Deanship of Postgraduate Education King Saud bin Abdul...

Page 1 of 119 | Postgraduate Medical Education Resident Handbook 2016

Deanship of Postgraduate Education

King Saud bin Abdul-Aziz University for Health Sciences

Ministry of National Guard Health Affairs

King AbdulAziz Medical City- Jeddah


TTAABBLLEE OOFF CCOONNTTEENNTTSS

Welcome Address …………………………………………………………………………………………………………………….. 3 Resident Handbook …………………………………………………………………………………………………………………. 6 Policies for Residency Training Programs …………………………………………………………………………… 8 Supervision of Residents and Fellows …………………………………………………………………………………. 16 Center Transfer …………………………………………………………………………………………………………………………. 29 Postponing Training ………………………………………………………………………………………………………………… 32 Specialty Change ……………………………………………………………………………………………………………………… 34 Trainee Vacations and Holidays …………………………………………………………………………………………… 36 Training Interruption ……………………………………………………………………………………………………………… 38 Withdrawal From Training Program ………………………………………………………………………………….. 41 CanMEDS Competencies ……………………………………………………………………………………………………….. 43 Eligibility and Selection of Residents …………………………………………………………………………………… 47 Program Organization and Responsibilities ………………………………………………………………………. 47 Reappointment and Promotion …………………………………………………………………………………………….. 50 Evaluations ………………………………………………………………………………………………………………………………… 52 Appeal Process ………………………………………………………………………………………………………………………….. 52 Residency Training Program Committee ……………………………………………………………………………. 53 Leave ……………………………………………………………………………………………………………………………………………. 54 Disciplinary Action and Due Process ………………………………………………....................................... 55 Saudi Board Examination Process ………………………………………………………………………………………… 55

Residency Training Programs 1. Anesthesia ………………………………………………………………………………………………… 56 2. Anatomic Pathology ……………………………………………..................................... 62 3. Community Medicine ………………………………………………………………………………. 63 4. Critical Care Medicine ………………………………………………………………………….. 67

Dental Services Department ……………………………………………………………………………………… 70 5. Advanced Restorative Dentistry …………………………………………………………… 70 6. Endodontic ………………………………………………………………………………………………. 71 7. Oral & Maxillofacial …………………………………………....................................... 72 8. Orthodontics …………………………………………………………………………………………… 73 9. Pediatric Dentistry …………………………………………………………………………………. 79 10. Periodontics. …………………………………………………….......................................... 82 11. Prosthodontics ………………………………………………………………………………………… 83 12. Emergency Medicine ……………………………………………………………………………… 84 13. Family Medicine ……………………………………………………………………………………… 90

Department of Medicine ……………………………………………………………………………………………. 93 14. Dermatology …………………………………………………………………………………………….. 93 15. Internal Medicine …………………………………………………………………………………… 96 16. Neurology ………………………………………………………............................................. 102 17. Psychiatry …………………………………………………………………………………………………. 102 18. Medical Imaging ……………………………………………………………………………………… 102 19. Obstetrics & Gynecology ……………………………………………………………………… 103 20. Pediatrics ……………………………………………………….............................................. 103 21. Pharmaceutical Care ………………………………………………………………………………. 111

Department of Surgery ……………………………………………………............................................. 113 22. General Surgery ………………………………………………………………………………………. 113 23. Orthopedic ………………………………………………………………………………………………. 113 24. Urology ……………………………………………………………………………………………………… 113 25. Neurosurgery …………………………………………………………………………………………… 113 26. Ophthalmology ……………………………………………………………………………………….. 114 27. Otolaryngology Head & Neck Surgery ……………………………………………… 115 28. Pediatric Surgery ………………………………………………........................................ 115 29. Plastic Surgery ………………………………………………………………………………………… 115

TELEPHONE NUMBERS: POSTGRADUATE EDUCATION …………………....................... 116


WWEELLCCOOMMEE AADDDDRREESSSS

Welcome to King Abdulaziz Medical City, Ministry of National Guard Health Affairs –

Western Region.

Residency Training Programs at the Ministry of National Guard Health Affairs are

designed to provide high quality clinical and academic education and training, and

provide an environment for Residents to learn the basic standards of their specialty.

This booklet is designed to provide a clearer overview and sets out a range of ways that

you can get involved in shaping the direction and quality of service delivered by King

Abdulaziz Medical City – Jeddah.

I hope that this booklet provides a useful guide into the mainstream of activities within

your areas of responsibility.

We look forward to working with you to continuously improve the service we offer, by

giving you opportunities to be involved in providing excellent care at King Abdulaziz

Medical City – Jeddah.

Kind regards

DR MANSOUR AL-QURASHI, DCH, ABP, MD

Associate Dean, Postgraduate Education

King Saud bin Abdulaziz University for Health Sciences, Jeddah

September 2016


WWEELLCCOOMMEE AADDDDRREESSSS

Welcome to the Office of Postgraduate Medical Education at KSAU-HS Jeddah!

The Office of Postgraduate Medical Education (PGME) operates within the Deanship

of Postgraduate Education. We represent postgraduate medical education at King Saud

Bin Abdulaziz University for Health Sciences (KSAU-HS) through residency and

fellowship programs. In addition to this, we supervise the various medical schools’

dental graduates during their internship training period.

PGME oversees 29 residency training programs and 22 fellowship training programs

within the University. We have approximately 358 residents and 102 fellows. Each of

our high-quality residency training programs is accredited by the Saudi Commission for

Health Specialties (SCHS).

We work with programs to ensure compliance with standards of accreditation, and seek

to further improve the quality of our training programs through conducting periodic

internal peer reviews of all residency training programs.

PGME is committed to working with residents to ensure that their educational

experience during the time they spend at KSAU-HS will provide them with the best

possible educational experience to meet their needs in relation to their future career

goals.

PGME is also committed to ensuring all educational programs prepare our learners for

evidence-based practice, critical reflection, lifelong learning and an ability to deliver

service in a highly professional manner.

Kind regards

DR. YASER FADEN

Director of Medical Education, Deanship of Postgraduate Education

Assistant Professor, Department of Obstetrics and Gynecology

Consultant, Maternal-Fetal Medicine & OB/GYN

King Saud bin Abdulaziz University for Health Sciences

King Abdulaziz Medical City – Jeddah

(012) 6240000 (ext. 21372 - 21373)

Mail Code 6133; [email protected]

September 2016

http://www.med.ualberta.ca/programs/residency/postgraduateprograms/residency/carmslist

mailto:[email protected]



RESIDENT HANDBOOK

Important Policies

All information contained within the Resident Handbook is determined by the rules of the

training programs regulated by the Saudi Commission for Health Specialties (SCFHS) and

the Arab Board for Medical Specialisation, and in accordance with the policies of Ministry

of National Guard Health Affairs.

In the following pages is a comprehensive manual of important policies and guidelines

regulated by SCHFS relevant to Postgraduate Medical Education.

Please note that updates to the policies and procedures manual may occur throughout the

academic year. The most current version of the manual can always be found at

http://portal.ngha.med/sites/Jeddah/aa/pgradmededu/Pages/residencypolicies.aspx

http://portal.ngha.med/sites/Jeddah/aa/pgradmededu/Pages/residencypolicies.aspx


Deanship of Postgraduate Education King Saud Bin Abdulaziz University for Health Science POLICIES FOR RESIDENCY TRAINING PROGRAMS

I. GENERAL

The Residency Training Programs at King Abdulaziz Medical City are designed to provide high quality clinical and academic education and training. The training programs provide an environment for Residents to learn the basic standards of their specialty. Patient care is of prime importance in providing high quality postgraduate training. As Residents progress through the training program, their competence and responsibilities in the care of patients will increase. Training programs provide the opportunity for the acquisition of increased knowledge, skills and responsibilities. Successful completion of annual training requirements will result in promotion. In consultation with department chairmen, residency training program (RTP) directors, and teaching and administration staff, PGME will establish procedures, policies and a system for educational resource allocation and quality control. The Office of PGME shall, in conjunction with Saudi Commission regulations:

(a) establish the general objectives of postgraduate medical education.

(b) apportion residency positions among the programs offered.

(c) review and monitor instructional plans for each residency program.

(d) develop criteria for selection of candidates.

(e) develop methods for a periodical evaluation of program effectiveness and the competency of residents in training.

II. RESPONSIBILITY OF THE INSTITUTION 1. As part of the commitment of this institution to fully implement an exemplary

program in postgraduate medical education, the Office of PGME has been established. The Director of Medical Education takes the immediate responsibility for ensuring the implementation of residency training and other postgraduate medical education programs.


2. The administrative and teaching staffs have a strong commitment to medical and dental education. As an indication of this commitment, the following policy statements have been adopted:

2.1 With the objective that the healthcare delivery system and the medical and

dental education programs be conducted by citizens of the Kingdom of Saudi Arabia, the King Abdulaziz Medical City staff, in collaboration with the medical and dental schools in the Kingdom, shall assist in the training of manpower for these important critical needs.

2.2 An operational system based on policies defined in this document is established which provides for the following:

2.2.1 Residents will be appointed, based on recommendations of the Department Chairman, RTP Director and Director of PGME. and having successfully completed the Saudi Commission selection requirements in the chosen discipline, and in accordance with policies established by the MNGHA and PGME.

2.2.2 Resident’s positions will be apportioned among the programs available in accordance with Saudi Commission/Arab Board regulations on accreditation, taking into consideration the service needs of the Department, the availability of teaching staff and other educational resources needed to provide a balanced academic and clinical teaching program.

2.2.3 Residents will be supervised by the members of the medical and dental staff in the training program where they are assigned. To ensure adequate supervision, a RTP Director is appointed in each Department, responsible to the Department Chairman and Director of PGME. Areas of supervision include the inter-relationship between residents and their patients, their medical colleagues, nursing, paramedical and other staff, adherence to the institution’s policies, and professional behavior and competence.

2.2.4 Resident evaluation and advancement will be the responsibility of the staff of the training program involved in conjunction with the Director of PGME and the rules and regulations of the Saudi Commission. Residents will be evaluated every 3 months, and at the end of each rotation. These evaluations are sent to the Saudi Commission. Advancement and promotion in the training program is subject to satisfactory evaluations as judged by the Saudi Commission. An annual evaluation is also completed, based on the 3-month evaluations and a structured written examination. This is used to recommend re-contracting and promotion in the training program, if this is appropriate.


2.2.5 Similarly, training supervisors and rotations will be evaluated by the Residents. Residents have a responsibility to ensure that they complete the appropriate form, and that these are returned to their program directors. Information is used to evaluate the quantity and quality of the teaching provided by the department.

2.2.6 Residents are required to attend all departmental educational activities including clinical teaching sessions, grand rounds, lectures, conferences and journal clubs. The department is responsible for maintaining attendance records and these will be submitted to PGME. Residents must be in attendance at 75% of departmental meetings to qualify for promotion and advancement in the program. Residents are also required to attend the hospital lunchtime Grand Round.

2.2.7 Residents are required to perform on-call duty. On-call duty shall be an average of one every three to four nights (minimum of 7 calls per month, 24 hours per call except when working in emergency room). Residents are expected to perform regular duty the day after call to ensure continuity of care for their patients, unless otherwise specified by the specific department.

2.2.8 Residents will be required to sit a specialty end-of-year examination to assess the level of knowledge and the expertise gained during the preceding year.

2.2.9 Residents who fail to meet the required standards of the training program and MNGHA may be dismissed from the program. Reasons for dismissal are noted in Section VII and VIII.

3. Each program will be periodically reviewed by representatives of the Saudi

Commission for Health Specialties who will assess the quality of training and resources available in the institution for accreditation purposes.

4. The PGME is responsible for coordinating all accreditation visits and for ensuring

that the relevant information is made available to representatives of accrediting bodies when required.


RIGHTS AND RESPONSIBILITIES OF PATIENTS & FAMILIES Patients have a right to a full explanation of the treatment they can expect while in this institution, duration of stay, etc. It is the physician’s and dentist’s responsibility to ensure this information is communicated to patients. APP 912.02 gives full information on this subject and should be referred to.

GUIDELINES FOR DOCUMENTATION IN THE MEDICAL RECORD

1. Introduction

The medical record should chronologically document the care of the patient and is an important element contributing to the quality of care.

2. Documentation Standards

General Policy: It is critical for the medical staff to understand the documentation requirements because of their direct involvement and ultimate responsibility in the provision of quality patient care. Medical record documentation should be completed immediately following patient services or within sufficient time for the physician to recollect the key portions of the services provided. In no circumstances should that time be longer than 24 hours after the service(s) were rendered. Whoever dictates a note or report, or any other medical record entry, shall sign the note, report, or entry. No modification or addendum’s shall be made in the medical record that does not include the date modification or addendum was made, and the signature and physician number of the physician. In no instance will any documentation in medical record be erased, marked over, or otherwise removed or altered. The S.O.A.P. guidelines are used for documentation:

S = Patient’s History (objective)

O = Physical Exam, Investigations (objective)

A = Decision Making (assessment)

P = Plan (care treatment plan)

3. Daily Progress Notes

The medical record should be complete, accurate, legible, and timely. The documentation for each patient encounter should include: reason for the encounter and

relevant history assessment, clinical impression or

diagnosis date / time and the legible

identity of the care provider physical examination findings

signature and physician stamp or number

diagnostic test results

plan of care

4. H & P


The history and physical for inpatients must include:

history of present illness family history, if relevant past medical and surgical history, relevance to the present illness, and details

regarding comorbid conditions. psychosocial issues allergies medications and dosages physical examination (including mental status; psychological evaluation; vital

signs; examination by organ system; detailed information of systems related to the present illness, including negative findings; relevant conclusions; and treatment plan).

The levels of examination are based on four (4) types of examinations:

Problem focused (a limited exam of the affected body area or organ systems) Expanded problem focused (is a limited exam of the affected body area or organ

system and or other symptomatic or related organ system(s). Detailed (an extended exam of the affected body area(s) and other symptomatic

or related organ systems). Comprehensive: a general multi-system examination or complete examination of

a complete organ system.

5. Ministry of National Guard Health Affairs, KAMC Rules & Regulations Require:

The MRP is responsible for the preparation of a complete and legible medical record for patient. The record shall include: identification, initial complaints, history of the present illness, personal and family history, allergic history, physical examination, medical consultation reports, laboratory reports, complete sequential record of medical and/or surgical treatment, operative report, results of examination of any tissue, final diagnosis, condition on discharge and discharge summary. In addition, the medical record must reflect supervision of the house staff. The medical record face sheet, operative note and discharge summary must be signed by the MRP with badge number indicated. A complete history and physical examination shall be completed on every patient within 24 hours of admission. If the completed history and physical examination has been performed within 30 days prior to the patient’s admission to the hospital, a legible copy of this report may be used in place of the admission history recorded by the MRP and satisfies the requirements for an admitting history and physical examination. In such cases, an interval admission note must be placed on the chart including the reasons for the admission, any pertinent changes to the history and any significant changes in physical examination or medical findings. A history and physical examination must be obtained and recorded in the chart prior to any surgical or potentially hazardous diagnostic procedure. The MRP must


indicate the patient’s suitability for such a procedure. If the admitting history and physical examination are dictated and have not been transcribed, there must be a written note from the MRP indicating the patient’s suitability for the procedure. Pertinent progress notes shall be recorded sufficient to provide a clear record of care. Progress notes must be written at least every 48 hours for stable patients and daily on critically ill patients and those where there is difficulty in diagnosis or management of the clinical problem. In all instances, the content of the medical record shall be sufficient to support the diagnosis and warrant the treatment and outcome. Operative reports shall include a detailed account of the findings at surgery as well as the details of surgical technique. Operative reports shall be written or dictated immediately following surgery, when possible, but always within 24 hours after the surgery. The report must be promptly signed by the MRP and made a part of the patient’s current medical record. An obstetrical admission record will be completed for each patient admitted to Labor and Delivery. If the patient has received prenatal care in a National Guard Hospital Outpatient Department, the outpatient prenatal record will become part of the current obstetrical record. All entries in the patient’s medical record shall include the time and date and include the signature and badge number of the physician. Final diagnosis shall be recorded in full on the medical and record face sheet without the use of symbols or abbreviations with the date, signature and badge number of the MRP, and the time of discharge. This will be deemed as important as the actual discharge order and must be completed at the time of discharge. A discharge summary shall be written or dictated on all hospitalized patients and must be signed by the MRP. It shall include the significant history, pertinent physical examination findings, pertinent laboratory and medical imaging studies, other investigations, course in hospital, discharge condition, and follow-up or therapeutic plans. In addition, details of recommended diet, medications to be taken and degree of activity permitted shall be recorded. Written, currently dated, patient consent is required for the release of medical information to persons not otherwise authorized to receive this information. Copies of summaries will be provided to other institutions upon request or transfer. In the case or re-admission of a patient, all previous records shall be available for use by the MRP. Pre-printed standing orders, when utilized, shall be incorporated into the medical record in the order sheet by ward personnel. These orders must have all details completed, be dated, timed and signed by the MRP with badge number included. A discharge summary shall be written or dictated on all hospitalized patients and must be signed by the MRP. It shall include the significant history, pertinent physical examination findings, pertinent laboratory and medical imaging studies, other investigations, course in hospital, discharge condition, and follow-up or therapeutic plans. In addition, details of recommended diet, medications to be


taken and degree of activity permitted shall be recorded. Symbols and abbreviations may be used only when they have been approved by the Medical Advisory Council. All hospital records are the property of the hospital and shall be afforded to members of the Medical Staff for bonafide study and research consistent with preserving the confidentiality of personal information. All such research projects must have prior approval of the Ethics / Clinical Research Committee. The Hospital Medical Director must approve any other request for access to a medical record. Copies of discharge summaries or copies of part of the chart may be requested by patients through the Medical Records Department. Such summaries will normally be signed by the MRP and countersigned by the Hospital Medical Director. The patient must sign consent for the release of information. The MRP shall complete the medical record at the time of the patient’s discharge to include progress notes, final diagnosis and discharge summary. When this is not possible because of final laboratory or other reports not having been received at the time of discharge, the record will be available in the Medical Records Department. If a discharge summary cannot be dictated at the time of discharge, a final progress note must be written in the medical record, including the final diagnosis. The medical record will be considered delinquent 14 days after the date the chart is made available to the Medical Staff for completion (see Article V Section 1 and Article IV Section 7 of the Medical Staff By-Laws). Persistent failure to complete medical records in a timely fashion may lead to corrective action and will be a factor considered in the re-privileging process.


6. JCI's Standards Require that:

All entries with time/date and authenticated by physician signature / number.

Rationale for ordering diagnostic/ancillary services should be easily inferred.

Past/present diagnosis should be accessible to the treating/consulting physician.

Appropriate health risk factors should be identified.

Patient’s progress, response to, changes in treatment, or revision of diagnosis.

Documentation must support the service levels.















Center Transfer


CENTER TRANSFER




POSTPONING TRAINING

I. C



SPECIALTY CHANGE



TRAINEE VACATIONS AND HOLIDAYS



TRAINING INTERRUPTION




WITHDRAWAL FROM TRAINING PROGRAM



CanMEDS Competencies

Canadian Medical Education Directives for Specialists (CanMEDS) competencies are gradually being introduced into our Residency Training Programs. With the establishment of the CanMEDS Collaborating Center (CCC) at KSAU-HS, supported by the MNGHA and Saudi Commission for Health Specialties, more and more of our RTPs will be evaluating trainees based on the CanMEDS competencies. The CanMEDS framework is a guide to the essential abilities physicians need for optimal patient outcomes. Fundamentally, CanMEDS is an initiative to improve patient care. The framework defines the competencies needed for medical education and practice. This framework of core competencies are organized thematically around 7 key physician Roles:

Medical Expert Health Advocate

Communicator Scholar

Collaborator Professional

Leader


The CanMEDS framework is competency based.

"Competencies" are important observable knowledge, skills and attitudes. These competencies have been organized around the physician Roles. These seven Roles have been clarified and defined by Key competencies. Each key competency has been further outlined into multiple Enabling competencies. The enabling competencies specify the behaviors, skills and attitudes that must be displayed by the postgraduate learner. These enabling competencies are outlined in detail in the CanMEDS framework document and are planned for use in resident evaluation. To get you familiar with the CanMEDS competency framework before embarking on your residency training, we present you with the CanMEDS Roles definitions and key competencies and defines the physician’s clinical scope of practice. Medical Expert: Definition: As Medical Experts, physicians integrate all of the CanMEDS Roles, applying medical knowledge, clinical skills, and professional attitudes in their provision of patient-centered care. Medical Expert is the central physician Role in the CanMEDS framework. Key Competencies: Physicians are able to…

1. Practice medicine within their defined scope of practice and expertise;

2. Perform a patient-centered clinical assessment and establish a management plan;

3. Plan and perform procedures and therapies for the purpose of assessment and/or management;

4. Establish plans for ongoing care and, when appropriate, timely consultation;

5. Actively contribute, as an individual and as a member of a team providing care, to the continuous improvement of health care quality and patient safety.

Communicator:

Definition: As Communicators, physicians form relationships with patients and their families that facilitate the gathering and sharing of essential information for effective health care. Key Competencies: Physicians are able to…

1. Establish professional therapeutic relationships with patients and their families;


2. Elicit and synthesize accurate and relevant information, incorporating the perspectives of patients and their families;

3. Share health care information and plans with patients and their families;

4. Engage patients and their families in developing plans that reflect the patient’s health care needs and goals;

5. Document and share written and electronic information about the medical encounter to optimize clinical decision-making, patient safety, confidentiality, and privacy.

Collaborator: Definition: As Collaborators, physicians work effectively with other health care professionals to provide safe, high-quality, patient-centered care. Key Competencies: Physicians are able to…

1. Work effectively with physicians and other colleagues in the health care professions;

2. Work with physicians and other colleagues in the health care professions to promote understanding, manage differences, and resolve conflicts;

3. Hand over the care of a patient to another health care professional to facilitate continuity of safe patient care.

Leader: Definition: As Leaders, physicians engage with others to contribute to a vision of a high-quality health care system and take responsibility for the delivery of excellent patient care through their activities as clinicians, administrators, scholars, or teachers. Key Competencies: Physicians are able to…

1. Contribute to the improvement of health care delivery in teams, organizations, and systems.

2. Engage in the stewardship of health care resources.

3. Demonstrate leadership in professional practice.

4. Manage career planning, finances, and health human resources in a practice.

Health Advocate: Definition: As Health Advocates, physicians contribute their expertise and influence as they work with communities or patient populations to improve health. They work with those they serve to determine and understand needs, speak on behalf of others when required, and support the mobilization of resources to effect change.


Key Competencies: Physicians are able to…

1. Respond to an individual patient’s health needs by advocating with the patient within and beyond the clinical environment;

2. Respond to the needs of the communities or populations they serve by advocating with them for system-level change in a socially accountable manner.

Scholar: Definition: As Scholars, physicians demonstrate a lifelong commitment to excellence in practice through continuous learning and by teaching others, evaluating evidence, and contributing to scholarship. Key Competencies: Physicians are able to…

1. Engage in the continuous enhancement of their professional activities through ongoing learning;

2. Teach students, residents, the public, and other health care professionals;

3. Integrate best available evidence into practice;

4. Contribute to the creation and dissemination of knowledge and practices applicable to health.

Professional: Definition: As Professionals, physicians are committed to the health and well-being of individual patients and society through ethical practice, high personal standards of behavior, accountability to the profession and society, physician-led regulation, and maintenance of personal health. Key Competencies: Physicians are able to…

1. Demonstrate a commitment to patients by applying best practices and adhering to high ethical standards;

2. Demonstrate a commitment to society by recognizing and responding to societal expectations in health care;

3. Demonstrate a commitment to the profession by adhering to standards and participating in physician-led regulation;

4. Demonstrate a commitment to physician health and well-being to foster optimal patient care.


ELIGIBILITY AND SELECTION OF RESIDENTS: 1. Eligibility

Admission to the training program is limited to citizens of Saudi Arabia who are graduates of accredited medical schools with an accumulative GPA of not less than 3/5 or 65% “Good” and have successfully met the Saudi Commission Selection Criteria for the chosen specialty. Selection will be made on a competitive basis as described under 2.2.1.

2. Selection

Candidates who meet the eligibility criteria noted above will be interviewed. The interview panel will comprise the Director of PGME, Department RTP Director and Department Chairman. In accordance with Saudi Commission regulations, all training programs commence on 1 October each year. Applications for the program will not be considered at any other time. Residents must join the program at the beginning of each academic year (1 October). Any delay in commencement of the program will be deducted from annual leave. At all times eligibility and selection of candidates will be in accordance with the policies of MNGHA and the Saudi Commission for Health Specialties.

II. PROGRAM ORGANISATION AND RESPONSIBILITIES 1. The Director PGME, in consultation with the Department RTP Director and the

Department Chairman, is fully responsible for the general administration of the Residency Training Programs in the Hospital.

The Director of PGME is charged with reviewing the institutional resources allocated to the educational program to assure adequate financial support, educational resources and medical support commensurate with the educational mission of the Hospital.


2. A Postgraduate Medical Education Committee, composed of the Department RTP Directors and chaired by the Director of PGME, undertakes the following responsibilities:

2.1 Review of policies and procedures relating to the Residency Training Programs.

2.2 Ensures that the training programs adhere to the standards of the Hospital and the Saudi Commission regulations.

2.3 Reviews recommendations for re-contracting and / or promotion of Residents.

2.4 Reviews recommendations concerning disciplinary action for Residents.

2.5 Reviews and makes recommendations concerning the continuing medical education programs.

2.6 Monitors the performance and evaluations of Residents and Interns.

2.7 Makes recommendations concerning academic and educational support resources, including Medical Science Library, additional training courses, etc.

2.8 Act as an appeals committee to assess appeals from Residents concerning evaluations, promotion, disciplinary activity and training problems.

3. The Department RTP Director is nominated by the Department Chairman and

appointed by the Director of PGME, for a period of 3 years. RTP Directors must satisfy criteria established by the Saudi Commission for Health Specialties.

In consultation with the Department Chairman, and the Director of PGME, the Department RTP Director is primarily responsible for:

3.1 Making recommendations concerning number of Residents which the Department may accommodate at each level in each academic year.

3.2 Participating in the interview and selection process for Resident candidates.

3.3 Orientating the Residents in the Department.

3.4 Organizing and arranging rotation schedule in accordance with the rules and regulations of the training program.

3.5 Ensuring Resident compliance with the rules and regulations concerning leave and ensuring that all leave requests are processed through the Department of Academic Affairs.

3.6 Providing counselling and psychological support to Residents.


3.7 Ensuring all Residents evaluations are completed by the supervising Consultants at the end of each rotation and submitted to Postgraduate Education on time.

3.8 Ensuring the annual evaluation is completed and submitted to Postgraduate Education with recommendations for re-contracting and/or promotion on time.

3.9 Ensuring all Residents complete the Supervisor and Rotation evaluations and that these are submitted to Postgraduate Education at the end of each rotation.

3.10 Compiling and maintaining a bank of MCQ and short essay questions.

3.11 Maintaining accurate records of Residents attendance at departmental meetings.

3.12 Arranging for departmental end-of-year examinations.

3.13 Chairing the Department Education Committee.

4. The Department Education Committee will be chaired by the Department RTP

Director. The Committee comprises of at least two members of the Consultant staff and the Chief Resident. The Department Chairman is invited to attend meetings as an ex-officio member. Members will serve for a period of one year. Meetings will be minuted and a copy of the minutes will be submitted to Postgraduate Education. The responsibilities of the Committee include:

4.1 Developing policies and procedures relevant to the orientation of new Residents in the Department

4.2 Developing objectives for each rotation in the training program.

4.3 Developing methods to assess performance during the rotations.

4.4 Monitoring the quality and quantity of the training sessions.

4.5 Monitoring Resident responsibilities concerning attendance and punctuality at rounds and meetings and completion of patient documentation.

4.6 Monitoring performance assessments and evaluations.

4.7 Making recommendations concerning disciplinary action.

5. The Consultant staffs, as outline in the Medical Staff By-Laws, accept responsibility for participation in the educational and teaching programs of the Hospital. The academic needs of the institution are significantly considered during the recruitment process of Consultant staff.


5.1 Actively participate in appropriate regional and national scientific organizations.

5.2 Take active part in the departmental teaching program.

5.3 Take an active part in the Resident evaluation process.

III. REAPPOINTMENT AND PROMOTION 1. The Department will submit the following information to the Department

PE&AA prior to the end of each academic year.

Performance evaluations from each rotation.

Comprehensive evaluation by the Department Education Committee

Results of the annual examination, and any other in-house examinations.

Attendance records at educational and departmental activities.

Absence records indicating not more than 40 days have been taken in the year.

The Postgraduate Medical Education will review the documentation and make recommendations concerning the re-contracting and/or promotion of each Resident. The Director of PGME will interview each Resident and advise them of the Committee’s recommendation.

Any Resident who is considered not to have met the requirements of the training program will be advised that they will be placed on a 3-month probationary period. During this time the Resident will be closely evaluated. Should the Resident still not meet the level of performance required, the Postgraduate Medical Education Committee will recommend that the Resident repeat his/her year of training at the same level or will not be re-contracted and the notice period of one month will be activated.

2. The criteria for promotion to the next level of training includes the following:

Satisfactory completion of rotation objectives as defined in the department training program.

A minimum of 75% attendance at departmental teaching sessions.

Displaying the knowledge, clinical skills and professional attitude and skills at the level expected in the rotation year.

Passing the department annual examination where applicable.

Passing the Saudi Commission end of year Examination.

Satisfactory compliance with the regulations of the training program and Saudi Commission concerning absence.

Residents may not be promoted to the Senior Resident category unless they have passed the Part I examination of the Arab Board or Saudi Board. No more than 3 attempts at the Part I examination will be allowed. Failure to pass the Part I examination after 3 attempts will result in dismissal from the Saudi Commission Program.


Besides the Saudi Commission examinations, dental Residents are required to complete the clinical cases and requirements assigned by each dental department and the Saudi Commission on annual bases. Residents may not be promoted to the next year if they fail to comply.

3. Residents will take no more than 6 years to complete a training program of 4

years duration or 7 years to complete a training program of 5 years duration. Residents may be permitted to repeat a specific training year once only. If it is determined that a Resident needs to repeat a training year more than once or if they fail to complete the training program within the years specified, they will be dismissed from the Program.

4. Residents who successfully complete the required years of training will be issued

with an official certificate of completion of training by Postgraduate Education. It is important residents remain within an academic and clinical environment while preparing for their examinations. Therefore, all Board Eligible residents will be accommodated in their respective departments for a period of one academic year (1 October to 30 September) after completing their residency training program. At the end of the Board Eligible year (training period, plus one year) Postgraduate Education ceases to be responsible for the Resident. At this time the Resident’s contract with the hospital will be terminated unless he/she is employed by the hospital in another capacity. The Hospital is under no obligation to continue the employment of the Resident beyond 30 September of the Board Eligible year.

5. Transfer from one training specialty program to another specialty is discouraged.

Similarly, transfer within the same specialty from one sponsoring institution to another is discouraged. In exceptional circumstances the following procedure is adopted:

The Resident must apply for the transfer at least 3 months to prior to the completion of the training year

The Resident must obtain approval from the program he / she is leaving and ensure that he / she meet the admitting requirements and have approval from the new department.

Approval must be obtained from the Saudi Commission for Health Specialties.

Residents will compete for a post in the department with other applicants.

Residents transferring to a new specialty will enter the new program at the first year level unless Saudi Commission recognition of all or part of previous training is obtained.

Transfers will only be considered at the beginning of the academic year, i.e. 1 October.

Final approval for any transfer will be given by the Director of PGME.


Evaluations

Regular and timely evaluations and ongoing verbal feedback should occur throughout each Rotation. Each Resident must receive an In Training Evaluation Report (ITER) for every Rotation they complete and, in any case, at least once every three (3) months, irrespective of the length of the Rotation. ITERs should be completed by the Resident’s entire teaching faculty for that Rotation where practicable. The evaluation must recognize the difference in expectations of skills and knowledge between junior and senior residents.

The Rotation Preceptor must meet with the Resident to discuss each ITER with him/her, and review the strengths and weaknesses documented by the teaching faculty in the ITER. The Resident must sign the ITER form to acknowledge that the evaluation has been discussed with the Rotation Preceptor. If the Resident does not agree with the evaluation, he or she has the right to place a written comment on the form and/or appeal the ITER in accordance with the Appeals Policy (see below).

The Resident will receive a copy of the ITER and the signed ITER form will be submitted to the Program Director to be placed into the Resident's file no later than two (2) months after the end of the Rotation.

The Rotation Preceptor and Residency Training Program (RTP) Director should collaborate to make sure that all Residents are evaluated according to this Policy.

Appeals Process

A rotation evaluation may be contested in the first case to the supervisor who wrote the rotation evaluation; and in the second case to the Residency Training Program Committee.

1. THE SUPERVISOR WHO WROTE THE ROTATION EVALUATION

A resident who does not agree with a rotation evaluation should discuss the evaluation with his/her supervisor (i.e. the faculty supervisor who wrote the evaluation) with the option to appeal within ten (10) working days of receipt of the evaluation. The resident might identify some external factors which may have influenced the evaluation or may suggest other individuals knowledgeable of his /her performance, who could speak positively on his/her behalf. The supervisor will review the evaluation, speaking with others if indicated.

Should the supervisor revise the evaluation, then the "revised" evaluation will become the official one. Otherwise, the original evaluation will stand.

The supervisor will communicate his/her decision, in writing, to the resident and the RTP Director as soon as possible.


2. RESIDENCY TRAINING PROGRAM COMMITTEE

If a resident wishes to further contest an UNSATISFACTORY rotation evaluation, the request must be submitted in writing to the Residency Training Program Director within ten (10) working days of the supervisor’s final decision. The RTP Director will forward the Resident’s appeal to the RTP Committee, which will assess the merits of the appeal.

i) The Program Director will chair the committee provided s/he was not responsible for or involved in the evaluation that is being contested. In this case, the Discipline Chair may chair the meeting.

ii) The resident contesting the evaluation may request that a resident representative be absent from the appeals meeting of the Program Committee.

iii) Before the proceedings start, the Chair of the committee will explain the process and briefly review the nature of the problem to the committee members.

iv) The RTP Committee may contact the Resident or any of the evaluators named on the ITER if further information is required.

v) The resident and the supervisor will then be called to appear before the committee. Each may bring one (1) advisor. Normally, the supervisor will speak first and will describe the resident's evaluation and the reasons for the negative evaluation. The resident will then have the opportunity to speak. Committee members may then ask questions of either party. Both parties will be asked to leave the room before the committee deliberates on the matter.

vi) Prior to the meeting, the resident must have access to all relevant written documentation on his/her performance.

vii) Minutes of the meeting will be taken and the decision will be conveyed as soon as possible to the resident in person, and in writing. The minutes and all written (and taped) communication will be permanently stored in the Office of the Chairman of the Department.

viii) Once the RTP Committee has assessed the Resident’s appeal it will determine either that:

(a) the appropriate process for evaluation has been followed and the ITER will remain in the Resident’s file; or

(b) the Resident’s appeal is successful, either in whole or in part, and a new ITER will be written by the RTP Director, signed by the Resident, and placed in the Resident’s file. The appealed ITER will be removed from the Resident’s file and destroyed.

ix) The decision rendered by the Residency Training Program Committee is final at the departmental level. If the resident is still not satisfied by the RTP Committee decision, s/he can raise his/her appeal to the Office of Postgraduate Education.


IV. LEAVE (See DPP 9665-25-00-01 for full details) Educational Leave (Academic Leave is a privilege (not a right) that is granted by the National Guard Academic Affairs. A Resident in a training program at KAMC is entitled to a total of 30 days annual leave, plus 5 days Emergency Leave. Emergency Leave is only for real emergencies and cannot be booked in advance. No more than 20 days leave can be taken in any one rotation. If more than 20 days of leave is taken in a rotation, the resident will not receive credit for that rotation. This includes annual leave and sick leave. (A rotation is a time period of greater than two months). Residents taking annual leave must take a minimum of 10 days at any one time. Where leaves are taken in a block, the days of the weekend (Friday and Saturday) will be calculated as part of the leave when falling within the holiday period, but not when the leave ends on a Thursday. Leave may not be taken during the two weeks at the beginning or at the end of the academic year except to write an examination approved by Postgraduate Education. Absence from the training program for more than 40 days (inclusive of sick leave, annual leave and emergency leave, but not educational leave) in any academic year makes that year of training incomplete. The days off in excess of 40 days for each year must be completed. This may be done either by using part of the 30 day leave entitlement in a subsequent year or at the end of the residency training period (Year 4). Period of missed training must be completed in order for the individual to be allowed to write the final qualifying examination in his/her specialty. Training is not considered completed until these extra days are made up. The maximum of 40 days in any academic year includes annual leave, emergency leave, sick leave, maternity leave and/or any other days absent except educational leave. In case of illness the Residents must notify the Secretary of the Department immediately. The Department Secretary is responsible for notifying Postgraduate Education. Supportive documentation from Staff Health or the attending physician must be provided. A leave form must be completed. This may be done by the Resident before leaving or the Departmental Secretary if the Resident is unable to complete the form prior to beginning sick leave. In the latter case, the Resident must sign the form upon his/her return. A copy of the sick leave form must be sent by the Department Secretary to the Department of Academic Affairs. If a doctor’s certificate is not produced within 24 hours it will be recorded as unauthorized absence. Sick leave is not allowed for elective surgery. Annual leave must be used. A Resident who is absent from training for a total of more than 90 days in any academic year will lose credit for that year and will be required to repeat the entire year.


In the case of continuous absence for more than 12 months or intermittent absence for more than 18 months, the candidate will be dismissed from the program and he/she will be required to apply to rejoin the training program as an R1.

Any individual who drops out of the training program must wait for two years before reapplying for admission to another Saudi Commission residency program.

Carry-forward of leave from one academic year to the next is not allowed.

Educational leave may be given for medical meetings, examination preparatory/review courses and/or for the purpose of writing medically related examinations. The Resident must apply in advance through his/her departmental RTP Director and receive departmental approval prior to the application being submitted to Postgraduate Education. Details of the meeting/course/examination, proof of registration and attendance must be submitted. Educational Leave will only be considered for meetings/courses / examinations approved by the MNGHA and Postgraduate Medical Education. Leave to study for an examination is not considered educational leave and must be taken from the candidate’s available annual leave.

A maximum of 7 days educational leave is allowed in any academic year. Emergency leave should only be used in exceptional circumstances (e.g. illness).

V. DISCIPLINARY ACTION AND DUE PROCESS Residents are expected to conform to departmental, hospital and Saudi Commission policy concerning patient care, training, interpersonal relationships, legal and ethical conduct. Residents who fail to meet the expected standards during their training may be subject to disciplinary action. Such action will be determined by the severity of the offence and will be in accordance with current Policies and Procedures. An appeal procedure is available.

VI. SAUDI BOARD EXAMINATION PROCESS All Residents must register with the Saudi Commission for Health Specialties at the beginning of Residency Training and re-register annually thereafter at the beginning of each training year. This applies to all Residents in the training programs whether taking Arab Board or Saudi Board examinations.

It is the Resident’s responsibility to ensure that applications for registration and examinations are submitted to Academic Affairs prior to the closing date and that all the necessary documentation, including application forms, photographs, certificates and fees, are correct and complete.

Residents must take the Saudi/Arab Board Examinations when they are eligible to do so. Refusal and/or withdrawal from an examination is considered equivalent to having failed the annual in-house evaluation. Three such failures/refusals will be considered grounds for dismissal from the program. The regulations listed below are the same for Arab Board and Saudi Board, except where stated.


ANAESTHESIA ADMISSION REQUIREMENTS To be accepted into the training program, the candidate must fulfill the following requirements:

1. A medical degree (e.g. M.B.B.S.) or equivalent from a recognized university.

2. Successful completion of rotating internship for 12 months.

3. Passing a pre-admission examination, (Saudi Licensing Exam,) and an interview by a regional training program committee.

4. Provision of three recommendation letters.

5. Provision of a letter from a sponsoring organization giving approval for the candidate to join full time training, for the whole period of the program (5 years).

6. Signature of an obligation to abide by the rules and regulations of the training program of the Saudi Board of Anesthesiology.

7. Registration as a trainee at the Saudi Commission for Health Specialties.

GENERAL TRAINING REQUIREMENTS 1. Trainees shall abide by the training regulations and obligations as set by the

Saudi Commission for Health Specialties.

2. Training is a full time commitment. Residents shall be enrolled in full time, continuous training for the whole period of the program.

3. Training is to be conducted in institutions accredited for training by the Saudi Board of Anesthesiology and Intensive Care.

4. The training will be comprehensive in the specialties of Anesthesiology.

5. Trainees shall be actively involved in patient care with gradual progression of responsibility.

GENERAL TRAINING REQUIREMENTS 1. This is a five-year postgraduate structured training program in Anesthesiology

which is divided into two parts; junior residency (the first 3 years) and senior residency (the last 2 years).

2. The junior years are designed to provide training in Core Anesthesia practice together with rotations in selected specialized fields.

3. Senior Residency years, (R4&R5) after passing PART 1 EXAM, are allocated to various sub-subspecialties in Anesthesiology and Intensive Care. This is arranged through the regional training committee.

4. Residents are required to satisfactorily complete the allocated rotations for a given year and pass end year evaluation exam (Unified Anesthesia Examination) before passing from one year to the next.

5. The sequence of the rotation will be through direction of the Regional training committee.


6. After the successful completion of all five (5) years of training and obtaining the Final In-Training Evaluation Report (FITER) and passing the “End of year Promotion Exam” with the designated passing mark, candidates will receive a Training Completion Certificate issued by the regional committee of the training center. The candidate will then be eligible to sit for the Final Certification Examination of the Saudi Commission of Anesthesiology.

7. Successful candidates in the “Final Certification Exam” will receive the Saudi Commission Specialty Certification in Anesthesiology.

GENERAL FRAMEWORK OF THE REQUIRED ROTATION Required Rotations for the Junior Years (1st to 3rd Year)

Each rotation is 2-3 months in duration.

The exact duration and sequence of rotations shall be designed by each regional residency program committee.

It should be noted that the every new resident (R1) should start with at least 6 months in General Core Anesthesia.

Residents are required to do on-call duties every rotation including off-service rotations where they are required to do 1 in 4 anesthesia on-calls.

Residents are expected to do 4 to 7 on-call duties per month.

The annual leave follows the SCFHS rules and regulations (4 weeks + 1 public holiday + 1 academic week with approval of program coordinator) each year.

It is not recommended to take more than 2 weeks of leave during any given rotation.

N.B: Each rotation is ONE (1) to THREE (3) Months in Duration

# ROTATION NAME

TOTAL DURATION (in months)

GENERAL PRINCIPLES AND REMARKS

1. General Core Anesthesia

18 The resident will be exposed to a sufficient number of cases in all of the following fields:

- Pre-Anesthesia Clinic/Acute Pain Service

- General Surgery

- Orthopedics

- Gynecology

- Urology

- ENT

- Dental

- Plastic Surgery

- Ophthalmology

- Remote Anesthesia (e.g. Radiology)


- Trauma

7. Trauma Anesthesia

3 Residents will be allocated to hospitals with high rate of trauma cases.

8. Obstetrics Anesthesia

6 3 months in the junior level (R1-R3) and 3 months in senior level (R4-R5)

9. Intensive Care 6 MICU: 2 months

SICU: 2-3 months

PICU/NICU: 1 month

CCU: 0-1 month

10. Internal Medicine

3 Cardiology: 1 month

Respiratory: 1 month

Elective (Nephrology, Endocrinology or Blood Bank): 1 month

11. Elective Rotation / research

6 3 months in the junior level (R1-R3) and 3 months in senior level (R4-R5).

This include assigned rotations e.g. transfusion medicine, vascular anesthesia)

12. Cardiac Anesthesia

3 Resident will be allocated to cardiac anesthesia operating rooms mainly in adult cases.

13. Pediatric Anesthesia

3-4 Resident will be allocated to operating rooms with pediatrics surgery cases.

14. Pain Medicine 2-3

15. Regional Anesthesia

2-3

16. Thoracic Anesthesia

2-3

17. Neuroanesthesia 2-3

Required Rotations for the Senior Years (4th & 5th Year)

Each rotation is (3) months in duration.

The exact sequence of rotations shall be designed by each regional residency program committee.

Residents are required to do on-call duties during every rotation except during elective rotations if they are allocated to non-clinical specialties or duties.

Residents are expected to do between 1:3 or 1:4 on-call duties per month.

The annual leave follows the SCFHS rules and regulations (4 weeks + 1 public holiday + 1 academic week with approval of program coordinator) each year.


It is not recommended to take more than 2 weeks of leave during any given rotation.

End of Year Promotion Exam Promotion

1. All candidates will attend the annual end-of-year promotion Examination.

2. Program directors will report on resident’s progress or failure to the specialty board at the end of each academic year.

3. Annual promotion depends on:

Satisfactory annual overall evaluation and passing at least 3 out of 4 rotations and the average score for all rotations will not be less than 50%

Obtaining the specified pass mark for the level of training at the End of Year Promotion (EOY) exam.

4. Passing the Part 1 Exam is required for promotion from Junior to Senior level of residency.

Specialty Examination

Upon completion of the 5-year training program and passing the End of Year Examination, the candidate will be eligible for the Final Certification Examination.

End of year written Examination

Upon completion of the 5-year training program and passing the End of Year Examination, the candidate will be eligible for the Final Certification Examination.

This is a written examination of MCQ type. It consists of one paper with 100 MCQ’s.

Annual promotion depends on satisfactory annual overall evaluation and passing at least 3 out of 4 rotations and the average score for all rotations will not be less than 50%.

Program directors will report on resident’s progress or failure to the specialty board at the end of each academic year.

All candidates will attend the annual end-of-year promotion Examination.

Promotion to the next residency level depends on obtaining the specified pass mark for the level of training

The examination will be held once per year depending on the eligibility of candidates in all approved training centers.

The examination will have basic and applied clinical sciences related to the specialty according to the attached blue print.


Candidates have to pass the End of Year Examination each year in order to get promoted to the next training year.

First Part Written Examination

This is a written examination of MCQ type. It consists of one paper with 100 MCQs.

The examination will be held once or twice per year depending on the eligibility of candidates in all approved training centers.

Passing the Part 1 Exam is required for promotion from Junior to Senior level of residency.


Candidates are allowed 3 attempts to pass, before they get promoted to the senior years (R4 & R5).

Learning Portfolio

The Leaning Portfolio is a detailed inventory maintained by the Trainee to record learning processes and key events, experiences and progress during the training years.

The purpose of the Learning Portfolio is to assist Trainees and Supervisors plan and implement training and to facilitate Trainee development of critical and reflective learning and practice. Specifically it:

Shows the Trainee’s progress through the recording of Modules completed, clinical experience gained, skills learned and assessments completed.

Allows the Trainee to establish learning plans (and revise them when necessary), time management schedules and reflective learning.

Reminds the Trainee of the objectives of training and the attributes of a Specialist Anesthetist.

Promotes self-directed learning.

The objectives of the Learning Portfolio are to:

Document the Trainee’s progress through Approved Training.

Clarify areas of improvement.

Give greater responsibility to Trainees for their learning experience.

Provide an opportunity for reflective learning.

Provide additional information to Supervisors regarding Trainee progress and learning.

Facilitate communication between Supervisors and Trainees.

Establish (and follow for revision of) learning plans and time management schedules.


Promote self-directed learning essential for continuing professional development, lifelong learning, adult learning and problem-based learning activities.

The Trainee is responsible for ensuring information within the Portfolio is kept up-to-date and accurate throughout their training. The Learning Portfolio has three sections for the Trainee to enter information.

Records of Training. The data to be kept include details on registration, training posts, Basic and Advanced Training, and assessments and examinations.

Records of Rotations. These include clinical experience (clinical cases), Learning Plans, self-appraisals, assessments and records of completion for each Rotation.

Records of Continuing Professional Development. These include Trainee learning experiences in clinical skills, education skills, academic activities and continuing education.

Final In-Training Evaluation Report (FITER)

Its summative evaluation prepared at the end of a residency program, which indicate the residents acquire the full range of competencies (knowledge, skills and attitudes) required for the Anesthesia specialist & readiness to sit the Saudi certification examinations.

It provides information that will be considered by the Saudi Examination Board during the deliberation of a candidate whose performance at the Saudi certification examination falls into the borderline category.

The FITER is requested by the Saudi Board at the end of residency training.

The FITER is completed by the resident training Program Director.

The FITER is not a composite of the regular-in-training evaluations; rather it is a testimony of the evaluation of competencies at the end of residency education program.

It will be completed as late as possible in the resident’s training but no later than 2 months before the oral Exam.

The FITER of individual candidates is available only to the Chair of the Examination Committee, who must maintain confidentiality of the name of the candidate, training center and Program Director at all times.

Final Comprehensive Specialty Examination

Upon completion of the full program requirement the resident should go through full examination process including the following components:


Learning Portfolio

This is a written examination of MCQ type. It consists of two papers with 100 MCQs each.

The examination will be held once or twice per year depending on the eligibility of candidates in all approved training centers.


Candidates are allowed 3 attempts to pass.

Final Structures Oral Examination:

The examination is designed to test the trainees’ skills and abilities to interpret the various clinical conditions and describe the proper and standard perioperative anesthetic and intensive care management for the different elective and emergency clinical conditions using general, regional and/ or local anesthesia.

He/she will be evaluated on the way of presentation and approach in solving problems and management of clinical conditions.

Performance Based Assessment

Objective Structured Clinical Examination (OSCE)

Simulation Based Assessment

Certification

Candidates passing the final certification examination of the specialty will be awarded the following degree by the Saudi Scientific Board of Anesthesiology.

“The Saudi Specialty Certificate of Anesthesiology”

All residents should refer the residents’ manual by the Saudi commission of health sciences regarding the details of the training in Anesthesia.

ANATOMIC PATHOLOGY

Program Objectives:

General Objectives: To train and deliver competent Saudi Anatomic Pathologists to meet the great demand in the kingdom.

Specific Objectives: The principal objective of training in Anatomical Pathology is to develop skills that would enable the graduate to function as an independent specialist, i.e. be able to handle and interpret submitted tissue and cytology material efficiently and accurately. Furthermore, he/she should be capable of efficiently utilizing, whenever available, appropriate ancillary studies and finally convey his/her opinion in a clear and concise manner to the treating physician.

http://www.scfhs.org.sa/en/MESPS/TrainingProgs/TrainingProgsStatement/AnesthesiaAndCare/Documents/Program%20Booklit.pdf


To fulfill these objectives, the trainee is required to acquire the following knowledge and skills:

1. Knowledge of gross anatomy, histology and ultra-structural morphology of normal

cells, tissues and organ systems and their embryologic development.

2. Knowledge of the various host responses to injury including their etiological and pathogenic mechanisms, morphological alterations and functional manifestations.

3. Proper handling of surgically excised tissues including intraoperative evaluation.

4. Gross examination of tissues and organs, performance of relevant laboratory techniques and proper utilization and care of light and electron microscopes.

5. Diagnostic skills in interpreting histological and cytological slides, electron microscopy images, special and immunohistochemical stains, flow cytometry and molecular studies. He/she must know the indications, limitations and usefulness of each ancillary study and keep updated about new developments in these areas.

6. Skills in Medline search and literature review as necessary to keep oneself updated and for reaching proper diagnoses.

7. Communication Skills: The diagnosis and interpretation must be put into a clear, meaningful and well-formatted pathology report containing all the relevant information that aid in patient management, including requests for additional biopsies, if deemed indicated. This also includes ability to discuss findings and other issues relevant to the case like obtaining more clinical information from the responsible physician as well as conveying critical values.

8. Management Skills: This includes knowledge of the organizational structure of the laboratory, effective skills in dealing with lab employees, familiarity with the current systems of data coding, storage and retrieval of specimen, slides and tissue blocks, as well as knowledge of quality assurance and medical audit.

All residents should refer the residents’ manual by the Saudi commission of health sciences regarding the details of the training in Anatomic Pathology.

COMMUNITY MEDICINE

Introduction

The Saudi Board in Community Medicine (SBCM) is a training program that leads to a

professional degree which emphasizes solving prevailing public and community health

problems. This is by applying professional inter-disciplinary approaches and methods

in a professional environment (such as local, provincial or national health agencies,

healthcare organizations, occupational health settings) or public communities.

The SBCM is recognized by the Saudi Commission for Health Specialties (SCHS) as

the highest professional degree in community medicine in Saudi Arabia. The program

runs over a four years period.

http://www.scfhs.org.sa/en/MESPS/TrainingProgs/TrainingProgsStatement/Pathology/Documents/Program%20Booklit.pdf


Learning Objectives:

First : The graduate from the community medicine board should be able to:

1: Diagnose & analyze the community health problems through his / her ability to:

Identify healthcare data resources.

Organize such data.

Conduct field studies in order to recognize health problems & solutions.

2: Plan, execute & evaluate preventive healthcare programs at their three levels:

Ability to determine goals & establish strategies.

Awareness of the basics of healthcare economies & ability to use them in executing

programs & evaluate & develop their performance.

3: Carry out administrative, executive & supervisory missions such as:

Leading the health team.

Enjoying communication skills in order to be able to communicate with other team

members & pertaining bodies.

Enrolling the society in planning, executing, & evaluating different activities.

Studying & prioritizing the goals.

Using high risk approach in management.

Dealing with catastrophes & emergencies.

Having knowledge of the health systems & health agencies in the community.

4: Design, administer & assess programs for health education within the society

through:

Identifying priorities & target groups for health education.

Knowledge of health education methods & selecting the most suitable ones.

Making use of the available possibilities in the healthcare sector or society &

utilizing them for health education activities.

5: Perform epidemiological screening through:

Mastering of epidemiological studies & choosing the best for the research question

& thus executing it.

Knowledge of information sources & data exchange in epidemiological fields

Taking suitable actions in controlling epidemic diseases.

Performing surveillance methods.


6: Maintain a healthy environment through:

Monitoring environmental health & recognizing the unhealthy environmental

phenomena & taking actions to process them.

Raising awareness of maintaining healthy environment between health team

members & health sector staff.

7: Comprehend & deal with international healthcare cases through:

Understanding & dealing with the international healthcare laws & systems.

Knowledge of the international healthcare bodies' systems & responsibilities.

Having skills to deal with health cases for visitors and expatriate workers who

come to the Kingdom for any purpose.

Knowledge of dealing with all food products imported to the Kingdom.

8: Diagnose infectious, endemic & epidemic diseases, work to detect, manage them and

deal with their prevention according to the priorities in the region.

9: Conduct scientific applied field research, according to the needs of the society as

well as using advanced statistical and computer technology.

10: Have strong knowledge about the Islamic perspectives of the concepts of “health &

sickness” & apply such concepts in the society, along with knowledge about

medical practice rules & regulations

Second: The SBCM holder is expected to master the previous learning objectives in

general and in relation to his / her subspecialty field(s) which would be in one of the

following tracks:

1. Epidemiology & Biostatistics.

2. Environmental & Occupational Health.

3. Applied Health sciences, including:

(Health education, school health, maternal & child health, nutrition, geriatric

healthcare, mental health, dental health, international health)

Content of Training Program:

The program consists of several sessions in the form of lectures, seminars and

workshops.

The first two years of the program concentrate on building the knowledge in the

different general sections that are followed by practical rotation and application.

The senior two years are on advancing and more specific field and develop a practical

research thesis in the area of interest.


A half-day weekly scientific activity is run by residents and supervised by trainers in

community medicine as part of the program. Through all years there are practical

training rotations, these becoming more in the senior two years.

Promotion:

Annual promotion (e.g. R1, R2…) depends overall evaluation that consists of the annual

promotion examinations (50%) and the continuous assessment during the year (50%).

Promotion to senior residency depends on passing the promotion exams, overall

evaluation and passing first part of board examination.

Saudi Board Examinations

A) First Saudi Board Examination:

1. This examination is held at least once per year in one or more of the training

centers.

2. It is a written examination, and included community medicine and related sub-

specialties.

3. Candidates are allowed to sit the examination after successful completion of

second year of training.

4. Passing the first board examination is a pre-requisite for promotion to senior

residency.

5. Candidates are allowed a total ideally of two attempts. Exceptionally and

depending on the overall evaluation and performance of the candidate; a third

attempt to take the first part exam may be given. Those failing the third attempt

will be dismissed from the program.

B) Final Saudi Board Examination:

1. This examination is given to candidates after successful completion of training,

as evidence by an acceptable final-in-training evaluation.

2. It is held at least once per year in one or more of the training centers.

3. The Final Examinations consists of:

a) Written Part: designed to evaluate knowledge, skills and judgment in

community medicine (public health and preventive medicine). Only

successful candidates in this part are allowed to sit oral part. (20% General

community medicine – 80% community medicine sub-specialties)

b) Oral Part: designed to test skills / abilities and judgment in the field of

community medicine. Candidates are allowed a maximum of two attempts

to pass this examination with an exceptional third attempt depends on the

performance and evaluation.


Thesis:

This is to demonstrate practical research capabilities and application of community

medicine practice in a specific area of interest and on a specific topic of public health

importance. It intends to evaluate the resident ability to diagnose, interpret, evaluate a

health related event and/or the application of intervention for purpose of control or

prevention.

Thesis and thesis defense is mandatory requirement of the board certification.

The candidate must complete the thesis to receive the board certification and

graduation.

All residents should refer the residents’ manual by the Saudi commission of health

sciences regarding the details of the training in Community Medicine.

CRITICAL CARE RESIDENCY PROGRAM

The Saudi Board, Adult Critical Care Residency Program

A. An Overview of the Training Program:

It is a new 5-year (60-month) postgraduate structured training program in Critical Care Medicine which commenced on 1 October 2015. The program is divided into two parts: junior residency (the first 3 years) and senior residency (the last 2 years). During the 5 year residency training period, residents are required to cover the intensive care unit together with selected specialties’ rotations in relevance to the field of adult critical care medicine as mandated by ICU program requirements.

Each resident is expected to demonstrate an ongoing development and progress throughout the residency program period, based on his/ her level of training.

Residents are required to satisfactorily complete the allocated rotations for each year to proceed to the next level of training.

Residents evaluations are specific rotation based which includes monthly Multi-Source Feedback (MSF), Mini-Clinical Evaluation Exercise, Direct Observation of Procedural skills (DOPs) and end of rotation evaluation.

Promotion Exam: Each ICU resident must pass the annual promotion exam to move to the next level of his\ her residency training program.

Part 1 Saudi Board Exam: The senior ICU residency period (R4 and R5) shall begin after the Resident passes the Part 1 exam.

Final Certification Exam of the Saudi Commission of Critical Care Medicine: Residents are

legible to sit the final exam (Written and Oral examinations) after successfully complete all 5

http://www.scfhs.org.sa/en/MESPS/TrainingProgs/TrainingProgsStatement/Community/Documents/Program%20Booklit.pdf


years of the residency training program requirements, and obtaining the Final In-Training Evaluation Report (FITER).

Residents must complete the mandatory courses certifications as mandated by the training program requirements and the local institution rules and regulations.

After successfully completing the program requirements and passing the designated exams, Graduates will receive the Saudi Commission Specialty Certification in Critical Care Medicine.

B. General Program Objectives for ICU Residents:

To obtain a working knowledge of critical care medicine by actively participating in

the management of critically ill patients.

To gain an understanding of the integrative nature of disease in the critically ill patient

and the interdisciplinary approach to the management of such patients.

To understand the pathophysiology of commonly seen diseases in critically ill patients.

To become familiar with the principles of hemodynamic monitoring, airway

management and ventilator care according to resident’s level of training.

To be able to identify the patient at risk, perform an appropriate physical examination,

formulate a problem list and institute a course of therapy (commensurate with the

resident’s level of training).

To gain proficiency in procedures commonly carried out in a critical care unit,

commensurate with resident level of training and appropriate supervision of senior

ICU physician.

To become more proficient in the management of a cardiac arrest and the acute

resuscitation of an acutely ill patient.

To work as an effective member of the multi-disciplinary team in a professional

manner.

To work in support of promotion of patient’ health and safety.

C. Specific Program Objectives ensure the Ongoing Progress in all CanMEDS domains.

For further details, please; refer to KAMC-JD ICU Resident’s Manual and Educational

Curriculum.

All residents should refer the residents’ manual by the Saudi commission of health sciences regarding the details of the training in Critical Care.

http://www.scfhs.org.sa/en/MESPS/TrainingProgs/TrainingProgsStatement/AdultIntenceCare2/Documents/Program%20Booklit.pdf


D. Brief Summary for ICU Daily Work and Educational Assignments:

E. Program Structure and Rotations Requirements:


DENTAL SERVICE DEPARTMENT

All dental training programs are directed by a RTP director - Dental services. However, each program has its own RTP director and instructors. Each dental specialty has its own requirements, dates of examinations, objectives, and training program structure:

Dental specialty Program duration Capacity

Prosthodontics 4 years 2 Residents

Restorative Dentistry 4 years 4 Residents

Endodontics 4 years 4 Residents

Pedodontics 4 years 4 Residents

Periodontics 4 years 4 Residents

Orthodontics 4 years 4 Residents

ADVANCED RESTORATIVE DENTISTRY

General Objectives: To train and graduate competent, knowledgeable specialists in advanced restorative dentistry (operative dentistry, endodontics and fixed prosthodontics) capable of functioning independently to provide an educational environment that promotes the standard of delivery of health care.

Specific Objectives:

1. Plan and provide both routine and complex restorative dental care for a wide variety of patients applying advanced knowledge and clinical skills.

2. Acquire competence and confidence in the various restorative clinical discipline (operative dentistry endodontics and fixed prosthodontics and implantology) that are integral components in general dentistry.

3. Reinforce the ability to make judgments in arriving at diagnosis treatment planning, and assessment of treatment outcomes.

4. Keep abreast with the modern technology in dentistry and practice management.

5. Communicate, understand and function effectively with other health care professionals and understand the setting of their organizational system

6. Acquire experience in teaching and research to upgrade the clinical knowledge.

Exam dates Generally, Part I exam is in August, End-year exam in June, and Part II final exam in October Requirements: During the 4-year program, Residents are required to successfully complete the minimum of:


All residents should refer the residents’ manual by the Saudi commission of health sciences regarding the details of the training in Advanced Restorative.

ENDODONTIC

Objectives:

1. Develop skillful clinicians capable of delivering advanced or complex endodontic care at a high level of quality and sophistication.

2. Establish a sound basis for the practice of endodontics. 3. To provide the residents with an in-depth knowledge of relevant

basic/biomedical sciences as they relate to the theory and practice of endodontics.

4. Develop fundamental research skills and an interest in and understanding of endodontic research in order to evaluate published clinical and scientific papers.

5. Satisfy the formal clinical requirements necessary to enter the Part II examination of the Endodontic Program.

6. Create the desire and sense of obligation and responsibility to contribute to the perpetuation and growth of endodontics by mentoring teaching.

Topic Description Units

1. Fixed Prosthodontics a. Anterior PFM crowns

b. Posterior PFM/full metal crowns

c. Full ceramic crowns

d. Implant-supported prosthesis

e. TMD treatment

f. Post and Cores

40

90

10

3 pros.

2

30

2. Endodontics a. Anterior

b. Premolars

c. Molars

d. Endodontic surgery

e. Root canal re-treatment

f. Non-vital bleaching

50

60

100

10

20

5

3. Restorative a. Vital bleaching

b. Amalgam restoration

c. Direct composite restoration

d. Direct composite veneer

e. Porcelain veneer

f. Indirect restoration

g. Non-casted post and cores

30 arches

150

600

25

30

20

20

4. Comprehensive Case a. Simple, Moderate, and complex cases

20

http://www.scfhs.org.sa/en/MESPS/TrainingProgs/TrainingProgsStatement/Dental/Documents/Program%20Booklit.pdf


7. To provide the residents with the training and opportunity to teach and educate and post-doctoral students.

Exam dates Generally, Part I exam is in August, End-year exam in September, and Part II final exam in October and November

Requirements: The following clinical procedures should be done by each resident before graduation:

Topic Description Units

1. Non-surgical Endodontics a. Anterior teeth

b. Premolars

c. Molars

d. Re-treatment

50

50

200

100

2. Surgical Endodontics Surgical cases including more than 10 molars with root-end resection, root-end preparation, and root-end fillings

40

3. Diagnostics Diagnostic evaluation and one year follow-up with radiographs / image (dental or systemic)

1

4. Emergency treatment Emergency cases such as crown/root fractures, luxation, avulsions, open-apices, resorption.. etc.

14

5. Endodontic bleaching Non-vital bleaching 5

6. Others Such as perforations, hemi-sections, root amputations, replants, transplants, endo-perio, perio-endo, endo-ortho, removal of separated instruments, decompression and vital pulp therapy (including apexogenesis)

10

7. Recall Finished cases recall (at least 1 year) 50% All residents should refer the residents’ manual by the Saudi commission of health sciences regarding the details of the training in Endodontic.

ORAL & MAXILLOFACIAL

All residents should refer the residents’ manual by the Saudi commission of health sciences regarding the details of the training in Oral & Maxillofacial.

http://www.scfhs.org.sa/en/MESPS/TrainingProgs/TrainingProgsStatement/NervAndRoot/Documents/Program%20Booklit.pdf

http://www.scfhs.org.sa/en/MESPS/TrainingProgs/TrainingProgsStatement/OralSurg/Documents/Program%20Booklit.pdf


ORTHODONTICS

INTRODUCTION

The Saudi Specialty Certificate Program in Orthodontics (SSCPO) is a 4-year clinical training program in the field of orthodontics approved by the Saudi Commission for Health Specialties (SCHS). Candidates who are accepted into the program undergo intensive didactic and clinical orthodontic training.

OBJECTIVES

The goal of the Saudi Specialty Certificate Program in Orthodontics is to train qualified dentists to be capable of assuming their role as competent clinicians in the field of orthodontics. This program prepares the residents to:

Plan and provide simple and complex orthodontic treatment for a wide variety of malocclusions and dentofacial deformities.

Acquire competence in clinical orthodontic disciplinary care of patients.

Make wise clinical judgments in arriving at diagnosis, treatment planning and assessment of treatment outcomes.

Keep abreast and apply latest technology in orthodontics and practice management.

Communicate, understand and function effectively with other health care professionals and understand the setting of their organizational system.

Acquire adequate experience in teaching and research to upgrade their clinical knowledge and skills.

ADMISSION REQUIREMENTS

Applicants who fulfill the following requirements are eligible for admission in the Saudi Specialty Certificate Program in Orthodontics:

Bachelor of Dental Surgery Degree (BDS) or equivalent from a recognized University.

Successful completion of one-year Internship Program in General Dentistry or equivalent.

Provision of at least two recommendation letters.

Provision of a sponsorship document to be in full-time training for the entire 4 -years duration of the program and to pay all assigned training fees.

Full registration in the SCHS as a resident.

Payment of application fees.

Signed obligation agreement to abide by the rules and regulations of the SCHS and the SSCPO.

Passing of all required admission tests.


PROGRAM DESCRIPTION

The Saudi Specialty Certificate Program in Orthodontics extends for a period of four years in which the didactic orthodontic knowledge is integrated with the clinical training for the entire program duration. The following is a list of the recommended basic science courses, orthodontic topics, and clinical requirements of the program:

A. Basic Sciences A number of basic science crash courses are offered to the residents at each level of the program. These courses are intended to broaden the knowledge foundation of the residents on various basic science topics and how they relate to the field of orthodontics.

a. First-Year ( R1):

1. Integrated Basic Sciences Course I (R1)

This is an interdisciplinary sequence of several courses that represent the basic science foundation for the practice of orthodontics. Lectures on this course cover the normal anatomy of the head and neck, the embryology of these structures and the relevant immunology and pathology. It is an extended course supplemented with active learning lessons to apply the concepts of basic sciences to clinical scenarios related to orthodontics.

2. Integrated Basic Sciences Course II (R1) This is a continuation of the Integrated Basic Sciences Course I. Lectures in this course cover the development of the face, microanatomy of the bone and hard dental tissues, oral mucous membrane, periodontium and salivary glands. In addition, lectures cover various oral and dental structures, their functions, relationship and response to systemic and environmental influences. The course will also include molecular biology of genes, cytogenetics, mechanisms of inheritance, inheritance of malocclusion, dental anomalies, craniofacial syndromes and medical genetics.

3. Biostatistics (R1) Topics covered include variables, frequency distribution, sampling measure of central tendency, variance and measures of dispersion, various statistical tests, analysis and probability. It also introduces applied computed biostatistics as related to research in orthodontics.

4. Research Methods and Scientific Writing (R1) The objective of this course is to teach the residents different methods of research design, ethical aspects of research on animals and humans, and to educate them on writing scientific papers and reports. Principles and methods in the study of the distribution and determinants of diseases in human populations are taught in this course.


5. Advanced Oral and Maxillofacial Radiology (R1) This course provides knowledge about radiation physics, radiation biology, hazards and protection, advanced imaging techniques and diagnostic oral and maxillofacial radiology.

b. Second-Year ( R2):

1. Craniofacial Growth and Development (R2) This course provides knowledge regarding different developmental periods, standards of growth and development, methods for study of craniofacial growth, skeletal morphogenesis and growth principles, growth of the craniofacial complex, development of cleft lip and palate, and development of dentition.

2. Biomechanics in Orthodontics (R2) This course is intended to guide the residents into proper application of the basic fundamentals of mechanics towards efficient treatment mechanotherapy. It also covers the basic biomechanics of different orthodontic appliances; fixed, removable and extra-oral appliances.

3. Biomaterials (R2) This course provides the residents with knowledge and understanding necessary to properly select and manipulate various dental and orthodontic materials.

4. Critical Appraisal of Scientific Literature (R2) The course aims to provide students with applied critical appraisal skills that will enable them to read and review the scientific dental literature. This course is designed to develop the ability of the residents to critically analyze a scientific study, evaluate the methodology and the validity of the study results, analyze the purpose, questions, or hypotheses that are a logical extension of the rationale, evaluate whether the discussion substantiates the objectives of the study and whether the results can be applied in a clinical decision making or practice.

c. Third-Year ( R3):

1. Occlusion and Craniomandibular Dysfunction (R3) Topics on stomatognathic physiology and craniomandibular dysfunction are covered in this course. It provides thorough understanding of occlusion and temporomandibular joint disorders (TMDs) and the rule of orthodontist in the management of TMDs.

2. Behavioral Sciences (R3) This course should cover the main aspects of dental ethics, child psychology, geriatric dentistry, practice management and special patient care.

3. Educational Methods (R3) The aim of this course is to expose the residents to the methods of teaching and learning. Topics include the nature of learning and teaching, instructional objectives, instructional media, audio- visual teaching and learning aids, and assessment methods for knowledge, skills and attitude.


B. Specialty Training

The orthodontic specialty training consists of a comprehensive pre-clinical preparation, lectures in various orthodontic topics, and clinical training on the management of a wide variety of malocclusions and dentofacial deformities. Before getting exposed to the clinical experience, first-year residents are expected to comprehend various orthodontic diagnostic procedures and to be able to formulate an acceptable orthodontic treatment plan for different types of malocclusion.

Intensive wire-bending and typodont exercises during the preclinical preparation period enhance the manual skills of the residents required to provide a proper orthodontic therapy. During their second to fifth year of the program, the residents continue to provide quality orthodontic care to their patients guided by well qualified clinical instructors, along with a continuous academic curriculum to ensure exposure of the residents to wide range of orthodontic topics and knowledge update.

a. First-Year ( R1):

First-year residents are gradually introduced to clinical orthodontics through a comprehensive preparatory education in the format of lectures, book reviews, literature review seminars, and a wide range of orthodontic laboratory exercises. An introductory course, a group of comprehensive lectures and book review sessions are assigned during the first two to three months of the program to prepare the residents for clinical work.

a. Second to Fourth Year (R2- R4):

Second to fourth-year residents are grouped together in a weekly educational series of seminars and monthly case presentations. Scientific interaction between residents from different training levels during seminars and case presentation is intended to encourage exchange of knowledge and clinical experience.

c. Research

Each resident is encouraged to conduct one research to be published in a peer reviewed journal. A research type could be either original research or systematic review.

EVALUATION

According to the rules and regulations of the Saudi Commission for Health Specialties, the following elements of evaluation are carried out:

A. Annual Evaluation

The annual evaluation is carried out at the end of each year to assess the resident's ability and competency to be promoted to the following year. It consists of three periodic assessment reports of resident's performance by all contributing instructors in the program and a written promotion test towards the end of the year that covers basic science crash courses and the literature assignments of each year (residents are


referred to the general examination rules and regulations of the SCHS for details). For residents in the first year level, they should pass satisfactorily the preclinical course.

In addition, the annual evaluation of the fourth year requires each resident to submit a detailed report showing an evidence of completing the treatment of a minimum of 30 cases during their training period including five completed transferred cases and an evidence of transferring the other started cases to other residents in the program. Also, each resident is required to submit the complete records and documentation of a minimum of 10 finished cases treated by the resident during his/her training period from start to finish. These finished cases shall meet a minimum of 7 categories of the following with a maximum of 2 cases per category:

1. Interceptive treatment in the primary or mixed dentition 2. Growth modification 3. Class I malocclusion treated with extraction or non-extraction 4. Class II malocclusion treated with extraction or non-extraction 5. Class III malocclusion treated with extraction or non-extraction 6. Malocclusion with transverse discrepancy 7. Malocclusion treated with interdisciplinary treatment approach 8. Dentofacial deformity treated with combined orthodontic and orthognathic surgery treatment 9. Cleft lip and palate (single treatment phase or more)

Residents should follow previously stated guidelines when preparing each case binder to be submitted as a final examination case.

B. Part I Exaination This is a written examination to be conducted at the end of the first year of residency. Passing part I examination will exempt the resident from the annual promotion examination (residents are referred to the general examination rules and regulations of the SCFHS for details).

C. Part II Examination Residents who complete all the requirements of the residency including the finished clinical cases become eligible to sit for the Part II examination at the end of the fourth year. The objective of this examination is to assess the general theoretical and clinical knowledge as well as skills of the resident and to evaluate his/her ability to practice orthodontics. Part II examination consists of:

a. Written Examination This is a comprehensive written examination on various orthodontic topics to evaluate the candidate's knowledge for being eligible to sit for the clinical/oral examination. The passing score for this written examination is 70% (residents are referred to the general examination rules and regulations of the SCFHS for details).

b. Clinical/Oral Examination Eligibility for the final clinical/oral examination is based on passing the final Part II written examination. The objective of this examination is to assess the ability of the


candidate to practice orthodontics and to utilize different orthodontic diagnostic and treatment modalities for proper assessment and management of various orthodontic cases. Eligible residents will be examined on the various aspects of orthodontic diagnosis and treatment planning. Each resident will be challenged on selected cases of his/her submitted final cases. Moreover, each resident will be provided with complete initial records of a malocclusion case and will be asked to present the diagnosis and treatment planning of the case during his/her interview with the examination committee.

D. Program Evaluation The scientific committee shall regularly evaluate the degree to which the goals of the program have been met.

Admission of Candidates with Previous Formal Postgraduate Training In Orthodontics To The Program:

The goal of admission of eligible candidates with previous formal post-graduate training in orthodontics is to ensure proper standardization of knowledge and clinical skills for obtaining a certificate of completion of the SBO program. Candidates with previous formal post-graduate training in orthodontics and desire to join SBO can apply to the SCFHS/SBO Scientific Committee. Recognition of the previous training program is subjected to the rules and regulations of the SCFHS and the final judgment of the SBO Scientific Committee. Each application is individually examined and reviewed by the SBO Scientific Committee and the appropriate equalizations and exemptions are determined based on the contents of the previous program curriculum of the applicant. The SBO Scientific Committee shall then decide the level at which the candidate will start the program and all granted exemptions and remaining requirements of the SBO are identified to the applicant. However, according to the SCFHS rules and regulations, the maximum equalization that can be granted for any candidate with previous formal post-graduate education is 50% of the SBO program duration. Candidates who are eligible for 50% equalization should have completed a minimum of two years of formal post-graduate training in a recognized program. Those candidates who are granted 50% equalization of the SBO program are legitimately exempted from Part I examination and start the program at the third-year level (R3). Candidates with previous formal post-graduate training in orthodontics who have been exempted 50% of the SBO program and admitted to the third year (R3) of the program are recommended to start at least 25 advanced cases of different malocclusions according to the following categories:

1. Interceptive treatment in the primary or mixed dentition 2. Growth modification 3. Class I malocclusion 4. Class II malocclusion 5. Class III malocclusion 6. Malocclusion with transverse discrepancy 7. Malocclusion with interdisciplinary treatment approach 8. Dentofacial deformity with combined orthodontic and orthognathic surgery treatment approach


9. Cleft lip and palate

At the end of the fourth year of the program, each resident must submit an evidence of completing the treatment of a minimum of 15 cases including a maximum of 5 completed transferred cases. In addition, each resident is required to submit the complete records and documentation of a minimum of 5 cases that have been treated by the resident from start to finish to the examination committee for the application to the Part II examination. The 5 cases shall meet a minimum of 4 of the following categories with a maximum of 2 cases per category:

1. Interceptive treatment in the primary or mixed dentition 2. Growth modification 3. Class I malocclusion treated with extraction or non-extraction 4. Class II malocclusion treated with extraction or non-extraction 5. Class III malocclusion treated with extraction or non-extraction 6. Malocclusion with transverse discrepancy 7. Malocclusion treated with interdisciplinary treatment approach 8. Dentofacial deformity treated with combined orthodontic and orthognathic surgery treatment 9. Cleft lip and palate (single treatment phase or more)

LEAVES AND EXEMPTIONS

The trainee is entitled to an annual leave of 30 days in addition to Eid's leaves. All residents are subjected to the rules and regulations governing leaves and exemption or interruption of training stated in the rules of procedure for training of Saudi Board Specialties.

CERTIFICATION

Upon successful completion of all requirements of the program and passing the Part II Examination, the candidate shall receive a Certificate of Completion of the Saudi Board Program in Orthodontics issued by the Saudi Commission for Health Specialties. All residents should refer the residents’ manual by the Saudi commission of health sciences regarding the details of the training in Orthodontic.

PEDIATRIC DENTISTRY:

Objectives:

1. To train candidates who possess the knowledge and skills required to provide primary and comprehensive oral health care of infants and children through adolescence, including those with special health care needs.

2. To train candidates who possess the knowledge and skills required to be able to diagnose and treat occlusal problems in the primary, mixed and young permanent dentition (interactive orthodontics)

3. To train candidates who possess the knowledge and skills required to critically

http://www.scfhs.org.sa/en/MESPS/TrainingProgs/TrainingProgsStatement/Orthodontic/Documents/Program%20Booklit.pdf


evaluate and apply current technological developments and research related to Pediatric Dentistry into their clinical practice.

4. To train ethical, sensitive and compassionate candidates who have successful careers in clinical practice and research in Pediatric Dentistry.

5. To train candidates who assume leadership roles in their communities within Pediatric Dentistry.

A. Pediatric Dentistry Clinical requirement:

The resident will provide treatment for number of pediatric patients under the guidance and supervision of different consultants. Each resident should be allocated a minimum of six clinical and/or operating room sessions on a weekly basis for each academic year. The resident should provide a comprehensive dental care to a minimum number of cases in each level divided as follows:

RESIDENT LEVEL REQUIRED

COMPLETED CASES SUBMISSION CASES

R1 25 5

R2 40 5

R3 65 10

R4 70 10

Total 200 30

Each resident should complete minimum of 200 comprehensive Pediatric Dentistry cases during the four years, which should include the following:

1. Comprehensive Treatment Under Local Anesthesia in a Normal Setting

100 Healthy and normal child

15 Special need/medically compromised child 2. Comprehensive Treatment Under Sedation (Inhalation, Oral, IM or

IV)


5 Special need/medically compromised child 3. Comprehensive Treatment Under General Anesthesia


15 Special need/medically compromised child 4. Orthodontic Cases (Interceptive). 10 cases

B. Yearly Evaluation Formal evaluation toward the end of each year will be conducted for the resident during their residency program (End-Year Examination). This is to determine whether they are meeting the qualitative and quantitative requirements. The criteria are summarized as follows:


Exa m

V.

Part I Examination

Written Examination conducted towards the end of the First Year of the Program. The resident will be eligible when he/she completes a minimum of 9 months of the training. The passing grade is 70%.

Part II Examination

The resident will be eligible when he/she successfully completed the four years training and evaluation requirements.

1. Didactic Evaluation

A comprehensive written examination on various Pediatric Dentistry subjects. The examination will composed of two papers, each paper will have 125 questions. The passing grade is 70%.

2. Clinical Cases/Oral Exam

Examination Committee will use the Objective Structured Clinical Examination (OSCE) method by preparing eight to ten (8-10) different stations to test the Pediatric Dentistry Residents in their clinical skill performance, knowledge and competence in different Pediatric Dentistry skills in different pediatric Dentistry related Topics/Clinical Cases .

All residents should refer the residents’ manual by the Saudi commission of health sciences regarding the details of the training in Pediatric Dentistry.

http://www.scfhs.org.sa/en/MESPS/TrainingProgs/TrainingProgsStatement/ChildDental/Documents/Program%20Booklit%201.pdf


PERIODONTICS

Exam dates Generally, Part I exam is in August, End-year exam in June, and Part II final exam in October

Exam topics: Below is a table with all topics required in Periodontic examination from R1 to R4:

End-Year Exam – R1

Training Level

Evaluation Item Content Relative

Percentage

Passing Score

R1

Written Examination (100

MCQ, 2 hours) (50%)

I. Periodontal Tissues 10%

50% 60%

II. Etiology /Microbiology/ Immunology

22%

III. Periodontal Examination 11%

IV. Classification /Epidemiology 7%

Annual Report (50%)

50%


Training Level


Percentage

Passing Score

R2


MCQ, 2 hours) (50%)

I. Risk Factors/risk indicators 14%

50% 60%

II. Non-surgical therapy 21%

III. Principals of periodontal surgeries

10%

IV. treatment of acute periodontal conditions

5%

Annual Report (50%)

50%


Training Level


Percentage

Passing Score

R3


MCQ, 2 hours) (50)

I. Periodontal diagnosis and prognosis

10%

50% 60%

II. Surgical periodontal therapies

20%

III. The inter-relationship between Periodontics and other

dental specialties 16%

IV. Periodontal maintenance 4%

Annual Report (50%)

50%

End-Year Exam R4


Training Level

Evaluation Item

Content

Relative Percentage

Passing Score


MCQ, 2 hours) (50%)

I. Introduction to dental implants

10%

50% 60% II. Surgical implant procedures 30%

III. Management of failing and failed implants

5%

IV. Maintenance of dental implant

5%

Annual Report (50%)

50%

All residents should refer the residents’ manual by the Saudi commission of health sciences regarding the details of the training in Periodontics.

PROSTHODONTICS

Objectives:

The educational objectives of the Saudi Specialty in Prosthodontics program are:

1. Provide the residents with basis and advanced knowledge in Prosthodontics. 2. Provide the residents with the ability to examine, diagnose, plan and execute

simple and complex prosthetic dental care for a wide variety of patients including fixed, removable, implant and maxillofacial cases.

3. Acquire the necessary skills to interact with other dental specialists and communicate, understand and function effectively with other health care professionals

4. Acquire experience in executing Prosthodontic laboratory procedures relevant to the clinical cases.

5. Keep abreast with the basic principles of dental practice management. 6. To qualify certified Prosthodontists who are clinically competent in providing

the highest standard of care

Exam dates Generally, Part I exam is in August, End-year exam in July, and Final exam in October

Requirements:

During the 4-year program, Residents are required to successfully complete the minimum of:

Topic Description Units 1. Complete Dentures a. Conventional Complete Denture

b. Over-dentures (natural teeth) c. Immediate Dentures

20 14 6

2. Removable Partial Denture a. Conventional Cr-Co RPD b. Rotational path RPD

40 1

http://www.scfhs.org.sa/en/MESPS/TrainingProgs/TrainingProgsStatement/MouthGumDises/Documents/Program%20Booklit.pdf


c. Transitional RPD 9 3. Fixed Prosthodontics a. Single crowns

b. Fixed Partial Denture c. Porcelain Veneer d. Cast Post and Core

100 110 40 50

4. Implants a. Single crowns b. Fixed Partial denture c. Implant-retained over-denture

10 4 FPDs

6 5. Comprehensive Full Mouth

Rehabilitation a. Full mouth rehab cases which

include crowns and FPDs b. Full mouth rehab cases which

include crowns and FPDs and at least 1 Removable prosthesis

c. Full mouth implant rehab cases

2

2

2

6. Tempro-Mandibular Disorder

a. Occlusal therapy appliance 4

7. Maxillo-facial Prosthesis a. Clinical case (Patient availability) 2

All residents should refer the residents’ manual by the Saudi commission of health sciences regarding the details of the training in Prosthodontics.

EMERGENCY MEDICINE

OBJECTIVES OF TRAINING PROGRAM During the course of training, the candidate must acquire satisfactory knowledge and skills in the following areas: 1. Primary care of the patient, declared emergencies including the recognition,

evaluation and initial management of the illness or inquiry.

2. Triage of patients with major illness or injury.

3. The natural history of illness or injuries commonly presenting as emergency and long term care and follow-up essential for these conditions.

4. Supervisor and administrative aspect of emergency services, ambulance services, communications system, and disaster planning.

5. Research areas of emergency medicine.

6. Social and family implications of illness or injury.

To achieve these goals there are enabling of terminal educational objectives.

Enabling Objective: Specific pre-requisite knowledge or skill that resident

should acquire in order to achieve terminal objective.

http://www.scfhs.org.sa/en/MESPS/TrainingProgs/TrainingProgsStatement/Prosthodontics/Documents/ProgramBooklit.pdf


Terminal Objective: By the end of the rotation the Resident should be able to demonstrate skills acquired which will be assessed through evaluation and examination.

GENERAL OBJECTIVES: The Resident in Emergency Medicine is expected to demonstrate consultant level abilities in the recognition, understanding, and treatment of illness and injuries. During the course of the education program, the Resident must acquire and demonstrate satisfactory competence in knowledge, clinical skills, technical skills, and Administrative skill and attitudes consistent with the practice of the breadth and depth of emergency medicine.

TRAINING REQUIREMENTS:

1. Training is a full time commitment. Residents shall be enrolled in continuous full time training for the whole period of the program.

2. Training is to be conducted in an accredited institution by Saudi Commission.

3. Training shall be comprehensive and include emergency, inpatients, and ambulatory care.

4. Trainees shall be actively involves in patient care with gradual progression of responsibility.

5. Trainees shall abide by training regulations and obligations set by the Saudi Board of emergency medicine.

TRAINING PERIOD ROTATIONS:

Four years training is needed to expose the resident to the broad scope of EM. There are mandatory rotations, electives, and an appropriate and valid evaluation process. The training program is divided into the following components:

1. Reading sources

2. Mandatory

3. Electives

4. Academic Half Day

5. Courses and Conferences

6. Evaluation

2. Reading Sources:

The Saudi emergency medicine residency program bases their exams on the following recommended books:


a. Rosen’s Emergency Medicine: Concepts and clinical practice.

b. Emergency Medicine “A Comprehensive Study Guide” by Judith E. Tintinalli.

c. Clinical Procedure in Emergency Medicine: Expert consult by James R. Roberts.

3. Mandatory Rotations:

The mandatory rotations are the base on which the training program functions. There are specific objectives and related evaluation forms that are based on the core content of emergency medicine. (A copy of core content for Emergency Medicine can be obtained through Academic Affairs).

1st YEAR (R1)

1 Month Anaesthesia

1 Month Obs / Gynae

2 Months Internal Medicine

1 Month Orthopaedics

6 Months ER

1 Month PER

2nd YEAR (R2)

1 Month General Surgery (Trauma)

1 Month ICU

1 Month CCU

1 Month Plastic Surgery

5 Months ER

2 Months Paediatric Emergency

1 Month Psychiatry

3rd YEAR (R3)

1 Month Paediatric ICU/NICU

1 Month ICU

1 Month Anesthesia

1 Month Hajj/ER

1 Month Neurology

5 Months ER

2 Months PER

4th YEAR (R4)

3 Months Elective

9 Months

7 Months ER

1 Month PER

1 Month EMS


4. Electives:

Electives should be used to enhance the experience of the resident in areas related to emergency medicine; elective must also have appropriate objectives and evaluation.

Suggestions for elective rotations:

Toxicology

Administration

Sports medicine

Neonatal

ENT, Ophthalmology, Dermatology

Family Medicine

Quality / Risk Management

Medical Informatics

Disaster Planning

5. Teaching / Education:

Academic Half Day:

Residents are excused from clinical responsibilities in order that they can participate in Seminars. These are divided into two sessions which residents organize to meet their learning objectives. It is mandatory for Residents to attend. Several forms of didactic teaching should be organized i.e., Lectures given by residents on a weekly basis that will eventually

cover each curriculum subject during the four years period. This includes Grand Rounds, Rosen Updates, case presentations, journal watch, A/V & others.

Lectures organized and given by Emergency Consultants Guest speakers from other specialties with interest in EM Morbidity and Mortality meetings Journal Club Meetings

Journal Club:

Once per month discussing landmark articles in Emergency Medicine in format of evidenced based practice.

Other Departmental Educational Activity:

Including moving round or morbidity and mortality reviews.

Resident Research Presentation:

On an annual basis, it is expected that the Residents will present a research at the resident’s research day in which they have to conduct and submit in order to graduate.


6. Courses and Conferences:

Since emergency medicine has active continuous medical education program the residents are encouraged to become instructors in ACLS, PALS, ATLS, etc.

7. Residents Evaluations:

a) End of rotation evaluation

The residents will be evaluated at the end of each completed rotation by supervising consultant/team. Every resident has to submit a set of 4 evaluation forms. These forms include:

1. Standardized direct observational assessment tool/

2. General procedure competency form.

3. Senior resident evaluation by junior.

4. Resident evaluation.

b) In-training examination

1. MCQ and Oral exams+/- Audiovisuals will be conducted at least twice per year.

2. Mid-year evaluations and research discussion.

3. Toward the end of each training year (first Wednesday of July) there will be an in-training exam (written +/- oral) conducted by the in-training program committee and focused on emergency medicine.

PROMOTION: A. In order for the resident to be promoted he/she should score:

1. Not less than 60% in the average summation of all in-training evaluations.

2. Not less than 50% for juniors and 60% for seniors in end of year evaluation exam.

B. In order to be promoted from junior resident to senior resident (R2 to R3) the resident should pass the first part of Saudi Board of emergency medicine.

FINAL BOARD EXAMINATION

Final Board Examination This examination is given to candidates after successful completion of training as evidence by an acceptable final in-training evaluation. It is held at least once per year in one or more of the training centers. Candidates are allowed a maximum of three


attempts to pass this examination within a period of three years after completion of training. The final examination consists of two parts: 1. A written part: This is designed to evaluate knowledge.

2. An oral part: This is designed to test clinical judgment in the field of Emergency medicine.

A candidate who fails the third attempt has to do an extra year as R4 then he will be allowed to have three further attempts. CERTIFICATION Candidates passing the final board examination are awarded the Saudi Specialty Certificate in Emergency Medicine.

CONCLUSION Over all the Emergency Residency Training Program hopes all residents will achieve acceptable level of all the following categories:

a. Patient Care – that is compassionate, appropriate, and effective for the treatment of health problems and the promotion of health.

b. Medical Knowledge – Residents are expected to formulate an appropriate differential diagnosis with special attention to life-threatening conditions, demonstrate the ability to utilize available medical resources effectively, and apply this knowledge to clinical decision making.

c. Interpersonal and Communication Skills – that result in effective information exchange and teaming with patients, their families, and other health professionals.

d. Leadership and Teamwork Skills – since emergency medicine is a new specialty and was only recently introduced to Saudi Arabia, we expect our residents to gain experience and knowledge in the administrative aspects of this line of work. We also expect of them to work together as graduates in preparing the next generation of emergency physicians and departments.

e. Professionalism – as manifested through a commitment to carrying out professional responsibilities, adherence to ethical principles, and sensitivity to a diverse patient population.

f. Practice Based Learning – through regular self-assessments and correcting knowledge/skill deficits, uses new technology consistency and eagerly accepting and seeking out feedback.


g. Systems-Based Practice – as manifested by actions that demonstrate an awareness of and responsiveness to the larger context and system of health care and the ability to effectively call on system resources to provide care that is of optimal value.

All residents should refer the residents’ manual by the Saudi commission of health sciences regarding the details of the training in Emergency Medicine.

FAMILY MEDICINE

Structure of Training Program: This is (4) four year program structured training in family medicine and related specialties. It is divided into two stages: 1. Junior Residency for 24 months (R1-R2)

This consists of rotations among various medical and surgical specialties to develop clinical skills required for the practice of family medicine.

The rotations include the following:

1st Year (R1)

1 ½ months Introduction Course

3 months FM Module 1

4 months Medicine

1 month Surgery

1 months Pediatrics

1 ½ months Eid Leave, Study Leave, Vacation

2nd Year (R2)

2 months Pediatrics

2 weeks Research Course

2 months OB/ Gyne

2 months Emergency Medicine

3 months FM Module – 2

1 month Research Field work

1 month Radiology

1 ½ month Eid Leave, Study Leave, Vacation

3rd Year (R3)

1 month Ophthalmology

1 month ENT

1 month Dermatology

2 months Elective

1 ½ months Advance Course

3 months FM Module- 3

2 months Psychiatry

1 ½ month Eid Leave, Study Leave, Vacation

http://www.scfhs.org.sa/en/MESPS/TrainingProgs/TrainingProgsStatement/Emergency/Documents/EM%20Curriculum%20revised%20version%20July%202014-V04web_booklet.pdf


4th Year (R4)

52 weeks FM Module - 4

2. Senior Residency (R3 – R4):

During this period, training shall be conducted in Primary Health Care Centers. Training shall focus on clinical communications, direct patient care under supervision, consultations.

The principles and practice of public health will be merged into training at this stage to produce competent family physicians with a preventive attitude.

Content of Training Program: The program consists of several sessions in the form of lectures, seminars and workshops. A half-day weekly activity is run by residents and supervised by trainers in family medicine as part of the program. The program also includes several clinical rotations and a research project. Details of training during clinical rotations are described in the training manual. Evaluation: a) End of rotation evaluation:

At the end of each training rotation, the supervising consultant / team shall provide the training committee with a written evaluation of resident’s performance during that rotation.

b) In-training examination:

The program shall incorporate an annual written examination, as part of the evaluation process of residents and a clinical examination at least for senior residents.

c) Annual overall evaluation:

This includes: 2. Summation of end of rotation evaluations for the year (50% of total mark)

3. Result of annual in-training examination (50% of total mark)

Promotion: 1. Annual promotion (e.g. R1 to R2) depends on annual overall evaluation.

Promotion to senior residency depends on annual overall evaluation and passing first board examination.


Saudi Board Examinations A) First Saudi Board Examination:

1. This examination is held at least once per year in one or more of the training centers.

2. It is a written examination, and included family and community medicine and related specialties.

3. Candidates are allowed to sit the examination after successful completion of second year of training.

4. Passing the first board examination is a pre-requisite for promotion to senior residency.

5. Candidates are allowed a total of three attempts. Those failing the third attempt will be dismissed from the program.

B) Final Saudi Board Examination:

1. This examination is given to candidates after successful completion of training, as evidence by an acceptable final-in-training evaluation.

2. It is held at least once per year in one or more of the training centers.

Arab Board Exam is given only after successful completion of training as per Saudi Board Regulation.

3. The Final Examinations consists of:

a) Written Part: designed to evaluate knowledge and clinical judgment.

Only successful candidates in this part are allowed to sit the clinical / oral part.

b) Clinical / Oral Part: designed to test clinical skills / abilities and

judgment in the field of family medicine. Candidates are allowed a maximum of five attempts to pass this examination within a period of five years completion of training.

All residents should refer the residents’ manual by the Saudi commission of health sciences regarding the details of the training in Family Medicine.

http://www.scfhs.org.sa/en/MESPS/TrainingProgs/TrainingProgsStatement/Family/Documents/Family%20Medicine%20Booklit.pdf


MEDICINE DEPARTMENT

DERMATOLOGY Duration of the Program:

A four-year program that provides a broad-based clinical experience during the first year and three years of dermatology education in the second through fourth year of the program. Approximately 75% of the resident’s time spent in each year of dermatology residency training must be related to the direct care of dermatologic outpatients and inpatients; this includes consultations, clinical conferences and inpatients rounds.

Program of Dermatology: The trainee must carry out and obtain experience in:

1. General dermatology in “out-patients clinics” and “in-patient clinics”

12. Paediatric dermatology and genetics

2. Immunodermatology 13. Dermatologic oncology

3. Contact, occupational and environmental dermatology

14. Vascular pathology of the skin.

4. Dermatopathology, biopsy and technical aspects.

15. Infections and infestations affecting the skin.

5. Photodermatology, phototherapy 16. Mycology

6. Burns and reactions to physical agents.

17. Aesthetic and preventive dermatology

7. HIV Infections and infestations affecting the skin

18. Epidemiology

8. Tropical dermatology, geographic and ecologic.

19. Research, clinical and laboratory research.

9. Dermatology formulation and prescribing, pharmacology

20. Teaching, communication to undergraduate level, nurses, etc.

10. Treatments, topical and systemic. 21. Social and psychological aspects of dermatology.

11.

Dermatological surgery, electrosurgery, cryotherapy, lasers and other physical treatments, radiotherapy.


Program of Venereology: Trainees must gain practical experience in the field of venereology and genito-

urinary medicine. They should acquire and understanding of the following:

1. Epidemiology of sexually transmissible diseases (STD) including HIV infections.

2. Laboratory diagnosis of STD

3. Prevention and control of STD including partner notification.

4. STD organization

5. HIV infection and AIDS

6. Common gynaecological and andrological disorders

7. Genital dermatoses

8. Associated systemic features of STD

9. STD in pregnancy and neonates

10. Psychosexual and social aspects

11. Sexual health and education

12. Family planning

13. Research methodology

14. Teaching, communication to undergraduate student, nurses, etc.

15. Trainees should have active participation in clinic sessions, journal sessions, etc.

Evaluation: End of Rotation Evaluation:

1. At the end of each training rotation.

In-training examinations:

1. Annual written examination

2. Clinical examination of senior residents.

Annual overall evaluation:

1. Summation of end of rotation evaluations for the year (50% of total mark)

2. Result of annual in-training examination (50% of total mark)


PROMOTION:

1. Annual promotion (e.g. R1 to R2) depends on annual overall evaluation.

2. Promotion to senior residency depends on annual overall evaluations, and passing first board examination.

BOARD EXAMINATIONS: First Board Examination:

1. This examination is held at least once per year in one or more of the training centres.

2. It is a written and clinical examination, and includes applied basic sciences and clinical dermatology.

3. Candidates are allowed to sit the examination after successful completion of second year of training.


5. Candidates are allowed a total of three attempts. Those failing the third attempt will be dismissed from the program.

Final Board Examination:

1. This examination is given to candidates after successful completion of training, as evidenced by an acceptable final-in-training evaluation.

2. It is held at least once per year in one or more of the training centres.

3. This final examination consists of two parts:

4. Written part: designed to evaluate knowledge and clinical judgment.

5. Only successful candidates in this part are allowed to sit the clinical/oral part.

6. Clinical / Oral part: designed to test clinical skills / abilities judgment in the field of dermatology. Candidates are allowed a maximum of five attempts to pass the examination within a period of five years after completion of training.

All residents should refer the residents’ manual by the Saudi commission of health sciences regarding the details of the training in Dermatology.

http://www.scfhs.org.sa/en/MESPS/TrainingProgs/TrainingProgsStatement/Dermatologist/Documents/Program%20Booklit.pdf


INTERNAL MEDICINE

Introduction

The Saudi board program in internal medicine consists of four years of full-time supervised residency training in internal medicine and its branches in addition to the emergency and critical care areas. Training in each rotation is comprehensive and includes inpatients, ambulatory care, and the emergency department. As trainees gain experience and competence, their responsibilities will continue to increase, and they will be actively involved in teaching junior residents and other colleagues in addition to providing patient care. Trainees must adhere to the rules and regulations of the training program. Upon successful completion of the program, trainees will be awarded the “Saudi Board in Internal Medicine” qualification.

Structure of the training program

The following are the rotations and job descriptions for each level: Junior Level (R1–R2)

1. A minimum of 24 weeks’ rotation in general internal medicine.

2. A minimum of 8 weeks’ rotation in each of the following:

a. Emergency department

b. Critical care medicine

c. Cardiology, including the coronary care unit

d. Pulmonary medicine

e. Gastroenterology

f. Nephrology

3. Four weeks in each of the following:

a. Endocrinology

b. Infectious disease

c. Rheumatology

d. Neurology

4. Up to 8 weeks of electives in one of the following:

a. Geriatrics

b. Dermatology

c. Allergy and immunology

d. Clinical genetics

e. Psychiatry

f. Palliative care

g. Radiology

h. Hajj duty


Job description for junior residents:

1. Elicit a comprehensive history and perform a complete physical examination on admission; record the patient’s assessment, differential diagnosis, and medical problems clearly; and initiate a management plan.

2. Discuss the management plan, including investigations and a treatment plan, with the trainee’s senior and communicate the plan to the nurse assigned to the patient’s care.

3. Attend to all patient complaints and concerns, follow up results of investigations daily, record problem-oriented progress notes daily, and update the patient’s problem list.

4. Attend to consultations, including those of the emergency department, within and outside the department.

5. Once or twice per week, participate in outpatient clinics in the specialties to which the resident is assigned under the supervision of consultants. Residents are not expected to cover clinics without consultant supervision.

6. Perform the basic procedures necessary for diagnosis and management.

7. Present patients on daily rounds and assign all sick patients to the on-call team.

8. Ensure that the following discharge orders are placed in the patient’s chart in a timely manner: discharge medications, follow-up appointments, and investigations.

9. Write a timely and thorough discharge summary.

10. Participate in departmental and section activities and the presentation of cases in the morning report, grand rounds, and all educational activities.

11. Participate in on-call duties according to the rules and regulations of the SCFHS.

Senior Level (R3–R4)

1. A minimum of 16 weeks’ rotation in general internal medicine, including community-based medicine

2. A minimum of 8 weeks’ rotation in each of the following:

a. Cardiology

b. Gastroenterology

c. Endocrinology and metabolism

d. Hematology

e. Neurology

f. Infectious disease

g. Rheumatology

3. Four weeks in each of the following:

1. Neurology

2. Critical care unit

3. Pulmonary medicine

4. Nephrology

5. Oncology

4. Up to 8 weeks of electives in one of the following:


a. Palliative care

b. Ambulatory care

c. Research

d. Geriatrics

e. Dermatology

f. Allergy and immunology

g. Clinical genetics

h. Psychiatry

i. Radiology

j. Hajj duty

Job description for seniors:

1. Review junior residents’ admission notes and orders, discuss proposed management plans, and supervise their implementation.

2. Document the patient’s history and clinical examination independently, supervise the progress notes of junior residents daily, and record progress notes in the chart at least three times per week.

3. Assist and supervise the junior residents in interpreting laboratory investigations and performing bedside diagnostic and therapeutic procedures during working hours and oncall duties.

4. Assist junior residents in acquiring computer skills to search the literature and follow evidence-based approaches to patient care.

5. Attend to consultations, including those of the emergency department, within and outside the department.

6. Once or twice per week, participate under the supervision of consultants in outpatient clinics in the specialties to which the resident is assigned. Residents are not expected to cover clinics without consultant supervision.

7. Participate in departmental and section activities.

8. Participate in the education and training of medical students, interns, and junior residents actively.

9. Produce timely and thorough reports for morbidity and mortality departmental meetings and specialty club meetings.

10. Participate in on-call duties according to the rules and regulations of the SCFHS.

Teaching and learning activities

Teaching and learning objectives arise from several teaching activities, which include the following:

B. Didactic centralized components of the curriculum:

1. Daily morning meetings:

a. Morning report


The morning report is conducted from Sunday to Thursday mornings each week and lasts for 30-45 min. The team that have been on call the previous night briefly present and discuss all admitted patients with the audience, with an emphasis on history, clinical findings, differential diagnoses, acute management, and future plans. The chief resident or morning report moderator decides the format or theme of the meeting. The meeting should include short cases, long cases, data interpretation, and a topic presentation lasting 5 min.

b. Morbidity and mortality conferences Mortality and morbidity conferences are conducted at least once every 4–8 weeks. The program director and department chairperson assign the task to a group of trainees who prepare and present the cases to all department members. The proceedings are generally kept confidential by law.

c. Grand rounds/guest speaker lectures These events are presented by experienced senior staff members from different internal medicine disciplines on a weekly basis. The topics will be selected from core curriculum knowledge.

d. Case presentation Case presentation is conducted weekly by an assigned resident under the supervision of specialized seniors. The cases presented are those that involve interesting findings, unusual presentation, or difficult diagnosis or management.

e. Journal clubs, critical appraisal, and evidence-based medicine The journal club meeting is conducted at least once every 4 weeks. The chief resident or program director chooses a new article from a reputed journal and forwards it to one of the senior residents at least 2 weeks prior to the scheduled meeting.

f. Combined Rounds (radiology, pathology, and surgery) combined rounds involving radiologists, pathologists, or surgeons are conducted once per month and include professionals from subspecialties such as gastroenterology and pulmonary medicine.

g. Case of the month: An interesting case will be posted at the end of each month. Then, the answers will be collected by the assigned consultant to be discussed in a formal presentation by the assigned resident under supervision of consultant. The cases presented are those that involve interesting findings, unusual presentation, or difficult diagnosis or management.

2. Academic half-day activities (AHD)

The academic half day consists of several types of sessions scheduled by the chief resident and program director, is based on previous years’ feedback from residents, and includes:

- Basic science - Emergency lectures - Communication skills - Demonstration and practice of procedures


- Clinical problem solving - Medical research and statistics

This is protected teaching time and attendance is mandatory for all internal medicine residents. The activities are conducted on a weekly basis between 1:00 and 4:00 pm.

C. Rotational (practice-based) components of the curriculum:

1. Daily round-based learning

The daily round is a good opportunity to conduct bedside teaching for small groups of residents, usually those involved in caring for patients.

2. On-call duty-based learning:

All residents are required to undertake a minimum of 8–10 on-call duty shifts, each lasting 8–12 hours, per month

3. Clinic-based learning (CBL):

R 1-2: (1-2 clinics per week) Residents are strictly prohibited from covering outpatient clinics without supervision

R 3–4: (1–2 clinics per week including longitudinal clinics) Residents are strictly prohibited from covering outpatient clinics without Supervision

4. Self-directed learning

ASSESSMENT

A. Annual Assessment:

1. Continuous appraisal

This assessment is conducted toward the end of each training rotation throughout the academic year and at the end of each academic year as a continuous means of both formative and summative evaluation.

1.1 Continuous formative evaluation:

To fulfill the CanMEDS competencies based on the end-of-rotation evaluation, the resident’s performance will be evaluated jointly by relevant staff members, who assess the following competencies:

1. Performance of the trainee during daily work 2. Performance and participation in academic activities 3. Performance in 10 to 20 minutes of directly observed trainee–patient

interaction (Mini Clinical Evaluation Exercise [Mini-CEX] and case-based discussions).

4. Trainee’s performance of diagnostic and therapeutic procedural skills. 5. The CanMEDS-based competencies end-of-rotation evaluation form.


1.2 Summative continuous evaluation:

A summative continuous evaluation report is prepared for each resident at the end of each academic year and might also involve clinical or oral examinations, an objective structured practical examination, or an objective structured clinical examination.

2. End-of-year examination:

The end-of-year examination will be limited to R1, R2, and R3 residents. The number of examination items, eligibility, and passing score are established in accordance with the commission's training and examination rules and regulations. Examination details and a blueprint are published on the commission website, www.scfhs.org.sa.

B. Principles of Internal Medicine Examination (Saudi Board Examination: Part I)

This examination is conducted in written MCQ format and held at least once per year. The number of examination items, eligibility, and passing score are established in accordance with the commission's training and examination rules and regulations

C. Final In-Training Evaluation Report (FITER)/Comprehensive Competency Report (CCR)

In addition to the local supervising committee’s approval of the completion of the clinical requirements (via the resident’s logbook), the program directors prepare a FITER for each resident at the end of the final year of residency (R4). This could also involve clinical or oral examinations or completion of other academic assignments.

D. Final Internal Medicine Board Examination (Saudi Board Examination: Part II)

The final Saudi board examination consists of two parts:

1. Written examination

This examination assesses the trainee’s theoretical knowledge base (including recent advances) and problem-solving capabilities in the internal medicine specialty; it is delivered in MCQ format and held at least once per year. The number of examination items, eligibility, and passing score are established in accordance with the commission's training and examination rules and regulations. Examination details and a blueprint are published on the commission website, www.scfhs.org.sa.

2. Clinical examination

This examination assesses a broad range of high-level clinical skills including data gathering, patient management, communication, and counseling. The examination is held at least once per year, preferably as an objective structured clinical examination (OSCE) in the form of patient management problems (PMPs). Eligibility and the passing score are established in accordance with the commission's training and examination rules and regulations.

http://www.scfhs.org.sa/

http://www.scfhs.org.sa/


CERTIFICATION:

A certificate acknowledging training completion will only be issued to the resident upon successful fulfillment of all program requirements. Candidates passing all components of the final specialty examination are awarded the “Saudi Board of Internal Medicine” certificate. All residents should refer to the residents’ manual by the Saudi commission of health sciences regarding the details of the training in Internal Medicine.

NEUROLOGY

All residents should refer to the residents’ manual by the Saudi commission of health sciences regarding the details of the training in Neurology.

PSYCHIATRY All residents should refer to the residents’ manual by the Saudi commission of health sciences regarding the details of the training in Psychiatry.

MEDICAL IMAGING

Part I Examination Eligibility: After 9 months of training

Failures: Residents may not be promoted to the R3 level unless they are successful in passing the Part I examination and one end of year promotion exam (1st year or 2nd year) Residents failing Part I examination 3 times will be dismissed from the program.

Part II Examination

Eligibility: Passing Part I and having completed the 4-year training program

and passing the end of year promotion exam.

Failures: Candidates may take the Saudi Board examination for a maximum of 5 (five) attempts within 5 years of completion of the Training Program. There is no limit on the number of attempts for Arab Board.

All radiology residents should refer the medical imaging residents’ manual by the Saudi commission of health sciences regarding the details of the training in Medical Imaging.

http://www.scfhs.org.sa/en/MESPS/TrainingProgs/TrainingProgsStatement/InternalMedicine/Documents/Program%20Booklit.pdf

http://www.scfhs.org.sa/en/MESPS/TrainingProgs/TrainingProgsStatement/Neurology/Documents/Program%20Booklit.pdf

http://www.scfhs.org.sa/en/MESPS/TrainingProgs/TrainingProgsStatement/Psychiatry/Documents/Program%20Booklit.pdf

http://portal.ngha.med/sites/Jeddah/aa/pgradmededu/orientation/Medical_Imaging_Booklet.pdf


OBSTETRICS & GYNAECOLOGY

Part I Examination Eligibility: Saudi Board: after nine months of training.

Arab Board: after 18 months training which should include 3-

month rotations in each of General Surgery and Internal Medicine (this is in addition to the Internship rotations.

Failures: Saudi Board: candidates may not be promoted beyond R3 level

unless they are successful in passing the Part I exam. Residents who fail the Part I exam 3 times will be dismissed from the program.

Arab Board: candidates who fail the exam will remain at R2 and

may take the examination for a maximum of 4 (four) attempts following which they will be dismissed from the program.

Part II Examination

Eligibility: Having passed Part I and completing the 5 year training program

Failures: Saudi Board: candidates are allowed a maximum of 5 (five)

attempts within 5 years of completing the training program. Arab Board: no limit on the number of attempts at the

examination.

All residents should refer the residents’ manual by the Saudi commission of health sciences regarding the details of the training in Obstetrics & Gynecology.

PAEDIATRICS

RRUULLEESS && RREEGGUULLAATTIIOONNSS

A. PEDIATRIC RESIDENCY TRAINING PROGRAM

IINNTTRROODDUUCCTTIIOONN The Residency Training Program in Pediatrics at King Abdulaziz Medical City - Jeddah is fully accredited by the Saudi and Arab Boards. We accept 6-10 new Resident’s each year in our program. Mission is to train and graduate competent Paediatricians who will provide high quality care in Pediatrics in the Kingdom. OOBBJJEECCTTIIVVEESS OOFF PPEEDDIIAATTRRIICC RREESSIIDDEENNCCYY TTRRAAIINNIINNGG PPRROOGGRRAAMM

http://www.scfhs.org.sa/en/MESPS/TrainingProgs/TrainingProgsStatement/ObstetricsAndGynecology/Documents/Program%20Booklet.pdf


General Objectives:

To train and graduate competent and knowledgeable pediatricians capable of functioning independently

To provide an educational environment that will promote the standard of healthcare delivery.

Specific Objectives: At the end of the training, the candidate should have the following capabilities and skills:

Possess sound knowledge in the principles of Pediatrics.

Perform thoroughly and suitably oriented history and physical examination.

Be able to provide appropriate preventive care and anticipatory guidance and act as a child advocate.

Formulate a reasonable and comprehensive differential diagnosis, recognize and manage common disorders in Pediatrics as well as many of the rare ones, especially those that are amenable to treatment.

Select relevant investigations logically and conservatively, and interpret the results accurately

Possess good skills in various diagnostic and therapeutic procedures in Pediatrics

Recognize and manage emergency situations appropriately

Communicate with patients, relatives, and colleagues properly

Advise colleagues from other specialties in problems related to Pediatrics.

Keep orderly and informative medical records

Educate and update himself/herself and others in his/her field

Possess high moral and ethical standards. DDUURRAATTIIOONN

The Pediatrics Residency Training is a four (4) years program, In 2015 the SCHS adopted a new block based curriculum rather than monthly rotations which is fully implemented in our program

SSTTRRUUCCTTUURREE AANNDD CCOONNTTEENNTT

The Saudi Board recognize the requirement for four years of training divided into two levels junior and senior level:

h. Junior Residency level [24 months, includes first year (R1) & second

year (R2)]: These two years are designed to provide a broad exposure to General Pediatrics. Under careful supervision by senior residents and staff, trainees will have ample opportunity to learn and refine clinical skills considered fundamental to Pediatrics, and to build a sound pediatric knowledge base.


First Year (R1)

Training during this year includes the following:

General In-patient Pediatrics 6 Blocks

Well Baby Clinics 1 Block

Emergency Pediatrics 1 Block

Primary Care Clinic 1 Block

NICU 2 Blocks

Holiday 1 Block

SIM/COM-ANESTH 1 Block

Total 13 Blocks

Second Year (R2)

Training during this year is a continuation of the first year and includes:

B. A senior resident in pediatrics will assume more responsibilities including supervision of junior residents, making decision of care plan and other patient care related issues.

Third Year (R3)



NICU 1 Block

PICU 1 Block

Infectious Diseases 1 Block


Ambulatory Pediatrics 1 Block


NICU 2 Blocks

PICU 2 Blocks

Hematology - Oncology 1 Block

Cardiology 1 Block

Neurology 1 Block

Research I 1 Block

Holiday 1 Block

Total 13 Blocks


Elective 1 Block


Trauma 1 Block

Endocrinology 1 Block

Gastroenterology 1 Block

Developmental Pediatrics 1 Block

Research II 1 Block

Holiday 1 Block

Total 13 Blocks

Fourth Year (R4)


General In-patient Pediatrics 1 Block

Ambulatory Pediatrics* 1 Block


NICU 1 Block

Genatics - Metabolic 1 Block

Hematology - Oncology 1 Block

Allergy & Immunology 1 Block

PICU 1 Block

Elective 1 Block

Pulmonology 1 Block

Rheumatology 1 Block

Nephrology 1 Block

Holiday 1 Block

Total 13 Blocks

Electives: Two elective rotations throughout the program would be allowed. The trainee will have the chose to select one of the areas related to Pediatrics such as Anesthesia, Chronic Care Units, Dermatology, ENT, Pediatric Surgery, Pediatric Psychiatry, Radiology, etc.


GGEENNEERRAALL EEDDUUCCAATTIIOONNAALL OOBBJJEECCTTIIVVEESS OOFF PPAAEEDDIIAATTRRIICC RREESSIIDDEENNCCYY TTRRAAIINNIINNGG PPRROOGGRRAAMM

Knowledge

Clinical Skills

Technical Skills

Attitude

Knowledge This is the information and concept that should be acquired and retained with regard to obtaining information, investigating and safely managing patients from life threatening, acute or chronic problems. This requires the knowledge of: Normal anatomy and physiology of the human body Normal development of the human body in physical, mental and psychological

aspects. The range of normal between two different children. The pathological and pathophysiological changes with most of pediatric illnesses. The natural history of common illnesses The presentation variability in different ages of childhood. The causes of such changes and the most likely ones. Hereditary genetic diseases, environmental and infectious diseases Effects of maternal illness Immunology and vaccinations, indications, contraindications and their benefits. Epidemiology of different diseases and the risk of their spread in the community Diagnostic measures available to confirm diagnosis or therapeutic procedures Indications, contraindications, equipment required and the techniques of these

procedures The best therapeutic methods for different childhood problems The knowledge of different pharmaceutical and non-pharmaceutical therapeutic

measures Advantages, complications, and side-effects of each mode of therapy Improvement and response features in different ages and different illnesses Limitation and timing of involving other specialty or allied health personnel to

take-over, support or help in patients’ better care and management Different subspecialties, their existence and importance in the field of pediatrics. Journals in the field of pediatrics. Conducting research Clinical Skills The ability to communicate with patients, parents, peers and public to obtain

information related to his patient’s problems


The skills to obtain complete patient history of illness especially the data related to current illness

The skills to carry out appropriate physical examination according to patient’s age and problem

The ability to perform appropriate examination of CNS, genital/perianal area, developmental tests of infants and children when required.

The ability to record clearly all information obtained by history, physical examination and any information that requires documentation.

The skills to recognize the problem in any patient interviewed and examined to come up with a plan for diagnostic and therapeutic measures.

The skill to explain the problem to the patient and guardians in a simple, clear way as dictated by medical ethics.

The ability to evaluate patient seriousness and/or progress of illness in either way. Technical Skills The resident should be able to do most, if not all, of the following procedures by the end of the training program: Venipuncture and venous access in case of emergency Arterial puncture for blood gases and arterial lines All kinds of injections (IV, IM, SC, and ID). Resuscitation (bag mask, tracheal intubation, cardiac massage). Does lumbar puncture Does a bone marrow aspiration for diagnostic indications. Does and reads electrocardiograms Do thoracocentesis for emergency cases Do paracentesis for emergency cases. Central line insertion (optional). Insertion of chest tube. Able to interpret common x-ray (chest, abdominal, skeletal). Attitude This is defined as a behavior toward a person, group, things, or situation, representatives of conscious or unconscious mental view developed through a cumulative experience. The ability to establish and maintain cooperative interpersonal relationships with

colleagues, nurses, other health care personnel and community resources. An interest, honesty, and dignity toward children in dealing with paediatric

problems which include treatable or untreatable diseases A non-judgmental attitude when dealing with parents from different backgrounds An appreciation of parent’s concern of a child’s health, even if out of proportion to

his/her assessment. The ability to obtain information from children and related family members and

maintain confidentiality to the best of children’s interest


Appreciation of the social, environmental aspects of health care provision to pediatric age group as applied (and the cost effectiveness of various forms of prevention or therapy).

The ability to promote family involvement in the management of hospitalized child. Promote the habit of self-education in order to update knowledge, skills, and the

ability to use journal, textbooks, tapes, and lectures to improve performance. Recognition of limitations in own skills and knowledge. Maintain a standard of ethics when dealing with patients and colleagues.

ACADEMIC PROGRAM – The department of pediatrics mandate that each and every resident attend at least 90% of the program’s academic activities

EEXXAAMMIINNAATTIIOONNSS Residents are obliged to apply and sit the relevant examinations when they are eligible to do so during the period of their training. Failure to take examinations will be counted as having failed the end-of-year evaluation and promotion will not be recommended.

TYPES OF EXAMINATION DURING PEDIATRIC RESIDENCY TRAINING PROGRAM:

End year promotion Examination Promotion to the next level of residency is based on passing the written promotion examination and the annual overall evaluation which include an in-training rotation evaluation with a minimum average of both scores 60% and a minimum score of 50% in each part. End of year (promotion) examination consists of: 1. Written examination of multiple-choice questions (MCQs) with a single best answer 2. OSCE exam Part I Examination Passing the Part I examination is a pre-requisite for promotion to the senior level of residency (R3), so the examination has to be passed during the first (Two) levels of residency training Part II Final Examination Passing the Part II (Final) written examination is a pre-requisite to set for the Clinical / Oral examination

Clinical / Oral Examination: This exam is designed to evaluate candidate’s clinical skills, abilities, and judgment in the field of General Pediatrics, with the following format. A. OSCE(Objective Structured Clinical Examination)


REAPPOINTMENT AND PROMOTION The Department will submit the following information to the Department of Academic Affairs prior to the end of each Academic Year.

Performance evaluations from each rotation Comprehensive evaluation by the Department RTP Committee Results of the Annual Examination, and any other In-house Examinations Attendance Records at Educational and Departmental Activities Absence record indicating not more than 40-days have been taken in the year. 1. The Criteria for Promotion to the next level of Training includes the following:

Satisfactory completion of Rotation Objectives as defined in the Department Training Program.

A minimum of 90% attendance at Department Teaching Sessions. Displaying the knowledge, clinical skills and professional attitude and skills at the

level expected in the rotation year. Passing the Saudi Council End-of-year Examination. Satisfactory compliance with the regulations of the Training Program and Saudi

Council concerning absence as well as the departmental rules and regulations with regards to the residency training program.

2. Transfer from one Training Specialty Program to another Specialty is discouraged. Similarly, transfer within the same specialty from one sponsoring institution to another is discouraged. In exceptional circumstances, the following procedure is adopted: The Resident must apply for the transfer at least 3-months to prior to the

completion of the Training Year The Resident must obtain approval from the Program he/she is leaving and ensure

that he/she meet the admitting requirements and have approval from the new department

Approval must be obtained from the Saudi Council for Health Specialties Residents will complete for a post in the department with other applicants

Part I Examination Eligibility: Saudi Board: after one year of training

Arab Board: There is a formal Part I Examination. Candidates are promoted on in-house evaluation and the recommendation of the Department Chairman and RTP Director.

Failures: Saudi Board: Candidates may not be promoted beyond the R2

level unless they are successful in passing the Part I exam. Residents who fail the Part I exam 3 times will be dismissed from the program.


Part II Examination

Eligibility: Arab Board: Successful completion of the training program and passing Part I Examination

Saudi Board: having passed Part I and completed the 4 year training program

Failures: Arab Board: no limit on the number of attempts at examination.

Saudi Board: candidates are allowed a maximum of 5 (five) attempts within 5 years of completing the training program

All residents should refer the residents’ manual by the Saudi commission of health sciences regarding the details of the training in Pediatrics.

PHARMACUITICAL CARE

Introduction: The purpose of the Pharmacy Residency Program at KAMC-WR is to prepare highly skilled and knowledgeable clinical pharmacy practitioners for patient care positions, adjunct faculty positions or to pursue postgraduate training in a specialized area of practice. The program has been recently accredited by the American Society of Health system Pharmacist (ASHP). The diverse patient population at KAMC-WR provides a unique opportunity to engage each of our residents in improving their skills in patient care, decision-making, practice management, education and leadership. Graduates of the pharmacy residency program will be able to:

Provide care to diverse patient populations

Engage in interdisciplinary team practice to optimize patient outcomes

Educate other health care professionals, resulting in improved medication therapy

Provide leadership to advance health system practice and the pharmacy profession

Manage their own practice, including self-evaluation skills

Educational outcomes for the pharmacy practice residency program at KAMC-WR include:

1. Manage and improve the medication-use process 2. Provide evidence-based, patient-centered medication therapy management with

interdisciplinary teams. 3. Exercise leadership and practice management skills 4. Demonstrate project management skills 5. Provide medication and practice-related education and training

http://www.scfhs.org.sa/en/MESPS/TrainingProgs/TrainingProgsStatement/Pediatrics/Documents/Program%20Booklit.pdf


6. Utilize medical informatics 7. Conduct Pharmacy Research Project 8. Demonstrate additional competencies that contribute to working successfully

in the health care environment Residency Program Structure The program consists of two years: First year The first year (12 months) of the residency program is a systematic approach that will provide the resident with the opportunity and stimulus to develop skills, competencies, and professional expertise in all aspects of pharmacy practice. The table below is typical of the first year of the program. It contains rotations that are required for the completion of the residency program at KAMC-WR. Second year The second year (12 months) of the residency program will be conducted in such a manner that will provide the resident with the opportunity and stimulus to develop skills, competencies, and professional expertise in hospital pharmacy practice, with special emphasis on clinical pharmacy. Core rotations of the second year Residents are required to complete 6 learning experiences (5 weeks each) from the following rotations:

Internal medicine

Infectious Diseases

Critical Care

Cardiology Elective Rotations The resident can select three elective rotations from the following rotations or from above core rotations upon approval of the program director:

General Pediatrics

Pediatric Intensive Care Unit

Surgery

Nephrology

Oncology

Emergency medicine


Evaluations:

All evaluations shall be documented on appropriate forms in ResiTrak®.

Residents must comply with the evaluation policy and complete evaluations in a timely manner as required.

Residents must comply with the evaluation policy outlined in the SCHS residency training manual.

All evaluations must be reviewed, signed/co-signed by the resident, preceptor and program director.

All residents should refer the residents’ manual by the Saudi commission of health sciences regarding the details of the training in Clinical Pharmacy.

SURGERY DEPARTMENT

GENERAL SURGERY/ ORTHOPAEDICS / UROLOGY

Part I Examination

Eligibility: One year of training

Failures: Residents may not be promoted beyond the R3 level unless they are successful in passing Part I examination. Residents failing the Part I examination 3 times will be dismissed from the program.

Part II Examination

Eligibility: Passing Part I and having completed the 5-year training program.

Failures: Candidates may take the Saudi Board examination for a maximum of 5 (five) attempts within 5 years of completion of the Training Program. There is no limit on the number of attempts for the Arab Board.

All residents should refer to the residents’ manual by the Saudi commission of health sciences regarding the details of the training in General Surgery, Orthopedics, and Urology.

NEUROSURGERY Part I Examination

Eligibility: One year of training

Failures: Residents may not be promoted beyond the R3 level unless they are successful in passing Part I examination. Residents failing the Part I examination 3 times will be dismissed from the program.

Part II Examination

Eligibility: Passing Part I and having completed the 6-year training program.

http://www.scfhs.org.sa/en/MESPS/TrainingProgs/TrainingProgsStatement/ClinicalPharmacy/Documents/Program%20Booklit.pdf

http://www.scfhs.org.sa/en/MESPS/TrainingProgs/TrainingProgsStatement/GeneralSurgery/Documents/Program%20Booklit.pdf

http://www.scfhs.org.sa/en/MESPS/TrainingProgs/TrainingProgsStatement/BonesSurg/Documents/Program%20Booklit.pdf

http://www.scfhs.org.sa/en/MESPS/TrainingProgs/TrainingProgsStatement/Urology/Documents/Program%20Booklit.pdf


Failures: Candidates may take the Saudi Board examination for a maximum of 5 (five) attempts within 5 years of completion of the Training Program. There is no limit on the number of attempts for the Arab Board.

All residents should refer to the residents’ manual by the Saudi commission of health sciences regarding the details of the training in Neurosurgery.

OPHTHALMOLOGY

Board Examination:

a. Part I Examination

1. This examination is held at least once per year in one or more of the training centers.

2. It is a written examination, and includes applied basic sciences and clinical ophthalmology.

3. Candidates are allowed to sit the examination after successful completion of the minimum of nine months of the first year level and obtaining a pass mark in the annual overall performance.


5. Candidates are allowed a total of three attempts. Those failing the third attempt will be dismissed from the program, or else they must obtain an approval for a fourth attempt.

b. Part II Examination

i. This examination is given to candidates after successful completion of

training, as evidence by a NOTICE approved by the Director of the

Residency Training program.

ii. It is held at least once per year in one or more of the training centers.

iii. The final examination consists of two parts:

a) Written part; designated to evaluate knowledge and clinical

judgment. Only successful candidates in this part are allowed to

sit the clinical/oral part.

b) Clinical/oral part: designated to test clinical skills/abilities

judgment in the field of ophthalmology. Candidates are allowed a

maximum of five attempts to pass the examination within a period

of five years after completion of the training.

http://www.scfhs.org.sa/en/MESPS/TrainingProgs/TrainingProgsStatement/Neurosurgery/Documents/Program%20Booklit.pdf


Certification:

Candidates passing the final board examination are awarded the certificate of the Saudi Board of Ophthalmology. All residents should refer the residents’ manual by the Saudi commission of health sciences regarding the details of the training in Ophthalmology.

OTOLARYNGOLOGY HEAD & NECK SURGERY

All residents should refer the residents’ manual by the Saudi commission of health sciences regarding the details of the training in Otolaryngology Head & Neck Surgery.

PEDIATRIC SURGERY:

2016 marks the start of a six year residency program in Pediatric surgery. The structure

of the Program includes The following rotations (Thoracic surgery, Hepatobiliary,

NICU, PICU, Emergency Medicine, General surgery, Elective rotation, Pediatric

urology, followed by 3 years of General pediatric surgery in multiple accredited

centers).

All residents should refer the residents’ manual by the Saudi commission of health sciences regarding the details of the training in Pediatric Surgery.

PLASTIC SURGERY

All residents should refer the residents’ manual by the Saudi commission of health sciences regarding the details of the training in Plastic Surgery.

http://www.scfhs.org.sa/en/MESPS/TrainingProgs/TrainingProgsStatement/Ophthalmology/Documents/Saudi_Board_Ophthalmology_Curriculum_booklit_V4.pdf

http://www.scfhs.org.sa/en/MESPS/TrainingProgs/TrainingProgsStatement/NoseEarSurg/Documents/Program%20Booklit.pdf

http://www.scfhs.org.sa/en/MESPS/TrainingProgs/TrainingProgsStatement/PediatricSurgery/Documents/Program%20Booklit.pdf

http://www.scfhs.org.sa/en/MESPS/TrainingProgs/TrainingProgsStatement/PlasticSurg/Documents/Program%20Booklit.pdf


TELEPHONE NUMBERS: POSTGRADUATE EDUCATION

Associate Dean, DPE, KSAUHS Dr Mansour Al Qurashi 21336 / B2221

84 45300

Coordinator I (Office of the Associate Dean) Ms Gina Roa-Agustin 84 45086 Data Entry Clerk (Office of the Associate Dean) Mr Jim De Guzman 84 45085

Director of Medical Education Dr Yaser Faden 21372 / B1707

Coordinator I (Medical Education) Ms Cecille C Cielo-Selda 24898

Coordinator (CanMEDS) Ms Azhar Salama 28186

Admin Assistant II (Medical Education) Ms Najwa Ansari 24644

Admin Assistant II (Medical Education) Mr Antonio Rebusquillo 22461

Admin Assistant II (Medical Education) Ms Bernadette Veloso 22774

Admin Assistant II (Medical Education) Ms Wafaa Al-Zilai 28340

Admin Assistant III (Medical Education's Office) Ms Rutchelmar Mendoza 21373

Coordinator (Scholarship Office) Ms Asma AlSaif 84 45087

Coordinator (Scholarship Office) Ms Nouf Al Sharif 84 45085

Senior Coordinator (Symposia & Conferences) Ms Najwa Hamad 84 45250

Liaison Officer (Life Support Courses) Mr Khalid Huraib 84 45049

Admin Assistant III (Symposia & Conferences) Ms Rawda Faraj 84 45249

Graphic Operator I (Symposia & Conferences) Mr Socrates Soriano 84 45247

Supervisor (Postgraduate Training Center) Dr Mohammed Khairy Fairag 84 45010

Coordinator (Postgraduate Training Center) Ms Maha Al Harthi 84 45015

Admin Assistant III (Postgrad Training Center) Ms Michelle Marie Garte 84 45016

Admin Assistant III (Postgrad Training Center) Mr Abdulrahman AlQahtani 84 45011

Admin Assistant III (Postgrad Training Center) Ms Dareen Mohd Kousah 84 45014

Graphic Operator II (Postgrad Training Center) Ms Maryam Abu Shal 84 45075

Accountant II (Finance) Ms Almera Ramos 84 45043

Supervisor (Life Support Courses) Dr Khaled Ali Rashed 84 45020

Coordinator (Life Support Courses) Mr Glenn Mendoza 84 45052

Admin Assistant II (Life Support Courses) Ms Maria Angelica Tagumasi 84 45051

Admin Assistant III (Life Support Courses) Mr Resty Imperial 84 45045

Admin Assistant III (Life Support Courses) Mr Mohd Jaber AlShamrani 84 45033

Director, Trauma Disaster & Surgical Program Dr Khalid AlAhmadi 84 45055

Coordinator I (Trauma) Ms Niña Biala 84 45056

Admin Assistant II (Trauma) Ms Belchie Culanag 84 45057

AV Tech II Mr Jhermy David 84 45125

AV Tech II Mr Henryl Lucena 21545

AV Tech II Mr Ayman Al Harbi 84 45125

Medical Photographer Mr Moutaz Garout 84 45129

Medical Librarian Ms Wafa Fakhruddin 21375

Medical Librarian Ms Souad Somali 21245

Library Assistant Ms Doaa Khan 21245

Patient Librarian Ms Awatif Al Nour 22687

Department of Anaesthesia 21263 Accident & Emergency (A&E) 22072

Department of Medicine 22070,21298,22170 Theatre Coordinator 21477

Department of Surgery 22071,22732,22068 Pharmacy 21398

Department of Paediatrics 22069, 24697 Medical Director 21044

Department of OB/GYN 22961, 22972 Medical Staff Office 21053 / 21694




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