstructive Sleep Apnea Syndrome Neck Swellings Inflammations and Ulcers of the Oropharynx 38 24 14 (10/4) PHONIATRICS Disorders of Voice Disorders of Speech Disorders of Language Total 128 100% L: lecture, T: Tutorial, P: Practical, C: Clinical, SDL: O: Other 80 48 (32/16 ) 4- Teaching and Learning Methods Teaching/ Learning Methods Recall of Knowledge/ Understanding Intellectual skills Professional/ Practical GTS 6 of 11 2011-2012
4.1-Lectures a1-12 d2 4.2- Tutorials a1-a12 b1-b4 c10 d2 4.3- Clinical rounds/ Skill laboratory b1-b4 c1-11 d1,d2 *4.4- E-learning classes **4.5- Self directed learning d3, d4 GTS: General Transferable Skills * Online Lectures ** Research, Presentation Facilities Required for Teaching and Learning Audio-visual equipment: scopes, camera for the scope, head light with camera, recorders, monitors, projectors. Instruments for clinical examination eg otoscopes Lecture rooms: to fit a large number of students Self learning hall, computers Skills laboratory 5- Teaching and learning methods for students with learning difficulties 1- Revision lectures and tutorials classes outside schedule whenever needed 2- Clinical examination of patients in the outpatient clinic outside the schedule 6- Student Assessment Methods 6.1 Methods: 7 of 11 2011-2012
Type Assessment Method ILOs Measured Summative Assessment Formative Assessment Continuous Assessment End-Round Final Weekly assessments in tutorials Online quizes (MCQs) - Others - Home Assignments - Presentations, Projects - a1-12, Slide Exam b1-4, c10 WRITTEN EXAM a1-a12 b1-b4 Clinical EXAM c1-c11 OSCE b1-b4 ORAL EXAM a1-a12 b1-b4-6.2 Time Schedule Week - Method Formative Assessment - Home Assignments - Presentations Projects End of round exam Week 8 End of round exam (after 8 weeks) Continuous Assessment Slide exam Clinical Exam [OSCE] Considered to be the final clinical exam Written Exam: END of YEAR Multiple Choice Questions Oral exam 8 of 11 2011-2012
6.3 Weighing of Assessments Method Weight % Continuous Assessment 20% Quizzes Research Activity % (Mark) % ( Mark) End-Round SLIDE Exam 20 % (40 Mark) Written Exam 60 % ( 120 Mark) Final 80% Oral Exam Practical Exam Clinical Exam [OSCE] 10 % (20 Mark) 10 % ( 20 Mark) Total 100% ( 200 Mark) 7- List of References 7.1 Course Notes Department book 7.2 Essential Books (Text Books) (Available at department or faculty library) Current Diagnosis and treatment in Otorhinolaryngology, Head and Neck Surgery (2004), Anil K. Lalwani (ed). Publisher: McGrow-Hill Companies. 7.3 Recommended Books (Text Books) Scott Brown s Otorhinolaryngology, Head and Neck Surgery (2008), 7 th edition. Gleason M. (ed). Publisher: Edward Arnold. Cumming's otolaryngology head and neck surgery (2005), 4 th Cumming C.W. et al. (eds). Publisher: ELSEVIER MOSBY. 7.4 Periodicals, Web Sites, etc www.entainshams.com www.medicaleducationonline.com 7.5 Others edition. 9 of 11 2011-2012
Course Coordinator Date: / / 2011 10 of 11 2011-2012