RESPIRATORY SYSTEM MODULE - Kau.edu.sa

Phase IModule NameFaculty of MedicineTransferable Skills:By the end of this module, students will demonstrate the ability to:1. Assimilate and integrate information from lectures, practical sessions, tutorials, clinical presentationsessions and independent learning activities.2. Gain practical skills associated with the dissection of the cadaver and the examination of the living.3. Interpret two-dimensional images of the Respiratory System from radiographic techniques.4. Explain the pathology of Respiratory System and drug action in relation to the underlying processes.Module structure:This module is comprised of:Principles and concepts applicable to the structure and function of the Respiratory System will be studied bydissection and examination of prosected parts or models of the human body.Lectures on general aspects of the Respiratory System will be given for the purpose of conveying deeperunderstanding of the general concepts and principles underlying normal and abnormal structure and functionduring the module.Practical sessions will be timetabled to enforce theoretical aspects of the subject but will be used fordemonstrating skills/procedures and the use of electronic material will be encouraged.Tutorials and Clinical Presentations:Small Group Tutorials on special topics will be organized for the purposes of enriching the students’ generalknowledge and overall understanding of the Respiratory System. It allows students to apply newly acquiredknowledge and it is suitable for higher order cognitive objectives.The use of Clinical Presentations, a series of multi-disciplinary sessions of small-group teaching led by stafffrom the appropriate Clinical Departments. These sessions also provide an opportunity for students to seepatient-doctor interaction and the personal and social effects of illness. Satisfactory attendance andperformance in practical classes and at clinical sessions are part of the final assessment at such level.Problem-based learning sessions will be encouraged and timetabled to facilitate higher cognitive objectives:problem solving and decision making; and incorporate objectives that cross domains. They will be organizedinto small groups and facilitated by a staff faculty member.Directed-Learning sessions will promote self-directed learning and thus, time will be available for furtherstudy by the students using all available learning resources including electronic learning materials.Cross Modular Themes:Concurrent and previous modules:1. The work in acid-base balance in health and disease will relate closely to the Renal Urinary Systemmodule.2. In each condition studied, students will call upon their knowledge of core courses, and modules of the11

Phase IModule NameFaculty of Medicinesecond year.Assessment:Formative:This form of assessment is designed to produce feedback to students to identifydeficiencies in the understanding of a subject or a topic; and to the teacher, thus toenforce more guidance to students in relation to areas of deficiencies. Thus, it helps thestudent to improve performance:a. Identification of areas for improvementb. Specific suggestions for improvement.This includes a mixture of MCQs, short answer-questions (SAQs), extended- matchingquestions (EMQs), problems-solving exercises and independent learning activities inall subjects. These will be given during tutorial sessions and practicals. The answersare presented and discussed immediately with the students after the assessment.Results are published to students.Summative:This type of assessment is used for judgment or decisions to be made about a studentperformance, it serves:a.b.c.d.e.Verification of achievement for the student satisfying requirementMotivation of the student to maintain or improve performanceCertification of performance for othersGradesPromotion12

Phase IModule NameFaculty of MedicineIn all subjects covered, examination papers are divided into 4 parts:Quiz 1, Quiz 2, Final exam & OSPE1-Quiz 1It contains MCQs; these are designed to test the breadth of knowledge and understanding depending100 % on horizontal integration. Students are required to attempt all the questions set in theexamination.2-Quiz 2:These contain MCQs depending on 50 % horizontal integration and 50 % vertical integration.3- Final Examination:These contain MCQs depending on 50 % horizontal integration and 50 % vertical integration. Studentsare required to attempt all the questions set, including evidence and points of clinical significancePractical examinations (OSPE):These are given to students to assess certain transferable skills during the course according to theobjectives of the subject.Course work:Students are required to complete satisfactorily one piece of work during the course. This may involvea variety of activities, from essays to problem-solving papers and short answer-questions to “spotters’or presentations. The main course work during the module is the PBL case.Assessment:Total mark:100% (100 Marks)Part 1Continuous assessment:20% (Q1 10%, Q2 10%, each is 20 MCQs)Part 2PBL assessment15% (Tutor 7, MCQs 8)Part 3Final Examination:Part 4:Practical assessment:50 % (50 Marks 42 MCQs 8 MCQs, PBL)15% (15 Marks, 30 questions)Textbooks:Appendix (V):Modules Text Books and References Submitted By The Different13

Phase IModule NameDepartments and The Crash Course In Respiratory System.Faculty of MedicineRespiratory System Module Group 3Final Report1- Department of Anatomy: Lecture # 1:Lecture # 2:Lecture # 3:Lecture # 5:Overview of structure & functions of the respiratory system.Pleura and Lungs.Medial relations & hila of the lungs.Development of the respiratory system. Practical # 1: Structure of the nose, paranasal air sinuses, pharynx, larynx& trachea. Practical # 2: Thoracic cavity & pleural cavities. Practical # 3: Important relations of the lungs & structures forming lung root.2- Department of Physiology: Lecture # 4:Lecture # 6:Lecture # 7:Lecture # 9:Lecture # 10:Lecture # 11:Lecture # 12:Lecture # 14:Mechanics of breathing.Pressure- volume relationship in the respiratory tract.Neural control of breathing.Gas diffusion and blood flow to the lung, regional difference.The transport of oxygen in the blood.The transport of carbon dioxide in the blood.Chemical control of breathing.Exercise & high altitude, the physiological responses tohypoxia & hypercapnia. Practical # 4: Lung function tests. Practical # 6: Special lung function test.14

Phase IModule NameFaculty of Medicine3- Department of Biochemistry: 4-Lecture # 8: Acid-base balance.Lecture #13: Metabolic function of the respiratory system. Tutorial # 1: The biochemistry of lung surfactant. Tutorial # 2: Biochemistry of haemoglobin & its binding to oxygen Directed Learning # : Problem involving blood gassesand acid-base status.Department of Medical Microbiology: Lecture # 15: Upper respiratory tract infectionsLecture # 16: Lower respiratory tract infections5- Department of Medical Parasitology: Lecture # 17: Parasitic larvae migrate in lungs.Lecture # 18: Parasites cause cystic lesion in the lung6- Department of Pathology: Lecture # 19: Atelactasis & acute lung injury & Obstructive Lecture # 21: Chronic obstructive lung diseases and bronchiectasis.Lecture # 24: Interstitial lung disease. Disease of pulmonary vasculature I.Lecture # 25: The pathology of pulmonary microbial infections.Lecture # 26: Disease of pulmonary vasculature II.Lecture # 27: Pulmonary neoplasia.versus restrictive lung diseases Tutorial # 3: discussion on all topics in lectures. Practical # 7: Pathology of lung.15

Phase IModule NameFaculty of Medicine7- Department of Pharmacology: Lecture # 20: Treatment of tuberculosisLecture # 22: Drugs used in treatment of bronchial asthma.Lecture # 23: Principles of treatment of lung infections.Lecture # 28: Clinical pharmacology of pulmonary embolism Tutorial # 4: Drugs & the lung. Practical # 5: Effect of drugs on isolated guinea pigtrachea.8-Department of Pediatrics: 9-Lecture # 29: Clinical approach to patient with respiratory diseases.Department of Medicine: 10-Lecture # 30: Pleural effusionLecture # 31: Overview of definition epidemiology, pathogenic& clinical features of asthma.Department of Radiology: 11-Lecture # 32: Radiology of the lungs.Department of Surgery: Lecture # 33: Pneumothorax and Haemothorax16

Phase IModule NameFaculty of MedicineTable of contentsDepartmentLectures Practical Tutorials Directed urgery1---33741TotalLectures:Teachers Contacts17

Phase IModule NameFaculty of MedicineLecturerLecture #DepartmentLecture TitleLecture #Lec. # 13DepartmentBiochemistryLecture TitleMetabolic function of therespiratory systemLec. # 1AnatomyOverview of structure &function of respiratorysystem.Lec. # 2AnatomyPleura and Lungs.Prof. Said Zaghloul0557567746Lec. # 3AnatomyMedial relations & hila ofthe lungs.Lec. # 4PhysiologyMechanics of breathingLec. # 5AnatomyDevelopment of therespiratory system.Prof. SaidZaghloul0557567746Dr. Khidir A.Galil.0504321459Prof. Said Zaghloul0557567746Lec. # 6PhysiologyPressure- volume relationshipin the respiratory tract.Lec. # 7PhysiologyNeural control of breathing.Lec. # 8BiochemistryAcid-base balance.Lec. # 9PhysiologyGas diffusion & blood flow tothe lung, regional differencesLec. # 10PhysiologyThe transport of oxygen inthe blood.Prof. A. RahmanFahmi0507620596Dr Zeinab AlRefae0507553272Lec. # 11PhysiologyThe transport of carbondioxide in the blood.Prof. A. RahmanFahmi0507620596Dr ZeinabAl-Refae0507553272Lec. # 12PhysiologyChemical control ofbreathing.18MaleFemaleLecturerProf. Adil A.Dr. Huda JadMaleFemaleRafae0501856638Prof. Said Zaghloul Prof. Amira Ali0557567746Al-Hagagi05086092326Dr. Khidir A.Galil.0504321459Dr. Atef M.Abood0544431007Prof. Adil A.Rafae05018895751Dr. Khidir A.Galil.0504321459Dr. Atef M.Abood0544431007Prof. Amira AliAl-Hagagi05086092326Prof. Amira AliAl-Hagagi05086092326Prof. SawsanRoheim0506638532Prof. FathiaAhmed.05086092326Prof. SawsanRohiem0506638532Dr Zeinab AlRefae0507553272Dr. Huda Jad0501856638Prof. SawsanRoheim0506638532Dr Zienab AlRefae0507553272

Phase IModule NameFaculty of MedicineLec. # 14PhysiologyExercise & high altitude,physiological responses tohypoxia & hypercapniaProf. A.RahmanFahmi0507620596Dr Zienab AlRefae0507553272Lec. # 15MicrobiologyUpper respiratory tractinfectionsProf. HassanAl-Bana YunisProf. Mona O.Abass MukhtarLec. # 16MicrobiologyLower respiratory tractinfectionsProf. HassanAl-Bana YunisProf. Mona O.Abass MukhtarLec. # 17ParasitologyParagonimyiasisProf. MahmoudFouadDr. Hala SaidSalemLec. # 18ParasitologyParasitic larva migrates tolungsProf. MahmoudFouadDr. Hala SaidSalemLec. # 19PathologyProf. AhmedGhanim0559417955Pager: 1715Dr. Eman EmamPager: 3488Lec. # 20PharmacologyProf. Osman H.Osman0506620311Prof. Magdah M.S. Hagras0508702235Lec. # 21PathologyChronic of obstructive airwaydiseases & bronchiectasisProf. AhmedGhanim0559417955Pager: 1715Dr. Eman EmamPager: 3488Lec. # 22PharmacologyDrugs used for treatment ofbronchial asthmaProf. Osman H.Osman0506620311Prof. Magdah M.S. Hagras0508702235Lec. # 23PharmacologyPrinciples of treatment ofpulmonary infections.Prof. Osman H.Osman0506620311Prof. Magdah M.S. Hagras0508702235Atelactasis & acute lunginjury & Obstructiveversus restrictive lungdiseases.Treatment of tuberculosis19

Phase ILecture #Module NameDepartmentLecture TitleFaculty of MedicineLecturerMaleProf. AhmedGhanim0559417955Pager: 1715FemaleDr. Eman EmamPager: 3488Dr. Osama I.Nasif0505626775Dr. GhadirMokhtarDisease of pulmonaryvasculature II.Dr. Osama I.Nasif0505626775Dr. GhadirMokhtarPulmonary neoplasiaDr. Osama I.Nasif0505626775Dr. GhadirMokhtarProf. Osman H.Osman0506620311Prof. Magdah M.S. Hagras0508702235Clinical approach to patientwith respiratory diseases.Dr. Saad AlSaadi0504661535Dr. HayatKamfar055580108MedicinePleural effusionDr. Serag Wali0505606100Dr. Nawal AlGhamdiLec. # 31MedicineOverview of definitionepidemiology, pathogenic& clinical features ofasthmaDr. Serag Wali0505606100Dr. Nawal AlGhamdiLec. # 32RadiologyDr. AtharRadwi050567914Dr. AsmaAldabbaghDr. Gala SindiLec. # 33SurgeryLec. # 24PathologyInterstitial lung disease.Disease of pulmonaryvasculature I.Lec. # 25PathologyThe pathology of pulmonarymicrobial infections.Lec. # 26PathologyLec. # 27PathologyLec. # 28PharmacologyLec. # 29PediatricsLec. # 30Clinical pharmacology ofpulmonary embolismRadiology of the lungsPneumothorax andHaemothorax20Dr. Iskander S.Salim AlThaghafi

Phase IModule NameFaculty of MedicinePracticalLecturerPractical #DepartmentPractical # 1AnatomyPractical # 2AnatomyPractical TitleMaleFemaleStaff Members0505688864Staff Members05086092326Staff Member0505688864Staff Members05086092326Staff Member0505688864Staff Members05086092326Lung function tests.Dr. Khidir A.Galil.0504321459Prof. SawsanRoheim0506638532Structure of the nose,paranasal air sinuses,pharynx, larynx andtracheaThoracic cavity & pleuralcavitiesPractical # 3AnatomyImportant relations of thelungs & structures forminglung rootPractical # 4PhysiologyPractical # 5PharmacologyEffect of drugs on isolatedguinea pig trachea.Prof. Osman H.Osman0506620311Prof. Magdah M.S. Hagras0508702235Practical # 6PhysiologySpecial lung function testsMVV, FEV1.Dr. Khidir A.Galil.0504321459Prof. SawsanRoheim0506638532Practical # 7PathologyPathology of lungdiseases:,Dr. Osama I.Nasif0505626775Dr. Eman EmamPager: 348821

Phase IModule NameFaculty of MedicineTutorials:LecturerTutorial #DepartmentTutorial TitleMaleFemaleTutorial # 1BiochemistryLung surfactant.Prof. Adil A.Rafae05018895751Dr. Huda Jad0501856638Tutorial # 2BiochemistryBinding of haemoglobinto oxygenProf. Adil A.Rafae05018895751Dr. Huda Jad0501856638Tutorial # 3PathologyDiscussion on lungdiseases & case histories.Dr. Osama I.Nasif0505626775Dr. EmanEmamPager: 3488Tutorial # 4PharmacologyDrugs & the lung.Prof. Osman H.Osman050662031122Prof. MagdahM.S. Hagras0508702235

Phase IModule NameFaculty of MedicineDirected learningDL #DL #1DepartmentBiochemistryLecturerDL TitleProblem involving bloodgasses and acid-base status.MaleProf. Adil A. Rafae05018895751FemaleDr. Huda Jad0501856638Problem based learning:PBL #PBL #1LecturerPBL TitleMale TutorsFaculty StaffCase studies of Bronchial Asthma withPneumonia in Childhood.23Female TutorsFaculty Staff

Phase IModule NameFaculty of MedicinePBLCase (1) Bronchial asthma with Pneumoniain Childhood24

Phase I Module NamePBL process The clinical scenario Key information Explore the problem What you know What you need to know Identify learning issues Self/group study Share the knowledge Solve the problem Give feedback & reflect25Faculty of Medicine

Phase IModule NameFaculty of Medicine Learning opportunity Rspiratory System by McGowan, Jefferies & TurleyThe Crash Course 2nd Edition. 2004 Ganong, Review of MedicalPhysiology, 20th edition 2005Try to access CD-ROM series about the Respiratory Systemin the 2nd floor of the medical library, building No. 1I would recommend you to use the key words – chest pain & case study –in the searchengine google (www.google.com). The aim is to recognize the rich resources in the web.o http://www. Google.com26

Phase IModule NameFaculty of MedicineKING ABDUL AZIZ UNIVERSITYFACULTY OF MEDICINEPBLRESPIRATORY SYSTEM MODULESTUDENT COPYDAY IHashim a 6 years old child came with his mother, Amal to your clinic. Amaltold you that her son experienced cough throughout last week.She said that last week Hashim woke up for three nights coughing. Themother added that the cough seemed dry. She also said that this happened on and offfor about a year and she usually gives him cough syrup for it.Amal decided to come to the hospital when she noticed that the usual shortnessof breath that accompanied her sons cough is sever and now he is experiencingdifficulty in breathing.27

Phase IModule NameFaculty of MedicineKING ABDUL AZIZ UNIVERSITYFACULTY OF MEDICINEPBLRESPIRATORY SYSTEM MODULESSTUDENT COPYDAY IIAmal also added that she noticed that her son is warm. When you examined Hashimyou noted that his oral temperature is 39 0C.While examining Hashim, Amal interrupted you and said:"Doctor Hashims' breathing sounds like whistling, are those noises coming fromhis chest related to his fever?' You know doctor I noticed that Hashim’s conditionhappened exactly the same time last year, the weather was nice as it is nowadays. Youknow what doctor I also think that Hashim gets worse when his dad smokes shisha athome, is that possible, why do you think this is happening, my husband smokes shishaand I am ok”Listening to Amal you immediately you realize that she is talking about thewheezing Hashim is having.28

Phase IModule NameFaculty of MedicineKING ABDUL AZIZ UNIVERSITYFACULTY OF MEDICINEPBLRESPIRATORY SYSTEM MODULESTUDSENT COPYDAY IIIWhile examining Hashim you noted that his face is flushed with cirumoralbluish discoloration. His palms are plethoric & his nails are pale & bluish. Hashim isalso mouth breathing.You also noted that Hashim is tachypnic. Auscultation of the chest showed adiminished air entry all over the chest & bronchial breathing in the right lower part.There were also wheezes all over the chest.You asked for full investigations.29

Phase IModule NameFaculty of MedicineKing Abdul Aziz UniversityFaculty of MedicineMedical Education DepartmentProblem Based LearningI. What is Problem based learning (PBL):Problem based learning (PBL) is a curriculum design and a teaching/learning strategy. Itsimultaneously develops higher order thinking and disciplinary knowledge bases and skills. PBLplaces students in the active role of problem-solvers and confronts students with a situation thatreflects the real world.PBL represents a philosophy towards learning rather than a specific method of teaching.Application of the PBL approach allows the focus to shift from teacher-centered activity to studentcentered learning. The aim is to promote an inquiry based approach that requires students to developand refine their problem solving skills. PBL challenges students to learn about a subject by tackling areal-world problem in a fairly unstructured environment. In essence, it shows students how peoplehave to make decisions in the real world.The move towards PBL in the curriculum has the potential to fulfill a number of educationalobjectives. One of the prime goals of PBL is to foster critical thinking. In PBL the responsibility forlearning rests with the learner, rather than the teacher. PBL also allows for the integration of manyconcepts, which ultimately increases the relevance of what is being learned, and subsequently resultsin greater motivation and engagement of students. Other educational objectives of PBL involve theability of PBL to encourage cooperation and the development of group work. PBL also encourageshigh-level cognitive processes in all students, offering a wide variety of experiences. The latterallows students to make choices, promoting self-management and self-evaluation.II. Student’s responsibilities in PBL:Problem-based learning is a student-centered process and it is the responsibility of theindividual student to participate fully, not only for his or her own learning, but also to aid thelearning of others in the group. Although much time is spent alone in the library or at the computer,the full benefits of PBL cannot be realized in isolationGuide to Professional Behaviour in Tutorials (Courtesy of McMaster University)Respect Listens, and indicates so with appropriate verbal or non-v

15 Me dical Microbiology: 16 Medical Microbiology: 17 Medical Parasitology: Paragonimyiasis 18 Medical Parasitology: Parasitic larva migrates to lungs. 19 The pathology of pulmonary microbial infection 20 Treatment of tuberculosis. 21 Chronic obstructive lung diseases and bronchiectasis. 22 Drugs used in treatment of bronchial asthma