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PROFESSIONAL AND PERSONAL DEVELOPMENT (PPSD) FOR YEAR 2 Semester 1 2008-2009

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Year 2 Semester 1: CASE 1:
REVIEW OF THEORIES AND PRINCIPLES OF MEDICAL ETHICS: ethical theories
LOB1: List the 5 purposes of the Law
LOB2: List the most commonly used European theories of ethics.

ETHICO-LEGAL-FIQH APPLICATIONS IN CLINICAL PRACTICE
LOB3: Describe salatm hajj, and puasa in dyspnea due to cardiovascular causes

RESEARCH SKILLS
LOB4. Describe the simple logistic regression
LOB5. Describe the multiple logistic regression
LOB6. Interpret the result of multiple logistic regression.

YEAR 2: SEMESTER 1: CASE 2
REVIEW OF THEORIES AND PRINCIPLES OF MEDICAL ETHICS: ethical principles
LOB1: List Islamic principles of ethics
LOB2: List European principles of ethics according to Childress and Beauchamp

ETHICO-LEGAL-FIQH APPLICATIONS IN CLINICAL PRACTICE
LOB3: Describe puasa in case of congestive cardiac failure

PERSONAL DEVELOPMENT AND PROFESSIONALISM
LOB4: Describe the ideals of physician competence, responsibility, and accountability
LOB5: Explain ethical guidelines for the doctor-patient relationship: compassion, competence, disclosure & truthfulness, confidentiality, etiquette of the patient, bedside visit, uncovering awrat, interaction with the opposite gender, interaction with the family.

YEAR 2: SEMESTER 1: CASE 3
REVIEW OF THEORIES AND PRINCIPLES OF MEDICAL ETHICS: consent for competent patients
LOB1: Define and discuss patient autonomy
LOB2: Define physician autonomy.

ETHICO-LEGAL-FIQH APPLICATIONS IN CLINICAL PRACTICE: Respiratory disorders
LOB3: Discuss the performance of religious obligations (salat, hajj, and puasa) for patients with dyspnea due to respiratory causes (pneumothorax, pulmonary embolism, chronic bronchitis, emphysema)

RESEARCH SKILLS
LOB4: Describe survival data and survival data analysis.
LOB5: Describe, analyse and interpret the following: survival curve, survival rate, median-survival time.
LOB6: Describe, analyse and interpret the comparison of survival curves

YEAR 2: SEMESTER 1: CASE 4
REVIEW OF THEORIES AND PRINCIPLES OF MEDICAL ETHICS: consent for competent patients
LOB1: Discuss informed consent: definition and process
LOB2: Describe the scope of consent
LOB3: Discuss the conditions for validity of consent

ETHICO-LEGAL-FIQH APPLICATIONS IN CLINICAL PRACTICE
LOB4: Discuss ethico-legal issues of isolation, contact tracing, and immunization for cases with contagious respiratory infections.

PERSONAL DEVELOPMENT AND PROFESSIONALISM
LOB5: Discuss the following fidelity obligations: patient-doctor contract, dual obligations: army, police, prisons, sports, factory, school & university, conflict of duties and conflict of interests).
LOB67: Discuss ethico-legal issues in dealing with disabled patients

YEAR 2: SEMESTER 1: CASE 5
REVIEW OF THEORIES AND PRINCIPLES OF MEDICAL ETHICS: consent for competent patients
LOB1: Discuss the type of information for informed consent (diagnosis, prognosis, treatment alternatives, risks and benefits).  

ETHICO-LEGAL-FIQH APPLICATIONS IN CLINICAL PRACTICE
LOB2: Discuss ethico-legal issues that arise in the treatment of anemic patients
LOB3: Discuss ethico-legal issues in treatment of patients with coagulation disorders

RESEARCH SKILLS: Data presentation:
LOB4: Describe three ways of data presentation: text, tabulation, and graph and describe the application of each type of presentation
LOB5: Outline the data presentation of descriptive statistics
LOB6: Describe the comparison of means
LOB7: describe the comparison of proportions
LOB8: Describe linear regression
LOB9: Describe logistic regression

YEAR 2: SEMESTER 1: CASE 6
REVIEW OF THEORIES AND PRINCIPLES OF MEDICAL ETHICS: consent for competent patients
LOB1: Discuss competence / capacity: definition and conditions
LOB2: Discuss capacity to consent: global vs specific, tests for capacity, and enhancing capacity
LOB3: Describe the process of consent / refusal for the competent

ETHICO-LEGAL-FIQH APPLICATIONS IN CLINICAL PRACTICE
LOB4: Discuss ethico-legal-fiqh issues relating to managing patients with lymphoma

PERSONAL DEVELOPMENT AND PROFESSIONALISM: Professional etiquette with the terminally ill/dying: palliative care.
LOB5: Discuss ethico-legal-fiqh issues relating to the terminally ill / dying: comfort, hygiene, alleviation of pain, acts of worship, legal preparation, spiritual preparation.

YEAR 2: SEMESTER 1: CASE 7
REVIEW OF THEORIES AND PRINCIPLES OF MEDICAL ETHICS: consent for the incompetent
LOB1: Discuss consent / refusal for the incompetent: young children, older children, the mentally ill, the unconscious.  

ETHICO-LEGAL-FIQH APPLICATIONS IN CLINICAL PRACTICE
LOB2: Discuss ethico-legal-fiqh issues in sexually transmitted disease: pre-marital screening, condoms for sexually active teenagers, confidentiality in treatment, partner tracing and notification.

RESEARCH SKILLS: Writing a research report (Methods):
LOB3: Outline the contents of method section with regards to sampling, sample size, and statistical analyses

YEAR 2: SEMESTER 1: CASE 8
REVIEW OF THEORIES AND PRINCIPLES OF MEDICAL ETHICS: consent for the incompetent
LOB1: Discuss consent in emergencies: competent patient but no time for consent, incapacitated patients, resuscitation after attempted suicide, carrying out an unauthorized /unfamiliar procedure to save life
LOB2: Discuss ethico-legal-fiqh issues relating to refusal of emergency treatment by a competent / incompetent person
LOB3: Discuss ethico-legal-fiqh issues relating to advance refusal of resuscitation.

ETHICO-LEGAL-FIQH APPLICATIONS IN CLINICAL PRACTICE
LOB4: Discuss fiqh issues relating to treatment of skin disorders: eczema, psoriasis, etc.

PERSONAL DEVELOPMENT AND PROFESSIONALISM: Professional etiquette with the terminally ill/dying:  
LOB5: Discuss fiqh issues relating to death, mourning, and bereavement.

YEAR 2: SEMESTER 1: CASE 9
REVIEW OF THEORIES AND PRINCIPLES OF MEDICAL ETHICS: consent for the incompetent
LOB1: Discuss ethico-legal issues relating to forensic /police issues (search of unconscious patients, disclosure of emergency room information to the police, forensic searches of emergency patients: blood alcohol levels, domestic violence and child abuse in ER).

ETHICO-LEGAL-FIQH APPLICATIONS IN CLINICAL PRACTICE
LOB2: Discuss ethico-legal issues relating to orthopedic problems: sprains & fractures, orthopedic fixation, osteomyelitis, malignant bone neoplasms (salat, hajj, work-related injury, workmen compensation, factory work with tremors, physical activity, rest, and sleep).

RESEARCH SKILLS
LOB3: Critical appraisal: Appraise statistical issues in quantitative research

YEAR 2: SEMESTER 1: WEEK 10
REVIEW OF THEORIES AND PRINCIPLES OF MEDICAL ETHICS
LOB1: Discuss ethico-legal issues relating to medical practice by an off-duty doctor in an emergency.

ETHICO-LEGAL-FIQH APPLICATIONS IN CLINICAL PRACTICE
LOB2: Discuss social and religious obligations for patients with osteoporosis and myasthenia
LOB3: Discuss social and religious obligations for patients with laryngeal, pharyngeal, or oral disease
LOB4: Describe how an immobilized patient can perform ablution
LOB5: Describe 3 ways in which an immobilized patient can pray

PERSONAL DEVELOPMENT AND PROFESSIONALISM
Collegial relations / etiquette in a health team:
LOB6: Discuss principles of successful group work.
LOB7: Discuss general and special group dynamics.
LOB8: Discuss the ideal student-teacher relation.
LOB9: Illustrate the need for mutual respect and cooperation

YEAR 2: SEMESTER 1: WEEK 11
REVIEW OF THEORIES AND PRINCIPLES OF MEDICAL ETHICS
LOB1: Discuss ethico-legal issues relating to admission of relatives into ER.

ETHICO-LEGAL-FIQH APPLICATIONS IN CLINICAL PRACTICE: alimentary disorders
LOB2: Discuss the impact on wudhu, salat, and puasa of the following GIT conditions: nausea, vomiting /hemetamesis, peptic ulcer

RESEARCH SKILLS
LOB3: Define the main steps in the epidemiologic research process, including research problem identification, literature review, research framework development, research question and hypothesis formulation, appropriate design strategy selection, protocol development, preparation and pilot study, data collection, data management, data analysis, report writing, and report dissemination

YEAR 2: SEMESTER 1: WEEK 12
REVIEW OF THEORIES AND PRINCIPLES OF MEDICAL ETHICS: Decisions on medical interventions in the absence of informed consent:
LOB1: Describe the physician assessment of best interests of the patient in deciding for the incompetent.
LOB2: Describe the use of proxy decision makers.
LOB3: Describe advance statements

ETHICO-LEGAL-FIQH APPLICATIONS IN CLINICAL PRACTICE
LOB4: Discuss the impact on wudhu, salat, and puasa of the following GIT conditions: rectal bleeding, incontinence, and fistulae.

PERSONAL DEVELOPMENT AND PROFESSIONALISM: Collegial relations / etiquette in a health team:
LOB5: Describe techniques of conflict resolution in a healthcare team.
LOB6: Explain how whistle blowing can deter unethical behavior
LOB7: Discuss guidelines for cooperation with traditional healers

YEAR 2: SEMESTER 1: WEEK 13

RESEARCH SKILLS
LOB1: Compute the sensitivity and specificity of the screening test.
LOB2. Compute the false positive and the false negative proportions for the screening test.
LOB3. Compute the positive predictive value (PV+) and the negative predictive value (PV-) for the test
LOB4: Describe the main principles, methods, advantages, disadvantages, and applications of the main types of epidemiologic study, including case reports, case series reports, cross-sectional surveys, longitudinal descriptive studies, ecological studies, cross-sectional analytic studies, case-control studies, cohort studies, field trials, and clinical trials
LOB5: Discuss the design, under supervision, epidemiologic studies that are suitable as SSM2 or SSM3 projects..

YEAR 2: SEMESTER 1: WEEK 14
REVIEW OF THEORIES AND PRINCIPLES OF MEDICAL ETHICS
LOB1: Discuss consent to treatment by the court.
LOB2: Discuss ethico-legal issues in treatment options with economic and other considerations.

ETHICO-LEGAL-FIQH APPLICATIONS IN CLINICAL PRACTICE
LOB3: Discuss ethico-legal issues associated with chronic renal failure
LOB4: Discuss fiqhi issues associated with urinary incontinence, fistulae, and catheters
LOB5: Discuss fiqhi issues relating to renal colic

RESEARCH SKILLS (Review)
LOB6: Describe the main principles, methods, advantages, disadvantages, and applications of the main types of epidemiologic study, including case reports, case series reports, cross-sectional surveys, longitudinal descriptive studies, ecological studies, cross-sectional analytic studies, case-control studies, cohort studies, field trials, and clinical trials