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University: Suez Canal University Faculty: Faculty of Medicine PROGRAM SPECIFICATIONS A) Basic information: Program Title: Doctorate Degree of Medical Genetics Department: Histology Department – Genetics Unit Program type: Single Coordinator: Prof Dr Somaya Hosny Mahmmoud External Evaluator: Prof Dr Ezzat Elsobky Last date of program specifications approval: B) Professional information: 1) Program Aims: The program aims to: Provide students with advanced knowledge and skills in the subject of medical genetics that enable them to: a) Recognize the different patterns of inheritance of genetic disease b) Understand the basis of mitochondrial diseases and the expected pattern for mitochondrial inheritance c) Understand the nature of mutations and permutations and their impact on human variability and disease d) Recognize the clinical features of common genetic disorders and explain their mode of inheritance e) Understand the different types of chromosomal abnormalities and their impact on disease f) Discuss the mechanisms of teratogenesis and the effects of major human teratogens g) Recognize and classify congenital anomalies and the approach to diagnosis of multiple congenital anomaly syndromes h) Understand the genetic programs that guide normal development i) Describe the genetic basis of the immune response and discuss a number of diseases in which immune-related genes contribute to disease susceptibility j) Recognize the clinical features of common cancer and explain their mode of inheritance k) Discuss the various methods available for treatment of genetic disease 116 l) Explain the essential elements of genetic counseling in different genetic disorders m) Estimate risk assessment for different genetic disorders n) Understand the advantages, limitations, and dangers of predictive testing for genetic disease o) Recognize the procedures available for prenatal genetic diagnosis and kinds of diseases that can be detected prenatally p) Explain the structure and organization of the human genome at the molecular level q) Describe the mechanism of gene expression r) Discuss the nature of mutations and permutations and recognize the DNA repair system s) Discuss the application of recombinant DNA techniques to the diagnosis of genetic diseases t) Recognize how polymorphisms, gene linkage, and human gene mapping are used in medicine u) Mention the principles and strategies in identifying disease genes v) Describe the current methods used for confirming a candidate gene w) Explain the principles of molecular and biochemical genetic techniques used in the diagnosis of genetic disorders x) Describe how to use gene transfer in studying gene expression and function y) Discuss the objectives and achievements of the human genome projects z) Examine and recognize normal and disease karyotypes Enable students to use transferable skills in oral presentations, report writing, and the use of information technology Provide students with enough experience in molecular, cytogenetic and biochemical genetics and to provide a practical knowledge of the principles and practice of medical genetics which will allow them to choose and interpret appropriate genetic investigations, and evaluation of individuals and families with genetic problem. 2) Intended Learning Outcomes (ILOs): a) Knowledge and Understanding: a1- Describe the structure of normal human chromosomes a2- Explain the structure and organization of the human genome at the molecular level a3- Describe the mechanism of gene expression a4- Discuss the nature of mutations and permutations a5- Recognize the DNA repair system a6- Understand the heterogeneity, variability and natural history of molecular genetic disorders a7- Discuss the application of recombinant DNA techniques to the diagnosis of genetic diseases 117 a8- Recognize how polymorphisms, gene linkage, and human gene mapping are used in medicine a9- Mention the principles and strategies in identifying disease genes a10- Describe the current methods used for confirming a candidate gene a11- Explain the principles of molecular and cytogenetic techniques used in the diagnosis of genetic disorders a12- Describe how to use gene transfer in studying gene expression and function a13- Discuss the objectives and achievements of the human genome projects a14- Examine and recognize normal and disease karyotypes a15- Recognize the different patterns of inheritance of genetic disease a16- Understand the factors that affect development of phenotype in single gene disorders a17- Understand the basis of mitochondrial diseases and the expected pattern for mitochondrial inheritance a18- Understand the concepts and clinical importance of genetic imprinting and uniparental disomy a19- Understand the nature of mutations and permutations and their impact on human variability and disease a20- Recognize the clinical features of common genetic disorders and explain their mode of inheritance a21- Discuss the nature of molecular lesions in various genetic diseases a22- Understand the heterogeneity, variability and natural history of biochemical genetic disorders a23- Understand the different types of chromosomal abnormalities and their impact on disease a24- Explain the nature of chromosomal abnormalities in clinical syndromes associated with cytogenetic disorders a25- Discuss the mechanisms of teratogenesis and the effects of major human teratogens a26- Recognize and classify congenital anomalies and the approach to diagnosis of multiple congenital anomaly syndromes a27- Understand the genetic programs that guide normal development a28- Describe the genetic basis of the immune response and discuss a number of diseases in which immune-related genes contribute to disease susceptibility a29- Describe some pharmacogenetic disorders a30- Recognize the clinical features of common cancer and explain their mode of inheritance a31- Explain the role of genetics in the pathogenesis of neoplasms and in the predisposition to malignancies a32- Discuss the nature of molecular mechanism in various diseases with genetic instability a33- Discuss the various methods available for treatment of genetic disease a34- Explain the essential elements of genetic counseling in different genetic disorders a35- Estimate risk assessment for different genetic disorders a36- Explain the disease frequency variability among different ethnic groups 118 a37- Understand the advantages, limitations, and dangers of predictive testing for genetic disease a38- Recognize the existence of and justification for screening programs to prevent genetic disease a39- Recognize the procedures available for prenatal genetic diagnosis and kinds of diseases that can be detected prenatally a40- Explain "Bayes" rule to assess heritability a41- Define regression and correlation analysis a42- Discuss the general steps in statistical hypothesis testing a43- Illustrate the tests of statistical significance (Chi square, correlation and regression, variance) b) Intellectual Skills: b1- Continuous self learning skills b2- Self evaluation skills b3- Critical thinking and judgment skills b4- Problem solving skills c) Professional and Practical Skills: c1- Elicit a comprehensive medical genetic history c2- Conduct problem solving to illustrate mutation analysis, family pedigrees and risk analysis c3- Understand and interpret nomenclature used for the description of gene mutations and chromosomal abnormalities c4- Formulate an appropriate differential diagnosis and course of investigation, including the use of specialized tests through biochemical, cytogenetic, and molecular genetic laboratories c5- Determine different techniques of cytogenetic and molecular analysis c6- Diagnosis and interpretation of a wide range of genetic problems c7- Understand cytogenetic, biochemical and molecular laboratory reports 1- c8- Training on clinical cases in well-established genetic clinics (inside and outside our university). The program includes training in cytogenetic, molecular and biochemical genetic laboratories for at least 3 months in each one. In addition to training in genetic clinic for at least 7 months. d) General and Transferable Skills: d1- Interdepartmental team work d2- Computer skills d3- Oral communication d4- Presentation skills 119 3) Academic Standards: a- External References for Standards (Benchmarks) According to American Board of Medical Genetics (ABMG) and the University of Glasgow (Department of Medical Genetics) b- Comparison of Provision to External References 4) Curriculum Structure and Contents: a- Program duration: 2 – 5 years b- Program structure: First part: No. of hours/week: Lectures: 2h/week Tutorial/ Practical: 2h/week Total: 4h/week Thesis: Second part: No. of hours/week: Lectures: 6h/week Tutorial/ Practical: 26h/week Total: 32h/week 5) Program Courses: First part: Compulsory: Code Course Title No. of No. Units Biostatistics 24 weeks No. of hours/week Programme ILOs Lect. Tutor Pract. covered (by No.) 2h/ 2h/ a40- a43 week week Second part: Compulsory: Code Course Title No. Medical Genetics Human Molecular Genetics No. of Units 75 weeks 75 weeks No. of hours/week Lect. Tutor Pract. 3h/ 3h/ 10h/ week week week 3h/ 3h/ 10h/ week week week 120 Programme ILOs covered (by No.) a15 – a39 c3 – c6, c10 – c11 a1 - a14 c12 – c13 Thesis: A faculty senior & junior supervisor from the staff members are nominated by the department council to prepare a proposal of the thesis protocol after the selection of a subject that is complementary to the research plans of the department. Data collection, methodologies, study question, time table, ethical considerations and budget are formulated by the candidate under guidance of his supervisors into a research project. The research protocol is then pre-reviewed by four different stuff members nominated by the Head of the department who share their ideas and comments with the supervisors to reach to the final form. The research protocol is discussed then openly in one of the department councils to be approved and diverted to the Faculty research committee where it is subjected to a critical appraisal to meet the research basic standards set by the committee. The final approvals of the research protocol are then issued by the committee of post graduate studies, the Faculty and University Council to be registered. 6) Program Admission Requirements: Master of Medical Genetics (signed up at least Good) 7) Regulations for Progression and Program Completion: First part: 6 months Assessment (written, oral & practical) Weight 40% Second part: Assessment (written, oral & practical) Weight 60% Fulfillment of the logbook of clinical cases (satisfactory) is a prerequisite for exam entry (attached with the program) Thesis/Assay Passing discussion and approval by a committee of external and internal examiners is required for Doctorate degree If the student fails to pass one of the components of the program (1st or 2nd part examination), he has the chance to repeat the examination up to 4 times 121 8) Evaluation of Program Intended Learning Outcomes: Evaluator 1. Senior Students 2. Alumni 3. Stakeholders 4. External Evaluator Tool Questionnaire Questionnaire Interviews Attending exams (checklist/rating scale) Sample Course Coordinator: Prof. Somaya Hosni Head of the Department: Date: / / Prof. Somaya Hosni 122