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YEAR 2 SEMESTER 2 2008-2009: CASE 1:
REVIEW OF ETHICAL PRINCIPLES: Privacy and confidentiality
LOB1: Define privacy and describe its relation to patient autonomy
LOB2: Define confidentiality and describe what information is considered confidential
LOB3: Discuss with examples how confidential information can be used anonymously
LOB4: List and discuss situations in which confidential information can be released without patient consent
LOB5: List and discuss situations in which confidential information cannot be released without patient consent
ETHICO-LEGAL-FIQH ISSUES IN CLINICAL PRACTICE
LOB6: List ethico-legal-fiqhi issues relating to spinal injury
RESEARCH SKILLS
LOB7: Define and illustrate the following measures of incidence: incidence number, incidence rate, cumulative incidence, surrogate measures).
YEAR 2 SEMESTER 2 2008-2009: CASE 2:
REVIEW OF ETHICAL PRINCIPLES: Basis / rationale for confidentiality
LOB1: Discuss the basis/rationale for maintaining confidentiality of patient information
ETHICO-LEGAL-FIQH ISSUES IN CLINICAL PRACTICE
LOB2: Describe the impact of blindness and deafness on religious obligations (salat and hajj) and social obligations (court testimony, marital contracts, civil contracts, financial contracts, leadership, judgeship, employment).
LOB3: Describe the impact of olfactory disorders on religious obligations (wudhu and salat) and social obligations (halitosis in puasa, use of perfume in public).
LOB4: Describe the impact of taste disorders on selling and buying food
LOB5: Describe the impact of tactile disorders on accidents at work
LOB6: Describe the impact of temperature disorders on religious obligations (heat stroke in hajj, salat and puasa in extreme temperatures( and social obligations such as accidents at work
LOB7: Describe the impact of pain disorders on religious obligations (salat in extreme pain) and social obligations (dyspareunia and marital stress).
LOB8: Describe the impact of extreme hunger or thirst on religious obligations like salat and puasa
PERSONAL DEVELOPMENT AND PROFESSIONALISM
LOB9: Describe and illustrate the following forms of abuse of professional priviledges: unethical research, unnecessary treatment, iatrogenic infection, misuse of controlled drugs, and false documentation).
LOB10: Describe and illustrate the following forms of private misconduct derogatory to the profession: sexual transgression, abuse of trust, violence and felonies
LOB11: Describe and illustrate the following forms of financial misconduct: kick-backs, fee splitting, and conflict of interest)
LOB12: Describe and illustrate common felonies in medical practice.
YEAR 2 SEMESTER 2 2008-2009: CASE 3:
REVIEW OF ETHICAL PRINCIPLES: truthfulness
LOB1: Discuss and illustrate the following aspects of truthfulness in medical practice: obligation to tell the truth, information patient does not need/want to know, partial disclosure / white / technical lies, giving bad news, and the physician’s body language.
ETHICO-LEGAL-FIQH ISSUES IN CLINICAL PRACTICE
LOB2: List ethico-legal-fiqhi issues related to stroke: salat, puasa, civil transactions
LOB3: Discuss the ethico-legal-fiqhi impact of loss of consciousness on salat, zakat, hajj, marriage, divorce, wills & testaments, financial transactions, and legal proceedings.
RESEARCH SKILLS
LOB4: Define prevalence and distinguish among point prevalence, period prevalence, and lifetime prevalence
LOB5: Describe the uses of prevalence
LOB6: Describe the limitations of prevalence for etiological studies
LOB7: Discuss and illustrate the relation between prevalence and incidence).
YEAR 2 SEMESTER 2 2008-2009: CASE 4:
REVIEW OF ETHICAL PRINCIPLES: Disclosure
LOB1: Discuss the ethico-legal-fiqh issues in the disclosure of confidential medical information by the patient.
LOB2: Discuss the ethico-legal-fiqh issues in the disclosure of confidential medical information by the healthcare worker with consent for education, research, and insurance
LOB3: Discuss the ethico-legal-fiqh issues in the disclosure of confidential medical information by the healthcare worker without consent to other healthcare professionals and in the public interest.
ETHICO-LEGAL-FIQH ISSUES IN CLINICAL PRACTICE
LOB4: List ethico-legal-fiqhi issues related to peripheral / diabetic neuropathy
PERSONAL DEVELOPMENT AND PROFESSIONALISM
LOB4: Discuss and illustrate conflict of financial interests in the following situations: a physician as a manager of a private hospital, an occupational physician employed by the company, a sports physician employed by the football club
LOB5: Discuss ethico-legal-fiqh issues that arise when physicians deal with the pharmaceutical industry.
LOB6: List and illustrate un-ethical business practices in private medical practice
YEAR 2 SEMESTER 2 2008-2009: CASE 5:
REVIEW OF ETHICAL PRINCIPLES: Conflict of duties
LOB1: Discuss and illustrate conflict of duties regarding confidentiality and disclosure without patient consent to insurance companies, to employers, to spouses of HIV patients, and to the court in litigation
ETHICO-LEGAL-FIQH ISSUES IN CLINICAL PRACTICE
LOB2: List ethico-legal-fiqhi issues related to degenerative central nervous system neurological disease
RESEARCH SKILLS
LOB3: Define and illustrate the following rates: crude, specific, and standardized
LOB4: Define and illustrate the following proportions: crude, specific, and standardized
LOB5: Define and illustrate the following measures of excess disease occurrence: odds ration, rate ration, rate difference, and attributable rate
LOB6: Define and illustrate the concept of the null value
YEAR 2 SEMESTER 2 2008-2009: CASE 6:
REVIEW OF ETHICAL PRINCIPLES: Disclosure of family / genetic information
LOB1: Illustrate and discuss the ethico-legal-fiqh issues in the following situations of disclosure of family history / genetic information: disclosure by the patient, disclosure by the physician to the employer, and disclosure by the physician to the police
ETHICO-LEGAL-FIQH ISSUES IN CLINICAL PRACTICE
LOB2: List ethico-legal-fiqhi issues relating to depressive conditions
PERSONAL DEVELOPMENT AND PROFESSIONALISM
LOB3: Discuss the ethico-legal-fiqh issues arising from violation of licensing and registration regulations by specialist practice without proper certification
LOB4: Discuss the ethico-legal-fiqh issues arising from promises of wonder cures.
YEAR 2 SEMESTER 2 2008-2009: CASE 7:
REVIEW OF ETHICAL PRINCIPLES: Medical records
LOB1: Describe the generation and handling of medical records including the following aspects: the SOAPIE format, various forms of records, characteristics if an ideal record, omitting or removing information.
LOB2: Discuss the legal ownership of medical records
LOB3: Discuss ethico-legal-fiqh issues relating to the following: competent patient access to records, access to records of the incompetent
LOB4: Describe issues relating to the storage and retrieval of records including record security and period of retention.
ETHICO-LEGAL-FIQH ISSUES IN CLINICAL PRACTICE
LOB5: List ethico-legal-fiqhi issues arising from degenerative peripheral nervous system disease
RESEARCH SKILLS
LOB6: Define and illustrate the following parameters of diagnostic tests: TP , TN
LOB7: Describe the use of the ROC.
YEAR 2 SEMESTER 2 2008-2009: CASE 8:
REVIEW OF ETHICAL PRINCIPLES: Disclosure to the media
LOB1: Discuss public vs individual interest in disclosure of confidential medical information in the mass media
ETHICO-LEGAL-FIQH ISSUES IN CLINICAL PRACTICE
LOB2: Discuss ethico-legal-fiqhi issues in neonatal and infant conditions
LOB3: Discuss ethico-legal-fiqhi issues relating to congenitally abnormal fetii / infants
LOB4: Discuss ethico-legal-fiqhi issues relating to neural tube defects (anencephaly, spina bifida, hydrocephalus): time of delivery (delivery time: before or at term?), delivery method (vaginal or Ceserean?), CPR at birth, and long-term life support.
PERSONAL DEVELOPMENT AND PROFESSIONALISM
LOB5: Define and illustrate negligence/malpractice
LOB6: List and describe ingredients of a negligence suite
LOB7: Describe methods of avoiding negligence suits.
YEAR 2 SEMESTER 2 2008-2009: CASE 9:
REVIEW OF ETHICAL PRINCIPLES: Disclosure by doctors with dual obligations
LOB1: Discuss ethico-legal-fiqhi issues relating to disclosure (with /without consent) of confidential medical information by doctors with dual obligations employed in factory, army, police, prisons, sports, and hospital management.
ETHICO-LEGAL-FIQH ISSUES IN CLINICAL PRACTICE
LOB2: Discuss ethico-legal-fiqhi issues relating to childhood conditions
LOB3: Discuss the following ethico-legal-fiqhi issues of pre-natal diagnosis / pre-natal screening / prenatal genetic testing/treatment: indications, methods, test performance, counseling pre and post, informed consent, risks and benefits, relation to abortion, human rights of the embryo/fetus.
RESEARCH SKILLS
LOB4: Describe and illustrate the following aspects of disease screening tests: definition, types, methods, suitable disease, suitable test, evaluation, cost benefit analysis, and ethical issues
LOB5: Define and illustrate the following parameters of screening tests: false positive, false negative, sensitivity, specificity, and predictive value.
YEAR 2 SEMESTER 2 2008-2009: CASE 10:
REVIEW OF ETHICAL PRINCIPLES: Physician as a witness in court
LOB1: Discuss the following ethico-legal-fiqhi issues relating to a physician in court (either as a witness of facts vs expert witness): the duty to patient vs public duty to justice, testifying for vs testifying against the patient.
ETHICO-LEGAL-FIQH ISSUES IN CLINICAL PRACTICE
LOB1: Describe the impact of normal menstruation on religious obligations such as salat, hajj, puasa, recitation of the Qur’an, and activities of daily normal living
LOB2: Discuss the impact of pre-menstrual tension on social and religious obligations
LOB3: Discuss the impact of irregular menstruations in the climacteric period on religious obligations (salat, puasa, hajj) and social obligations (marriage and sexuality)
LOB4: Discuss the impact of prolonged menstruation on puasa, salat, and coitus
LOB5: Discuss the impact of dysmenorrhoea on salat
LOB6: Define menopause and discuss the ethico-legal-fiqhi implications of the following issues: early induction medically or surgically, artificial delay of menopause, and HRT
LOB7: Discuss the ethico-legal-fiqhi issues relating to Induced abortion for maternal disease, unwanted pregnancy, gender selection, and congenital anomalies.
PERSONAL DEVELOPMENT AND PROFESSIONALISM
LOB8: Define and illustrate the standard of care in the Bolam principle as modified by Bolitho.
YEAR 2 SEMESTER 2 2008-2009: CASE 11:
REVIEW OF ETHICAL PRINCIPLES: Fidelity obligations
LOB1: Describe fidelity obligations of the patient-doctor contract
ETHICO-LEGAL-FIQH ISSUES IN CLINICAL PRACTICE
LOB2: Discuss socio-religious issues relating to human sexuality and human sexual behavior: forms of sexual expression & behavior, regulation of human sexuality, moral/cultural relativism regarding sexual behavior, and guidelines on coitus.
LOB3: Discuss legal-fiqhi implications of pregnancy duration
LOB4: Discuss ethico-legal-fiqhi issues of prenatal screening & diagnosis both genetic and non-genetic.
LOB7: Discuss the following ethico-legal-fiqhi issues relating to sexually transmitted disease: pre-marital screening, condoms for sexually active teenagers, confidentiality in treatment with the requirement for partner notification and contact tracing
RESEARCH SKILLS
LOB7: Describe time series analysis including patterns and trends, forecasting, longitudinal regression, auto-regression, and auto-correlation.
YEAR 2 SEMESTER 2 2008-2009: CASE 12:
REVIEW OF ETHICAL PRINCIPLES
LOB1: Discuss ethico-legal-fiqhi issues arising from dual fidelity obligations of physicians working for the army, the police, sports clubs, the prisons, factories, and other institutions.
ETHICO-LEGAL-FIQH ISSUES IN CLINICAL PRACTICE
LOB2: Discuss the impact of labor on puasa and salat
LOB3: Discuss the following ethico-legal-fiqhi issues related to delivery: autonomy in choice of method, refusal of CS, request for CS, maternal-fetal conflict
LOB4: Describe fiqhi guidelines on postnatal care: iqamat and adhan at birth, naming, aqiiqat.
LOB5: Describe fiqhi guidelines on breast-feeding (duration, foster feeding).
PERSONAL DEVELOPMENT AND PROFESSIONALISM
LOB6: Discuss patient complaint / grievance system as a tool to prevent malpractice
YEAR 2 SEMESTER 2 2008-2009: CASE 13:
ETHICO-LEGAL-FIQH ISSUES IN CLINICAL PRACTICE
LOB1: Describe ethico-legal issues arising in gynecological and maternal conditions.
RESEARCH SKILLS
LOB2: Review descriptive statistics
LOB3: Review analytic statistics