Download MBBS Latest Respiratory Medicine Syllabus

Download MBBS (Bachelor of Medicine and Bachelor of Surgery) Medical Council of India (MCI) Latest Respiratory Medicine Syllabus

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RESPIRATORY MEDICINE (CODE: CT)

Number COMPETENCY
Domain Level Core Suggested Teaching
Suggested
Number Vertical Integration
Horizontal Integration
The student should be able to
K/S/A/C K/KH/ (Y/N) Learning method
Assessment method
required
SH/P
to certify
P
RESPIRATORY MEDICINE
Topic:Tuberculosis Number of competencies: (19) Number of procedures that require certification : (01)
CT1.1
Describe and discuss the epidemiology of tuberculosis and its
K
KH
Y
Lecture, Small group
Written/ Viva voce
Community Medicine
impact on the work, life and economy of India
discussion
CT1.2
Describe and discuss the microbiology of tubercle bacillus, mode of
K
KH
Y
Lecture, Small group
written
Microbiology
transmission, pathogenesis, clinical evolution and natural history of
discussion
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
K
Y
Lecture, Small group
written
Microbiology
co-morbid conditions. Like diabetes on the natural history of
discussion
tuberculosis
CT1.4
Describe the epidemiology, the predisposing factors and microbial
K
KH
Y
Lecture, Small group
Written/ Viva voce
Community Medicine,
and therapeutic factors that determine resistance to drugs
discussion
Microbiology,
Pharmacology
CT1.5
Elicit, document and present an appropriate medical history that
S
SH
Y
Bed side clinic, DOAP Skill assessment
includes risk factor, contacts, symptoms including cough and fever
session
CNS and other manifestations
CT1.6
Demonstrate and perform a systematic examination that establishes
S
SH
Y
Bed side clinic, DOAP Skill assessment
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)
examination of the lymphatic system and d) relevant CNS
examination
CT1.7
Perform and interpret a PPD (mantoux) and describe and discuss
S
P
Y
DOAP session
Maintenance of log
Microbiology
the indications and pitfalls of the test
book
CT1.8
Generate a differential diagnosis based on the clinical history and
K
K
Y
Bedside clinic, Small
Bedside clinic/ Viva
evolution of the disease that prioritises the most likely diagnosis
group discussion
voce
143

Number COMPETENCY
Domain Level Core Suggested Teaching
Suggested
Number Vertical Integration
Horizontal Integration
The student should be able to
K/S/A/C K/KH/ (Y/N) Learning method
Assessment method
required
SH/P
to certify
P
CT1.9
Order and interpret diagnostic tests based on the clinical
K
K
Y
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
testing
CT1.10
Perform and interpret an AFB stain
S
P
Y
DOAP session
Skill assessment
1
Microbiology
CT1.11
Assist in the performance, outline the correct tests that require to be
S
SH
Y
Skill assessment
Skill assessment
performed and interpret the results of a pleural fluid aspiration
CT1.12
Enumerate the indications for tests including: serology, special
K
KH
Y
Small group discussion, Short note/ Viva voce
Microbiology
cultures and polymerase chain reaction and sensitivity testing
Lecture
CT1.13
Describe and discuss the origin, indications, technique of
K
KH
Y
Lecture, Small group
Short note/ Viva voce
Microbiology
administration, efficacy and complications of the BCG vaccine
discussion
CT1.14
Describe and discuss the pharmacology of various anti-tuberculous
K
KH
Y
Lecture, Small group
Short note/ Viva voce
Pharmacology,
agents, their indications, contraindications, interactions and adverse
discussion
Microbiology
reactions
CT1.15
Prescribe an appropriate antituberculosis regimen based on the
K
SH
Y
Bedside clinic, Small
Skill assessment
Pharmacology,
location of disease, smear positivity and negativity and co-
group discussion,
Community Medicine
morbidities based on current national guidelines including directly
Lecture
observed tuberculosis therapy (DOTS)
CT1.16
Describe the appropriate precautions, screening, testing and
K
KH
Y
Bedside clinic, Small
Written
Community Medicine
indications for chemoprophylaxis for contacts and exposed health
group discussion
care workers
CT1.17
Define criteria for the cure of Tuberculosis; describe and recognise
S
P
Y
Lecture, Small group
Written
the features of drug resistant tuberculosis, prevention and
discussion
therapeutic regimens
CT1.18
Educate health care workers on National Program of Tuberculosis
C
SH
Y
DOAP session
Skill assessment
Community Medicine
and administering and monitoring the DOTS program
144

Number COMPETENCY
Domain Level Core Suggested Teaching
Suggested
Number Vertical Integration
Horizontal Integration
The student should be able to
K/S/A/C K/KH/ (Y/N) Learning method
Assessment method
required
SH/P
to certify
P
CT1.19
Communicate with patients and family in an empathetic manner
S
P
Y
DOAP session
Skill assessment
AETCOM
about the diagnosis, therapy
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
Y
Lecture, Small group
Written/ Viva voce
Physiology, Pathology
discussion
CT2.2
Describe and discuss the epidemiology, risk factors and evolution of
K
KH
Y
Lecture, Small group
Written/ Viva voce
Physiology ,
obstructive airway disease
discussion
Pathology
CT2.3
Enumerate and describe the causes of acute episodes in patients
K
KH
Y
Lecture, Small group
Written/ Viva voce
with obstructive airway disease
discussion
CT2.4
Describe and discuss the physiology and pathophysiology of
K
KH
Y
Lecture, Small group
Written/ Viva voce
Physiology, Pathology
hypoxia and hypercapneia
discussion
CT2.5
Describe and discuss the genetics of alpha 1 antitrypsin deficiency
K
KH
N
Lecture, Small group
Written/ Viva voce
Physiology, Pathology
in emphysema
discussion
CT2.6
Describe the role of the environment in the cause and exacerbation
K
KH
Y
Lecture, Small group
Written/ Viva voce
Pathology
of obstructive airway disease
discussion
CT2.7
Describe and discuss allergic and non-allergic precipitants of
K
KH
Y
Lecture, Small group
Written/ Viva voce
Pathology
obstructive airway disease
discussion
CT2.8
Elicit document and present a medical history that will differentiate
S
SH
Y
Bed side clinic, DOAP Skill assessment
the aetiologies of obstructive airway disease, severity and
session
precipitants
CT2.9
Perform a systematic examination that establishes the diagnosis
S
SH
Y
Bed side clinic, DOAP Skill assessment
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
145

Number COMPETENCY
Domain Level Core Suggested Teaching
Suggested
Number Vertical Integration
Horizontal Integration
The student should be able to
K/S/A/C K/KH/ (Y/N) Learning method
Assessment method
required
SH/P
to certify
P
CT2.10
Generate a differential diagnosis and prioritise based on clinical
S
SH
Y
Bed side clinic, DOAP Skill assessment/
features that suggest a specific aetiology
session
Written
CT2.11
Describe, discuss and interpret pulmonary function tests
S
SH
Y
Bed side clinic, DOAP Skill assessment
Physiology, Pathology
session
CT2.12
Perform and interpret peak expiratory flow rate
S
P
Y
Bedside clinic, DOAP
documentation in log
3
session
book/ Skill
assessment
CT2.13
Describe the appropriate diagnostic work up based on the
S
SH
Y
Bedside clinic, Small
Written/ Skill
presumed aetiology
group discussion
assessment
CT2.14
Enumerate the indications for and interpret the results of : pulse
K
SH
Y
Bedside clinics, Small
Written/ Skill
oximetry, ABG, Chest Radiograph
group discussion, DOAP assessment
session
CT2.15
Generate a differential diagnosis and prioritise based on clinical
K
SH
Y
Bedside clinics, Small Written/ Skill
features that suggest a specific aetiology
group discussion, DOAP assessment
session
CT2.16
Discuss and describe therapies for OAD including bronchodilators,
K
KH
Y
Lecture, Small group
Written/ Viva voce
Pharmacology
leukotriene inhibitors, mast cell stabilisers, theophylline, inhaled and
discussion
systemic steroids, oxygen and immunotherapy
CT2.17
Describe and discuss the indications for vaccinations in OAD
K
KH
Y
Lecture, Small group
Written/ Viva voce
discussion
CT2.18
Develop a therapeutic plan including use of bronchodilators and
K
SH
Y
Bedside clinics, Small
Written/ Skill
inhaled corticosteroids
group discussion, DOAP assessment
session
146

Number COMPETENCY
Domain Level Core Suggested Teaching
Suggested
Number Vertical Integration
Horizontal Integration
The student should be able to
K/S/A/C K/KH/ (Y/N) Learning method
Assessment method
required
SH/P
to certify
P
CT2.19
Develop a management plan for acute exacerbations including
K
SH
Y
Bedside clinics, Small
Written/ Skill
bronchodilators, systemic steroids, antimicrobial therapy
group discussion, DOAP assessment
session
CT2.20
Describe and discuss the principles and use of oxygen therapy in
K
KH
Y
Lecture, Small group
Written/ Viva voce
the hospital and at home
discussion
CT2.21
Describe discuss and counsel patients appropriately on smoking
K/C
SH
Y
DOAP session
Skill assessment
AETCOM
cessation
CT2.22
Demonstrate and counsel patient on the correct use of inhalers
S/C
SH
Y
DOAP session
Skill assessment
CT2.23
Communicate diagnosis treatment plan and subsequent follow up
K/C
SH
Y
DOAP session
Skill assessment
plan to patients
CT2.24
Recognise the impact of OAD on patient's quality of life, well being,
A
KH
Y
Small group discussion, Observation by faculty
Community Medicine
work and family
Bedside clinics
CT2.25
Discuss and describe the impact of OAD on the society and
K
KH
Y
Lecture, Small group
Written/ Viva voce
Community Medicine
workplace
discussion
CT2.26
Discuss and describe preventive measures to reduce OAD in
K
KH
Y
Lecture, Small group
Written/ Viva voce
Community Medicine
workplaces
discussion
CT2.27
Demonstrate an understanding of patient's inability to change
A
KH
Y
Small group discussion, Observation by faculty
Community Medicine
working, living and environmental factors that influence progression
Bedside clinics
of airway disease
CT2.28
Demonstrate an understanding for the difficulties faced by patients
A
KH
Y
Small group discussion, Observation by faculty
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.
Column H: If entry is P: indicate how many procedures must be done independently for certification/ graduation
147

Number COMPETENCY
Domain Level Core Suggested Teaching
Suggested
Number Vertical Integration
Horizontal Integration
The student should be able to
K/S/A/C K/KH/ (Y/N) Learning method
Assessment method
required
SH/P
to certify
P
PE28.20 Counsel the child with asthma on the correct use of inhalers in a
S
P
Y
Bedside clinics, Small Skills Assessment/
3
Respiratory Medicine
simulated environment
group discussion,
Written/ Viva voce
Lecture
PE34.1
Discuss the epidemiology, clinical features, clinical types,
K
KH
Y
Lecture, Small group
Written/ Viva voce
Microbiology
Respiratory Medicine
complications of Tuberculosis in Children and Adolescents
discussion
PE34.2
Discuss the various diagnostic tools for childhood tuberculosis
K
KH
Y
Lecture, Small group
Written/ Viva voce
Microbiology
Respiratory Medicine
discussion
PE34.3
Discuss the various regimens for management of Tuberculosis as
K
KH
Y
Lecture, Small group
Written/ Viva voce
Microbiology,
Respiratory Medicine
per National Guidelines
discussion
Community Medicine,
Pharmacology
PE34.4
Discuss the preventive strategies adopted and the objectives and
K
KH
Y
Lecture, Small group
Written/ Viva voce
Microbiology,
Respiratory Medicine
outcome of the National Tuberculosis Control Program
discussion
Community Medicine,
Pharmacology
PE34.5
Able to elicit, document and present history of contact with
S
SH
Y
Bedside clinics, Skill lab Skill Assessment
Respiratory Medicine
tuberculosis in every patient encounter
PE34.6
Identify a BCG scar
S
P
Y
Bed side clinics, Skills Skill Assessment
3
Microbiology
Respiratory Medicine
lab
PE34.7
Interpret a Mantoux test
S
P
Y
Bed side clinics
Skill assessment
3
Microbiology
Respiratory Medicine
Skills lab
PE34.8
Interpret a Chest Radiograph
S
SH
Y
Bedside clinics
Skill assessment
Radiodiagnosis
Respiratory Medicine
Skills lab
PE34.9
Interpret blood tests in the context of laboratory evidence for
S
SH
N
Bed side clinics,
Log book
Microbiolgoy
Respiratory Medicine
tuberculosis
Small group discussion
PE34.10 Discuss the various samples for demonstraing the organism eg
K
KH
Y
Bed side clinics,
Written/ Viva voce
Microbiolgoy
Respiratory Medicine
Gastric Aspirate, Sputum , CSF, FNAC
Small group discussion
PE34.11 Perform AFB staining
S
P
Y
DOAP session
Log book/Journal
3
Microbiology
Respiratory Medicine
PE34.12 Enumerate the indications and discuss the limitations of methods of
K
KH
Y
Small group discussion Written/ Viva voce
Microbiology
Respiratory Medicine
culturing M.Tuberculii
149

This post was last modified on 16 August 2021