توصيف برنامج الماجستير في طب الطوارئ
( عام2020-2021 )
A- Basic information:
1- Name of the program: Master of Emergency Medicine.
2- Nature of the program: Single
3- Departments:
Responsible Department: Emergency medicine
Participating Departments: Pathology, Anatomy, Clinical pathology, physiology, forensic medicine and toxicology, pharmacology, microbiology & Immunology, General surgery and Internal medicine departments.
Coordinator:
Prof. Gamal Saleh; Professor of general surgery
4- Internal evaluation of program specification:
Prof. Mohamed Atteieh; Professor of general surgery
5- External evaluation of program specification:
Prof. Hossam Ghazy; Professor of general surgery, Mansoura University
6- Date of approval of program specification:
§ Department council: 9/2020
§ Faculty council: 15/9/2020
B- Professional information:1- Program aims:The objective of this program is to graduate an Emergency specialist capable of:1. Dealing with all life-threatening conditions efficiently inside the secondary and tertiary care Health Facilities.2. Assuring safety of emergency patient at site of its occurrence till the arrival of facilities.
3. Efficiently managing emergency condition, when encountered outside the hospitals in the presence of minimal facilities.
4. Applying safety measures for proper transportation and maintain treatment during this phase.
5. Utilizing the sophisticated facilities present at the emergency department including the operative theatre and ICU.
6. Planning an emergency and disaster plan for the affiliated health care facility.
7. Training, leading and motivating the emergency staff and related disciplines.
8. Educating the surrounding community with basic safety and first aid procedures that would save lives, eliminate danger and enhance prognosis.
2-Intended Learning Outcomes (ILOS):
2.a. Knowledge and Understanding:
On successful completion of the program, the graduate will be able to:
2.a.1 Describe applied anatomy of head &neck, chest, abdomen, pelvis, upper and lower limbs.
2.a.2 Discuss the physiological phenomena of vital somatic functions related to trauma especially the poly-traumatized patient, major surgical procedures common and uncommon medical emergencies.
2.a.3 Identify the causes, risk factors and patho-physiology of common and uncommon and serious life-threatening emergency conditions in both adults and children.
2.a.4 Identify the suitable pharmacological drugs to be used in medical, surgical emergencies, trauma and pain management.
2.a.5 Recall drugs requiring therapeutic drug monitoring and interpret results and define the effects of age, body size, organ dysfunction and concurrent illness on drug distribution and metabolism.
2.a.6 Identify less common presentations of the acute emergent medical and surgical problems in addition to trauma cases and their medico legal and ethical aspects.
2.a.7 Describe relevant drug therapy for the acute condition diagnosed on evidence based basis and beware of the role regulatory agencies involved in drug use, monitoring and licensing (e.g. National Institute for Clinical Excellence (NICE), Committee on Safety of Medicines (CSM) while prescribing your therapy.
2.a.8 Identify and manage the acute life threatening toxicological conditions, recognize and manage the less common rare presentations for toxicological emergencies.
2.a.9 Rapid recognition of acute life-threatening conditions and discuss the most likely diagnoses whether medical, surgical, traumatic or toxicological.
2.a.10 Identify the proper principles and procedures of safe transport with referral to the international guidelines for transporting acutely ill patient and adapting these principles on the available resources.
2.a.11 Identify the international principles, guidelines and definitions of emergency department planning and disaster management strategies.
2.a.12 Upgrade the knowledge about the various acute life threatening obstetric and gynaecologic conditions.
2.a.13 Discuss the pathophysiology and complications of trauma in the field of obstetrics and gynaecology.
2.a.14 Identify and manage life threatening neuropsychiatric emergencies.
2.b. Intellectual Skills:
On successful completion of the program, the graduate will be able to:
2.b.1 Demonstrate the ability to take a focused informative relevant history within limited time and under difficult conditions for e.g. in severely ill patient or angry distressed patient/ relative.
2.b.2 Analyze data obtained from clinical interview.
2.b.3 Focus accurately questioning to establish working diagnosis / differential diagnosis and relate to relevant examination, investigation and management plan in most acute and common chronic conditions in almost any environment.
2.b.4 Use risk calculators and clinical scoring systems appropriately.
2.b.5 Utilize and interpret findings of advanced adjuncts to basic examination e.g. echocardiography, FAST ultrasound.
2.b.6 Utilize examination techniques to the variable acute clinical situations and being able to conduct examination while resuscitating the patient.
2.b.7 Develop observational protocols for high risk patients.
2.b.8 Decide the patient’s destiny whether discharge, referral to a higher level of care or observation in a Clinical Decision Unit (CDU).
2.b.9 Conduct frequent follow up for patients in CDU for change in risk stratification.
2.b.10 Construct a concise problems list and develop action plans while recognizing expert advice, up to date guidelines and algorithms.
2.b.11 Generate a hypotheses and knowing how to test refine and verify this hypotheses.
2.b.12 Utilize the different statistical methodologies, studies and their interpretation.
2.c. Practical & professional Skills:
On successful completion of the program, the graduate will be able to:
2.c.1 Carry out the management of more than one patient in the ED at a time.
2.c.2 Prioritize sick patients using rapid triaging systems and recognizing the urge to commence resuscitation before the completion of full history and examination.
2.c.3 Respect time and being able to organize and lead the clinical team and managing the workload whatever.
2.c.4 Predict the prognosis and future risks for the acutely ill patient presenting to the ED.
2.c.5 Perform competently and professionally all advanced life supporting measures in acute life threatening medical, surgical, traumatic and toxicological emergency situations to both adults and pediatric groups.
2.c.6 Perform Advanced Cardiac and Trauma life Support (Adult and Pediatric) and knowing how to manage the patient post- arrest with ROSC (Return of Spontaneous Circulation)
2.c.7 Diagnose and treat peri- arrest arrhythmias and know the indications, contraindications and side effects of the drugs used
2.c.8 Competently perform further steps and maneuvers in advanced life support.
2.c.9 Establish skillfully IV access including intra-osseous, central venous access and intra-arterial insertion with invasive arterial BP monitoring.
2.c.10 Conduct thoracocentesis and intercostal tube drain in life threatening thoracoabdominal injuries.
2.c.11 Conduct the peripheral nerve blocks.
2.c.12 Decide critical situations which require ventilatory support.
2.c.13 Outline immediate management options including initiation of non-invasive ventilation or invasive mechanical ventilation.
2.c.14 Perform efficiently procedures needed to manage a difficult airway including LMA, needle and surgical cricothyroidotomy.
2.c.15 Obtain adequate echo- cardiographic and US (FAST) images and Can interpret accurately in the clinical setting.
2.c.16 Follow up the patient’s outcome after the various emergent interventions and determine the benefit versus risk value for doing further interventions and put alternative management plans.
2.c.17 Report a patient status management and interventions done in a full comprehensive manner.
2.c.18 Appraise the value of efficient reporting and monitor the process of adequate complete reporting.
2.c.19 Perform efficiently lifesaving non-specialized minor surgical procedures.
2.c.20 Demonstrate the clinical data and outline the radiological and laboratory investigations relevant to the patient’s condition.
2.d. General and transferable skills:-
On successful completion of the program, the graduate will be able to:
2.d.1 Identify the role of different team members and communicates appropriately fully respecting the responsibilities and viewpoints of the different members.
2.d.2 Cooperate with the team, work as team leader.
2.d.3 Communicate accurately and urgently according to the situation using appropriate means telephone, e-mail, written letter…etc.
2.d.4 Ensure the presence of efficient accurate and clear written referral letter to the recipient colleague on referring a patient.
2.d.5 Express sympathy and encourage effective communication between you, your patients and their relatives by listening to them and breaking the barriers hindering effective communication.
2.d.6 Demonstrate professional ability to manage situations and events unique to the practice of emergency medicine.
2.d.7 Use different interpersonal communication skills and information technology to teach and upgrade the knowledge of the junior staff in emergency medicine.
2.d.8 Utilize the advances in information technology and telemedicine to facilitate and improve emergency room work and management.
2.d.9 Continuously upgrade the knowledge, skills and professional performance in management of patients with acute life threatening emergencies.
3- Academic Standards: 3 ـ المعايير الأكاديمية للبرنامج:
· Academic Standards of Master Program of Emergency Medicine, approved in faculty council September 2017 ((ملحق 1
4- Reference standards (benchmarks) العلامات المرجعية: - 4
· Generic standerds, Master Program (March 2009), which were issued by the National Authority for Quality Assurance & Accreditation for Education. NAQAAE ((ملحق 2
5- Program structure and contents:
a) Program duration: 2 years
 1st part: - One Semester (6 months).
 2nd part: - Three Semesters (1.5 years).
 Thesis
b) Program structure
· Total hours of program 46 credit hours
· Theoretical: 32.5 credit hours
· Practical: 7.5 credit hours
· Thesis: 6 credit hours
c) Levels and courses of the program:الساعات المعتمدة
الكود
Course
المقررات
البند
الاجمالى
المقرر
10
2
EM 601
Applied anatomy
مقرر علمى و عملى فى التشريح التطبيقى
الجزء الاول
2
EM 602
Pathology
مقرر علمى و عملى الباثولوجى
1
EM 603
Physiology
مقلرر علمى و عملى الفيسيولوجى
1
EM 604
Clinical Pathology
مقرر علمى و عملى الباثولوجيا الاكلينيكيه
1
EM 605
Microbiology
مقرر علمى و عملى الميكروبيولوجى
1
EM 606
Pharmacology
مقرر علمى و عملى الفارماكولوجى
2
EM 607
Forensic Medicine and toxicology
مقرر علمى و عملى الطب الشرعى والسموم
30
16
EM 608
General & special surgery:
مقرر علمى نظرى و اكلينيكى فى الجراحات العامة والخاصة:
الجزء الثاني
14
EM 609
General & Special Internal Medicine