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STATE OF LIBYA

MINISTRY OF EDUCATION

UNIVERSITY OF BENGHAZI

FACULTY OF MEDICINE

Department of surgery

Master of Science in Urology Program specifications 2018

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Basic information

Course title: MSc of Urology. Course code: Urology 0219 Course duration: Two years. Department offering the course: Urology. Program on which this course is given: Master in Urology Total credit points: 35 1 credit hour = 15 hours theoretical, 1 credit hour = 30 hours practical 1 credit hour = 30 hours thesis Academic year: 2018 Date of specifications /revision: 2017. Date of approval by departmental/faculty council: 31/10 /2017 Teaching language: English Program coordinator: Abdulla Mohamed Etabbal (Associated professor)

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I. Program aims Provide candidates with knowledge and practical skills in basic

science that help him/her to understand urology diseases ; regarding diagnosis and management.

Enable the candidate to perfect clinical skills that allow him/her to interpret diagnostic investigations properly.

Enable the candidate to perfect technical skills to solve clinical problems and suggests logic benefit solutions

Enable the candidate to address, demonstrate, and practice positive attitudes that will help him/her to achieve long life continuous medical education, and share in community health education.

The program also aims to introduce the candidates to the basics of scientific medical research.

II. Intended learning outcomes of program (ILOs) A. Knowledge and understanding By the end of the program the candidate should:

1) Recognize the basic sciences required for understanding of the Urology diseases.

2) Identify and discuss common problems related to Urology diseases.

3) Distinguish the basic pathology underlying different disorders. 4) Describe different management modalities for common Urology

problems 5) Recognize the basic principles of surgical procedures that enable

the candidate to perform surgeries of Urology 6) List the ethical and legal principles of medical practice

B. Intellectual skills By the end of the program the candidate should be able to:

1) Detect, analyze, and Prioritize the medical problems 2) Analyze symptoms & signs and construct a differential diagnosis of

common complaints. 3) Design an appropriate diagnostic plan for evaluation of common

complaints taking into consideration the nature of the clinical situation and therisks, benefits and costs to the patient.

4) Interpret the results of different investigations related to Urology problems

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5) Design treatment plans for common and rare Urology problems taking into account the cultural and individual needs.

6) Use evidence-basedknowledge to solve clinical problems.

C. Professional and practical skills By the end of the program the candidate should be able to:

1) Collect clinical data specially the history taking. 2) Examine and identify signs of common and rare Urology disorders. 3) Offer patient care preoperatively. 4) Offer proper medical treatment for Urology problems 5) Perform basic surgical skills and manage common surgical

complications relatedto Urologyindependently. 6) Offer surgical interventions whenever indicated. 7) Achieve a simple research study and present the results

D. General and transferable skills By the end of the program the candidate should be able to:

1) Communicate with the patients to gain their confidence to explain the surgical problem, complications and obtaining consent.

2) Manage time and practice team working through collaboration with other specialties to get proper diagnosis of a given case.

3) Communicate with other health care providers. 4) Appreciate team working. 5) Achieve computer skills necessary to make use of medical data

bases and usethe internet for communication. 6) Demonstrate leadership skills that enable him to organize work

and lead thejuniors and paramedical staff. 7) practice presentation skills ,and evidence based scientific

discussion. 8) Write scientific article according to the basics of scientific

research.

III. Academic standards External references for standards: The curriculum offered by the Cambridge University for otolaryngology Head and Neck surgery-UK, Cairo University-Egypt, Ain Shams University-Egypt and Tanta University-Egypt.

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IV. Program admission requirements According to the Faculty of Medicine, Benghazi University Bylaws for Post GraduatePrograms , applicants should have MBBCh degree according to Benghazi University requirements. Regulations of admission to the postgraduate study are mentioned in the Article number (117) of the Decision number 501 in The Libyan Postgraduate Specification program delivered in the year of 2010. Departmental evaluation is a required condition to join the program.

V. Program structure and contents Program duration:two years. Program structure:Total Credit points 35

Postgraduate training is skills oriented and is originating from clinical and academic work. The candidate should be posted in one of the Urology departments affiliated to Benghazi University under supervision of a postgraduate teacher.

Program duration is 2 years arranged as follows

Study plan

Study plan Credit hours

Code Course Total Practical Theoretical

1 1 Uro 02181-1 Anatomy

1St P A R T

1 1 Uro 02181-2 Pathology

1 1 Uro 02181-3 Pharmacology

1 1 Uro 02181-4 physiology

0.5 0.5 Uro 02181-5 Basic surgical skills

2 2 Uro 02181-6 Specialty rotation

0.5 0.5 Uro 02181-7 Medical ethics

0.5 0.5 Communication skills

6 Thesis

17 7 10 Uro 02182-1 Urology

2nd P A R T

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1 Uro 02182-2 Medical statistics Research Methodology

Elective

4 Log book

35 Total credit hours

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Course description

Curriculum of master degree in Urology

1. Anatomy for Urology. 2. Physiology for Urology. 3. General pathology. 4. Pharmacology for Urology 5. Imaging in Urology. 6. Radiation and chemotherapy. 7. General surgery. 11 .General Urology. 12 Endourology. 13 Laparoscopy. 14 Andrology and Infertility.

TEACHING PROGRAM FOR FIRST PART OF MASTER OF SCIENCE IN

UROLOGY

Courses titles in first part ( one year ) : code 0218-1through the first one year after registering to the degree, for 14 credit hours , its passage is a must for administration to second part. Assessment by MCQ in Basic science and principle of specialty

Candidate should fulfill the following: Residency training program : rotation program:

A. General surgery and vascular surgery (Mandatory) for 1 month B. Pediatric Surgery (Mandatory) for 1 month. C. Plastic surgery Or Orthopedic Surgery for 1 month. D. Urology for restPeriod.

ANATOMY , HISTOLOGY AND EMBRYOLOGY

A. EMBRYOLOGY

1. General embryology.

2. Embryology of genitourinary tract.

3. Nephritic system.

4. Vesico-ureteral unit.

5. Gonads.

6. External genitalia.

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B. Anatomy: 1. Musculature of anterior and posterior abdominal wall. 2. Surgical anatomy of retroperitoneum, adrenal glands, kidneys

and Ureters. 3. Anatomy of lower urinary tract and external male genitalia.

a. Bones of pelvis.

b. Anterior abdominal wall including in suprapubic and

inguinal area.

c. Soft tissue of the pelvis.

d. Pelvic circulation.

e. Pelvic innervation.

f. Pelvic viscera.

g. Perineum.

h. Anatomy of penis, scrotum and testes.

C. HISTOLOGY

1. Histology of urinary system.

2. Histology of adrenal gland.

3. Histology of male reproductive system.

4. Immune system (organ transplantation).

PHYSIOLOGY AND PATHOPHYSIOLGY

A. RENAL PHYSIOLOGY

1. Vascular (Renal Blood Flow and `Glomerular filtration rate)

2. Renal clearance.

3. Plasma Markers.

4. Mathematical correction.

5. Hormonal.

6. Vasoconstriction.

7. Vasodilators.

8. Erythroid progenitor cells.

9. Erythropoietin.

10. Regulation and production of Erythropoietin.

11. Bone mineral regulation.

12. Vitamin D regulation.

13. Vitamin D activity.

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14. Parathyroid Hormone regulation.

15. Parathyroid Hormone activity.

16. ADH action.

17. Control of ADH secretion.

18. Renal Tubular function.

B. RENAL PATHOPHYSIOLOGY

1. Sodium and water balance.

2. Potassium Imbalance.

3. Acid-Base Metabolism.

4. Acid-Base disorders.

PATHOLOGY

A. GENERAL PATHOLOGY

1. Acute and chronic inflammation.

2. Wound repair.

3. Disorders of cell growth.

4. Infection.

5. Neoplasia.

6. Granulomatous disease.

B. GENITOURINARY PATHOLOGY

1. Renal and suprarenal pathology.

2. Urinary bladder pathology.

3. Prostate pathology.

4. Testicular pathology.

MICROBIOLOGY

A. FUNDAMENTAL OF MICROBIOLOGY

1. The since of microbiology.

2. Cell structure.

3. Classification of bacteria.

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B. BACTERIOLOGY

1. Pathogenesis of bacterial infection.

2. Normal microbial flora of human body.

3. The Staphylococci.

4. The Streptococci.

5. Pseudomonas, Acinetobacters and uncommon gram negative

bacteria.

6. The Neisseriae.

7. Infection caused by anaerobic bacteria.

8. Mycobacteria.

9. Mycoplasma.

10. Chlamydia.

PHARMACOLOGY

1. General pharmacology.

2. Infection, chemotherapy, and antibacterial.

3. Pain and analgesics.

4. Cholinergic and anticholinergic.

5. Drugs and hemostasis.

6. Endocrinology (Hypothalamic, pottery hormones, and Sex hormones)

7. Immunosuppressant.

BASIS OF MEDICAL RESEARCH

1. Library and computer search.

2. Medical audit.

3. Planning for medical research.

4. Data collection.

5. Data analysis (Basic testes for medical statistics).

6. Writing a thesis or scientific article.

7. Assessing a scientific paper.

8. Medical ethics.

9. Research ethics.

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TEACHING PROGRAM FOR SECOND PART OF MASTER OF SCIENCE IN

UROLOGY

PRINCIPLES OF SURGERY

1. Shock.

2. Acid base balance.

3. Hemostasis.

4. Resection and anastomosis of bowel.

5. Vascular surgery.

6. Suture material.

7. Wound healing.

UROLOGY

A. DISORDERS OF SCROTUM AND ITS CONTENTS

1. Inguinal hernia.

2. Hydrocele, hematocele, spermatocele and epididymal cyst.

3. Varicocele testicular torsion.

4. Torsion of testes.

5. Epididymo-orchitis.

6. Fournier’s gangrene.

7. Maldescended testes.

8. Testicular tumor.

9. Testicular trauma.

B. DISORDERS OF PENIS

1. Phimosis, Paraphimosis and Balanitis.

2. Peyronie’s disease Priapism.

3. Hypospadias , Epispadias and megaureter.

4. Carcinoma of penis.

5. Penile trauma.

C. DISORDERS OF KIDNEY

1. Congenital anomalies of Kidney. 2. Acute pyelonephritis and Chronic pyelonephritis. 3. Emphysematous pyelonephritis And Xanthogranulomatous

pyelonephritis. 4. Renal , perinephric abscess And Pyonephrosis.

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5. Renal stones. 6. Kidney tumors. 7. Kidney trauma.

D. DISORDERS OF URETER

1. Ureteral anomalies a. Ureteropelvic junction obstruction. b. Retrocaval ureter. c. Ureteral duplication. d. Megaureter Ectopic ureter. e. Ureterocele.

2. Ureteral stones. 3. Ureteral cancer. 4. Ureteral trauma.

E. DISORDERS OF BLADDER

1. Bladder congenital anomalies a. Bladder exstrophy. b. Congenital bladder diverticulum. c. Urachal congenital anomalies.

o Patent urachus. o Urachal cyst. o External urachal sinus. o Urachal diverticulum.

2. Cystitis a. Bacterial cystitis.

- Acute bacterial cystitis. - Emphysematous cystitis. - Chronic and recurrent bacterial cystitis. - Pyocystitis.

b. Nonbacterial cystitis. - Interstitial cystitis. - Radiation and cyclophosphamide cystiti.

3. Bladder stones. 4. Bladder tumor. 5. Bladder trauma.

F. DISORDERS OF PROSTATE

1. Prostatitis Acute bacterial prostatitis Chronic bacterial prostatitis Chronic pelvic pain syndrome

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2. Prostatic abscess. 3. Benign prostatic hyperplasia. 4. Carcinoma of prostate.

G. DISORDERS OF URETHRA

1. Urethral anomalies. Posterior urethral valve. Anterior urethral valve. Urethral polyp. Urethral duplication.

2. Urethritis. Inflammatory disorders of male urethra.

- Gonococcal urethritis. - Non-gonococcal urethritis.

Reiter’s syndrome. 3. Urethral tumor. 4. Urethral trauma.

H. SPECIAL TOPICS

1. Infertility. 2. Impotence. 3. Tuberculosis. 4. Urinary schistosomiasis. 5. Vesico-ureteral reflux. 6. Renovascular hypertension. 7. Renal failure and renal transplantation. 8. Pheoychromocytoma 9. Anuria. 10. Prune Belly syndrome.

I. OTHER TOPICS

1. Endourology. 2. Laprascopy. 3. Urodynamic Study. 4. Extracorporial Shock wave Lithotripsy. 5. Imaging study. 6. Urinary Diversions.

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Evaluation of Program’s intended learning outcomes

(ILOs): Assessment methods:

1. MCQ exam for continuous assessment of knowledge and intellectual skills.

2. Clinical exam for assessment of intellectual and practical skills 3. Oral exam for assessment of knowledge and intellectual skills

Weighting of assessments

A. First part examination MCQ. B. Second part examination

Final written examination 40%

Oral examination 20%

Practical examination 40% Total 100%

The success rating for any course is calculated according to

the following table

GRADE MARK

Excellent 85-100% Very good 75-84%

Good 65-74%

Poor Less than 65%

Very poor Less than 50%

THESIS

Every student registered as post graduate shall carry out work on an assigned research project under the guidance of a recognized post graduate teacher, the result of which shall be written up and submitted in the form of a thesis. The department and the ethical committees must approve the protocol of the research. The thesis is supervised by one or more senior staff members and may include other specialties according to the nature of the research.