Course specifications

Undergraduates Course specifications

Cairo University

Faculty of Medicine

Department of Neurology

Course Specification

Neurology

 (Code)

·       Department offering the course: THE NEUROLOGY DEPARTMENT

·       academic year of M.B. B.Ch. program: 2012-2013

  • Date of specification approval: 3-December 2012

                        A) Basic Information:

·       Allocated marks:     10           marks

·       Course duration:      3       weeks of teaching

·       Teaching hours:      10    hours/week =     30     total teaching hours

 

Hours / week

Total hours

1- Small group teaching / tutorials

2.5

7

2- clinical

7.5

21

3- Others (evaluation)

-

2

Total

 

30

 

                    B) Professional Information:

1- Overall Aim of the Course:

        To emphasize the basic knowledge required by the undergraduates.

        To provide the candidates with the basic intellectual skills needed to analyze, interpret and solve diagnostic challenges and design management plan.

        To teach the candidates professional and clinical skills  in most aspects of clinical Neurology

 

2- Intended Learning Outcomes (ILOs):

 

 

1)   History and Clinical Examination

a- Knowledge and understanding:

   By the end of the course, students should be able to:

a1- Take adequate history from the patient.

 

b- Intellectual skills:

Analyze the history to reach anatomical and etiological provisional diagnosis

 

c- Professional and clinical skills:

Perform full Neurological examination

 

2)   Speech

 

a- Knowledge and understanding:

a1- List cortical areas concerned with speech.

a2- Recognize the role of different areas in speech formulation and speech articulation

a3- Define aphasia

a4- Define dysarthria

a5- Describe different types of aphasia and dysarthria.

a6- List causes of each type of speech disorder

b- Intellectual skills:

b1- Recognize different types of aphasia.

b2- Recognize different types of dysarthria.

 

c- Professional and clinical skills:

Perform different tests to detect types of aphasia.

 

3)   Cranial Nerves and their Diseases

a-Intellectual skills:

Analyze symptoms and detect signs of cranial nerve lesions

 

c- Professional and clinical skills:

Perform examination of different cranial nerves

 

4)   Investigations of Neurological Diseases

a-Knowledge and understanding:

  

List the different lines of investigations (clinical neurophysiologic tests, neuroradiological, blood test, lumbar puncture and biopsy).

b- Intellectual skills:

b1- Recognize the indications and possible limitations of each tool.

b2- Prioritize the investigations according to the clinical situation

b3- Recognize the different abnormalities detected in each selected tool in different clinical situation.

 

5)   Cerebrovascular Stroke

a-Intellectual skills:

1)    Analyze symptoms and detect signs of Ischemic stroke.

2)    Distinguish the brain area and blood vessel affected, based on the clinical presentation.

3)    Correlate the clinical picture to the aetiology.

4)    Select and prioritize the appropriate investigation.

5)    Combine clinical and investigational data to diagnose a case of ischemic stroke (embolic vs thrombotic).

6)    Analyze symptoms and detect signs of haemorrhagic syndromes.

7)    Select and interpret the appropriate investigation.

8)    Combine clinical and investigational data to differentiate between subarachnoid and intracerebral haemorrhage.

 

9)    Recognize the importance of early suspicion of haemorrhagic syndromes.

10)  Solve problems of patients presenting with hemiplegia to reach anatomical and etiological diagnosis.

 

c- Professional and clinical skills:

Perform neurovascular examination.

 

6)   The Cerebellum and Ataxias

a-  Knowledge and understanding:

a1- List the types of Ataxia & describe the clinical presentation of each type.

a2- Describe the clinical features of cerebellar ataxias in relation the part affected.

a3- Differentiate the different types of heredofamilial Ataxias based on the clinical presentation.

b-  Intellectual skills:

b1- Analyze symptoms and detect signs of ataxia.

b2- Select and interpret the investigations to reach specific diagnosis.

c- Professional and clinical skills:

perform different rent tests for cerebellar and sensory ataxia.

 

7)   Extrapyramidal Diseases

a-Knowledge and understanding:

Classify different causes of parkinsonism

b-Intellectual skills:

b1- Analyze symptoms and detect signs of Parkinsonism.

b2- Discuss the differential diagnosis..

b3- Select and interpret the investigations.

c- Professional and clinical skills:

Perform tests of rigidity, postural instability and bradykinesia.

 

 

8)    Peripheral Neuropathy

a-Intellectual skills:

a1-Analyze symptoms and detect signs of PN.

a2-Construct a differential diagnosis.

a3-Select and interpret the appropriate investigation.

a4-Construct a management plan according to specific aetiology including patient education.

c- Professional and clinical skills:

c1-Perform clinical examination of the sensory system.

c2-Perform examination of thickened nerves.

 

 

9)    Disorders of Neuromuscular Junction

a-Knowledge and understanding:

 

a1- Define myasthenia gravis

a2- Explain the pathophysiology of myasthenia gravis

a3- Describe the CP of myasthenia gravis

a4- List the complications.

a5- Define Eaton-Lambert disease.

a6- list the etiology Eaton-Lambert disease

a7- Describe the clinical picture of Eaton-Lambert disease

b-Intellectual skills:

 

b1- Select the appropriate investigation

b2- Interpret the results of these investigations

b3- Outline the management plan both diagnostic and therapeutic for a case of myastnenia garavis

b4- Diagnose the emergency situations (myasthenic and cholinergic crisis) based on the clinical presentation

b5-Compose an initial plan for stabilization for emergency situation.

B6- Recognize the importance of early diagnosis and management of cases.

c- Professional and clinical skills:

c1-Perform tests of fatigability

c2-Perform clinical signs associated with myasthenia gravis

c3-Observe and do pharmacological tests of myasthenia

 

10) Diseases of the Skeletal Muscles

a-    Knowledge and understanding:

a1-Describe the clinical picture of Myopathy.

a2-Point out concepts of selectivity

a3-Point out concept pf family history analysis

b- Intellectual skills:

b1- Analyze symptoms and detect signs to formulate a differential diagnosis for a case of myopathy.

b2- Select the appropriate investigation.

b3- Combine clinical and investigational data to diagnose a case of myopathy.

b4- Outline a treatment plan according to the etiology.

b5-discuss different causes of myopathy

c- Professional and clinical skills:

c1-Perform examination of different skeletal muscles

 

11)  Diseases of the Spinal Cord (Myelopathy)

a-  Knowledge and understanding:

Define spinal cord diseases:

Myolopathy, epoiconus, conus and cauda aquina lesions.

b- Intellectual skills:

b1- Interpret symptoms and detect signs of myelopathy and its relevance to the anatomical site of the lesion.

b2- Choose the appropriate investigation.

b3- outline the management strategy for a case of myelopathy.

 

12) Motor Neuron Diseases

a-    Knowledge and understanding:

a1-Define MND

a2-Describe clinical picture of MND

a3-Lists the appropriate investigation.

 

b-    Intellectual skills:

b1- Analyze symptoms and detect signs suggestive of MND

b2- Construct a differential diagnosis

 

13) Multiple Sclerosis.

a-Knowledge and understanding:

a1-Define MS

a2-Describe the etiology and pathophysiology

Intellectual skills:

1-    Recognize the different presentations

2-    Analyze symptoms and detect signs.

3-    Select and interpret the appropriate investigations to reach a diagnosis

4-    Outline a management plan

5-    Recognize the importance or early diagnosis and referral to slow disease regression.

 

14) Epilepsy

 

a-    Knowledge and understanding:

a1- Define epilepsy and seizure

a2- Recognize the classification of seizures

a3- Lists the types of epilepsy syndromes

a4- List the causes of seizures and epilepsy

a5- List the precipitating factors

a6- Describe the clinical picture of different types

a7- Describe the pharmacological treatment including proper dose and adverse effects.

 

b- Intellectual skills:

b1- Evaluate a case presenting with seizure and construct a differential diagnosis.

b2- Construct a treatment plan including treatment of underlying conditions, avoidance of precipitating factors and selection of appropriate antiepileptic drugs for different types of epilepsy.

b3-Manage a case of status epilepticus.

b4- Recognize the importance of patient and family education

b5- Recognize the importance of monitoring drug kevels to avoid toxicity.

 

 

15) Sphincteric Disturbances

a- Knowledge and understanding:

   By the end of the course, students should be able to:

a1- Describe the nerve supply and neurologic control of the urinary bladder.

a2-   List lesions causing Sphincteric Disturbances.

a3- Describe the different clinical presentations of Sphincteric Disturbances.

b- Intellectual skills:

Analyze the history of sphinchteric disturbance to put an appropriate differential diagnosis

 

 

 

 

*** General and transferable skills:

  By the end of the course, students should be able to:

* Communicate with the patients to gain their confidence

* Respect a patient’s emotional and psychological concerns

*Comprehend different scientific methodologies and have critical reading abilities.

 

3- Course contents:

 

 

 

Subject

Tutorial / Small group discussion (hrs.)

clinical

(hrs)

Total

(hrs)

% of Total

1- History taking & Neurological Examination

6

-

6

20

2- Hemiplegia (stroke)

½

1 ½

2

6.67

3- Parplegia

½

1 ½

2

6.67

4-    Cauda Equna lesions

½

1 ½

2

6.67

5-    Peripheral Neuropathy

½

1 ½

2

6.67

6-    Muscle and Neuromuscular  Diseases

½

1 ½

2

6.67

7-    Cerebellar Disorders

½

1 ½

2

6.67

8-    Extrapyramidal

½

1 ½

2

6.67

9-    Motor Neuron Disease

½

1 ½

2

6.67

10-      Multiple Sclerosis

½

1 ½

2

6.67

11-      Epilepsy

½

1 ½

2

6.67

12-      Investigations

½

1 ½

2

6.67

13-      Evaluation

-

-

2

6.67

Total

11 ½

16 ½

30

100

 

3-A)  Tutorial / Small Group Discussions

     1- History taking

     2- Neurological Examination

 

3-B) TOPICS and Clinical CLASSES:

 

 

1)    Hostory taking and Basics of Neurological Examination(3)

2)    Hemiplegia (stroke)

3)    Parplegia

4)    Cauda Equna lesions

5)    Peripheral Neuropathy

6)    Muscle and Neuromuscular  Diseases

7)    Cerebellar Disorders

8)    Extrapyramidal

9)    Motor Neuron Disease

10)    Multiple Sclerosis

11)    Epilepsy

12)    Investigations

13)    Evaluation

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

4- Teaching and learning methods:

     METHODS USED:

1.              Small group discussion

2.              Clinical classes

TEACHING PLAN:

Division of students into      2          groups

               5 days     /week, Time from     12:00pm       to      2:00pm    

 

The course is presented over 3 weeks (with total of 15 teaching days).

The distribution of the teaching sessions will be as follows:

**The 1st three days will include:

One long session: given by a ‘Lecturer’, covering History taking (how to take a sheet) and Neurological examination (120min).

**The following 11 days will include:

Two sessions:

  • The first session is given by Assistant Lecturer, covering:

 ‘History Taking’ of the assigned case (30 min).

 

  • The second session is given by Professor/Ass. Professor , covering:
  1. A brief lecture about the assigned Topic (30min).
  2. Neurological Examination of the associated Case (demonstration and students’ training) (60min).

5- Students Assessment methods:

5-A) ATTENDANCE CRITERIA: Faculty bylaws

5-B) Assessment TOOLS:

Tool

Purpose (ILOs)

MCQ examination

To assess  the ILOs

 

5-C) TIME SCHEDULE:  Faculty bylaws

Exam

Week

1-    End Round

3rd week

 

5-D) GRADING SYSTEM:

Examination

Marks allocated

% of Total Marks

End Round

10

100

Total

10

100

        The minimum passing & Passing grades (Faculty bylaws).

FORMATIVE ASSESSMENT:

Student knows his marks after the Formative exams.

5-E) Examination Description:

Examination

Description

  MVQ exams

Multiple Choice Questions

Total

10

 

6- List of references:

6.1-  Course Notes:

        Principles of Neurology: Prof.Dr. Hassan Elwan  

6.2- Essential books (text book),

·       Handbook of CLinicL Neurology: Aminoff M.J,  Boller F and Swaab D.F,

·       Neurological Examination Made Easy: Geriant Fuller, 4th edition

6.3- Recommended books:

·       Merritt's Neurology Handbook: Pietro Mazzoni, Toni Pearson , Lewis P. Rowland, 2nd edition, 2006

6.4- Periodicals, Web sites, … etc:

http://emedicine.medscape.com/neurology

7- Facilities required for teaching and learning:

Facilities used for teaching this course include:

       Lecture halls (Well aerated and illuminated)

       Small group classes

       Information technology / AV aids

       Models

 

Course coordinator: Prof.Dr.Mohammed El_Sayed

                                Prof.Dr.Ahmed Abou-Mosa

    Dr.Reham Mohammed Shamluo

 

Head of Department:

 

Date:      3       /     12         /2012

 

 

 


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