Course Specifications of Phoniatrics in Master degree in Phoniatrics

 

University of Sohag                                       Faculty of Medicine

 

1.     Program on which the course is given: Master degree in Phoniatrics.

  1. Major or Minor element of program: Major
  2. Department offering the program: Otolaryngology department
  3. Department offering the course: Otolaryngology department
  1. Academic year / Level: 2nd part
  2. Date of specification approval: Faculty council No: 182, decree No (7163) dated: 14/9/2009, Date of revised specification approval: Faculty council No: 199, decree No (7920) dated: 27/9/2010, re-approval: Faculty council No. 205, decree No. (8192) dated 17/1/2011.
  3. Basic Information

Title:  Course Specifications of Phoniatrics in Master degree in Phoniatrics

Total hours :

Lectures

No of hrs

Lecture

Practical

Total

340

140

200

 

  1. Professional Information
  2. Overall Aims of Course

The aim of this course is to provide the postgraduate student with medical knowledge and skills essential for the practice of specialty and necessary to gain further training and practice in the field of Phoniatrics through providing:

  1. Scientific knowledge essential for practice of Phoniatrics according to the international standards.
  2. Skills necessary for proper diagnosis and management of patients in the field of Phoniatrics including diagnostic, problem solving and decision making and operative skills.
  3. Ethical principles related to medical practice.
  4. Active participation in community needs assessment and problems solving.
  5. Maintenance of learning abilities necessary for continuous medical education.
  6. Maintenance of research interest and abilities.

 

  1. Intended Learning Outcomes of Course (ILOs):

 

  1. Knowledge and understanding

 

a.1 List the recent advances in the abnormal structure, function, growth and development of human larynx.

a.2 Understand recent advances in the natural history of phoniatric diseases.

a.3 Understand recent advances in the causation of phoniatric problems and their pathogenesis.

a.4 List the clinical picture and differential diagnosis of phoniatric illnesses.

a.5 Enumerate recent advances in the common diagnostic and laboratory techniques necessary to establish diagnosis of phoniatric.

a.6 Describe recent advances in the various therapeutic methods/alternatives used for phoniatric.

a.7 Know principles, methodologies, tools and ethics of scientific research.

a.8 Mention the principles and fundamentals of ethics and legal aspects of professional practice in the field of  Phoniatrics.

a.9 Know the principles and fundamentals of quality assurance of professional practice in the field of Phoniatrics

a.10 Understand the effect of professional practice on the environment and the methods of environmental development and maintenance.

 

  1. Intellectual skills

By the end of the course the student should be able to:

b.1 Interpret data acquired through history taking to reach a provisional diagnosis for Phoniatrics problems.

b.2 Select from different diagnostic alternatives the ones that help reaching a final diagnosis for Phoniatrics  problems.

b.3 Conduct research studies, that adds to knowledge.

b.4 Formulate scientific papers in the area of Phoniatrics

b.5 Assess risk in professional practices in the field of Phoniatrics

b.6 Plan to improve performance in the field of Phoniatrics.

b.7 Identify Phoniatrics problems and find solutions..

b.8 Have the ability to innovate nontraditional solutions to Phoniatrics problems.

  1. Professional and practical skills:

By the end of the course the student should be able to:

C.1 Master the basic and modern professional clinical and surgical skills in the area of Phoniatrics

C.2 Writ and evaluate medical reports.

C.3 Evaluate and develop methods and tools existing in the area of Phoniatrics

  1. General and Transferable skills:
  • present reports in seminars effectively
  • Use appropriate computer program packages.
  • Teach others and evaluate their performance.
  • Assess himself and identify his personal learning needs.
  • Use of different sources for information and knowledge.
  • Work coherently and successfully as a part of a team and team's leadership.
  • Manage scientific meetings according to the available time.

 

3- content :

Topic

No. of hours

Lecture

Tutorial/Practical

Communication disorders

 Voice disorders :

 

 

 

1. classification of voice disorders

4

2

2

2.Organic causes of voice disorders (congenital, inflammations, dysplasia, endocrinopathies, sulcus glottideus, vocal fold immobility, spastic dysphonia, malignant neoplasms)

19

5

14

3.Non organic causes of voice disorders.(psychogenic dysphonia, aphonia, Hyperfunction dysphonia, hypofunctional dysphonia, ventricular dysphonia)

19

5

14

4.Minimal associated pathology (polyp, nodules, rienk’s)

19

5

14

Swallowing disorders

 

 

 

5. stages of swallowing, etiology, associated symptoms

19

4

15

Speech disorders : 

 

 

 

6.Dyslalias definitions, etiology, types, factors affecting severity and recovery, malocclusion problems

17

2

15

7.Nasality: velopharyngeal incompetence, types, etiology, problems associated with VPI, epidemiology.

19

4

15

8.Dysarthias: classifications, types, characteristics feature. Apraxia of speech and oral apraxia.

20

5

15

9.Stuttering, definitions, theories, development, symptomatology, severity, prognosis.

21

6

15

Language disorders:

 

 

15

10.  Delayed language development: definitions, classification, etiology, Brain damage motor handicapped, Hard of hearing, Pervasive disorders, impact of the ailment, Multiply handicapped children.

21

6

15

11.  Aphasia: classifications, language organization, symptomatology, spontaneous recovery, Agnosia

18

6

12

12.  Learning disorders and Dyslexia: definitions, etiology, features

15

4

11

Assessment and measures of evaluation.

13.          Voice evaluation:

Patient’s interview, auditory perceptual assessment, visualization and documentation of the glottis, stroboscopy, videokymography voice recording, acoustic analysis, aerodynamic measures, EMG, EGG, voice range profile.

16

5

11

14.  Diagnosis of swallowing disorders by dynamic and nondynamic measures.

13

2

11

 Speech disorders:

 

 

 

15.  Velopharyngeal incompetence, interview, auditory perceptual assessment, simple clinical tests, endoscopies, Roentgenological methods, aerodynamic studies, formal testing, acoustic analysis, EMG, ultrasonic studies and brain function tests.

16

5

11

16.  Diagnosis of dysarthria, preliminary diagnostic procedures, clinical diagnostic aids, investigation of neurological disorders, aerodynamic and acoustic studies, EMG, position sensitive detectors.

16

5

11

17.  Diagnosis of Stuttering, elementary procedures, intellectual and personality tests, spectrograph, EEG, brain electrical activity mapping, EMG, central auditory testing.

17

5

12

Language disorders:

 

 

 

18.  Delayed language development, history taking, neurological and ENT examination, and communicative, psychological assessment.

18

5

13

19.  Assessment of aphasias, psychological testing, language testing, methods, neurological examination, tests for apraxia and agnosia, tests for dyslexia.

17

5

12

Management of communication disorders

20.  Care for dysphonic patients by pharmacological and voice behavior modification therapy.

18

5

13

21.  Appropriate rehabilitation for individual laryngectomy

19

5

14

22.  Proper strategy for treatment of dysphagia.

20

5

15

23.  The communicative intervention programs for hypernasality.

20

5

15

24. Programs for treatment of Dysarthria and phonological problems.

17

5

12

25. Treatment strategies for stuttering.

17

5

12

26. Intervention program for delayed language development (counseling for families and training programs).

18

5

13

27. Intervention methods for dysphasia

18

5

13

28.  Therapeutic methods for dyslexia

18

5

13

surgical Management of communication disorders

29.  Voice prosthesis.

15

3

12

30.  Extirpation endolaryngeal microsurgery

15

3

12

31.  Vocal fold augmentation and repositioning & intracordal injections.

14

3

11

32.  Reconstructive phonosurgery in partial laryngectomy.

14

3

11

Total

340

140

200

 

 

4– Teaching and Learning Methods

4.1- lectures.

4.2- practical lessons.

4.3- Assignments.

 

5- Student Assessment Methods:

The assessed ILOs

Method of assessment

- General transferable skills, intellectual skills

 

5.1- Observation of attendance and absenteeism.

 

- General transferable skills

 

 

5.2- Log book

 

- Knowledge

- Knowledge

- Knowledge, intellectual skills

- Intellectual skills, General transferable skills,

 

5.3-Written Exam:

-Short essay: 40%

-structured questions: 25%

-MCQs: 20%

-Commentary, Problem solving: 15%

 

- Knowledge, Intellectual skills, General transferable skills

5.4-Structured Oral Exam

-Practical skills, intellectual skills

General transferable skills

 

5.5-OSCE

 

-General transferable skills, intellectual skills

 

5.6 Computer search assignment

Assessment Schedule

Assessment 1… Research assignment …  Week: 96

Assessment 2…. Final written exam….    Week: 96

Assessment 3…..Final oral exam……..  Week: 96

Assessment 4…..  OSCE               ……..   Week: 96

Assessment 5…..   Log book         ……..   Week: 90

Weighting of Assessments

Final-term Examination                 Separate exam

Passing in the written exam is a condition to attend the following exams:

Structured Oral Exam            50      %

                OSCE                    50          %

__________    ______________________

                    Total                                   100%

 

Formative only assessments: Log book, attendance and absenteeism

6- List of References

6.1- Course Notes

Lecture notes prepared by the staff members in the department.

6.2- Essential Books (Text Books)

1- Zemlin, W. R. (1988) Speech and Hearing Science: Anatomy and Physiology. 3rd Edition. Englewood Cliffs, NJ: Prentice-Hall.

2- Deem JF and Miller L (2000) Manual of voice therapy. 2nd ,,  Edi., Pro-ed an international bublisher, Austin, Texas.

3- Rosen CA and Murry T (2000) Voice disorders and phonosurgery I, II the Otolaryngologic clinics of North America, 33, 4.

4- Gleeson M, Browing GG, Burton MJ, Clarke JH, Jons N, Lund VJ, Luxon LM and Watkinson JC (2008) Scott-Brown's Otolaryngology head and Neck surgery, 7th Edi., Lead Editor: Michael Gleeson.

5- kummer AW (2008) cleft palate and craniofacial Anomalies effect on speech and resonance. Delmer Cengage learning, USA

6.3- Recommended Books

 

6.4-Periodics, Web Sites

www.asha.org

www. Stutteringfoundation.com

     7- Facilities Required for Teaching and Learning:

  1. Adequate infrastructure: including teaching places (teaching class, teaching halls, teaching laboratory). Comfortable disks, good source of aeration, bathrooms, good illumination and safety and security tools.
  2. Teaching tools: including screens, computers including CD, data show, projectors, flip charts, white boards, video player, digital video camera, scanner, copier, color and laser printers.
  3. Computer program: for designing and evaluating MCQs.

 

 

Course Coordinator: Dr. Ahlam Abdel-Salam.

Head of Department: Prof. Mohamed Abdel-Kader Soltan.