Faculty of Medicine

Mansoura University

Study Guide
Level 2, Semester 4

2020 - 2021
 Semester 4 Reproductive system module / ECEC Module Faculty of Medicine

TABLE OF CONTENT
TABLE OF CONTENTS Topic Page

3
INTRODUCTION OF THE REP MODULE

4
OUTCOMES OF THE REP MODULE

6
INTRODUCTION OF THE ECEC MODULE

7
OUTCOMES OF THE ECEC MODULE

10
CURRICULUM MAP

11
STRUCTURE OF THE REP MODULE

12
STRUCTURE OF THE ECEC MODULE1

13
TEACHER’S CONTACTS

15
ASSESSMENT

16
COURSE CONTENTS OF THE REP MODULE

1
 Semester 4 Reproductive system module / ECEC Module Faculty of Medicine

27

COURSE CONTENTS OF THE ECEC MODULE

34
SELF-DIRECTED LEARNING (SDL)

36
RESOURCES

2
 Semester 4 Reproductive system module / ECEC Module Faculty of Medicine

INTRODUCTION TO REP MODULE

Reproductive system Module will provide you by the essential knowledge of basic concepts in
human development starting from the production of gametes, establishment of the embryo up to
independent life of the newborn infant. Also it provide you by the basic information about the
anatomical histological and physiological functioning of male and female reproductive tract with
consideration of disorders of the male & female reproductive tract and develop the independent
ability diagnose abnormalities in the reproductive system.

The objectives of the curriculum can be described under the four main areas of knowledge and
understanding, intellectual, practical and transferrable skills that the students should acquire by
the end of this course. The module will be delivered by online lectures, tutorial and practical
sessions. Self- directed learning sessions will be hold for improving the skills for self- learning.

Weekly feedback will be given on the model. Online formative assessment sessions will be used
during the module to help students test their own knowledge every week. Students will be
assessed by means of short essays, MCQs, and OSPE examinations.
This study guide gives details of the abovementioned items. Students should enjoy free
communication with all instructors through the indicated staff contact data. Reference textbooks
are indicated in this study guide, however students are encouraged to utilize the World Wide
Web for further information and studies. Some of the useful web sites are also indicated.
On behalf of the faculty of Medicine, Mansoura University, we would like to welcome you all
to the course and best wishes.

S Semester coordinator

Dr. Dalia Shaheen

Dr. Magda Sayed Ahmed

3
 Semester 4 Reproductive system module / ECEC Module Faculty of Medicine

OUTCOMES OF THE REP

MODULE

By the end of the course, students are expected to develop the following
competences:
A - Knowledge and Understanding:

A1 Identify different stages of development of the reproductive tract of male &
female during embryonic and fetal periods, its genetic and hormonal control
and abnormalities.

A2 Define the anatomical structure and the histology of the female and male
reproductive tracts.

A3 Identify the role of gonadotrophins in the control of male and female

gamete production.

A4 Illustrate the role of gonadotrophins in the regulation of differentiation and

development of male and female reproductive organs.

A5 Describe the mechanisms underlying puberty in the male and the female
and the sequence of associated changes.

A6 Recognize the physiology of pregnancy.

A7 Define common pathological changes of the male and female reproductive

system.

A8 State the role of parasitic infection on the pregnancy outcome.

A9 Classify drugs regarding their toxicity and teratogenic effect.

A10 Identify different Biochemical investigations of infertility

B: Intellectual skills:
B1. Correlate the knowledge gained from the multisystems discussed regarding normal
and abnormal function of the male and female reproductive system.
B2. Differentiate normal from abnormal conditions in the the male and female
reproductive system
B3. Compare normal and abnormal tissue structure of the male and female
reproductive system.
4
 Semester 4 Reproductive system module / ECEC Module Faculty of Medicine

B4. Interpret the different result of laboratory investigations

B5. Relate oxidative stress to some of the most common degenerative diseases
B6. Assimilate and integrate information from lectures, practical sessions, tutorials,
clinical presentation sessions, and independent learning activities.
B7. Interpret two – dimensional images of the CNS from radiographic techniques.
B8. Explain the pathology of the the male and female reproductive system and drug
action in relation to the underlying processes.

C-Professional and Practical Skills:

C1. Apply Knowledge gained from anatomy, biochemistry, physiology, pathology,

etc regarding normal and abnormal function of Reproductive System.
C2. Differentiate between normal and abnormal pubertal development and disorders
related to the abnormal pubertal development.
C3. Compare normal and abnormal tissue structure of Reproductive System organs.
C4. Classify reproductive organs tumours.
C5. Integrate knowledge gained from different disciplines to identify normal sexual
behaviour.
C6. Infer the outcome of biochemistry (hormonal) laboratory investigations.
C7. Identify risk & benefit of treatments before prescribing to pregnant women.
C8. Deduce the preventive measures of sexual transmitted parasitic diseases.
D- General and Transferable Skills:

D1 Organize tasks
D2 Submit the tasks on time.
D3 Share opinion & knowledge.
D4 Cooperate with a team to conduct a specific project.
D5 Respect teamwork.

5
 Early Clinical Experience & Communication Skills Module Faculty of Medicine
Semester 4

INTRODUCTION TO ECEC
MODULE
Early Clinical Experience & Communication Skills Module enable the student to
build an early clinical experience in the medical field, develop an experience in the
life-clinical situations & make up an early orientation, acquire knowledge, attitude
& skills in doctor-patient communications and the human, ethical, psychological,
and legal aspects of healthcare. This course will help the student to develop a basic
understanding of the concepts and applications of a range of communication skills
and apply these in an educational context.

The objectives of the curriculum can be described under the four main areas of
knowledge and understanding, intellectual, practical and transferrable skills that
the students should acquire by the end of this course. The module will be delivered
by online lectures, tutorial and practical sessions. Self- directed learning sessions
will be hold for improving the skills for self- learning.

Weekly feedback will be given on the model. Online formative assessment

sessions will be used during the module to help students test their own knowledge
every week. Students will be assessed by means of short essays, MCQs, and OSPE
examinations.
This study guide gives details of the abovementioned items. Students should enjoy
free communication with all instructors through the indicated staff contact data.
Reference textbooks are indicated in this study guide, however students are
encouraged to utilize the World Wide Web for further information and studies.
Some of the useful web sites are also indicated.
On behalf of the faculty of Medicine, Mansoura University, we would like to
welcome you all to the course and best wishes.

S Semester coordinator

Dr. Dalia Shaheen

Dr. Magda Sayed Ahmed

6
 Early Clinical Experience & Communication Skills Module Faculty of Medicine
Semester 4

OUTCOMES OF THE ECEC

MODULE
By the end of the course, students are expected to develop the following
competences:

A - Knowledge and Understanding:

A1 Recognize the concept of normal and abnormal clinical findings in history,
examination and laboratory investigations.
A2 List some examples of the normal and abnormal clinical findings.
A3 identify the sources of medical errors and the risks to the patients in the
medical care.
A4 demonstrate knowledge and understanding of the role of communication in
your daily life.
A5 Describe how competent communication can affect your career development.
A6 Discuss the effects of ethical behavior, culture, technology, and thinking on
your communication.
A7 List five common myths about communication.
A8 Discuss the stages of relationship development and deterioration.
A9 Explain how dialectic tensions push and pull on relationships.
A10 Explain what interpersonal conflict is and how to resolve it.
A11 Describe the functions of the patient interview
A12 Demonstrate knowledge and understanding of the basic skills required to
conduct a satisfying patient interview
A13 Identify critical elements of therapeutic communication.
A14 Recognize the importance of listening to patients.
A15 Discuss the skills of listening to patients .
A16 Explain the problems in establishing helping relationships with patients.
A17 Recognize that speech is an important tool for thinking and learning.
A18 Recognize bioethics, its main general principles and to be familiar with basic
ethical concepts.
A19 Learn & discuss how the foundational ethical concepts and framework apply to
medical issues including informed consent in particular.
A20 Define professionalism & explain its nature and pillars.
A21 Outline duties of physician towards patients, colleagues & society
A22 Recognize physician & patients’ rights
A23 Describe types of medical malpractice and professional misconduct
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 Early Clinical Experience & Communication Skills Module Faculty of Medicine
Semester 4


B: Intellectual skills:
B1. Distiguish between different modalities of strategies used in patient treatment.
B2. Differentiate between the comprehensive and holistic approach in patient management.
B3. Make the connection between self-concept and perception.
B4. Suggest ways to improve self-concept.
B5. Distinguish among the various types of communication: intrapersonal, interpersonal
(including group), and public communication.
B6. Interpret perceptions as well as improve your communication competence.
B7. Analyze the motivation of others and how it relates to interacting with others.
B8. Compare between online and face-to-face interaction.
B9. Distinguish between primary and secondary groups and their purposes.
B10. Use effective problem-solving and decision-making steps.
B11. Manage and use conflict strategies to ensure positive outcomes.
B12. Develop and use criteria for evaluating groups.
B13. Appraise duties of physician in relation to different medical situations.
B14. Develop & promote professional identity of students
B15. Develop the ability to reconstruct and critically evaluate arguments and analyze
common ethical problems in medical practice.
B16. Formulate an-ethical related decision in different medical situations.

C-Professional and Practical Skills:

C1. Acquire the skill of self learning

C2. Demonstrate an open-minded, respectful attitude to human experiences and diversity.
C3. Recognize the basic ethical and legal issues in daily clinical practice.
C4. Demonstrate ethical judgment, self-awareness & professionalism in their practice.
C5. Create a preliminary ethical decision regarding a medical issue or argument
C6. Promote professionalism, reflection & collaborative learning
C7. Express and criticize others’ views concerning their analytical ability involving ethical
fundamentals and medically related problems
C8. Develop a positive attitude towards patients, families and community through hospital and
community visits.
C9. Built up personal responsibility
C10. Motivated to early clinical experience.
C11. prepare a good presentation.

8
 Early Clinical Experience & Communication Skills Module Faculty of Medicine
Semester 4
D- General and Transferable Skills:

D1 Organize tasks
D2 Submit the tasks on time.
D3 Share opinion & knowledge.
D4 Cooperate with a team to conduct a specific project.
D5 Respect teamwork.

9
 Early Clinical Experience & Communication Skills Module Faculty of Medicine
Semester 4

CURRICULUM MAP

Level 2- Semester
4

Module Module Module Module

CNS REB ECEC REP

Public health and

Anatomy, Community
medicine Medicine, Anatomy,
Physiology, Physiology,
Physiology, Histology,
Histology,
Biochemestry, Anesthesia Biochemestry,
Pathology, Microbiology & Pathology,
Microbiology & Immunology, and Microbiology &
Immunology, Psychiatry Immunology,
Pharmacology, Pharmacology,
Parasitology, Parasitology,
Radiology, Radiology,
Psychiatry
Anesthesia

10
 Early Clinical Experience & Communication Skills Module Faculty of Medicine
Semester 4

STRUCTURE OF THE REP

MODULE

TIME TABLED HOURS:

Total 30 lectures, 11 Practical & Tutorials

TEACHING DEPARTMENTS:

• ANATOMY
• HISTOLOGY
• PHYSIOLOGY
• BIOCHEMESTRY
• MICROBIOLOGY & IMMUNOLOGY,
• PATHOLOGY
• PHARMACOLOGY
• PARASITOLOGY
• RADIOLOGY

11
 Early Clinical Experience & Communication Skills Module Faculty of Medicine
Semester 4

STRUCTURE OF THE ECEC

MODULE

TIME TABLED HOURS:

Total 21 lectures, 14 Practical & Tutorials

TEACHING DEPARTMENTS:

• General MIDICINE
• PHYSIOLOGY
• MICROBIOLOGY & IMMUNOLOGY
• FORENSIC MEDICINE
• PSYCHIATRY
• ANAETHESIA

12
 Early Clinical Experience & Communication Skills Module Faculty of Medicine
Semester 4

TEACHER'S CONTACTS

Name Department Contact Information

Dr Walaa Hamed Medical histology & Cell Biology walaahamedhistology@yahoo.com

Dr Eman Shaaban
Dr Safinaz Moustafa
Professor Dr/ Amal Abd el hameed Clinical pharmacology department
hassanin
Doctor: Nabil adeeb
Doctor: Ibrahem Al shenbaby
Professor Dr/Mohammed Ahady
Attia
Doctor: Neimat Abd
El hakam.
Dr. Amal Abd El-Hafez
Medical histology & Cell Biology eman_shaaban@mans.edu.eg
Medical histology & Cell Biology safi_mohamed2001@yahoo.com
Email:amalcp1965@gmail.com
Telephone: 01011512473
Clinical pharmacology department Email: nabil_adeeb@mand.edu.eg
Telephone: 01007209821
Clinical pharmacology department Email: dr_ibrahem_sh@yahoo.com
Telephone: 01007418721
Clinical pharmacology department Email: ahady2007@yahoo.com
Telephone:01091542486
Clinical pharmacology department Email:
dr_neimatpharma@mans.edu.eg
Telephone:01063751082
Pathology 01152785705

Prof. Dr. Azza Abdel-Aziz Ali Pathology 01005838904

Dr. Amany Hassan Pathology 01060551433

Prof. Dr. Sylvia Ashamalla Pathology 01003658804
Dr. Marwa Zaki Pathology 01005053777
Dr. Ahmed S N Abbas Pathology 01554457637
Sabry gad physiology 01223930596
Rami rabei physiology 01002345473
Abd elaziz Hussein physiology 01002421140
Rasha soliman physiology 01090085140
mohamed.3alwash physiology 01225321883
Mona gaber physiology 01555522652
Abeer moustafa physiology 01025168150

Shereen samir physiology 01006708696

Zeinab halim physiology 01011800909

13
 Early Clinical Experience & Communication Skills Module Faculty of Medicine
Semester 4

Name Department Contact Information

Dr Nehal Tharwat Radiology 01144746182

Dr Zenab Ahmed Radiology 01062814253
Dr Mohamed Mohsen Radiology 01006972157
‫وﻓﺎء اﻟﺒﮭﺎﺋﻲ‬.‫د‬.‫ا‬ Psychiatry Department 01090012322
Ass. Prof. Noha Medical Microbiology & 01020100764
Tharwat Immunology
Ass. Prof. Niveen Medical Microbiology & 01280064464
Elwakeel Immunology
Ass. Prof. Waleed Medical Microbiology & 01061494956
Eldars Immunology
Ass. Prof. Heba Medical Microbiology & 01006454655
Eldegla Immunology
Ass. Prof. Samah Sabry Medical Microbiology & 01006715824
Immunology

Dr. Ragdaa Naeem Medical Microbiology & 01029466440

Immunology
Dr. Dina Badr Medical Microbiology & 01061726408
Immunology
‫ أﺣﻤﺪ ﺟﻤﺎل ﻋﺒﺪاﻟﻐﻔﻮر‬/‫د‬ Anatomy 01000285734

‫ ﺧﺎﻟﺪ ﻣﺤﻤﺪ اﻟﺴﻌﯿﺪ اﻟﻤﺼﺮى‬/‫د‬ Anatomy 01116237206

‫ ﺧﺎﻟﺪ ﺳﻌﺪ ﻣﺤﻤﺪ اﻟﺒﯿﻮﻣﻰ‬/‫د‬ Anatomy 01000458317

‫ وﺳﺎم ﺣﺎﻣﺪ اﻟﺴﯿﺪ‬/‫د‬ Anatomy 01022735973

‫ ﻣﺤﯿﻰ ﻣﺤﻤﻮد إﺑﺮاھﯿﻢ اﻟﺴﯿﺪ‬/‫د‬ Anatomy
01002762643
‫ ﻣﺼﻌﺐ ﺻﻼح اﻟﺪﯾﻦ ﺟﺎب ﷲ‬/‫د‬ Anatomy 01003299663

‫دﻣﺤﻤﻮد ﻣﺤﻤﺪ ﻋﺒﺪ اﻟﺤﻤﯿﺪ‬ Anatomy 01008540444

‫ أﺣﻤﺪ اﻟﻨﺒﻮى أﺣﻤﺪ ﻧﺼﺮ‬/‫د‬ Anatomy

01025330333
‫ ﻣﻤﺪوح ﺑﺸﯿﺮ اﻟﺪﺳﻮﻗﻰ‬/‫د‬ Anatomy 01552522348
‫ ﺣﺴﻦ رﺿﺎ ﺣﺴﻦ اﻟﺴﯿﺪ‬/‫د‬ Anatomy 01229310701

Prof. Dr.: Mohamed Neurology Department profmohamedabdelsalam7@gm

ail.com
Abdelsalam Mohamed Ali

14
 Early Clinical Experience & Communication Skills Module Faculty of Medicine
Semester 4

Assessment

For this module students will receive both formative and summative
assessments.

1. Formative

Formative assessment provides feedback on student's learning during the

module.
During the module, some questions will be given to the students to answer.
Answers will be tackled with the supervisor during the feedback session in the
beginning of each week. This form of assessment is designed to give you
feedback to help you identify areas for improvement. It may include any
combination MCQs, short answer-questions (SAQs), and problem-solving
exercises.

2. Summative

This type of assessment is used for judgment or decisions to be made about

your performance. It includes the continuous assessment and the final exams.
In this module your performance will be assessed according to the
following:
1. SDL: 15 Marks
2. Continuous assessment 60 Marks
3. Practical exam (OSPE) 60 Marks
4. Final exam (written exam) 100 Marks
5. Skill Exam: 15 Marks

Total = 250 Mark

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 Early Clinical Experience & Communication Skills Module Faculty of Medicine
Semester 4

COURSE
CONTENTS
OF THE
REP
MODULE

16
 Anatomy
Lecture 1: Gross anatomy of the
Early Clinical male reproductive
Experience tract.
& Communication Skills Module Faculty of Medicine
Semester 4
ILOs:

• Describe pelvic bone, pelvic floor and pelvic cavity

• Differentiate between male & female pelvis.
• Describe gross anatomy of male external genitalia.
• Explain their arterial, venous drainage & nerve supply. 

• Explain anatomy of male urethra, its arterial, venous drainage & nerve supply.
• Describe the gross features of male internal organs: Epididymis, Ductus
Deferens, Seminal Vesicles & Prostate
• Explain their blood supply, nerve supply & lymphatic drainage.

Lecture 2: Gross anatomy of the female reproductive tract.

ILOs:
• Describe gross anatomy of female external genitalia.
• Explain their function, arterial supply, venous drainage and nerve supply.
• Discuss clinical importance of female external genitalia.
• Explain course & relations of female urethra.
• Describe arterial supply, venous drainage and nerve supply of female urethra.
• Discuss clinical importance of female urethra.
• Describe the gross features of female internal organs: ovaries, uterus, fallopian
tubes, cervix and vagina.
• Identify the clinical correlates of ovaries and uterine tubes, uterus, cervix and
vagina

Lecture 3: Anatomy of the breast

ILOs:
• Describe anatomical structure of the breast
• Describe blood and nerve supply of the breast
• Describe lymphatic drainage of the breast
• Demonstrate the anatomy of the axillary lymph nodes

Lecture 4: Perineum.

ILOs:
• Describe the anatomy and divisions of the perineum
• Describe the anatomy of the ischiorectal fossa
• Describe the anatomy of the perineal pouches and their contents

Lecture 5: Development and descent of the gonads (male and

female).
ILOs:
• Describe the specific stages of the development of the male and female gonads
• Demonstrate the descent of the gonads in male and female
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 Early Clinical Experience & Communication Skills Module Faculty of Medicine
Semester 4

• Correlate the knowledge to clinical cases.

Lecture 6: Development of the male and female duct systems.

ILOs:
• Describe the embryological origin of the male reproductive tract.
• Describe the embryological origin of the female reproductive tract.
• Describe the specific stages of the development of the male and female genital
tract and external genitalia.


• Explain the influence of the male and female sex glands and its hormones on
further sex differentiation.
• Define the abnormalities of the duct system and external genitalia development.
• Correlate the knowledge to clinical cases.

Practical 1: Bony pelvis, muscles, vessels and nerves.

ILOs:
• Describe the anatomy of the bony pelvis
• Demonstrate the anatomy of the levator ani muscle
• Demonstrate the vessels of the pelvis (internal iliac artery and vein)

Practical 2: Demonstration on dissected male and female reproductive

tracts.
ILOs:

• Describe gross anatomy and external features of the male external genitalia
• Describe the blood supply, lymphatic drainage and nerve supply of the male
reproductive system
• Describe gross anatomy and external features of the female external genitalia
• Describe gross anatomy and the anatomical relations of the female pelvic
organs
• Describe the blood supply, lymphatic drainage and nerve supply of the female
reproductive system

Histology
Lectures 1: Histology of normal male Reproductive Tract
ILOs:
• Identify the histological structure of testis and duct system
• Identify the normal structure of the sperm

Lectures 2: Histology of normal male Reproductive Tract

ILOs:

18
 Early Clinical Experience & Communication Skills Module Faculty of Medicine
Semester 4

• Identify the histological structure of seminal vesicles, prostate & bulbourethral

glands
• Identify the histological structure of the penis and penile urethra

Lectures 3: Histology of normal female Reproductive Tract.

ILOs:
• Identify the histological structure of the ovary
• Identify the histological structure of the fallopian tubes

Lectures 4: Histology of normal female Reproductive Tract.

ILOs:
• Recognize the histological structure of the uterus and cervix
• Recognize the histological structure of the vagina
• Recognize the histological structure of the mammary gland
• Recognize the histological structure of the Placenta

Practical 1: Describe the histological structure of normal male reproductive tract

ILOs:
• Recognize the Microscopic structure of normal male reproductive tract

Practical 2: Describe the histological structure of normal female reproductive

tract and Histology of normal breast
ILOs:
• Recognize the Microscopic structure of normal female reproductive tract
• Recognize the Microscopic structure of mammary gland and Placenta

Physiology
Lectures 1: Spermatogenesis and its hormonal regulation
ILOs:
• Describe the process of spermeogenesis. 

• Identify the different parts of sperm. 

• Outline factors affecting spermatogenesis. 



• Correlate the hormonal control with the development process.
Outline function of testicular hormones.

Lectures 2: gonads and puberty

ILOs:
• Summarize the functional anatomy of male and female reproductive system .
• Outline the functions of the gonads.

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 Early Clinical Experience & Communication Skills Module Faculty of Medicine
Semester 4

• Define puberty , Describe hormonal changes and physiological changes

accompanying puberty in male and female
• Describe the hormonal control of puberty onset
• Describe hypothalamic anterior pituitary gonadal axis in male and female.

Lectures 3: The ovarian cycle & overian hormones

ILOs:
• Define the ovarian cycle
• Describe the process of oogenesis and the stages of follicle development
• Describe Ovulation and formation of corpus luteum
• Describe the hormonal control (FSH, LH) of ovarian cycle 


• Outline the functions of the various ovarian hormones.


Lectures 4: Menarche and the menstrual Cycle .
ILOs:
• Define menarche
• Define and describe the different stages of the menstrual cycle.
• Interpret the hormonal control of menstrual cycle 

• Correlate the ovarian cycle with menstrual cycle
• Outline the process of fertilization and implantation.
• Outline the endocrine functions of the placenta.

• Define menopause , explain its mechanism.

Lectures 5: Physiology of pregnancy.

ILOs:

• What’s meant by pregnancy?

• Fertilization and implantation
• Placenta and its functions
• Labour and its mechanism

Tutorial 1: Mammary gland & lactation

Disorders of male and female sex hormone

ILOs:
• Discuss physiology of mammary gland.

• Describe lactation reflex.
• Describe the hormonal effect on lactation
• Identify gynaecomastia, hypogonadism and hypergonadism.
• Identify subfertility, amenorrhea, oligomenorrhea, hirsutism and virilism
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 Early Clinical Experience & Communication Skills Module Faculty of Medicine
Semester 4

Biochemistry
Lectures 1: Biochemical investigations of infertility.
ILOs:
• Identify a scheme of investigations in male and female.
• Interpret the outcome of investigations for further decision.
Practical 1: pregnancy Test (measurement of beta HCG levels by different
methods) Practical: Urine Pregnancy Test for confirmation of pregnancy

Pharmacology
Lectures 1: Androgens, Anti- Androgerns, Estrogens and Anti- estrogens

ILOs:

• Describe pharmacological action of each one. 


• Enlist indications of each one. 

• Enlist contraindications of each one.
• Explain drug Interactions of each one.
• Explain side-effects of each one. 


• Discuss management of each one. 



Lectures 2: Drugs during pregnancy.

ILOs:
• Factors affecting transfer of drugs to the fetus
• Define teratogens,
• Recognize teratogenic drugs and agents
• Discuss the classification of drugs regarding their fetus toxicity and teratogenic
effect.
• Discuss the adverse effects of some special drugs on the mother and the fetus
• Revise the risk & benefit before prescribing to a pregnant women

Lectures 3: Reproductive Pharmacology : Oxotocic & Tocolytic drugs. .

ILOs:
• Describe the pharmacological basis of using drugs for termination of labour, or
induction of delivery
• Identify the potential use of drugs for management of premature delivery.

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 Early Clinical Experience & Communication Skills Module Faculty of Medicine
Semester 4

Pathology
Lectures 1: pathology of vulva, vagina and cervix .
ILOs:
• Identify the non-neoplastic lesions of vulva.
• Identify the benign tumors of vulva.
• Recognize the pre-malignant and malignant neoplasms of vulva.
• Recognize the pre -malignant and malignant of the vagina.
• Identify the cervical dysplasia and carcinoma

Lectures 2: Pathology of uterus and Uterine corpus and gestational trophoblastic

diseases.
ILOs:
• Identify definition and causes of abnormal uterine bleeding.
• Define Endometritis
• Define uterine adenomyosis
• Recognize endometriosis
• Define endometrial polyp
• Define endometrial hyperplasia and its types.
• Recognize the carcinoma of the endometrium.
• Recognize the tumors of the myometrium, leiomyoma and leiomyosarcoma
• Define different types of gestational trophoblastic diseases (nomenclature).

Lectures 3: Pathology of the Ovary.

ILOs:
• Describe types of non-neoplastic cysts of the ovary.
• Classify tumours of the ovaries.
• Define the percentage, age, incidence & morphology of the common types of
ovarian tumours.
• Define the methods of spread of ovarian cancer.

Lectures 4: Pathology of testis, testicular adenexia and prostate

ILOs:
• Recognize the diseases of testis: varicoceles, hydrocele, spermatocele,
epididymitis, orchitis, testicular torsion
• Identify common testicular tumors including seminoma and teratoma.
• Define prostatitis.
• Identify benign prostatic hyperplasia.
• Identify prostatic carcinoma

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 Early Clinical Experience & Communication Skills Module Faculty of Medicine
Semester 4

Lectures 5: Pathology of the Breast

ILOs:
• Differential diagnosis of breast lump.
• Discuss non-neoplastic breast lesions including inflammatory lesions and
fibrocystic disease.
• Discuss benign tumors of the breast.
• Discuss classification of breast cancer
• Discuss methods of spread of breast cancer.

Practicals 1: Identification of pathologic specimen of male genital system

ILOs:
• Identify the pathologic specimen of male genital system

Practical 2: Identification of pathologic specimen of female genital system

ILOs:

• Identify the pathologic specimen of female genital system

Microbiology
Lectures 1: Genital system infections
Contents
• N. gonorrhea
• Treponema pallidum
• Lymphogranuloma venereum
ILOs:
• Identify normal flora of the genital system
• Classify genital system infections (venereal and non venereal) and list the
causative organisms in each type
• Describe morphology, culture characters, virulence factors and methods of
laboratory diagnosis of N. gonorrhea
• Recognize morphology, culture characters, pathogenesis, methods of laboratory
diagnosis and treatment of T. pallidum
• Identify the general characters, laboratory diagnosis and treatment of
lymphogranuloma venerium

Lectures 2: Viral genital system infections

Contents
• HSV II
• HPV
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 Early Clinical Experience & Communication Skills Module Faculty of Medicine
Semester 4

ILOs
• Describe the structure, transmission, pathogenesis, clinical syndromes, latency,
reactivation, diagnosis and treatment of HSV II
• Identify the morphology, clinical significance, transmission and lab diagnosis,
prevention, treatment of Human papilloma virus

Lectures 3: infections in pregnancy, congenital and neonatal infections

Contents: CMV, Rubella, parovirus B19

ILOs
• List the organisms causing infections in early and late pregnancy
• Identify structure, transmission, pathogenesis, clinical significance and methods
of laboratory diagnosis and treatment of CMV
• Describe structure, transmission, pathogenesis, clinical significance, laboratory
diagnosis, prevention and treatment of Rubella
• Identify structure, clinical significance and methods of laboratory diagnosis of
Parvovirus B19
• Identify causative organisms of congenital and neonatal infections
• Differentiate between mode of transmission of congenital and neonatal
infections
• Describe the effects of congenital infections
• How to prevent congenital and neonatal infections

Practical (1): diagnosis of genital system infections

ILOs:
• Describe collection of samples from genital infections in males and females in
acute and chronic cases
• Identify processing of genital samples, and selection of proper culture media
• Recognize how to identify causative organisms in the lab
• Describe serological diagnosis of syphilis
• Describe how to diagnosis chlamydia lymphogranuloma venereum in the lab

Practical (2): diagnosis of puerperal sepsis and diagnosis of organisms causing

spontaneous and recurrent abortion

ILOs:
• Define puerperal sepsis and list the causative organisms.
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• Describe the proper sample for diagnosis of puerperal sepsis

• Identify processing of samples , and selection of proper culture media
• Recognize how to identify aerobic and anaerobic causative organisms of
puerperal sepsis in the lab
• Recognize the approach to diagnose bacterial and viral causes of spontaneous
and recurrent abortion
Parasitology

Lectures 1: Parasites affecting the reproductive system

(Toxoplasmosis)..

ILOs:
• Identify the parasites that may affect the reproductive system
(e.g. Toxoplasma gondii, Trichomonas vaginalis).
• Describe the related life cycles.
• Identify the mode of transmission, the infective stage and the
diagnostic stage.
• Discuss the pathology, the clinical manifestations and the
diagnosis of the diseases.
• Describe the treatment and the main aspects of prevention and
control.

Tutorials 1 : Sexually transmitted parasites [Trichomoniasis].

ILOs:
• Identify the parasites involved in STD (Trichomonas vaginalis).
• Describe the related life cycles.
• Identify the mode of transmission, the infective stage and the diagnostic stage.
• Discuss the clinical manifestations and the diagnosis of the diseases.
• Describe the treatment and the main aspects of prevention and control.

Practical 1: The parasites affecting the reproductive system.

ILOs:
• Identify diagnostic stages of parasites affecting the reproductive system
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• Describe the morphology of different parasites affecting the reproductive

system.
• Recognise associated specific clinical manifestations associated with parasitic
infections of the reproductive system.

Radiology

Lectures 1: Radiology of female reproductive system

ILOs:
• Recognize different types of radiologic examinations for the female
reproductive system
• Define the indications for the different imaging modalities in the investigation
of the female reproductive System.
• Recognize major radiologic signs of different diseases of the female
reproductive system.

Lectures 1: Radiology of male reproductive system

ILOs:
• Recognize different types of radiologic examinations for the male reproductive
system
• Define the indications for the different imaging modalities in the investigation
of the male reproductive System.
• Recognize major radiologic signs of different diseases of the male reproductive
system

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 Early Clinical Experience & Communication Skills Module Faculty of Medicine
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COURSE
CONTENTS
OF THE
ECEC MODULE

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Topics to be Covered

General Medicine

Lecture 1: Introduction to ECE and History taking

ILOs:
• Conduct history taking ethically and with respect to patients’ privacy
• Communicate effectively with patient complaints
• Competent in history taking with its items

Lecture 2: Introduction to Clinical examination

ILOs:
When you are dealing with patients, always preserve their dignity by observing the following:
• A attitude - 'How would I be feeling in this patient's situation?'
• B behavior - Always treat patients with kindness and respect
• C compassion - Recognize the human story that accompanies each illness
• D dialogue - Acknowledge and understand the individual.
Lecture 3: Cardiac examination
ILOs:
• Know the items of local cardiac examination
• Identify chest abnormalities by inspection
• Know how to palpate for cardiac apex
• Use the Stethoscope for identification of heart sounds

Lecture 4: Chest examination

ILOs:
• Know how to Inspect the chest and how to get positive findings.
• Know how to do superficial palpation.
• Know how to do chest expansion and TVF
• Know the idea of chest percussion and how to perform the technique
• Know how to use the stethoscope to auscultate the chest sounds.
• Know how to comment on basic chest sounded, intensity and added sound
• Know what are common abnormalities may be found during chest examination and
common chest diseases causing these abnormalities.

Lecture 5: Abdominal examination

ILOs:
• Recognized different quadrants of the abdomen.
• Mention surface anatomy of abdominal organs.
• Identified all items of abdominal examinations.

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Practical 1:
1. History taking.
ILOs:
• Practise and observe doing different parts of history taking.

Practical 2:
2. General examination
ILOs:
• Perform general examination
• Detect abnormalities in general examination

Practical 3:
3. Abdominal examination
ILOs:
• Perform abdominal examination
• Detect abnormal signs in abdominal examination

Practical 4:
4. Chest examination
ILOs:
• Perform chest examination
• Detect abnormal signs in chest examination
Practical 5:
5. Cardiac examination
ILOs:
• Perform cardiac examination
• Detect abnormal signs in cardiac examination
Physiology
Lecture 1,2: ECG.
ILOs:
• Recognize the concept of normal and abnormal ECG
• Identify deferent leads of ECG.
• Explain the principal of ECG recording.
• Ability to comment on ECG
• List some examples of the normal and abnormal ECG

Lecture 3: Blood pressure and pulse

ILOs:
• Recognize the nature of normal arterial pulse.
• Palpate correctly the pulse at 4 different sites

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• Significance of palpating the arterial pulse.

• Identify the standards of normal blood pressure.
• Recognize regulation of the blood pressure.
• Recognize the different types of sphygmomanometers and the use of each type.

Practical 1: ECG
ILOs:
• Observe and perform ECG
• Interpret some abnormalities in ECG

Practical 2: Blood pressure and pulse

ILOs:
• Know what is the arterial pulse
• How to measure pulse
• know def. of ABP (systolic & diastolic)
• know def. of HTN ,pulse pressure & mean blood pressure.
• identify different types of sphygmomanometer.
• learn technique & precautions before measuring ABP.
• compare different methods of measuring.
• How to measure ABP

Anesthesia department

Lecture 1: Medical errors and patient safety

ILOs:
• Define hazards and risk in OR
• Recognize Fire safety in OR
• Recognize Electrical safety in OR
• Identify Infection control role in OR
• Recognize Communication in OR
• Define different types of Medical errors
• Describe methods to prevent medical errors in OR.

Forensic medicine

Lecture 1: Introduction to bioethics

ILOs:
• Define Ethics, Bioethics & Ethical Dilemma
• Underpin Ethical theories
• Identify Four Principles for analysis of medical ethics
• Recognize Duties & Responsibilities of physicians.

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Lecture 2: Professionalism Physicians & patients’ rights

ILOs:

• Define professionalism, mention its commitments & elements

• Identify its principles & core competencies.
• Differentiate between professionalism & humanism.
• Outline pillars and traits of professionalism

Lecture 3: Informed decision making (informed consent, informed refusal)

ILOs:
Learn how the foundational ethical concepts & framework apply to medical issues including
informed consent in particular.
• Define consent.
• Differentiate between various types of consent.
• Illustrate conditions of valid consent.
• Know how to take consent and rules of consent in children.

Lecture 4: Consent Documentation & Informed decision

ILOs:
Learn how the foundational ethical concepts & framework apply to medical issues including
informed consent and decision in particular:
• Decision-Making Capacity ”Competency”
• Patient decision.
• Five key principles of the Mental Capacity Act.
• Release of records.

Lecture 5: Professional secrecy

ILOs:
• Understand the concept of professional secrecy.
• Justify conditions with obligation to keep or divulge medical secrets.
• Take decisions related to professional secrecy.

Lecture 6,7: Medical Malpractice

ILOs:
• Describe types of medical malpractice and professional misconduct.
• Differentiate between civil & criminal negligence.
• Recognize ethics followed in social media and telemedicine.

Practical 1: Professionalism / Duties & Responsibilities of physician

Practical 2: Consent
Practical 3: Malpractice / Professional secrecy

Microbiology

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Lecture 1: Healthcare associated infections (HAIs)

ILOs:
• Identify HAI and HAI types.
• Recognize HAI source & mode of transmission.
• Classify factors affecting HAI.
• Summarize the “Chain of Infection”.
• Describe HAI transmission-based precautions.
• Characterize an outbreak of HAI, and outbreak control measures.

Lecture 2: HAI prevention and control

ILOs:
• Describe the elements of standard precautions for prevention of HAIs
• Identify types of hand hygiene and when to wash hands?
• Recognise essential personal protective equipments used in hospitals
• Describe respiratory etiquette
• Clarify protection against sharp injury
• Recognize management of hospital wastes
• Identify HCP vaccinations
• Describe management of exposure of HCP to blood borne pathogens

Practical (1): Infection Control skills

ILOs:
• Perform the correct technique of hand hygiene.
• Practice how to don and remove PPE (gloves, gown and mask)
• Demonstrate safe disposal of sharps
• Perform one hand technique for needle recapping
Psychiatry
Lecture 1: Introduction to communication skills & Intrapersonal, group and public
communication
ILOs:
• Understand the role of communication in daily life.
• Describe the effect of competent communication on career development
• Discuss the effects of ethical behaviour, culture, technology, and thinking on your
communication.
• List five common myths about communication.
• Discuss the stages of relationship development and deterioration.
• List the types of speech and recognize speech as a tool for thinking and learning.

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 Early Clinical Experience & Communication Skills Module Faculty of Medicine
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• Distinguish among various types of communication: intrapersonal, interpersonal

(including group), and public communication.
• Compare between online and face-to-face interaction.
• Distinguish between primary and secondary groups and their purposes

Lecture 2: Patient Interview & patient centred communication

ILOs:
• Describe the functions of the patient interview
• Demonstrate the basic skills required to conduct a satisfying patient interview

Lecture 3: Breaking bad news

ILOs:
• Appreciate the importance of integrating communication skills in medical practice.
• Identify what are “the medical bad news”.
• Realize the goals and benefits from knowing how to deliver bad news.
• Identify the expected psychological reaction which may be experienced by the patient
on receiving the bad news.
• Identify how to deliver the bad news according to the “spikes” protocol.
• Identify some difficult situations in the context of breaking bad news and know how to
deal with it.

Practical 1: Presentation skills

ILOs:
• Prepare a good presentation
• Acquire the skill of self learning

Practical 2: Patient interview and patient centred communication.

ILOs:
• Develop a positive attitude towards patients, families and community through hospital
and community visits.
• Improve interpersonal communication.
• Improve small talk when attempting to initiate relationships.
• Become a more competent communicator in hi use of self-disclosure.
• Apply the skills of interview & communication in clinical practice.

Practical 3: Dealing with special patient and breaking bad news. ‫ ﻣﺤﻤﺪ ﻋﺎدل‬.‫د‬
ILOs:
• Communicate with children and adolescent.
• Communicate with critically ill patient, dying patient.

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 Early Clinical Experience & Communication Skills Module Faculty of Medicine
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Self-directed
learning
SDL

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 Early Clinical Experience & Communication Skills Module Faculty of Medicine
Semester 4

Self-directed learning (SDL):

Incision Academy: You should bypass 6 training cources
from the following package of semester 4 provided that all
cources are NEW (not passed before). It should be
completed before 2/6/2021

‫ ﺗﺪرﯾﺒﺎت ﺟﺪﯾﺪة ﻣﻦ اﻟﻤﺠﻤﻮﻋﺔ اﻟﺘﺎﻟﯿﺔ اﻟﻤﺨﺘﺎرة ﻟﻠﻔﺼﻞ اﻟﺪراﺳﻲ‬٦ ‫ﯾﺠﺐ اﺟﺘﯿﺎز‬

٢٠٢١/٦/٢ ‫اﻟﺮاﺑﻊ واﻻﻧﺘﮭﺎء ﻣﻨﮭﺎ ﺑﺤﺪ أﻗﺼﺎه‬

Physical Examination
History Taking
Patient Comfort
General Examination and Vital Signs
Preparation for Physical Examination
Examination of the abdomen
Examination of the respiratory system
Examination of the cardiovascular system
Examination of the Cervical and Thoracic Spine
Examination of the lumber spine and sacroiliac joint
Examination of the breast
Examination of the groin
Anatomy
Lumpectomy
Gynaecology
Bartholin Abscess (Simulation) - Word Catheter
Anethesia
Introduction to Anesthesia - Induction
Introduction to Anesthesia - Maintenance and Emergence
Spinal Anesthesia
Local Anesthesia for Open Inguinal Hernia Repair
Scrub nurse basic principles
Radiation Safety and Hygiene
Covid 19
Covid 19 protective measures
Covid 19

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 Early Clinical Experience & Communication Skills Module Faculty of Medicine
Semester 4

Resources

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 Early Clinical Experience & Communication Skills Module Faculty of Medicine
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References:
Anatomy • Gray's anatomy
• Netter’s atlas of human anatomy
Histology • Color Textbook of Histology PDF is a book written by Leslie Gartner.
Physiology • Guyton & Hall Physiology Review, 2nd edition
• Physiological undergraduate book, physiology Department, Faculty of
Medicine, Mansoura University
Bio • Lippincott Illustrated Reviews Biochemistry 7th Edition
• Harper’s Illustrated Biochemistry,30th edition
Micro • Lippincott's Illustrated Reviews, Microbiology, 3rd Edition by Richard
A. Harvey, Cynthia Nau Cornelissen Ph.D
Para • Medical Parasitology book of the department
Pathology • Robbins and Cotran review of pathology, 4th edition
Pharma • Lippincott Illustrated Reviews, Pharmacology, 6th Edition by Karen Whalen
• Clinical Pharmacy and Therapeutics Edited by Roger Walker
Forensic • Subrahmanyam, BV (2019): Parikh’s Textbook of Medical Jurisprudence,
Medicine and Forensic Medicine and Toxicology. For classroom and courtrooms. DIST
Toxicology PVT Limited INDIA

Medicine • Oxford Handbook of clinical medicine

• Davidson's Principles and Practice of Medicine

Public health • Kumar R. (2011): Research Methodology: A Step-by-Step Guide for

and community Beginners. 3rd Edition. SAGE Publications Ltd. London
medicine • Public Health & Community medicine department book (2018). by staff
members of Public Health and Community Medicine Department, Faculty of
Medicine, Mansoura University

References or further readings

• Centers for Disease Control and Prevention (stds fact-sheets Herpes. 2017)
https://www.cdc.gov/std/herpes/default.htm
• Centers for Disease Control and Prevention (stds factsheets-hpv, 2019):
https://www.cdc.gov/std/hpv/stdfact-hpv.htm
• Lauren Thaxton and Alan G. Waxman. "Cervical Cancer Prevention: Immunization and
Screening 2015." Medical Clinics of North America 99, no. 3 (2015): 469–477.
• http://textbookofbacteriology.net/normalflora_3.html

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 Early Clinical Experience & Communication Skills Module Faculty of Medicine
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• http://textbookofbacteriology.net/structure.html

• http://www.biologydiscussion.com/bacteria/cell-structure-of-bacteria-with-
diagram/47058

• https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4313519/
• https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3033841/
• https://www.researchgate.net/publication/234087025_Transmission_and_Epidemiology
_of_Zoonotic_Protozoal_Diseases_of_Companion_Animals/figures?lo=1&utm_source=
google&utm_medium=organic
• Diagnostic Medical Parasitology/ by Lynne S. Garcia. 6th edition. Washington, DC :
ASM Press, 2007.
• Sastry A S and Bhat S (2014): Essentials of Medical Parasitology. First Edition, Jaypee
Brothers Medical Publishers (P) LTD, New Delhi.

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