Master of Sciencein Physical Medicine, Rheumatology and...
Transcript of Master of Sciencein Physical Medicine, Rheumatology and...
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FFaaccuullttyy ooff MMeeddiicciinnee AAiinn SShhaammss UUnniivveerrssiittyy
PPoossttggrraadduuaattee SSttuuddiieess
Master of Sciencein Physical Medicine,
Rheumatology and Rehabilitation
PPrrooggrraamm CCooddee:: PPRRRR660000
Program Guide and Logbook
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C a n d i d a t e C u r r i c u l u m v i t a e
[Name]
Please attach your recent photo photo here.
[telephone no]
[mobile no]
[mailing address]
[email address]
[postcode]
Experience
[organization]
[your present job title]
[start date]
[location]
[responsibilities]
[organization]
[previous job title]
[start and end date]
[location]
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[responsibilities]
[organization]
[previous job title]
[start and end date]
[location]
[responsibilities]
Education
[certificates]
[start and end date]
[school or college]
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Training
[any other training that will be useful in your job]
Filled by post graduate authorities
Date of Registration
First semester _______________________
Second semester _______________________
Third semester _______________________
Fourth semester _______________________
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TABLE OF CONTENTS:
Page
I – Welcome Statement
II - Mission Statement
III – Senior supervisor and affiliated departments and Hospitals
IV – Program specifications
1 - Basic Information
2 - Professional Information
3 – Academic standards
4 - Curriculum structure and contents
5 - Programme courses:
6. Programme admission requirements:
7. Regulation for progression and program completion
8- Course specification appendix:
First part:
Applied Anatomy
Applied Physiology
Applied Physics
Basic Immunology
Pharmacology
General Medicine
General surgery
Second part:
Rheumatology
Physical Medicine & Rehabilitation
Electrodiagnosis & Electrotherapy
V - General information
VI – Your log book
1 – Introduction
2 - Supervisors, Trainers and/or Educators
3 - Tables for training records
4 – Log book preview
VII - Head of department approval for the exam entry
Detachables forms:
VIII – Thesis follow up
IX - Evaluation forms
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I – WELCOME STATEMENT: The Department of Physical Medicine, Rheumatology and
Rehabilitation welcomes you to the Master of Sciencein Physical
Medicine, Rheumatology and Rehabilitation.
As a department we are committed to medical student education and
continuously strive to improve your educational experience.
This handbook presents information guide and logbook activity of
the Master of Sciencein Physical Medicine, Rheumatology and
Rehabilitation, administered by the Physical Medicine,
Rheumatology and Rehabilitation Department - Faculty of Medicine
- Ain Shams University.
II - MISSION STATEMENT: The mission of the Faculty of Medicine, Ain Shams University is
―The preparation of a competent graduate, who is able to compete on both
national and regional levels, capable of lifelong learning, training and tutoring,
while adhering to the codes of practice of medical health services and ethics. The
college as well, seeks continuous development of programs and courses. It also
enhances expansion of applied scientific research and health programs for
community services and environmental development. Moreover, through
providing distinguished academic and research cadres of teaching staff,
supporting the administrative system and sustainability of own resources, the
college is able to achieve goals and objectives”.
The mission of this degree is to prepare a trained
rheumatologist physiatrist with professional skills and a leading
role in his practice.
III – SENIOR SUPERVISOR AND AFFILIATED DEPARTMENTS AND HOSPITALS
SENIOR SUPERVISOR Prof.
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E-mail:
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AFFILIATED DEPARTMENTS AND HOSPITALS ------------------------------
Physical Medicine, Rheumatology and Rehabilitation Department,
Faculty of medicine - Ain Shams University
Military Rheumatology & Rehabilitation center in Agouza
IV – PROGRAM SPECIFICATIONS
A- Basic Information
1. Programme title:
Master of Sciencedegree of Physical Medicine, Rheumatology and
Rehabilitation
2. Programme type: Single
3. Faculty
Faculty of Medicine - Ain Shams University
4. Department
Physical Medicine, Rheumatology and Rehabilitation department
5. Assistant co-ordinator
………………………………………………
6. Co-ordinator
………………………………………………
7. Last date of program approval:
……………………………………………………………
B- Professional Information:
1. Programme aims: This program should be able to:
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1. Enable the candidates to keep with the international standards of patient
care by achieving high levels of:
a. Clinical skills
b. Bedside care skills
2. Introduce the basis of scientific rheumatology and rehabilitation
researches.
3. Provide the candidates with the Master of Sciencethat enables them to be
specialists as efficient professional physiatrists & rheumatologists in
Egypt, to pursue higher studies and degrees and finally to understand and
get the best of published scientific researches and keep updated.
2. Intended learning outcomes (ILOs):
a. Knowledge and understanding:
By the end of the program the candidate will be able to:
a1 - Identify the anatomy of the different joints of the upper and
lower limbs with muscles acting on them with the biomechanics of
the studied joints, have a thorough knowledge of the brain and spinal
and cranial nerves and discuss the anatomy of the vertebral column
and the spinal cord and to outline the major clinical applications of
anatomical facts.
a2 - Understand the physiology of the cardiovascular system , central
nervous system, the physiology of the muscle and nerve, the
physiology of the respiration, the effects of the exercise on the
cardiovascular and respiratory systems and the the physiology of
metabolism, bone physiology, thermoregulation and the physiology
of exercise.
a3 - Differentiate physical basis of the different electrotherapeutic
modalities in order to understand the base for later application on
apparatus used in physical therapy
a4 - Understand the basic immunologic background and the role of
the immune system in the pathogenesis and diagnosis of some
rheumatic diseases.
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a5- Understand and be able to compare the different rheumatic
diseases, their epidemiology, aetiology, pathogenesis, pathology,
clinical picture, investigations and treatment.
a6- Understand the basic aspects of the rehabilitation program
including remedial exercise , occupational therapy and improving
activities of daily living and the specific rehabilitation of the
different diseases(neurologic , orthopedic and rheumatic)
a7- Differentiate the different electrotherapeutic modalities: their
indications and contraindications, effects and side effects, and
methods of application
a8- Identify the different types of orthosis and prothesis and walking
aids, their indications and fitting and how to follow them up.
a9- Understand the basic principles of electrodiagnosis (nerve
conduction and EMG) and to know the electrodiagnostic picture of
different diseases and differentiate between neuropathic and
myopathic lesions
a10- Know the diagnosis and the management of neurologic and
related medical and surgical conditions and the role of rehabilitation
in each
a11- Understand the basic pharmacokinetics of drugs involved in
the speciality, describe their mechanism of action, doses, indications,
contraindications, interactions, side effects, precautions and
limitation of use in specific conditions, advantages and
disadvantages of different drugs as well as of alternative therapies.
a12- Discuss the common medical problems presenting in primary
health care setting, their diagnosis, prevention and treatment, their
clinical manifestations and differential diagnosis, the early
manifestations of serious diseases (e.g. malignancy, emergencies
…etc) as well as recognizing the normal aging process and identify
age related diseases and variable causes of disability in old age.
a13- Understand important and relevant surgical diseases, their
clinical manifestations, complications, diagnosis, prognosis and
treatment, required rehabilitation and appropriate orthotics and
prosthetics, recognize the ethical principles that govern decision-
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making in surgical practice, the principles and practice of
preoperative preparation and postoperative care as well as the basic
principles of anesthetic techniques and materials.
a14- Understand the mutual influence of medical practice and
environment.
a15- Understand scientific advances in the field of speciality
a16- Understand the ethical principles and legal principles of
medical practice in the field of speciality
a17- Understand the principles of quality in medical practice in the
field of speciality
a18- Understand the basics and ethics of scientific research.
b. Intellectual capabilities: By the end of the programme the candidate will be able to:
b1- Analyze clinical findings of various rheumatological disorders to
put differential diagnosis, choose appropriate diagnostic procedures
and interpret their results, design treatment plan according to reached
diagnosis, evaluate prognosis and complications incorporating his
knowledge and patient’s preferences in a cost effective manner.
Understand the differential diagnosis of the different rheumatic
conditions and design diagnostic protocol for the different rheumatic
problems
b2 - Interpret symptoms and signs of various disorders, differential
diagnosis and their rehabilitative aspects, choose the appropriate
laboratory & radiological investigations and interpret the results,
provisionally diagnose different musculoskeletal and neurological
disorders and their rehabilitational issues, design appropriate
rehabilitation plans and make decisions according to specific
different clinical situations using problem solving skills
Design a rehabilitation program for patients with different diseases
(including occupational and vocational rehabilitation) -
b3- Select appropriate electrotherapeutic modalities and
electrodiagnostic procedures for various conditions, understand their
uses, hazards and interpret the results.
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Design a home program for the patient to accomplish activities of
daily living.
b4- Comprehend and describe the biomechanics of the different
joints, gait cycle, the anatomy of all the joints,muscles,nerves (spinal
and cranial) and the vertebral column of the body
b5- Interpret important physiological laboratory results (blood,
respiratory, neuromuscular), to distinguish a physiological from a
pathological condition, clinical parameters such as: ABP, ECG,
nerve conduction velocity & pulmonary functions for a normal
individual and integrate physiology with other basic and clinical
sciences.
b6- Evaluate the drug dose, drug history, side effects, describe the
various prescriptions suitable for various cases with awareness of the
precautions in specific circumstances.
b7- Comprehend the mechanisms of the lever systems, mechanisms
of various physical modalities and their therapeutic effects.
b8- Understand the difference between innate and acquired
immunity, the various immunological responses and the role
individual component of the immune system.
b9- Analyze symptoms & signs to put differential diagnosis for
common presenting complaints, design diagnostic plan and
evaluation prognosis and the risks, interpret the results of commonly
used diagnostic procedures, and institute the appropriate diagnostic,
preventive, and therapeutic interventions, construct treatment plan,
incorporating his knowledge, best available evidence, and patient’s
preferences in a cost effective manner.
b10- Interpret and analyze clinical and laboratory findings to reach
the diagnosis of relevant surgical diseases evaluate the prognosis and
risks, apply decision making for surgical interference and related
rehabilitation measures
b11-Analyze and evaluate and integrate different knowledge given
information to solve problems (sometimes in absence of some
givens).
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b12- Perform a scientific research study about a certain research
problem
b13- Estimate the risks related to speciality practice.
b-14 Make desicions in various professional conditions and plan for
better performance in the speciality
c. Professional and practical skills:
By the end of the program the candidate will be able to:
c1- Examine the different joints of the body.
c2- Interpret the normal anatomical structures on radiographs,
ultrasonography, CT scan and nuclear MRI.
c3- Perform the most important respiratory function tests and manipulate a
stethoscope for hearing heart and respiratory sounds.
c4- Present physiological scientific data in a graphical form.
c5-Differentiate between the different types of electrical current
and their uses.
c6- Apply the physical facts while treating the patient to convey maximum
efficiency from physical therapy and to avoid complications.
c7- Correlate the various drugs with their practical use as therapeutics
in various diseases and to differentiate between the different
indications and doses of the same drug in different disorders.
c8- Apply the pharmacological knowledge in research work.
c9- Read and evaluate scientific literature related to immunology and
to interpret the immunological techniques.
c10- Conduct a full neurological examination.
c11- Conduct a full rheumatologic examination.
c12- Conduct a nerve conduction and EMG investigation.
c13- Apply different electrotherapeutic apparatus on the different
body parts for different indications
c14- Use orthotics and prosthetics for their different indications
c15- Design a diet regimen and use acupuncture to treat different weight
disorders
c16- Perform arthrocenthesis and intra and extra articular injections
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c17- Write and evaluate various medical reports related to the
speciality, case reports, electrophysilogical studies reports and
prescriptions
c18- Evaluate various modalities and tools related to the speciality
c19- Apply various courses knowledge (Anatomical facts,
Physiological facts, Physics, Immunology, Pharmacology, Internal
medicine, General surgery, PMR, Electrotherapy and diagnosis,
Rheumatology) in form of skills: taking medical history, performing
physical examination & order appropriate investigations (laboratory,
radiological or any other tests) and interpret them to reach diagnosis
and prescribe medication and or apply other therapeutic option in the
speciality.
c20- Use appropriate study design, statistical method & analysis and
apply ethical judgement, patient respect in practice and research
d. General and transferable skills:
By the end of the programme the candidate will be able to:
d1- Use computer skills and various information technology
d2- Benefit from e-learning
d3- Perform case presentations
d4- Work in groups and lead a team
d5- Conduct a research
d6- Perform effective communication
d7- Self-evaluation and learning
d8- Uses various sources to acquire medical knowledge
d9- Evaluate other team-members performance
d10- Continuous learning
Candidates are asked to submit a thesis to take the degree
3. Academic standards: (Benchmarks)
John Hopkins University
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4. Curriculum structure and contents:
4a- Program duration: Two year
4b- Program structure:
اناهج انساعاث
انعخذة انقزراث انذراسيت انكىد
دورة أساسياث انبحث انعهي
يخطهباث
انكهيت
1
PRR6001 حشزيح حطبيقي
انجزء
األول
57,0 PRR6002 فسيىنىجي حطبيقي
57,0 PRR6003 فارياكىنىجي
1 PRR6004 طبيعت حطبيقيت
1 PRR6005 أسس اناعت
57,0 PRR6006 باطت
57,0 PRR6007 جزاحت
انزسانت 6
6 PRR6008 طب طبيعي وحأهيم
انجزء
انثاي
0 PRR6009 كهزباء طبيت
6 PRR6010 روياحيزو
1
E6009
E6035
E6034
E6121
E6138 E6047
واحذة ي : يخخار انطانب يادة
قاى E6009–أحصاء طب
أخالقياث E6035-طب
أسس انبحث E6034-طبيت
أشعت E6121-انعه
حشخيصيت ف األيزاض
وحاسب E6138-انزوياحزييت
E6047أن
انقزراث
االخخياريت
كزاست 6
األشطت
انجىع 66
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5. Programme courses: A) Compulsory
Code no. Course title No. of hours /week
Lecture Tutorial Practical
PRR6001 Applied
Anatomy
15
PRR6002 Applied
Physiology
12
PRR6003 Pharmacology 12
PRR6004 Applied Physics 14 1
PRR6005
Basic
immunology
14 1
PRR6006 General
medicine
10 2
PRR6007 General surgery 12
PRR6008 Physical
Medicine&
Rehabilitation
70 40
PRR6009 Electrotherapy
&
Electrodiagnosis
49 13 16
PRR6010 Rheumatology 69 30
B) Elective
Code no. Course title No. of hours /week
Lecture Tutorial Practical
E6009 Statistics 15
E6047 Computer 15
E6034 Medical ethics 15
E6035 Medical law 15
E6138 Rheumatology
Radiodiagnosis
15
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6. Programme admission requirements:
-( : يشترط لقيد الطالب لمحصول عمى درجة الماجستير:6) المادة عمى درجة - 1 البكالوريوس في الطب والجراحة أن يكون حاصال
أن يكون -2 من إحدى جامعات جمهورية مصر العربية أو عمى درجة معادلةتسديد الرسوم -4 موافقة جهة العمل -3 قد أمضى سنة التدريب )االمتياز(
ومصاريف التدريب واستهالك األجهزة واستيفاء المستندات المطموبة في لمدة فصمين دراسيين قبل دخول امتحان الجزء التفرغ لمدراسة -5( 1الممحق ) 0الثاني
-الماجستير األوراق التالية :ة يقدم طالب اإللتحاق لدرج ( :1ممحق )شههادة -04شههادة اإلمتيهاز -3 0شهادة البكالوريوس -2 0طمب إلتحاق -1
موافقههة جهههة العمههل -6 0الموقههف مههن التجنيههد -05المهيالد أو مسههتخرس رسههمي -8 0صههور فوتوارافيههة جديههدة 6عههدد -7 0ل والتفههرغ المطمههوبعمههى التسههجي
بالنسههبة لموافههدين يقههدم الطالههب موافقههة السههفارة ويحههدد جهههة تحمههل النفقههات كمهها 0يقدم شهادة صحية
7. Regulation for progression and program completion
: (8مادة )
مرتين فى العام : لدبمومات فيتم متسجيل لدرجات الدكتوراه وباقى ال بالنسبة األولى من أول يوليو حتى آخر أاسطس والثانية من أول نوفمبر حتى آخر ديسمبر
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تههوزا الدراسههة فههى كههل عههام جههامعى عمههى فصههمين دراسههيين مههدة كههل (: 9مااادة )الثهههانى فهههى منهمههها خمسهههة عشهههر اسهههبوعا ف يبهههدا االول فهههى أول أكتهههوبر ويبهههدا
منصهف فبرايههرف مههي تنصههيم فصههل دراسهى صههيفى مكثههف لمههدة سههتة اسههابيي ف و يتم التسجيل لمفصل الدراسى قبل اسبوعين مهن بدايتهو عمهى االقهل بعهد إستيفاء الشروط حسب المقهررات المسهجمةف والينب هى أن يزيهد العهبء الدراسهى
طالههب تعههديل المقههررات سههاعات معتمههدةف ويجههوز لم 6فههى الفصههل الواحههد عههن خالل اسبوعين من بداية الفصل الدراسهى ) بالحه ف او االضهافة(ف كمها يجهوز لو االنسحاب خالل ستو اسابيي من احد المقرارت دون احتسابو راسبا فيوف
Assessment Schedule and Weighing of Assessments
Item Mark
Po
ints
GP
A
sco
re
بطال
اللة
حا
Stu
den
t
sta
te
During
semester
End of
semester Total
First semester (If present) 100 300 400
Second semester 100 100
Third semester 100 100
Fourth
semester
Final exam
Written
900 900
Oral
Practical
/Clinical
Total 300 1200 1500
عمى الوجو التالى:ممحوصة: تعادل درجات الطالب طبقا لمنقاط
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قاط 4 : % فأكثر 99 -1 A
قاط ,666 : % 99% حتى أقل من 85من -2 A-
قاط 6666 : %85% حتى أقل من 89من - 3 B+
قاط 6655 : %89% حتى أقل من 75من - 4 B
قاط ,766 : %75% حتى أقل من 79من - 5 B-
قاط 7666 : %79% حتى أقل من 65من - 6 C+
قاط 7655 : %65% حتى أقل من 62من -7 C
قاط ,166 : %62% حتى أقل من 69من - 8 C-
F صفز : %69أقل من - 9
درجة منها 1299االمتحان النهائى لمدبموم العالى والماجستير مجموا درجات درجة منها 1599درجة لمجزء األول ومجموا درجات االمتحان النهائى لمدكتوراه 399مى التراكمى بما يوازى صدرجة لمجزء األول إن وجدف ويضاف إليها المعدل الف 399 .كتوراهدرجة لمد 499درجة لمدبموم العالى والماجستير و 399
عمهى أسهاس مجمهوا حاصهل ضهرب نقهاط كهل (GPA)ويتم حساب المعدل الفصمى مقههرر مضههروبا فههى عههدد سههاعاتو المعتمههدة مقسههوما عمههى السههاعات المعتمههدة لممقههررات التههى
(CGPA)المعهدل التراكمهى لمطالههب درسهها الطالهب فهى الفصهل الدراسهىف كمهها يهتم حسهابالتهههى حصهههل عميهههها الطالهههب فهههى كهههل مقهههرر عمهههى أسهههاس مجمهههوا حاصهههل ضهههرب النقهههاط
مضروبا فى عدد ساعاتو المعتمدة مقسوما عمى مجموا الساعات المعتمدة الكميةف
أو والماجسههتير فههى الههدبموم أمقههررات الفههى حالههة الرسههوب فههى مههادة أو مجموعههة مههن ى يحصهل ويتم حسهاب التقهدير الفعمهى اله يتم اإلعادة فى المادة أو المجموعة فقطف الدكتوراه
% فقههط 69عميههو فههى أول إعههادة فقههط أمهها إ ا تكههرر رسههوبة فيحسههب لههو عنههد النجهها تقههدير -نقاط اى 1667)اى
C).
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Anatomy course specification
Program(s) on which the course is given: Master of Sciencein
Physical medicine Rheumatology and Rehabilitation (First Part)
Major or minor element of programs: Major
Department offering the program: Physical medicine, Rheumatology and
Rehabilitation department
Department offering the course: Anatomy department
Academic year / Level: Master 1st semester
Date of specification approval: ……………………………..
A- Basic Information
Title: Applied anatomy Code: PRR6001
Credit Hours: 1 Lecture:
Tutorial: 15 Total: 15hrs
Co-ordinator
Anatomy department
B - Professional Information
1- Course Aims:
1. To provide a core body of scientific knowledge concerning
the normal structure of the human body at the level of upper
limbs, lower limbs & spine as well neuroanatomy.
2. To correlate anatomical facts with their clinical applications.
2- Intended Learning Outcomes (ILOs) from the Course:
a- Knowledge and understanding
By the end of the course, students should be able to:
a1. Describe the basic principles of structure of the different joints of
the human body and their biomechanics.
a2. Describe the surface landmarks of the underlying joints, bones,
muscles and tendons.
a3. Outline major clinical applications of anatomical facts
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a4. Describe segmental innervation of the different dermatomes and
myotomes
a5. Describe the anatomy of the different nerves.
a6. Describe the neuroanatomy of the brain and the spinal cord with
their blood supply
a7. Draw labelled diagrams of cross sections of Brain, brainstem and
spinal cord at different levels
b- Intellectual skills
By the end of the course the candidate will be able to:
b1- Comprehend the biomechanics of the different joints
b2- Comprehend the different phases of the gait cycle and muscles
working in each phase
b3- Describe the anatomy of all the joints,muscles,nerves (spinal and
cranial) and the vertebral column of the body
c- Professional skills
By the end of the course the candidate will be able to:
c1- Apply the anatomical facts while examining the living subject in
order to reach a proper diagnosis.
c2- Differentiate between the different types of joints and how each
adapts to its function
c3- Identify the different surface markings and determine the
position or course of internal structures.
c4- Interpret the normal anatomical structures on radiographs and
ultrasonography, C.T. scan and nuclear magnetic resonance images.
c5- Interpret some clinical findings in relation to anatomical basis.
c6- Analyze and resynthesize given data to solve problem situations
d- General and transferable skills
By the end of the course the candidate will be able to:
d1- Use Computer using and power point presentation
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d2- Maintain honesty and integrity in all interactions with teachers,
colleagues, patients and others with whom physicians must interact
in their professional lives.
d3- Recognize the scope and limits of their role as students as well as
the necessity to seek and apply collaboration with other workers.
d4- Be responsible towards work.
d5- Maintain a professional image concerning behaviour, dress and
speech.
d6- Work in study group
d7-Benefit from e-learning
d8- Perform case presentations
d9- Self-evaluation and learning
d10- Uses various sources to acquire medical knowledge
d11- Evaluate other team-members performance
3- Course content:
Topics No. of hours
L T C/P SDL
1-facial nerve ½
2-trigeminal nerve ½
3-cranial nerves II,III,IV,VI ½
4- other cranial nerves ½
5-neuroanatomy of the brain 1
6-brachial plexus 1
7-lumbar plexus & siatic nerve 1
8-muscles of upper limbs 1
9--muscles of lower limbs 1
10-trunk muscles 1
11- vertebral column ½
12- neck ½
13-joints of lower limbs: hip 1
14-knee 1
15-ankle and joints of the foot 1
16-joints of upper limbs: shoulder 1
17-elbow and wrist 1
18-hand joints 1
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L: Lecture, T: Tutorial, C/P: Clinical or Practical and SDL: Self
directed learning
4 - Student Assessment Methods
4.1-Written exam: to assess knowledge and understanding and to
assess the ability of problem solving
4.2-Oral exams: to assess knowledge and understanding
Weighing of assessment:
Written exam: 30
Oral exam: 20
Total: 50
5 -- List of References
5.1- Course Notes (paper and / or electronic)
Lecture notes handed to student
5.2- Essential Books (Text Books)
Last’s textbook of regional and applied anatomy, Grant’s Atlas
of anatomy
5.3- Recommended Books
a) Cunningham’s anatomy
b) Gray’s anatomy.
5.4- Periodicals and websites www.visiblebody.com
http://science.nhmccd.edu/biol/ap1.html
http://anatomy-interactive.org
Physiology Course specifications
Program(s) on which the course is given: Master of Sciencein
Physical Medicine, Rheumatology and Rehabilitation.
Major or minor element of programs: Major
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Department offering the program: Physical Medicine,
Rheumatology and Rehabilitation.
Department offering the course: Physiology Department.
Academic year / Level: - First semester
Date of specification approval: ……………………………………..
A- Basic Information
Title: Applied Physiology Code: PRR6002
Credit Hours: 0.75 Lecture: 12
Tutorial: Total: 12 hrs
Coordinator
Physiology Department
B - Professional Information
1- Course Aims:
1. Acquire an appropriate functional background of cells, tissues,
organs & systems.
2. Integrate physiological data & mechanisms with the ongoing
basic sciences: anatomy, histology & biochemistry and clinical
applications.
3. Explore in detail the functions of the central nervous system,
neuromuscular, the respiratory, metabolism and the cardiovascular
systems
4. Develop the basic scientific research skills as well as effective
communication and team work attitudes.
2- Intended Learning Outcomes (ILOs) from the Course:
a- Knowledge and understanding
By the end of the course the candidate will be able to:
a1 - Comprehend the physiology of the cardiovascular, respiratory
and central nervous system, muscle and nerve physiology
27
a2- Understand the bone physiology
a3- Describe the effect of exercise on the different systems of the
body and sports physiology
a4- Distinguish the different metabolic and endocrinal disorders to
understand appetite and the central and peripheral factors controlling
it
a5- Understand the mechanism of temperature regulation and their
disturbances
b- Intellectual skills
By the end of the course the candidate will be able to:
b1- Interpret most important physiological laboratory results (blood,
respiratory, neuromuscular), to distinguish a physiological from a
pathological condition.
b2- Comment, on some clinical parameters such as: ABP, ECG,
nerve conduction velocity & pulmonary functions for a normal
individual.
b3- Integrate physiology with other basic and clinical sciences.
c- Professional skills
By the end of the course the candidate will be able to:
c1- Perform the most important respiratory function tests .
c2- Manipulate a stethoscope for hearing heart and respiratory
sounds .
c3- Present physiological scientific data in a graphical form .
d- General and transferable skills
By the end of the course the candidate will be able to:
d1 –Use computer power point presentation
d2- Work separately or in a team to research and prepare a scientific
topic.
d3- Present clearly and effectively a scientific topic in a tutorial, a
staff meeting or the yearly scientific day.
d4-Benefit from e-learning
28
d5- Perform effective communication
d6- Self-evaluation and learning
d7- Uses various sources to acquire medical knowledge
d8- Evaluate other team-members performance
d9- Implement Continuous learning
3- Course content:
Topics No. of hours
L T C/P SDL
1-The Cell and Its Functions and Apoptosis—
Programmed Cell Death
½
2-Membrane Potentials and Action
Potentials and Contraction of Skeletal Muscle
1
3-Overview of the Circulation; Medical
Physics of Pressure, Flow, and
Resistance and The Microcirculation and the
Lymphatic System: Capillary Fluid
Exchange, Interstitial Fluid.
1
4-Local and Humoral Control of Blood
Flow by the Tissues and Nervous Regulation of the
Circulation,
and Rapid Control of Arterial Pressure
1
5-Organization of the Nervous System, 1
6-The Sensory and Autonomic Nervous System 1
7-Motor and Integrative Neurophysiology 1
8-Physical Principles of Gas Exchange;
Diffusion of Oxygen and Carbon
Dioxide Through the Respiratory
Membrane
½
9-Regulation of Respiration ½
10-Respiratory Insufficiency—
Pathophysiology, Diagnosis, Oxygen
Therapy
½
11-Bone physiology 1
12-Metabolism and Temperature
Regulation
1
13-Endocrinology, Diabetes Mellitus & Obesity 1
14- Exercise Physiology 1
29
L: Lecture, T: Tutorial, C/P: Clinical or Practical and SDL: Self
directed learning
4 - Student Assessment Methods
4.1-Written exam: to assess knowledge and understanding and to
assess the ability of problem solving
4.2-Oral exams: to assess knowledge and understanding
Weighing of assessment:
Written exam: 25
Oral exam: 15
Total: 40
5 -- List of References
5.1- Course Notes (paper and / or electronic)
Lecture notes handed to students
5.2- Essential Books (Text Books)
Ganong textbook of physiology
Guyton’s textbook of phyiology
5.3- Recommended Books
5.4- Periodicals & websites
…………………………………………
Pharmacology course specification
Program(s) on which the course is given: Master of Sciencein
Physical medicine Rheumatology and Rehabilitation (First Part)
Major or minor element of programs: Major
Department offering the program: Physical medicine, Rheumatology and
Rehabilitation department
Department offering the course: Pharmacology department
Academic year / Level: Master 1st semester
30
Date of specification approval: ………………………………..
A- Basic Information
Title: Pharmacology Code: PRR6003
Credit Hours: 0.75 Lecture: 12
Tutorial: 0 Total: 12
Co-ordinator
Pharmacology department
B - Professional Information
1- Course Aims:
1-To provide scientific knowledge concerning pharmacology
principles related to musculoskeletal system.
2- To give a broad understanding about medications used in
musculoskeletal system disorders including mechanism of action,
pharmacokinetics, metabolism, dosing, side effects, drug
interactions, compliance & precautions.
2-To correlate pharmacological preparations with their
therapeutic applications in the field of Physical medicine,
Rheumatology and Rehabilitation
2- Intended Learning Outcomes (ILOs) from the Course:
a- Knowledge and understanding
By the end of the course, students should be able to:
a1. Describe the basic principles (pharmacokinetics and
pharmacodynamics) of pharmacological preparations involved in the
field of the speciality.
a2. Describe the mechanism of action of different studied drugs
a3. Outline the different dosing, indications, contraindications,
interactions and side effects of these preparations
a4. Discuss the precautions and limitation of use in specific
conditions (pediatrics, pregnancy, lactation, geriatrics, renal &
hepatic conditions, etc…)
31
a5. Define the advantages and disadvantages of different drugs in
comparison to each other.
a6. Understand the role, benefits, hazards and limitations of
alternative therapies commonly used
b- Intellectual skills
By the end of the course the candidate will be able to:
b1- Calculate accurately the drug dose according to half-life,
bioavailability .
b2- Take appropriate drug history.
b3- Document side effects.
b4- Write prescriptions for musculoskeletal diseases.
b5- Describe the various prescriptions suitable for various cases with
awareness of the precautions in specific circumstances
c- Professional skills
By the end of the course the candidate will be able to:
c1- Correlate the various drugs with their practical use as
therapeutics in various disease
c2- Differentiate between the different indications and doses of the
same drug in different disorders
c3- Use knowledge and understanding of the pharmacological
sciences to formulate and apply the various medications
c4-Apply the pharmacological knowledge gained in research work
c5-Demonstrate competency in analysing and interpreting
pharmacological data.
d- General and transferable skills
By the end of the course the candidate will be able to:
d1- Provide appropriate basic drug education to patient and his
family
d2- Communicate effectively with other healthcare professional to
maximize patients benefit (e.g.from medication)
d3- Respect ethics related as well as socioeconomic related issues
32
d4- Recognize and effectiently deal with unethical behavior as
regards drug use or prescription (especially drug abuse)
d5- Demonstrate competency in internet use and other research work
tools and achievement, as well as self-learning and continuous
education
3- Course content:
Topics No. of hours
L T C/P SDL 1. principles of pharmacology (kinetics &
dynamics) 1
2. Non steroidal Anti-inflammatory drugs 1 3. Gluccocorticoids: topical, intrarticular &
systemic 1
4. Disease modifying drugs: Antimalarial,
Sulfasalazine, Gold compound,
Methotrexate & D-penicillamine
1
5. Cytotoxics: Azathioprine,
cyclophosphamide, chlorambucil
Immunomodulatory drugs: cyclosporine,
mycophenolate mofetil
1
6. Biologic agents 1 7. Hypouricemic drugs: allopurinol,
probencid, sulfinpyrazone ½
8. Antibiotic, antiviral, antifungal therapy ½ 9. analgesics and management of pain ½ 10. durgs for autonomic nervous system ½ 11. Skeletal muscle relaxants and
spasmolytics 1
12. Drugs against Osteoporosis &
Osteomalacia 1
13. antihypertensive drugs ½ 14. anticonvulsant drugs ½ 15. relevant cardiopulmonary durgs ½ 16. Others: Anticoagulants. ½
33
L: Lecture, T: Tutorial, C/P: Clinical or Practical and SDL: Self
directed learning
4 - Student Assessment Methods
4.1-Written exam: to assess knowledge and understanding and to
assess the ability of problem solving
4.2-Oral exams: to assess knowledge and understanding
Weighing of assessment:
Written exam 25
Oral exam 15
Total 40
5 -- List of References
5.1- Course Notes (paper and / or electronic) Department lecture notes. Pharmacology lectures at the e-site of Ain
Shams University.
5.2- Essential Books (Text Books)
Katsong textbook of Pharmacology
5.3- Recommended Books
Lipincott
Principles of clinical pharmacology
5.4- Periodicals, Web Sites www.centerwatch.com/drug-information/fda-approvals/drugarea.aspx?AreaID=8
www.medilexicon.com/drugsearch.php?a=19
www.chilanti.com/olbooks/medbooks/cochrane_musculoskeletal_group.htm
www.pubmed.com
www.highwirepress.com
34
physics course specification
Program(s) on which the course is given: Master of Sciencein
Physical medicine Rheumatology and Rehabilitation (First Part)
Major or minor element of programs: Major
Department offering the program: Physical medicine, Rheumatology and
Rehabilitation department
Department offering the course: Physics department in cooperation
with Physical medicine, Rheumatology and Rehabilitation
department
Academic year / Level: Master 1st semester
Date of specification approval: …………………………..
A- Basic Information
Title: Applied physics Code: PRR6004
Credit Hours: 1 Lecture: 14
Tutorial: 1 Total: 15
Co-ordinator
Physics department - Faculty of Science
B - Professional Information
1- Course Aims:
1- To provide basic scientific knowledge concerning physics
2- To develop a clear understanding of the basic concepts of
modern physics.
3-To correlate physical facts with their clinical applications in the
field of PM&R
2- Intended Learning Outcomes (ILOs) from the Course:
a- Knowledge and understanding
By the end of the course, students should be able to:
35
a1. Describe the basic principles of physics of electricity, lever
system, magnetic field, ultrasound, LASER and thermal modalities.
a2. Outline major clinical applications of physical facts.
a3. Describe the mechanism of different physical modalities
b- Intellectual skills
By the end of the course the candidate will be able to:
b1- Comprehend the mechanisms of the different lever systems &
hence different joints movement.
b2- Comprehend the different mechanisms of various physical
modalities.
b3- Describe the various physical modalities and their possible
therapeutic effects.
c- Professional skills
By the end of the course the candidate will be able to:
c1- Correlate the various physical principles with their practical use
as physical modalities.
c2- Differentiate between the different types of electrical current and
their uses
c3- Apply the physical facts while treating the patients to convey
maximum efficiency from physical therapy and to avoid
complications
c4- Apply different physical facts on performing electrodiagnostic
tests to master the instrument and reach proper diagnosis.
d- General and transferable skills
By the end of the course the candidate will be able to:
d1- Access data and information related to the course subjects from
the internet.
d2- Develop self professional, scientific, and personal attitude
towards continuous education.
d3- Cooperate in teams.
36
3- Course content:
Topics No. of hours
L T C/P SDL
SECTION I
1. Forces & Lever systems 1
2. Hydrostatics & fluid flow in the
body
1
3. Physics of the skeleton 1
SECTION II
4. Direct current, electromagnetic
induction.
1
5. Electrostatics, electric field &
condensers.
1
6. Fundamental of electronics:
semiconductor diode, oscillators &
transistor.
1
7. Application and uses of electricity in
Physical Medicine: Galvanic and
Faradic currents.
1 1
8. High frequency electricity in
Medicine: Long-wave, Short-wave
and Microwave Diathermy
1
SECTION III
9. Heat and Cold in Medicine 1
10. LASER in Medicine 1
11. Ultrasound waves in Medicine 1
12. Cathode ray oscilloscope 1
13. Light in Medicine: Ultraviolet and
Infrared.
1
SECTION IV
14. Electrical safety 1
37
L: Lecture, T: Tutorial, C/P: Clinical or Practical and SDL: Self
directed learning
4 - Student Assessment Methods
4.1-Written exam: to assess knowledge and understanding and to
assess the ability of problem solving
4.2-Oral exams: to assess knowledge and understanding
Weighing of assessment:
Written exam 30
Oral exam 20
Total 50
5 -- List of References
5.1- Course Notes (paper and / or electronic)
Lecture notes handed hand by hand
5.2- Essential Books (Text Books)
Physics and Electronics in Physical Medicine. Alfred Nightingale
5.3- Recommended Books
Intermediate Physics for Medicine and Biology. Russell K. Hobbie &
Bradley J. Roth
5.4- Periodicals, Web Sites
http://www.physicsclassroom.com/Class/index.cfm
http://www.nd.edu/~nsl/Lectures/mphysics/index.htm
Basic Immunology Course specifications
Program on which the course is given: Master of Sciencein
Physical Medicine, Rheumatology and Rehabilitation.
Major or minor element of programs: Major
Department offering the program: Physical Medicine,
Rheumatology and Rehabilitation.
38
Department offering the course: Physical Medicine, Rheumatology
and Rehabilitation.
Academic year / Level: First semester
Date of specification approval: ……………………………..
A- Basic Information
Title: Basic Immunology Code: PRR6005
Credit Hours: 1 Lecture: 14
Tutorial: 1 Total: 15
Coordinator
--------------------------------
B- Professional Information
1- Course Aims:
1- To provide basic scientific knowledge concerning
immunology
2- To correlate immunological concepts and disorders with
their clinical applications in the field of Physical Medicine,
Rheumatology & Rehabilitation
3- To provide an understanding of the immunological basis for
new lines of treatment for various rheumatological disorders
2- Intended Learning Outcomes (ILOs) from the Course:
a- Knowledge and understanding
By the end of the course the candidate will be able to:
a1- Describe the basic principles of immunology
a2- Understand the various immunological techniques involved in
diagnosis
39
a3- Outline major clinical applications of immunology in the field of
Physical medicine, Rheumatology and rehabilitation
b- Intellectual skills
By the end of the course the candidate will be able to:
b1- Understand the difference between innate and acquired
immunity.
b2- Understand the various immunological responses
b3- Comprehend the role individual component of the immunity
system.
c- Professional skills
By the end of the course the candidate will be able to:
c1- Interpret immunological techniques
c2- Read and evaluate scientific literature related to immunology
d- General and transferable skills
By the end of the course the candidate will be able to:
d1- Access data and information related to the course subjects from
the internet and use computer and power point presentation.
d2- Develop self professional, scientific, and personal attitude
towards continuous education.
d3- Cooperate in teams
d4-Conduct a research.
d5-Evaluate other team-members performance.
3- Course content:
Topics No. of hours L T C/P SDL
SECTION I – INTRODUCTION TO THE
IMMUNE SYSTEM
1. Properties and overview of the immune
system ½
2. Innate immunity ½
40
3. Cells and tissues of the adaptive immune
system – cell migration & adhesion
molecules
1
SECTION II – RECOGNITION OF ANTIGENS 4. Antibodies and antigens 1 5. The major histocompatibility complex 1 6. Antigen processing and presentation to T
lymphocytes 1
7. Antigen receptors and accessory molecules
of T lymphocytes 1
SECTION III MATURATION, ACTIVATION
AND REGULATON OF LYMPHOCYTES
8. Lymphocyte development and rearrangment
and expression of antigen receptor genes 1
9. Activation of lymphocytes 1 10. B cell activation and antibody production 1 11. Immunological tolerance ½
SECTION IV EFFECTOR MECHANISMS OF
IMMUNE RESPONSES
12. Cytokines ½ 13. Effector mechanisms of cell mediated
immunity ½
14. Effector mechanisms of humoral immunity
– The Complement ½
SECTION V – THE IMMUNE SYSTEM IN
DEFENSE AND DISEASE
15. Immunity to microbes ½ 16. Transplantation immunity ½ 17. Immunity to tumors ½ 18. Diseases caused by immune responses :
Hypersensitivity and Autoimmunity ½
19. Immediate hypersensitivity ½ 20. Congenital and acquired
immunodeficiencies ½
IMMUNOLOGICAL TECHNIQUES 1
41
L: Lecture, T: Tutorial, C/P: Clinical or Practical and SDL: Self
directed learning
4 - Student Assessment Methods
4.1-Written exam: to assess knowledge and understanding and to
assess the ability of problem solving
4.2-Oral exams: to assess knowledge and understanding
Weighing of assessment:
Written exam 30
Oral exam 20
Total 50
5 -- List of References
5.1- Course Notes (paper and / or electronic)
Lecture notes handed hand by hand
5.2- Essential Books (Text Books)
Roitt’s essential immunology
Basic immunology (Abul K Abbas)
5.3- Recommended Books
Cellular & molecular immunology (Abul K Abbas)
5.4- Periodicals, Web Sites, etc
http://www.immunologylink.com
http://www.immunology.utoronto.ca/site5.aspx
http://www.aai.org/default.asp
Internal medicine Course specifications
Program(s) on which the course is given: Master in Physical Medicine,
Rheumatology and Rehabilitation.
42
Major or minor element of programs: Major
Department offering the program: Physical Medicine, Rheumatology
and Rehabilitation.
Department offering the course: Internal medicine Department.
Academic year / Level: First semester
Date of specification approval ………………………………………..
A- Basic Information
Title: Internal medicine Code: PRR6006
Credit Hours: 0.75 Lecture:10
Tutorial: 2 Practical: Total: 12
Coordinator
Internal Medicine Department
B - Professional Information
1- Course Aims:
1. To support acquisition of knowledge and understanding of health
and its promotion, and of disease, its prevention and management.
2. To enable the student to acquire and become proficient in basic
clinical skills such as obtaining
a patient’s history, undertaking a comprehensive physical and mental
state examination, interpreting the findings and constructing
diagnostic and treatment plans.
3. To enable the students to acquire and demonstrate attitudes
necessary for the achievement of high standards of medical practice,
in relation to the provision of care of individuals and populations
4. To train the student how to fully examine the patient, reach
provisional diagnosis and recommend suitable investigations.
2- Intended Learning Outcomes (ILOs) from the Course:
a- Knowledge and understanding
By the end of the course the candidate will be able to:
43
a1. Discuss the common medical problems presenting to doctors - in
primary health care setting, hospital and community - their diagnosis,
prevention and treatment.
a2. Identify disease in terms of mental, functional and physical
processes
a3. State the clinical manifestations and differential diagnosis of
common medical disorders with an emphasis on the incidence of the
different manifestations and their relative importance in establishing
diagnosis, and the early manifestations of serious diseases (e.g.
malignancy, emergencies …etc)
a4. Recognize the normal aging process in terms of physiologic and
clinical manifestations and identify age related diseases and variable
causes of disability in old age.
b- intellectual skills
By the end of the course the candidate will be able to:
b1. Analyze symptoms & signs and construct a differential diagnosis
for common presenting complaints.
b2. Design an appropriate diagnostic plan for evaluation of common
presenting complaints which is appropriate in terms of the
differential diagnosis, the severity of the clinical situation and the
risks, benefits and costs to the patient.
b3. Accurately interpret the results of commonly used diagnostic
procedures
b4. Identify risk factors for disease processes and injury, and institute
the appropriate diagnostic, preventive, and therapeutic interventions.
b5. Construct treatment plan, incorporating his knowledge, best
available evidence, and patient’s preferences in a cost effective
manner.
44
c- Professional skills
By the end of the course the candidate will be able to:
c1. Take a thorough history of appropriate depth and detail, relative
to the clinical context.
c2. Demonstrate a complete and/or problem-focused physical
examination.
c3. Recognize urgent life-threatening conditions, and institute
appropriate initial management.
c4. Safely perform routine diagnostic and therapeutic procedures,
including life support.
c5. Use appropriate sterile technique, Comply with and use universal
precautions.
d- General and transferable skills
By the end of the course the candidate will be able to:
d1. Establish trust with the patient.
d2. Explain to the patients and their relatives the nature of illness, the
diagnostic and therapeutic options and Recommend life style
modification in compassionate and ethical way.
d3. Respond effectively to a patient’s emotional and psychosocial
concerns.
d4. Interact and communicate effectively with other health care
professionals.
d5. Manage time effectively and demonstrate skills needed for life
long learning.
3- Course content:
Internal Medicine No. of hours
L T C/P SDL
1- Cardiovascular diseases
Hypertension, ischemic heart diseases and heart
failure.
1
2-Chest diseases 1
45
Chronic obstructive pulmonary disease, acute and
chronic lung abscess, pleural effusion and lung
cancer.
3-Metabolism (acidosis, alkalosis, electrolyte
disorders)
1
5- Endocrinology
DM, parathyroid, thyroid, cushing and adissons
syndromes.
1
5- Kidney and urinary tract diseases, acute RF,
chronic RF, nephritic syndrome, nephritic
syndrome, acute and chronic glomerulonephritis.
1
6- CVstroke, Ataxia and cerebellar diseases 2 1
7-Diseases of muscles and disorders of
neuromuscular junction and Motor neuron diseases
1 1
8-Parkinson’s disease and other movement
disorders
1
9- Non traumatic disorder of the spinal cord and
Multiple sclerosis
1
L: Lecture, T: Tutorial, C/P: Clinical or Practical and SDL: Self directed
learning
4 - Student Assessment Methods
Written exam: 20
Clinical exam: 15
Total 35
5 -- List of References
5.1. Course Notes (paper and / or electronic)
Lecture notes handed hand by hand
5.2. Essential Text book
5.3. Recommended books
-DAVIDSON'S Principles and Practice of Medicine.
-Clinical Medicine KUMMAR and CLARK.
-1000 MCQs for DAVIDSON'S Principles and Practice of Medicine.
-MCQs for Clinical Medicine KUMMAR and CLARK.
-HUTCHISON’S Clinical Methods.
-Clinical Examination, MACLEOD, MUNRO.
- A Guide to Physical Examination, Barbara Bates.
46
5.4. Periodicals & websites
General surgery Course specifications
Program(s) on which the course is given: Master of Sciencein Physical
Medicine, Rheumatology and Rehabilitation.
Major or minor element of programs: Major
Department offering the program: Physical Medicine, Rheumatology
and Rehabilitation.
Department offering the course: Surgery Department.
Academic year / Level: First semester
Date of specification approval ………………………………………..
A- Basic Information
Title: General Surgery Code: PRR6007
Credit Hours: 0.75 Lecture: 12
Tutorial: 0 Practical: 0 Total: 12 hrs
Coordinator
Surgery Department
B - Professional Information
1- Course Aims:
1. To provide the candidate with the knowledge, and skills which
enable him/her to identify, analyze, manage and/or refer relevant
clinical surgical problems in order to provide efficient, cost effective
and humane patient care.
2. To provide the candidate with an appropriate background covering
the relevant surgical emergencies.
3. To enable the development and application of appropriate
professional attitudes, ethical principles and communication
4. To develop the ability to diagnose the basic surgical affections via
clinical and laboratory findings.
47
5. To acquire the basic principles of related surgical interferences.
6. To introduce the different methods, materials and techniques of
anesthesia
2- Intended Learning Outcomes (ILOs) from the Course:
a- Knowledge and understanding
On successful completion of the course, the student should be able
to:
a1- Describe the etiology, pathogenesis and pathology of important
and relevant surgical diseases.
a2- Discuss the clinical manifestations, complications, diagnostic
modalities, outcome and treatment plans for relevant surgical
problems.
a3- Understand the importance of rehabilitation in the treatment of
surgical problems.
a4- Recognize the appropriate orthotics and prosthetics needed in the
different surgical conditions.
a5- Recognize the ethical principles that govern decision-making in
surgical practice.
a6- Discuss the principles and practice of preoperative preparation
and postoperative care.
a7- Acquire Knowledge about the basic principles of anesthetic
techniques and materials.
a8- Understand scientific advances in surgery.
.b- Intellectual skills
By the end of the course the candidate will be able to:
b1- Interpret and analyze clinical and laboratory findings to reach the
accurate diagnosis of relevant surgical diseases.
b2- Analyze and predict the prognosis and consequences of surgical
affections.
48
b3- Apply decision making of suitability of using a defined surgical
interference and related rehabilitation measures with appropriate
orthotics and prosthetics.
b4 – Learn decision making of suitability of using defined anesthetic
techniques and related complications.
b5-Analyze and evaluate and integrate different knowledge given
information to solve problems (sometimes in absence of some
givens).
c- Professional skills
By the end of the course the candidate will be able to:
c1- Get experience in clinical diagnosis of surgical affections.
c2- Get ability for surgical interferences and treatment of surgical
affections.
c3- Use gained surgical knowledge to apply appropriate
rehabilitation programs
d- General and transferable skills
By the end of the course the candidate will be:
d1- Acquainted with surgery as a tool for treatment of surgical
affections.
d2 Acquainted with Using the specified instruments and devices of
surgery and, anesthesiology.
d3- Enhancement of the ability definition and solving of surgical
problem
d4- Conduct sincere and effective patient interviews, properly
explain their condition and plan of management, obtain consents and
convey bad news in a professional way.
d5- Write patient records and properly present them.
49
d6- Work effectively and cooperatively in a team.
d7- Perform self-evaluation and learning
d8- Uses various sources to acquire medical knowledge
d9- Implement continuous learning
3- Course content:
Topics No. of hours
L T C/P SDL
1-Basic surgery: wound healing, infection and
shock and hemorrhage
1
2-Basic surgery: ulcers and burns &diabetic foot 1
3- Hernia and abdominal wall, breast and thyroid
disorders
1
4- - postoperative care and pain management,
Pulmonary embolism and Cardiopulmonary
resuscitation
1
5- Cardiac surgery; basic principles of heart and
mediastinum surgery & Surgery of lung and
bronchi
1
6 peripheral nerve injury & plexus injury 1
7- Vascular: Chronic ischaemia and Acute
ischemia and vascular trauma
1
8- Vascular: Chronic venous insufficiency and
lymphatic system
1
9- ischemic cerebral vascular stroke and
intracranial hemorrhage
½
10- head and spine injury and disc disease ½
11- traumatology and amputation ½
12- developmental bone disease & metabolic
bone disease
½
13- long bone deformities & hand surgery ½
14- spine deformities, hydrochephalus,
craniostenosis and spinal dysraphism
½
15- Joint replacement surgeries 1
50
L: Lecture, T: Tutorial, C/P: Clinical or Practical and SDL: Self
directed learning
4 - Student Assessment Methods
Written exam 25
Clinical exam 10
Total 35
5 - List of References
5.1. Lecture notes handed
5.2. Essential books
5.3. Recommended books
1-Bailey and Love’s Short Practice of Surgery, 23rd Edition.
2- Current Surgical Diagnosis and Treatment, 11th Edition.
3- Browse NL: An introduction to the Symptoms and Signs of
Surgical
Disease.
5.4. Periodicals & websites
Physical Medicine and Rehabilitation (PM&R) Course specifications
Program on which the course is given: Master of Sciencein
Physical Medicine, Rheumatology and Rehabilitation.
Major or minor element of programs: Major
Department offering the program: Physical Medicine,
Rheumatology and Rehabilitation.
Department offering the course: Physical Medicine, Rheumatology
and Rehabilitation.
Academic year / Level: Second semester
Date of specification approval: …………………………………..
A- Basic Information
51
Title: Physical Medicine and Rehabilitation Code: PRR6008
Credit Hours: 6 Lecture: 70
Practical: 40 Total: 90hrs
Coordinator
……………………………………………
B - Professional Information
1- Course Aims:
a) To meet the candidate need to complete scientific and clinical
training to be an efficient professional physiatrist
b) To respond to the trainees educational and research training
needs to conduct research in the field of PM&R
2- Intended Learning Outcomes (ILOs) from the Course:
a- Knowledge and understanding
By the end of the course the candidate will be able to: a1- Clinically evaluate a patient from the physical medicine and
rehabilitation point of view and understand methods of evaluation
and assessment
a2- Understand the different domains of rehabilitation
a3- Comprehend different rehabilitation programs to the different
system diseases (cardiovascular, respiratory, orthopaedic, neurologic
and rehabilitation after neurosurgery, movement disorders including
tremors, peripheral vascular diseases, pediatric, geriatric, bladder,
bowel, sexual, rehabilitation for visual and hearing impairment,
vestibular rehabilitation and rehabilitation after prolonged
immobility and for cancer, burn, rehabilitation for low back pain,
cervical pain, arthritis and connective tissue disorders, rehabilitation
of the injuried athlete and hand rehabilitation)
52
a4- Understand the physical medicine and rehabilitation problems
and their management (pressure ulcers, spasticity, acute and chronic
pain, emergencies in rehabilitation medicine)
a5- Understand gait, its analysis and rehabilitation of gait related
disorders
a6- Identify the walking aids, different orthotics and prosthetics, the
wheelchair and to understand their specifications, uses, applications
and indications
a7- Understand scientific advances in physical medicine &
rehabilitation.
a8- Understand the ethical principles and legal principles of medical
practice in physical medicine & rehabilitation.
a9- Understand the basics and ethics of scientific research.
b- Intellectual skills
By the end of the course the candidate will be able to:
b1- Interpret the most important symptoms and signs of various
disorders and their rehabilitative aspects.
b2- Choose the appropriate laboratory & radiological investigations
and interpret the results.
b3- Provisionally diagnose different musculoskeletal and
neurological disorders and their rehabilitational issues.
b4- Design appropriate rehabilitation management plans for various
disorders
b5- Make decisions according to specific different clinical situations
using problem solving skills
b6-Analyze and evaluate and integrate different knowledge given
information to solve problems (sometimes in absence of some
givens).
b7- Perform a scientific research study about a certain research
problem
b8- Make desicions in various professional conditions and plan for
better performance in the speciality
53
c- Professional skills
By the end of the course the candidate will be able to:
c1- Examine skillfully a patient with rheumatologic, neurologic,
orthopaedic and different medical and surgical conditions and to
elicit the proper physical signs and to differentiate between the
different diseases
c2- Use the clinical findings together with medical history to
formulate a differential diagnosis, plan for suitable investigations,
interpret them and reach diagnosis
c3- Know indications and applications of different orthosis and
prosthesis
c4- Perform proper different intraarticular & soft tissue injections as
well as aspiration.
d5- Write and evaluate various medical reports related to the physical
medicine & rehabilitation, case reports,
d6- Evaluate various modalities and tools related to physical
medicine & rehabilitation.
d7- Apply various courses knowledge related to physical medicine &
rehabilitation in form of skills: taking medical history, performing
physical examination & order appropriate investigations (laboratory,
radiological or any other tests) and interpret them to reach diagnosis
and prescribe medication and or apply other therapeutic option in
physical medicine & rehabilitation.
d8- Use appropriate study design, statistical method & analysis and
apply ethical judgement, patient respect in practice and research
d- General and transferable skills
By the end of the course the candidate will be able to:
d1- Adopt the habit of life-long learning
54
d2- Communicate, explain and discuss with the patient the diagnosis,
the need for further investigations, available management options,
their risks & benefits.
d3- Identify the need for other specialities intervention or referral.
d4- Lead and co-operate effectively with the professional team work
involved together in patient rehabilitation
d5- Use computer skills and various information technology
d6- Work in groups and lead a team
d7- Perform effective communication
d8- Perform self-evaluation and learning
d9- Uses various sources to acquire medical knowledge
d10- Evaluate other team-members performance
d11- Implement Continuous learning
3-Course content:
The course contains 4 sections studied over 2 semesters
Topics No. of hours
L T C/P SDL SECTION I – EVALUATION
1. Physiatric history & examination 2 2 2. Examination of the pediatric patient 1 2 3. Adult communication disorders 1 4. Psychological perspectives on
Rehabilitation 1
5. Gait analysis 1 6. Functional assessment and Disability
determination 1
7. Neurological and musculoskeletal
studies 1
8. Quality and outcome measures in
Rehabilitation 1
55
9. Reasearch in physical medicine and
Rehabilitation 1
SECTION II - TREATMENT TECHNIQUES
AND SPECIAL EQUIPMENTS
10. Therapeutic exercises 1 1 11. Manipulation, traction & massage 2 1 12. Computer assistive devices &
environmental control 1
13. Joint & soft tissue injections technique 2 3 14. Upper limb orthoses 3 1 15. Lower limb orthoses 3 1 16. Spinal orthoses 2 1 17. Upper limb amputation rehabilitation &
prostheses 2 1
18. Lower limb amputation rehabilitation &
prostheses 2 1
19. Wheel chair prescription 1 1 SECTION III – COMMON CLINICAL
PROBLEMS IN PHYSICAL MEDICINE AND
REHABILITATION
20. Managment of bladder dysfunction 1 1 21. Managment of bowel dysfunction 1 22. Spasticity 2 2 23. Pressure ulcers 1 1 24. Cardiac rehabilitation 2 1 25. Pulmonary rehabilitation 1 1 26. Deconditioning & Conditioning 1 27. Rehabilitation of swallowing disorders 1 28. Sexuality Issues in persons with
disabilities 1
29. Achieving functional independence 1 SECTION IV – ISSUES IN SPECIFIC
DIAGNOSES IN PHYSICAL MEDICINE AND
REHABILITATION
56
30. Rehabilitation of Rheumatological
disorders 1 1
31. Assessment & treatment of cervical
disorders 1 1
32. Musculoskeletal disorders of UL 1 33. Musculoskeletal disorders of LL 1 34. Low back pain & disorders of lumbar
spine 1 1
35. Prevention & treatment of osteoporosis 1 36. Chronic pain syndromes: Evaluation and
treatment 1
37. Diagnosis and treatment of muscle pain
syndromes 1
38. Management of sports injuries 2 1 39. Occupational Rehabilitation 1 40. Rehabilitation of motor neurone diseases 1 1 41. Rehabilitation of patients with
peripheral neuropathy 1 1
42. Rehabilitation of patients with
myopathies 1 1
43. Brain injury Rehabilitation 1 1 44. Stroke rehabilitation 1 1 45. Rehabilitation of movement disorders 1 1 46. Rehabilitation of Multiple Sclerosis 1 1 47. Pediatric rehabilitation 2 2 48. Spinal cord injury rehabilitation 2 2 49. Rehabilitation of Vascular diseases 1 1 50. Cancer rehabilitation 1 51. Rehabilitation of Burn 1 1 52. Geriatric rehabilitation 1 1 53. Rehabilitation in patients with AIDS &
organ transplantation 1
54. management of weight disorders 2 1
57
L: Lecture, T: Tutorial, C/P: Clinical or Practical and SDL: Self directed
learning
4 - Student Assessment Methods
4.1-Written exam: to assess knowledge and understanding and to
assess the ability of problem solving
4.2-Oral exams: to assess knowledge and understanding
4.3-Clinical exam: to assess clinical skills and the ability to use the
different programs of rehabilitation and to identify different orthotics
and prosthetics and their different indications
Weighing of assessment:
Written exam 180
Oral exam 15
Clinical 110
Total 305
5 -- List of References 5.1- Course Notes (paper and / or electronic)
Lecture notes handed hand by hand
5.2- Essential Books (Text Books)
Randall Braddom textbook of Physical Medicine & Rehabilitation
Delisa Textbook of Physical Medicine & Rehabilitation
Krusen tectbook of PMR
5.3- Recommended Books
Tan Practical manual of Physical Medicine & Rehabilitation
Neurology and Neurosurgery illustrated (Lindsay & Bone)
Merrits textbook of neurology
Adams's Outline of Orthopaedics
5.4- Periodicals, Web Sites, etc
PM&R Journals:
Archives of Physical Medicine and Rehabilitation
58
American Journal of Physical Medicine and Rehabilitation
PM&R by American Academy of Physical Medicine and
Rehabilitation (AAPMR) (website mentioned below)
Physical Medicine And Rehabilitation Clinics of North America
PM&R websites:
http://emedicine.medscape.com/rehabilitation
http://www.aapmr.org/ (American Academy of Physical Medicine and
Rehabilitation)
http://www.med.umich.edu/pmr/
http://www.mayo.edu/msgme/physmed-programs.html
http://www.physiatry.org/ (Association of Academic Physiatrists)
Electrotherapy & Electrodiagnosis Basic
Information€ A- Basic Information
Title: Electrotherapy & Electrodiagnosis code: PRR6009
Credit Hours: 5 Lecture: 49
Tutorial: 13 Practical:16 Total: 70hrs
Coordinator
……………………………………………
B - Professional Information
1- Course Aims:
a) To be a professional doctor in electrodiagnostics
b) To be able to use electrotherapy in treatment of various disorders
2- Intended Learning Outcomes (ILOs) from the Course:
a- Knowledge and understanding
By the end of the course the candidate will be able to:
59
a1- Comprehend the basic science of electrotherapy means,their
physical basis,methods of application,indications,effects and
complications
a2- Put an electrotherapeutic plan for different complaints
a3- Understand the use of biofeedback and functional neuromuscular
stimulation in rehabilitation
a4-Understand the basic science of electrodiagnosis and its clinical
applications
a5- Interpret an electrodiagnosis report
a6- Understand scientific advances in electrotherapy &
electrodiagnosis.
a7- Understand the ethical principles and legal principles of medical
practice in electrotherapy & electrodiagnosis.
a8- Understand the principles of quality in medical practice in
electrotherapy & electrodiagnosis.
a9- Understand the basics and ethics of scientific research.
b- Intellectual skills
By the end of the course the candidate will be able to:
b1- Conduct case-based discussions to demonstrate the applications
of the electrodiagnostic procedure to diagnose the different diseases
b2-Interpret different EMG reports
b3-Analyze and evaluate and integrate different knowledge given
information to solve problems (sometimes in absence of some
givens).
b4- Estimate the risks related to electrodiagnosis practice.
b5- Make desicions in various professional conditions and plan for
better performance in electrotherapy.
c- Professional skills
By the end of the course the candidate will be able to:
c1--conduct a NERVE CONDUCTION AND EMG examination and
write a concise report
60
c2- use different electrotherapy apparatus and different physical
modalities professionally
c3- Write and evaluate various medical reports related to
electrophysilogical studies
c4- Evaluate various modalities and tools related to electrotherapy.
c5- Apply various courses knowledge RELATED TO
Electrotherapy&diagnosis in form of skills: taking medical history,
performing physical examination & order appropriate investigations
(ELECTRODIAGNOSTICS tests) and interpret them to reach
diagnosis and prescribe medication and or apply other
ELECTROtherapeutic MODALITIES in the PMR speciality.
c6- Use appropriate study design, statistical method & analysis and
apply ethical judgement, patient respect in practice and research
d- General and transferable skills
By the end of the course the candidate will be able to:
d1 –Use computer power point presentation
d2- Work separately or in a team to research and prepare a scientific
topic.
d3- Present clearly and effectively a scientific topic in a tutorial, a
staff meeting or the yearly scientific day
d4- Use computer skills and various information technology
d5- Work in groups and lead a team
d6- Self-evaluation and learning
d7- Uses various sources to acquire medical knowledge
d8- Evaluate other team-members performance
d9- Continuous learning
3- Course content: Electrotherapy part of Course content: 2.5 credit hours
Lectures: 22 Tutorial : 13 Total : 35 hours
Electrotherapy Topics No. of hours
L T C/P SDL
61
Section I (7 Lectures- 4 Tutorial)
1-Superficial heating: UV-IR-Hot pack-
PW- Hydrotherapy.
2-Deep heating: Ultrasound- Short wave –
Microwave
3-Cold therapy
Section II (9 Lectures- 7 Tutorial)
4-Electric stimulation:
-Strength duration curve.
-Direct current.
-Low frequency current:
IGS, Faradic stimulation, Diadynamic, TENS,
Russian current, Sinusoidal current,
Microcurrent.
-Medium frequency current:
e.g.Interferential.
section III (6 Lectures- 2 Tutorial)
5- Laser
6-Magnet
7- Biofeedback
8- Acupuncture
9-Traction
10-Other modalities
3
3
1
1
1
5
2
1
1
1
1
1
1
2
2
2
4
1
1
1
Electrodiagnosis part of Course content: 2.5 credit hours
Lectures: 27 Practical : 16 Total : 35 hours
EMG Topics
No. of hours
L T C/P SDL
Section I (10 Lectures- 7 Practical)
1-Basic anatomy and physiology.
2-Instrumentation.
3-Motor nerve conduction studies
1
1
2
2
62
4-Sensory nerve conduction studies
5. Special nerve conduction studies
6-Basic needle EMG :
-Electrodes.
-Normal EMG pattern:
Resting, MUAPs, IP assessment.
Section II (9 lectures- 5 Practical)
7- neural reaction to injury
8- Electrodiagnosis in different diseases:
*Neuropathic pattern:
- Neuropathies
-Cervical and lumbar radiculopathies
-AHC diseases ( polio- MND)
- Entrapment neuropathies
- Cranial nerve neuropathies
*Myopathic pattern :
- Myopathy
- Polymyositis
*Myoneural junction disorders:
-Physiology & normal findings.
-Myasthenia gravis & myasthenic
syndrome
Section III (8 lectures- 4Practical) 9 Autonomic nervous system testing:
Sympathetic Skin Response (SSR).
10- Evoked potentials (SSEP-AEP-VEP)
11- Single fiber EMG.
12- Macro EMG.
13- Electrodiagnosis of sphincter muscles.
14- Writing a report
15- Specialized examination: pediatric,
intraoperative monitoring, and magnetic stimulation
of central and peripheral nervous system.
2
2
2
1
4
3
1
1
2
1
1
1
1
1
1
2
2
2
2
1
2
2
L: Lecture, T: Tutorial, C/P: Clinical or Practical and SDL: Self
directed learning
63
4 - Student Assessment Methods
4.1-Written exam: to assess knowledge and understanding and to
assess the ability of problem solving
4.2-Oral exams: to assess knowledge and understanding
4.3-Clinical exam: to assess clinical skills and the ability to use the
different electrotherapeutic apparatus in different diseases.
Weighing of assessment:
Written exam 130
Practical exam 110
Total 240
5 -- List of References
5.1- Course Notes (paper and / or electronic)
Lecture notes handed hand by hand
5.2- Essential Books (Text Books)
Electrodiagnostic medicine by Daniel Gumitru
Clayon’s textbook of electrotherapy
5.3- Recommended Books EMG secrets: Questions and Answers 5.4- Periodicals, Web Sites, etc
Muscle & Nerve
Clinical Neurophysiology
Rheumatology Course specifications
Program(s) on which the course is given: Master of Sciencein
Physical Medicine, Rheumatology and Rehabilitation.
Major or minor element of programs: Major
Department offering the program: Physical Medicine,
Rheumatology and Rehabilitation .
Department offering the course: Physical Medicine, Rheumatology
and Rehabilitation.
Academic year / Level: - second, third, & fourth semester
64
Date of specification approval: …………………………..
A- Basic Information
Title: Rheumatology Code: PRR6010
Credit Hours: 6 Lecture: 69
Tutorial: Practical: 30 Total: 90
Coordinator
Professor……………………………………………
B - Professional Information
1- Course Aims:
a) To be a professional doctor in the rheumatic diseases.
b) To master the ability to perform a clinical assessment of patients
with musculoskeletal disorders, select and interpret appropriate
investigations and formulate a differential diagnosis and management
plan.
c) To develop critical appraisal and analysis of clinical research
methodology and results
d) To be able to maintenan professional standards through continuing
development and learning.
e) To practice effective team working and leadership skills.
2- Intended Learning Outcomes (ILOs) from the Course:
a- Knowledge and understanding
By the end of the course the candidate will be able to:
a1 - understand the immunological and immunogenetic basis of
rheumatic diseases and their implications
65
a2-differentiate the different rheumatic diseases (systemic connective
tissue diseases,the vasculitides and their related disorders,the
seronegative spondyloarthropaties, arthritis associated with
infectious agents,rheumatic disorders associated with
metabolic,endocrine and hematologic diseases, bone and cartilage
disorders, hereditary, congenital and inborn errors of metabolism
associated with rheumatic disorders, non-articular and regional
musuloskeletal disorders, pediatric rheumatic diseases, metabolic and
genetic myopathies,amyloidosis,Raynoud’s phenomenon,
autoimmune eye and ear disorders, rheumatic syndromes associated
with sarcoidosis, rheumatic disorders of the dialysis patient,
rheumatic diseases and the pregnant and lactating female) as regards
their aetiology, pathology, pathogenesis, clinical picture,
investigations and management.
a3 -identify the recent updates in the management of the rheumatic
disorders, drug therapy, rehabilitation techniques and surgical
management.
a4 -list differential diagnoses of different rheumatic complaints
a5- discuss preoperative assessment of patients with rheumatic
diseases
a6- understand synovial fluid analysis and the synovial biopsy and
arthroscopic picture of rheumatic diseases
a7-understand psychologic assessment of patients with rheumatic
diseases
a8-be able to assess the functional ability of a patient with rheumatic
disease and how make them feel a functional person in the society
a9- Understand the mutual influence of medical practice and
environment.
a10- Understand scientific advances in rheumatology
a11- Understand the ethical principles and legal principles of medical
practice in rheumatology
a12- Understand the basics and ethics of scientific research.
b- Intellectual skills
By the end of the course the candidate will be able to:
66
b1- Case-based discussions to differentiate the different rheumatic
diseases…………………………………………
b2-Analyze and evaluate and integrate different knowledge given
information to solve problems (sometimes in absence of some
givens).
b3- Perform a scientific research study about a certain research
problem
b4- Make desicions in various professional conditions and plan for
better performance in rheumatology
c- Professional skills
By the end of the course the candidate will be able to:
c1- Examine skilfully a patient with rheumatologic, neurologic,
orthopaedic and different medical and surgical conditions and to
elicit the proper physical signs and to differentiate between the
different diseases.
c2- Perform joint aspirations, intra-articular injections and soft tissue
injections.
c3- Write and evaluate various medical reports related to rheumatic
patients.
c4- Apply various courses knowledge REGARDING Rheumatology)
in form of skills: taking medical history, performing physical
examination & order appropriate investigations (laboratory,
radiological or any other tests) and interpret them to reach diagnosis
and prescribe medication and or apply other therapeutic option in
rheumatology.
d- General and transferable skills
By the end of the course the candidate will be able to:
d1- Use computer skills
d2- Demonstrate the ability of self learning
d3- Present a case
67
d4- Work in groups
d5- Conduct a research
d6- Work in groups and lead a team
d7- Perform effective communication
d8- Perform self-evaluation and learning
d9- Uses various sources to acquire medical knowledge
d10- Evaluate other team-members performance
d11- Implement continuous learning
3- Course content:
Section I
Title: Rheumatology 1 Code: PRR6010 a
Credit hours: 2 Lecture: 22
Clinical: 12
Topics No. of hours
L T C/P SDL
1-History and Physical Examination
2 4
2-Laboratory Assessment
1
3-Arthrocentesis, Synovial Fluid Analysis,and
Synovial Biopsy
1 2
4- Imaging of Rheumatologic Diseases
2
5- Musculoskeletal Signs and Symptoms
A. Monarticular Joint Disease
B. Polyarticular Joint Disease
C. Neck and Back Pain
D. Regional Rheumatic Pain Syndromes
E. The Fibromyalgia Syndrome
1
1
1
2
1
1
1
6- Molecular and Cellular Basis of Immunity
and Immunological Diseases
4
7- Genetics and Disease 2
68
8- Rheumatoid Arthritis
A. Epidemiology, Pathology, and Pathogenesis
B. Clinical and Laboratory Manifestations
C. Assessment
D. Treatment
1
1
1
1
2
9- Juvenile Idiopathic Arthritis
A. Epidemiology, Pathology, and Pathogenesis
B. Clinical and Laboratory Manifestations
C. Assessment
D. Treatment
E. Special Considerations
1
1
1
1
1
4
10- Psoriatic Arthritis
A. Epidemiology, Pathology, and Pathogenesis
B. Clinical and Laboratory Manifestations
C. Assessment
D. Treatment
1
1
1
1
2
L: Lecture, T: Tutorial, C/P: Clinical or Practical and SDL: Self directed
learning
Section II
Title: Rheumatology 2 Code: PRR6010 b
Credit hours: 2 Lecture: 22
Clinical: 12
Topics No. of hours
L T C/P SDL
11- Ankylosing Spondylitis
A. Epidemiology, Pathology, and Pathogenesis
B. Clinical and Laboratory Manifestations
C. Assessment
D. Treatment
1
1
1
1
1
12- Reactive and Enteropathic Arthritis 1 1
13- Osteoarthritis
A. Epidemiology, Pathology, and Pathogenesis
B. Clinical and Laboratory manifestations
C. Assessment
1
1
2
69
D. Treatment
1
1
14-Gout
A. Epidemiology, Pathology, and Pathogenesis
B. Clinical and Laboratory Manifestations and
treatment
1
1
1
15- Calcium Pyrophosphate Dihydrate,
Hydroxyapatite, and Miscellaneous Crystals
1
16- Septic Arthritis and viral arthritis 1
17- 1
18- Mycobacterial, Fungal, and Parasitic
Arthritis & Lyme Disease
1
19- Rheumatic Fever 1 1
20- Systemic Lupus Erythematosus . . . . . A.
Epidemiology, Pathology, and Pathogenesis
B. Clinical and Laboratory Manifestations
C. Assessment
D. Treatment
1
1
1
1
1
21- Antiphospholipid Syndrome 1
22- Systemic Sclerosis
A. Epidemiology, Pathology, and Pathogenesis
B. Clinical and Laboratory Manifestations and
treatment
1
1
1
23- Idiopathic Inflammatory Myopathies
A. Epidemiology, Pathology, and Pathogenesis
B. Clinical and Laboratory Manifestations and
treatment
1
1
1
24- Metabolic Myopathies 1
25- Sjögren’s Syndrome 1
26- Vasculitides
A. Giant Cell Arteritis, Polymyalgia Rheumatica,
and Takayasu’s Arteritis
B. Polyarteritis Nodosa
C. The Antineutrophil Cytoplasmic
Antibody–Associated Vasculitides: Wegener’s
Granulomatosis, Microscopic Polyangiitis, and the
1
1
1
1
70
Churg–Strauss Syndrome
D. Immune Complex–Mediated Vasculitis and
Kawasaki disease
E. Miscellaneous Vasculitis (Behçet’s Disease,
Primary Angiitis of the Central Nervous System,
Cogan’s Syndrome, and Erythema Elevatum
Diutinum)
1
1
L: Lecture, T: Tutorial, C/P: Clinical or Practical and SDL: Self directed
learning
Section III
Title: Rheumatology 3 Code: PRR6010 c
Credit hours: 2 Lecture: 25
Clinical: 6
Topics No. of hours
L T C/P SDL
27- Relapsing Polychondritis and periodic
syndromes
1
28- Adult-Onset Still’s Disease 1
29- Hematologic and Malignant Disorders &
Neuropathic Arthropathy
1
30- Rheumatic Disease and Endocrinopathies
and hyperlipoproteiemia
1
33- Hypertrophic Osteoarthropathy & Storage
and Deposition Diseases
1
34- Complex Regional Pain Syndrome 1
37- The Amyloidoses & Sarcoidosis 1
38- Neoplasms of the Joint and Bone and Joint
Dysplasias
1
39- Heritable Disorders of Connective Tissue 1
40- Osteonecrosis and Paget’s Disease of Bone 1
41- Osteoporosis 2
42- Rehabilitation of Patients with Rheumatic
Diseases
2 1
71
43-. Psychosocial Factors in Arthritis, Self-
Management Strategies and pain management
1
44- Therapeutic Injections of Joints and Soft
Tissues and New treatments
1 1
49- Rheumatological emergencies 1
50- Operative Treatment of Arthritis and
Complementary and Alternative Therapies
1
L: Lecture, T: Tutorial, C/P: Clinical or Practical and SDL: Self directed
learning
4 - Student Assessment Methods
4.1-Written exam:to assess knowledge and understanding and to assess the
ability of problem solving
4.2-Oral exams: to assess knowledge and understanding
4.3-Clinical exam: to assess clinical skills and the ability to use the different
electrotherapeutic apparatus and identify the different orthotics and
prosthetics and their different indications
Weighing of assessment:
Written exam: 180
Clinical exam: 110
Oral exam: 15
Total: 305
5 -- List of References
5.1- Course Notes (paper and / or electronic)
Lecture notes handed hand by hand
5.2- Essential Books (Text Books)
Primer textbook of rheumatology
5.3- Recommended Books
Kelly’s textbook of rheumatology
5.4- Periodicals, Web Sites, etc
Rheumtology
Annals of rheumatic diseases
Journal of Rheumtology
Current opinion of Rheumatology
Lupus
72
Rheumatology Reading List
1. Levine, J.S.; Branch, D.W.; Rauch, J. ―The Antiphospholipid Syndrome‖. New
England Journal of Medicine. 346(10):752-63, 2002 Mar 7.
2. FitzGerald, G.A.; Patrono, C. ―The Coxibs, Selective Inhibitors of
Cyclooxygenase-2‖. New England Journal of Medicine. 345(6):433-42, 2001 Aug
9.
3. Davidson, A.; Diamond, B. ―Autoimmune Diseases‖. New England Journal of
Medicine. 345(5):340-50, 2001 Aug 2.
4. Steere, A.C. ―Lyme Disease‖. New England Journal of Medicine. 345(2):115-
25, 2001 Jul 12.
5. Walport, M.J. ―Complement. First of Two Parts‖. New England Journal of
Medicine. 344(14):1058-66, 2001 Apr 5.
6. Walport, M.J. ―Complement. Second of Two Parts‖. New England Journal of
Medicine. 344(15):1140-4, 2001 Apr 12.
7. Choy, E.H.; Panayi, G.S. ―Cytokine Pathways and Joint Inflammation in
Rheumatoid Arthritis‖. New England Journal of Medicine. 344(12):907-16, 2001
Mar 22.
8. Deyo, R.A.; Weinstein, J.N. ―Low Back Pain‖. New England Journal of
Medicine. 344(5):363-70, 2001 Feb 1.
9. Feldman, A.M.; McNamara, D. ―Myocarditis‖. New England Journal of
Medicine. 343(19):1388-98, 2000 Nov 9.
10. von Andrian, U.H.; Mackay, C.R. ―T-Cell Function and Migration. Two Sides
of the Same Coin‖. New England Journal of Medicine. 343(14):1020-34, 2000 Oct
5.
11. Olin, J.W. ―Thromboangiitis Obliterans (Buerger's Disease)‖. New England
Journal of Medicine. 343(12):864-9, 2000 Sep 21.
12. Klein, J.; Sato, A. ―The HLA System. First of Two Parts‖. New England
Journal of Medicine. 343(10):702-9, 2000 Sep 7.
13. Klein J, Sato A. The HLA system: second of two parts. New England Journal
of Medicine. 2000; 343: 782 – 86.
14. Delves, P.J.; Roitt, I.M. ―The Immune System. First of Two Parts‖. New
England Journal of Medicine. 343(1):37-49, 2000 Jul 6.
15. Meeker, W.C.; Haldeman, S. ―Chiropractic: A Profession at the Crossroads of
Mainstream and Alternative Medicine‖. Annals of Internal Medicine. 136(3):216-
27, 2002 Feb 5.
16. Felson, D.T.; Lawrence, R.C.; Hochberg, M.C.; McAlindon, T.; Dieppe, P.A.;
Minor, M.A.; Blair, S.N.; Berman, B.M.; Fries, J.F.; Weinberger, M.; Lorig, K.R.;
Jacobs, J.J.; Goldberg, V. ―Osteoarthritis: New Insights. Part 2: Treatment
Approaches‖. Annals of Internal Medicine. 133(9):726-37, 2000 Nov 7.
73
17. Wessely, S. ―Chronic Fatigue: Symptom and Syndrome‖. Annals of Internal
Medicine. 134(9 Pt 2):838-43, 2001 May 1.
18. Kremer, J.M. ―Rational Use of New and Existing Disease-Modifying Agents in
Rheumatoid Arthritis‖. Annals of Internal
19. Weaver AL. Differentiating the new rheumatoid arthritis biologic therapies.
Journal of Clinical Rheumatology. 2003; 9: 99 – Medicine. 134(8):695-706, 2001
Apr 17.
114.20. O’Dell JR. Therapeutic strategies for rheumatoid arthritis. New England
Journal of Medicine. 2004; 350: 2591 – 602.
21. Felson, D.T.; Lawrence, R.C.; Dieppe, P.A.; Hirsch, R.; Helmick, C.G.; Jordan,
J.M.; Kington, R.S.; Lane, N.E.; Nevitt, M.C.; Zhang, Y.; Sowers, M.; McAlindon,
T.; Spector, T.D.; Poole, A.R.; Yanovski, S.Z.; Ateshian, G.; Sharma, L.;
Buckwalter, J.A.; Brandt, K.D.; Fries, J.F. ―Osteoarthritis: New Insights. Part 1:
The Disease and Its Risk Factors‖. Annals of Internal
Medicine. 133(8):635-46, 2000 Oct 17.22. Rifat, S.F.; Moeller, J.L. ―Basics of
Joint Injection. General Techniques and Tips for Safe, Effective Use‖.
Postgraduate
23. McGarry, K.A.; Kiel, D.P. ―Postmenopausal Osteoporosis. Strategies for
Preventing Bone Loss, Avoiding Fracture‖. Medicine. 109(1):157-60, 165-6, 2001
Jan.
Postgraduate Medicine. 108(3):79-82, 85-8, 91, 2000 Sep 1.24. Pittman, J.R.;
Bross, M.H. ―Diagnosis and Management of Gout‖. American Family Physician.
59(7):1799-806, 1810, 1999
Apr 1.25. Ruiz-Irastorza, G.; Khamashta, M.A.; Castellino, G.; Hughes, G.R.
―Systemic Lupus Erythematosus‖. Lancet. 357(9261):1027-32, 2001 Mar 31.
26. Fox, D.A. ―Cytokine Blockade As a New Strategy to Treat Rheumatoid
Arthritis: Inhibition of Tumor Necrosis Factor‖.
27. Thomsen TW, Shen S, Shaffer RW, Setnik, GS. Arthrocentesis of the knee.
New England Journal of Medicine. 2006; Archives of Internal Medicine.
160(4):437-44, 2000 Feb 28.
354:e19.28. Felson DT. Osteoarthritis of the knee. New England Journal of
Medicine. 2006; 354: 841 – 48.
29. Scott DL, Kingsley GH. Tumor necrosis factor inhibitors for rheumatoid
arthritis. New England Journal of Medicine. 2006;
355: 704 – 12.30. Jennette JC, Falk RJ. Small-vessel vasculitis. New England
Journal of Medicine. 1997; 337: 1512 – 23.
31. Weyand CM, Goronzy JJ. Medium- and large-vessel vasculitis. New England
Journal of Medicine. 2003; 349: 160 – 69.
32. Seeman E, Delmas PD. Bone quality – the material and structural basis of bone
strength and fragility. New England Journal
74
6 - Elective Courses -Medical law
-Medical statistics
-Medical ethics
-Rheumatological radiodiagnosis
Medical statistics course specification University: Ain Shams University Faculty: of Medicine
Course specifications
Program on which the course is given: Master of Sciencein Rheumatology
Major or minor element of programs: Minor
Department offering the program:
Physical medicine rheumatology and rehabilitation department
Department offering the course: Community, Environmental and
Occupational Medicine
Academic Level: 1st or 2
nd or 3
rd semester
Date of specification approval: …………………………..
Basic Information
Title: Medical statistics course Code: E6009
Credit Hours: 1 hour Lectures: 15 Total: 15hrs
Coordinator
Community, Environmental and Occupational Medicine Department
B - Professional Information
Course Aim:
To enable the doctorate candidate to plan, conduct, analyze and interpret the results
of a research in his specific field. This course unit introduces the application of
statistical ideas and methodology to medical research.
2- Intended Learning Outcomes (ILOs) from the Course:
75
Knowledge and understanding
By the end of the course the candidate will be able to:
a1 - Define medical statistics and identify uses and importance of
medical statistics in medical research
a2 – Define:
Types of variables.
Descriptive statistics.
Presentation and summarization of data.
Measures of central tendency and scatter.
Principles of probability and probability distributions.
Concepts of inferential statistics: confidence interval and hypothesis
testing.
Different tests of statistical significance.
Difference between parametric and nonparametric tests of
significance.
Correlation and regression
Concept of statistical modeling using multivariable and multivariate
statistical methods.
Combining evidence from different studies and meta-analysis
Importance and methods of sampling and how to determinate the
suitable sample size.
Different types of research methodology:
observational and intervention studies and the different statistical
issues related to the design, conduct, analysis and interpretation of
the results of each study type.
Ethical aspects of medical research including those specifically
applied to clinical trials.
b- Intellectual skills
By the end of the course the candidate will be able to:
b1 - Interpret correctly the results of statistical analyses and critically evaluate the
use of statistics in the medical literature.
b2 - Integrate and evaluate information from a variety of sources.
76
c- Professional skills
By the end of the course the candidate will be able to:
c1- Select appropriate study designs to address questions of medical relevance
c2 - Select and apply appropriate statistical methods for analyzing data typically
encountered in medical applications.
c3- Use selected software packages for statistical analysis and data management.
d- General and transferable skills
By the end of the course the candidate will be able to:
d1 - Work effectively in a group from different backgrounds.
d2 - Respects the role of staff and co-staff members regardless of degree or
occupation.
d3 - Communicate effectively with professional statisticians and the wider medical
community, including the ability to present results of statistical analyses through
written and oral presentations
d4 - Use of computer data bases and other computer skills.
d5 - Handle data appropriately and analyze them through: decision processes,
objective criteria, problem definition, project design and evaluation, risk
management, teamwork and coordination.
d6 - Learn independently with open-mindedness and critical enquiry.
3- Course content:
Topics
L T C/P
Introduction to medical statistics and its uses ½
Types of variables and Descriptive statistics 1
Graphic presentation of data 1
Introduction to probability theory and rules ½
Sample and population: sampling distribution of mean and
proportion
1
Confidence interval of a mean and a proportion ½
Confidence interval of a difference between two mean /proportion ½
Testing a hypothesis about population mean/proportion ½
Testing a hypothesis about the difference between two
means/proportion
½
Comparing between more than two means-Introduction to
factorial analysis
1
77
Cross-tabulation and introduction to categorical data analysis ½
Simple correlation and simple regression ½
Introduction to multivariable and multivariate analysis 1
Study designs: observational studies 1
Study designs: Intervention studies: clinical trials 1
Study designs: Experimental animal studies 1
Study designs: Bias and Confounding 1
Ethical issues in medical research 1
Sample size estimation for continuous and binary outcome
measures.
½
Meta-analysis and publication bias. ½
L: Lecture, T: Tutorial, C/P: Clinical or Practical and SDL: Self directed
learning
4 - Student Assessment Methods
4-1 Written exam to assess knowledge and understanding and to assess ability of
problem solving questions
4-2 Weighing of assessment
Written exam 50
Total 50
5 - List of References
5.1- Course Notes (paper and / or electronic)
Student Notes on Medical Statistics and Research Methods. Prof. Mohsen Abdel
Hamid and Dr Moustafa El Houssinie. Department of Community, Environmental
and Occupational Medicine.
5.2- Essential Books (Text Books)
Statistics in Clinical Practice. avid Coggon. BMJ Books. 2nd
edition 2003
5.3- Recommended Books
Handbook of Epidemiology. Springer 2005
5.4- Periodicals, Web Sites, etc
www.brettscaife.net/statistics/introstat/
onlinestatbook.com/rvls/
www. Epidemiolog.net
http://www.shef.ac.uk/scharr/spss/
78
Medical ethics course specification
University: Ain Shams University Faculty: of Medicine
Course specifications
Program on which the course is given: Master of Sciencein Rheumatology,
physical medicine and rehabilitation.
Major or minor element of programs: Minor
Department offering the program: Physical medicine rheumatology and
rehabilitation department
Department offering the course: Community, Environmental and Occupational
Medicine Department
Academic Level: 1st or 2
nd or 3
rd semester
Date of specification approval: …………………………..
A- Basic Information
Title: Medical Ethics
Code: E6034 Credit Hours: 1
Lecture: 14 Practical:2 Total: 15 hrs
Coordinator
Community, Environmental and Occupational Medicine Department
B - Professional Information
1- Course Aims:
To enable the candidate to:
1) Know the moral aspects of medical practice.
2) Have a clear decision making strategy for clinical-ethical problems in medicine.
3) Plan, conduct, a valid research design and follow the international guidelines of
health research ethics in his specific field.
4) Understand the importance good inter- and intra-professional communication
and teamwork
2- Intended Learning Outcomes (ILOs) from the Course:
a- Knowledge and understanding
79
By the end of the course the candidate will be able to acquire the knowledge
about :
a1- Principles and guidelines of medical ethics
a2-Principles and guidelines of Health research ethics
a3-Seven Ethical requirements of research
a4-Weighing between advancement of science and well-being of research
participants
a5-Ethical issues involved in study design and Clinical trials methodology
a6-The importance and functions of the research ethics committee
a7-Ethical consideration in treatment and researches involving vulnerable
groups including:
a. Populations and communities with limited resources
b. Children
c. Individuals who (by reason of mental or behavioural disorders)
are not capable of giving adequately informed consent
a8--When and how to obtain an ethics consultation and be
knowledgeable of the function of Ethics Committee
a9- Know when breaching confidentiality is justified
a10-Know what to do about incompetent patients
a11- Know what to do if a patient refuses recommended treatment
a12-Know how to obtain informed voluntary consent.
a13- Know the importance of trust, integrity, truthfulness and
good communication in the patient/doctor relationship b- Intellectual skills
By the end of the course the candidate will be able to:
b1- Clarify the meaning and significance of key ethical concepts
b2- Distinguish between patients capable of giving consents and those who
cannot.
b3- Perform research based on systematic review of literature and evidenced
based medicine
b4- Minimize the potential risks to the patients and maximizing the
potential benefits anticipated by the research
c- Professional skills
By the end of the course the candidate will be able to acquire the skills
of:
80
c1- Make ethics-informed judgments on complex issues in their specialist
area and be able to communicate these clearly and effectively to specialist
and non-specialist audiences
c2- Integrate ethical analysis of actual clinical encounters with clinical
knowledge and skills and legal obligations
c3- Respecting patients and research participants through all research
steps through:
a. Keeping confidentiality of participants’ data
b. Keeping complete privacy during patient Inquiring and
examination
c. The right of withdrawal from the study at any step
c4- Developing an informed consent involving patients or healthy
volunteers
d- General and transferable skills
By the end of the course the candidate will be able to:
d1- Work effectively in a team
d 2- Communicate effectively with patients
d 3- Deal with his research subjects as participants having rights to be
respected
d 4- Respect the role of the research ethics committee as assisting role
d 5- Understanding of the importance of sensitive and empathic
communication with patients about diagnosis and the potential benefits/risks
of treatment.
3- Course content:
Topics
L T P
Introduction to medical ethics ½
History of medical ethics ½
Inter- and intra-professional communication and teamwork ½
Good communication in the patient/doctor relationship ½
Introduction and history to Health Research Ethics ½
What makes research ethical / Ethical requirements ½
Risks and benefits Analysis 1
Importance and role research ethics committee ½
Ethical consideration in clinical trials ½
Systematic review of literature and evidence based medicine 1
Informed consent, including assessment of the comprehension of 1
81
the patient and shared decision making.
Basics of performing an informed consent ½
Develop an informed consent both in English and Arabic
languages
½
Practice exercises on health research ethics 2
Confidentiality and when it can justifiably be breached ½
Competency assessment-factors of decision making for the
incompetent patient
1
Disclosure and justification for withholding information ½
Terminating the patient-physician relationship. ½
The non-compliant patient and refusal of recommended treatment
including life-sustaining treatment
½
Genetic testing and genetic manipulation issues 1
Ethical, moral, cultural, religious differences regarding such issues
as reproductive technology, abortion, gender differentiation,
contraception and birth control
1
New issues in ethics ½
When and how to obtain an ethics consultation and be
knowledgeable of the function of Ethics Committee.
½
L: Lecture, T: Tutorial, C/P: Clinical or Practical and SDL: Self directed
learning
3 - Student Assessment Methods 4.1. Written examination to assess depth of knowledge (MCQ)
4-2 Weighing of assessment
Written exam 50
Total 50
5 - List of References
5.1- Periodicals, Web Sites, etc
CIOMS International Ethical Guidelines for Biomedical Research
Involving Human Subject_files http://www.cioms.ch/
The Belmont Report
Ethical Principles and Guidelines for the protection of human subjects of
research http://ohsr.od.nih.gov/guidelines/belmont.html
Declaration of Helsinki http://www.wma.net/e/ethicsunit/helsinki.htm
What Makes Clinical Research Ethical? JAMA, May 24/31, 2000—Vol
283, No. 20
82
Bowen, J. L. A Curriculum in Ethics. Prepared for the Association of
Program Directors in Internal Medicine, 4th Annual Precourse of
Education, April 18, 1994.
Culver, C. M., et al. Special Report Basic Curricular Goals in Medical
Ethics, The New England Journal of Medicine, Vol. 362, No. 4 (January
24, 1985), p. 253-256.
Miles, S. H., et al. Medical Ethics Education: Coming of Age, Academic
Medicine, 64 (December, 1989), p. 705-714.
Perkins, H. S. Teaching Medical Ethics During Residency, Academic
Medicine, 64 (May, 1989), p. 262-266.
Self, D. J., et al. A Model for Teaching Ethics in a Family Practice
Residency, The Journal of Family Practice, Vol. 166, No. 2 (1983), p.
355-359.
Siegler, M. Teaching Clinical Ethics at the Bedside, JAMA, Vol. 239, No.
10 (March 6, 1978), p. 951-956.
Siegler, M. Decision-Making Strategy for Clinical Ethical Problems in
Medicine, Archives of Internal Medicine, Vol. 142 (November, 1982), p.
2178-217.
Jansen A, Seigler, M and Winslade, W. J. Clinical Ethics: A Practical
Approach to Ethical Decisions in Clinical Medicine, McGraw-Hill Inc.
3rd Ed. (1992).
Fletcher J. C., Hite C. A., Lombardi P. A., and Marshall, M. F.
Introduction to Clinical Ethics, University Publishing Group Inc.,
Frederick, MO. (1995).
Principles of Biomedical Ethics, Beauchamp & Childress.
Practical Ethics for Students, Interns, and Residents, Junkerman and
Schiedemayer.
Radiodiagnosis course specification University: Ain Shams University Faculty: of Medicine
Course specifications
83
Program on which the course is given: Master of Sciencein Rheumatology,
physical medicine and rehabilitation.
Major or minor element of programs: Minor
Department offering the program: Physical medicine rheumatology and
rehabilitation department
Department offering the course: Radiology department
Academic Level: 1st or 2
nd or 3
rd semester
Date of specification approval: …………………………..
A- Basic Information
Title: Radiodiagnosis Code: E6138
Credit Hours: 1 hours Lecture: 10 Practical:10
Total: 15hrs
Coordinator
Radiology department.
B - Professional Information
1- Course Aims:
a) Knowledge of imaging modalities: for each modality, know
indications, precautions and contraindications, potential side
effects, and costs.
b) Differentiation between normal and abnormal radiographs.
c) Utilizing the principles of interpretation in describing
pathological lesions and formulating differential diagnosis.
d) Know when to order radiological investigations and their use
in management and follow up of the patients.
2- Intended Learning Outcomes (ILOs) from the Course:
a- Knowledge and understanding
By the end of the course the candidate will be able to:
a1. Know different imaging modalities, indication,
contraindications, precautions and cost of each modality
a2. Recognize normal radiographic finding from abnormal.
a3. Analyze the lesion and formulating a differential diagnosis.
84
a4. Distinguish between different lesions (trauma, tumors,
infectious).
a5. Relate particular radiographic findings to certain disorders.
a6. Know present and advanced diagnostic modalities.
a7. Elect the most suitable imaging method in different
diseases. b- Intellectual skills
By the end of the course the candidate will be able to:
b1. Determine and analyse each radiographic abnormality.
b2. Formulate a differential diagnosis c- Professional skills
By the end of the course the candidate will be able to:
c1.order the appropriate radiographic investigations for each patient
c2. Use the radiographic investigations in establishing the diagnosis and
choosing the appropriate treatment
1- Course content:
Topics No. of hours
L T C/P SDL
Imaging modalities:
Plain radiography and its variants
Computed tomography
Magentic resonance imaging
MRI with contrast
Ultrasound
2 2
Brain Imaging. 2 2
Spine Imaging:
Trauma
intramedullary abnormalities
Intradural extramedullary abnormalities
extradural abnormalities
Facet joint abnormalities
Spinal stenosis
nerve roots
postoperative spine imaging
infection
tumors and extraspinal abnormalities
3 3
Muscloskeletal imaging: 3 3
85
Muscle imaging
Tendon imaging
Ligament imaging
Cartilage imaging
Bone imaging
Bone and soft tissue tumors
Imaging of specific body regions:
Shoulder imaging
Elbow imaging
wrist and hand
sacroiliac
hip and pelvis
knee
ankle and foot
L: Lecture, T: Tutorial, C/P: Clinical or Practical and SDL: Self
directed learning
4 - Student Assessment Methods
Written exam: 50
Total 50
5 -- List of References
5.1- Essential Books (Text Books)
Fundamentals of Musculoskeletal Imaging (Contemporary Perspectives in Rehabilitation) 5.2- Recommended Books
…………………………………………
Module
First semester
Code no. Course title topics
Lecture Tutorial Practical
PRR6001 Applied Anatomy 15
PRR6002 Applied Physiology 12
86
PRR6003 Pharmacology 12
PRR6004 Applied Physics 14 1
PRR6005 Basic immunology 14 1
PRR6006 General medicine 10 2
PRR6007 General surgery 12
Total 74 18
End of semester exam: 100 (50 attendance, 50 SDL)
Second semester
Code no. Course title
Lecture Tutorial Practical
PRR6009 Electrotherapy
&
Electrodiagnosis
49 13 16
PRR
E6009
E6035
E6034
E6121
E6138 E6047
Elective -أحصاء طب
E6009 قاى
E6035-طب-أخالقياث طبيت
E6034 أسس
-انبحث انعه
E6121 أشعت
حشخيصيت ف
األيزاض
E6138-انزوياحزييت E6047وحاسب أن
15
Total 64 13 16
End of semester exam: 100 (50 attendance, 50 self directed learning SDL)
Third semester
End of semester exam: 100 (50 attendance, 50 SDL)
Code no. Course title
Lecture Tutorial Practical
PRR6010 Rheumatology 69 30
Total 69 30
87
Fourth semester
V- GENERAL INFORMATION 1 - MONITORING OF TRAINING AND SUBMISSION OF TRAINING REPORTS
You must keep proper and updated records in your logbook
to reflect the activities encountered in your training. Your logbook
must be duly endorsed by an authorized signatory at the end of each
semester.
You will be continuously assessed by your supervisors, in
consultation with head of department. An assessment will be
submitted within 2 weeks of completion of each semester.
2 - MISCELLANEOUS INFORMATION: INJURY AND/OR BLOOD OR BODY FLUID EXPOSURE: During regular working hours, you should immediately report an
exposure incident to --------------------------. If exposure occurs after
regular working hours or during a weekend or holiday; please call the
----------------------------------------. For injury, please report to the
Emergency Department.
Please also be sure to inform the supervisors of an exposure
incident and/or injury.
3 - ACTION ON COMPLETION OF CLINICAL TRAINING
Once all training sessions are completed the log book should
be signed by the senior supervisor and the head of the department and
then should be submitted to post graduate Secretariat.
Code no. Course title
Lecture Tutorial Practical
PRR6008 Physical Medicine&
Rehabilitation
70 40
Total 70 40
88
4- REFERENCE The Training Guide is available at the post graduate Secretariat and
could be downloaded from the following website is ---------------------------------------------------------------
VI – YOUR LOG BOOK 1- Introduction
The aim of this book is to give you a guide to the expectations
for each item. It will be a guide for both you and your teachers to
what you should be seeing and doing.
It will give you a list of the important topics that you should
think about and should be covered in:
1. Clinical or practical sessions
2. Tutorials
or
3. Self-directed learning (SDL)
For each item there is also a list of
89
1. Clinical conditions or Practical sessions to be
seen or attended (According to each degree)
2. Practical procedures to be seen and done
Remember
This document is only a guide. It is not an exhaustive list. It is not
just a checklist to score points. It is a guide to encourage you to read
and learn more. This book is for your benefit. It will form a record of
your clinical training and experience.
2 - Supervisors
Make a list of Supervisors or the delegated personels for
signature
………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………
3–Tables for Training Records Candidates are required to fulfill 75% of the listed activities in order
to be eligible for the exam entry. The minimum number required for
each activity = 75%. You are free to attend more and record your
extra attendance.
WEEKLY department PLAN Day /time Saturday Sunday Monday Tuesday Wednes
day
Thursda
y
Bedside
education
Follow
up
Follow
up
Follow up
inpatient
Follow
up
Follow
up
Follow
up
90
inpatient
wards
inpatient
wards
wards inpatient
wards
inpatient
wards
inpatient
wards
Conference conference
Journal club Journal
club
EMG + + + + + +
Obesity clinic + + + + + +
Pediatric
rehab clinic
+ + + + + +
Operative day
Rheumatology
& PMR
Clinics day
+ + + +
Spasticit
y
+ +
Monthly activity……………………………….
Sixth monthly activity …………………………
Yearly activity Conferences of
Ain shams conference
Kasr el eini conference
Societies conferences
Societies conference
Requirements
Candidates are required to fulfill 75% of the listed activities in order to be eligible
for the exam entry. The minimum number required for each activity = 75%. You
are free to attend more and record your extra attendance.
Rehabilitation Conferences attendance
(NB. Minimum number required is 10)
No
Date
Pla
ce
Topics Supervisor
signature
91
Seminars attendance (NB. Minimum number required is 10)
No Date Place Topics Supervisor
signature
92
Thesis attendance
(NB. Minimum number required is10)
No Date Place Name of the thesis Supervisor
signature
Rehabilitation Clinics attendance
(NB. Minimum number required is 30)
93
No Date Place Name of the Clinic Supervisor signature
Journal club Attended (NB. Minimum number required is 10)
No Date Place Name Supervisor
signature
94
EMG attendance
(NB. Minimum number required is 20)
No Date Place Department Supervisor
signature
95
Case presentations
(NB. Minimum number required is 5)
No Date Place Diagnosis Supervisor
signature
Rehabilitation Practical skills (Agreement Scale)
Take a
comprehensive
Supervisor
Signature
96
rehabilitation sheet
Do
1-
2-
3-
4-
5-
6-
7-
8-
9-
10-
11-
12-
13-
14-
15-
16-
17-
18-
19-
20-
Perform full
neurological
examination
Supervisor
Signature
Perform full
muscloskeletal
examination
Supervisor
Signature
1 1
2 2
3 3
4 4
5 5
6 6
7 7
8 8
9 9
10 10
11 11
12 12
13 13
97
14 14
15 15
Asses
Spasticity
Perform muscles testing
1 1
2 2
3 3
4 4
5 5
6 6
7 7
8 8
9 9
10 10
11 11
12 12
13 13
14 14
15 15
ADL
assessment
Therapeutic
exercises
1 1
2 2
3 3
4 4
5 5
6 6
7 7
8 8
9 9
10 10
11 11
12 12
13 13
14 14
15 15
Manage stroke
patients
Supervisor
Signature
Manage SCI
Patients
Supervisor
Signature
98
1 1
2 2
3 3
4 4
5 5
6 6
7 7
8 8
9 9
10 10
11 11
12 12
13 13
14 14
15 15
Manage motor
neuron disease
patients
Manage myopathy
patients
1 1
2 2
3 3
4 4
5 5
6 6
7 7
8 8
9 9
10 10
11 11
12 12
13 13
14 14
15 15
Manage multiple
sclerosis patients
Cardiac
rehabilitation
1 1
2 2
3 3
4 4
99
5 5
6 6
7 7
8 8
9 9
10 10
11 11
12 12
13 13
14 14
15 15
Chest
rehabilitation
Supervisor
Signature
Geriatric rehabilitation Supervisor
Signature
1 1
2 2
3 3
4 4
5 5
6 6
7 7
8 8
9 9
10 10
11 11
12 12
13 13
14 14
15 15
Rehabilitation of
Rheumatic diseases
Rehabilitation
of movement disorders
1 1
2 2
3 3
4 4
5 5
6 6
7 7
8 8
100
9 9
10 10
11 11
12 12
13 13
14 14
15 15
Bowel & Bladder
rehabilitation
Vascular diseases
Rehabilitation
1 1
2 2
3 3
4 4
5 5
6 6
7 7
8 8
9 9
10 10
11 11
12 12
13 13
14 14
15 15
Cancer
Rehabilitation
Supervisor
Signature
Interpret gait disorders Supervisor
Signature
1 1
2 2
3 3
4 4
5 5
6 6
7 7
8 8
9 9
10 10
11 11
12 12
101
13 13
14 14
15 15
Hand rehabilitation Burn
Rehabilitation
1 1
2 2
3 3
4 4
5 5
6 6
7 7
8 8
9 9
10 10
11 11
12 12
13 13
14 14
15 15
Orthosis & Prothesis
prescription Walking aid
& wheel chair
prescription
1 1
2 2
3 3
4 4
5 5
6 6
7 7
8 8
9 9
10 10
11 11
12 12
13 13
14 14
15 15
102
Manage
deconditioning &
pressure ulcers
Supervisor
Signature
Manage
spasticity
Supervisor
Signature
1 1
2 2
3 3
4 4
5 5
6 6
7 7
8 8
9 9
10 10
11 11
12 12
13 13
14 14
15 15
Vestibular
Rehabilitation
Pediatric
Rehabilitation
1 1
2 2
3 3
4 4
5 5
6 6
7 7
8 8
9 9
10 10
11 11
12 12
13 13
14 14
15 15
103
EMG practical skills
F wave
response
Supervisor
Signature
Needle EMG Supervisor
Signature
Do Do
1- 1-
2- 2-
3- 3-
4- 4-
5- 5-
6- 6-
7- 7-
8- 8-
9- 9-
10- 10-
Optional Skills : (Candidate must choose at least two of them with
attendance of 5 cases)
1-somatosensory evoked potentials
2-sphincter EMG
3-Repetitive nerve stimulation
4-Single fibre EMG
Motor nerve
conduction
Supervisor
Signature
Sensory nerve
conduction
Supervisor Signature
Do Do
1- 1-
2- 2-
3- 3-
4- 4-
5- 5-
6- 6-
7- 7-
8- 8-
9- 9-
10- 10-
104
Optional skill---------------
------------
Superviso
r
Signature
Optional skill---------
------------------
Supervisor
Signature
Attendance Attendance
1-
2-
3-
4-
5-
Electrotherapy practical skills
Supervisor
Signature
Magnet Supervisor
Signature
Laser Supervisor
Signature
SW Supervisor
Signature
US
Do Do Do Do
1-
2-
3-
4-
5-
6-
7-
8-
Supervisor
Signature
IP upervisor
Signature
HP Supervisor
Signature
UV Supervisor
Signature
IR
Do Do Do Do
1-
2-
3-
4-
5-
6-
7-
8-
9-
10-
105
9-
10-
Supervisor
Signature
Biofeedb
ack
Supervisor
Signature
TEN
S
Supervisor
Signature
IF Supervisor
Signature
DD
Do Do Do Do
1-
2-
3-
4-
5-
6-
7-
8-
9-
10-
Supervisor
Signature
Traction
Supervisor
Signature
SDC Supervisor
Signature
FS Supervisor
Signature
IGS
Attendance Do Do Do
1-
2-
3-
4-
5-
6-
7-
8-
9-
10-
106
Rheumatology practical skills
Take a comprehensive
rheumatological sheet
Supervisor Signature
Do
1-
2-
3-
4-
5-
6-
7-
8-
9-
10-
11-
12-
13-
14-
15-
16-
17-
18-
19-
20-
Knee examination Supervisor
Signature
Neck and back
examination
Supervisor
Signature
1 1
2 2
3 3
4 4
5 5
6 6
7 7
8 8
107
9 9
10 10
11 11
12 12
13 13
14 14
15 15
Hip examination Shoulder and elbow
examniation
1 1
2 2
3 3
4 4
5 5
6 6
7 7
8 8
9 9
10 10
11 11
12 12
13 13
14 14
15 15
Hand examination Foot examination
1 1
2 2
3 3
4 4
5 5
6 6
7 7
8 8
9 9
10 10
11 11
12 12
13 13
14 14
15 15
108
Aspirate/ Inject
knee joint
Supervisor
Signature
Aspirate/ Inject
other joints
Supervisor
Signature
Do/Observe Do/Observe
1- 1-
2- 2-
3- 3-
4- 4-
5- 5-
6- Inject peri-
articular
structures
7- 1-
8- 2-
9- 3-
10- 4-
11- 5-
109
Attend
rheumatology
clinic
Patients
seen
(diagnosis)
Supervisor
Signature
Attend
pediatric
rheumatology
clinic
Patients
seen
(diagnosis
Supervisor
Signature
1- 1-
2- 2-
3- 3-
4- 4-
5- 5-
6- 6-
7- 7-
8- 8-
9- 9-
10- 10-
11- 11-
12- 12-
13- 13-
14- 14-
15- 15-
16- 16-
17- 17-
18- 18-
19- 19-
20- 20-
Interpret
synovial fluid
analysis
Supervisor
Signature
Interpret
rheumatological
lab investigations
Supervisor
Signature
1- 1-
2- 2-
3- 3-
4- 4-
5- 5-
6- 6-
7- 7-
8- 8-
9- 9-
10- 10-
110
Interpret
conventional
radiography
Supervisor
Signature
Interpret non-
conventional
radiography
Supervisor
Signature
1- 1-
2- 2-
3- 3-
4- 4-
5- 5-
6- 6-
7- 7-
8- 8-
9- 9-
10- 10-
11- 11-
12- 12-
13- 13-
14- 14-
15- 15-
Interpret
polarized
microscopy
Supervisor
Signature
Interpret nailfold
capilloroscopy
Supervisor
Signature
1- 1-
2- 2-
3- 3-
4- 4-
5- 5-
6- 6-
7- 7-
8- 8-
9- 9-
10- 10-
111
Attend
journal
club
Topic Supervisor
Signature
Attend
didactic
conference and
case
presentation
Topic Supervi
sor
Signatur
e
1
-
1
-
2
-
2
-
3
-
3
-
4
-
4
-
5
-
5
-
6
-
6
-
7
-
7
-
8
-
8
-
9
-
9
-
1
0
-
1
0
-
Others
(Teaching Experience, Research Experience, Projects, Publications, Field tasks,
Administrative Experience, Administrative Experience)
112
5 - Log book preview
The candidate logbook will be reviewed and patients seen/ skills
performed summarized by diagnosis groups during the semester evaluation
and at the end of the course in the table below. This reflects the number of
activity done by category. (According to each degree) The results of this
review will be totaled in the summary chart below.
For Master of Science
Summary
Semester 1st 2
nd 3
rd 4
th Total
Activity No No No No Rehabilitation Conference attendance
Seminar attendance
Thesis attendance
Rehabilitation Clinic attendance
Journal club attendance
EMG
Case presentations
Rehabilitation sheet
Neurological examination
Muscloskeletal examination
Spasticity assessment
Muscle testing
ADL assessment
Therapeutic exercise
Manage stroke
Manage SCI
Manage MND
Manage myopathy
Manage M.S.
Cardiac Rehabilitation
Chest Rehabilitation
Geriatric Rehabilitation
Rehabilitation of Rheumatic diseases
Rehabilitation
of movement disorders
Bowel & Bladder rehabilitation
Vascular diseases
113
Rehabilitation
Cancer rehabilitation
Interpret gait disorders
Hand rehabilitation
Burn rehabilitation Orthosis & Prothesis prescription
Walking aid & wheel chair prescription
Manage deconditioning & pressure ulcers
Manage spasticity
Vestibular Rehabilitation
Pediatric Rehabilitation
Motor nerve conduction
Sensory nerve conduction
F-wave response
Needle EMG
Optional SSEP
Optional sphincteric EMG
Optional repetitive stimulation
Optional single fiber EMG
IR
UV
HP
IP
US
SW
LASER
Magnet
DD
IF
TENS
BFB
IGS
FS
SDC
Rheumatology sheet
Knee examination
Neck & back examination
Hip examination
Shoulder & elbow examination
Hand examination
114
Foot examination
Aspire/inject knee
Aspire/inject other joints
Inject periarticular structures
Rheumatology clinic attendance
Pediatric rheumatology clinic
Interpret SF analysis
Interpret rheumatological lab. Inv.
Interpret conventional radiological
inv
Interpret non-conventional
radiological inv
Interpret polarized microscopy
Interpret nail-fold capilloroscopy
Attend journal club (Rheumatology)
Attend conference (Rheumatology)
Supervisor signature
VII - HEAD OF DEPARTMENT APPROVAL FOR THE EXAM ENTRY
_______________________________________________
_______________________________________________
_______________________________________________
_______________________________________________
_______________________________________________
_______________________________________________
_______________________________________________
_______________________________________________
_______________________________________________
_______________________________________________
_______________________________________________
_______________________________________________
_______________________________________________
_______________________________________________
115
_______________________________________________
_______________________________________________
_______________________________________________
116
VIII – Thesis Follow up
انخقزيز انصف انسىي نعاو / انخاريخ/
ع انطانب /
انقيذ نذرجت ) ياجسيخز (
بقسى /
حقزيز انسادة االساحذة انشزفي
بذأ جع انادة انعهيت و كخابت انقذيت
قطع شىطا يحذودا
أوشك عه اإلخهاء
عإخه ي انج
بذأ انجزء انعه
قطع شىطا يحذودا
أوشك عه اإلخهاء
إخه ي انخحهيم
بذأ ياقشت انخائج
قطع شىطا يحذودا
أوشك عه اإلخهاء
إخه ي انخحزيز
بذأ انزاجعت انهائيت يع انشزف
قطع شىطا يحذودا
شك عه اإلخهاءأو
إخهج حايا
إسخزار قيذ انطانب رأي انسادة انشزفي
يذ انقيذ
شطب قيذ انطانب
عى حى حشكيم نجت اناقشت
ال
حاريخ انخشكيم
/ /
/ شطب انقيذ يذ
وكيم انكهيت حىقيع انسادة انشزفي
117
118
انخقزيز انصف انسىي نعاو / انخاريخ/
ع انطانب /
انقيذ نذرجت ) ياجسيخز (
بقسى /
نشزفيحقزيز انسادة االساحذة ا
بذأ جع انادة انعهيت و كخابت انقذيت
قطع شىطا يحذودا
أوشك عه اإلخهاء
إخه ي انجع
بذأ انجزء انعه
قطع شىطا يحذودا
أوشك عه اإلخهاء
إخه ي انخحهيم
بذأ ياقشت انخائج
قطع شىطا يحذودا
وشك عه اإلخهاءأ
إخه ي انخحزيز
بذأ انزاجعت انهائيت يع انشزف
قطع شىطا يحذودا
أوشك عه اإلخهاء
إخهج حايا
إسخزار قيذ انطانب رأي انسادة انشزفي
يذ انقيذ
شطب قيذ انطانب
عى ت اناقشت حى حشكيم نج
ال
حاريخ انخشكيم
/ /
يذ / شطب انقيذ
وكيم انكهيت حىقيع انسادة انشزفي
119
انخاريخ/ انخقزيز انصف انسىي نعاو /
120
ع انطانب /
انقيذ نذرجت ) ياجسيخز (
بقسى /
حقزيز انسادة االساحذة انشزفي
بذأ جع انادة انعهيت و كخابت انقذيت
قطع شىطا يحذودا
أوشك عه اإلخهاء
إخه ي انجع
بذأ انجزء انعه
يحذوداقطع شىطا
أوشك عه اإلخهاء
إخه ي انخحهيم
بذأ ياقشت انخائج
قطع شىطا يحذودا
أوشك عه اإلخهاء
إخه ي انخحزيز
بذأ انزاجعت انهائيت يع انشزف
قطع شىطا يحذودا
أوشك عه اإلخهاء
إخهج حايا
إسخزار قيذ انطانب ة انشزفيرأي انساد
يذ انقيذ
شطب قيذ انطانب
عى حى حشكيم نجت اناقشت
ال
حاريخ انخشكيم
/ /
يذ / شطب انقيذ
كيم انكهيتو حىقيع انسادة انشزفي
121
122
انخقزيز انصف انسىي نعاو / انخاريخ/
ع انطانب /
انقيذ نذرجت ) ياجسيخز (
بقسى /
حقزيز انسادة االساحذة انشزفي
بذأ تجع انادة انعهيت و كخابت انقذي
قطع شىطا يحذودا
أوشك عه اإلخهاء
إخه ي انجع
بذأ انجزء انعه
قطع شىطا يحذودا
أوشك عه اإلخهاء
إخه ي انخحهيم
بذأ ياقشت انخائج
قطع شىطا يحذودا
أوشك عه اإلخهاء
إخه ي انخحزيز
بذأ انزاجعت انهائيت يع انشزف
قطع شىطا يحذودا
أوشك عه اإلخهاء
إخهج حايا
إسخزار قيذ انطانب رأي انسادة انشزفي
يذ انقيذ
شطب قيذ انطانب
عى حى حشكيم نجت اناقشت
ال
حاريخ انخشكيم
/ /
يذ / شطب انقيذ
وكيم انكهيت حىقيع انسادة انشزفي
123
124
VIII – Evaluation Forms
To be completed at -------------------------------------
Candidate
Supervisor
Location
Aim of training
__________________________________________________________________
__________________________________________________________________
__________________________________________________________________
Agreed educational objectives and timescale in which objectives should be
achieved.
__________________________________________________________________
__________________________________________________________________
__________________________________________________________________
Comments by Candidate
__________________________________________________________________
__________________________________________________________________
__________________________________________________________________
__________________________________________________________________
__________________________________________________________________
__________________________________________________________________
Comments by Supervisor
__________________________________________________________________
__________________________________________________________________
__________________________________________________________________
__________________________________________________________________
__________________________________________________________________
__________________________________________________________________
__________________________________________________________________
Date of next meeting
Signed by candidate
Signed by Supervisor
Date
125
126
VIII – Evaluation Forms
To be completed at -------------------------------------
Candidate
Supervisor
Location
Aim of training
__________________________________________________________________
__________________________________________________________________
__________________________________________________________________
Agreed educational objectives and timescale in which objectives should be
achieved.
__________________________________________________________________
__________________________________________________________________
__________________________________________________________________
Comments by Candidate
__________________________________________________________________
__________________________________________________________________
__________________________________________________________________
__________________________________________________________________
__________________________________________________________________
__________________________________________________________________
Comments by Supervisor
__________________________________________________________________
__________________________________________________________________
__________________________________________________________________
__________________________________________________________________
__________________________________________________________________
__________________________________________________________________
__________________________________________________________________
Date of next meeting
Signed by candidate
Signed by Supervisor
Date
127
128
VIII – Evaluation Forms
To be completed at -------------------------------------
Candidate
Supervisor
Location
Aim of training
__________________________________________________________________
__________________________________________________________________
__________________________________________________________________
Agreed educational objectives and timescale in which objectives should be
achieved.
__________________________________________________________________
__________________________________________________________________
__________________________________________________________________
Comments by Candidate
__________________________________________________________________
__________________________________________________________________
__________________________________________________________________
__________________________________________________________________
__________________________________________________________________
__________________________________________________________________
Comments by Supervisor
__________________________________________________________________
__________________________________________________________________
__________________________________________________________________
__________________________________________________________________
__________________________________________________________________
__________________________________________________________________
__________________________________________________________________
Date of next meeting
Signed by candidate
Signed by Supervisor
Date
129
130
VIII – Evaluation Forms
To be completed at -------------------------------------
Candidate
Supervisor
Location
Aim of training
__________________________________________________________________
__________________________________________________________________
__________________________________________________________________
Agreed educational objectives and timescale in which objectives should be
achieved.
__________________________________________________________________
__________________________________________________________________
__________________________________________________________________
Comments by Candidate
__________________________________________________________________
__________________________________________________________________
__________________________________________________________________
__________________________________________________________________
__________________________________________________________________
__________________________________________________________________
Comments by Supervisor
__________________________________________________________________
__________________________________________________________________
__________________________________________________________________
__________________________________________________________________
__________________________________________________________________
__________________________________________________________________
__________________________________________________________________
Date of next meeting
Signed by candidate
Signed by Supervisor
Date
131
132
Degree Program Evaluation Form by The Candidate
To be completed at the end of your degree.
Please consider each pair of statements and decide which most clearly reflects your
view and tick one box or answer the question.
I. Individual Information
1. Are you a graduate of ASU?
yes no to some degree
2. Year and semester when studies began:
II. General Questions
1. What are the advantages/disadvantages of the general study environment at the
University ASU?
2. What were your expectations when you applied to the degree?
3. Do you feel that the degree program prepares you well for your future studies or
employment according to the demands and expectations of those institutions?
yes no to some degree
4. Has the time limit of the program (two or three academic years) caused you any
difficulties or inconveniences?
yes no to some degree
III. Structure of Degree Program
1. Did you receive enough guidance in planning your study schedule in the
beginning of the program?
yes no to some degree
2. What were the main difficulties in the planning of your study schedule?
3. What is your general opinion on the structure of the degree program?
133
4. In your opinion, does the degree program offer a good balance of lectures,
seminars, conferences, and book exams?
yes no to some degree
a) General Studies
i) Do you feel that you have received enough guidance on academic writing?
yes no to some degree
ii) Do you feel that you have acquired sufficient knowledge on research skills (eg.
quantitative and qualitative research methods)?
yes no to some degree
b) Courses
i) Have you had some special difficulties in completing some of the courses?
Please specify.
ii) Has there been a sufficient variety of courses offered for your optional studies?
yes no to some degree
iii) Have you received enough guidance for the preparation of your thesis?
yes no to some degree
IV. Concluding Points
1. Did the degree program meet your expectations?
yes no to some degree
2. What aspects of the degree program do you particularly like?
3. What aspects of the degree program do you particularly dislike?
4. What are your suggestions on how to improve the program?
Thank you!