Benha Faculty of medicine
Department of general surgery
Course specification
Benha University Faculty of Medicine Department of General Surgery
Course Specification Course title: M.B.B.ch. Students, General & Special surgery. 2012/2013 Code: MED 0715 Academic Year (2012 – 2013) Department offering the course: General surgery department.
Academic year of M.B. & B.Ch. program: 6
th
year (2012 – 2013)
Date of specification approval: - Department council No. (……) , date 10/9/2012. - Faculty council No: (346) , date 16/ 9/ 2012.
.
A- Basic Information Allocated marks: 900 marks. Course duration: 36 weeks of teaching. Teaching hours: 6 hours/week for 36 weeks & 15 hours/week for 24 weeks = 576 total teaching hours Hours / week Total hours 6hrs/week for 36 216 hrs weeks 3 hrs/week for 24 72 hrs weeks 12 hrs/day for 24 288 hrs weeks 6hrs/week for 36 576 hrs weeks 15hrs/week for 24 weeks
1- Lectures 2- Small group teaching / tutorials 3- clinical Total
Course coordinator: Prof Dr. Mohammed Mostafa Abd Elwahab Teaching staff currently on the job: 1
Benha Faculty of medicine
Department of general surgery
Course specification
Professors: 1-Mostafa Mostafa Rezk Professor:2-Mohamed Abd ELaziz Abd elwahab Professor 3-Nabil Mohmed Shedid Professor 4-Nabil ahmed Ali Professor 5-Hamed Rashad Mesllim Professor 6-El Ashery Taha Syed Profeesor 7-Mohamed Amin Abd Elhakeem Profeesor 8-Ahmed Shawky Ezzat Profeesor 9-Mohamed Mostafa Abd Elwahab Profeesor 10- Mohamed Mohmaed Mukhtar Profeesor 11-Abd Hamed Gaefer Profeesor 12-Ahmed Yhia Farid Profeesor 13-Osamsadk Radwan Profeesor 14-Hani Salah ELden Tawafik Profeesor 15-Sayed Amar Elkelany Profeesor 16-Ahmed Hamed Abd elmaksoud Profeesor 17- Atef Abd El Ghany Yousif Profeesor 18- Hassan Kamal eldeen elsowany
Profeesor 19-Mohmed Mohmood Mohmed
Assistant Professors: 1-Gamal ebrahem elhabaa Assistant Professors: 2-Gamal Elsayed Saleh Assistant Professors: 3-Hazim mohmed sobeh Assistant Professors: 4-Mohmed abd elhakem mansour Lecturers: 1-Dr. Ahmed Mohmed Ziden Lecturers: 2-Dr. Hussien Gamal El Gohry Lecturers: 3-Dr. EL Sayed Afifi Abd ELMaboad Lecturers: 4-Dr. Ayman abd el mofed 2
Benha Faculty of medicine
Department of general surgery
Course specification
Assistant Lecturers:1-Mohmed abd elmoneum Assistant Lecturers: 2-hazim elgushi Assistant Lecturers:3-Ahmed Mostafa Assistant Lecturers:4-Yousif Kotb Assistant Lecturers:5-Kald shalan Assistant Lecturers:6- Mohmed Tawafik Assistant Lecturers:7-Ahmed kairy Assistant Lecturers: 8-Mohmed Farid Demonstrators:1-Ahmed sakar
Demonstrators: 2-Mohmed samy
Demonstrators: 3-Mohmed EL sayed Demonstrators: 4-Ahmed Fathy
B- Professional Information 1 – Overall Aims of Course: To Educate students the basic practice in the field of the general surgery. To Familiarize students with the patients and how to ask for medical history. To Enable the students to understand the physical signs and how to detect these signs. To Enable the students to reach the diagnosis and choose the best treatment. To Provide the operative techniques and follow up after surgery. To Train the students in operating room.
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Benha Faculty of medicine
Department of general surgery
Course specification
2 – Intended Learning Outcomes of Course (ILOs) By the end of the course, students should be able to:
2.1. Knowledge and Understanding 2.1.1. Describe the normal surgical anatomy of the human body. 2.1.2. Recognize the surgical developmental disorders associated with common clinical conditions. 2.1.3. Classify the surgical problems as congenital, traumatic, inflammatory and neoplastic. 2.1.4. Identify the risk factors, clinical picture, differential diagnosis, complications and investigations of each surgical disease which may be met within common practice and the life threatening conditions. 2.1.5. Point out the indications, contraindications, the relative advantages and disadvantages of various therapeutic modalities (operative and non operative) for common and life threatening surgical illnesses. 2.1.6. Identify proper methods of surgical intervention for common and life threatening illnesses (whether non invasive or invasive). 2.1.7. Learn the basics of pre- and postoperative care. 2.1.8. Outline the steps, complications and the expected outcomes of every surgical procedure and how to manage these complications.
2.2.practical and clinical skills:
By the end of the course, students should be able to:
2.2.1. Recognize the basic principles of formulating specific clinical sheets (complete and focused surgical history) and the art of utilizing sources of information. 4
Benha Faculty of medicine
Department of general surgery
Course specification
2.2.2. Perform surgical assessment (examination & evaluation) for a patient to reach the provisional diagnosis. 2.2.3. Outline the routine and specific investigations of each surgical disease to reach the final diagnosis. 2.2.4. Prepare the patient in the pre-operative period (general and specific). 2.2.5. Manage life-threatening, injured and serious conditions with instituting appropriate initial therapy (first aid measures). 2.2.6. Perform routine technical procedures, diagnostic and therapeutic (including life support). 2.2.7. Observe, control of pain and manage the patient in the post operative period. 2.2.8. Write safe prescriptions of different types of drugs for the surgical patients based on weight, age and health conditions.
2.3. Professional attitude and behavioral skills: 2.3.1. Demonstrate respect for patients rights and involve them and/or their caretakers in management decisions. 2.3.2. Complies with the requirements of the national code of ethics issued by the Egyptian Medical Syndicate. 2.3.3. Conduct counseling sessions for prevention& control of different conditions for healthy individuals, for patients as well as their families. 2.3.4. Select the most appropriate and cost effective therapeutic procedures for each problem.
2.4. Communication skills: 2.4.1. Establish good relations with other health care professionals regardless their degrees or rank. 2.4.2. Cope up with difficult situations as breaking news. 2.4.3. Show sympathy to the patients and their relatives in situations of stress and 5
Benha Faculty of medicine
Department of general surgery
Course specification
grief. 2.4.4. Respect patients and their relatives, superiors, colleagues and all members of the health profession.
2.5. Intellectual skills: 2.5.1. Combine the clinical and investigational database to be proficient in clinical problem solving. 2.5.2. Generate a list of initial diagnostic hypotheses for each problem. 2.5.3. Adopt the questioning approach to own work that of others to solve clinical problems. 2.5.4. Design an initial course of management for stabilization of patients with serious illnesses. 2.5.5. Classify factors that place individuals at risk for disease or injury to determine strategies for appropriate response.
2.6. General and transferable skills: 2.6.1. Establish life long self learning required for continuous professional development. 2.6.2. Retrieve, manage and manipulate information by all means including electronic means. 2.6.3. Present information clearly in written, electronic and oral forms. 2.6.4. Work effectively as a member or a leader of an interdisciplinary team.
3. Course contents: N of hours
Topic
Total
Lectures
Practical
1
Fractures& orthopedics
45
15
30
2
genitourinary surgery
40
10
30
3
Cardiothoracic surgery
26
6
20
4
Neuro surgery
35
10
25
5
Anaesthesia
20
5
15
6
Benha Faculty of medicine
Department of general surgery
Course specification
6
Pediatric surgery
35
10
25
7
Plastic surgery &burns
25
10
15
8
General surgery &
350
150
200
576
216
360
Skin and soft tissue Vascular surgery Faciomaxillary
and
oral
cavity Endocrine &breast Abdominal wall peritoneum Gastro intestinal tract Hepatopancreatico-biliary Spleen Total
4. Teaching and Learning Methods 4.1. Methods used: 1
Modified lectures and demonstrations
2 1.
Discussion groups &seminars &conferences &rounds and tutorial sessions
3 2.
Clinical bedside instructions
4
Operation room instructions
5
Self instructions and self directed learning
6
Small group discussion.
7
Problem solving.
Method Modified lectures
Clinical classes Small group discussions
Evidence
ILOs
CDs of lectures including 2.1.1-----2.1.8 (video films, brain storming, problem solving, etc……….) Clinical rounds on patients 2.2.1.----2.2.8 & x- rays Demonstration photographs and 7
( 2.1.1.----2.1.8 Video
Benha Faculty of medicine
Department of general surgery
Course specification
films). Problem solving
Case scenarios
Out patient & emergency Attendance criteria attendance
2.5.1.----2.5.5 2.2.1.----2.2.8 2.3.1----2.3.4 2.4.1----2.4.4 2.6.1-----2.6.4
4.2. Teaching plan: Lectures: One group of students. 5 times /week, time from 1 p.m. to3 p.m. Tutorials: Division of the students into 3 groups. 5 times /week, time from 8 a.m. to 10 a.m. Clinical classes: Division of the students into 3 groups. 5 times /week, time from 10 a.m. to 12 p.m.
Time plan:
Hours / week Total hours 6hrs/week for 36 216 hrs weeks 3 hrs/week for 24 72 hrs weeks 12 hrs/day for 24 288 hrs weeks 6hrs/week for 36 576 hrs weeks 15hrs/week for 24 weeks
1- Lectures 2- Small group teaching / tutorials 3- clinical Total
5. Student Assessment Methods: 5.A. Attendance criteria: the student should attends at least 75% of the course.
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Benha Faculty of medicine
Department of general surgery
Course specification
5.B. Assessment tools:
Tool Written examination
Purpose (ILOs) To assess knowledge acquisition, including MCQs and problem solving
Oral examination
To assess understanding and stability of knowledge given, attitude and presentation.
Clinical examination
To assess practical skills.
5.C. Time schedule: Exam
Week
1- First half of the academic year
6
2- Mid-year exam
24
3- Second half of the academic year
6
4- Practical exam
48
5- Final exam
48
5.D. Weighting of Assessments: Examination 1- Shock exam 2- First half 3- Mid-year 4- Second half 5- Final exam: a- Written: b- Practical: c- Oral: 6- Assignment and other activities: Total
Marks allocated 45 135 -
% of total marks 5% 15% -
450 180 90 900
50% 20% 10% 100%
The minimum passing & passing grades: Faculty bylaws: 60%
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Benha Faculty of medicine
Department of general surgery
Course specification
Formative assessment: Student knows his marks after the formative exams. 5.E. Examinations description: Examination Description 1- Shock exam MCQs & complete 2- First half 3- Mid-year MCQs & true and false 4- Second half 5- Final exam: a- Written: MCQs, short essay questions & problem solving b- Practical: Case study ( 1 long case & 2 short cases) c- Oral: 2 sessions ( oral and operative) 6- Assignment and other activities: Total
6- List of References: 6.1- Basic materials: course notes prepared by some of the professors in the department. 6.2 Essential Books (Text Books) Bailey &Love(short practice of surgery): edited by Russell.,R.C.G.,Williams,N.S &Bulstrode,C.J.K.,2004,Arnold-London. Clinical surgery , edited by Michael M. Henry & Jeremy N. Thompson, 2nd edition ,2005 ,Elsevier , London & Sydny & Toronto. 6.3. Recommended books: Kasr El aini (Introduction to surgery): Galal.S., Barsoum M., Mohsen, A., Fawzy T. and Abdel halim S., 2005, Cairo university book center, Cairo – Egypt.
6.4. Periodicals and Web sites: 10
Benha Faculty of medicine
Department of general surgery
Course specification
6.4.a. Periodicals:
British journal of surgery. American journal of surgery. 6.4.b. Web sites:
www.emedicine.com. www.midline.com.
7- Facilities Required for Teaching and Learning: Facilities used for teaching this course include: Lecture halls. Data shows & computer assistance. Endoscopes. Small group classes. Instruments. Operating rooms.
Head of Department: Prof Dr. Mohammed Mostafa Abd Elwahab. Date: 10-9-2012
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Benha Faculty of medicine
Department of general surgery
12
Course specification
Benha Faculty of medicine
Department of general surgery
13
Course specification
Benha Faculty of medicine
Department of general surgery
Course specification
General surgery Code: MED 0715 Course ILOs Matrix 2.2. Practical and Clinical skills
2.1. Knowledge and understanding
2.4. Communication 2.5. Intellectual skills Skills
× × × ××
2Genitourinary surgery
× × × × × ×
× × × ×
× ×
×
× × × ××
3- Cardiothoracic surgery
× × × × × ×
× × × ×
× ×
×
× × × ××
4- Neuro surgery
× × × × × ×
× × × ×
× ×
×
× × × ××
× ×
×
×
5- Anesthesia 6surgery
Pediatric
7- Plastic surgery & burns
× ×
×
× × × × × ×
× × × ×
× ×
×
× × × ××
× ×
× × × × × × ×
×
× × × ××
× × ×
14
2.6.6 2.6.5
×
2.6.4
× ×
2.6.3
× × × ×
2.6.2
× × × × × ×
2.6.1
1- Fractures & orthopedics
2.6. General and transferable Skills 2.5.6
2.5.5
2.5.4 2.5.3
2.5.2
2.5.1
2.4.7 2.4.6
2.4.5 2.4.4 2.4.3 2.4.2 2.4.1
2.3.8
2.3.7
2.3.6
2.3.5
2.3.4
2.3.3
2.3.2 2.3.1
2.2.8 2.2.7
2.2.6
2.2.5
2.2.4
2.2.3
2.2.2
2.2.1
2.1.8
2.1.7
2.1.6
2.1.5
2.1.4
2.1.3
2.1.2
Course
2.1.1
ILOs
2.3. Professional and Behavioral skills
Benha Faculty of medicine
Department of general surgery
Course specification
8- General surgery, Skin and soft tissue Vascular surgery Faciomaxillary.
× × × × × ×
× × × ×
× ×
×
× × × ××
oral cavity, Endocrine & breast
Abdominal wall peritoneum Gastro intestinal tract Hepatopancrea tico-biliary Spleen
15