1 F Fa ac c u ul l t t y y o of f M Me e d di i c c i i n ne e A Ai i n n S S h ha am ms s U Un ni i v ve e r r s s i i t t y y Postgraduate Studies Diploma in Physical Medicine, Rheumatology and Rehabilitation Program Code: PRR900 Program Guide and Logbook
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1
FFaaccuullttyy ooff MMeeddiicciinnee
AAiinn SShhaammss UUnniivveerrssiittyy
PPoossttggrraadduuaattee SSttuuddiieess
Diploma in Physical Medicine, Rheumatology
and Rehabilitation
PPrrooggrraamm CCooddee:: PPRRRR990000
Program Guide and
Logbook
2
3
C a n d i d a t e C u r r i c u l u m v i t a e
[Name]
Please attach your recent photo photo here.
[telephone no]
[mobile no]
[mailing address]
[email address]
[postcode]
Experience
[organization]
[your present job title]
[start date]
[location]
[responsibilities]
[organization]
[previous job title]
[start and end date]
[location]
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[responsibilities]
[organization]
[previous job title]
[start and end date]
[location]
[responsibilities]
Education
[certificates]
[start and end date]
[school or college]
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Training
[any other training that will be useful in your job]
Filled by post graduate authorities
Date of Registration
First semester _______________________
Second semester _______________________
Third semester _______________________
Fourth semester _______________________
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TABLE OF CONTENTS:
Page
I – Welcome Statement
II - Mission Statement
III – Senior supervisor and affiliated departments and Hospitals
IV – Program specifications
1 - Basic Information
2 - Professional Information
3 – Academic standards
4 - Curriculum structure and contents
5 - Programme courses:
6. Programme admission requirements:
7. Regulation for progression and program completion
8- Course specification appendix:
First part:
Applied Anatomy
Applied Physiology
Applied Physics
Basic Immunology
Pharmacology
General Medicine
General surgery
Second part:
Rheumatology
Physical Medicine & Rehabilitation
Electrodiagnosis & Electrotherapy
V - General information
VI – Your log book
1 – Introduction
2 - Supervisors, Trainers and/or Educators
3 - Tables for training records
4 – Log book preview
VII - Head of department approval for the exam entry
Detachables forms:
VIII – Thesis follow up
IX - Evaluation forms
7
I – WELCOME STATEMENT: The Department of Physical Medicine, Rheumatology and
Rehabilitation welcomes you to the Diploma in Physical Medicine,
Rheumatology and Rehabilitation.
As a department we are committed to medical student education and
continuously strive to improve your educational experience.
This handbook presents information guide and logbook activity of
the Diploma in Physical Medicine, Rheumatology and
Rehabilitation, administered by the Physical Medicine,
Rheumatology and Rehabilitation Department - Faculty of Medicine
- Ain Shams University.
II - MISSION STATEMENT: The mission of the Faculty of Medicine, Ain Shams University is
―The preparation of a competent graduate, who is able to compete on both
national and regional levels, capable of lifelong learning, training and tutoring,
while adhering to the codes of practice of medical health services and ethics. The
college as well, seeks continuous development of programs and courses. It also
enhances expansion of applied scientific research and health programs for
community services and environmental development. Moreover, through
providing distinguished academic and research cadres of teaching staff,
supporting the administrative system and sustainability of own resources, the
college is able to achieve goals and objectives”.
The mission of this degree is to prepare a trained
rheumatologist physiatrist with professional skills and a leading
role in his practice.
III – SENIOR SUPERVISOR AND AFFILIATED DEPARTMENTS AND HOSPITALS
SENIOR SUPERVISOR Prof.
-------------------------------
-------------------------------
-------------------------------
E-mail:
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AFFILIATED DEPARTMENTS AND HOSPITALS ------------------------------
Physical Medicine, Rheumatology and Rehabilitation Department,
Faculty of medicine - Ain Shams University
Military Rheumatology & Rehabilitation center in Agouza
IV – PROGRAM SPECIFICATIONS
A- Basic Information
1. Programme title:
Diploma degree of Physical Medicine, Rheumatology and
Rehabilitation
2. Programme type: Single
3. Faculty
Faculty of Medicine - Ain Shams University
4. Department
Physical Medicine, Rheumatology and Rehabilitation department
5. Assistant co-ordinator
………………………………………………
6. Co-ordinator
………………………………………………
7. Last date of program approval:
……………………………………………………………
B- Professional Information:
1. Programme aims: This program should be able to:
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1. Enable the candidates to keep with the international standards of patient
care by achieving high levels of:
a. Clinical skills
b. Bedside care skills
2. Introduce the basis of scientific rheumatology and rehabilitation
researches.
3. Provide the candidates with the Diploma that enables them to be
specialists as efficient professional physiatrists & rheumatologists in
Egypt, to pursue higher studies and degrees and finally to understand and
get the best of published scientific researches and keep updated.
2. Intended learning outcomes (ILOs):
a. Knowledge and understanding:
By the end of the program the candidate will be able to:
a1 - Identify the anatomy of the different joints of the upper and
lower limbs with muscles acting on them with the biomechanics of
the studied joints, have a thorough knowledge of the brain and spinal
and cranial nerves and discuss the anatomy of the vertebral column
and the spinal cord and to outline the major clinical applications of
anatomical facts.
a2 - Understand the physiology of the cardiovascular system , central
nervous system, the physiology of the muscle and nerve, the
physiology of the respiration, the effects of the exercise on the
cardiovascular and respiratory systems and the the physiology of
metabolism, bone physiology, thermoregulation and the physiology
of exercise.
a3 - Differentiate physical basis of the different electrotherapeutic
modalities in order to understand the base for later application on
apparatus used in physical therapy
a4 - Understand the basic immunologic background and the role of
the immune system in the pathogenesis and diagnosis of some
rheumatic diseases.
10
a5- Understand and be able to compare the different rheumatic
diseases, their epidemiology, aetiology, pathogenesis, pathology,
clinical picture, investigations and treatment.
a6- Understand the basic aspects of the rehabilitation program
including remedial exercise , occupational therapy and improving
activities of daily living and the specific rehabilitation of the
different diseases(neurologic , orthopedic and rheumatic)
a7- Differentiate the different electrotherapeutic modalities: their
indications and contraindications, effects and side effects, and
methods of application
a8- Identify the different types of orthosis and prothesis and walking
aids, their indications and fitting and how to follow them up.
a9- Understand the basic principles of electrodiagnosis (nerve
conduction and EMG) and to know the electrodiagnostic picture of
different diseases and differentiate between neuropathic and
myopathic lesions
a10- Know the diagnosis and the management of neurologic and
related medical and surgical conditions and the role of rehabilitation
in each
a11- Understand the basic pharmacokinetics of drugs involved in
the speciality, describe their mechanism of action, doses, indications,
contraindications, interactions, side effects, precautions and
limitation of use in specific conditions, advantages and
disadvantages of different drugs as well as of alternative therapies.
a12- Discuss the common medical problems presenting in primary
health care setting, their diagnosis, prevention and treatment, their
clinical manifestations and differential diagnosis, the early
manifestations of serious diseases (e.g. malignancy, emergencies
…etc) as well as recognizing the normal aging process and identify
age related diseases and variable causes of disability in old age.
a13- Understand important and relevant surgical diseases, their
clinical manifestations, complications, diagnosis, prognosis and
treatment, required rehabilitation and appropriate orthotics and
prosthetics, recognize the ethical principles that govern decision-
11
making in surgical practice, the principles and practice of
preoperative preparation and postoperative care as well as the basic
principles of anesthetic techniques and materials.
a14- Understand the mutual influence of medical practice and
environment.
a15- Understand scientific advances in the field of speciality
a16- Understand the ethical principles and legal principles of
medical practice in the field of speciality
a17- Understand the principles of quality in medical practice in the
field of speciality
a18- Understand the basics and ethics of scientific research.
b. Intellectual capabilities: By the end of the programme the candidate will be able to:
b1- Analyze clinical findings of various rheumatological disorders to
put differential diagnosis, choose appropriate diagnostic procedures
and interpret their results, design treatment plan according to reached
diagnosis, evaluate prognosis and complications incorporating his
knowledge and patient’s preferences in a cost effective manner.
Understand the differential diagnosis of the different rheumatic
conditions and design diagnostic protocol for the different rheumatic
problems
b2 - Interpret symptoms and signs of various disorders, differential
diagnosis and their rehabilitative aspects, choose the appropriate
laboratory & radiological investigations and interpret the results,
provisionally diagnose different musculoskeletal and neurological
disorders and their rehabilitational issues, design appropriate
rehabilitation plans and make decisions according to specific
different clinical situations using problem solving skills
Design a rehabilitation program for patients with different diseases
(including occupational and vocational rehabilitation) -
b3- Select appropriate electrotherapeutic modalities and
electrodiagnostic procedures for various conditions, understand their
uses, hazards and interpret the results.
12
Design a home program for the patient to accomplish activities of
daily living.
b4- Comprehend and describe the biomechanics of the different
joints, gait cycle, the anatomy of all the joints,muscles,nerves (spinal
and cranial) and the vertebral column of the body
b5- Interpret important physiological laboratory results (blood,
respiratory, neuromuscular), to distinguish a physiological from a
pathological condition, clinical parameters such as: ABP, ECG,
nerve conduction velocity & pulmonary functions for a normal
individual and integrate physiology with other basic and clinical
sciences.
b6- Evaluate the drug dose, drug history, side effects, describe the
various prescriptions suitable for various cases with awareness of the
precautions in specific circumstances.
b7- Comprehend the mechanisms of the lever systems, mechanisms
of various physical modalities and their therapeutic effects.
b8- Understand the difference between innate and acquired
immunity, the various immunological responses and the role
individual component of the immune system.
b9- Analyze symptoms & signs to put differential diagnosis for
common presenting complaints, design diagnostic plan and
evaluation prognosis and the risks, interpret the results of commonly
used diagnostic procedures, and institute the appropriate diagnostic,
preventive, and therapeutic interventions, construct treatment plan,
incorporating his knowledge, best available evidence, and patient’s
preferences in a cost effective manner.
b10- Interpret and analyze clinical and laboratory findings to reach
the diagnosis of relevant surgical diseases evaluate the prognosis and
risks, apply decision making for surgical interference and related
rehabilitation measures
b11-Analyze and evaluate and integrate different knowledge given
information to solve problems (sometimes in absence of some
givens).
13
b12- Perform a scientific research study about a certain research
problem
b13- Estimate the risks related to speciality practice.
b-14 Make desicions in various professional conditions and plan for
better performance in the speciality
c. Professional and practical skills:
By the end of the program the candidate will be able to:
c1- Examine the different joints of the body.
c2- Interpret the normal anatomical structures on radiographs,
ultrasonography, CT scan and nuclear MRI.
c3- Perform the most important respiratory function tests and manipulate a
stethoscope for hearing heart and respiratory sounds.
c4- Present physiological scientific data in a graphical form.
c5-Differentiate between the different types of electrical current
and their uses.
c6- Apply the physical facts while treating the patient to convey maximum
efficiency from physical therapy and to avoid complications.
c7- Correlate the various drugs with their practical use as therapeutics
in various diseases and to differentiate between the different
indications and doses of the same drug in different disorders.
c8- Apply the pharmacological knowledge in research work.
c9- Read and evaluate scientific literature related to immunology and
to interpret the immunological techniques.
c10- Conduct a full neurological examination.
c11- Conduct a full rheumatologic examination.
c12- Conduct a nerve conduction and EMG investigation.
c13- Apply different electrotherapeutic apparatus on the different
body parts for different indications
c14- Use orthotics and prosthetics for their different indications
c15- Design a diet regimen and use acupuncture to treat different weight
disorders
c16- Perform arthrocenthesis and intra and extra articular injections
14
c17- Write and evaluate various medical reports related to the
speciality, case reports, electrophysilogical studies reports and
prescriptions
c18- Evaluate various modalities and tools related to the speciality
c19- Apply various courses knowledge (Anatomical facts,
لمههدة سههتة اسههابيي ف و منصهف فبرايههرف مههي تنصههيم فصههل دراسهى صههيفى مكثههفيتم التسجيل لمفصل الدراسى قبل اسبوعين مهن بدايتهو عمهى االقهل بعهد إستيفاء الشروط حسب المقهررات المسهجمةف والينب هى أن يزيهد العهبء الدراسهى
سههاعات معتمههدةف ويجههوز لمطالههب تعههديل المقههررات 6فههى الفصههل الواحههد عههن اسهى ) بالحه ف او االضهافة(ف كمها يجهوز خالل اسبوعين من بداية الفصل الدر
لو االنسحاب خالل ستو اسابيي من احد المقرارت دون احتسابو راسبًا فيوف Assessment Schedule and Weighing of Assessments
Item Mark
Po
ints
GP
A
sco
re
بطال
اللة
حا
Stu
den
t
sta
te
During
semester
End of
semester Total
First semester (If present) 100 300 400
Second semester 100 100
Third semester 100 100
Fourth
semester
Final exam
Written
900 900
Oral
Practical
/Clinical
Total 300 1200 1500
19
عمى الوجو التالى:منقاط ممحوصة: تعادل درجات الطالب طبقا ل
وقاط 4 : % فأكثر 99 -1 A
وقاط ,666 : % 99% حتى أقل من 85من -2 A-
وقاط 6666 : %85% حتى أقل من 89من - 3 B+
وقاط 6655 : %89% حتى أقل من 75من - 4 B
وقاط ,766 : %75% حتى أقل من 79من - 5 B-
وقاط 7666 : %79% حتى أقل من 65من - 6 C+
وقاط 7655 : %65% حتى أقل من 62من -7 C
وقاط ,166 : %62% حتى أقل من 69من - 8 C-
F صفر : %69أقل من - 9
درجة منها 1299الماجستير مجموا درجات االمتحان النهائى لمدبموم العالى و درجة منها 1599درجة لمجزء األول ومجموا درجات االمتحان النهائى لمدكتوراه 399مى التراكمى بما يوازى صدرجة لمجزء األول إن وجدف ويضاف إليها المعدل الف 399 .درجة لمدكتوراه 499درجة لمدبموم العالى والماجستير و 399
مضروبًا فى عدد ساعاتو المعتمدة مقسومًا عمى مجموا الساعات المعتمدة الكميةف
أو والماجسههتير فههى الههدبموم أمقههررات الفههى حالههة الرسههوب فههى مههادة أو مجموعههة مههن ويتم حسهاب التقهدير الفعمهى اله ى يحصهل يتم اإلعادة فى المادة أو المجموعة فقطف الدكتوراه
Program on which the course is given: Diploma in Physical
Medicine, Rheumatology and Rehabilitation.
Major or minor element of programs: Major
Department offering the program: Physical Medicine,
Rheumatology and Rehabilitation.
Department offering the course: Physical Medicine, Rheumatology
and Rehabilitation.
Academic year / Level: First semester
Date of specification approval: ……………………………..
A- Basic Information
Title: Basic Immunology Code: PRR9005
Credit Hours: 1 Lecture: 14
Tutorial: 1 Total: 15
Coordinator
--------------------------------
B- Professional Information
1- Course Aims:
1- To provide basic scientific knowledge concerning
immunology
2- To correlate immunological concepts and disorders with
their clinical applications in the field of Physical Medicine,
Rheumatology & Rehabilitation
3- To provide an understanding of the immunological basis for
new lines of treatment for various rheumatological disorders
2- Intended Learning Outcomes (ILOs) from the Course:
37
a- Knowledge and understanding
By the end of the course the candidate will be able to:
a1- Describe the basic principles of immunology
a2- Understand the various immunological techniques involved in
diagnosis
a3- Outline major clinical applications of immunology in the field of
Physical medicine, Rheumatology and rehabilitation
b- Intellectual skills
By the end of the course the candidate will be able to:
b1- Understand the difference between innate and acquired
immunity.
b2- Understand the various immunological responses
b3- Comprehend the role individual component of the immunity
system.
c- Professional skills
By the end of the course the candidate will be able to:
c1- Interpret immunological techniques
c2- Read and evaluate scientific literature related to immunology
d- General and transferable skills
By the end of the course the candidate will be able to:
d1- Access data and information related to the course subjects from
the internet and use computer and power point presentation.
d2- Develop self professional, scientific, and personal attitude
towards continuous education.
d3- Cooperate in teams
d4-Conduct a research.
d5-Evaluate other team-members performance.
3- Course content:
Topics No. of hours
38
L T C/P SDL
SECTION I – INTRODUCTION TO THE
IMMUNE SYSTEM
1. Properties and overview of the immune
system ½
2. Innate immunity ½ 3. Cells and tissues of the adaptive immune
system – cell migration & adhesion
molecules
1
SECTION II – RECOGNITION OF ANTIGENS 4. Antibodies and antigens 1 5. The major histocompatibility complex 1 6. Antigen processing and presentation to T
lymphocytes 1
7. Antigen receptors and accessory molecules
of T lymphocytes 1
SECTION III MATURATION, ACTIVATION
AND REGULATON OF LYMPHOCYTES
8. Lymphocyte development and rearrangment
and expression of antigen receptor genes 1
9. Activation of lymphocytes 1 10. B cell activation and antibody production 1 11. Immunological tolerance ½
SECTION IV EFFECTOR MECHANISMS OF
IMMUNE RESPONSES
12. Cytokines ½ 13. Effector mechanisms of cell mediated
immunity ½
14. Effector mechanisms of humoral immunity
– The Complement ½
SECTION V – THE IMMUNE SYSTEM IN
DEFENSE AND DISEASE
15. Immunity to microbes ½ 16. Transplantation immunity ½ 17. Immunity to tumors ½ 18. Diseases caused by immune responses : ½
39
Hypersensitivity and Autoimmunity
19. Immediate hypersensitivity ½ 20. Congenital and acquired
immunodeficiencies ½
IMMUNOLOGICAL TECHNIQUES 1
L: Lecture, T: Tutorial, C/P: Clinical or Practical and SDL: Self
directed learning
4 - Student Assessment Methods
4.1-Written exam: to assess knowledge and understanding and to
assess the ability of problem solving
4.2-Oral exams: to assess knowledge and understanding
Weighing of assessment:
Written exam 30
Oral exam 20
Total 50
5 -- List of References
5.1- Course Notes (paper and / or electronic)
Lecture notes handed hand by hand
5.2- Essential Books (Text Books)
Roitt’s essential immunology
Basic immunology (Abul K Abbas)
5.3- Recommended Books
Cellular & molecular immunology (Abul K Abbas)
5.4- Periodicals, Web Sites, etc
http://www.immunologylink.com
http://www.immunology.utoronto.ca/site5.aspx
http://www.aai.org/default.asp
40
Internal medicine Course specifications
Program(s) on which the course is given: Master in Physical Medicine,
Rheumatology and Rehabilitation.
Major or minor element of programs: Major
Department offering the program: Physical Medicine, Rheumatology
and Rehabilitation.
Department offering the course: Internal medicine Department.
Academic year / Level: First semester
Date of specification approval ………………………………………..
A- Basic Information
Title: Internal medicine Code: PRR9006
Credit Hours: 0.75 Lecture:10
Tutorial: 2 Practical: Total: 12
Coordinator
Internal Medicine Department
B - Professional Information
1- Course Aims:
1. To support acquisition of knowledge and understanding of health
and its promotion, and of disease, its prevention and management.
2. To enable the student to acquire and become proficient in basic
clinical skills such as obtaining
a patient’s history, undertaking a comprehensive physical and mental
state examination, interpreting the findings and constructing
diagnostic and treatment plans.
3. To enable the students to acquire and demonstrate attitudes
necessary for the achievement of high standards of medical practice,
in relation to the provision of care of individuals and populations
4. To train the student how to fully examine the patient, reach
provisional diagnosis and recommend suitable investigations.
41
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 common medical problems presenting to doctors - in
primary health care setting, hospital and community - their diagnosis,
prevention and treatment.
a2. Identify disease in terms of mental, functional and physical
processes
a3. State the clinical manifestations and differential diagnosis of
common medical disorders with an emphasis on the incidence of the
different manifestations and their relative importance in establishing
diagnosis, and the early manifestations of serious diseases (e.g.
malignancy, emergencies …etc)
a4. Recognize the normal aging process in terms of physiologic and
clinical manifestations and identify age related diseases and variable
causes of disability in old age.
b- intellectual skills
By the end of the course the candidate will be able to:
b1. Analyze symptoms & signs and construct a differential diagnosis
for common presenting complaints.
b2. Design an appropriate diagnostic plan for evaluation of common
presenting complaints which is appropriate in terms of the
differential diagnosis, the severity of the clinical situation and the
risks, benefits and costs to the patient.
b3. Accurately interpret the results of commonly used diagnostic
procedures
b4. Identify risk factors for disease processes and injury, and institute
the appropriate diagnostic, preventive, and therapeutic interventions.
b5. Construct treatment plan, incorporating his knowledge, best
available evidence, and patient’s preferences in a cost effective
manner.
42
c- Professional skills
By the end of the course the candidate will be able to:
c1. Take a thorough history of appropriate depth and detail, relative
to the clinical context.
c2. Demonstrate a complete and/or problem-focused physical
examination.
c3. Recognize urgent life-threatening conditions, and institute
appropriate initial management.
c4. Safely perform routine diagnostic and therapeutic procedures,
including life support.
c5. Use appropriate sterile technique, Comply with and use universal
precautions.
d- General and transferable skills
By the end of the course the candidate will be able to:
d1. Establish trust with the patient.
d2. Explain to the patients and their relatives the nature of illness, the
diagnostic and therapeutic options and Recommend life style
modification in compassionate and ethical way.
d3. Respond effectively to a patient’s emotional and psychosocial
concerns.
d4. Interact and communicate effectively with other health care
professionals.
d5. Manage time effectively and demonstrate skills needed for life
long learning.
3- Course content:
Internal Medicine No. of hours
L T C/P SDL
1- Cardiovascular diseases
Hypertension, ischemic heart diseases and heart
failure.
1
43
2-Chest diseases
Chronic obstructive pulmonary disease, acute and
chronic lung abscess, pleural effusion and lung
cancer.
1
3-Metabolism (acidosis, alkalosis, electrolyte
disorders)
1
5- Endocrinology
DM, parathyroid, thyroid, cushing and adissons
syndromes.
1
5- Kidney and urinary tract diseases, acute RF,
chronic RF, nephritic syndrome, nephritic
syndrome, acute and chronic glomerulonephritis.
1
6- CVstroke, Ataxia and cerebellar diseases 2 1
7-Diseases of muscles and disorders of
neuromuscular junction and Motor neuron diseases
1 1
8-Parkinson’s disease and other movement
disorders
1
9- Non traumatic disorder of the spinal cord and
Multiple sclerosis
1
L: Lecture, T: Tutorial, C/P: Clinical or Practical and SDL: Self directed
learning
4 - Student Assessment Methods
Written exam: 20
Clinical exam: 15
Total 35
5 -- List of References
5.1. Course Notes (paper and / or electronic)
Lecture notes handed hand by hand
5.2. Essential Text book
5.3. Recommended books
-DAVIDSON'S Principles and Practice of Medicine.
-Clinical Medicine KUMMAR and CLARK.
-1000 MCQs for DAVIDSON'S Principles and Practice of Medicine.
-MCQs for Clinical Medicine KUMMAR and CLARK.
-HUTCHISON’S Clinical Methods.
44
-Clinical Examination, MACLEOD, MUNRO.
- A Guide to Physical Examination, Barbara Bates.
5.4. Periodicals & websites
General surgery Course specifications
Program(s) on which the course is given: Diploma in Physical Medicine,
Rheumatology and Rehabilitation.
Major or minor element of programs: Major
Department offering the program: Physical Medicine, Rheumatology
and Rehabilitation.
Department offering the course: Surgery Department.
Academic year / Level: First semester
Date of specification approval ………………………………………..
A- Basic Information
Title: General Surgery Code: PRR9007
Credit Hours: 0.75 Lecture: 12
Tutorial: 0 Practical: 0 Total: 12 hrs
Coordinator
Surgery Department
B - Professional Information
1- Course Aims:
1. To provide the candidate with the knowledge, and skills which
enable him/her to identify, analyze, manage and/or refer relevant
clinical surgical problems in order to provide efficient, cost effective
and humane patient care.
2. To provide the candidate with an appropriate background covering
the relevant surgical emergencies.
3. To enable the development and application of appropriate
professional attitudes, ethical principles and communication
45
4. To develop the ability to diagnose the basic surgical affections via
clinical and laboratory findings.
5. To acquire the basic principles of related surgical interferences.
6. To introduce the different methods, materials and techniques of
anesthesia
2- Intended Learning Outcomes (ILOs) from the Course:
a- Knowledge and understanding
On successful completion of the course, the student should be able
to:
a1- Describe the etiology, pathogenesis and pathology of important
and relevant surgical diseases.
a2- Discuss the clinical manifestations, complications, diagnostic
modalities, outcome and treatment plans for relevant surgical
problems.
a3- Understand the importance of rehabilitation in the treatment of
surgical problems.
a4- Recognize the appropriate orthotics and prosthetics needed in the
different surgical conditions.
a5- Recognize the ethical principles that govern decision-making in
surgical practice.
a6- Discuss the principles and practice of preoperative preparation
and postoperative care.
a7- Acquire Knowledge about the basic principles of anesthetic
techniques and materials.
a8- Understand scientific advances in surgery.
.b- Intellectual skills
By the end of the course the candidate will be able to:
b1- Interpret and analyze clinical and laboratory findings to reach the
accurate diagnosis of relevant surgical diseases.
46
b2- Analyze and predict the prognosis and consequences of surgical
affections.
b3- Apply decision making of suitability of using a defined surgical
interference and related rehabilitation measures with appropriate
orthotics and prosthetics.
b4 – Learn decision making of suitability of using defined anesthetic
techniques and related complications.
b5-Analyze and evaluate and integrate different knowledge given
information to solve problems (sometimes in absence of some
givens).
c- Professional skills
By the end of the course the candidate will be able to:
c1- Get experience in clinical diagnosis of surgical affections.
c2- Get ability for surgical interferences and treatment of surgical
affections.
c3- Use gained surgical knowledge to apply appropriate
rehabilitation programs
d- General and transferable skills
By the end of the course the candidate will be:
d1- Acquainted with surgery as a tool for treatment of surgical
affections.
d2 Acquainted with Using the specified instruments and devices of
surgery and, anesthesiology.
d3- Enhancement of the ability definition and solving of surgical
problem
47
d4- Conduct sincere and effective patient interviews, properly
explain their condition and plan of management, obtain consents and
convey bad news in a professional way.
d5- Write patient records and properly present them.
d6- Work effectively and cooperatively in a team.
d7- Perform self-evaluation and learning
d8- Uses various sources to acquire medical knowledge
d9- Implement continuous learning
3- Course content:
Topics No. of hours
L T C/P SDL
1-Basic surgery: wound healing, infection and
shock and hemorrhage
1
2-Basic surgery: ulcers and burns &diabetic foot 1
3- Hernia and abdominal wall, breast and thyroid
disorders
1
4- - postoperative care and pain management,
Pulmonary embolism and Cardiopulmonary
resuscitation
1
5- Cardiac surgery; basic principles of heart and
mediastinum surgery & Surgery of lung and
bronchi
1
6 peripheral nerve injury & plexus injury 1
7- Vascular: Chronic ischaemia and Acute
ischemia and vascular trauma
1
8- Vascular: Chronic venous insufficiency and
lymphatic system
1
9- ischemic cerebral vascular stroke and
intracranial hemorrhage
½
10- head and spine injury and disc disease ½
11- traumatology and amputation ½
12- developmental bone disease & metabolic
bone disease
½
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13- long bone deformities & hand surgery ½
14- spine deformities, hydrochephalus,
craniostenosis and spinal dysraphism
½
15- Joint replacement surgeries 1
L: Lecture, T: Tutorial, C/P: Clinical or Practical and SDL: Self
directed learning
4 - Student Assessment Methods
Written exam 25
Clinical exam 10
Total 35
5 - List of References
5.1. Lecture notes handed
5.2. Essential books
5.3. Recommended books
1-Bailey and Love’s Short Practice of Surgery, 23rd Edition.
2- Current Surgical Diagnosis and Treatment, 11th Edition.
3- Browse NL: An introduction to the Symptoms and Signs of
Surgical
Disease.
5.4. Periodicals & websites
Physical Medicine and Rehabilitation (PM&R) Course specifications
Program on which the course is given: Diploma in Physical
Medicine, Rheumatology and Rehabilitation.
Major or minor element of programs: Major
Department offering the program: Physical Medicine,
Rheumatology and Rehabilitation.
Department offering the course: Physical Medicine, Rheumatology
and Rehabilitation.
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Academic year / Level: Second semester
Date of specification approval: …………………………………..
A- Basic Information
Title: Physical Medicine and Rehabilitation Code: PRR9008
Credit Hours: 6 Lecture: 70
Practical: 40 Total: 90hrs
Coordinator
……………………………………………
B - Professional Information
1- Course Aims:
a) To meet the candidate need to complete scientific and clinical
training to be an efficient professional physiatrist
b) To respond to the trainees educational and research training
needs to conduct research in the field of PM&R
2- Intended Learning Outcomes (ILOs) from the Course:
a- Knowledge and understanding
By the end of the course the candidate will be able to: a1- Clinically evaluate a patient from the physical medicine and
rehabilitation point of view and understand methods of evaluation
and assessment
a2- Understand the different domains of rehabilitation
a3- Comprehend different rehabilitation programs to the different
system diseases (cardiovascular, respiratory, orthopaedic, neurologic
and rehabilitation after neurosurgery, movement disorders including
bowel, sexual, rehabilitation for visual and hearing impairment,
vestibular rehabilitation and rehabilitation after prolonged
immobility and for cancer, burn, rehabilitation for low back pain,
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cervical pain, arthritis and connective tissue disorders, rehabilitation
of the injuried athlete and hand rehabilitation)
a4- Understand the physical medicine and rehabilitation problems
and their management (pressure ulcers, spasticity, acute and chronic
pain, emergencies in rehabilitation medicine)
a5- Understand gait, its analysis and rehabilitation of gait related
disorders
a6- Identify the walking aids, different orthotics and prosthetics, the
wheelchair and to understand their specifications, uses, applications
and indications
a7- Understand scientific advances in physical medicine &
rehabilitation.
a8- Understand the ethical principles and legal principles of medical
practice in physical medicine & rehabilitation.
a9- Understand the basics and ethics of scientific research.
b- Intellectual skills
By the end of the course the candidate will be able to:
b1- Interpret the most important symptoms and signs of various
disorders and their rehabilitative aspects.
b2- Choose the appropriate laboratory & radiological investigations
and interpret the results.
b3- Provisionally diagnose different musculoskeletal and
neurological disorders and their rehabilitational issues.
b4- Design appropriate rehabilitation management plans for various
disorders
b5- Make decisions according to specific different clinical situations
using problem solving skills
b6-Analyze and evaluate and integrate different knowledge given
information to solve problems (sometimes in absence of some
givens).
b7- Perform a scientific research study about a certain research
problem
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b8- Make desicions in various professional conditions and plan for
better performance in the speciality
c- Professional skills
By the end of the course the candidate will be able to:
c1- Examine skillfully a patient with rheumatologic, neurologic,
orthopaedic and different medical and surgical conditions and to
elicit the proper physical signs and to differentiate between the
different diseases
c2- Use the clinical findings together with medical history to
formulate a differential diagnosis, plan for suitable investigations,
interpret them and reach diagnosis
c3- Know indications and applications of different orthosis and
prosthesis
c4- Perform proper different intraarticular & soft tissue injections as
well as aspiration.
d5- Write and evaluate various medical reports related to the physical
medicine & rehabilitation, case reports,
d6- Evaluate various modalities and tools related to physical
medicine & rehabilitation.
d7- Apply various courses knowledge related to physical medicine &
rehabilitation in form of skills: taking medical history, performing
physical examination & order appropriate investigations (laboratory,
radiological or any other tests) and interpret them to reach diagnosis
and prescribe medication and or apply other therapeutic option in
physical medicine & rehabilitation.
d8- Use appropriate study design, statistical method & analysis and
apply ethical judgement, patient respect in practice and research
d- General and transferable skills
By the end of the course the candidate will be able to:
d1- Adopt the habit of life-long learning
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d2- Communicate, explain and discuss with the patient the diagnosis,
the need for further investigations, available management options,
their risks & benefits.
d3- Identify the need for other specialities intervention or referral.
d4- Lead and co-operate effectively with the professional team work
involved together in patient rehabilitation
d5- Use computer skills and various information technology
d6- Work in groups and lead a team
d7- Perform effective communication
d8- Perform self-evaluation and learning
d9- Uses various sources to acquire medical knowledge
d10- Evaluate other team-members performance
d11- Implement Continuous learning
3-Course content:
The course contains 4 sections studied over 2 semesters
Topics No. of hours
L T C/P SDL SECTION I – EVALUATION
1. Physiatric history & examination 2 2 2. Examination of the pediatric patient 1 2 3. Adult communication disorders 1 4. Psychological perspectives on
Rehabilitation 1
5. Gait analysis 1 6. Functional assessment and Disability
19. Wheel chair prescription 1 1 SECTION III – COMMON CLINICAL
PROBLEMS IN PHYSICAL MEDICINE AND
REHABILITATION
20. Managment of bladder dysfunction 1 1 21. Managment of bowel dysfunction 1 22. Spasticity 2 2 23. Pressure ulcers 1 1 24. Cardiac rehabilitation 2 1 25. Pulmonary rehabilitation 1 1 26. Deconditioning & Conditioning 1 27. Rehabilitation of swallowing disorders 1 28. Sexuality Issues in persons with
disabilities 1
29. Achieving functional independence 1 SECTION IV – ISSUES IN SPECIFIC
DIAGNOSES IN PHYSICAL MEDICINE AND
REHABILITATION
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30. Rehabilitation of Rheumatological
disorders 1 1
31. Assessment & treatment of cervical
disorders 1 1
32. Musculoskeletal disorders of UL 1 33. Musculoskeletal disorders of LL 1 34. Low back pain & disorders of lumbar
spine 1 1
35. Prevention & treatment of osteoporosis 1 36. Chronic pain syndromes: Evaluation and
treatment 1
37. Diagnosis and treatment of muscle pain
syndromes 1
38. Management of sports injuries 2 1 39. Occupational Rehabilitation 1 40. Rehabilitation of motor neurone diseases 1 1 41. Rehabilitation of patients with
peripheral neuropathy 1 1
42. Rehabilitation of patients with
myopathies 1 1
43. Brain injury Rehabilitation 1 1 44. Stroke rehabilitation 1 1 45. Rehabilitation of movement disorders 1 1 46. Rehabilitation of Multiple Sclerosis 1 1 47. Pediatric rehabilitation 2 2 48. Spinal cord injury rehabilitation 2 2 49. Rehabilitation of Vascular diseases 1 1 50. Cancer rehabilitation 1 51. Rehabilitation of Burn 1 1 52. Geriatric rehabilitation 1 1 53. Rehabilitation in patients with AIDS &
organ transplantation 1
54. management of weight disorders 2 1
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L: Lecture, T: Tutorial, C/P: Clinical or Practical and SDL: Self directed
learning
4 - Student Assessment Methods
4.1-Written exam: to assess knowledge and understanding and to
assess the ability of problem solving
4.2-Oral exams: to assess knowledge and understanding
4.3-Clinical exam: to assess clinical skills and the ability to use the
different programs of rehabilitation and to identify different orthotics
and prosthetics and their different indications
Weighing of assessment:
Written exam 180
Oral exam 15
Clinical 110
Total 305
5 -- List of References 5.1- Course Notes (paper and / or electronic)
Lecture notes handed hand by hand
5.2- Essential Books (Text Books)
Randall Braddom textbook of Physical Medicine & Rehabilitation
Delisa Textbook of Physical Medicine & Rehabilitation
Krusen tectbook of PMR
5.3- Recommended Books
Tan Practical manual of Physical Medicine & Rehabilitation
Neurology and Neurosurgery illustrated (Lindsay & Bone)
Merrits textbook of neurology
Adams's Outline of Orthopaedics
5.4- Periodicals, Web Sites, etc
PM&R Journals:
Archives of Physical Medicine and Rehabilitation
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American Journal of Physical Medicine and Rehabilitation
PM&R by American Academy of Physical Medicine and
Rehabilitation (AAPMR) (website mentioned below)
Physical Medicine And Rehabilitation Clinics of North America
PM&R websites:
http://emedicine.medscape.com/rehabilitation
http://www.aapmr.org/ (American Academy of Physical Medicine and
Rehabilitation)
http://www.med.umich.edu/pmr/
http://www.mayo.edu/msgme/physmed-programs.html
http://www.physiatry.org/ (Association of Academic Physiatrists)
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?
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4. In your opinion, does the degree program offer a good balance of lectures, seminars, conferences, and book exams?
yes no to some degree a) General Studies i) Do you feel that you have received enough guidance on academic writing?
yes no to some degree ii) Do you feel that you have acquired sufficient knowledge on research skills (eg. quantitative and qualitative research methods)?
yes no to some degree b) Courses i) Have you had some special difficulties in completing some of the courses? Please specify. ii) Has there been a sufficient variety of courses offered for your optional studies?
yes no to some degree iii) Have you received enough guidance for the preparation of your thesis?
yes no to some degree IV. Concluding Points 1. Did the degree program meet your expectations?
yes no to some degree 2. What aspects of the degree program do you particularly like? 3. What aspects of the degree program do you particularly dislike? 4. What are your suggestions on how to improve the program? Thank you