06 September 2012

Hadaf Internal Med

B) Professional Information:

1.        Program Aims
The aim of the program is to provide the graduate with educational experience necessary for further training and practice in medicine through:
1.     A core body of scientific knowledge, skills and attitudes essential for the practice in medicine.
2.     Diagnostic, problem solving and decision-making skills necessary for proper evaluation and management of common diseases and emergencies.
3.     Awareness and participation the social and community aspects of health care.
4.     . Appropriate ethical and professional skills necessary for establishment of excellent communication with patients and colleagues.
5.      Lifelong learning competencies necessary for continuous professional development.
6.      Research methodology as related to medical practice.

2. Academic Standards
The Intended Learning Outcomes (ILO's) of the present program are developed to satisfy the National Academic Reference Standards (NARS) for Bachelor degree of medicine published by the National Authority for Quality Assurance and Accreditation of Education (NAQAAE) (January 2009).
3. Intended Learning Outcome

a.       Knowledge and Understanding
By the end of the program, the graduate will gain knowledge and understanding to be able to:
Describe the common medical problems presenting to doctors - in primary health care setting, hospital and community - their diagnosis, prevention and treatment. (a.6)      
Classify  disease in terms of mental, functional and physical processes .(b.4)    

Identify the developmental changes in humans and the effect of growth and aging on individuals and their family.(a.6,b4)
Describe  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) (a.7)           
Describe the theoretical basis of professional and practical skills.(a.8)
Describe the normal aging process in terms of physiologic and clinical manifestations and identify age related diseases and variable causes of disability in old age.(a.5)
Point out appropriate measures for prevention of diseases.(a.10)                   
a.8.   Describe the role of genetics in health and disease and the basic principles of gene therapy and genetic counselling. (a.9)

a.9. Describe the basics of ethics. (a.14)                 
a.10. Identify the determinants of health, principles of health      promotion,    disease prevention, early detection and control of common community health problems including disease surveillance and screening. (a.10)

b.        a.11. Recognize basics of health and patient’s safety during clinical practice.(a.15)
a.12. Define the principles of management and appropriate quality concepts and processes required for healthcare facilities. (a.11)

a.13 Define principles of clinical audit (a.16).

b. Practical and Clinical Skills                                      
By the end of the program, the graduate will be able to:
 b.1       Demonstrate basic sciences’ practical skills relevant to the future practice and acquire practical, clinical skills and competencies. (b.1)
Take and record a structured patient-centered history, appropriate depth and detail, relative to the clinical context.(b.2)
Perform full physical examination appropriate to age and gender in acute and chronic clinical conditions.(b.3)
Recognize urgent life-threatening conditions, and compose appropriate initial plan of management for stabilization of the critically ill patient.(a.1,b.5)
Safely perform routine diagnostic and therapeutic procedures, including life support.           
Construct appropriate management strategies both diagnostic and therapeutic for patients with common acute and chronic diseases.(b.5,b.6)
Compose an initial plan of management for stabilization of critically-ill patients.(b.6)
  Provide first aid measures for injured and critically-ill patient(b.5,b.6)                                          
   Work out drug dosage based on patient's criteria and health condition(b.8)
     Write safe prescriptions of different types of drug .(b.9)                                                                      
b.11     Conduct community diagnosis for prioritization of community    health problems. (b.10)
b.12    Use appropriate sterile technique, Comply with and use universal precautions (b.25)     

 Procedures and technical skills acquired under appropriate supervision during undergraduate:

By the end of the program, the graduate will acquire the model-based skills (using manikin and simulators) required to:

b.13 Perform venepuncture and collect blood samples. (b.11)
b.14 Insert a cannula into peripheral veins. (b.12)
b.15 Practice enteral, parenteral, inhalation and topical methods for drug administration (b.13)
b.16 Demonstrate competency in cardiopulmonary resuscitation and basic life-support.
b.17 Perform and interpret ECG. (b.16)
b.18 Perform and interpret basic respiratory function tests. (b.17)
b.19 Use a nebulizer for administration of inhalation therapy. (b.18)
b.20 Administer basic oxygen therapy. (b.19)
b.21 Insert a naso-gastric tube. (b.20)
b.22 Perform bladder catheterization. (b.21)
b.23 Perform and interpret basic bedside laboratory tests. (b.23)
b.24 Adopt suitable measures for safety and infection control. (b.25)

c. Professional Attitude and Behavioral Skills
By the end of the program, the graduates will acquire the skills required to

c.1 Adopt an empathic and holistic approach to the patient and their problems, taking into consideration beliefs values, goals and concerns. (c.1)
c.2 Respect the patient's right to know and share in decision making as well as dignity, privacy, information confidentiality and autonomy. (c.2)
c.3 Understand and respect the different cultural beliefs and values regardless of their disabilities in the community they serve. (c.3)
c.4 Recognize the important role played by other health care professions in patients' management, respecting their contributions in patient's management regardless of degree or occupation. (c.4)
 c.5 Apply the national code of ethics issued by the Egyptian Medical Syndicate. (c.5)
c.6   Respect and follow the institutional code of conduct. (c.6)
c.7 Counsel patients suffering from different conditions as well as their families. (c.7)
c.8   Recognize one’s own limitations of knowledge and skills referring patients to appropriate health facility at the appropriate stage. (c.8)

d. Communication Skills:
By the end of the program, the graduate will  be able to:
d.1 Communicate clearly, sensitively and effectively with patients and their relatives and colleagues from a variety of health and social care professions. (d.1)
d.2 Communicate effectively with individuals regardless of their social, cultural, ethnic backgrounds, or their disabilities. (d.2)
d.3 Cope with situations where communication is difficult including breaking bad news. (d.3)
d.4 Show compassion to patients and their relatives in situations of stress and grief. (d.4)
d.5 Honor and respect patients and their relatives, superiors, colleagues and any other member of the health profession. (d.5)
d.6 Use communication styles to bring about behavioral change. (d.6)

e. Intellectual Skills
By the end of the program, the graduate will acquire the skills required to:

e 1.Analyze symptoms & signs and construct a differential diagnosis for common presenting complaints. (e.2)
e.2 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. (e.2.3)
e3. Accurately interpret the results of commonly used diagnostic procedures. (e.3)
e.4 Combine clinical and investigational data with evidence-based knowledge for clinical problem solving. (e.3)
e.5 Identify risk factors for disease processes and injury, and institute the appropriate diagnostic, preventive, and therapeutic interventions. e.6 Determine the different strategies for risk management of disease and injury. (e.3, 4)
e.7 Identify the indications and logistics of referring patients to higher levels of experience or specialization as a principle for the family doctor (GP). (e.8)
e.8   Construct treatment plan, incorporating his knowledge, best available evidence, and patient’s preferences in a cost effective manner. (e.3, 7)
e.9 Recognize and cope with uncertainty that is unavoidable in the practice of medicine by accepting and reacting to uncertain situations through proper counseling, consultation and referral. (e.8)

f. General and Transferable Skills
By the end of the program, the graduate will acquire the skills required to:

f.1 Adopt the principles of lifelong learning needs of the medical profession (continuous professional development; CPD). (f.1)
f.2 Use computers efficiently in reaching biomedical information to remain current with advances in knowledge and practice. (f.2)
f.3 Present information clearly in written, electronic and verbal forms (f.3)
f.4 Communicate ideas and arguments effectively. (f.4)
f.5 Work effectively within a multidisciplinary team. (f.5)
f.6 Manage time and resources effectively and set priorities. (f.6)
f.7 Apply simple statistical methods. (f.7)
f.8 Apply English language as needed for appropriate learning and communication in relation to medicine. (f.8)

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