Program Specification for Master Degree in Family Medicine

Cairo University
Faculty of Medicine
Program Specification for Master Degree in
Program type: Single
Family Medicine
Department offering the program: Family Medicine Department
Program Code: FAML 800
Total Credit points: 170
Academic year: 2010/2011
Program coordinators:
Professor: Mohamed Ibrahim Sheta
Professor: Laila Kamel
Professor: Nagwa Eid
Lecturer: Maha Mowafy
Lecturer: Ghada Khafagy
Assistant Lecturer: Rasha Saad Elkholy
Dr. Sarah Mohamed Nader
External Evaluator:
Prof, Mohamed Mohamdy Awad Diab
Professor of family medicine – Suez Canal University.
I. Aim of the Program
The aim of this program is to develop competent family physicians capable of providing high
quality patient-centered comprehensive medical care, covering the biopsychosocial aspect
of their patients based on the best available medical evidence. Our trainees will learn to
work in teams both as members and as leaders. They will share in community focused
research and will be committed to life-long learning. They will also learn to apply appropriate
ethical and professional standards in their day to day practice and in their relationships with
their patients and colleagues.
II. Intended Learning Outcomes of the Program (ILOs)
A. Knowledge and Understanding: By the end of the program the candidate should be
able to:
1) Define health, health spectrum and factors affecting health.
2) Identify the role of the family physician in providing comprehensive health care.
3) Identify health needs and problems according to the human life cycle.
4) Identify the etiology, clinical manifestations, differential diagnosis, prevention and
management of the common, important and emergency medical conditions affecting all
age groups in the Egyptian population according to the best available evidence.
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5) Define epidemiological needs of the community
6) Identify the basics of clinical epidemiology.
7) Identify how the health care delivery system in Egypt operates as well as the medico
legal legislations in Egypt.
8) Identify the uses, effects, side effects and drug interactions of common drugs in adults,
pediatrics, geriatrics, and patients with liver or kidney diseases, pregnant and lactating
females (essential drug list).
9) Identify the principles of medical ethics that guide the doctor-patient and the doctordoctor
relationships at the different levels of health care services.
10) List the basis of research, critical appraisal of researches and evidence based
medicine.
11) Identify the etiology, clinical manifestations, differential diagnosis and management of
the common drug and substance abuse problems as well as the management of their
withdrawal symptoms.
B. Intellectual Skills: By the end of the program the candidate should be able to:
1) Integrate the information gathered from medical records, history, clinical examination
and investigations to reach a proper diagnosis or a differential diagnosis.
2) Appraise research articles critically.
3) Interpret statistical results efficiently and apply the results in performance improvement.
4) Manage resources effectively (including time).
5) Conduct community needs assessments.
C. Professional and Practical Skills: By the end of the program the candidate should be
able to:
1) Apply proper consultation through; medical records, history taking, clinical examination
and selection of the proper investigations according to the human life cycle to develop
an appropriate patient centered management plan.
2) Provide appropriate counseling in health and disease.
3) Manage acute emergency cases initially, perform fundamental life support measures
when indicated and perform proper referral.
4) Perform routine procedures needed in family practice.
5) Use drugs appropriately in a cost effective manner.
6) Demonstrate the ability to communicate in multiple modalities with patients, their
families, other health care providers and administrators.
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7) Use the different models for behavioral modification and change for life style
modification.
8) Initiate, utilize and audit medical records to insure appropriateness of continuity of care.
9) Implement evidence based medicine and guidelines in the everyday practice.
10) Apply a coordinated referral system.
D. General and Transferable Skills: By the end of the program the candidate should be
able to:
1) Apply comprehensive care through a biopsychosocial approach.
2) Recognize self limitations with regards to practice and seek consultation with
other health care providers to provide optimal care for his clients.
3) Apply safe medical practice through early recognition, reporting and correction
of medical errors.
4) Show appropriate application of client’s right with his clients including empathy,
respect for their dignity, their privacy and their rights and equity of care among
them.
5) Demonstrate the capacity to communicate effectively and maintain honesty and
integrity in all interactions with his clients, their families and his colleagues.
6) Work effectively in a team either as a member or as a leader who can educate,
motivate, supervise and lead other health workers in health promotion, disease
prevention and management of diseases.
7) Practice continuous professional development.
III. Academic standards
External references for standards:
American Academy of Family Physicians (AAFP)
IV. Program Admission Requirements
According the Faculty of Medicine, Cairo University Bylaws for Post Graduate Programs (July
2009), applicants should have MBBCh or equivalent degree. According to Cairo University
requirements, all applicants for postgraduate studies should fulfill preliminary courses on the
following subjects; Medical statistics I – English language (Toefl or equivalent degree) –
Computer skills (ICDL) or equivalent computer course offered by the medical education center
(MEDC). Admission to the program is open during July. Training prior to registration may be
accredited according to departmental and hospital evaluation. Program structure and
c
ontents
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V. Program Structure and Contents
Program duration: Three years.
Program structure: Total credit points 170
· First part : 1.5 years- Total credit points 65 - ( Table 1 )
• Compulsory courses:
• Internal Medicine 4 credit points
• Pediatrics 3 credit points.
• Community Medicine 2 credit points.
• Clinical pharmacology 1 credit point.
• Medical Ethics 1 credit point.
• Elective Courses 1 credit point.
• Scientific Activities 3 credit points.
• Residency training program (phase 1) 50 credit points.
· Second part : 1.5years – Total credit points 85 - (Table 2)
• Compulsory courses
• Gynaecology and Obstetrics 3 credit points
• Emergency medicine,
traumatology and toxicology
2 credit points
• General Surgery 2 credit points
• Psychiatry 2 credit points
• Dermatology 1 credit point
• ENT 1 credit point
• Ophthalmology: 1 credit point.
• Scientific Activities: 3 credit points.
• Residency training program phase 2 70 credit points.
· Master thesis: completed during the second part 20 credit points.
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Table 1: First part
Courses
Credit Points
Code Title CPS Total
COMPULSORY COURSES
FAML827COMM Community Medicine 2 A1,5,6,7,B3,4,5,C1,2,6,7,8,10,D1-7
FAML827CLPH Clinical Pharmacology 1 A8,B2,3,4,C5,9,D2,3,7
FAML827INTM Internal Medicine 4 11 A1,2,3,4,B1,3,4,C1-10,D1-7
FAML827PEDI Pediatrics 3 A1,2,3,4,B1,3,4,C1-10,D1-7
FAML827ME Medical Ethics 1
A9,B4,C2,D1-6
ELECTIVE COURSES choose 2 courses
MEDC 1 Critical Reading 0.5 A10,B2,C9,D7
MEDC 2 Scientific writing 0.5 A10,B2,C9,D7
MEDC 3 Evidence-Based Medicine 0.5 1 A10,B2,3,C9,D7
MEDC 4 Medical statistics II 0.5 A10,B3,C1,2,5,8
MEDC 6 Communication Skills 0.5
A9,C2,6,7,D5
SCIENTIFIC ACTIVITIES
1 st Part Scientific activities 3 3 A1-11,B1-5,C1-10,D1-7
RESIDENCY TRAINING PROGRAM
ILOs
FAML827C1
Residency Training Program
(Phase1)
50 50 A1-11,B1-5, C1-10, D1-7
Table2: Second part
Courses
Credit Points
Code Title CPS Total
COMPULSORY COURSES
FAML827SURG Surgery 2 A1,2,3,4,B1,3,4,C1-10,D1-7
FAML827OBGN Obstetrics & Gynecology 3 A1,2,3,4,B1,3,4,C1-10,D1-7
FAML827DERM Dermatology 1 A1,2,3,4,B1,3,4,C1-10,D1-7
FAML827OPHT Ophthalmology 1 A1,2,3,4,B1,3,4,C1-10,D1-7
FAML827ENT ENT 1 12 A1,2,3,4,B1,3,4,C1-10,D1-7
FAML827PSYCH Psychiatry 2 A1,2,3,4,B1,3,4,C1-10,D1-7
FAML827ETT Emergency medicine,
Traumatology and
Toxicology
2
A1,2,3,4,B1,3,4,C1-10,D1-7
SCIENTIFIC ACTIVITIES
2 nd part Scientific activities 3 3 A1-11,B1-5,C1-10,D1-7
RESIDENCY TRAINING PROGRAM
ILOs
FAML827C2
MASTER THESIS
Residency training program
( phase 2)
70 70 A1-11,B1-5, C1-10, D1-7
Master Thesis 20 20 A1-6,B1-5,C1,2,6-10,D1-7
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FAMILY MEDICINE MASTER DEGREE PROGRAM MATRIX
Courses
A
Knowledge and
Understanding
B
Intellectual
Skills
C
Professional Skills
D
General and
Transferable
Skills
Code Name 1 2 3 4 5 6 7 8 9 10 11 1 2 3 4 5 1 2 3 4 5 6 7 8 9 10 1 2 3 4 5 6 7
FAML827COMM Community Medicine x x x x x x x x x X X X X X X X X X X X
FAML827CLPH Clinical Pharmacology x x x x x x x x x
FAML827INTM Internal Medicine x x x x x x x x x x x x x x x x x x x x x x x x
FAML827PEDI Pediatrics x x x x x x x x x x x x x x x x x x x x x x x x
FAML827ME Medical Ethics x x x x x x x x x
MEDC 1 Critical Reading x x x x
MEDC 2 Scientific writing x x x x
MEDC 3
Evidence-Based
x x x x x
Medicine
MEDC 4 Medical statistics II x x x x x x
MEDC 6 Communication Skills x x x x x
FAML827SURG Surgery x x x x x x x x x x x x x x x x x x x x x x x x
FAML827OBGN Obstetrics & Gynecology x x x x x x x x x x x x x x x x x x x x x x x x
FAML827DERM Dermatology x x x x x x x x x x x x x x x x x x x x x x x x
FAML827OPHT Ophthalmology x x x x x x x x x x x x x x x x x x x x x x x x
FAML827ENT ENT x x x x x x x x x x x x x x x x x x x x x x x x
FAML827PSYCH Psychiatry x x x x x x x x x x x x x x x x x x x x x x x x
FAML827ETT Emergency medicine,
Traumatology and
x x x x x x x x x x x x x x x x x x x x x x x x
Toxicology
1 st Part Scientific Activities x x x x x x x x x x x x x x x x x x x x x x x x x x x x x x x x x
2 nd Part Scientific Activities x x x x x x x x x x x x x x x x x x x x x x x x x x x x x x x x x
FAML827C1 Residency training program x x x x x x x x x x x x x x x x x x x x x x x x x x x x x x x x x
FAML827C2 Residency training program x x x x x x x x x x x x x x x x x x x x x x x x x x x x x x x x x
Master x x x x x x x x x x x x x x x x x x x x x x x x x
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Residency Training Program
· Phase 1 Training:
According to the new Bylaws, July 2009 for post graduate programs, all the candidates
should have clinical training for 18 months. In this training phase the residents will
rotate in the internal medicine, the pediatrics, the emergency and the family medicine
departments. During this period the students will attend the compulsory first part
courses and they will also complete the elective courses.
· Phase 2 Training:
All candidates should have clinical training for 18 months. In this training phase the
residents will rotate in the Gynecology & Obstetrics department, the surgery clinic, the
dermatology clinic, the psychiatry clinics, the ENT clinic, the ophthalmology clinic, the
family medicine department and the emergency departments. During this period the
students will attend the compulsory courses of the second part and will participate in
the scientific activities of the department.
Master Thesis:
All master degree students should prepare a thesis in family medicine. The research and
ethical committee of the department must approve the protocol of the research. The thesis
may include a review part and a research part. The thesis is supervised by one or more senior
staff members and may include other specialties according to the nature of the research. The
thesis should be evaluated and approved by a committee of three professors including one of
the supervisors and an external professor.
Scientific Activities:
The candidates should participate in the scientific activities of the department such as:
· Seminars.
· Journal clubs.
· Scientific meetings.
· Workshops.
· Conferences.
· Thesis discussions.
Each activity is monitored and given credit points registered in a special section in the
logbook. Candidates should collect the required points before allowed to sit for final exam.
VI. Regulations for progression and program completion
After finishing the first part of the residency training, attending the specified courses and
collecting the required credit points, the student should pass the first part examination before
proceeding to the second part. In case the student fails to pass the examination, he may
proceed in the clinical training and can resubmit for the next examination. After passing the
first part, the student submits a protocol for master thesis at the beginning of the second part.
Before submitting to the final exam, he should finish the thesis and get approval, complete the
second part of the training program, and collect the required credit points. The candidate will
receive his degree after passing this final examination. The Master degree should be obtained
within a maximum of 6 years after the registration date.
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VII. Assessment
A: Assessment Tools
· Supervision and Monitoring of Training Program
According the Faculty of Medicine, Cairo University Bylaws for practical Training Programs,
professors carry continuous assessment during the program. A practical training program
logbook will be kept for each candidate to document all his/her practical activities as well as
his/her participation in different scientific activities. The head of the department should allow
the candidates to undergo the final examination when they complete their training program
and collect the credit points needed.
· Formal Assessment
According the Faculty of Medicine, Cairo University Bylaws for Post Graduate Programs
(July 2009). Students should be assessed at the end of first part and of the second part.
1. First Part Final Exam:
· Community Medicine: 2 hours written exam + Oral exam
· Clinical Pharmacology: 1 hour written exam
· Internal Medicine: 2 hours written exam + Oral exam + Clinical exam
· Pediatrics: 2 hours written exam + Oral exam + Clinical exam
· Medical Ethics: 1 hour written exam
2. Second Part Final Exam:
· General Surgery: 2 hours written exam + Oral exam + Clinical exam
· Obstetrics & Gynecology: 2 hours written exam + Oral exam + Clinical exam
· Dermatology: 1 hour written exam
· Ophthalmology: 1 hour written exam
· ENT: 1 hour written exam
· Psychiatry: 2 hours written exam + Oral exam
· Emergency Medicine, Traumatology & Toxicology: 2 hours written exam +
Oral exam
B: Assessment Schedule:
1. First Part Final Exam:
The written examinations will be held in five days. This will be followed by the
practical and oral examinations in separate days.
2. Second Part Final Exam:
The written examinations will be held in seven days. This will be followed by the
practical and oral examinations in separate days.
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C: Weighing Of Assessment (Marks allocated to courses):
(50 marks for each credit point)
FIRST PART
Courses
Marks
Code Title Written Oral C/P* Total
FAML827COMM Community Medicine 75 25 100
FAML827CLPH Clinical Pharmacology 50 50
FAML827INTM Internal Medicine 100 50 50 200
FAML827PEDI Pediatrics 60 45 45 150
FAML827ME Medical Ethics 50 50
Total First Part 550
SECOND PART
FAML827SURG Surgery 50 25 25 100
FAML827OBGN Obstetrics &
Gynecology
80 35 35 150
FAML827DERM Dermatology 50 50
FAML827OPHT Ophthalmology 50 50
FAML827ENT ENT 50 50
FAML827PSYCH Psychiatry 75 25 100
FAML827ETT Emergency
medicine,
Traumatology and
70 30 100
Toxicology
Total Second Part 600
* C: clinical exam; P: practical exam
Remarks
- It is mandatory to pass all the papers of written exams separately.
- The passing mark in any written exam is ≥ 60%.
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VIII. Evaluation
Evaluator Tool Sample
1. Senior Students Questionnaire at the end of the
program
Sample of the postgraduate
students
2. External Evaluators Review the program and courses
Attend the final exam.
Annual report
Date of approval by the department’s council:
Signature:
Program Coordinator Head of the Department
Professor: Laila Kamel
Professor: Nagwa Eid
Professor: Nagwa Eid
Lecturer: Maha Mowafy
Lecturer: Ghada Khafagy
Assistant Lecturer: Rasha Saad Elkholy
Dr. Sarah Mohamed Nader
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Courses
A
Knowledge and
Understanding
B
Intellectual
Skills
C
Clinical Skills
Name 1 2 3 4 5 6 7 8 9 10 11 1 2 3 4 5 1 2 3 4 5 6 7 8 9 10 1
Internal Medicine x x x x x x x x x x x X X X X X X X
Pediatrics x x x x x x x x x x x x x x x x x x
Community x x x x x x x x x x x x x x
Clinical Pharmacology x x x x x x
Medical Ethics x x x x
Gynecology & Obstetrics x x x x x x x x x x x x x x x x x x
General Surgery x x x x x x x x x x x x x x x x x x
Emergencymedicine, traumatology &
toxicology
x x x x x x x x x x x x x x x x x x
Psychiatry x x x x x x x x x x x x x x x x x x
Dermatology x x x x x x x x x x x x x x x x x x
ENT x x x x x x x x x x x x x x x x x x
Ophthalmology x x x x x x x x x x x x x x x x x x
Communication Skills x x x x
Critical Reading x x x
Evidence Based medicine x x x x
Medical Statistics(2) x x x x x x
Scientific writing x x x
Scientific Activities part 1 x x x x x x x x x x x x x x x x x x x x x x x x x x x
Scientific Activities part 2 x x x x x x x x x x x x x x x x x x x x x x x x x x x
Residency Training Program (phase 1) x x x x x x x x x x x x x x x x x x x x x x x x x x x
Residency Training Program (phase 2) x x x x x x x x x x x x x x x x x x x x x x x x x x x
Master x x x x x x x x x x x x x x x x x x x
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