l. Methods in Biostatistics by B K Mahajan
m. Textbook of Preventive & Social Medicine by Gupta & Ghai
n. Text book of Preventive & Social Medicine by Gupta& Mahajan
o. Essentials of Community Medicine by Suresh Chandra
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p. Introduction to Biostatistics by Sathya Swaroopq. Community Medicine with Recent Advances by AH Suryakantha
r. Principles and Practice of Community Medicine by Dr. Asma Rahim
s.Indian Primer to Palliative Care
t. Community Medicine Simplified by Sreejith P S, Paras Medical Books
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Reference Books:a. Preventive Medicine and Public Health Appleton Century Crofts ? Maxcy, Kennith F
Rosenau
b. Preventive Medicine for the doctor in his community ? Level H R & Clark E G; Mc Graw
HillBook Company
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WHO Online resourcesc. Theory & Practice of Public Health ? Hobson W Oxford University
Press d. American P H Association Communicable Disease Control in man
e. Manson's tropical diseases ? Wilcock's & Manson
f. Oxford test book of Public Health 4th edn.
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g. Public Health & Preventive Medicine J M LastWHO online resorsess
National health websites- mohfw, ncdc
OPHTHALMOLOGY
I. Goal
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The broad goal of the teaching of students in Ophthalmology is to provide such knowledge andskills to the student that shall enable him/her to practice as a clinical and as a primary eye care
physician: and also to function effectively as a community health leader to assist in the
implementation of National Programme for the prevention of blindness and rehabilitation of
the visually impaired.
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II. ObjectivesAt the end of the course, the student shall be able to:
1. Identify common diseases of the eye
2. Diagnose and treat common diseases of the external eye-conjunctivitis, stye, extraocular
foreign body, corneal abrasion, Vitamin A deficiency
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1353. Recognise and initiate treatment (prior to referral) for sight threatening diseases like acute
glaucoma, keratomalacia, corneal ulcer , ocular trauma, alkali/chemical injuries.
4. Demonstrate knowledge of blindness and its causation. Be an active participant in the
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implementation of the National Programme for Control and prevention of Blindness5. Integration: To provide an integrated approach towards other disciples especially ENT,
General Surgery, General Medicine etc.
III. Course Contents
The student should have knowledge on the following topics taken during their course.
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IV. TopicsTitle
Acute conjunctivitis, Trachoma, Allergic conjunctivitis, Pingencula, Pterygium, Xerosis/bitot
spots, Dry eye, Angular conjunctivitis, neonatal conjunctivitis, subconj hemorrhager, D/D of
conjunctival and limbal nodule
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Chronic conjunctivitis, Dry eye, Membraneous conjunctivitis, Inclusion conjunctivitis CornealInflammations: Corneal Ulcers-bacterial, , fungal, viral, Mooren's Ulcer Vitamin A Deficiency
and keratomalacia, Exposure keratitis, Neuroparlytic keratitis, Corneal blindness, Eye
banking, eye donation, Keratoplasty, Arcus senilis, Corneal oedema
Deep / interstitial keratitis, degenerations and dystrophies, Overview of keratorefractive
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surgery.Scleritis, episcleritis
Iridocylitis, Panophthalmitis, Endophthalmitis
Systemic associations of uveitis,Choroiditis, Coloboma iris, ocular albinism,
Vitreous hemorrhage-causes
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Synchisis syntillans, Asteroid hyalosisAngle closure glaucoma, Open angle glaucoma, steroid induced glaucoma, lens
induced glaucoma including surgery and management
Cataract and management , cong. Conditions, surgery and complications, lens
abnormality Secondary glaucomas, Congenital glaucoma
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Fundus changes in Diabetes, Hypertension, anaemias, Pregnancy induced hypertension,Hematological disorders, Myopia
Photocoagulation
Retinal vascular diseases-
Central retinal artery occlusion, Central retinal vein occlusion, Retinal detachment
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Retinopathy of prematurity, Retinitis pigmentosa, retinoblastomaPappilledema, Optic neuritis, Optic atrophy
Awareness of amblyopia, Types of squint
Paralytic, non-paralytic)
Common causes of proptosis, Orbital ellulites, Cavernous sinus
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thrombosis Dacryocystitis-congenital, Acute, chronic, Epiphoraectropion entropion, trichiasis, ptosis, Iagophthalmos, symblepharon, blepharitis,
Chalazion,
Refractive
error,
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Myopia,hypermetropia,
Astigmatism,
Presbyopia,
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aphakia/pseudophakia, Anisometropia, overview of keratorefractive surgery
Chemical injuries, Open globe injuries, closed globe injuries and first aid treatment
including sympathetic injuries.
Siderosis bulbi, Chalcosis, medico legal aspects
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Definition and types of blindness.Causes of blindness
Promotion of eye donation
NPCB, Vision 2020, Eye
camps
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Symptomatic disturbances of vision, Overview of Recent advances in OphthalmologyLasers in Ophthalmology
Enucleation ? Indication , technique
Eye & systemic diseases including AIDS
Causes of sudden /partial/ painless dimension of vision
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Ocular malignancy-retinoblastoma and malignanant melanoma of choroidPharmacology
Chronic side effects of systemic medication, local anaesthetics, viscoelastics, steroid and
NSAIDS
V. Skills
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At the end of the course, the student shall be able to:a. Elicit a history pertinent to general health and ocular status.
b. Assist in diagnostic procedures such as visual acuity testing, examination of eye, Schiotz
tonometry, staining for corneal pathology, confrontation perimetry, direct ophthalmoscopy
examination, squint examination.
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c. Interpreting FFA, Optical Coherance Tomography (OCT), Humphrey Perimetry, CornealTopography, Gonioscopic findings and observing laser and surgical procedures d. Diagnose
and treat common problems affecting the eye.
e. Interpret ophthalmic signs in relation to common systemic disorders
f. Assist/ observe therapeutic procedures such as subconjunctival injection, corneal
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conjunctival foreign body removal, nasolacrimal duct syringing and tarsorrhaphy g. Providefirst aid in ophthalmic emergencies.
h. Assist to organize community survey for visual check up.
i. Assist to organize primary eye care service through primary health centres.
j. Use effective means of communication with the public and individual to motivate for
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surgery in cataract and for eye donation.k. Establish rapport with his seniors, colleagues and paramedical workers, so as to effectively
function as a member of the eye care team.
l. Assist in speciality clinics ? namely, Cornea, Retina, Glaucoma, Squint & Low Vision Aid clinic
m.v Commuicate with patients regarding common opthalmological problems, investigations
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137and treatment .
n.v Common ethical issues in ophthalmology and eye donation.
VI. Knowledge
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At the end of the course, the student shall have knowledge of:a. Common problems affecting the eye.
b. Principles of management of major ophthalmic
emergencies c. Main systemic diseases affecting the eye.
d. Effects of local and systemic diseases on patient's vision and the necessary action required
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to minimize the sequelae of such diseases.e. Adverse drug reactions with special reference to ophthalmic manifestations
f. Magnitude of blindness in India and its main causes.
g. National programme for control of blindness and its implementation at various levels.
h. Eye care education for prevention of eye problems.
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i. Role of primary health centre in organization of eye camps.j. Organisation of primary health centre and the functioning of the ophthalmic assistant.
k. Integration of the national programme for control of blindness with the other national
health programmes.
l. Eye bank organization
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m. Caring for the eye and preventing damage in an unconscious patientVII. Details of Lectures
Basic Anatomy, Physiology of eye, adenexa, lacrimal apparatus and orbit
Diseases of eyelids, lacrimal apparatus, orbit, Disease of conjunctiva
Disease of cornea, Disease of sclera, Disease of uveal tract,Disease of lens
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Glaucoma, Vitreous, Injuries of the eye, Intraocular tumours, Retina, Optic nerveRefractive errors/Refraction, Squint, Operations of the eye, Basic of neuro-ophthalmology,
Systemic disease and eye, Adverse drug reactions, Ophthalmic emergencies, Magnitude of
blindness
National Programme for control of blindness, Eye bank organization/ Eye donation,
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Organisation of eye camps, Rehabilitation of the blind.VIII. Clinical teaching during posting Clinical posting in batches during 5th& 7th
Semester.
Theory Lectures, Tutorials, Group discussions, Integrated teaching, Seminars, Approx. 100
Lectures of one hour each.
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IX. Details of practicals X.Clinical postings
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8.00 am to 9.00am - Clinical lecture
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9.00am -12 noon - Case demonstration in outpatient department discussions during clinicalpostings, case records, seminars, discussions, clinical exam
12-1 pm: Clinical lecture
Minimum one day per week is devoted for live operative surgery demonstration and
discussion.
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Separate clinical record/ log booksPATTERN OF EXAMINATION Theory?
one paper 40 marks
(Should contain one question on pre-clinical and para-clinical aspects, of 10 marks)
Oral (viva)-10 marks
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Clinical-30 marksInternal assessment-20marks (theory-10; practical-10)
Total-100 marks
Scheme of Practical Examination
One long Case
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: 1 x 15=15 marksTwo Short Case
: 2 x 5 = 10 marks
OSCE (5 stations)
: 5 x 1 = 5 marks
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Total:
30 marks
Internal Assessment
:
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10 marksGrand Total :
40 marks
Text book recommended
1. Parson's disease of eye ? Sihota & Tandon
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2. Ophthalmology for under graduates? Dr. P.S. GirijaDevi
Reference books
Clinical ophthalmology : Kanski J J
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OTORHINOLARYNGOLOGY
A. Goal
The broad goal of teaching undergraduate students Otorhinolaryngology is to ensure that they
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