Faculty of Medicine Name of the Module

Otorhinolaryngology

Head & Neck Surgery

Study Guide

3

Faculty of Medicine Name of the Module

Table of Contents

Topic / Page
ICONS / 4
THE OUTCOMES OF THE UNDERGRADUATE CURRICULUM / 5
CURRICULUM MAP / 6
PHASE 2 / 6
COURSE SPECIFICATION / 6
INTRODUCTION / 12
TEACHING STAFF / 13
TOPIC OUTLINES / 14
No. Lectures
1 / Anatomy of the Ear & Diseases of external ear
2 / Otitis media: Classification & complications
3 / Hearing loss and its management
4 / Diseases of inner ear (Balance)
5 / Anatomy & physiology of the nose & sinuses
Rhinosinusitis and its complications
6 / Allergic rhinitis and nasal polyposis + ESS
7 / Epistaxis and its management
8 / Anatomy and physiology of the pharynx + adenotonsillitis
9 / Pharyngeal diseases & sleep apnea
10 / Anatomy and physiology of the larynx + laryngitis
11 / Diseases of the airway and their management
12 / Anatomy of the neck & ORL oncology
No. Practical
9 Clinics and 13 Tutorials
Clinics:
1. Prof. Tarek Jamal - General Otolaryngologist
2. Dr. Khaled Al-Noury - Neuro-otology-skull base
3. Dr. Saad Al-Muhayawi - Head & Neck Surgical Oncologist
4. Dr. Khalil Sendi - Pediatric Otolaryngologist
5. Dr. Abdulaziz Jifrey - General Otolaryngologist
6. Dr. Mohieddin Mandura - General Otolaryngologist
7. Dr. Khalid Al-Ghamdi - Facialplastic & General Otolaryngologist
8. Dr. Hisham Alem - General Otolaryngologist
9. Dr. Afaf Bamanie - Audiologist
10. Dr. Abeer Al-Radadi - Otolaryngic allergy
Tutorials:
1. Instruments, History & Examination 8. Radiology
2. Nasal Obstruction 9. Neck Masses
3. Sorethroat & Odynophagia 10. ORL Trauma
4. Ear Discharge 11. Revision
5. Epistaxis 12. Students Prepared Topic
6. Horarseness / Tracheostomy 13. Audiology
7. Otalgia
Problem Solving Sessions
1. Ear discharge and Otalgia

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Phase II ENT Clerkship Faculty of Medicine

Icons

The following icons have been used to help you identify the various experiences you 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 No. 7.

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

Undergraduate Program Learning Outcomes
Code / Learning Outcomes
Knowledge
By the end of the program the graduate will be able to:
A1 / Describe normal human development across the life-span and how these affect normal structure and function.
A2 / Describe normal structure and function of the major systems and how they interrelate.
A3 / Describe the molecular, biochemical and cellular basis essential for maintaining homoestasis.
A4 / Demonstrate knowledge of the basic medical sciences that explain causes and mechanisms of disease.
A5 / Describe the alterations in structure and function of major body systems as a result of illness or injury.
A6 / Demonstrate knowledge and understanding of the pharmacological principles of treatment using drugs, their efficacy in the management and symptomatic relief of diseases, as well as their side effects.
A7 / Discuss the implications of basic ethical principles, including confidentiality, informed consent, truth telling, and justice, for the care of patients.
A8 / recognize the legal background of medical practice
A9 / Explain the causes and mechanisms of intoxication.
A10 / Describe the role of family, community, and culture as factors influencing patient presentations, interpretations of illness episodes and adherence to treatment episodes.
A11 / Demonstrate knowledge and understanding of the natural history of disease and relationships with risk factors and disease prevention.
A12 / Recognize and discuss the principles of disease surveillance and screening, disease prevention, communicable disease control, health promotion, and health needs assessment.
A13 / Describe strategies to support life-long learning via print and electronic sources to assist in making diagnostic and treatment decisions and to remain current with advances in medical knowledge and practice.
A14 / Demonstrate knowledge of how to use the basic medical sciences and clinical skills for clinical decision making and problem solving in the care of patients.
A15 / Recognize the scientific basis of health, disease, and medicine in the management of common and high impact conditions in the society.
A16 / Demonstrate knowledge of the functional approach to managing chronic conditions, including knowledge of the impact of chronic illness on function.
A17 / demonstrate basic knowledge of the global health care delivery system in the community including physicians, hospitals, outpatient centres, health agencies and the role of community agencies in that system.
A18 / Recognize the management of common emergencies and the initial and the life saving management steps for other emergencies.
A19 / Identify the "Red flags" indicating seriousness in the different clinical presentations.
Cognitive Skills
By the end of the program the graduate will be able to:
B1 / Recognize, define and prioritize problems.
B2 / Demonstrate the ability to acquire new information and data.
B3 / Critically appraise validity and applicability of acquired information to one’s professional decisions.
B4 / Organize, record, research, present, critique, and manage clinical information.
B5 / Recognize the limitations of knowledge in medicine and the importance of triangulation of evidence before reaching a decision.
B6 / Evaluate the patient’s medical problems.
B7 / Formulate accurate hypotheses to serve as the basis for making diagnostic and treatment decisions.
B8 / Reflect on one’s thinking process and decisions and apply rational processes.
B9 / Use appropriate intellectual strategies to deal with uncertainties when they arise.
B10 / Demonstrate an understanding of research methodology.
B11 / Formulate research questions.
B12 / Draw research hypotheses.
B13 / Choose appropriate research methodologies and designs.
B14 / Select appropriate methods of data collection.
B15 / Analyse and interpret collected data.
Interpersonal Skills & Responsibility
By the end of the program the graduate will be able to:
C1 / Display the personal attributes of compassion, honesty, and integrity in relationships with patients, families, communities and the medical profession.
C2 / Exhibit appropriate value for the sensitive nature of the doctor/patient relationship and the importance of active listening, with attention to the patient’s familial, cultural, and spiritual circumstances.
C3 / Demonstrate professionalism and high ethical standards in all aspects of medical practice, specifically competence, honesty, integrity, respect for others, professional responsibility and social responsibility.
C4 / Exhibit a capacity for self-evaluation, moral reflection and ethical reasoning to form the basis for a self-directed, lifelong engagement in the responsible, committed, compassionate practice of medicine.
C5 / Apply the four principles of ethical and legal knowledge, namely respect for autonomy, beneficience, non-maleficience and justice.
C6 / Demonstrate awareness and understanding of the legal and professional responsibilities; and report inappropriate medical practice.
Communication, Information Technology & Numerical Skills
By the end of the program the graduate will be able to:
D1 / work effectively as part of a health care team
D2 / communicate effectively with patients, their families and colleagues, both verbally and in writing
D3 / retrieve information by all means including electronically
D4 / present information clearly in written, electronic and oral forms
D5 / work within a changing, multi-task environment
Psychomotor Skills
By the end of the program the graduate will be able to:
E1 / Elicit accurate comprehensive and focused medical history by employing techniques that facilitate the patient’s sharing of information.
E2 / Conduct a both effective and accurate comprehensive and focused physical examination.
E3 / Formulate a differential diagnosis.
E4 / Select the appropriate laboratory tests and radiographic studies and interpret their results and use them in making diagnostic and treatment decisions.
E5 / Formulate and implement a plan of care for both the prevention and treatment of disease.
E6 / Educate patients about their health problems and to motivate them to adopt health promoting behaviors.
E7 / Use pharmacotherapeutic agents and other therapeutic modalities effectively.
E8 / Demonstrate appropriate technique for performing Basic Life Support and Advanced Life Support.
E9 / Undertake tasks to initiate and be involved in the care of acutely ill patients.

Curriculum Map

YOU Are Here…

Year 1 / Year 2 / Year 3 / Year 4 / Year 5 / Internship
Phase I / Phase II

Course Specification

For Guidance on the completion of this template, please refer to of Handbook 2 Internal Quality Assurance Arrangements

Institution King Abdulaziz University Hospital - Jeddah
College/Department: Faculty of medicine, ORL Head & Neck Department

A Course Identification and General Information

1. Course title and code: Otorhinolaryngology and Head & Neck (ENT 501)
2. Credit hours: 3 hours

3. Program(s) in which the course is offered.

MBBS (Bachelor of Medicine & Surgery)

4. Name of faculty member responsible for the course
Chairman of the Department (Prof. Tarek S. Jamal)
5. Level/year at which this course is offered 4th Year
6. Pre-requisites for this course (if any) N/A
7. Co-requisites for this course (if any) N/A
8. Location if not on main campus

B Objectives

1. Summary of the main learning outcomes for students enrolled in the course.
To posses and apply a rational ORL examination and sound theoretical knowledge, this comes through a condensed theoretical & clinical exposure to common ORL disease.
2. Briefly describe any plans for developing and improving the course that are being implemented. (eg increased use of IT or web based reference material, changes in content as a result of new research in the field)
1. Availability of lectures on KAU website.
2. Future plan for interactive web teaching.
3. Update on new changes in lecture contents.
4. Audiovisual aid utilization.
5. Encouragement of operating room attendance.

C. Course Description (Note: General description in the form to be used for the Bulletin or Handbook should be attached)

TOPICS to be COVERED / No. of weeks / Contact Hours
1. Anatomy of the Ear & Diseases of external ear / 1
2. Otitis media: Classification & complications / 1
3. Hearing loss and its management / 1
4. Diseases of inner ear (Balance) / 1
5. Anatomy & physiology of the nose & sinuses
Rhinosinusitis and its complications / 1
6. Allergic rhinitis and nasal polyposis + ESS / 1
7. Epistaxis and its management / 1
8. Anatomy and physiology of the pharynx +
adenotonsillitis / 1
9. Pharyngeal diseases & sleep apnea / 1
10. Anatomy and physiology of the larynx +
laryngitis / 1
11. Diseases of the airway and their management / 1
12. Anatomy of the neck & ORL oncology / 1
2 Course components (total contact hours per semester):
Lecture:
12 / Tutorial: 7 hrs
Three in every clinic
2 ½ hrs. per tutorial / Laboratory:
10
Clinics
3 hrs. / Practical/Fieldwork/
Internship: Audiovisual
1 hr. / clinic / Other:
Operating room attendance
3 hrs. / OR
4 OR / week
3. Additional private study/learning hours expected for students per week. (This should be an average :for the semester not a specific requirement in each week)
Student self learning
4. Development of Learning Outcomes in Domains of Learning
For each of the domains of learning shown below indicate:
·  The course is intended to develop a brief summary of the knowledge and skill;
To cite theoretical and practical knowledge in ORL
·  A description of the teaching strategies to be used in the course to develop that knowledge or skill;
1.  Lectures 3. Clinical postings
2.  Tutorials 4. Revision on end of posting
·  The methods of student assessment to be used in the course to evaluate learning outcomes in the domain concerned.
OSCE and MCQ's in final
a. Knowledge
(i) Description of the knowledge to be acquired
- Recall of basic science knowledge in ORL.
- Recognize common ORL diseases and management.
- Transfer early referral to ORL of complicated cases.
- Exposure to clinical cases.
- Foundation of future postgraduate study in ORL.
(ii) Teaching strategies to be used to develop that knowledge
a)Lectures d) Audiovisual tapes
b) Tutorials e) Websites
c) Clinical postings
(iii) Methods of assessment of knowledge acquired
a)  OSCE at the end of posting
b) MCQ's at the end of the year
b. Cognitive Skills
(i) Cognitive skills to be developed
1. Solve common ORL diseases.
2. Identify the complications when present.
3. Refer complicated and urgent cases
(ii) Teaching strategies to be used to develop these cognitive skills
1.  Clinical teaching
2.  Tutorial
3.  Bedside teaching
(iii) Methods of assessment of students cognitive skills
a) Clinical cases
b) MCQ's at the end of the year
c) OSCE
c. Interpersonal Skills and Responsibility
(i) Description of the interpersonal skills and capacity to carry responsibility to be developed
1. Respect the assigned ORL teaching hours.
2. Pursuit further ORL career
(ii) Teaching strategies to be used to develop these skills and abilities
1.  Demonstration during clinical postings.
2.  Application of ORL examination process between the students.
3.  Employment of audiovisual tapes for basic ORL skills.
4.  Employment of dummies for examination.
(iii) Methods of assessment of students interpersonal skills and capacity to carry responsibility
-  Observation of students to generate a safe ORL examination.
d. Communication, Information Technology and Numerical Skills
(i) Description of the skills to be developed in this domain.
1. Communicate with other health care provider
2. Acquire the skills of information technology
3. Provide an evidence based medical management
(ii) Teaching strategies to be used to develop these skills
- Problem solving seminars
- Clinical cases
(iii) Methods of assessment of students numerical and communication skills
Through observation at the assigned teaching sessions.
e. Psychomotor Skills (if applicable)
(i) Description of the psychomotor skills to be developed and the level of performance required
1. Apply the theoretical knowledge into the ORL cases.
2. Construct a recognized scheme of differential diagnosis and investigate for the provided cases.
3. Perform a sound treatment for the common cases.
4. Separate the common from the uncommon ORL problems.
5. Detect and manage common ORL problems
6. Discover and diagnose those conditions that need more special ORL care.
(ii) Teaching strategies to be used to develop these skills
1.  Real patient's examination in the clinics.
2.  Real scenarios during mini-seminars.
3.  Peer clinical examination
(iii) Methods of assessment of students psychomotor skills
1.  Staff observation during patient examination.
2.  Review tutorials.
3.  OSCE at end of postings.
5. Schedule of Assessment Tasks for Students During the Semester
Assessment / Assessment task (eg. essay, test, group project, examination etc.) / Week due / Proportion of Final Assessment
1 / OSCE at the end of clerkship / 40%
2 / Final written MCQ's at the end of the rotation / 60%
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D. Student Support