PHASE 1Mansoura-Manchester

Programme for Medical Education

Adel Bondok, PhD

Phase 1 Director

Objectives:

Phase 1 Semesters & Chief Tutors

Working Week

Curriculum of Phase 1 Based on Subjects

Methods of Assessment

Classical Week Time Table

Cases and ILOs

Phase 1 Semesters:

Semester 1: Foundation

Semester 2: Life cycle

Semester 3: Cardio-Respiratory Fitness

Semester 4: Abilities & Disabilities

Semester 5: Nutrition & Metabolism

Semester 6: Tropical & Community Medicine

Sem 1, 3 & 5: run from Sep - Jan

Sem 2, 4 & 6: run from Feb - May

Phase 1 Chief Tutors:

Semester 1: Dr Hamdia Asker (Microbiology)

Semester 2: Dr Mohamed Abdelmoniem (Pharmacology)

Semester 3: Dr Nisreen Abo-elmaaty (Physiology)

Semester 4: Dr Dalia Saleh (Anatomy)

Semester 5: Dr Amany Abdelmageed (Biochemistry)

Semester 6: Dr Ghada Meghawry Elnady (Microbiology)

Each SemesterCases and ILOs

10 teaching weeks + 1 wk for midterm exam

+ 3 weeks before the final exam

10 cases: 1 case/week

5 working days: 2 days off to collect data

ILOs of each case are covered by:

1. Academic aspects

2. Clinical aspects

Each Week (One Case): 13 - 16 hrs The ILOs (objectives) are covered by:

2 PBL classes: 3 hours (1.5 hrs each)

PBL 1: open the case & find out the ILOs

PBL 2: close the case & discuss the ILOs

5 – 6 Lectures: 5 – 6 hours (1 hr each)

2 – 3 Practicals: 4 – 6 hours (2 hrs each)

Early experience: in the hospital (year 2 & 3)

Students presentations: 1 hour

cover the ILOs not covered in lectures / practicals

Antacids

11 students in the group

Each has a role in the presentation

Classical Week Time Table: PBL Classes

Classical Week Time Table

Classic PBL Room

Methods of Assessment

Ongoing (assessment) Exams (20%)

Final Semester Exams (80%)

Ongoing Exams:

20% of the total mark

1. Midterm Exam (MCQ/EMQ): 25 marks.

2. Student Activities: 25 marks.

Attendance, PBL activity & Student’s presentation.

3. Semester 3: 50 marks for Review Article

4. Semesters 5 & 6: 50 marks for Poster Presentation

Poster Presentation by Semester 5 Students

Final Semester Exams:

80% of the total mark. Divided into:

1. MCQ / EMQ: 200 marks (200 Qs).

2. Short Essay: 150 marks (15 Qs, 50-75 Qs)

3. OSCE/OSPE: 100 marks (10 Stations).

This distribution is applied to Phase 1

200 questions

200 marks

3 hours

3

OSCE: Objective structured

clinical examination

OSPE: Objective structured

practical examination

10 stations (50 Qs)

5 Qs each station

100 marks

40 minutes

SHORT ESSAY EXAM

Short Essay: 150 Marks, 150 min It is structured, objective and targeted exam:

Structured means =

planning the essay +

arrange the main points in a logical order +

an answer is directly relevant to the question

3 clinical scenarios. Each one is followed by 5 short questions.

Each question is divided into short questions that

examine the knowledge, skills, understanding

and clinical application or integration.

Specific action verbs are used such as define,

explain, enumerate, compare, correlate, etc ..

Having Fun is Part of the Program

Curriculum of Phase 1 Based on Subjects

Sem 1 Sem 2 Sem 3 Sem 4 Sem 5 Sem 6

Anat

General

anatomy

General

embryology

Pelvis &

Perineum.

Development

of CVS

Upper Limb

Lower Limb

THORAX:

Head & Neck

Neuroanatomy

Development

of brain &

spinal cord

ABDOMEN

Oral cavity

Salivary

glands

Esophagus

Thyroid

HistolGeneral

histology

Respirat Sys

Skin

Breast

FGT

MGT

Pancreas

Spleen

Lymph nodes

Revision of

airways

Arteries &

veins

CNS

Skeletal

muscle

GI tract and

accessory

organs

(Liver &

Gall bladder)

Thyoid gland

Kidney

Bladder

Prostate

Physiol

Blood functions,

Blood groups

Blood clotting

Coagulation

defects

Molecular

organization of

cell membrane

Osmosis and

diffusion

The nephron

Water regulation

Function of the

kidney

Calcium

homeostasis

Digestion and

absorption

Cardiac cycle

Patho-physiology

of heart attack

Muscle & nerve

Physiology of

respiration

Pulmonary

function tests

Control of blood

sugar

Neurophysiology

of sensation

Physiologyof

pregnancy

Physiology of

labor

Physiological

changes at birth

Physiological

changes at

puberty

Menopause

Hormone

replacement

therapy in post-

menopause &

alternatives

Iron overload.

Hypersplenism

Growth

hormones

Aging &

Reproduction.

DIY assays

Causes &

management of

Short stature.

Osteoporosis

Rspiration &

Circulation:

Pleura

Mechanics of

breathing

Control of

ventilation

Regulation of

respiration

Pulmonary

function tests

COPD

Transport

function of

blood

Acid base

balance

Hemostasis

Haematopoiesis

Blood

transfusion

Cardiac cycle

Heart sounds

Coronary BF

Regional BF

ECG

Regulation of

ABP

Practical (ABP

& Pulse)

Neurophysiol:

CNS

Gait

Control of

voluntary

movements

Physiology of

cerebellum

Physiology of

limbic system &

hypothalamus

Alpha &

gamma motor

neuron

functions

Synaptic

transmission &

neurotransmitte

rs

Excitation-

contraction

coupling

Sleep &

Consciousness

.

Physiology of

saliva &

swallowing

Physiology of

GIT:

Gastric

secretion

Pancreatic

secretion

functions of

large intestine

Physiology of

thyroid gland

Regulation of

body temp

Glucose

homeostasis &

insulin action

Liver

Functions

Nutrition

Kidney

Functions

Functions of

the bladder &

prostate gland

Biochem

• Urine and urine

analysis

• Oxidation,

reduction & ATP

• Carbohydrates

• Aerobic and

anaerobic

respiration

• Proteins

• Chromosomes and

genes

• Mendel’s law

• Replication

• Translation

• Transcription

• Enzymes &

coenzymes

• Digestive enzymes

• Vitamins

• Minerals

• Lipids

• Enzymes of

myocardial

Infraction

• Digestion &

absorption of

carbohydrates

• Carbohydrate

metabolism

• Digestion &

Absorption of

Protein

• Protein

metabolism

• Digestion &

absorption of fat

• Lipid

metabolism

• Mechanism of

hormonal action

• Detection of

sugar in blood &

urine

• Tumor markers

Pathology

Process

of

healing

of skin

wounds

GENERAL

PATHOLOGY

Inflammation

Repair

Cell injury and

death

Circulatory

disturbances

Neoplasia

Infection

Bronchial

asthma

COPD &

Pneumonia

TB

Thromboem

bolic

disorders

Anaemias

Rheumatic

fever

Angina & MI

Atherosclero

sis

Neural tube

defects.

Pathology of

demyelinating

disease.

Swallowing

disorders

Peptic

ulceration

Malabsorption

syndrome

General

pathology of

tumors

Tumors of

intestine

Pathology of

hepatitis & its

sequelae

Pathology of

bilharziasis

Pathology of

glomerular

diseases

Pathology of

prostatic

enlargement

Pharma

Antacids,

how do

they work?

Pharmacokinetics

Pharmacodinamics

Drug genetics

Drugs and

pregnancy

Drugs and lactation

Antiviral Drugs

(antiretrovirals)

Anticancer drugs

Polypharmacy &

geriatrics

Therapy of

asthma

Therapy of

COPD &

Pneumonia

Therapy of

TB

Therapy of

Anaemia

Therapy of

HF

Therapy of

Angina & MI

Therapy of

hypertension

Fluid

replacement

therapy

Local

anesthetics

Analgesics

Anti-

Parkinson’s

drugs

Drug dilution

Treatment of

drug and

alcohol abuse

Effect of drugs

on the eye

Pharmacol of

peptic

ulceration

Basic

concepts of

tumor

chemotherapy

Anti-thyroid

drugs

Drug therapy

of diabetes

mellitus

Basis for

treatment of

viral hepatitis

Anti-bilharzial

treatment

Basic

concepts of

Diuretics

Antiviral

therapy

Antibiotic

therapy

Anti malarial

therapy

Microbiol

• Bacterial products

• Growth and nutrition

• Bacterial virulence

• General bacteriology

• General virology

• General mycology.

• Anatomy of immune

system

• Innate immune systm

• Adaptive immunity.

• Tolerance &

autoimmunity

• Antibiotics & Bacteria

• HIV& immune

deficiency

• CMI

• Hypersensitivity

• Mantaux test

• SLE and RA

• Gram staining

• Direct infection

transmission

• Media and antibiotic

sensitivity

• Immunopathology

Virology

of Viral

hepatitis

• Diagnosis of

streptococci,

meningococci,

coliform group,

salmonella &

shigella

• Serological tests

• Methods of viral

diagnosis

• Infection control.

• Influenza viruses

• Streptococci &

oral flora

• Neisseria

• Coliform

• Salmonella &

shigella

• Cholera

• Brucella

• Clostridium

• Hepatitis viruses

• Blood borne

pathogens

• Viruses causing

diarrhea

• Infection control

Parasitol

• Parasitology of

Bilharziasis

• Transmisson &

prevention of

bilharziasis

• Entamoeba hitolytica

• Giardia lamblia &

trophozoites

• parasites transmitted

by green salad

• Hydatid disease

• Filariasis

• Malaria; infectious

agent and life cycle

• ascaris

• entrobius

• leishmaniasis

• parasites transmitted

by raw meat

• Schistosoma

Forensic

Medicine &

Toxicology

Types and

differences of

human races

Inheritance &

significance of

blood groups

Community

Medicine

Recommen

ded food

before and

during

pregnancy

Concept of

epidemiolog

y of the

disease

Epidemiol

of breast

cancer

Epidemiology

of diseases,

apply to

asthma

Smoking

Epidemiology

& microbiology

of TB

Epidemiology

of RF

Epidemiology

of CHD

Epidemiology

of

hypertension

Socio-

economic

consequenc

es of chronic

pain.

Epidemiol of

multiple

sclerosis.

Epidemiol of

drug &

alcohol

abuse.

Socio-

economic

consequenc

es of

disabilities

How

to

design

a

poster

?

Epidem., prevention & control

of strept infection

Epidem., prevention & control

of influenza

Ministry of health plan for flu

pandemic

Epidem., prevention & control

of meningitis.

Childhood immunization

Health care facility

Epidemiological definitions

Identifying risk groups

Measures to trace the source

of infection

Environmental health measure

Epidemiology of chronic liver

diseases

Infection control measures in

blood banks

Public health problem of

giardiasis

Public health measures in

water borne epidemics

Lines of treatment in GE

Epid. Of gastroenteritis in

developing countries

Work related diseases

Investigate potential clusters

Prevention strategies

Rehabilitation, occupational &

physical therapy

Public health of malaria

Prevention & control of Malaria

P&C of tetanus

Epidemiology of parasitic

infections

Medicine

Types and

complication

of diabetes

• Management of

swallowing disorders

• Clinical aspects of peptic

ulceration

• Clinical aspects of

thyroid disorders

• Diabetes Mellitus

(prevalence, types,

causes, risk factors)

• Clinical aspects of

diabetes mellitus

• Clinical manifestations of

liver diseases

• Clinical aspects of

cirrhotic liver

• Management of

nephropathy

• Renal diseases &

haemodialysis

• Alcohol addiction &

withdrawal

• Current trends in obesity

& effect on chronic

disease prevalence

• Haematemesis & melena

• Failure of kidney

functions

• Health problems in

elderly men & women

Cardiology

• Effect of

obesity on CVS

• Heart sounds

• ECG of angina

or MI

Tropical

Medicine

• Management &

complications of

influenza.

• Bacterial meningitis

• C/P & assessment of

patients with fever

• Examination and

assessment of

chronic liver diseases

• Bilharzial hepatic

fibrosis

• Chronic hepatitis

• Management of

parasitic infections

• C/P & management

of malaria

Pediatrics

• Genetic basis of

Down Syndrome

• Genetic basis of

Thalassemia

• Developmental

milestones &

growth charts

• Mendelian

Inheritance

C/P of upper RT

infection

Chest

• Hypoxia &

cyanosis

• Skill Lab: Basic

life support

• Interpretation

of

1. normal chest

X-ray

2. pneumothorax

X-ray

3. empheysema

X-ray

Surgery

Pathophysiology,

classification,

staging of

breast cancer

Treatment of

BPH

• Liver abscess

• Hydatid

disease

• swollen limb

• lymphoedema

• Surgical

infections

OB &

GYN

• Imaging during

pregnancy

• In utero

diagnosis of

disorders

• Methods of

contraception

• Breast cancer

genetics

• Imaging of

breast cancer

In utero

diagnosis

of neural

tube

defects.

Psychiatry

and

Behavioral

Sciences

•Cognitive

development

•Psychological

development

of

adolescence

•Phobias

•Psychological

impact of

chronic

illnesses

• Apathy of

bystanders

• Basics of

consciousness

• Posttraumatic

stress disorder

• psychosomatic

disorders

• Informed

consent

• Consent to

treatment in

unconscious

patients

• Adherence to

therapy

• Role of

language

barrier &

interpreters in

health care.

Depression &

control of chronic

pain

Models of

disability & their

management.

Use of appropriate

language when

discussing chronic

illness & disability

Attention & its role

in information

processing

Psychological

consequences of

hearing loss.

Psychological

consequences of

stroke.

Individual coping

strategies with

severe illness

Features of

depression

Quality of life in

Parkinson's

disease

Substance used

disorder

Psychology of

motivation and

emotions.

Complementary

medici-ne &

placebo effect

• Psychological

reactions in cancer

patient

• Ways of measuring

health status &

quality of life

• Key features of

health belief mode

• Psychosomatic

disorders

• Key features of

healthy life style

• Theories of

addiction

• Theory of planned

behavior

• Philosophy

of hospice care

• Biological &

Psychological

causes of mood

disorders

• Anxiety by sex &

age, how to reduce

health anxiety

• Confidentiality &

ethical basis for

withdrawing

information

Neurosurgery

• Spina bifida

• Low back pain

• Management

of head trauma

Rheumatology Rehabilitation

E.N.T.

• Otoscope

• Audiogram

• Tonsillitis

• Otitis media

Neurology

• Neural tube

defects.

• Cranial nerve

examination

• Cerebro-

vascular stroke

• Upper & lower

motor neuron

lesion

• Neurological

examination

• Cerebellar dis

• Parkinson’s dis

• EMG

Ophthalm• Using of

ophthalmoscope

• Strabismus

Urology

Organ

transplantation

(ethical & legal

issues)

Dermatol

Transmission &

prevention of

sexually

transmitted

diseases

Physics

• Work, power

and efficiency

• Types of

electromagnetic

radiation

Radiology

• Imaging of the

digestive

system

• Imaging of the

respiratory

system

• Imaging

techniques of

GIT

• Imaging of

kidney

functions

Thank You

Adel Bondok