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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

CASE ANALYSIS
LOB4: identify ethico-legal issues in the case

RESEARCH SKILLS
LOB5. Describe the simple logistic regression
LOB6. Describe the multiple logistic regression
LOB7. 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

CASE ANALYSIS
LOB3: Discuss the ethics and cost-benefit of preventive medicine as compared to curative medicine
LOB4: Discuss ethico-legal issues involved in postmortem examination

PERSONAL DEVELOPMENT AND PROFESSIONALISM
LOB5: Describe the ideals of physician competence, responsibility, and accountability
LOB6: 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)

CASE ANALYSIS
LOB4: What is your opinion about the criteria used for determining death in this situation
LOB5: What is your opinion about determination of death by a person who is not medically qualified?
LOB6: What conclusion can you make from the results of the emergency room examination?
LOB7: What do you think are the criteria for initiating life support?
LOB8: What do you think are the criteria for stopping life support?
LOB9: What do you think about the conduct of the physicians and the family in this case?
LOB10: Discuss the cost-benefit considerations in artificial life support

RESEARCH SKILLS
LOB11: Describe survival data and survival data analysis.
LOB12: Describe, analyse and interpret the following: survival curve, survival rate, median-survival time.
LOB13: 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.

CASE ANALYSIS
LOB5: Describe ethico-legal violations in this case. Suggest how they can be resolved.

PERSONAL DEVELOPMENT AND PROFESSIONALISM
LOB6: Discuss the following fidelity obligations: patient-doctor contract, dual obligations: army, police, prisons, sports, factory, school & university, conflict of duties and conflict of interests).
LOB7: 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

CASE ANALYSIS
LOB4: Identify ethico-legal issues in this case
LOB5: Discuss the right of the parents to refuse transfusion for their child
LOB6: What is your view about selling blood for transfusion
LOB7: What ethical issues would arise if the hospital blood bank accepted transfusion blood only from relatives of the patient?

RESEARCH SKILLS: Data presentation:
LOB8: Describe three ways of data presentation: text, tabulation, and graph and describe the application of each type of presentation
LOB9: Outline the data presentation of descriptive statistics
LOB10: Describe the comparison of means
LOB12: describe the comparison of proportions
LOB13: Describe linear regression
LOB14: 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

CASE ANALYSIS
LOB5: Discuss ethico-legal issues relating to aggressive investigation of patients presenting with simple common symptoms.

PERSONAL DEVELOPMENT AND PROFESSIONALISM: Professional etiquette with the terminally ill/dying: palliative care.
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.

CASE ANALYSIS
LOB2. Discuss ethico-legal-fiqh issues in HIV testing without consent in a patient suspected of being infected.
LOB3: Discuss the ethico-legal-fiqh issues in disclosing HIV status to the spouse.
LOB4: Discuss legal issues in forcing an HIV +ve patient to take medication;

RESEARCH SKILLS: Writing a research report (Methods):
LOB5: 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
LOB6: 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
LOB7: Discuss ethico-legal-fiqh issues relating to refusal of emergency treatment by a competent / incompetent person
LOB8: Discuss ethico-legal-fiqh issues relating to advance refusal of resuscitation.

ETHICO-LEGAL-FIQH APPLICATIONS IN CLINICAL PRACTICE
LOB9: Discuss fiqh issues relating to treatment of skin disorders: eczema, psoriasis, etc.

CASE ANALYSIS
LOB10: identify and discuss ethico-legal issues in this case

PERSONAL DEVELOPMENT AND PROFESSIONALISM: Professional etiquette with the terminally ill/dying:  
LOB11: 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).

CASE ANALYSIS
LOB3: 1. List at least 2 ethico-legal issue arising in this case

RESEARCH SKILLS
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

CASE ANALYSIS
LOB4: Discuss the benefits and side effects of HRT and physical exercise. What would your advice be for Hashima in this case

LOB5: Describe how an immobilized patient can perform ablution

LOB6: Describe 3 ways in which an immobilized patient can pray

PERSONAL DEVELOPMENT AND PROFESSIONALISM
Collegial relations / etiquette in a health team:
LOB7: Discuss principles of successful group work.
LOB8: Discuss general and special group dynamics.
LOB9: Discuss the ideal student-teacher relation.
LOB10: 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

CASE ANALYSIS
LOB3: Discuss ethico-legal issues in this case
LOB4: Describe how a patient with intermittent hematuria can pray

RESEARCH SKILLS
LOB5: 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.

CASE ANALYSIS
LOB5: List ethico-legal issues that arise in this case
LOB6: Discuss medical negligence regarding failure to suspect an uncommon disease

PERSONAL DEVELOPMENT AND PROFESSIONALISM: Collegial relations / etiquette in a health team:
LOB7: Describe techniques of conflict resolution in a healthcare team.
LOB8: Explain how whistle blowing can deter unethical behavior
LOB9: Discuss guidelines for cooperation with traditional healers

YEAR 2: SEMESTER 1: WEEK 13:
CASE ANALYSIS
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

RESEARCH SKILLS
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
LOB1: Discuss ethico-legal issues associated with chronic renal failure
LOB2: Discuss fiqhi issues associated with urinary incontinence, fistulae, and catheters
LOB3: Discuss fiqhi issues relating to renal colic