Download MGR MBBS 3rd Year Community Medicine Syllabus

COMMUNITY MEDICINE

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GOAL
The broad goal of teaching in Community Medicine is to prepare the student to function effectively as a community physician
and an efficient public health leader.
OBJECTIVES

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At the end of the course, the student should be able to:
1. Understand the concepts of health and disease describe the levels of prevention and modes of intervention.
2. Describe the epidemiological methods and apply appropriate epidemiological methods to study and manage communicable and
non-communicable diseases in the hospital and community situations.
3. Define vital statistics and describe the various methods that are used to collect data, apply bio-statistical methods and

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techniques to make inferences and describe the health information systems.
4. Outline the demographic pattern of the country and appreciate the roles of the individual, family, community and socio-cultural
milieu in health and disease.
5. Diagnose and manage maternal and child health problems and advise couples and the community on the family planning
methods available.

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6. Describe the methods of nutritional assessment to diagnose and manage common nutritional problems at the individual and
community levels.

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7. Enunciate the principles and elements of primary health care, describe the organization and functions of the health care team at
Primary Health Centre, Community Health Centre and District levels.
8. Describe and evaluate the various National Health Programmes with particular emphasis on maternal and child health

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programmes, family welfare and population control, communicable and non communicable disease prevention and its
implementation in the community.
9. Describe the importance of water and sanitation in human health; identify and investigate the environmental and occupational
hazards, disaster, disease outbreak and apply management techniques for their control.
10. Describe the principles and practice of health education and to apply appropriate communication skills to bring about

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behavioural change in the community.
11. Capacity to plan and implement the measures for disaster.

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TEACHING HOURS
I MBBS
(i)

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Theory, Seminars, Practicals - 30 Hours (2 hours /week for 1st 15 weeks)
(ii)
Visits to Institutions of Health* - 30 Hours (Field Visit ? 6 hrs /day /month in 5 months)
II MBBS
i.

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Theory ? 56 hours (1 hour/week)
ii.
Practicals* ? 144 hours (in two Block postings(each for 72 hours in 4 weeks in 3rd and 4th semester)
Final MBBS Part 1
i.

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Theory -50 hours
ii.
Practicals * ? 72 hours(Block Posting for 4 weeks in the 6th semester)
* Includes Block Postings, Field Visits, Demonstrations, Family Care Study, School Health and Problem Solving Exercises

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TEACHING SYLLABUS

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TOPIC
MUST KNOW
DESIRABLE TO KNOW
NICE TO KNOW
CONCEPT OF

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Definition of health.
1. Changing pattern of
1. Ecology of health.
HEALTH AND
Concept of wellbeing.

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disease.
2. Right to health.
Dimensions and determinants of
2. Disease classification.
3. Responsibility for

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DISEASE
wellbeing.
Changing concepts of
health.
Indicators of health.

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4. Population medicine.
Spectrum of health.
health.
Levels of Health care.
3. Hospital and community.

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Concepts of causation, prevention
4. Health service
and control of diseases.
philosophies.
Natural history of diseases.

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Modes of Intervention.
PRINCIPLES OF
1. Definition, Aims, uses and Basic
1. Additional criteria for
1. Standardization of

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EPIDEMIOLOGY
measurements in
judging causality.
rates
Epidemiology.International death

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Emporiatrics.
2. Immunizing agents.
certification.
3. Disinfection.
2. Incidence and Prevalence of diseases.

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3. Epidemiologicalmethods.
4. Association and causation.
5. Infectious disease epidemiology.
6. Diseases prevention and control.
7. Investigating an epidemic.

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8. Immunization concept and schedule.
Cold chain and vaccine vial monitor.
9. Adverse events following
immunization and investigating it.
SCREENING FOR

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1. Concept, Aims,uses, types and
1. Combined tests.
1. Problem of borderline.
2. Evaluation of
DISEASE

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criteria for screening,
2. validity of Screening tests.
screening programes.
EPIDEMIOLOGY
Epidemiology, clinical features

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1. Communicable diseases.
1. Communicable
OF
prevention, control and treatment of :
(SARS, meningococcal

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diseases

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TEACHING LEARNING METHODS TO BE ADOPTED IN COMMUNITY MEDICINE
1. Lecture ? 64hours
2. Seminar-30hours
3. Symposium-30hours

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4. Group discussion-20 hours
5. Guest lectures-20 hours
6. Project work -30hours
7. Problem based learning -20hours
8. Demonstration -40hours

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9. Field visits -90 hours
10.
Integrated teaching classes with Medicine, OG, Pediatrics, Dermato-Venereology,
Microbiology ? 40hours
P

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HASE 1 : I st MBBS
Objectives
Content (topics)
Method of teaching & Duration
Theory

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Practical
a) KNOWLEDGE
The student shall be able to :
1. Introduction to the evolution of History of Medicine and evolution Lectures/seminar/
Community Medicine ,Health

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of Community Medicine
group discussion
Definition and factors affecting it
History of public Health in India
Changing concepts in Public

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5 hours
Health
Definition of health.
Concept of wellbeing.
Dimensions and determinants of

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wellbeing.

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Indicators of health.
Spectrum of health.
2. Describe the health care Primary health care-
Lectures /Seminars/ Visit

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to
delivery system
Levels of health care-
Group Discussion
PHC/Subcentre

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Health care delivery system
3 hours
6hours
3. The demographic pattern of the Demographic cycle and demographic Lectures
country and the roles of the gap, demographic trends - sex ratio

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/Seminars/Group
individual, family, community and -Role of family in health and disease
Discussion
socio-cultural milieu in health and -Cultural factors in health and
disease.

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disease
-Socioeconomic status scales
4 hours
-Fertility and factors affecting it
-Family welfare and population

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control
4. Social factors related to health, Principles of sociology
Lectures/seminar/gr
Community visit
disease and disability in the Social and cultural factors in health, oup discussion

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context of urban and rural disease and disability
societies;
4 hours
4 hours
5. Appreciate the impact of Impact of urbanization on health Lectures/seminar/gr

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Visit to UHC
urbanization on health and and disease
oup discussion
disease;
2 hours

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4 hours
6. Observe and interpret the
Community visit
dynamics of community behavior;
4 hours

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7. Describe the elements of normal 1. Elements of normal psychology
Lectures/seminar/gr
psychology and social psychology;
and social psychology
oup discussion

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2. Group behavior, Motivation
personality
4 hours
3. Learning and types
4. Personality and development

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Intelligence and mental age.
8. The principles of practice of Hospital sociology
Lectures/seminar/gr
Visit to community
medicine in hospital and Art of interviewing

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oup discussion
and hospital
community Setting including Doctor patient relationship
Medical ethics
Ethics in medical practice

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2 hours
4 hours

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9.Health education
5. Communication process. Types of Lectures/seminar/
Visit to PHC/ Sub

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communication.
group discussion
centre/
6. Barriers of communication.
2 hours

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Community
7. Health education-
Approach,models, contents,
4 hours
principles of health education.

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8. Various methods of health
education.
10. Nutrition and health
8. Nutrients - Classification, dietary
Lectures/seminar/gr

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Visit to PHC/ Sub
sources, requirements
oup discussion
centre/
9. Various form of deficiency of

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Community
nutrients
3 hours
10.Diet planning and Recommended
4 hours

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dietary allowances
11.Balanced diet
12.Nutritional problems in India
13.Assessment of nutritional status
14.Toxins in the food

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11. Health economics
Introduction to Health economics
Lecture
1 hour
B). Skills

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At the end of the course, the student should be able to make use of:
1. Principles of practice of
Visit to community
medicine in hospital and
and hospital

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community settings and
familiarization with elementary
nursing practices.
2. Art of communication with
Interaction with

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patients including history
patients in hospital
taking and Medico-social work
and community
INTERGRATION

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Topics
Departments
1. Describe the elements of 1. Elements of normal
Community Medicine,
normal psychology and

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psychology and social
Psychiatry
social psychology;
psychology

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2. Learning and types

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3. Personality and development
4. Intelligence and mental age.
2. Hospital organization
1. Administrative structure of Community Medicine,
the hospital

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Resident Medical officer,
2. Functioning of the hospital
Nursing Superintend
3. Job responsibilities o Health
personnel

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PHASE II : IInd MBBS (3

rd
and 4

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th semester)
Objectives
Content (topics)
Method of teaching
Theory

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Practical
1. CONCEPT OF HEALTH
Concepts of causation, prevention and
Lectures/seminar/group
AND DISEASE

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control of diseases.
discussion
Natural history of diseases.
Epidemiological triad
3 hours

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Dynamics of Disease transmission
Modes of Intervention. Changing
pattern of disease.
Disease classification.
Changing concepts of health.

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2. EPIDEMIOLOGY AND
Definition, Aims, uses and Basic
Lectures/seminar/group
Solving various
ITS PRINCIPLES

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measurements in
discussion
models
of
Epidemiology.International death

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exercises/ writing
certification.
10 hours
the
protocol

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Incidence and Prevalence of diseases.
research methods
Epidemiological methods.
Association and causation. Additional
15 hours

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criteria for judging causality.
Immunizing agents.
Disinfection

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Infectious disease epidemiology.
Diseases prevention and control.

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Visit to CSSD
Investigating an epidemic.
Immunization concept and schedule.
2 hours
Cold chain and vaccine vial monitor.

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Adverse events following immunization
and investigating it.
Emporiatrics
3. SCREENING FOR
3. Concept, aim, uses, types and criteria

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Lectures/seminar/group
Solving exercises
DISEASE
for screening,
discussion

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4. Validity of Screening tests.
2 hours
3 hours
4.ENVIRONMENTAL
3. Water- sources, requirements,

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Lectures/seminar/group
Visit to
HEALTH
purification, disinfection,
discussion

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Water treatment
4. Water pollution and water related
plant
diseases.
12hours

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Milk Diary
5. Quality- criteria and standards,
Sewage and
survillance and distribution.
solid waste

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6. Hardness of water and its removal
Water analysis
7. Swimming pool sanitation
lab
8. Air-Comfort. Sources, effects,

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Food analysis
prevention of air pollution.
lab
9. Monitoring of air pollution
Metereriological

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10.Requirements of good lighting, biologic
department
effects of light.
Community
11.Noise ? community noise level,

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12.Effects of noise exposure and its
Team activities
control
13.Heat stress indices.
24 hours

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14.Effects of heat and cold stress.
15.Effects of Radiation on human health
16.Social goals of housing.
17.Housing standards-
18.Rural and urban standards and

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overcrowding.
19.Methods of solid waste disposal
20.Methods of sewage disposal

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5.MEDICAL
Entomology ? public health

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Lectures/seminar/group
Visit to Central
ENTOMOLOGY
importance and control of :
discussion

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Malaria laboratory
Mosquitoes
House flies
5 hours
Visit to PHC/UHC

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Lice
to know about
Fleas
vector
control

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Itch mite
activities
Ticks and mites
Principles of arthropod control
Integrated vector control

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Climate change and health
6 hours
6.BASIC MEDICAL
1. Definition of data, Information and
Lectures/seminar/group

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Solving exercises
STATISTICS INCLUDING
intelligence
discussion
RESEARCH ETHICS

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2. Sources and uses of health
10 hours
information
8 hours
3. Collection and representation of data,

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Data types, Sampling methods.
4. Elementary statistical methods
5. Measures of central tendency and
dispersion.
6. Tests of significance

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7. Ethics in Research
7.EPIDEMIOLOGY OF
Epidemiology, clinical features
Lectures/seminar/group
Visit to Infectious

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COMMUNICABLE
prevention, control and treatment of :
discussion
disease hospital/
DISEASES.

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1. Respiratory infections(chicken pox,
TB sanatorium
measles, mumps, rubella, influenza,
16 hours
diphtheria, whooping cough, ARI, TB,)

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8 hours
2. Intestinal infections(polio, hepatitis,
ADD, Cholera, Typhoid, Food
Clinico Social Case
poisoning, amoebiasis, ascariasis,

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Discussion with
hook worm)
related to the
3. Arthropod-borne infections(Dengue,
communicable

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Malaria, Filariasis)
diseases ( Factors
4. Zoonoses(Rabies, Yellow fever, JE,
predisposing like
KFD, chikungunya, Leptospirosis,

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Plague)
vector,environment
5. Surface infections (all) Communicable
,nutrition, family,
diseases.(SARS, meningococcal

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society, heath care
meningitis, Brucellosis, Salmonellosis,
system, levels of
Leishmaniasis)
prevention etc )

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6. Emerging and reemerging diseases.
76 hours
7. Nosocomial infections.
8. Anti microbial resistance
9. Eradication of diseases like smallpox,

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Guinea worm, Polio
10.National Health Programmes
(NVBDCP,NLEP, RNTCP, NACP, NPCB,
UIP, IDD, NHM, NPCDCS, national
water supply and sanitation

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programme.)
11.Universal precautions.
B) SKILLS
At the end of the course, the student should be able to :-
(1) Use epidemiology as a scientific Basic

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measurements
in
Epidemiologic
tool to make rational decisions epidemiology
exercises

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relevant to community and
individual patient intervention.
(2) Collect, analyse, interpret and -Community diagnosis
II year posting
present simple community and -Research projects

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-Community
hospital based data.
survey
(3) Diagnose and manage common -Clinico social case Study
II year posting

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health problems and emergencies -Family health appraisal
at the individual, family and -Community survey
community levels keeping in mind
the existing health care resources
and in the context of the

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prevailing socio-cultural beliefs.

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C). INTEGRATION ;
Develop capabilities of synthesis between cause of illness in the environment or community and individual health and
respond with leadership qualities to institute remedial measures for this.
Topics

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Deaprtments
Communicable
Diseases
Communicable diseases covered Community Medicine,
under national health programme,

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Pediatrics,
Medicine,
Venerology, Microbiology
PHASE III : IIIrd MBBS
1.DEMOGRAPHY AND

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7. Eligible couple, target couple,
Lectures/seminar/group
Solving exercises
FAMILY PLANNING
couple protection rate, Family

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discussion
2 hours
planning methods available in
Public health sector, MTP
2 hours

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methods and Act,
8. Pearl index,
9. Unmet need for family planning,
10.Community needs assessment
approach

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11.National family welfare
programme
2.SOCIAL OBSTETRICS
4. Ante-natal care ? Objectives,
Lectures/seminar/group

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Visit to PHC/ UHC
visits, history taking and
discussion
examination, antenatal
3 hours

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investigation, Nutritional services, 10 hours
Immunization services, IFA
Clinico-Social Case
supplementation, Health
Discussion

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education, Specific health
protection, Risk approach
5. Intranatal care ? Objectives,
14 hours

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Prevention of infection, Danger

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signals, Rooming in
6. Postnatal care ? Objectives, advice
during PN care , PN visits, Breast
feeding ? checking for adequacy
3.SOCIAL PAEDIATRICS

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1. Neonatal care-Early neonatal care, Lectures/seminar/group
Visit to ICDS
Objectives, Immediate care,
discussion
Neonatal examination, Low birth

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3 hours
weight
10 hours
2. Feeding of infants ? Breastfeeding
Clinico Social Case

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3. Growth monitoring and growth
Discussion
chart
4. MCH indicators
14 hours

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5. RCH
6. IMNCI
7. RMNCH+A
8. ICDS
9. BFHI

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10.School health services
11.Gender bias
4.NUTRITION AND HEALTH
1. Protein Energy Malnutrition
Lectures/seminar/group

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Visit to ICDS
2. Nutritional problems in India
discussion
Clinico Social Case
3. Food additives food adulterants

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Discussion
4. Community nutrition
5 hours
programmes.
5. Food safety and standards act

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6. Methods of dietary survey
3 hours
5.EPIDEMIOLOGY OF NON
Epidemiology, clinical features
Lectures/seminar/group

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Visit to NCD clinic
COMMUNICABLE DISEASES
prevention, control and treatment of
discussion
2 hours

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Hypertension , obesity
Diabetes
5 hours
Clinico Social Case
Cancer

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Discussion
Road traffic accidents
Coronary, cardiovascular
8 hours
diseases

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Rheumatic heart disease
Blindness
6.HEALTH CARE OF
1. Health care-
Lectures/seminar/group

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COMMUNITY.
2. Concept, Levels, changing
discussion
concepts.
3. Primary health care.

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2 hours
4. Health for All.
5. Health care systems.
6. Job responsibilities of various
health personnel

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7.OTHER SPECIAL GROUPS
5. Tribal health
Lectures/seminar/group
Visit to Institute of
6. Adolescent health

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discussion
Rehabilitation
7. Person with disabilities
8. Community based rehabilitation
2 hours

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3 hours
8.COMMUNITY GERIATRICS
2. Health problems of the elderly
Lectures/seminar/group
Clinico Social Case

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3. Risk reduction of elderly
discussion
Discussion
2 hours
1 hours

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9.OCCUPATINAL HEALTH
7. Ergonomics ,
Lectures/seminar/group
Visit to industry
8. Occupational hazards, diseases

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discussion
and prevention of occupational
3 hours
diseases.
3 hours

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9. Measures of health protection of
workers.
10.Health problems due to
industrialization.
11.Accidents, sickness absenteeism.

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12.ESI Act
10.GENETICS AND HEALTH
3. Population genetics
Lectures/seminar/group
4. Prevention and social control

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discussion
measures of genetic problems.
5. Role of genetic predisposition in
1 hours
common disorders

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11.INTERNATIONAL
1. WHO, UNICEF, International
Lectures/seminar/group

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HEALTH
health regulations.

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discussion
2. Redcross society, UN, NGO,
Health work of bilateral agencies
1 hours
12.DISASTER

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5. Definition, types of disaster.
Lectures/seminar/group
Mock up exercise
MANAGEMENT
6. Principles and elements of

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discussion
1 hours
disaster management.
7. Health problems during disaster.
1 hours

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8. Public health aspects of disaster
management.
13. HOSPITAL WASTE
3. Definition, sources, classification,
Lectures/seminar/group

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Visit to Bio medical
MANAGEMENT
generation, segregation, hazards
discussion
waste management

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and disposal of health care
2 hours
wastes.
2 hours
Demonstration and

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4. Categories ,colour coding and
other skills in
containers used in biomedical
BMWM
waste management.

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2 hours
14.HEALTH INFORMATION
1. Definition of data, Information
Lectures/seminar/group
Visit to birth and

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AND VITAL STATISTICS
and intelligence
discussion
Death registrar
2. Sources and uses of health

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officer
information
2 hours
3 hours
3. Components and requirements of

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HMIS
4. Vital statistics
5. Census, Birth and Death
registration, Fertility statistics
15.HEALTH MANAGEMENT

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1. Health planning, Planning cycle.
Lectures/seminar/group
2. National health policies.
discussion
3. Millennium Development Goals

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4. Sustainable Development Goals
2 hours
5. Health Planning in India.
6. Health system in India.
7. Health management methods and

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techniques

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8. Health committees and Five year
plans
16.MENTAL HEALTH
4. Warning signs of mental illness,

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Lectures
Visit to Institute of
Types, causes and prevention of
Mental health
mental illness. Drug abuse,

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1 hours
dependence, addiction-
3 hours
definitions.
5. Alcoholism.

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6. Drug dependence
7. National Mental health
programme
8. Mental health services.
17.HEALTH ECONOMICS, Definition of Health Economics

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Lectures
HEALTH ADMINISTRATION,
Various methods of analysis based on 1 hours
health economics
18.MEDICAL ETHICS

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8. Professional conduct
Lectures
9. Consent
1 hours
10.Professional secrecy and privileged

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communication
11.Research ethics
12.Health education ethics
B) SKILLS
At the end of the course, the student should be able to :-

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1.Diagnose and manage -Clinico social case Study
common health problems and -Family health appraisal
emergencies at the individual, -Community survey
family and community levels
keeping in mind the existing

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health care resources and in
the context of the prevailing
socio-cultural beliefs.
2.
Diagnose and manage Clinico social case Study

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maternal and child health -Family health appraisal

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problems and advise a couple
and the community on the
family planning methods
available in the context of the

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national priorities.
3.Diagnose and manage Clinico social case Study
common nutritional problems -Family health appraisal
at the individual and
community level.

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4.Interact with other members Visit to PHC and sub centre
of the health care team and
participate in the organization
of health care services and
implementations of national

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health programmes.
C). INTEGRATION ;
Develop capabilities of synthesis between cause of illness in the environment or community and individual health and
respond with leadership qualities to institute remedial measures
Topics

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Departments
1. To understand the family/ 1.Family health appraisal ? Community Medicine, III year posting
society
Community Survey
Pediatrics, Obstetrics,

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Medicine
2. Social Pediatrics and 1. Nutritional assessment
Community Medicine,
Nutrition
2. Nutritional disorders of the Pediatrics,

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child
3. Management of sick child and
infant
4. Measures to reduce Infant
Mortality

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5. Immunization, AEFI

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3. Non Communicable and Non Communicable diseases Community Medicine,
Communicable Diseases
covered under national health Pediatrics, , Medicine,
programme,

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4. Social Obstetrics
1. Care of antenatal women
Community Medicine,
6. Measures to reduce the Obstetrics,
maternal mortality

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5. National Mental Health Objectives and goals of National Community Medicine,
Programme
Mental Health programme, Psychiatry
implementation
Alhocolism and its dependance

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PRACTICAL SKILLS TO BE ACQUIRED
AT THE END OF THE COURSE
At the end of the year, the student should be able to:
I MBBS
FIELD VISITS

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1. Sub centre
a. Administration setup
b. Job Responsibilities
c. Registers
d. Inventory maintenance

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2. Primary Health Centre
a. Administration setup
b. Job Responsibilities
c. Registers
d. Inventory maintenance

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3. Cold chain system
a. Inventory of vaccines
b. Storage and pattern of utilization of vaccine
c. Registers
d. Adverse events following immunization

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4. Taluk hospital
a. Administration setup
b. Job Responsibilities
c. Registers
d. Inventory maintenance

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5. District hospital
a. Administration setup
b. Job Responsibilities
c. Registers

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d. Inventory maintenance

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6. Urban Health Post
a. Administration setup
b. Job Responsibilities
c. Registers
d. Inventory maintenance

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7. ICDS centre
a. Job responsibilities of the personnel
b. Beneficiaries and benefits
8. Visit to the Tertiary hospital
a. Administration setup

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b. Job Responsibilities
PRACTICAL SKILLS
1. Advise the mother on exclusive breast feeding practice
2. Advise on immunization schedule for the child

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II MBBS ( 3 & 4 SEMESTER)

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FIELD VISITS
1. Water treatment plant
a. Sources of water
b. Various method in water treatment like sedimentation, flocullation, chlorination etc.
c. The method of distribution of water to public

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2. Sewage treatment plant
a. Sources of Sewage
b. Various method in sewage treatment
c. The method of distribution of effluent
3. Solid waste management

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a. Sources of solid waste
b. Segregation of solid waste
c. Various methods in solid waste treatment
d. The method of disposal
4. ICDS centre

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a. Job responsibilities of the personnel
b. Beneficiaries and benefits
5. Slaughter house
a. Types of animal
b. Sanitation measures

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c. Disposal of waste
6. Milk Diary
a. Collection, pasteurization, packaging and dispersion of milk
b. Estimation of milk quality standards
c. Adulteration of milk

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d. Maintenance of safety of milk and milk products
9. Cold chain system
a. Inventory of vaccines
b. Storage and pattern of utilization of vaccine
c. Registers

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d. Adverse events following immunization

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10. Water & Food analysis Laboratory
a. Water and food analysis parameters
b. Standards of water quality
c. Find out food adulteration

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11. Institute/Department of Mental Health
a. Common mental health illness
b. Factors contributing
12. Institute of Rehabilitation
a. Various types and mode of rehabilitation

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b. Pattern of people utilizing the centre
13. Community survey to identify the prevailing health problems
a. To collect the data on prevailing problems
b. Calculate the various indicators
c. Interpretation of the health problems

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d. Suggesting the solution
14. Vector control measures in a PHC
a. Various vector control measures adopted in the PHC
15. TNMSC -Drug warehouse? inventory management
a. Inventory management of the drug and surgical items

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16. Meterology department
a. Monitoring and usage of various meteorological parameters
b. Usage of various meteorological instruments
17. Home for aged
a. Common geriatric problems, social factors

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18. DE addiction centre
a. Types of various therpy offered in the centre
19. Prison
a. Prisoners health
20. Borstal

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a. Health and social problems of the inmate
PRACTICAL SKILLS

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1. Advise a mother on proper nutrition during and after pregnancy
2. Advise a mother on appropriate family planning methods
3. Advise the mother on exclusive breast feeding practice

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4. Advise the mother on weaning
5. Advise on immunization schedule for the child
6. Record the weight of a child
7. Measure the anthropometric measurements of a child
8. Plot anthropometry in a growth chart and interpret it

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9. Demonstrate kangaroo mother care
10. Categorize and segregate the waste generated in a hospital and dispose it appropriately
11. Calculate measures of central tendency and dispersion in given data
12. Analyze and interpret graphical representation of a given data
13. Plan a diet survey

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14. Record the weight of a child
15. Demonstrate ORS preparation
16. Estimate the chlorine demand
17. Measure the residual chlorine
18. Categorize and segregate the waste generated in a hospital and dispose it appropriately.

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III MBBS ( 7

th
SEMESTER)

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FIELD VISITS

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1. Sub centre
a. Administration setup
b. Job Responsibilities
c. Registers
d. Inventory maintenance

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2. Primary Health Centre
a. Administration setup
b. Job Responsibilities
c. Registers
d. Inventory maintenance

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3. Cold chain system
a. Inventory of vaccines
b. Storage and pattern of utilization of vaccine
c. Registers
d. Adverse events following immunization

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4. Taluk hospital
a. Administration setup
b. Job Responsibilities
c. Registers
d. Inventory maintenance

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5. District hospital
a. Administration setup
b. Job Responsibilities
c. Registers
d. Inventory maintenance

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6. Urban Health Post
a. Administration setup
b. Job Responsibilities
c. Registers
d. Inventory maintenance

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7. Institute/Department of Mental Health
a. Common mental health illness

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b. Factors contributing
8. Community survey to identify the prevailing health problems
a. To collect the data on prevailing problems

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b. Calculate the various indicators
c. Interpretation of the health problems
d. Suggesting the solution
9. Nutrition Rehabilitation Centre
a. Types of nutrition rehabilitation

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b. Beneficiaries under various nutrition programmes
10. IVCZ, Hosur
a. Mosquito collection, dissection
b. Flea collection
c. Various vector control measures

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11. Industry
a. Industrial safety
b. Ways to monitor Health of the workers
12. CENTRAL Leprosy training and Research Institute
a. Various facilities provided in the institute

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13. Community survey to identify the prevailing health problems
a. To collect the data on prevailing problems
b. Calculate the various indicators
c. Interpretation of the health problems
d. Suggesting the solution

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PRACTICAL SKILLS
1. Plan a diet survey
2. Classify a child based on IMNCI for ARI , ADD
3. Recognize an adverse event following immunization
4. Categorise a patient with TB/Leprosy/Dog bite

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5. Advise appropriate treatment based on national programmes
6. Plan and recommend a suitable diet for special groups.
7. Calculate the demographic indicators and compare it with national data
8. Calculate the entomological indicators and interpret it
9. Certify the cause of death

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10. Usage of Statistical packages like epiinfo, SPSS, etc.

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INTERNAL ASSESSMENT TESTS SCHEDULE :
TEST AT THE END OF 4TH SEMESTER :
1. Basics of nutrition
2. Concept of health & disease

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3. Environment & health
TESTS FOR 6TH & 7TH SEMESTERS :
Theory Test
Month
Topics

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1
April
Concepts of health & disease , Environment & health , Sociology
2
June

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Epidemiology , screening, epidemiology of non-communicable
diseases and related programmes
3
July
Epidemiology of communicable diseases and related programmes

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4
Septembe
MCH , special groups, Nutrition and related programmes
r
5

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October
Demography & family planning, hospital waste management,
disaster management & occupational health
6
November Genetics, mental health, health information & basic medical statistics,

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health education, health planning and management, health care of
community, international health , medical ethics
7
December Terminal evaluation ? Whole portion
IInd Model practical as per the university pattern *

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* Ist Model practical should be conducted at the end of block posting during 6 & 7th semester

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THEORY EXAMINATION
Two papers each carrying 60 marks
Essay
2 x 10marks = 20

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Brief Answers
6 x 5marks = 30
Short Notes
5x 2 marks = 10
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Total
60 marks
--------------------------------
Paper 1
1. Concepts in health

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2. Epidemiology
3. Epidemiology of communicable and non communicable diseases and national health programmes
4. Screening for diseases
5. Environmental health
6. Occupational health

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7. Health information and basic medical statistics

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Paper 2
1. Nutrition and health
2. Genetics and health
3. Sociology in health

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4. Health education
5. Demography and family planning
6. Social obstetrics
7. Social pediatrics
8. Community geriatrics

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9. Other special groups
10. Disaster management
11. Hospital waste management
12. Mental health
13. Health planning and management

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14. Health care delivery system
15. International health

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EVALUATION
PRACTICALS
Clinico Social Case 45 minutes 1 X 12 marks = 12

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Epidemiological Exercise 45 minutes 2 X 4 marks = 8
Spotters
10 minutes 5 X 1 marks = 5
OSPE
20 minutes 5 X 1 marks = 5

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TOTAL
30 marks
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VIVA : 10 marks

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FOUR EAMINERS EACH 2.5 MARKS
The topics will be divided as follows
TOPICS FOR EXAMINER ? I
Health Policy
Health Administration

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Primary Health Care
Health Programs In India
Health Planning And Management
Basic Medical Statistics
Health Education and Communication

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International Health

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TOPICS FOR ORAL EXAMINER ? II
Epidemiology of Non Communicable Diseases
Maternal and Child Health
Family Welfare

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Demography
Population Dynamics
Preventive Geriatrics
TOPICS FOR ORAL EXAMINER ? III
Epidemiology of Communicable Diseases

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Tropical Medicine
Tropical Public Health
Environmental Health
Occupational Health
Concept of Health and Disease

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TOPICS FOR ORAL EXAMINER ? IV
General Epidemiology
Principles of Epidemiology
Epidemiological Methods
Screening

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Mental Health
Genetics
Nutrition
INTERNAL ASSESSMENT : 40 marks
(Theory 20 & Practical 15 + Record/PROJECT/LOGBOOK 5)

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LOG BOOK
Log Book should be followed as recommended by the University.

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ETHICS RELATED TO COMMUNITY MEDICINE
1. Doctor patient relationship
2. Professional conduct

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3. Consent
4. Research ethics
5. Health education ethics

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OSPE/ OSCE QUESTIONS
OSPE 1: PARTOGRAPH

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(1) Mark the following findings in the Partograph:
To give time of cervical dilatation of 4 cms.
Time
No of contractions in
Duration of each

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10 minutes
contraction
(seconds)
5am
3

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18
9am
4
32
10am

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5
45
(2) Mark the following findings in the Partograph:
Time
Cervical

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Descent of head
dilatation( cm)
9 am
4 cm
3/5

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1pm
5 cm
3/5
3 pm
5 cm

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3/5
(3). Mark the following findings in the Partograph:
To give time of cervical dilatation of 4 cms.

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Time
Descent of

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No of
Duration of
head
contractions in
each

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10 minutes
contraction
(seconds)
5 pm
3/5

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3
15
9 pm
1/5
4

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35
10 pm
0/5
5
44

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OSPE 2: DEATH CERTIFICATE
1. While crossing the road an adult male pedestrian was hit by a truck at around 10pm on 14-3-2008 and
was brought to the emergency department of a hospital at 10.30 pmClinical examination revealed
significant tachycardia, hypotension, oliguria, altered sensorium and cold clammy skin. Type III pelvic
fracture was diagnosed and confirmed radio logically. Airway, Breathing and Circulation was established

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Blood grouping and cross matching was done. 1 hour later patient became unresponsive and resuscitation
efforts were unsuccessful and the patient died
2. An elderly male farmer in a rural village was admitted to a hospital with complaints of difficulty in
swallowing for past3 days. 1week back he had an injury on the right index finger. Suturing and TT
injection were given. Sutures were removed. He was a known case of hypertension for the past 10 years

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Later, the patient had intermittent muscle spasm, trismus, risus sardonicus, muscle rigidity of jaw, neck
and trunk Treatment: Airway maintenance,Tetanus antitoxin, Penicillin, diazepam,were given. Spasms
became more frequent and patient developed laryngeal spasm and sudden respiratory arrest and died
3. A male infant born to a 20 year primiparous woman at 32 weeks gestation weighing 1480 grams . New
born screening found elevated levels of immuno-reactive trypsinogen in the blood. The new born developed

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respiratory distress syndrome and was in mechanical ventilation for 7 days. Despite adequate calories
infant had poor weight gain, and had persistent diarrhoea with steatorrhea for past 2 weeks. Elevated
sweat chloride concentration (85 mmols / l). 37day of birth - infant lethargic, poor cry, feed refusal. CSF-
culture - E.coli, total serum protein low.Infant died at 45 days of age despite life saving efforts
OSPE 3: PUT THE HOSPITAL WASTE IN THE APPROPRIATE BIN

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Categorise the various bio medical waste
Hospital Waste
Waste Bin
Biomedical Waste
Waste Bin

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Discarded medicine
Blood soaked cotton
Soiled wound dressing
Cytotoxic drugs
General paper waste

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Scalpel
Butterfly needle
Placenta
Amputated limb
Incineration ash

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EPIDEMIOLOGY
Interpret the given chart-study design to be given as chart
Eg:
1. What is the type of chart? What is your inference? e.g. spotting the radiation and anemia.

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ENTOMOLOGY

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Identify the various vectors and assess environment and advise control measures
Eg:1PISTIA WATER PLANT
A. a. Identify the picture
b. Write the Public Health Importance
c. How will you avoid this source for breeding of mosquito?

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d. What type of disease you expect and where?
e. What is the significance of this source?
Eg: 2 TYRES SHED
A. a. Identify the picture
b. Write the Public Health Importance

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c. How will you avoid this source for breeding of mosquito?
d. What type of disease you expect and where?
e. What is the significance of this source?
f. In which area you find this source?
Communicable Diseases examples:

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1. (a) What is your identification and mention the disease transmitted?

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(b) Write the control measures that led to its elimination?
2.
(a) What is your diagnosis?
(b) Write down the immunization schedule followed for its prevention?

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3.
(a) What is your diagnosis?
(b) Write down the Mass drug regimen followed?
4.
(a) What is your identification and the test used to find out?

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(b) Steps of tourniquet test:
(c) Mention the communicable disease in which it is seen?
5.
(a) What is your diagnosis?
(b) Measures to prevent neonatal tetanus?

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6.
(a) What is your identification ?
(b) Treatment of Paucibacillary leprosy?
7.
(a) What is your identification?

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(b) Write down the treatment schedule for MB leprosy in adults?
PICTURES- IMNCI
PICTURE
1. Write your observations for H1, H2 and H3?

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2. What is the diagnosis, treatment and advice?

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ENVIRONMENT
Estimate the residual chlorine in the given water sample?
OSCE for SOCIAL PADIATRICS/ OBSTETRICS / diseases
1. Measure the weight of the newborn/infant/ child
2. Measure the length/height of the newborn/infant/ child

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3. Plot the given parameters in the growth chart and interpret
4. Advise the mother about the immunization dates for her child
5. Demonstrate ORS
6. Demonstrate usage of Condom
7. Advise on the usage of various contraceptive methods

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8. Demonstrate the abdominal examination of Ante natal mother
9. Enumerate the high risk factors for the given mother
10.
Measure the Blood pressure
11.

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Measure the various anthropometric measurements of newborn/infant/ child
12.
Diagnose and Advice on drug regimen for various categories of leprosy
13.
Diagnose and Advice on drug regimen for various categories of tuberculosis

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14.
Diagnose and Advice on treatment for Hypertension as per NCD guidelines
15.
Diagnose and Advice on treatment for Diabetes as per NCD guidelines
16.

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Demonstrate steps in Breast self examination
17.
Demonstrate the steps in nerve examination for leprosy
LIST OF SPOTTERS
LIST OF SPOTTERS

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GROUP I - Entomology and Parasitology
ENTOMOLOGY
ANOPHELES
EGG

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AEDES

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EGG
CULEX
EGG
MANSONIA
EGG

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ANOPHELES
LARVA
AEDES
LARVA
CULEX

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LARVA
ANOPHELES
ADULT MALE
ANOPHELES
ADULT FEMALE

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CULEX
ADULT MALE
CULEX
ADULT FEMALE
AEDES

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ADULT MALE
AEDES
ADULT FEMALE
SAND FLY
MALE

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SAND FLY
FEMALE
CHEOPIS
MALE
CHEOPIS

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FEMALE
HOUSE FLY
LARVA
CYCLOPS
MALE

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CYCLOPS
FEMALE
LOUSE
NIT
HEADLOUSE

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MALE, FEMALE
SOFT TICK
HARD TICK
MALE, FEMALE

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PARASITOLOGY

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MALARIAL PARASITE -
PLASMODIUM FALCIPARUM
MALARIAL PARASITE -
PLASMODIUM VIVAX
MICROFILARIA

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GROUP II ? MCH and family welfare
M.C.H. & FAMILY WELFARE
CONDOM
GROWTH CHART
ORAL PILLS

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O.R.S.
COPPER?T
Emergency Pills
VACCINES
BCG

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BCG SYRINGE AND NEEDLE
OPV
VACCINE
CARRIER
DPT

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MMR
MEASLES
HEPATITIS B VACCINE
DT
ARV

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TETANUS TOXOID
ICE PACKS
VVM
GROUP III ? Insecticides,disinfectant and Public health engineering
B.H.C.

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BLEACHING POWDER
D.D.T
DETTOL
PARIS GREEN
ALUM

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M.L.O (MOSQUITO
PHENOL
REPELLANT OIL)
PYRETHRUM
COPPER SULPHATE

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PUBLIC HEALTH ENGINEERING SPOTTERS
HORROCK'S APPARATUS
CHLOROSCOPE
IODINE SPOT TESTING KIT
Kata thermometer

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GROUP IV ? Drugs related National health Programmes

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DRUGS
DOTS - CAT I - INTENSIVE PHASE
DOTS - CAT I - CONTINUATION PHASE
DOTS - CAT II - INTENSIVE PHASE

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DOTS - CAT II - CONTINUATION PHASE
MDT - MULTIBACILLARY ADULT
MDT - PAUCIBACILLARY ADULT
CHLOROQUINE
Streptomycin

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PRIMAQUINE
Benzathine penicillin
FST SMALL
VITAMIN A SOLUTION
GROUP V -NUTRITION SPOTTERS

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BENGAL GRAM
WHEAT
GREEN GRAM
SOYABEEN
RED GRAM

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ORANGE
ORID DHAL
MANGO
GROUND NUT
MILK

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RICE - BOILED
GREEN LEAVES
RICE - RAW
BANANA
RAGI

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LEMON
CARROT
PAPAYA

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CRRI ORIENTATION
1. Brief introduction about the National Immunization programme, National Health Mission

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2. To know - the implementation and monitoring of National Health programmes related to
Communicable and Non Communicable Diseases.
a. Leprosy
b. Tuberculosis
c. Malaria

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d. STI/ RTI
e. Infectious disease
f. Filaria
g. Maternal can Child Health
h. School Health programme

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i. Iodine deficiency disorders
3. Details about
a. How to organize a camp
b. How to study the environmental sanitation
c. How to assess the nutritional status of the mother

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d. How to assess the nutritional status of the child
e. How to conduct the health education/health awarenes activities in PHC,UHC
4. Describe about the implementation of various acts like
a. Food Safety and Standards Act
b. Public Health in the Sub centre

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c. Birth and Death Registration act
d. Pre Natal Diagnosis and Techniques Act
e. Medical Termination of Pregnancy act
5. Describe the various first aid measures for accidents , snakebite, poisoning
6. To treat minor ailments, identifying the various deficiency disorders

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7. To prescribe the treatment for Hypertension , Diabetes as per the NCD guidelines
8. Identify the High risk mothers, infants, children
9. To Know the functioning and Job responsibilities of the various health personnel working in the
PHC, Urban Health centre, Sub centre, and District Hospital
10.

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To know the methods of investigation of epidemic, infant deaths, maternal deaths, adverse events
following immunization

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11.
To enumerate the various demographic profile and to make interpretation
12.

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To know the administrative structure of the PHC, Urban Health centre, Sub centre, and District
Hospital
13.
To know the inventory procedure with regard to the vaccines, drugs etc
14.

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To know - various registers pertaining to the
a. Leprosy
b. Tuberculosis
c. Malaria
d. STI/ RTI

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e. Infectious disease
f. Filaria
g. Maternal can Child Health
h. School Health programme
i. Iodine deficiency disorders

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j. Immunization programme
15.
Introduction to various statistical analysis
LEARNING UNITS AND ACTIVITIES AREA
1. To Create awareness about statistical logic & Technique

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a. Data collection
b. Data Handling
c. Data interpretation
d. Use of various statistical methods
e. Health indicators ?vital statistics

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f. Demography, population Dynamics and population tends
g. Birth and Death Registration
2. To Create awareness about role of nutrition as a Health determinant in Mother and Children
a. Nutritional assessment
b. Health monitoring, malnutrition and Deficiency disorders

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c. Diet planning
d. Nutrition education
e. Food customs
3. Public Health administration and management

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a. Planning and conducting community health survey

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b. Management of Maternal and child health problems identified
4. Environmental sanitation
a. Manage at family level, maternal and child Health problems related with the environment
5. Health education
a. Knowing the individual and community

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b. Community involvement
c. Identifying the suitable media and its implantation in health education
d. Evaluation of the effectiveness of Health education
6. National Immunization Programme ? Universal Immunization Programme
a. Disease surveillance

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b. Conduct immunization session
c. Ensure community participation
d. Cold chain management
e. Adverse reaction following immunization and management
f. Coverage evaluation

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7. National Health Mission ? Non Communicable diseases
a. Disease surveillance
b. Conduct camps
c. Ensure community participation
8. Maternal health

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a. Antenatal care
b. Intra partum care
c. Post natal care
d. Management of obstetric case and emergencies
e. Management of common gynecological problems

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f. Management of termination of pregnancy
g. Various contraception and its usage
h. Care of the newborn
i. Diagnosis and management of Nutritional disorder and infection in children
Reference books

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1. Parks textbook of Preventive and social medicine,K.Park
2. Community medicine with Recent advances, AH Suryakantha

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3. Textbook of community medicine, Rajvir Balwar
4. Textbook of community medicine, Piyush Gupta
5. Methods in Bio statistics by B.K.Mahajan

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6. Basic concepts in epidemiology ? Beaglehole
7. Government of India modules for various national health programmes.

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