MD HANDBOOK

Clinical neurosciences and related

subjects

Faculty of Medicine and Health

Sciences
An-Najah National University

 
About this report Contents

The MD Clinical Handbook is created to oversee and guide medical

students during their clinical rotations. It is the responsibility of each Medical Tests before starting clinical training 

clinical group to keep the MD clinical handbook tidy, completely filled,

Dress Code for Clinical Students 
and up to date. The MD clinical handbook contains instructions about
clinical rotations, timetables, and rotation maps for each clinical Attendance and Absence Instructions 
course. The MD handbook structure and design is created by
An-Najah National University (ANU) and will be updated regularly to Course Description and Objectives 

meet ANU goals and objectives.

Intended Learning Outcomes (ILO’s) 

Rotation Maps 

Assessment Methods 

Contact Faculty Members 

Medical Tests before starting clinical training
Medicine Department students who are training at An-Najah National
University Hospital must take the following vaccinations and tests
before starting the clinical training:
 Td/Tdap, MMR, Hepatitis B vaccines.
 In case the student did not have had Chickenpox, s/he must do
Titer and take the vaccination if needed.
 A chest X-ray with a report showing that the student is
tuberculosis-free.
 Hepatitis B surface antibody (anti-HBs) test.
 HCV antibody and HIV antibody tests.
 Flu vaccination between October and January.
Dress Code for Clinical Students
In order to maintain a professional appearance for medical students
during clinical practice, the Medicine Department imposed standards
and guidelines for dress and appearance. All medical students in clinical
phase should adhere to the dress standards, as disciplinary action will
be taken if violated.
The following are some guidelines to be followed during clinical practice
whether in hospitals or other health facilities such as outpatient clinics
and primary healthcare clinics.
Guidelines on Students Appearance
Generally, clothes should be conservative and should not outrage
public decency.
Students need to wear white coats at all times, in hospitals, clinics
or primary healthcare centers.
 The white coat length must reach the knee.
 The clothes (including the white coat) must be neat, clean and not
wrinkled.
 Students should wear their identification badges that show their
name, code, and university logo, ideally placed on the white coat, at all
times in clinical settings.
 Students must remove Personal Protective Equipment (PPE) before
leaving the Operating Room following the Infection Control
Department instructions
 Avoid wearing excessive make-up, perfumes, or jewelry.
 The clothes must be in good repair (should not be ripped or
frayed).
Blue jeans and ripped or frayed cloths are not acceptable.
 Shorts are not allowed.
 Cloths with screen-printing on any side are not allowed.
 Shoes must be clean, in good repair and fully enclosed. High
heels, sandals and open-toe shoes are not allowed, as it is better to
wear comfortable footwear to reduce fatigue.
 For female students: Hair must be neat at all times. Long hair
should be tied back or covered when working in clinical areas.
 For male students: Beards must be neat and trimmed at all times
 Nails should be short, clean and neatly trimmed, and nail polish is
not allowed.
 Chewing gum is not acceptable at all times during clinical
practice.
 Male students should not have long or spiky hair.
 Tattoos are not allowed on uncovered areas of the body.
 Sunglasses are not allowed inside the Hospital
 Necklace and accessories that include religious, sectarian or
partisan logos are not allowed.
 Female students are allowed to wear earrings in each ear,
provided that they are not larger than the earlobe size when dealing
with patients directly, and must not be larger than ٣ cm in other
clinical settings.
 Headphones and ear buds are not allowed during training.
 Students need to make sure to take off their white coats when
Seventh: The email is the only official mean of communication between
they are outside the hospital.
staff members and students; therefore, students will receive the faculty’s
 Students are expected to possess a stethoscope, tape measure,
decisions and announcements via email, thus should check their emails
and a penlight.
constantly.
 Smoking is prohibited except in smoking areas.
Eighth: Guidelines on student dress code will be distributed among
Please note that not adhering to these standards gives the supervising students, titled: “Doctors in Training” which students should adhere to, as
physician the right to expel the student from clinical training for that day disciplinary action will be taken if violated.
(absent, without excuse) Ninth: The Medical Department represented by its director, and teaching
and research assistant staff is the student reference regarding attendance
Attendance and Absence Instructions and absence.
Tenth: If the teaching physician is absent, students should directly contact
First: Clinical training starts daily at ٨:٠٠ am, all students should be present at the teaching and research assistants or will be considered absent without
the morning meeting hall of their department. If the teaching physician is late, excuse.
they should attend the morning meeting and start clinical practice, even if the
physician is still absent. Attending the morning meeting is obligatory, and not Course Description and Objectives
attending means an absence without excuse and will be dealt with according to
ENT: In this course, students are exposed to the various aspects of history-taking
the Medical Department regulations.
and physical examination in otorhinolaryngology. They will learn to formulate a
Second: If the student is absent without an excuse accepted by the Medical basic differential diagnosis and general management guidelines for common
Department, it will be dealt with according to the Medical Department
conditions, such as otitis media and its complications, otitis externa, vertigo,
regulations
tinnitus, hearing loss, sinusitis, rhinitis including allergic rhinitis, epistaxis,
Third: Excused Absences: complications of sinusitis, laryngitis, hoarseness of voice, laryngeal tumors and
Students are not allowed to exceed more than ٪١٠ absence of the actual
tracheostomy. This will allow the students to develop the knowledge, skills, and
training days from the course duration, after the approval of the Department's
attitudes essential to care for patients in the field of otorhinolaryngology. The
teaching and research assistants who coordinate with the course teacher.
operating room experience is an optional part of the rotation and exposes the
As for sick leaves, students should provide a medical certificate, which the
student to the surgical aspect of otorhinolaryngology. In addition, students will
University physician must approve. Medical certificates will not be taken into
be exposed to different types of ENT investigations such as audiometry,
consideration if not approved by the University physician.
tympanometry, sinuses x-ray, otoscopy, and rhinoscopy
Fourth: Students are not allowed to leave before the end of working hours at
Ophthalmology: This course is designed to introduce the students to the
٢:٠٠ pm, on the pretext of scientific research purposes
basics of common ophthalmic disorders. Students will see patients in the
Fifth: No gathering is allowed in the hallways
outpatients’ clinics with common conditions such as glaucoma, refractive errors,
Sixth: Students can only communicate with staff members and research and
age-related macular degeneration, diabetic retinopathy, and cataract, as well as
teaching assistants via email. They are not allowed to communicate with them
through social media or phone calls, especially during off-hours. a wide range of other conditions, including urgent aspects of eye disease.

 
Students will take appropriate case history with an emphasis on ophthalmic
pathologies. Also, they will identify ophthalmic signs and symptoms that are
directly related to common systemic diseases (e.g., hypertension, diabetes, etc.).
This course will alert students to serious vision-threatening problems based on
history. It will help them recognize common ophthalmic diseases related to aging
and their management. Through the course, students are expected to know how
to interpret optometry results and choose the suitable lens for each patient.
Neurology: In this course, students are exposed to the various aspects of
history-taking and physical examination in neurology. They will learn to formulate
a basic differential diagnosis and general management guidelines for common
conditions, such as brain tumors, spinal diseases, stroke, demyelinating diseases,
epilepsy, different types of headaches, and neuromuscular diseases. This will allow
the students to develop the knowledge, skills, and attitudes essential to care for
patients in neurology. In addition, students will learn to interpret different types of
investigations such as general lab tests, LP procedures, EMG, EEG, and imaging
studies.
Intended Learning Outcomes (ILO’s)
ENT
 Develop history-taking and physical examination skills for patients
presenting with common ENT symptoms applying ethical principles.
 Expose the student to otorhinolaryngology complaints, both in the
outpatient and inpatient settings.
 Formulate a basic differential diagnosis for the most common ENT
presentation.
 Demonstrate the ability to recognize ENT emergencies.
 Demonstrate the ability to understand the pathophysiology of
common ENT diseases and conditions.
 Understand the indications for surgical procedures, the expected
postoperative course, and the potential complications.
 
Ophthalmology
 Understand ocular anatomy and physiology.
 Develop history-taking and physical examination skills for patients
presenting with common ophthalmology symptoms.
 Expose the student to a variety of ophthalmology complaints, both in
the outpatient and inpatient settings.
 Formulate a basic differential diagnosis for the most common
ophthalmology presentation.
 Understand the indications for surgical procedures, the expected
postoperative course, and the potential complications.
Neurology
Understand pathophysiology, clinical presentation, and management
of major neurological disorders.
Learn how to take a comprehensive history and the way to conduct
physical examinations in a professional ethical manner.
 Learning and participating in the use of various neurological
investigations, including neuroimaging, clinical neurophysiology, fluids
and tissues (CSF and others) EMG & EEG.
 To demonstrate the ability to retrieve and utilize medical
information from valuable resources using evidence-based medicine.
 To introduce the students to localization in clinical neurology based
on the history and neurological exam.
 To introduce the students to build a differential diagnosis in
neurological patients.
 To introduce the students to generate an evidence-based
therapeutic approach to the patients’ neurologic problems.
All the courses must meet the following ILOs: -
 Describe the socio-cultural, behavioral, and policy issues that
contribute to and affect patients' health. women's health in Palestine
and worldwide.
 Coordination of care and recognize when and how to refer patients,
communicate with other colleagues and work effectively in groups.
 Demonstrate the ability to be engaged in clinical research by
reviewing the literature and doing regular journal clubs. Red eye, strabismus, retinal diseases
 Communicate, sensitively, and effectively with patients and their
 Microbial and allergic conjunctivitis
relatives, colleagues, and staff. Respect all interactions with patients,
. Cataract
families, colleagues, and others with whom the physician must interact
in their professional life.  Approach
 classification
Rotation Maps  management
ENT  glaucoma
. classification
Instructor's
Week Plan  diagnosis
Signature
Teach the students how to take history and perform a
 Medical and surgical management
Week  physical examination of ENT patients.
Learn the anatomy of the ear, nose, sinuses, and larynx. Week   Strabismus
Teach the students how to approach ear diseases,  Types and classifications
Week 
nose and sinuses diseases, and oropharyngeal diseases. Clinical presentation
Teach the students how to approach laryngeal diseases.
 Management (non - surgical and surgical)
Week 
Participation in ENT surgical operations vision.
Diabetic retinopathy
Risk factors
Ophthalmology  Staging
Day Instructor's 
\ Plan Management of NPDR and PDR)
Week Signature
Ocular anatomy and Emergency  Retinal vascular occlusion

Orbital anatomy (CRVO, BRVO)

 Ocular anatomy  Risk factors
Week   Chemical injury (management)
 Clinical presentation
 Penetrating trauma and ruptured globe
 Blow out fracture  Management
 Central retinal artery occlusion

 
 Neurology Timetables
ENT
Instructor's
Week Plan
Signature Time Topic
Learn basic neurological physiology and anatomy.   Lecture
Learn how to take a comprehensive neurological history and
  Clinic (taking history, physical examination)
conduct a full neurological examination including examining
 
the Level of consciousness, cranial nerves Break

motor function (POWER), sensation, autonomic function and

gait. Regular case - based discussion

Week  Formative assessment (Mini -
L earning and participating in Neurological investigations   (physical cases, virtual cases,
CCX)
including:  simulation)
Once per ٢ weeks
Neuroimaging, Clinical neurophysiology, Fluid and tissues - times per week
(CSF and others), EMG and EEG.
Regular case - based discussion
learn the presentation and proper diagnosis and
(physical cases, virtual cases, Hearing screening clinic
management of Headache and facial pain.  
simulation) -times per week
Learn the presentation and proper diagnosis and - times per week
management of the following disorders:
On days of surgery
Epilepsy Observation of surgery, surgical assistant
Week  From  - 
Stroke

Parkinson disease and other movement disorders

CNS infections Ophthalmology
Learn the presentation and proper diagnosis and Time Topic
management of the following disorders:
  Optics and refraction clinics
Week  Spinal cord disease
  Ophthalmology clinics
Multiple sclerosis and others demyelinating disorders

Neuromuscular junction disorders   Break

  Case -based discussion

 
 Neurology Contact Faculty Members

Time Topic
The Deanship and the Council of Medicine Department
  Morning reports
Name Position Email/phone
  Clinical rounds
Dr. Khalil Issa Dean of Faculty of Medicine and Health k.issa@najah.edu
  Break Sciences

Regular case -based Director of Medicine Department and

Formative assessment (Mini - Dr. Hasan Fitian hasan.fitian@najah.edu
discussion (physical cases, Head of IRB Committee
  CCX)
husam.salameh@najah.edu /
virtual cases, simulation) Dr. Husam Salameh
Once per ٢ weeks Head of Internal Medicine Division

- times per week
adalbah@najah.edu /
  Bedside teaching (taking history, physical examination, etc..)
Dr. Ahmad Dalbah Head of General Surgery Division


On days of outpatient maysa.alawneh@najah.edu /

will have clinic rotation with history taking, examination and Dr. Maysaa Alawneh Head of Pediatrics Division

clinic
management discussion Head of Obstetrics and Gynecology

   Dr. Abdallateef dr.abueseed@yahoo.com
Daraghmeh Division

Dr. Mohammad m.mazouz@najah.edu /

Assessment Methods Ma'zoz
Head of Surgical Subspecialties Division

Head of Familyand community Medicine lubna_saudi@najah.edu /
Dr. Lubna AlSaudi
 Formative Assessment (Mini-CEX). Division 

 Summative Assessment: Head of Selected Medical Specialties wafiq.othman@najah.edu /

Dr. Wafiq Othman
Division
 Oral Exam. 

 Short Answer Questions. Dr. Rayyan Al Ali Director of Forensic Medicine Institute

Final written Exam. Dr.Rasha Khayyat Scientific Research Unit Head rasha.khayyat@najah.edu

 In-Training Evaluation. Nour Al - Qadi Medicine Department Secretary medicine.dep@najah.edu

Deanship of the Faculty of Medicine and

Deanship Secretary medicine@najah.edu
Health Sciences Secretary