1. Quality Assurance &Accreditation Faculty of Medicine Cairo University Efforts, Achievements & Challenges Lamis Ragab, MD Vice Dean for Postgraduate Studies & Research

2. The improved health of all people is the main goal of medical education There is a global and national call for quality improvements and assurance in medical education

3. There are global changes in health care practice * Clearer professional recommendations * Increased consumerism * Increasing student numbers * Specialization of clinical clerkships

4. WFME in its 1998 position paper launched the program on International Standards in Medical Education A mechanism for quality improvement in medical education, in a global context, to be applied by institutions responsible for medical education, and in programs throughout the continuum of medical education

5. The Faculty of Medicine Cairo University started the activities of Quality Assurance in 2003

6. The self- study was conducted in 2003 Limited to the undergraduate program (using the basic standards of WFME as a Benchmark) A corrective action plan was suggested to overcome the weaknesses and enhance the strengths

7. Final report endorsed to the faculty and university councils Dissemination to the Faculty staff members, students and some stakeholders December 2004: external evaluators from the WFME invited for a 3-days site visit

8. The Self –Study helped the faculty in designing the vision towards accreditation Also, the mission and the strategic objectives of the faculty were reviewed and endorsed to the faculty council for the first time.

9. Establishment of the Internal Quality Assurance System: under the guidance of the National Committee for Quality Assurance and Accreditation (the National Committee)

10. Projects Project # 1 Development of a Strategic Plan for Quality Assurance Project # 2 Establishment of sustainable QAA Centers in the Egyptian Universities Project # 3 Establishment of an Internal Quality Assurance System in the faculties Project # 4 Development of Academic Reference Standards

11. Project started in September 2005 Establishment of project's managerial and implementation committees The quality unit at the faculty had a place and a structural organization

12. Program and courses’ specifications of the undergraduate program according to the templates provided by the (NQAAC) Awareness and orientation seminars to the academic staff, non academic staff, and students to introduce the quality system to the faculty's community

13. Gradual cultural change especially of the academic staff who actively participated in compiling the documents of the project Course reports were completed by the staff members in each academic department at the end of the academic year

14. The project team completed the program report and produced the first Faculty Annual Self-Evaluation Report (2004/2005) following the evaluative framework designed NQAAC ( including 5 major areas: academic standards, quality of learning opportunities, research and other scholarly activity, community involvement, and effectiveness of quality management and enhancement)

15. Developmental Engagement (DE) site visit in October, 2005. Documents reviewed before the site visit : program specifications, course specifications, course reports, program report and Faculty Annual Self –Evaluation Report Meetings: faculty staff members, vice deans, under-& postgraduate students and some stakeholders Revision of students' work and assignments Oral feedback about the points of strengths and that need further improvement A comprehensive report of the developmental engagement site visit 2 months later An action plan to enhance the strengths and improve the areas of weakness to prepare the faculty for accreditation was required

16. Faculty of Medicine Cairo University Project #3 in cycle one (2004) Site visit in Oct. 2005 Action plan in Feb. 2007

17. A lag period for few months (transition of leadership) Quality unit reconstituted in March, 2007

18. The faculty submitted the course reports, program report, the second Faculty Annual Report (2005/2006) and an action plan for accreditation to the NQAAC

19. ■ Follow up visit in April 2007 for one day to monitor and support the faculty in the developmental engagement stage Oral feedback was given at the end of the day about the achievement of the quality at the faculty in the last year Report of the team's evaluation and their expectation about the readiness of the faculty for submission for accreditation

20. The Evaluation Framework Academic Standards  Intended learning outcomes  Curriculum  Student assessment  Student achievement Quality of Learning opportunities  Teaching and learning  Student support  Learning resources Research and other scholarly activity Community Involvement Effectiveness of Quality Management and Enhancement  Governance and leadership  Quality assurance system  Self-evaluation, plans and impact

21. External reference standards (Benchmark) approved by the Faculty Council in April 2007: the General Medical Council standards (UK) The Medical Sector Committee approved the National Academic Reference Standards for the Medical Faculties in Egypt

22. New Higher Curriculum Committee Revision of curricula of: community medicine with integration between Pediatrics & OB-GYN Ongoing revision of curricula of Ophthalmology, Bio, OB-GYN according to the mission

23. لجنة المناهج الاسمالتخصصالتليفونE-mail نادية الفقي لميس رجب زينب حامد نادية بدراوي زهير الحوشي شريف الطوبجي مايسه شوقى0123239593mmaissaaz@Yahoo.com وائل غفير 0122116539Ghafir@mailcity.com عصام الطوخى0123123103eeltoukhy@yahho.com عبد الفتاح مرعى0123367114marrie73@hotmail.com مصطفى عبد الحميد0101413128mostafaseleem@hotmail.com محمد حيدره0104622809haidaram@hotmail.com

24. Establishment of an Assessment Committee and development of a code of practice for student assessment (6/2/2007)

25. لجنة التقييم الاسمالتخصصالتليفونE-mail لميس رجب نادية الفقي نادية بدراوي سهير العطار0106669199Sohairaattar@Yahoo.com ابراهيم محمدى ابراهيم0101648596I.Mohamady@hotmail.com مصطفي عبد الحميد نادية بدراوىnbadrawi@link.net ناديه الفقى عصمت شيبه زينب حامدZhamed1@yahoo.com سلمى دوراه

26. قواعد التقييم Code of Practice in the Area of Student Assessment Approved by the Faculty Council in May 2007

27. Some departments modified both written and clinical examination to be more objective Pediatric department arranged OSCE at the end of the year that was appreciated by the students and faculty staff

28. Program specifications for some postgraduate degrees: Pediatrics, Biochemistry, Dermatology, Andrology, Pathology, Internal Medicine

29. Workshop on Program & Course Specifications (Postgraduate Programs) 5/3/2007

31. اسماء وبيانات الحاضرين لاجتماع توصيف برامج الدراسات العليا يوم 5 مارس 2007 مالاسمالقسممحمول E-mail 1حنان احمد قطب عبد اللهالروماتيزم والتأهيل0101401711 hanankotb@msn.com 2ساميه زكى حسنالروماتيزم والتأهيل0101770869 samiazakihasan@yahoo.com 3آمال حسن رزقالروماتيزم والتأهيل0105124730 rizkah@hotmail.com 4ساميه محمد حسن فضهالروماتيزم والتأهيل0127463665 Yasser 47hotmail.com 5هبه حلمى الحديدىالأمراض الجلديه0105194079 bobahadidi@yahoo.com 6أميرة أمين زايدالأمراض الجلديه0102581689 hrakhawy@yahoo.com 7شهيرة عبد الرحمن رمضانالأمراض الجلدية0122199555 Shahiraaramadan@hor mail.com 8منال محمد محمود مخلوف الباثولوجيا الاكلينكيةوالكيميائية 0101271116 manalmakhlouf2@yahoo.com 9عفاف محمد سامى السقا الباثولوجيا الاكلينكيةوالكيميائية 0123435078 Banna_helmy@hotmail.com 10سحر كمال الدين الباثولوجيا الاكلينكيةوالكيميائية 0123113752 msaad@suescem.com 11نجوى السيد عبد الله الطويل الباثولوجيا الاكلينكيةوالكيميائية 0105257311 drnaltaweel@hotmail.com 12هاله محمد فراويله الباثولوجيا الاكلينكيةوالكيميائية 0123233565 halafarawela2002@hotmail.com

32. تابع اسماء وبيانات الحاضرين لاجتماع توصيف برامج الدراسات العليا يوم 5 مارس 2007 مالاسمالقسممحمول E-mail 13ابراهيم محمد فهمى طب وجراحة أمراض الذكورة والتناسل 0101422856 ifahmy@idsc.net.eg 14تيمور مصطفى ابراهيم طب وجراحة أمراض الذكورة والتناسل 0105150297 Taymour 1155@link.net1155@link.net 15هدى محمد حسين رشيدالأمراض الجلدية0101010824 Ho-rash @yahoo.com 16منال عبد الواحد بصيلةالأمراض الجلدية0102412964 manalbosseila@ yahoo.com 17عمرو عبد الحكيم راتبالأمراض الجلدية0123112436 ratabderm@ yahoo.com 18مشيرة عبد الحكيم راتبفسيولوجيا0106224104 Moshera_rateb@yahoo. com 19محمد حسين مدحت الكومىالأمراض الجلدية0123415852 mkomy@hotmail.com 20عمرو محمد جاد الله طب وجراحة أمراض الذكورة والتناسل 0101001014 gadallaamr@hot mail,com 21نشوى محمد سعيد الصاوىفسيولوجى0124107148 Nashwa eltaalawy @hot. Mail com 22سميحه على مرتضىهستولوجى0127411677 Prof.Mortada@hotmail.com 23سهير احمد فوزى توفيقهستولوجى0127446196 Sohair _Fawzy@hotmail.com_Fawzy@hotmail.com 24شهيرة عبد الرحمن رمضانالأمراض الجلديه0122199555 shahiraaramadan@hotmail.com 25ابراهيم محمدى ابراهيمفسيولوجيا0101648596 Ibrahim Mohamdy.@Hotmail.com

33. External Evaluators for two postgraduate programs (Master Degree of Pediatrics and MD of Neurosurgery)

34. In general terms, the Egyptian MD candidates were fairly well prepared and had an adequate fund of knowledge. Most demonstrated an adequate knowledge of the field and appropriately managed the clinical cases presented to them.

35. Another significant difference between the US ABNS and Egyptian MD examinations is with regards to the area of test objectivity.

36. Another major difference in the US and Egypt systems are that the US examinees are expected to pass the oral boards on the first try. From my understanding, approximately 80% of the candidates do so. A lower pass rate suggests that the examinees were poorly trained or that there were potential testing irregularities that precluded the examinees from obtaining a higher pass rate. Also, the examinees are allowed to sit for the oral boards three times. If they are not successful by the third try, they must re-take their written examinations before being allowed to re-take the oral boards.

37. Having participated and observed MD examination process, I would make the following major suggestions: There should be a single Egyptian board examination comprised of a highly objective written examination. The oral board examiners should be selected from a pool of MD’s (that do not necessarily need to be University Professors) and this pool should be rotated yearly so as to increase the objectivity of the examiners. Prior to sitting for the oral boards, the potential examinees should have: a) passed their written exams b) submitted practice data which should be reviewed for safety and consistency.

38. They are allowed to go for a maximum of three times for their oral exams; at which time if they fail all three times they should repeat the written exams again. A 70-80% pass rate should be expected in board exams. Residency programs should provide teaching and clinical scenarios that simulate the oral board (MD) testing experience so that the examinees have a rational framework for thought processes. The oral board (MD) testing experience should be made as objective as possible through the incorporation of known/expected clinical scenarios and patient encounters. There should be specific objective measures (fund of knowledge, management skills, interpretation of diagnostic tests, etc) rated during the exam independently by each examiner followed by a conference after the first testing sessions.

39. 2) Quality of Learning Opportunities: ○Lectures Students divided into 5 groups(300/group) Audiovisual facilities in 11 lecture halls (capacity 300-1000 students) ○ Early clinical exposure in some departments (physiology and pathology)

40. ○ Student handbooks (under-&postgrad) ○ Student support office (Academic year 2006-2007) Academic support & counseling committee (approved by Faculty Council 10/2007) ○ Learning resource centre: training on models and facility for e-learning

41. 3) Effective Quality Management and Enhancement : ○ Functioning reporting system; reports of the academic year 2005/2006 were completed ○ Revision of the mission, approved by the Faculty Council in September 2007 ○ Establishment of an internal audit committee for the educational program ○ Regular meeting between the members of the quality assurance unit and the dean and the three vice deans ○ Realistic action plan covering all areas in the educational program, with a justified budget

42. 4) Research and Other Scholarly Activities: ○ A strategy and plan for research activities based on the research strategy of the University ○ New postgraduate bylaws adopting the credit hour system (ECTS)

43. What is ECTS? The European Credit Transfer and Accumulation System is a student-centred system based on the student workload required to achieve the objectives of a programme, objectives preferably specified in terms of the learning outcomes and competences to be acquired.

44. العلاقة بين البرنامج التدريبى و الشهادات الأكاديمية المدةProfessional Degree Academic Degree 1.5 سنةBasic trainingFirst Part 1.5سنةSpecialized training Second Part سنتينAdvanced training MD

45. Data base for the international publications and projects

46. الأبحاث المنشورة بالدوريات العالمية السنةالأبحاث المنشورة بالدوريات العالمية لجنة فبرايرلجنة مارس 20005459 20015363 20023947 20033140 2043548 20053342 20064655 20071519 المجموع306373

47. الأبحاث المنشورة بالخارج السنةالأبحاث المنشورة بالخارج لجنة فبرايرلجنة مارسلجنة ابريل 2000545966 2001536382 2002394754 2003314046 2004354855 2005334251 2006465559 20071519 المجموع306373432

48. الأبحاث المنشورة بالدوريات العالمية مالقسمعدد الأبحاث لجنة فبرايرلجنة مارس 1التشريح00 2الهستولوجى00 3الكيمياء الحيوية الطبيه17 4الطفليات00 5الباثولوجيا00 6الميكروبيولوجيا الطبية والمناعه00 7الفارماكزلوجيا00 8الفسيولوجيا44 9الأمراض الباطنه88 10الأمكراض الصدرية00 11الأمراض الجلديه44 12طب وجراحة أمراض الذكورة والتناسل81 13الأمراض العصبيه22 14الأمراض النفسية00 15أمراض القلب66 16طب الأطفال47 17طب الصناعات والأمراض المهنية00 18الطب الشرعى00

49. الأبحاث المنشورة بالدوريات العالمية مالقسمعدد الأبحاث لجنة فبرايرلجنة مارس 19الصحه العامه00 20طب الأمراض المتوطنه28 21الحالات الحرجه39 22الباثولوجيا الاكلينكية والكيميائية77 23الجراحة العامه1618 24طب وجراحة العين33 25الأنف والأذن والحنجرة222 26جراحة المسالك البولية00 27جراحة العظام11 28التوليد وأمراض النساء6380 29التخدير78 30الأشعة التشخيصية34 31علاج الأورام والطب النووى00 32جراحة القلب والصدر00 33جراحة المخ والأعضاب22 34الروماتيزم والتأهيل223 35طب العائلة00 المجموع306373

50. الأبحاث المنشورة بالخارج السنةعدد الأبحاث 200071 200186 200262 200350 200461 200567 200679 200724 المجموع500

51. 5) Community Involvement: Wide community contribution

52. قطاع خدمة المجتمع وتنمية البيئة كلية الطب كلية طب قصر العينى الوحدات ذات الطابع الخاص 42 وحدة

53. نماذج الوحدات ذات الطابع الخاص كلية الطب مركز رعاية الحالات الحرجة

54. نماذج الوحدات ذات الطابع الخاص كلية الطب مركز رعاية الحالات الحرجة

55. نماذج الوحدات ذات الطابع الخاص كلية الطب مركز تطوير التعليم الطبى

56. نماذج الوحدات ذات الطابع الخاص كلية الطب وحدة السكر والغدد الصماء والميتابوليزم

57. نماذج الوحدات ذات الطابع الخاص كلية الطب وحدة معمل قصر العيني للأوعية الدموية

58. نماذج الوحدات ذات الطابع الخاص كلية الطب وحدة معمل قصر العيني للأوعية الدموية

59. فى دعم صندوق خدمة المجتمع وتنمية البيئة بالكلية وحصة المستشفيات : * قامت الوحدات بدعم صندوق خدمة المجتمع وتنمية البيئة بمبلغ ( حوالى 425000 جنية ) * قامت الوحدات بدعم حصة المستشفيات بمبلغ ( حوالى 920000 جنية ) مساهمة الوحدات ذات الطابع الخاص كلية الطب

60. Web-Site www.med.cu.edu.eg E-mail service to staff members Training programs Departments’ websites

61. Title of Department displayed as Cairo University Kasr Al Aini Faculty of Medicine Department of (BOLD CHARACTERS) Web page contnet: Short history and introduction to the department Mission Statement Information on the following topics (LINKS) –Education : undergraduate, postgraduate and residency/fellowship programs also Schedule of academic / scientific activities, e.g. lectures, staff rounds, workshops, conferences… –Research : research interests of the department / collaborative research activity if applicable –Clinical services / Patient care : Unit components (Inpatient, outpatient sections and special facilities as ICU, Endoscopy, Pulmonary lab, cardiac catheter. lab, operating theatre …etc), OP Clinic schedule and how to refer a patient Chairman and Faculty members and physicians in the department:–Names / Titles / and areas of special interest. Sub-specialties if applicable Contact information (telephone, fax, address, email…) Societies and affiliations - added as LINKS to the department website Photos of faculty and staff / section and clinic / as available Any additional information that you would like to include about your service Support the Department or Make a Donation: guide to the public.

62. E-Library Project funded by HEEPF Linked to 7 faculties of Medicine

63. المكتبة الاليكترونية توفير قاعدة بيانات UpToDate على موقع المكتبة الاليكترونية تشمل قواعد البيانات للممارسة الإكلينيكية فى التخصصات الآتية :ـ الباطنة بكافة فروعها ـ الأمراض المعدية ـ الأطفال ـ التوليد وأمراض النساء ـ طب الأسرة ـ طب الطوارئ.

64. International Relations 108 Malaysian undergraduate students Joint postgraduate degrees (Pediatric Cardiology, Medical Ethics)

65. Action plan for accreditation was designed and approved by the faculty council for implementation during this academic year

66. Problems Big number of students Admission policy Finance Policy making State regulated education

67. Problems (Cont.) Staff resistance Communication Daily problems overwhelming the essential problems Part-timers Transition of power Administrative skills

68. What do we need for accreditation? Review of the undergraduate programme Development of all postgraduate programmes Development of the research area Private tutoring Achievement of the action plan in the due time