Community Medicine including Humanities (Preventive and Social Medicine)
(Phase I, II and Part 1st of Phase III M.B.B.S.)
GOALS :
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The broad goal of the teaching of undergraduate students in community medicine is toprepare them to function as community and first level physicians in accordance with the
institutional goals.
OBJECTIVES :
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Knowledge :At the end of the course the student shall be able
? Explain the principles of sociology including demographic population dynamics.
? Identify social factors related to health, disease and disability in the context of urban
and rural societies.
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? Appreciate the impact of urbanization on health and disease.? Observe and interpret the dynamic of community behaviours.
? Describe the elements of normal psychology and social psychology.
? Observe the principles of practice of medicine in hospital and community settings.
? Describe the health care delivery systems including rehabilitation of the disabled in
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the country.? Describe the National Health Programmes with particular emphasis on maternal and
child health programmes, family welfare planning and population control.
? List the epidemiological methods and techniques.
? Outline the demographic pattern of the country and appreciate the roles of the
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individuals, family, community and socio-cultural milieu in health and disease.? Describe the health information systems.
? Enunciate the principles and components of primary health care and the national
health policies to achieve the goal of "Health for all".
? Identify the environmental and occupational hazards and their control.
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? Describe the importance of water and sanitation in human health.? To understand the principles of health economies, health administration, health
education in relation to community.
Skills :-
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At the end of the course, the student shall be able to make use of? The principles and practice of medicine in hospital and community settings and
familiarization with elementary practices.
? Use the Art of communication with patients including history taking and medico
social work.
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? Use epidemiology as a scientific tool to make rational decisions relevant tocommunity and individual patient intervention.
? Collect, analyse, interpret and present simple community and hospital base data.
? Diagnose and manage common health problems and emergencies at the individual,
family and community levels keeping in mind the existing health care resources and
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in the context of the prevailing socio-culture beliefs.? Diagnose and manage common nutritional problems at the individual and community
level.
? Plan, implement and evaluate a health education programme with skill to use simple
audio-visual aids.
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? Interact with other members of the health care team and participate in the organizationof health care services and implementation of national health programmes.
Integration:
Develop capabilities of synthesis between cause of illness in the environment or
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community and individual health and respond with leadership qualities to institute remedialmeasures for this.
Course Content :
Total hours of teaching in community medicine and Humanities are 376. The
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distribution of them shall be as follows.Phase
Semester
Theory
Practical
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HoursI
I & II
30
30
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IIIII & IV
68
132
IIIPart1st VI & VII
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5066
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VEER NARMAD SOUTH GUJARAT UNIVERSITY, SURAT.
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T.Y. M.B.B.S.Community Medicine (P.S.M.)
List of theory lectures
Phase I (1st and 2nd semester) 30 Hours
1. Introduction ? Evolution of Community Medicine.
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2. Health ? Definition, spectrum of health and factors affecting ? indicators of health.3. Health Problem of World ? Urban and Rural ? Indian Health.
4. Health Care Delivery system in India ? Urban and Rural.
5. Demography, Demographic cycle, Population trends ? World and India.
6. Fertility and factors affecting it.
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7. Family welfare and Population control.8. Medical ethics and Doctor ? patient relationship ? Consumer Protection Act.
9. Sociology and Social factors effecting health.
10. Social Psychology ? introduction, Group Behaviour, Motivation Personality.
11. Economics and health.
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12. Health Education and Communication.13. Hospital Management.
14. Nutrition and Health.
? Constituents of food.
? Food and food groups.
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? Diet planning and recommended dietary allowances.? Nutritional diseases.
? Iodine deficiency disorders.
? Diseases due to vitamin and mineral imbalance
? Toxins in the food.
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? Assessment of Nutritional status.? Examination
Phase II ? (3rd and 4th Semester) 68 Hours
General Epidemiology
? The concepts of disease.
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? Natural history of disease.? Epidemiological triad.
? Dynamics of diseases transmission.
? Concept of disease control.
Epidemiology
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? Definition, types, measurements in epidemiology, epidemiological studies, and
clinical trial, investigation of an epidemic.
? Uses of epidemiology.
? Screening for disease.
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? Disinfection, sterilization and control of Hospital acquired infections.? Immunity.
Environmental health
? Introduction to environment health.
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? Water in relation to health and disease.? Air pollution and ecological balance.
? Housing and health.
? Effects of radiation on human health ( Ionizing, Non-ionizing & Nuclear warfare)
? Effects of Noise on human health.
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? Meteorological environment.? Solid waste disposal.
? Disposal of hospital waste.
? Liquid waste disposal
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Medical entomologyArthropods of medical importance and their control.
Biostatistics (Theory and Practical)
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Introduction and uses.Data- Types, Collection and Presentation.
Centering constants.
Measures of Variation.
Normal distribution.
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Sampling methods and Sampling variability.Tests of significance.
? SE of difference between two means.
? SE of difference between two proportions
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? X2 test. ( Chi-square)? Students `t' test
- Paired .
-
Unpaired.
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? Statistical fallacies.Computers in Medicine
There use at all the stages to be demonstrated. The students should use computers in
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analysis and presentation of dataEpidemiology of communicable diseases.
Air borne infections.
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? Exanthematous fevers.? Chicken pox, Rubella, and Measles
? Factors responsible to eradicate small pox.
? Influenza and ARI.
? Diphtheria and Pertussis
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? Tuberculosis.Faeco-oral infections.
? Poliomyelitis.
? Hepatitis.
? Enteric Fever and Cholera
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? Bacillary and Amoebic dysentery.Soil transmitted Helminths.
Tetanus
Rabies and other Viral Zoonotic disease.
Leprosy.
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Leprosy.Malaria
Filariasis.
Arthropod borne viral diseases.
Sexually transmitted diseases and their control.
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A.I.D.S.Examinations at the end of 3rd and 4th semester.
(Phase III (6th and 7th
Semester)
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50hrs.
(Teaching in 7th semester includes tutorials also.)
Community development programmes and multisectoral development.
Comprehensive medical care and Primary health care.
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National Health Policy.Maternal and Child Health care.
Epidemiology of Non-communicable diseases.
Occupational health.
Problems of adolescence including Drug dependence.
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GeriatricsVital statistics ? sources and uses, Census, Fertility statistics.
Management information system.
Mental health.
Genetics in public health.
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Health planning and management.National Health Programmes.
International health and Voluntary Health Agencies.
Tutorials.
Examination at the end of 6th and 7th semester.
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