Faculty of Medicine Ain Shams University Postgraduate Studies

Master of Science in Orthopaedic Surgery

Program Code: OS600

Program Guide and Logbook

Candidate Curriculum vitae

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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 - Program courses: 6. Program admission requirements: 7. Regulation for progression and program completion 8. Appendix: course specifications Surgical anatomy and embryology course specifications Histology course specifications Physiology course specifications Biochemistry course specifications General pathology course specifications Bacteriology course specifications Pharmacology course specifications General surgery course specifications Orthopaedic diseases and surgery course specifications Traumatology course specifications Medical statistics course specifications Rehabilitation course specifications Forensic medicine course specifications V - General information VI Your log book 1 Introduction 2 Supervisors 3 - Tables for training records 4 Log book preview VII - Head of department approval for the exam entry Detachable forms: VIII Thesis follow up IX - Evaluation forms

I Welcome Statement: The Department of Orthopaedic Surgery welcomes you to the Master of Science in Orthopaedic Surgery program. 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 this degree administered by the Orthopaedic Surgery department, Faculty of Medicine, Ain Shams University. II - Mission Statement: The mission of the Faculty of Medicine, Ain Shams University is Preparation of a trained physician, researcher and life long tutor capable of following standards of medical care and ethics, with managerial and technical skills in his specialty. Furthermore, promotion outstanding programs of health care to serve the society, environmental development and targeted scientific research for continual improvement of health. The mission of this degree is to prepare a well-trained knowledgeable orthopaedic surgeon capable of diagnosing, managing, and planning correctly for the treatment of orthopaedic cases. In addition to being capable of communicating efficiently with his colleages, patients, working staff and coping with the advancing scientific progress in the field of orthopaedic surgery. III Senior Supervisor and Affilated Departments and Hospitals Senior Supervisor Prof. ------------------------------------------------------------------------------------------E-mail: -----------------------Affilated Departments and Hospitals El- Demerdash University Hospital Ain Shams University Specialized Hospital IV Program Specifications A- Basic Information 1. Program title: Master Degree in Orthopaedic Surgery 2. Program type: single 3. Faculty Faculty of Medicine

4. Department Orthopaedic Surgery 5. Assistant co-ordinator Prof. Dr.Khaled Emara Dr. Mohamed Abdel-Moneim Dr. Ahmed Morsi Dr. Osama El-Shazly 6. Co-ordinator Prof. Dr.Rafik Sadek & Prof. Dr. Ali Ibrahim 7. Last date of program approval: August 2009 B- Professional Information: 1. Program aims: The aim of this degree is to prepare a well-trained knowledgeable orthopaedic surgeon capable of diagnosing, managing, and planning correctly for the treatment of orthopaedic cases. In addition to being capable of communicating efficiently with his colleages, patients, working staff and coping with the advancing scientific progress in the field of orthopaedic surgery. 2. Intended learning outcomes (ILOs): a. Knowledge and understanding: By the end of the program the candidate will be able to: a1- Know the anatomy of the upper limbs, lower limbs, and trunk. a2- Recognize the histology of bone, cartilage, muscle, and connective tissue. a3- Understand the musculoskeletal pathology a4- Understand the pharmacologic principles of drug therapy in orthopaedics a5- Understand the principles of case management and operative intervention in different orthopaedic subspecialities including trauma, sport medicine, tumours, pediatrics, spine, arthroplasty, hand and foot. b. Intellectual capabilities: By the end of this program the student should be able to: b1- Classify orthopaedic disorders. b2- Differentiate orthopaedic disorders from each other. b3- Assess multi-system disease. b4- Select appropriate laboratory tests. b5- Interpret appropriate laboratory tests. b6- Select appropriate imaging technique for diagnosis of orthopaedic diseases. b7- Interpret radiological imaging. b10- Select the proper line of treatment.

c. Professional and practical skills: By the end of the program the candidate will be able to carry out: c1- Clinical examination of orthopaedic cases with variable presentation in the outpatient clinic c2- Orthopaedic case management in the emergency room c3- Bedside orthopaedic techniques in the ward c4- Operative intervention in different orthpaedic subspecialities d. General and transferable skills: By the end of the program the candidate will be able to acquire: d1- Communication skills and teamwork d2- Presentation and language skills d3- Problem solving and brainstorming skills d4- Computer skills d5- Time and stress management skills 3. Academic standards: (Benchmarks) - SICOT training manual - Canadian Orthopaedic Association Standards 4. Curriculum structure and contents: 4a- Program duration: 2 years (4 Semesters) 4b- Program structure: 2 2 2 6 9 8 1 6 36 OS6001 OS6002 OS6003 : -E6147- E6009 E6148

OS6004 OS6005 E6009 E6147 E6148

5. Program courses: a- Compulsory Course title Surgical anatomy & embryology histology Physiology Biochemistry General pathology Bacteriology Pharmacology General surgery Orthopaedic Diseases Orthopaedic Trauma b- Elective courses Course title Medical statistics Rehabilitation Forensic medicine Code OS6001a OS6001b OS6002a OS6002b OS6002c OS6003a OS6003b OS6003c OS6004 OS6005

Code E6009 E6147 E6148

6. Program admission requirements:

7. Regulation for progression and program completion

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Assessment Schedule and Weighing of Assessments GPA score Student state

Item During semester 100 100 100

Mark End of semester 300

Total 400 100 100 900 1500

First semester (If present) Second semester Third semester Written Fourth Oral semester Final exam Practical /Clinical Total

900 300 1200

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Points

: : A A+B B B+C C CF 4 3663 3363 9963 3662 3362 9962 3661 : : : : : : : : : 99 % 58% 99 % 98% 58% 53% 98% 93% 53% 56% 93% 26% 56% 96% 26% 96% 1- 2- 3- 4- 5- 6- 3- 8- 9-

1100 110 1100 110 . 110 110 . ( )GPA . ( )CGPA . . 10% (10.0 -6)C Anatomy and Emberyology course specification University: Ain Shams University Faculty: of Medicine Course specifications Program on which the course is given: Master degree in Orthopedics Major or minor element of programs: Major Department offering the program: Orthopedic department- Ain Shams University .Department offering the course: Anatomy department Academic Level: Master 1st semester .. :Date of specification approval A- Basic Information Title: Anatomy course Credit Hours: 1 hour

Code: OS6001a Lecture: 0.5h / week

51 :Total

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Coordinator Anatomy department B - Professional Information 1- Course Aims: At the completion of this course students will have an understanding of the functional anatomy of the human musculoskeletal system including major nerve and vascular trunks: 1. Anatomical terminology and the skeleton 2. Upper limb musculature, joint structure, vasculature and innervation 3. Lower limb, musculature, joint structure, vasculature and innervation 4. Axial musculature joint structure, vasculature and innervation 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 structure of the the musculoskeletal system of the human body. a2) Describe the surface landmarks of the underlying bones, muscles and tendons. a3) Outline major clinical applications of anatomical facts. b- Intellectual skills By the end of the course the candidate will be able to: b1) Apply the anatomical facts while examining the living subject in order to reach a proper diagnosis. b2) Identify the different surface markings and determine the position or course of internal structures. b3) Interpret the normal anatomical structures on radiographs and ultrasonography, CT scan and nuclear magnetic resonance images. c- Professional skills By the end of the course the candidate will be able to c1- Differentiate anatomical structures of the musculoskeletal system. c2- Select the proper surface markings for an anatomical structure. c3- Differentiate between normal and abnormal anatomical structure of the musculoskeletal system.

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d- General and transferable skills By the end of the course the candidate will be able to d1) Maintain honesty and integrity in all interactions with teachers, colleagues, patients and others with whom surgeons must interact in their professional lives. d2) Recognize the scope and limits of their role as students as well as the necessity to seek and apply collaboration with other workers. d3) Be responsible towards work. d4) Maintain a professional image concerning behavior, dress and speech. 3- Course content: Topics No of hours L SDL Bones and Skeleton Overview 1 Joints and Muscles - Overview 1 Shoulder, Arm 1 Elbow, Forearm 1 Wrist, Hand 1 Upper Limb - Nerves & Vessels, surface anatomy 1 Hip, Thigh 1 Knee 1 Ankle and Foot 1 Lower Limb - Nerves & Vessels, surface anatomy 1 Neck 1 Vertebral Column 1 Spinal Muscles, surface anatomy of the back 1 Introduction to Biomechanics 2 L: Lectures and SDL: Self directed learning 4 - Student Assessment Methods 4.1 written exam to assess knowledge 4.2 Practical exam to assess skills 4.3 Oral exam to assess General and transferable skills Weighing of assessment 4.1 written exam 40 4.2 Practical 10 4.2 oral exam 10 Total 60 5 -- List of References 5.1- Course Notes (paper and / or electronic) None 5.2- Essential Books (Text Books)

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Gray's Anatomy, 39th edition, 2005 5.3- Recommended Books Moore, K.L. and A.F. Dalley, Clinically Oriented Anatomy, 5th edition, Lippincott, Williams & Wilkins, 2005. Tank, P.W., Grant's Dissector, 13th edition, Lippincott, Williams and Wilkins, 2005 Agur, A.M.R. and Dalley, A.F. Grant's Atlas of Anatomy, 11th edition, Lippincott, Williams & Wilkins, 2005 5.4- Periodicals, Web Sites, etc http://www.med.mun.ca/anatomyts/msk/msktut.htm http://www.med.mun.ca/anatomyts/radioanat/radiology/msk/limbmsk.htm http://uwmsk.org/RadAnatomy.html http://www.rad.washington.edu/academics/academic-sections/msk/muscle-atlas/ http://www.medmatrix.org/_SPages/rheumatology.asp Histology course specification University: Ain Shams University Faculty: of Medicine Course specifications Program on which the course is given: Master degree in Orthopedics Major or minor element of programs: Major Department offering the program: Orthopedic department- Ain Shams University Department offering the course: Histology department. Academic Level: Master 1st semester Date of specification approval: .. A- Basic Information Title: Histology course Credit Hours: 1 hour Coordinator Histology department B - Professional Information 1- Course Aims: The main purpose of this course is introducing the academic background and practical experience about the preparation of tissues and organs of all animal body and describe them microscopically

Code: OS6001b Lecture: 0.5h/week

Total: 15

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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 microscopic and ultra structure of the cell. a2- Know the structure of the cells in correlation to their functions. a3- Recognize basic microscopic structure of the cell, the connective tissue, the cartlage, bone, muscular tissue, vascular system and endocrine system. b- Intellectual skills By the end of the course the candidate will be able to b1- Describe and identify the microscopic structure of the given sample. b2- Correlate the normal structure with the function. b3- identify the normal from the abnormal structures. c- Professional skills By the end of the course the candidate will be able to c1- Examine and describe examined histological specimens. d- General and transferable skills By the end of the course the candidate will be able to: d1) Maintain honesty and integrity in all interactions with teachers, colleagues, patients and others with whom surgeons must interact in their professional lives. d2) Recognize the scope and limits of their role as students as well as the necessity to seek and apply collaboration with other workers. d3) Be responsible towards work. d4) Maintain a professional image concerning behavior, dress and speech. 3- Course content : (1) THE CELL: The cell membrane: L.M, E.M. and molecular structure The cytoplasm: cell organelles, cytoskeleton, cell inclusions The nucleus (2) CONNECTIVE TISSUE Types of connective tissue cells ( L.M, E.M & functions) Types of connective tissue fibers Types of connective tissue proper and function (3) CARTILAGE: Cartilage cells Types of cartilage Growth of cartilage.

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(4) BONE: Function Types of bone Bone cells Bone matrix Ossification Repair of fracture Joints. (5) MUSCULAR TISSUE: Skeletal muscles: light and electron microscopic structure. (6) NERVOUS TISSUE: Neuron: structure by L.M & E.M. Types of nerve cells Nerve ganglia Synapses (7) VASCULAR SYSTEM: General microscopic structure of blood vessels. Arteries: Medium sized arteries & large elastic arteries Veins: medium sized veins & large veins Blood capillaries: types & structures. (8) ENDOCRINE SYSTEM: Pituitary gland Thyroid gland Parathyroid gland Suprarenal gland

L: Lectures and SDL: Self directed learning 4 - Student Assessment Methods 4.1 written exam to assess knowledge 4.2 Practical exam to assess skills 4.3 Oral exam to assess General and transferable skills Weighing of assessment 4.1 written exam 20 4.2 Practical 10 4.2 oral exam 10 Total 40 5 -- List of References

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5.1- Course Notes (paper and / or electronic) None 5.2- Essential Books (Text Books) Gray's Anatomy, 39th edition, 2005 5.3- Recommended Books Moore, K.L. and A.F. Dalley, Clinically Oriented Anatomy, 5th edition, Lippincott, Williams & Wilkins, 2005. Tank, P.W., Grant's Dissector, 13th edition, Lippincott, Williams and Wilkins, 2005 Agur, A.M.R. and Dalley, A.F. Grant's Atlas of Anatomy, 11th edition, Lippincott, Williams & Wilkins, 2005 5.4- Periodicals, Web Sites, etc http://www.med.mun.ca/anatomyts/msk/msktut.htm http://www.med.mun.ca/anatomyts/radioanat/radiology/msk/limbmsk.htm http://uwmsk.org/RadAnatomy.html http://www.rad.washington.edu/academics/academic-sections/msk/muscle-atlas/ http://www.medmatrix.org/_SPages/rheumatology.asp Physiology course specification University: Ain Shams University Faculty: of Medicine Course specifications Program on which the course is given: Degree in orthopedics surgery Major or minor element of programs: Major Department offering the program: Orhthopedic department. Department offering the course: Physiology department. Academic Level: Master 1st semester Date of specification approval: .. A- Basic Information Title: Physiology course Code: OS6002a Credit Hours: 0.6 Lecture: 1.2h/ 2 week Coordinator Physiology department B - Professional Information 1- Course Aims:

Total: 9 hours

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The aims of this course are to enable students to: 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. Follow the rapidly changing and inflating details about molecular biology & genetics. 4. Explore in detail the functions of the autonomic, the neuromuscular5. Develop the basic scientific research skills as well as effective communication and team work attitudes. II. INTENDED LEARNING OUTCOMES: 2- Intended Learning Outcomes (ILOs) from the Course: a- Knowledge and understanding 1. Describe the cellular functions at the organelle and molecular level. 2. Describe & explain the functions of the nerve cell the nerve and muscle fiber grossly and at the molecular level. 3. Describe & explain the functions of the muskloskeletal system both grossly and at the molecular level. 4. Describe some biophysical laws and their relation to physiology. b- Intellectual skills By the end of the course the candidate will be able to: 1. Interpret the most important physiological laboratory results (blood, neuromuscular), to distinguish a physiological from a pathological condition. 2. Comment, on some clinical parameters such as: EMG, nerve conduction velocity for a normal individual. 3. Integrate physiology with other basic and clinical sciences. c- Professional skills By the end of the course the candidate will be able to: C1. 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) Maintain honesty and integrity in all interactions with teachers, colleagues and others with whom physicians must interact in their professional lives. d2) Recognize the scope and limits of their role as students as well as the necessity to seek and apply collaboration with other workers. d3) Be responsible towards work. III. COURSE CONTENTS:

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3- Course content: Topics Calcium homeostasis and regulation Physiology of skeletal muscles Muscle Tone (Hypo. & Hypertonia). Physiology of nervous system VoIuntary Control and Motor Lesions. Sensations and Sensory Lesions Autonomic nervous system Absorption & Malabsorption. Body response to trauma. Pituitary gland Acid base and fluid balance. Resp. Functions Resp. Failure, Hypoxia, Cyanosis & O2 Therapy. Energy Balance & Obesity. L: Lectures and SDL: Self directed learning . 4 - Student Assessment Methods 4.1 written exam to assess knowledge 4.2 Practical exam to assess skills 4.3 Oral exam to assess General and transferable skills Weighing of assessment 4.1 written exam 4.2 Practical 4.2 oral exam Total

No of hours L SDL 1 1 0.5 1 0.5 0.5 0.5 0.5 1 0.5 0.5 0.5 0.5 0.5

20 6 6 32

5 -- List of References 5.1- Course Notes (paper and / or electronic) Lecture notes. 5.2- Essential Books (Text Books) Guyton: Textbook of Medical Physiology. Ganong: Review of Medical Physiology. Illustrated medical physiology medical biochemistry and Molecular biology specification University: Ain Shams University Faculty: of Medicine

course

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Course specifications Program on which the course is given: Master of orthopedics. Major or minor element of programs: Major. Department offering the program: Orthopedic department. Department offering the course: Medical biochemistry and Molecular biology department. Academic Level: Master 1st semester Date of specification approval: .. A- Basic Information Title: Medical biochemistry and Molecular biology course Code: OS6002b Credit Hours: 0.6 Lecture: 1.2h/ 2 week Total: 9 hours Coordinator Medical biochemistry and Molecular biology department B - Professional Information 1- Course Aims: 1. To enable students to understand the essential topics of biochemistry including micro- and macromolecules of carbohydrates, lipids, proteins, nucleotides and nucleic acids. 2 To enable the student to describe the biological membrane, the role of free nucleotides in signal transduction control, and macromolecules involved in transmission of information from gene expression to the formation of functioning proteins. 3 To familiarize the students with basic principles of Molecular biology and protein synthesis. 4 To enable the student to be familiar with biotechnology methods and their clinical implications. 5 To make the student oriented with the physico-chemical basis of the biological systems; and the related clinical problems 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 structure and properties of caribodydrates, lipids and proteins of biological importance. a2. Describe the structure of cell membrane and point out its importance. a3. Describe the structure of heme and proteins of the extra-cellular matrix.

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a4. Demonstrate the structure and importance of immunoglobulins. a5. Describe the chemistry of nucleotides and nucleic acids. a6. Point out the processes of replication, transcription and translation. a7. Describe recombinant DNA biotechniques. a8. Point out the significance of human genome project and the principles of gene therapy. b- Intellectual skills By the end of the course the candidate will be able to: 1. Interpret the observations of chemical tests to identify unknown sugar or protein solutions. 2. Identify electrophoresis bands and comment on them. 3. Interpret the photographs of electrophoresis runs of Polymerase chain reaction (PCR) products. c- Professional skills By the end of the course the candidate will be able to: c1 - Select the proper investigation. c2 - Read and evaluate scientific literatures. d- General and transferable skills By the end of the course the candidate will be able to: d1 - Work effectively in a group during preparation of seminars. d2- Respects the role of staff and co-staff members regardless of degree or occupation. 3- Course content: Topics Carbohydrate metabolism Lipid metabolism Metabolism of protein Hormone biosignaling Calcium metabolism Vitamins and diseases Hyperuricemia Diagnostic enzymology Tumour markers Hepatitis markers Molecular biology Stem cells

No. of hours L 1 1 1 1 1 1 0.5 0.5 0.5 0.5 0.5 0.5

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L: Lecture 4 - Student Assessment Methods 4.1 written exam to assess knowledge 4.2 Practical exam to assess skills 4.3 Oral exam to assess General and transferable skills Weighing of assessment 4.1 written exam 20 4.2 Practical 6 4.2 oral exam 6 Total 32 5 -- List of References 5.1- Course Notes (paper and / or electronic) Electronic lectures 5.2- Essential Books (Text Books) Lecture notes on molecular medicine 5.3- Recommended Books Harper's Biochemistry. * Lippincott's Illustrated Biochemistry. 5.4- Periodicals, Web Sites, etc Pathology course Specifications University: Ain Shams University Faculty: of Medicine Course specifications Program on which the course is given: Master of orthopedics. Major or minor element of programs: Major Department offering the program: orthopedic department Department offering the course: Pathology department. Academic Level: Master 1st semester Date of specification approval: .. A- Basic Information Title: Pathology course Credit Hours: 0.8 Coordinator Pathology department B- Professional Information 1. Overall Aims of Course

Code: OS6002c Lecture: 1.6 h/ 2 week

Total: 12 hours

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Pathology is the bridge between the basic science and clinical medicine. The main aim of Pathology course is to provide the candidate with adequate, recognizable and applicable knowledge and skills for common diseases and life threatening illnesses affecting body organs and system. It helps the candidate to understand the causes (aetiology) of disease, the mechanisms of its development (pathogenesis) and the associated alterations of structure (morphologic changes) and function (clinical manifestations and complications) to be able to determine the most likely diagnosis of the disease and management of the patient when provided with the clinical history, the anatomical lesions, and the laboratory data. 2. Intended Learning Outcomes of Course (ILOs) a- Knowledge and Understanding: By the end of the course the candidate will be able to: a.1- Recognize and define the basic pathologic processes that disturb the structure and function of the body including cell injury, tissue response to injury (inflammation, healing and repair), haemodynamic disturbances, neoplasia, infections and parasitic diseases. a.2- List the causes of common diseases affecting organs or systems. a.3- Explain the pathogenesis of common diseases affecting organs or systems a.4- Recognize and describe the basic pathologic features (morphologic alterations) including the gross and microscopic pictures of various common diseases affecting organs and systems. a.5- Describe how the pathological processes affect the structure and function of the organ systems of the human body a.6. Identify the functional consequences and clinical manifestations of common diseases affecting specific organs or systems. a.7-Explain the signs and symptoms of disease based on its pathogenesis, thereby demonstrate clinical reasoning. a.8- Interpret and identify the complications of common diseases. a.9- Describe the effect of environmental factors on causation and geographical variation of disease. a.10- Recognize and be fully familiar with the terminology used in the classification, investigation and description of disease, enabling effective communication with professional colleagues and patients. b-Intellectual Skills By the end of the course the candidate will be able to:

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b.1- Correlate the pathologic features of the disease with its clinical presentation, laboratory investigations and complications. b.2- Develop skills of observation, interpretation, and integration needed to analyze basic clinical and pathologic data and to diagnose human disease. c- Professional and Practical Skills By the end of the course the candidate will be able to: c.1- Recognize and interpret the important pathologic lesions in a pathology report that can provide reliable basis (sound foundation) for rational clinical care and therapy. c.2- Select appropriate preservative material necessary for different kind of specimens for different types of pathologic investigations. c.3- Select appropriate method of investigation for examination needed to reach a correct diagnosis. c.4- Handle and select appropriate tissue from fresh specimen for frozen section examination. d- General and Transferable Skills By the end of the course the candidate will be able to: d.1-Use database to collect material needed for research. d.2-Gather and organize material from various sources (including library, electronic and online resources). d.3- Present a research assignment orally and deliver it in both written and electronic forms. d.4- Ensure that request form and specimen identification is accurate and identify and resolve any errors or discordance. d.5- Communicate with pathologists promptly and accurately. d.6- Understand the importance of continuing professional development. d.7- Demonstrate knowledge of the importance of ethical approval and patient consent for clinical research. d.8- Work cooperatively and show respect for others opinions.

3- Course content: Topics General Course: Pathology Acute and Chronic Inflammation Cell Injury Adaptation and Death Pathological Calcification and Pigmentation Intracellular accumulations No of hours L

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Amyloidosis Tissue Repair and Healing Granulomas Parasitic Diseases Bacterial Infections Haemodynamic Disturbances Disorders of Cellular Growth, Differentiation and Maturation Neoplasia Systemic Pathology Course Metabolic bone diseases Richets/ osteomalacia Hyperparathyroidism Crystal deposition diseases Osteoporosis Pagets disease Rheumatoid arthritis Rheumatic fever SLE Seronegative arthropathies Osteomyleitis Septic arthritis T.B. Syphilis Cartilaginous osseus

Rheumatic disorders

Infections of bone

Benign bone tumours 1 2 Malignant bone tumours 1

1 1 1

2 Metastasis Tumour like conditions 4 - Student Assessment Methods 4.1 written exam to assess knowledge 4.2 Practical exam to assess skills 4.3 Oral exam to assess General and transferable skills Weighing of assessment 4.1 written exam 20 4.2 Practical 8 4.2 oral exam 8

cartilagenous Osseus

2 1 1

26

Total

36

5 -- List of References 5.1- Course Notes (paper and / or electronic) General and Systemic Pathology Notes written by staff members of Pathology Department 5.2- Essential Books (Text Books) Kumar, V. (Ed.), Cotran, R. S., Robbins, S. L. (2007). Basic Pathology 8th edition Philadelphia, PA: W.B. Saunders. 5.3- Recommended Books 5.4- Periodicals, Web Sites, etc http://www.webpath, http://www.pathguy http://www.pathmax.com, http://www.uwo.ca/pathol/resources.html Clinical bacteriology course specification University: Ain Shams University Faculty: of Medicine Course specifications Program on which the course is given: Master of orthopedics. Major or minor element of programs: Major. Department offering the program: Orthopedic department. Department offering the course: Microbiology and Immunology department. Academic Level: Master 1st semester Date of specification approval: .. A- Basic Information Title: Clinical microbiology course Code: OS6003a Credit Hours: 0.5 hour Lecture: 1/ 2 week Total: 7.5 hs Coordinator Microbiology and Immunology department. B - Professional Information 1- Course Aims: 1 To educate students about the basic features of general bacteriology, virology and mycology and to provide students with an understanding of the immune

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system, its protective functions and its role in the patho-physiology of infectious and non- infectious diseases 2 To familiarize students with the common infections and diseases of medical importance, their microbial causes, as well as laboratory diagnosis, treatment, prevention and control of such diseases 3 To enable the students to practice the principles of sterilization and infection control. 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. Illustrate general bacterial morphology, physiology and genetics. a2. Understand the host parasite relationship and microbial pathogenesis. a3. Explain the physiology of the immune system, its beneficial role, as well as its detrimental role in hypersensitivity, autoimmunity and transplant rejection. a4. Describe the morphology, culture, antigenic structure and virulence factors of microorganisms of medical importance. a5. Recognize the most important infectious clinical conditions and outline the diagnosis, treatment, prevention and control of the most likely organisms causing such diseases. a6. Describe the most important methods of decontamination and principles of infection control a7. Describe recombinant DNA biotechniques. a8. Describe the basics of antimicrobial uses and resistance. b- Intellectual skills By the end of the course the candidate will be able to: b1- Interpret results of microbiological, serological and molecular tests b2- Interpret microbiological, immunological and molecular reports b4-Formulate a systematic approach for laboratory diagnosis of common infectious clinical conditions and select the most appropriate and cost-effective tool leading to the identification of the causative organism b5-Evaluate according to evidence the causal relationship of microbes and diseases b6- Categorize a microorganism as a bacterium, virus or fungus according to standard taxonomy b7- Report and appraise a concise scientific activity according to standard scientific thinking and integrity b8- Appreciate the danger of handling and use of infectious agents on community and environment as a part of their ethical heritage

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c- Professional skills By the end of the course the candidate will be able to: c1 - Identify medically important bacteria based on microscopic examination of stained preparations c2 -Perform a Gram stain and a Ziehl-Neelsen stain and identify, according to morphology and characteristics, stained preparations c3- Identify culture media and biochemical tests commonly used for bacterial identification and distinguish positive and negative results c4- Perform hand wash and control of steam sterilization c5 -Select the proper investigation. c6 - Read and evaluate scientific literatures. d- General and transferable skills By the end of the course the candidate will be able to: d1 - Work effectively in a group during preparation of seminars. d2- Respects the role of staff and co-staff members regardless of degree or occupation. 3- Course content: Topics Sterilization techniques Bacterial structure, physiology, & classification Neisseria and Parvobacteria (Haemophilus, Bordetella, Brucella, Legionella, Yersinia & Pasteurella) Enterobacteriaceae Pseudo monads, Vibrios, Campylobacter & Helicobacter Gram negative anaerobic bacteria Spirochetes Mycobacteria Chlamydia, Mycoplasma, Rickettsia Basic Mycology: classification of fungi, antifungal drugs Basic Virology Major Virus Groups Basic immunology: Tissues and cells of immune response, types of immune response, Immunoglobulins, Humoral immune response ,complement, Ag-Ab reactions Cell-mediated immunity, Cytokines, immunity to bacterial infection and immunoprophylaxis Hospital-acquired infection and infection Hypersensitivity Autoimmunity and tumor Immunology Immupodeficiency and infections in immunocompromized host L: Lecture No. of hours L 1 0.5 0.5 0.5 0.5 0.5 0.2 0.3 1

0.5 0.5 0.5 1

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4 - Student Assessment Methods 4.1 written exam to assess knowledge 4.2 Practical exam to assess skills 4.3 Oral exam to assess General and transferable skills Weighing of assessment 4.1 written exam 15 4.2 Practical 5 4.2 oral exam 5 Total 25 5 -- List of References 5.1- Course Notes (paper and / or electronic) 5.2- Essential Books (Text Books) Jawetz, Melnick and Adelbergs Medical Microbiology 5.3- Recommended Books 5.4- Periodicals, Web Sites, etc o asmnews@asmusa.org o http://www.phage.org/black09.htm o http://www.microbe.org/microbes/virus_or_bacterium.asp o http://www.bact.wisc.edu/Bact330/330Lecturetopics o http://whyfiles.org/012mad_cow/7.html o http://www.microbelibrary.org/ o http://www.hepnet.com/hepb.htm o http://www.tulane.edu/~dmsander/Big_Virology/BVHomePage.html o http://www.mic.ki.se/Diseases/c2.html o http://www.med.sc.edu:85/book/welcome.htm o http://www.biology.arizona.edu/immunology/microbiology_immunology.ht ml Pharmacology course specification University: Ain Shams University Faculty: of Medicine Course specifications Program on which the course is given: Master of orthopedics. Major or minor element of programs: Major Department offering the program: Orthopedic deprtment Department offering the course: Pharmacology department. Academic Level: Master 1st semester Date of specification approval: ..

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A- Basic Information Title: pharmacology course Credit Hours: 0.5 hour Coordinator Pharmacology department

Code: OS6002b Lecture: 1/ 2 week Total: 7.5 hs

B - Professional Information 1- Course Aims: The aim of this course is to provide students with an understanding of the principles of pharmacology. For each medication, understand the dosing, pharmacokinetics, metabolism, mechanisms of action, side effects, drug interactions, compliance issues, costs, and use in specific patient populations, such as renal insufficiency and including fertile, lactating, pregnant women, pediatric and geriatric population. 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) Discuss the pharmacokinetic, pharmacodynamic and pharmacotherapeutic properties of different groups of drugs. a2) -Discuss the adverse and toxic effects, and their management of commonly used groups. a3) Give an account on limitations to the use of drugs such as contraindications and drug interactions. a4) Define clinically relevant age, sex and genetic related variations that affect response to drugs. a5) Define the principles, the indications, the relative advantages and disadvantages of various pharmacotherapy modalities. a6) Discuss the role, prevalence and limitations of alternative and complementary therapies commonly in use. a7) Recognize the rational and general guidelines of the use of drugs in the proper dose in special population such as pediatrics, geriatrics, pregnancy and lactation and in cases of liver and kidney impairment. b- Intellectual skills By the end of the course the candidate will be able to: b1) Calculate accurately drugs dosage, bioavailability, plasma half life and volume of distribution in different patient populations. b2) Obtain and record a comprehensive drug history of the patient. b3) Document drug adverse reactions.

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b4) Observe, record and analyze the effect of drugs on biological tissues b5) Write prescriptions for musculoskeletal diseases. b6) Audit prescriptions citing multiple drugs. c- Professional skills By the end of the course the candidate will be able to: c1) integrate, analyse and summarise information relating to practical aspects or current advances, issues and controversies within the pharmacological sciences from a wide range of sources and evaluate this information to draw reasoned conclusions or sustainable judgements; c2) think independently, evaluate and reflect, set tasks and select appropriate and reasoned approaches to solve problems; c3) use knowledge and understanding of the pharmacological sciences to formulate and apply theprinciples of scientific inquiry to address pharmacologyrelated problems; c4) apply the knowledge and understanding of the pharmacological sciences to plan and undertake hypothesis-driven pharmacological research. c5) demonstrate confidence and competency in understanding, analysing and interpreting pharmacological data d- General and transferable skills By the end of the course the candidate will be able to: d1- Demonstrate respect to all patients irrespective of their socioeconomic levels, culture or religious beliefs and use language appropriate to the patients culture . d2- Provide appropriate basic drug education to the patient and his family. d3-Communicate effectively with other health care professionals to maximize patient benefits and minimize the risk of errors. d4 - Understand the importance of life-long self-learning and show a strong commitment to it. d5 - Use current IT for appropriate drug database to reach information about a specific medication. d6- Respect patients beliefs, values and privacy. d7- Respect ethics related to drug prescription and use specially to drugs liable to produce abuse. d8- Recognize and effectively deal with unethical behavior of other members of healthcare team. - Course content: Topics Analgesics: non- steroid anti- inflammatory I

No of hours L 0.5

32

Analgesics : NSAIDS II Recent Anti cox drugs Opiates and opiate like drugs Muscle relaxants Corticosteroids Anticoagulants: oral Anti coagulants: Low molecular Calcium metabolism and drugs of osteoprosis Antibacterials: General Antibacterials: Gram +ve Antibacterials: Gram ve Special Chemotherapy: T.B.- Antivirals Cancer chemotherapy Drugs used in anaesthesia L: Lectures and SDL: Self directed learning 4 - Student Assessment Methods 4.1 written exam to assess knowledge 4.2 Practical exam to assess skills 4.3 Oral exam to assess General and transferable skills Weighing of assessment 4.1 written exam 15 4.2 Practical 5 4.2 oral exam 5 Total 25

0.5 0.5 0.5 0.5 0.5 0.5 0.5 0.5 0.5 0.5 0.5 0.5 0.5 0.5

5 -- List of References 5.1- Course Notes (paper and / or electronic) None 5.2- Essential Books (Text Books) 5.3- Recommended Books Principles of Clinical Pharmacology 5.4- Periodicals, Web Sites, etc http://www.centerwatch.com/drug-information/fda-approvals/drugareas.aspx?AreaID=8 http://www.medilexicon.com/drugsearch.php?a=19 http://www.chilanti.com/olbooks/medbooks/Cochrane_Musculoskeletal_Group.ht m General surgery course specification University: Ain Shams University Faculty: of Medicine

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Course specifications Program on which the course is given: Master of Science in orthopedics. Major or minor element of programs: Major Department offering the program: Orthopedic deprtment Department offering the course: General surgery department. Academic Level: Master 1st semester Date of specification approval: .. A- Basic Information Title: General surgery course Credit Hours: 1 hour Coordinator General surgery department B - Professional Information 1- Course Aims: To provide the student with the knowledge, and skills which enable him/her to identify, analyze, manage and/or refer clinical surgical problems in order to provide efficient, cost effective and humane patient care. To provide the student with an appropriate background covering the common and/ or important surgical emergencies. To enable the student to detect cancer at an early stage. To enable the development and application of appropriate professional attitudes, ethical principles and communication 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- Describe the anatomy of surgically-important regions, organs and structures of the body. a2- Describe the etiology, pathogenesis and pathology of important and/ or common surgical diseases. a3- Discuss the clinical manifestations, complications, diagnostic modalities, outcome and treatment plans for common and/or important surgical problems, with special emphasis on emergencies and malignancies. a4- Explain the methods of screening and early detection of cancer. a5- Recognize the ethical principles that govern decision-making in surgical practice. a6- Discuss the principles and practice of preoperative preparation and postoperative care.

Code: OS6002c Lecture: 1h / week Total: 15

34

a7- Describe the basic steps needed for the conduction of safe anesthesia. a8- Outline the physiologic effects of pain and the principles of its management. b- Intellectual skills By the end of the course the candidate will be able to: b1- Interpret patient symptoms and physical findings in terms of their anatomic, pathologic and functional diagnostic significances. b2- Identify problems, prioritize them, and generate a list of differential diagnosis for each problem. b3- Select the most appropriate and cost-effective diagnostic and therapeutic procedure for each problem. b4- Interpret the results of commonly used diagnostic procedures. b5- Use the results of all the tests ordered to modify the problem list and the differential diagnosis accordingly. b6- Combine the clinical and investigational database, with the evidencebased knowledge and the skill of deductive reasoning to be proficient in clinical problemsolving. b6- Interpret the observations of chemical tests to identify unknown sugar or protein solutions. c- Professional skills By the end of the course the candidate will be able to: c1 18- Recognize patients with life/organ-threatening surgical conditions and perform appropriate initial therapy. c2- Identify and outline management of patients with chronic surgical conditions requiring long-term follow-up, rehabilitation and pain relief. c3- Perform routine bedside procedures. c4- Apply the principles of sterile techniques and infection control guidelines. c5- Achieve consensus with the patient or patient surrogate on the treatment plan selected. c6- Monitor the effectiveness of therapy by identifying clinical and investigative parameters to be used in assessing the patients response to treatment and reevaluate management plan accordingly. d- General and transferable skills By the end of the course the candidate will be able to: d1 - Work effectively in a group during preparation of seminars. d2- Respects the role of staff and co-staff members regardless of degree or occupation.

35

3- Course content: Topics General Surgery Plastic surgery Vascular surgery Head and neck GIT & abdominal surgery Cardiothoracic Urology Anesthesia Neurosurgery L: Lecture No. of hours (L) 2 2 2 2 1 1 1 2 2

4 - Student Assessment Methods 4.1 written exam to assess knowledge 4.2 Practical exam to assess skills 4.3 Oral exam to assess General and transferable skills Weighing of assessment 4.1 written exam 30 4.2 Practical 10 4.2 oral exam 10 Total 50 End semester exam 100 5 -- List of References 5.1- Course Notes (paper and / or electronic) 5.2- Essential Books (Text Books) 5.3- Recommended Books Bailey and Loves Short Practice of Surgery, 23 rd Edition. Current Surgical Diagnosis and Treatment, 11th Edition. Browse NL: An introduction to the Symptoms and Signs of Surgical Disease. 5.4- Periodicals, Web Sites, etc orthopedic surgery and orthopedic pathology specification University: Ain Shams University Faculty: of Medicine course

Course specifications Program on which the course is given: Master of Science in orthopedics. Major or minor element of programs: Major

36

Department offering the program: Orthopedic surgery department Department offering the course: Orthopedic surgery department. Academic Level: Master 1st semester Date of specification approval: .. A- Basic Information Title: Orthopedic surgery and orthopedic pathology course Credit Hours: 9 hour Lecture: 4.2h / week Clinical: 2.7h/ week Field: 1.8 h / week Coordinator Orthopedic surgery department B - Professional Information 1- Course Aims: To provide the candidate with the academic knowledge and clinical skills necessary for accurate diagnosis and management of different orthopaedic pathologies. To develop the candidate,s ability to interpret and analyse orthopaedic cases in order to reach a provisional diagnosis, and carry on a reasonable deduction to reach a difintive diagnosis To provide the candidate with the basic operative skills necessary for the management of different orthopaedic conditions/diseases.

Code: OS6004 Total: 63 Total: 81 Total: 108

2- Intended Learning Outcomes (ILOs) from the Course:

(Review the attched detailed orthopaedic training program content)

a- Knowledge and understanding By the end of the course the candidate will be able to nderstand the scientific basis of: a1- Infections of bones and joints a2- Benign and malignant bone tumours a3- Pediatric orthopaedic disorders a4- Inflammatory/degenerative conditions of bones and joints a5- Disorders of the spine a6- Metabolic bone disorders b- Intellectual skills By the end of the course the candidate will be able to:

37

b1- Carry on systematic analysis of orthopaedic cases based on history and clinical examination b2- Conclude the possible differential diagnoses and order necessary investigations b3- Interpret and brainstorm radiographic and laboratory data b4- Correlate clinical findings with investigation results b5- Reach a definitive diagnosis for different orthopaedic pathologies b6- Perform careful decision making for the plan of treatment c- Professional skills By the end of the course the candidate will be able to: c1- Perform clinical orthopaedic examination for different joints/regions c2- Carry out bedside orthopaedic interventions in the ward c3- Perform operative intervention for different orthopaedic pathologies c4- Carry out surgical approaches for different joint/regions c5- Use a diversity of orthopaedic implants and prsotheses d- General and transferable skills By the end of the course the candidate will be able to: d1 - Work effectively in a group during preparation of seminars. d2- Respects the role of staff and co-staff members regardless of degree or occupation. d3- Acquire computer and language skills in preparing case presentations and lectures or performing research d4- Decision making and brainstorming skills d5- Leadership and teamwork skills 3- Course content:
(Please review the attched detailed orthopaedic training program content)

Topics 1-Bone and joint infections 2-Benign bone tumours 3-Malignant bone tumours 4-Paediatric orthopaedic disorders 5-Inflammatory/crystal induced arthropathy 6-Degenerative bone and joint disorders 7-Diseases of the spine 8-Osteonecrosis 9-Metabolic bone disorders L: Lecture, C: Clinical and F: Field 4 - Student Assessment Methods

No. of hours L 7 7 7 7 7 7 7 7 7 C 9 9 9 9 9 9 9 9 9 F 12 12 12 12 12 12 12 12 12

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4.1 written exam to assess knowledge 4.2 Practical exam to assess skills 4.3 Oral exam to assess General and transferable skills 4.4 Clinical exam to assess skills Weighing of assessment 4.1 written exam 250 4.2 Practical 50 4.2 oral exam 50 4.4 Clinical exam 100 Total 450 End semester exam 100 5 -- List of References 5.1- Course Notes (paper and / or electronic) Orthopaedics from A to Z 5.2- Essential Books (Text Books) Campell,s operative orthopaedics Roger Dee principles of orthopaedic practice Apley,s system of orthopaedics 5.3- Periodicals, Web Sites, etc Journal of Bone and Joint Surgery Clinical Orthopaedics and related research www.aaos.com www.orthogate.com www.orthotears.com www.sicot.org Traumatology course specification University: Ain Shams University Faculty: of Medicine Course specifications Program on which the course is given: Master of Science in orthopedics. Major or minor element of programs: Major Department offering the program: Orthopedic surgery department Department offering the course: Orthopedic surgery department. Academic Level: Master 1st semester Date of specification approval: .. A- Basic Information Title: Traumatology course Code: OS6005 Credit Hours: 8 hour Lecture: 3.2h / week Total: 48 Clinical: 2.4h/ week Total: 72 Field: 2.4h / week Total: 144

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Coordinator Orthopedic surgery department B - Professional Information 1- Course Aims: To provide the candidate with the academic knowledge and clinical skills necessary for accurate diagnosis and management of orthopaedic trauma cases 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 mechanism of injury for different types of fractures a2- Understand the basis of fracture healing a3- know the complications of different types of fractures and how to avoid a4- Understand the biomechanics of different orthopaedic implants a5- Understand the basis of conservative versus operative management of orthopaedic trauma b- Intellectual skills By the end of the course the candidate will be able to: b1- Classify different types of fractures b2- Decide on the management of a fracture whether conservative or operative b3- Make right decisions towards the choice of suitable orthopaedic interventions/implantrs b4- Put a carefull follow up and rehabilitation plan b5- Prioritize the managements performed for polytrauma cases b6- Recognize different types of joint dislocations c- Professional skills By the end of the course the candidate will be able to Perform: C1- Closed reduction of fractures (distal radius, humerus, BB leg, pediatric BB forearm, etc..) C2- Closed reduction of joint dislocations (shoulder, hip, elbow, etc..) C3- Percutaneous pinning of fractures using K-wires C4- Application of different types of plaster casts and splints or traction for different fractures relative to anatomic locations C5- Application of skeletal traction pin C6- Application of external fixators and debridement for open fractures C7- Open reduction and internal fixation of fracture by tension band techniques in different anatomic locations (olecranon, patella, medial malleolus) C8- Open reduction and internal fixation of fractures by different types of plate and screw systems according to anatomic location (small DCPs for BB forearm, broad

40

DCP for humerus, proximal and distal tibial buttress, distal femoral buttress, 1/3 tubular for lateral malleolus, proximal humeral buttress, volar plating of distal radius, etc..) C9- Intramedullary nailing of long bone fractures (ILN tibia, femur, humerus) C10- Pinning of femoral neck fractures C11- Application of dynamic hip screw in trochanteric fractures C12- Hemiarthroplasty for femoral neck fractures C13- Application of dynamic condylar screw in subtrochanteric and supracondylar femoral ractures C14- Application of angled blade plates in proximal and distal femur C15- Supracondylar nailing of distal femoral fractures C16- Open reduction and internal fixation of different types of intra-articular fractures (tibial plateau, pilon fracture, intercondylar distal femur, barton,s fracture, comminuted distal humerus, miniplate fixation of radial head) C17- Open reduction and internal fixation of pediatric fractures including epiphyseal injuries and elastic nailing of long bone fractures Excision of the radial head in comminuted radial head fractures C18- Open reduction and internal fixation of scaphoid fractures C19- Open reduction and internal fixation of fracture calcaneum, talus, navicular C20- Operative fixation of metacarpal and metatarsal fractures and management of complex hand or foot trauma C21- Open reduction and internal fixation of acetabular and pelvic fractures C22- Application of pelvic external fixator in open book type pelvic fractures C23- Posterior spinal fusion for unstable vertebral fractures C24- Application of ilizarov or hybrid external fixators in comminuted intraarticular fractures C25- Bone grafting of fractures in delayed union C26- Performing corrective osteotomies for malunions in different anatomic locations d- General and transferable skills By the end of the course the candidate will be able to: d1 - Work effectively in a group during preparation of seminars. d2- Respect the role of staff and co-staff members regardless of degree or occupation. d3- Perform Brainstorming and decision making skills d4- Time and stress management skills d5- Psychomotor operative skills 3- Course content:
(Please review the attched detailed orthopaedic training program content)

Topics

No. of hours

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1-Principles of fracture healing/ first aid of fractures 2-Biomechanics of orthopaedic implants 3-Fractures of the lower extremity 4-Fractures of the upper extremity 5-Fractures of the axial skeleton 6-Joint dislocations 7-Sport medicine injuries and arthroscopic/open management 8-Management of polytrauma cases L: Lecture, C: Clinical and F: Field 4 - Student Assessment Methods 4.1 written exam to assess knowledge 4.2 Practical exam to assess skills 4.3 Oral exam to assess General and transferable skills 4.4 Clinical exam to assess skills Weighing of assessment 4.1 written exam 240 4.2 Practical 50 4.2 oral exam 10 4.4 Clinical exam 100 Total 400 End semester exam 100 5 -- List of References 5.1- Course Notes (paper and / or electronic) 5.2- Essential Books (Text Books) Rockwood and Green (fractures in adults/children) Kouval handbook of fractures Campell,s operative orthopaedics 5.4- Periodicals, Web Sites, etc www.aaos.com www.orthogate.com www.orthotears.com www.sicot.org

L 6 6 6 6 6 6 6 6

C 9 9 9 9 9 9 9 9

F 18 18 18 18 18 18 18 18

2nd semester
Title: Module 1 Credit Hours: 6 Code: Lecture: Total actual hours Clinical: Total actual hours 39 54

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Field: Module 1 Code OS6004a OS6005a

Total actual hours

84

Topics Orthopedic surgery and orthopedic pathology (1-3) Traumatology (1-3)

3rd semester
Title: Module 2 Credit Hours: 6 Code: Lecture: Total actual hours Clinical: Total actual hours Field: Total actual hours 39 54 84

Module 2 Code OS6004b OS6005b Topics Orthopedic surgery and orthopedic pathology (4-6) Traumatology (4-6)

4th semester
Title: Module 3 Credit Hours: 6 Code: Lecture: Total actual hours Clinical: Total actual hours Field: Total actual hours 33 45 72

Module 3 Code OS6004c OS6005c Topics Orthopedic surgery and orthopedic pathology (7-9) Traumatology (7-8) Elective course

Rehabilitation of Orthopedics surgery course specification University: Ain Shams University Faculty: of Medicine Course specifications Program on which the course is given: Master of Orthopedics Major or minor element of programs: Minor Department offering the program: Orthopedic department

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Department offering the course: Physical medicine rheumatology and rehabilitation department Academic Level: Master 1st or 2nd or 3rd or 4th semester Date of specification approval: .. A- Basic Information Title: Rehabilitation of orthopedic surgery Code: E6089 Credit Hours: 1 hour Lecture: 1h / week Total: 15 Coordinator Physical medicine, rheumatology and rehabilitation department. B - Professional Information 1- Course Aims: a) knowledge of Methods of rehabilitation: for each method, understand principles, mechanism of action, indications, precautions and contraindications, potential side effects, and costs. b) Importance of multidisciplinary approaches to rehabilitation and pain control. Appropriate use of and referral/prescription to rehabilitation specialists and pain clinics. 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 when is Rehabilitation appropriate a2 - know When is physiotherapy appropriate a3 - know What is the role of the occupational therapist a4 - know When to refer to a pain clinic a5 - estimate value of physical therapies a6 - recognize Rehabilitation Modalities b- Intellectual skills By the end of the course the candidate will be able to: b1- master the musculoskeletal examination b2 plan for physiotherapy for the patient b3 assess the disability. c- Professional skills By the end of the course the candidate will be able to: c1- tell when Rehabilitation is appropriate c2 - refer When physiotherapy is appropriate c3- refer to the occupational therapist when indicated c4 - refer to a pain clinic c5 select proper Rehabilitation Modalities d- General and transferable skills

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By the end of the course the candidate will be able to: d1) have the ability to explore both disease and illness with patients, and meet their communication needs and those of their relatives through the acquisition of effective Comprehensive Clinical Method; d2) be able to work within the organizational, interpersonal and inter-professional dynamics of the clinical team; d3) be able to make judgements about their strengths and weaknesses and take responsibility for continuing learning, personal support and professional development 3- Course content: No. of hours Topics L T C/P SDL Patient education 1 when is Rehabilitation appropriate 1 When is physiotherapy appropriate 1 What is the role of the occupational therapist 1 When to refer to a pain clinic 1 value of physical therapies 1 Rehabilitation Modalities 5 (1) Rest and splinting (2) Modalities and hydrotherapy: ultrasound, TENS iontophoresis, spa therapy (3) Joint protection and energy conservation techniques (4) Adaptive equipment and assistive devices (5) Job site/home evaluation and adaptation (6) Footwear and orthotics (7) Acupuncture and other alternative modalities Rehabilitation of Shoulder surgery 1 Rehabilitation of Back pain 1 Rehabilitation of Limb pain 1 Rehabilitation of Knee surgery 1 L: Lecture, C/P: Clinical or Practical and SDL: Self directed learning 4 - Student Assessment Methods 4.1written exam to assess knowledge and understanding Weighing of assessment 4.1 written exam 50 Total 50 5 -- List of References 5.1- Course Notes (paper and / or electronic)

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 5.2- Essential Books (Text Books) Physical medicine and rehabilitation review 5.3- Recommended Books 5.4- Periodicals, Web Sites, etc Medical statistics course specification University: Ain Shams University Faculty: of Medicine Course specifications Program on which the course is given: Medical Doctorate in Orthopedics Major or minor element of programs: Minor Department offering the program: Orthopedics department Department offering the course: Community, Environmental and Occupational Medicine Academic Level: Master -2nd or 3rd or 4th semester Date of specification approval: .. Basic Information Title: Medical statistics course Code: E6009 Credit Hours: 1 hour A credit hour = one hour lecture or practical weekly for 15 weeks 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.

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2- Intended Learning Outcomes (ILOs) from the Course: 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. 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

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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 Introduction to medical statistics and its uses Types of variables and Descriptive statistics Graphic presentation of data Introduction to probability theory and rules Sample and population: sampling distribution of mean and proportion Confidence interval of a mean and a proportion Confidence interval of a difference between two mean /proportion Testing a hypothesis about population mean/proportion Testing a hypothesis about the difference between two means/proportion Comparing between more than two means-Introduction to factorial analysis Cross-tabulation and introduction to categorical data analysis Simple correlation and simple regression Introduction to multivariable and multivariate analysis Study designs: observational studies Study designs: Intervention studies: clinical trials Study designs: Experimental animal studies Study designs: Bias and Confounding Ethical issues in medical research

L 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1

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Sample size estimation for continuous and binary outcome measures. Meta-analysis and publication bias. T: Tutorial and C/P: Clinical or Practical and SDL: Self directed learning 4 - Student Assessment Methods

1 1

4-1 Written exam to assess knowledge and understanding and will concentrate on 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. 2 nd 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/ forensic medicine course specification University: Ain Shams University Faculty: of Medicine Course specifications Program on which the course is given: Master of Science in Orthopedics Major or minor element of programs: Minor Department offering the program: Orthopedic department Department offering the course: Forensic medicine and Toxicology department

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Academic Level: Master - 2nd or 3rd or 4th semester Date of specification approval: .. A- Basic Information Title: Forensic medicine Code: E6148 Credit Hours: 1 hour Lecture: 1h/w Coordinator Forensic medicine and Toxicology department.

Total: 15 hs

Course Aims The aim of the course is: 1. To provide basic background of different medico legal aspects of living and dead individuals 2. To provide basic knowledge of medical ethics and malpractice 3. To provide ability to diagnose and manage intoxicated patients. INTENDED LEARNING OUTCOMES a- knowledge and Understanding: By the end of the course the student must be able to: a1- Describe different medicolegal aspects of living and dead individuals regarding personal identification, diagnosis of death, causes and manner of death, postmortem changes and differentiation between types of wounds. a2. Explain medicolegal (ML) aspects of different cases of sexual offences. a3. Explain maternal morbidity and mortality from ML point of view a4. Explain various medicolegal aspects of malpractice a5. Describe basic background of medical ethics a6. List different classes of common toxic substances and environmental pollutants a7. Explain the circumstances of intoxication, toxic doses, toxic kinetics clinical picture, differential diagnosis of different drugs and toxic substances. a8. Explain initial appropriate first aid treatment and antidotal measures for different drugs andtoxic substances. b- Intellectual Skills: By the end of the course the student must be able to: b1- Recognize common ethical dilemmas and suggest a proper solution. b2- Analyze case scenario of clinical forensic medicine and recognize their medicolegal aspects. b3- Analyze different problems of malpractices c- Professional Skills: By the end of the course the student must be able to:

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c1- Identify living and dead individuals c2- Diagnose death by different clinical and investigatory methods. c3- Determine time of death through assessment of post mortem changes c4- Identify different causes of death and manner of death as well. c5- Examine different wounds and injuries and write a proper primary wound report c6- Make prelimenary tests for blood grouping and toxicological screen 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. Course content Topics 1. Identification (Of Living And Deceased) 2. Death (Manner Of Death, Ml Aspects Of Brain Death , Death Under Anesthesia, Estimation Of Postmortem Interval) 3. Ml Aspects Of Sudden Death 4. ML Aspects Of Wounds (Fire Arm Injuries, Head Injuries, Thermal Injuries, Injuries Of Other Parts Of The Body, Transportation Injuries) 5. Paternity Investigations 6. Ml Aspects Of Child Abuse And Domestic Violence (Ml Conflict) 7. DNAEvidence 8. Sexual Offences 9. ML Aspects Of Abortion 10. 11-Violent Asphyxia 4 2 2 (Museum) 11-ML Aspects Of Suspected Death In Childhood 12. Medical Ethics 13. Malpractice 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1

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L: Lectures and SDL: Self directed learning 4 - Student Assessment Methods 4.1 written exam to assess knowledge Weighing of assessment 4.1 written exam 50 Total 50

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 infection control. If exposure occurs after regular working hours or during a weekend or holiday; please call the infection control representative or ER. 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 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. 4- Reference The Training Guide is available at the post graduate Secretariat and could be downloaded from the following website is ---------------------------------------------------------------

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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 or 2. Tutorials or 3. Self-directed learning (SDL) For each item there is also a list of 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

3Tables 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.

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Weekly Department Plan Day /time Saturday Sunday Bedside 4th 2nd group education Group Conference 4th Group 2nd Group 1st Group 2nd Group Paediatric 2nd group 3rd group 4th Group 3rd group Paediatric Ilizarov

Monday

Tuesday 3rd group

Wednesday

Departmental Sceintific Conference 3rd group 1st group 2nd group 1st group Sport Medicine Oncology 4th group 3rd group 4th group Spine Hand

Grand round Emergency attendance Operative day Clinic day Specialized Clinics

Thursday 1st group Intensive Course Lectures 1st group

Monday Conference: Includes clinical case presentation, lectures & articles prersentation (Journal club), morbidity and mortality cases Monthly & Yearly activities: Arthroclub (Arthoplasty conference): 4 times per year Trauma club: 3 times per year Tumour club: 2 times per year Pediatric & Ilizarov club: 2 times per year Sport medicine meeting: 2 times per year Annual spine congress Egyptian Orthopaedic Association (EOA) clinical meeting Hosted by Ain Shams University: yearly in February EOA annual meeting: yearly in November EOA deformity congress: yearly in April

Conferences attendance
(NB. Minimum number required is 24) Place Date No Topics Supervisor signature

1 2

54

3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24

Thesis attendance
(NB. Minimum number required is 10) No 1 2 3 4 5 6 7 8 9 10 Date Place Name of the thesis Supervisor signature

55

Out patient Clinics attendance

(NB. Minimum number required is 60) No 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 Date Place Name of the Clinic Supervisor signature

56

36 37 38 39 40 41 42 43 44 45 46 47 48 49 50 51 52 53 54 55 56 57 58 59 60

Operative cases Attended

(NB. Minimum number required is 80)

Done independently (A, B, C) According to each department

Closed reduction of fractures

1 2
57

Date Supervisor signature

Observed

assisted

Date

Date

Item

No

Closed reduction of dislocations Compression plating of diaphyseal fractures Buttress plating of metaphyseal fractures

ORIF of intraarticular fractures

Percutaneous pinning by K wires Interlocking nailing of long bone fractures Application of DHS DCS, and pinning of neck femur External fixation , and debridement of open fractures Hip hemiarthroplasty, and bipolar arthroplasty ORIF for

3 1 2 3 1 2 3 1 2 3 1 2 3 1 2 3 1 2 3 1 2 3 1 2 3 1 2 3 1
58

hand/carpal bone fractures

ORIF for foot/tarsal bone fractures

Posterior/Anterior spinal fusion

Surgical Knee/ Shoulder arthroscopy

Corrective Osteotomies

Total hip/knee Arthroplasty

Excision of benign bone tumours Limb salvage for malignant bone tumours Pediatric DDH and TEV surgery

Pediatric deformity correction + Ilizarov

2 3 1 2 3 1 2 3 1 2 3 1 2 3 1 2 3 1 2 3 1 2 3 1 2 3 1 2 3
59

Soft tissue surgery

Debridement of bone and joint infections Treatment of nonunions/malunions + B.G. ORIF for fracture pelvis / acetabulum ACL/PCL reconstructive surgery

1 2 3 1 2 3 1 2 3 1 2 3 1 2 3

A- Poor, B- Satisfactory, C- Excellent Yearly activities Attended

(NB. Minimum number required is 8) No 1 2 3 4 5 6 7 8 Date Place Name Supervisor signature

60

Emergency room attendance

(NB. Minimum number required is 60) No 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 Date Place Department Supervisor signature

61

34 35 36 37 38 39 40 41 42 43 44 45 46 47 48 49 50 51 52 53 54 55 56 57 58 59 60

Case presentations
(NB. Minimum number required is 6) No 1 2 3 4 5 6 Date Place Diagnosis Supervisor signature

62

Practical skills (Agreement Scale) Requirements a- 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

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. The results of this review will be totaled in the summary chart below. Summary Semester Emergency room attendance Out-patient clinic attendance Operative cases attendance Conference attendance Thesis attendance Case presentations Yearly activities attendance Supervisor signature 1st 2nd 3rd 4th Total

63

VII - Head Of Department Approval For The Exam Entry __________________________________________________________________ __________________________________________________________________ __________________________________________________________________ __________________________________________________________________ __________________________________________________________________ __________________________________________________________________ __________________________________________________________________ __________________________________________________________________ __________________________________________________________________ __________________________________________________________________ __________________________________________________________________ __________________________________________________________________ ______

64

VIII Thesis Follow up

/ / ( ) /

/ /

56

66

/ / ( ) /

/ /

76

68

/ / ( ) /

/ /

96

70

/ / ( ) /

/ /

17

72

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

73

74

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

75

76

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

77

78

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

79

80

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?

81

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 2. yes What no aspects

program

meet do

your you

expectations? like?

to some degree of the degree

program

particularly

3. What aspects of the degree program do you particularly dislike? 4. What are your suggestions on how to improve the program?

Thank you!

82