Department: Clinical Pharmacology



Neurosurgery Programme Specifications

For MD degree

A-Basic Information

1-Programme title: Doctor degree (M.D.) in Neurosurgery

2- Programme type: Single Double Multiple

3-Department (Departments): Neurosurgery

4- Coordinator Assistant:

5-Coordinator: Dr.Safwat Abouhashem

6-External evaluators:

7-Last date of programme specifications approval:

B-Professional Information

1- Programme aims

The overall goal of the program is to develop a fully trained neurosurgeons who should be

a. Committed graduate with high professional standards, can face, respond to, and solve the current medical challenges facing the community in the fields of neurosurgical practice

b. The graduate will be provided with knowledge, and skills which enable them to carryout the appropriate management plan For patient with neurosurgical diseases

c. The graduate will be trained and provided also to cope with the future challenges through life long learning and conducting the necessary medical research.

2. Intended learning outcomes (ILOs):

A- KNOWLEDGE and UNDRSTANDING

By the end of the program the candidate should

1) Describe the detailed anatomy of skull and spinal column

2) Describe The normal structure and function of the central and peripheral nervous system

3) Describe the detailed anatomy of the extracranial and intracranial vertebral, carotid and spinal circulation including arterial branches and the venous system.

4) Discuss the embryogenesis , the normal growth and development of the central and peripheral nervous system and the related abnormalities

5) Discuss the principles of genetics and the role of genetics aberrations in the development of the central and peripheral nervous system diseases

6) Discuss the basics of tumor biology including proliferation, invasiveness and vascluarization.

7) Describe and diagram the histological findings that characterize different CNS tumors

8) Discuss pathophysiologic mechanisms associated with brain, spinal cord, peripheral and cranial nerves lesions

9) Discuss the concepts of cerebral blood flow, ischemic thresholds, intracranial pressure, cerebral perfusion pressure, and its impact on the brain and spinal cord function.

10) Discuss the major principles of fluid, electrolytes, respiratory, coagulation, cardiac, and nutritional physiology and pathophysiology in relation to the neurologically injured patient, the stroke patient, and the post-operative patient. 

11) Enumerate the important clinical signs and symptoms for patients that require emergency intervention .

12) Discuss the epidemiology, natural history, the risk factors ,incidence and clinical presentations of

▪ Head injuries

▪ spine injuries

▪ Brain tumors

▪ Spinal tumors

▪ spinal degenerative disease

▪ Intracranial infection

▪ Spinal infection

▪ Intracranial hypertension

▪ hydrocephalus

▪ Craniocynastosis

▪ Cranial congenital anomalies

▪ Spinal congenital malformations

▪ Cerbrovascular diseases

▪ Functional and epilepsy surgery

▪ Peripheral nerve injuries and entrapment

B- Intellectual skills

1. Treat the patient as a person, not as a disease and understand that patients are human beings with beliefs, values, goals and concerns which must be respected.

2. Identify the surgical options for accessing the central and peripheral nervous system lesions and the principles, indications, the relative advantages and disadvantage of various management strategies applied to different neurosurgical ,neurological ,emergency and post traumatic clinical situations.

3. Discuss the relative risk of morbidity and mortality for central and peripheral nervous system lesions

4. Apply the international guidelines of management of traumatic brain and spinal lesions

5. List a differential diagnosis with prioritization of the common possibilities for each problem.

6. Discuss medico-legal aspects of medical practice.

7. Discuss the scientific basis and interpret ate the common diagnostic studies

8. Discuss The principles of infection control in hospitals and within community.

9. Discuss The principles of research methodology

10. Discuss The basic principles of biostatistics.

C- Professional and Practical skills

1. Obtain and document a complete focused medical history in the outpatient,inpatient or emergency settings.

2. Perform and document a complete physical and mental examination.

3. Interpret the results of commonly used diagnostic procedures in the neurosurgery practice(laboratory and radiological) which include X ray ,CT,MRI and Angiography

4. Identify problems and select the most appropriate and cost effective diagnostic procedures for each problem.

5. Apply the principles and international guidelines of management of each problem conditions

6. perform the following surgical procedures

Head injury

• Repair Scalp injuries

• Elevation of depressed skull fractures with and without brain fungation

• evacuation of Extradural hematoma

• evacuation of Subdural hematoma

• evacuation of Intracerebral hematoma

• Removal of foreign body (bullet-knife) from brain

Spinal injury

• Traction and reduction of cervical fracture

• Evacuation of spinal epidural hematoma

• Removal of foreign body from the spinal canal

• Posterior Decompressive procedures for spinal injuries

• Posterior fixation of the lumbar spine fracture

• Anterior fixation of lower cervical spine

Peripheral nerve injuries and entrapment

• Direct repair of nerve injuries

• Cable graft

• Ulnar nerve transposition during repair of ulnar injury

• Decompressive neural procedure for Carpal tunnel and Tarsal tunnel

Pediatric operations

• V-P shunt for hydrocephalus

• Repair of congenital meningocele, meningomyolocel encephalocel

• Craniocynostosis

• Cutaneous cranial or spinal dermoid cyst

Cranial surgery

• Meningioma

• Brain abscess

• Brain metastasis

• Gliomas

• Posterior fossa tumours

• Sellar region tumours involving Pituitary tumors and Craniopharyngioma

Spinal surgery

• Decompressive procedures for extradural lesion(Lymphoma, metastasesand abcess)

• Lumbar disc surgery ( Laminectomy and Microdiscectomy)

• Posterior approaches for Dorsal disc surgery

• posterior fixation for spondylolisthesis

• Anterior discectomy forCervical disc surgery

• Posterior foraminectomy for Cervical disc surgery

• Laminectomy for cervical spondylosis

Stereotactic surgery

• Diagnostic Biopsy

Miscellaneous surgery

• EVD

• Cranioplasty

• Lumbo-peritoneal shunt

7. Assist and operate under supervision in the following condition

• posterior instrumentation of the cervical spine

• anterior Approaches for dorsolumber lesion

• surgery for intradural spinal lesions

• Brachial plexus surgery

• the Skull base surgery

• cerebrovascular surgery

• functional neurosurgery

D- General and transferable skills

1. Conduct patient interviews that are characterized by patience and attentive listening.

2. Perform verbal and written communication with patients, their families and colleagues with competence.

3. Explain to patients and their families the clinical investigation's findings in relation to possible courses of therapy including indications, risks, benefits and alternatives as well as plans for follow up.

4. Distinguish when and how to ask for senior consultation.

5. Give accurate and clear oral summaries of the patient's illness.

6. Work collaboratively with other health professionals in other disciplines to maximize patient benefits and minimize the risk of errors.

7. Write clear and concise medical records including: admission sheets, progress notes, and physician’ orders, referrals for consultation, discharge summaries and follow up notes.

8. Identify personal weaknesses through accurate self-assessment

9. Utilize the resources of biomedical information including the available electronic facilities to update his/her knowledge

10. Respect the patients rights and privacy and have acquired awareness of the ethical behavior expected of doctors towards patients with recognition of patients’ rights, particularly with regard to confidentiality and informed consent.

11. Interact with patients, families and colleagues honesty and with integrity

12. Advocate the interest of one's patients over one's own interests at all times

13. Maintain a professional image in manner, dress, speech and interpersonal relationships that is consistent with the accepted contemporary medical profession standards.

14. Demonstrate fundamental knowledge in clinical and teaching conferences and in publications and scientific presentations.

15. Recognize her/his limits of knowledge and experience and aiming to update and improve it.

3. Academic standards:

3a External references for standards (Benchmarks)

Congress of Neurological Surgeons

3b Comparison of provision to external references

❖ The academic standards in the current program are comparable with other national and international programs.

❖ The academic standards and the Intended learning outcomes have been modified to the national and local circumstances

|External Reference |Comparable ILOs in the faculty |Remarks |

| |programme | |

| |-- | |

| | | |

4- Curriculum structure and contents:

4-a- Programme duration: 5 years

4-b- Programme structure:

(i) Number of hours per week: Lectures Practical/Clinical Total

(ii) No. of credit hours: 70 hours

(iii) No. of hours of basic sciences courses: 180 teaching hours

(iv) No. of hours of courses of social sciences and humanities: No

(vi) No. of hours of other courses 20

(vii) Field Training: No

5. Programme courses

Level/Year at program :Part 1

|Program ILOs covered by No. |No of hours per week |No. of unites |Course Title |Code No. |

| |Lab. |Lect. | | | |

| |1 |2 |2 |Neuroanatomy | |

| | |1 |1 |Neuropathology | |

| | |1/2 |1 |Computer | |

| | |1/2 |1 |Medical Statistics and | |

| | | | |Research Methodology | |

Level/Year at program :Part 2

|Code No. |Course Title |No. of unites |No of hours per week |Program ILOs covered by |

| | | | |No. |

| | | |lectures |Practical/Clinical |Lab | |

| |Neurosurgery |10 |4 |16 |2 | |

Level/Year at program :Part 3(Thesis)

1. The postgraduate student prepare a proposal of a thesis protocol after the selection of a subject that is complementary to the research plans of the department.

2. the department council nominate three supervisor according to their interest and subspecialty

3. Data collection, methodologies, study question, time table, ethical considerations and budget are formulated by the candidate under guidance of his supervisors into a research project.

4. The research protocol is discussed openly in one of the department councils to be approved and diverted to the Faculty research committee where it is subjected to a critical appraisal to meet the research basic standards set by the committee.

5. The final approvals of the research protocol are then issued by the committee of post graduate studies, the Faculty and University Council to be registered.

6. After the postgraduate student fulfill the logbook he will discuss the research project by a committee selected by the department council and approved by the Faculty research committee after at least two years from the final approvals of the Faculty and University Council

6- Programme admission requirements

• Bachelor of Medicine & surgery(M.B.B.Ch.) with minimum good grade and very good grade in general surgery.

• Master of Surgery with minimum good grade.

7- Regulations for progression and programme completion

First part

• Passing level 60% of total marks of the exam.

• prerequisite for Exam

1. Attend 85 % of the teaching hour

2. Approval of the department council by staff evaluation record and the mean evaluation must be at least 75%

Second part

• Passing level 60% of total marks of the exam

• prerequisite for Exam

1. Attend 85 % of the teaching hour

2. Approval of the department council by staff evaluation record and the mean evaluation must be at least 85%

Third part (Thesis)

Passing discussion is required for MD degree

• prerequisite for discussion

1. Publicate at least two papers in a recognized journal

2. Complete the all item of the log book

3. Approval of the department council by staff evaluation record and the mean evaluation must be at least 90%

8- Evaluation of programme intended learning outcomes

|Evaluator |Tool |Sample |

|Students at final year-1 |Questionnaires | |

|2-Graduates |Questionnaires | |

|3-Stakeholders |Interviews | |

|4-External Evaluator |Attending exam. (using checklist and/or rating | |

| |scale) | |

|5-Others(If Present) | | |

Courses specifications are added as appendices

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