Surgery course specification

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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

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