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Introduction Rep-321 2016 Coordinators Dr. Anjum Afshan Dr. Tarig Gally

Introduction Rep-321 2016 Coordinators Dr. Anjum Afshan Dr. Tarig Gally

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Page 1: Introduction Rep-321 2016 Coordinators Dr. Anjum Afshan Dr. Tarig Gally

Introduction Rep-321

2016

Coordinators Dr. Anjum Afshan

Dr. Tarig Gally

Page 2: Introduction Rep-321 2016 Coordinators Dr. Anjum Afshan Dr. Tarig Gally

THE REPRODUCTIVE SYSTEM MODULEREP 321

Phase II (2016)

Page 3: Introduction Rep-321 2016 Coordinators Dr. Anjum Afshan Dr. Tarig Gally

THE REPRODUCTIVE SYSTEM MODULEREP 321

Phase II (2016)

Page 4: Introduction Rep-321 2016 Coordinators Dr. Anjum Afshan Dr. Tarig Gally

THE REPRODUCTIVE SYSTEM MODULEREP 321

Phase II (2016)

Knowledge  Graduate should have sufficient knowledge and understanding of:1. The normal structure, function and development of the human body &

interaction between body & mind.2. The normal pregnancy and child birth, the principles of antenatal &

postnatal care.3. The etiology, pathogenesis, clinical presentation, natural history &

prognosis of common physical and mental disease, particular those which pose acute danger to function, life of the community.

4. Common diagnostic tests and procedures, their uses, limitations and costs5. The principles of health education, disease prevention, rehabilitation and

the care of the suffering and dying.6. The principles and ethics related to health care and the Islamic and legal

responsibilities of the medical profession.

Page 5: Introduction Rep-321 2016 Coordinators Dr. Anjum Afshan Dr. Tarig Gally

THE REPRODUCTIVE SYSTEM MODULEREP 321

Phase II (2016)

Skills  Graduate should acquire the skills of:

1. Take a tactful, accurate and organized medical history.2. Perform a gentle & accurate physical and mental examination.3. Integrate history & physical examination to reach a provisional diagnosis of

differential diagnosis.4. Select the most appropriate & cost effective diagnostic procedures.5. Formulate a management plan.6. Counsel patients & families clearly regarding diagnostic and therapeutic

procedures before eliciting consent.7. Perform common life-saving procedures.8. Use information resources to obtain further knowledge and interpret

medical evidence critically and scientifically.9. Communicate clearly & considerately with other health professionals.

Page 6: Introduction Rep-321 2016 Coordinators Dr. Anjum Afshan Dr. Tarig Gally

THE REPRODUCTIVE SYSTEM MODULEREP 321

Phase II (2016)

Attitude  Graduate should have the attitude of:1. Respect for every human being & abide by relevant Islamic

ethics.2. A desire to ease pain and suffering.3. Willingness to work in a team with other health professionals.4. Responsibility to remain a life-long learner & maintain the

highest ethical & professional standards.5. Referring patients to other health professional when needed.6. A realization that it is not always in the interest of patients to

pursue every diagnostic or therapeutic possibility.

Page 7: Introduction Rep-321 2016 Coordinators Dr. Anjum Afshan Dr. Tarig Gally

THE REPRODUCTIVE SYSTEM MODULEREP 321

Phase II (2016)

Year 1 Year 2 Year 3 Year 4 Year 5 Year 6 Internship

Phase I Phase II Phase III

Curriculum Map

YOU Are Here…

Page 8: Introduction Rep-321 2016 Coordinators Dr. Anjum Afshan Dr. Tarig Gally

THE REPRODUCTIVE SYSTEM MODULEREP 321

Phase II (2016)

Course No. Course Title Contact Hours

Credit

Hours

Rep 321

Reproductive

System

L T/S P CL/P PBL SDL

46 5 9 4 1 6 5

Structure of the ModuleModule is composed of:

Page 9: Introduction Rep-321 2016 Coordinators Dr. Anjum Afshan Dr. Tarig Gally

THE REPRODUCTIVE SYSTEM MODULEREP 321

Phase II (2016)

Aims:1. Understand the processes of human reproduction from

the production of gametes, establishment of the embryo through to independent life by the newborn infant.

2. Understand common problems & disorders of the male& female reproductive tract, the mechanisms of contraception and the sexual transmission of diseases.

3. Acquire skills & working knowledge & understanding of the principles and concepts applicable to the Reproductive System, in general.

Page 10: Introduction Rep-321 2016 Coordinators Dr. Anjum Afshan Dr. Tarig Gally

THE REPRODUCTIVE SYSTEM MODULEREP 321

Phase II (2016)

Objectives: By the end of this module, the student should be able to:1.Describe the development of the reproductive tract in the male & the female during fetal life, its genetic and hormonal control and abnormalities.

2.Describe the mechanisms underlying puberty in the male and the female and the sequence of associated changes.

3.Describe the anatomy of the male reproductive system, the histology of testis and accessory sexual organs and the formation of male gamete.

4.Describe the role of gonadotropins in the control of male gamete production and steroid genesis, and the effects of androgens upon the body.

5.Describe common pathological changes of the male reproductive system, including prostatic and testicular cancer.

Page 11: Introduction Rep-321 2016 Coordinators Dr. Anjum Afshan Dr. Tarig Gally

THE REPRODUCTIVE SYSTEM MODULEREP 321

Phase II (2016)

6.Describe the anatomy of the female reproductive tract, and the histology of the ovaries, uterus, cervix and vagina, including the ovarian cycle (the formation of the female gamete), the uterine cycles.

7.Describe and explain the endocrine control of the production of the female gamete and the effects of ovarian steroid hormones upon the reproductive tract which underlie the normal menstrual cycle. Describe some common menstrual abnormalities.

8.Describe the pathophysiology of the menopause.

9.Describe the common pathological changes of the female reproductive system, including cancers of the reproductive tract and the basic cellular changes and the precancerous lesions.

10.Describe the Breast, anatomy, histology, common pathology, and lactation.

11.Describe reasons for infertility in the male and female and methods for assisted reproduction.

12.Describe the process of fertilization and implantation, the structure of the placenta, and the role of the endocrine activity of the placenta in the maintenance of pregnancy.

Page 12: Introduction Rep-321 2016 Coordinators Dr. Anjum Afshan Dr. Tarig Gally

THE REPRODUCTIVE SYSTEM MODULEREP 321

Phase II (2016)

13.Describe the maternal adaptations to pregnancy, the underlying mechanisms involved and pregnancy-induced maternal disorders.

14.Describe the normal pattern of embryonic and fetal development, the ways in which it may be assessed, and the principles of detection of fetal abnormalities.

15.Describe the physiological adaptation of the fetus to intrauterine, the ways in which the neonate adapts to an extra uterine existence, and some common problems of neonates.

16.Describe the processes involved in a normal labor and delivery and some common problems of labor.

17.Understand the biochemistry of semen and physiology of ejaculation.

Page 13: Introduction Rep-321 2016 Coordinators Dr. Anjum Afshan Dr. Tarig Gally

THE REPRODUCTIVE SYSTEM MODULEREP 321

Phase II (2016)

Transferable Skills: By the end of this module, students will demonstrate the ability to:1. Assimilate and integrate information from lectures, practical sessions, tutorials, clinical presentation sessions and independent learning activities.2. Gain practical skills associated with the dissection of the cadaver and the examination of the living.3. Interpret two-dimensional images of the Reproductive System from radiographic techniques.4. Explain the pathology of Reproductive System and drug action in relation to the underlying processes.

Page 14: Introduction Rep-321 2016 Coordinators Dr. Anjum Afshan Dr. Tarig Gally

THE REPRODUCTIVE SYSTEM MODULEREP 321

Phase II (2016)

DEPARTMENT LECT. TUTOR. Clinical Presentation

PRACT. STUDENT DIR. L.

PBL

Anatomy 6 1 ---- 3 2 -Pathology 9 - ---- 3 ---- 1Physiology 9 1 ---- ---- 2 -Pharmacology 5 - ---- ---- ---- -Biochemistry 6 2 ---- ---- ---- -Obstetrics & Gynecology

2 ---- 3 ---- 2 -

Pediatrics 1 ---- 1 ---- ---- -Histology 4 ---- ---- 2 ---- -Radiology ----- ----- ------ 1 ------ -Microbiology 2 --- ------- ------ ------ -

Parasitological

2 1 ----- ----- ----- -

Total 46 5 4 9 6 1

Module details:

Page 15: Introduction Rep-321 2016 Coordinators Dr. Anjum Afshan Dr. Tarig Gally

THE REPRODUCTIVE SYSTEM MODULEREP 321

Phase II (2016)

• Department of Pathology

• Lecture : Pathology of Vulva, Vagina • Lecture : Pathology of Cervix• Lecture: Benign Uterine Pathology.• Lecture: Malignant neoplasms of the uterine corpus.• Lecture: Tumors of the ovary.• Lecture: Trophoblastic pathology.• Lecture: Diseases of Prostate.• Lecture: Pathology of the testis & Testicular Adnexa.• Lecture Pathology of the breast• • Practical: Diagnosis of pathological specimens of male genital system.• Practical: Diagnosis of pathological specimens of female genital system I.• Practical: Diagnosis of pathological specimens of female genital system II.

• PBL Female genital tract pathology.

Page 16: Introduction Rep-321 2016 Coordinators Dr. Anjum Afshan Dr. Tarig Gally

THE REPRODUCTIVE SYSTEM MODULEREP 321

Phase II (2016)

• Department of Physiology

• Lecture: The reproductive system: An overview.• Lecture: The puberty Onset of The major physiological changes.• Lecture: The menstrual cycle.• Lecture: Physiology of pregnancy.• Lecture: Maternal response to pregnancy.• Lecture : The physiology of Parturition• Lecture The physiology of lactation• Lecture: Fetal physiology.• Lecture: The menopause changes underlying the climacteric symptoms.

• Tutorials• Male & female sexual behavior• • SDL• Review Hypothalamus- anterior pituitary –gonadal axis in male and female. Hormonal disorders

of menstrual cycle• Hormonal disorders of menstrual cycle.

Page 17: Introduction Rep-321 2016 Coordinators Dr. Anjum Afshan Dr. Tarig Gally

THE REPRODUCTIVE SYSTEM MODULEREP 321

Phase II (2016)

• Department of Pharmacology

• Lecture:• Drugs during pregnancy.• Reproductive Pharmacology: Oxolytics &

Tocolytics drugs.• infertility Pharmacology• Erectile dysfunction Pharmacology• Oral contraception Pharmacology

Page 18: Introduction Rep-321 2016 Coordinators Dr. Anjum Afshan Dr. Tarig Gally

THE REPRODUCTIVE SYSTEM MODULEREP 321

Phase II (2016)

• Department of Clinical Biochemistry

• Lecture: Testicular steroid genesis and its endocrine Control: part I.• Lecture: Testicular steroid genesis and its endocrine control: part II.• Lecture: Female sex hormones: part I.• Lecture: Female sex hormones: part II.• Lecture : Prenatal Diagnosis• Lecture : Biochemical investigations of infertility

Tutorials• Tutorial: Disorders of gonadal function in male.• Tutorial: Disorders of gonadal function in female.

Page 19: Introduction Rep-321 2016 Coordinators Dr. Anjum Afshan Dr. Tarig Gally

THE REPRODUCTIVE SYSTEM MODULEREP 321

Phase II (2016)

• Department of Obstetrics and Gynecology

• Lecture: Antenatal Care SDL:• Normal Labor (video show).• Ectopic pregnancy

Clinical Presentation• Pre Malignant And Malignant Condition of The Cervix• Heavy Menstrual Period• Miscarriages

Page 20: Introduction Rep-321 2016 Coordinators Dr. Anjum Afshan Dr. Tarig Gally

THE REPRODUCTIVE SYSTEM MODULEREP 321

Phase II (2016)

• Department of Pediatrics

• Lecture: Ambiguous genitalia.

• Clinical Presentation: Normal & abnormal Puberty. • Department of Radiology

• Practical: Radiology of Reproductive System.

Page 21: Introduction Rep-321 2016 Coordinators Dr. Anjum Afshan Dr. Tarig Gally

THE REPRODUCTIVE SYSTEM MODULEREP 321

Phase II (2016)

Department of Anatomy• Lecture: Gross anatomy of the female reproductive tract.• Lecture: Gross anatomy of the male reproductive tract.• Lecture: Normal & abnormal embryology of the male reproductive tract.• Lecture: Normal and Abnormal Embryology of the female reproductive tract.• Lecture: Embryonic and fetal period.• Lecture placenta and fetal membranes

• Tutorial: Perineum

• Practical: Dissection of male reproductive tract.• Practical: Dissection of female reproductive tract.• Practical bony pelvis• SDL• Directed Learning Pelvic Wall• Directed Learning: In vitro and in vivo Fertilization & Implantation

Page 22: Introduction Rep-321 2016 Coordinators Dr. Anjum Afshan Dr. Tarig Gally

THE REPRODUCTIVE SYSTEM MODULEREP 321

Phase II (2016)

Department of Histology

• Lecture: Histology of normal male reproductive tract.• Lecture: Histology of normal female reproductive tract.• Lecture: Spermatogenesis and Oogenesis• Lecture: Histology of the mammary gland.

• Practical: Histology of the normal male reproductive tract.• Practical: Histology of the normal female reproductive tract.

Page 23: Introduction Rep-321 2016 Coordinators Dr. Anjum Afshan Dr. Tarig Gally

THE REPRODUCTIVE SYSTEM MODULEREP 321

Phase II (2016)

• Department of Parasitology

• Lecture: Trichomoniasis & Candidiasis. • Lecture: Acquired and Congenital

Toxoplasmosis.

• Tutorial: Sexually Transmitted Disease. (STD)

Page 24: Introduction Rep-321 2016 Coordinators Dr. Anjum Afshan Dr. Tarig Gally

THE REPRODUCTIVE SYSTEM MODULEREP 321

Phase II (2016)

• Department of Microbiology

• Lecture: Pelvic inflammatory diseases• Lecture: Viral diseases in pregnancy

Page 25: Introduction Rep-321 2016 Coordinators Dr. Anjum Afshan Dr. Tarig Gally

THE REPRODUCTIVE SYSTEM MODULEREP 321

Phase II (2016) List of Suggested Reading References Name of Books and Authors• 1) Clinical anatomy for medical students (8th Ed) Richard Snell• 2) Lang man’s Medical Embryology T.W.Sadler• 3) Color text book of Histology 2nd Ed Gartner L.P. & Hiatt J.L.• 4) Grant Atlas of Anatomy 12th edition Grant J.C.B.• 5) Di Fiore’s Atlas of Histology with Functional Correlation 9th Ed. Eroschenko V.P.• 6) Review of Medical Physiology22th editionGanong W.F.• 7) Text book of medical Physiology11th edition Guyton A.C. & Hall J.E.• 8) MCQs in Human Physiology Roddie I.C. & Wallace W.F.M.• 9) Basic Pathology Robbing and Cot ran: Pathological basis of disease 8th edition• 10) Lippincott's Pocket Pathology, 2nd Edition, •WWW.Webpath.com • www.studentconsult.com Kumar, Cot ran, Robbins• 11) Wills’ Biochemical Basis of Medicine Gillham, B. J.H.Thomas• 12) Clinical Biochemistry Marshall• 13) Nelson Textbook of pediatrics Nelson• 14) Basic & clinical pharmacology. Katzung• 15) Lippincott's illustrated review pharmacology3rd edition 2006 Lippincott's• 16) Radiology & imaging for medical students David Sutton• 17) Current: Surgical diagnosis& Treatment Way, L.W., Doherty, GM• 18) Obstetrics by ten teacher Ten Teacher• 19) Gynecology by Ten Teacher Ten Teacher

Page 26: Introduction Rep-321 2016 Coordinators Dr. Anjum Afshan Dr. Tarig Gally

THE REPRODUCTIVE SYSTEM MODULEREP 321

Phase II (2016)

ASSESSMENT Formative:This form of assessment is designed to give feedback to help student, to identify areas for improvement. It includes a mixture of MCQs, short answer-questions (SAQs), extended matching questions (EMQs), problems-solving exercises and independent learning activities in all subjects. SummativeThis type of assessment is used for judgment or decisions to be made about students’ performance. It serves as:1. Verification of achievement for the student satisfying requirement.2. Motivation of the student to maintain or improve performance.3. Certification of performance.4. Grades.

In this Course students’ performance will be assessed according to the following:Quizzes 30 MarksSDL assessment 05 MarksFinal End of module Exam (Two Hours) 40 MarksFinal OSCE (Practical) 20 MarksViva Voce Exam 05 Marks

Total = 100 Marks

Page 27: Introduction Rep-321 2016 Coordinators Dr. Anjum Afshan Dr. Tarig Gally

THE REPRODUCTIVE SYSTEM MODULEREP 321

Phase II (2016)

• NOTE: • Class attendance and participation are extremely important to STUDENTS’ learning and also considered in the evaluation of course grade. This course is recommended for students who will spend some time and put an effort to win all the benefits of this interesting module. Students are encouraged to achieve this goal. Teaching faculty and coordinators are always available for guidance in offices during office hours and through emails. 

Page 30: Introduction Rep-321 2016 Coordinators Dr. Anjum Afshan Dr. Tarig Gally

THE REPRODUCTIVE SYSTEM MODULEREP 321

Phase II (2016)

Icons (standards)The following icons have been used to help identify the various experiences students will be exposed to.

Learning objectives

Content of the lecture

Independent learning from textbooks Independent learning from the CD-ROM. The computer cluster is in the 2nd floor of the medical library, building G . Independent learning from the Internet. Problem-Based Learning

Self- Assessment (The answer to self-assessment exercises will be discussed in tutorial sessions)

The main concepts

Page 31: Introduction Rep-321 2016 Coordinators Dr. Anjum Afshan Dr. Tarig Gally

THE REPRODUCTIVE SYSTEM MODULEREP 321

Phase II (2016)

Lectures Department

1The Reproductive Module Introduction

Coordinator

2The Reproductive System: An Overview.

Physiology

3Gross Anatomy Of The Male Reproductive Tract.

Anatomy

4The Puberty Onset & The Major Physiological Changes

Physiology

5Histology Of Normal Male Reproductive Tract.

Histology

6 Pathology Of The Testis & Testicular Adnexa

Pathology

7Gross Anatomy Of The Female Reproductive Tract

Anatomy

8Diseases Of Prostate

Pathology

9 Normal & Abnormal Embryology Of The Male Reproductive Tract Anatomy

10 Histology Of Normal Female Reproductive Tract Histology

11Normal & Abnormal Embryology Of The Female Reproductive Tract

Anatomy

12The Menstrual Cycle

Histology

13Testicular Steroid genesis & Its Endocrine Control1

Clinical Biochemistry

14Testicular Steroid genesis & Its Endocrine Control11

Clinical Biochemistry

15Spermatogenesis Oogenesis

Histology

Page 32: Introduction Rep-321 2016 Coordinators Dr. Anjum Afshan Dr. Tarig Gally

THE REPRODUCTIVE SYSTEM MODULEREP 321

Phase II (2016)

16 Histology Of The Mammary Gland Histology

17 Placenta And Fetal Membrane Anatomy

18Breast Pathology

Pathology

19 Embryonic And Fetal Period Anatomy

20 Physiology Of Pregnancy Physiology

21 Maternal Response To Pregnancy

Physiology

22Trophoblastic Pathology

Pathology

23Female Sex Hormones :Part I

Clinical Biochemistry

24Female Sex Hormones :Part II

Clinical Biochemistry

25Fetal Physiology

Physiology

26Viral Diseases In Pregnancy

Microbiology

27. Drugs During Pregnancy

Pharmacology

28Tumors Of The Ovary

Pathology

29Pathology Of Vulva, Vagina

Pathology

30Antenatal Care

Obs. & Gyn.

31Prenatal Diagnosis

Clinical Biochemistry

Page 33: Introduction Rep-321 2016 Coordinators Dr. Anjum Afshan Dr. Tarig Gally

THE REPRODUCTIVE SYSTEM MODULEREP 321

Phase II (2016)

32The Physiology Of Parturition

Physiology

33Pathology Of Cervix

Pathology

34 Reproductive Pharmacology : Oxolytics & Tocolytics Drugs

Pharmacology

35 The Physiology Of Lactation Physiology

36The Menopause Changes Underlying The Climacteric Symptoms

Physiology

37Erectile Dysfunction

Pharmacology

38 Benign Uterine Pathology Pathology

39 Ambiguous Genitalia Pediatric

40Biochemical Investigations Of Infertility

Clinical Biochemistry

41Infertility Drugs

Pharmacology

42Malignant Neoplasm’s Of The Uterine Corpus

Pathology

43Pelvic Inflammatory Disease

Microbiology

44Trichomoniasis And Candidacies

Pharmacology

45Acquired And Congenital Toxoplasmosis

Parasitology

46Oral Contraception

Pharmacology

Page 34: Introduction Rep-321 2016 Coordinators Dr. Anjum Afshan Dr. Tarig Gally

THE REPRODUCTIVE SYSTEM MODULEREP 321

Phase II (2016)

 

Tutorials

1Perineum

Anatomy

2Disorders Of Gonadal Function In Male

Clinical Biochemistry

3Disorders Of Gonadal Function In Female

Clinical Biochemistry

4Male & Female Sexual Behavior

Physiology

5Sexual Transmitted Disease. (Parasites)

Parasitology

Page 35: Introduction Rep-321 2016 Coordinators Dr. Anjum Afshan Dr. Tarig Gally

THE REPRODUCTIVE SYSTEM MODULEREP 321

Phase II (2016)

 

Practical

1 Dissection Of Male Reproductive Tract Anatomy

2 Histology Of The Normal Male Reproductive Tract Histology

3 Dissection Of Female Reproductive Tract Anatomy

4 Practical Bony Pelvis Anatomy

5 Histology Of The Normal Female Reproductive Tract Histology

6 Diagnosis Of Pathological Specimens Of Male Genital System Pathology

7 Diagnosis Of Pathological Specimens Of Female Genital System I Pathology

8 Diagnosis Of Pathological Specimens Of Female Genital System II Pathology

9 Radiology Of Reproductive System Radiology

Page 36: Introduction Rep-321 2016 Coordinators Dr. Anjum Afshan Dr. Tarig Gally

THE REPRODUCTIVE SYSTEM MODULEREP 321

Phase II (2016)

1

PBL

Female Genital Tract Pathology

Pathology

Page 37: Introduction Rep-321 2016 Coordinators Dr. Anjum Afshan Dr. Tarig Gally

THE REPRODUCTIVE SYSTEM MODULEREP 321

Phase II (2016)

CLINICAL PRESENTATION

1 Puberty :Normal & Abnormal Pediatrics

2 Pre Malignant And Malignant Condition Of The CervixObs. & Gyn.

3 Heavy Menstrual PeriodObs. & Gyn.

4 MiscarriagesObs. & Gyn.

SDL

1

Review Of Hypothalamus- Anterior Pituitary- Gonadal Axes In Male & FemalePhysiology

2 Hormonal Disorders Of Menstrual Cycle Physiology

3 Pelvic Floor Anatomy

4In vitro and In vivo Fertilization & Implantation

Anatomy

5 Normal Labor ( Video Show ) Obs. & Gyn.

6Ectopic Pregnancy

Obs. & Gyn.