Download MBBS Latest Respiratory Medicine Syllabus

RESPIRATORY MEDICINE (CODE: CT)

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Number COMPETENCY
Domain Level Core Suggested Teaching
Suggested
Number Vertical Integration

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Horizontal Integration
The student should be able to
K/S/A/C K/KH/ (Y/N) Learning method
Assessment method
required

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SH/P
to certify
P
RESPIRATORY MEDICINE
Topic:Tuberculosis Number of competencies: (19) Number of procedures that require certification : (01)

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CT1.1
Describe and discuss the epidemiology of tuberculosis and its
K
KH
Y

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Lecture, Small group
Written/ Viva voce
Community Medicine
impact on the work, life and economy of India
discussion

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CT1.2
Describe and discuss the microbiology of tubercle bacillus, mode of
K
KH
Y

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Lecture, Small group
written
Microbiology
transmission, pathogenesis, clinical evolution and natural history of
discussion

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pulmonary and extra pulmonary forms (including lymph node, bone
and CNS)
CT1.3
Discuss and describe the impact of co-infection with HIV and other
K

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K
Y
Lecture, Small group
written
Microbiology

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co-morbid conditions. Like diabetes on the natural history of
discussion
tuberculosis
CT1.4
Describe the epidemiology, the predisposing factors and microbial

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K
KH
Y
Lecture, Small group
Written/ Viva voce

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Community Medicine,
and therapeutic factors that determine resistance to drugs
discussion
Microbiology,
Pharmacology

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CT1.5
Elicit, document and present an appropriate medical history that
S
SH
Y

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Bed side clinic, DOAP Skill assessment
includes risk factor, contacts, symptoms including cough and fever
session
CNS and other manifestations
CT1.6

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Demonstrate and perform a systematic examination that establishes
S
SH
Y
Bed side clinic, DOAP Skill assessment

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the diagnosis based on the clinical presentation that includes a a)
session
general examination, b) examination of the chest and lung including
loss of volume, mediastinal shift, percussion and auscultation
(including DOAP session of lung sounds and added sounds) c)

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examination of the lymphatic system and d) relevant CNS
examination
CT1.7
Perform and interpret a PPD (mantoux) and describe and discuss
S

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P
Y
DOAP session
Maintenance of log
Microbiology

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the indications and pitfalls of the test
book
CT1.8
Generate a differential diagnosis based on the clinical history and
K

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K
Y
Bedside clinic, Small
Bedside clinic/ Viva
evolution of the disease that prioritises the most likely diagnosis

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group discussion
voce
143

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Number COMPETENCY
Domain Level Core Suggested Teaching

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Suggested
Number Vertical Integration
Horizontal Integration
The student should be able to
K/S/A/C K/KH/ (Y/N) Learning method

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Assessment method
required
SH/P
to certify
P

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CT1.9
Order and interpret diagnostic tests based on the clinical
K
K
Y

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Bedside clinic, DOAP
Skill assessment
presentation including: CBC, Chest X ray PA view, Mantoux, sputum
session
culture and sensitivity, pleural fluid examination and culture, HIV

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testing
CT1.10
Perform and interpret an AFB stain
S
P

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Y
DOAP session
Skill assessment
1
Microbiology

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CT1.11
Assist in the performance, outline the correct tests that require to be
S
SH
Y

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Skill assessment
Skill assessment
performed and interpret the results of a pleural fluid aspiration
CT1.12
Enumerate the indications for tests including: serology, special

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K
KH
Y
Small group discussion, Short note/ Viva voce
Microbiology

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cultures and polymerase chain reaction and sensitivity testing
Lecture
CT1.13
Describe and discuss the origin, indications, technique of
K

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KH
Y
Lecture, Small group
Short note/ Viva voce
Microbiology

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administration, efficacy and complications of the BCG vaccine
discussion
CT1.14
Describe and discuss the pharmacology of various anti-tuberculous
K

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KH
Y
Lecture, Small group
Short note/ Viva voce
Pharmacology,

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agents, their indications, contraindications, interactions and adverse
discussion
Microbiology
reactions
CT1.15

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Prescribe an appropriate antituberculosis regimen based on the
K
SH
Y
Bedside clinic, Small

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Skill assessment
Pharmacology,
location of disease, smear positivity and negativity and co-
group discussion,
Community Medicine

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morbidities based on current national guidelines including directly
Lecture
observed tuberculosis therapy (DOTS)
CT1.16
Describe the appropriate precautions, screening, testing and

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K
KH
Y
Bedside clinic, Small
Written

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Community Medicine
indications for chemoprophylaxis for contacts and exposed health
group discussion
care workers
CT1.17

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Define criteria for the cure of Tuberculosis; describe and recognise
S
P
Y
Lecture, Small group

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Written
the features of drug resistant tuberculosis, prevention and
discussion
therapeutic regimens
CT1.18

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Educate health care workers on National Program of Tuberculosis
C
SH
Y
DOAP session

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Skill assessment
Community Medicine
and administering and monitoring the DOTS program
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Number COMPETENCY

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Domain Level Core Suggested Teaching
Suggested
Number Vertical Integration
Horizontal Integration
The student should be able to

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K/S/A/C K/KH/ (Y/N) Learning method
Assessment method
required
SH/P
to certify

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P
CT1.19
Communicate with patients and family in an empathetic manner
S
P

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Y
DOAP session
Skill assessment
AETCOM
about the diagnosis, therapy

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Topic: Obstructive airway disease Number of competencies: (28) Number of procedures that require certification : (01)
CT2.1
Define and classify obstructive airway disease
K
KH

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Y
Lecture, Small group
Written/ Viva voce
Physiology, Pathology
discussion

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CT2.2
Describe and discuss the epidemiology, risk factors and evolution of
K
KH
Y

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Lecture, Small group
Written/ Viva voce
Physiology ,
obstructive airway disease
discussion

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Pathology
CT2.3
Enumerate and describe the causes of acute episodes in patients
K
KH

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Y
Lecture, Small group
Written/ Viva voce
with obstructive airway disease
discussion

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CT2.4
Describe and discuss the physiology and pathophysiology of
K
KH
Y

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Lecture, Small group
Written/ Viva voce
Physiology, Pathology
hypoxia and hypercapneia
discussion

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CT2.5
Describe and discuss the genetics of alpha 1 antitrypsin deficiency
K
KH
N

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Lecture, Small group
Written/ Viva voce
Physiology, Pathology
in emphysema
discussion

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CT2.6
Describe the role of the environment in the cause and exacerbation
K
KH
Y

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Lecture, Small group
Written/ Viva voce
Pathology
of obstructive airway disease
discussion

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CT2.7
Describe and discuss allergic and non-allergic precipitants of
K
KH
Y

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Lecture, Small group
Written/ Viva voce
Pathology
obstructive airway disease
discussion

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CT2.8
Elicit document and present a medical history that will differentiate
S
SH
Y

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Bed side clinic, DOAP Skill assessment
the aetiologies of obstructive airway disease, severity and
session
precipitants
CT2.9

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Perform a systematic examination that establishes the diagnosis
S
SH
Y
Bed side clinic, DOAP Skill assessment

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and severity that includes measurement of respiratory rate, level of
session
respiratory distress, effort tolerance, breath sounds, added sounds,
identification of signs of consolidation pleural effusion and
pneumothorax

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145

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Number COMPETENCY
Domain Level Core Suggested Teaching
Suggested
Number Vertical Integration

--- Content provided by‍ FirstRanker.com ---

Horizontal Integration
The student should be able to
K/S/A/C K/KH/ (Y/N) Learning method
Assessment method
required

--- Content provided by⁠ FirstRanker.com ---

SH/P
to certify
P
CT2.10
Generate a differential diagnosis and prioritise based on clinical

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S
SH
Y
Bed side clinic, DOAP Skill assessment/
features that suggest a specific aetiology

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session
Written
CT2.11
Describe, discuss and interpret pulmonary function tests
S

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SH
Y
Bed side clinic, DOAP Skill assessment
Physiology, Pathology
session

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CT2.12
Perform and interpret peak expiratory flow rate
S
P
Y

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Bedside clinic, DOAP
documentation in log
3
session
book/ Skill

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assessment
CT2.13
Describe the appropriate diagnostic work up based on the
S
SH

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Y
Bedside clinic, Small
Written/ Skill
presumed aetiology
group discussion

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assessment
CT2.14
Enumerate the indications for and interpret the results of : pulse
K
SH

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Y
Bedside clinics, Small
Written/ Skill
oximetry, ABG, Chest Radiograph
group discussion, DOAP assessment

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session
CT2.15
Generate a differential diagnosis and prioritise based on clinical
K
SH

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Y
Bedside clinics, Small Written/ Skill
features that suggest a specific aetiology
group discussion, DOAP assessment
session

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CT2.16
Discuss and describe therapies for OAD including bronchodilators,
K
KH
Y

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Lecture, Small group
Written/ Viva voce
Pharmacology
leukotriene inhibitors, mast cell stabilisers, theophylline, inhaled and
discussion

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systemic steroids, oxygen and immunotherapy
CT2.17
Describe and discuss the indications for vaccinations in OAD
K
KH

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Y
Lecture, Small group
Written/ Viva voce
discussion
CT2.18

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Develop a therapeutic plan including use of bronchodilators and
K
SH
Y
Bedside clinics, Small

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Written/ Skill
inhaled corticosteroids
group discussion, DOAP assessment
session
146

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Number COMPETENCY
Domain Level Core Suggested Teaching
Suggested
Number Vertical Integration
Horizontal Integration

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The student should be able to
K/S/A/C K/KH/ (Y/N) Learning method
Assessment method
required
SH/P

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to certify
P
CT2.19
Develop a management plan for acute exacerbations including
K

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SH
Y
Bedside clinics, Small
Written/ Skill
bronchodilators, systemic steroids, antimicrobial therapy

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group discussion, DOAP assessment
session
CT2.20
Describe and discuss the principles and use of oxygen therapy in
K

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KH
Y
Lecture, Small group
Written/ Viva voce
the hospital and at home

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discussion
CT2.21
Describe discuss and counsel patients appropriately on smoking
K/C
SH

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Y
DOAP session
Skill assessment
AETCOM
cessation

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CT2.22
Demonstrate and counsel patient on the correct use of inhalers
S/C
SH
Y

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DOAP session
Skill assessment
CT2.23
Communicate diagnosis treatment plan and subsequent follow up
K/C

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SH
Y
DOAP session
Skill assessment
plan to patients

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CT2.24
Recognise the impact of OAD on patient's quality of life, well being,
A
KH
Y

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Small group discussion, Observation by faculty
Community Medicine
work and family
Bedside clinics
CT2.25

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Discuss and describe the impact of OAD on the society and
K
KH
Y
Lecture, Small group

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Written/ Viva voce
Community Medicine
workplace
discussion
CT2.26

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Discuss and describe preventive measures to reduce OAD in
K
KH
Y
Lecture, Small group

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Written/ Viva voce
Community Medicine
workplaces
discussion
CT2.27

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Demonstrate an understanding of patient's inability to change
A
KH
Y
Small group discussion, Observation by faculty

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Community Medicine
working, living and environmental factors that influence progression
Bedside clinics
of airway disease
CT2.28

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Demonstrate an understanding for the difficulties faced by patients
A
KH
Y
Small group discussion, Observation by faculty

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during smoking cessation
Bedside clinics
Column C: K- Knowledge, S ? Skill, A - Attitude / professionalism, C- Communication.
Column D: K ? Knows, KH - Knows How, SH - Shows how, P- performs independently,
Column F: DOAP session ? Demonstrate, Observe, Assess, Perform.

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Column H: If entry is P: indicate how many procedures must be done independently for certification/ graduation
147

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Number COMPETENCY
Domain Level Core Suggested Teaching
Suggested

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Number Vertical Integration
Horizontal Integration
The student should be able to
K/S/A/C K/KH/ (Y/N) Learning method
Assessment method

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required
SH/P
to certify
P
Integration

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Physiology
PY6.8
Demonstrate the correct techinque to perform & interpret Spirometry
S
SH

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Y
DOAP sessions
Skill assessment/
Respiratory Medicine
Viva voce

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Pharmacology
PH1.32
Describe the mechanism/s of action, types, doses, side effects,
K
KH

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Y
Lecture, Small group
Written/ Viva voce
Respiratory Medicine
indications and contraindications of drugs used in bronchial asthma

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discussion
and COPD
PH1.33
Describe the mechanism of action, types, doses, side effects,
K

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KH
Y
Lecture, Small group
Written/ Viva voce
Respiratory Medicine

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indications and contraindications of the drugs used in cough
discussion
(antitussives, expectorants/ mucolytics)
PH1.44
Describe the first line antitubercular dugs, their mechanisms of

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K
KH
Y
Lecture
Written/ Viva voce

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Respiratory Medicine
action, side effects and doses.
PH1.45
Describe the dugs used in MDR and XDR Tuberculosis
K

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KH
Y
Lecture
Written/ Viva voce
Respiratory Medicine Microbiology

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General Medicine
IM24.10 Describe and discuss the aetiopathogenesis,clinical presentation,
K
KH
Y

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Lecture, Small group
Written/ Viva voce
Respiratory Medicine
identification, functional changes, acute care, stabilization,
discussion

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management and rehabilitation of COPD in the elderly
Pediatrics
PE28.19 Describe the etio-pathogenesis, clinical features, diagnosis,
S
SH

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Y
Bedside clinics, Small
Skill Assessment/
Respiratory Medicine
management and prevention of asthma in children

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group discussion,
Written/ Viva voce
Lecture
148

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Number COMPETENCY

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Domain Level Core Suggested Teaching
Suggested
Number Vertical Integration
Horizontal Integration
The student should be able to

--- Content provided by FirstRanker.com ---

K/S/A/C K/KH/ (Y/N) Learning method
Assessment method
required
SH/P
to certify

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P
PE28.20 Counsel the child with asthma on the correct use of inhalers in a
S
P
Y

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Bedside clinics, Small Skills Assessment/
3
Respiratory Medicine
simulated environment
group discussion,

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Written/ Viva voce
Lecture
PE34.1
Discuss the epidemiology, clinical features, clinical types,
K

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KH
Y
Lecture, Small group
Written/ Viva voce
Microbiology

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Respiratory Medicine
complications of Tuberculosis in Children and Adolescents
discussion
PE34.2
Discuss the various diagnostic tools for childhood tuberculosis

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K
KH
Y
Lecture, Small group
Written/ Viva voce

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Microbiology
Respiratory Medicine
discussion
PE34.3
Discuss the various regimens for management of Tuberculosis as

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K
KH
Y
Lecture, Small group
Written/ Viva voce

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Microbiology,
Respiratory Medicine
per National Guidelines
discussion
Community Medicine,

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Pharmacology
PE34.4
Discuss the preventive strategies adopted and the objectives and
K
KH

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Y
Lecture, Small group
Written/ Viva voce
Microbiology,
Respiratory Medicine

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outcome of the National Tuberculosis Control Program
discussion
Community Medicine,
Pharmacology
PE34.5

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Able to elicit, document and present history of contact with
S
SH
Y
Bedside clinics, Skill lab Skill Assessment

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Respiratory Medicine
tuberculosis in every patient encounter
PE34.6
Identify a BCG scar
S

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P
Y
Bed side clinics, Skills Skill Assessment
3
Microbiology

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Respiratory Medicine
lab
PE34.7
Interpret a Mantoux test
S

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P
Y
Bed side clinics
Skill assessment
3

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Microbiology
Respiratory Medicine
Skills lab
PE34.8
Interpret a Chest Radiograph

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S
SH
Y
Bedside clinics
Skill assessment

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Radiodiagnosis
Respiratory Medicine
Skills lab
PE34.9
Interpret blood tests in the context of laboratory evidence for

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S
SH
N
Bed side clinics,
Log book

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Microbiolgoy
Respiratory Medicine
tuberculosis
Small group discussion
PE34.10 Discuss the various samples for demonstraing the organism eg

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K
KH
Y
Bed side clinics,
Written/ Viva voce

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Microbiolgoy
Respiratory Medicine
Gastric Aspirate, Sputum , CSF, FNAC
Small group discussion
PE34.11 Perform AFB staining

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S
P
Y
DOAP session
Log book/Journal

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3
Microbiology
Respiratory Medicine
PE34.12 Enumerate the indications and discuss the limitations of methods of
K

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KH
Y
Small group discussion Written/ Viva voce
Microbiology
Respiratory Medicine

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culturing M.Tuberculii
149

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