Download MBBS (Bachelor of Medicine and Bachelor of Surgery) Medical Council of India (MCI) Latest General Medicine Syllabus
Number COMPETENCY
Domain
Level Core Y/ Suggested Learning Suggested Assessment
Number
Vertical Integration Horizontal
The student should be able to
K/S/A/C K/KH/
N
methods
methods
required to
Integration
SH/P
certify
P
GENERAL MEDICINE
Topic: Heart Failure Number of competencies: (30) Number of procedures that require certification : (01)
IM1.1
Describe and discuss the epidemiology, pathogenesis clinical
K
KH
Y
Lecture, Small group Written/ Viva voce
Pathology, Physiology
evolution and course of common causes of heart disease including:
discussion
rheumatic/ valvular, ischemic, hypertrophic inflammatory
IM1.2
Describe and discuss the genetic basis of some forms of heart
K
KH
N
Lecture, Small group Written
Pathology, Physiology
failure
discussion
IM1.3
Describe and discuss the aetiology microbiology pathogenies and
K
KH
Y
Lecture, Small group Written/ Viva voce
Pathology,
clinical evolution of rheumatic fever, criteria, degree of rheumatic
discussion
Physiology,
activity and rheumatic valvular heart disease and its complications
Microbiology
including infective endocarditis
IM1.4
Stage heart failure
K
KH
Y
Lecture, Small group Written/ Viva voce
Pathology, Physiology
discussion
IM1.5
Describe ,discuss and differentiate the processes involved in R Vs L
K
KH
Y
Lecture, Small group Written/ Viva voce
Pathology, Physiology
heart failure, systolic vs diastolic failure
discussion
IM1.6
Describe and discuss the compensatory mechanisms involved in
K
KH
Y
Lecture, Small group Written/ Viva voce
Pathology, Physiology
heart failure including cardiac remodelling and neurohormonal
discussion
adaptations
IM1.7
Enumerate, describe and discuss the factors that exacerbate heart
K
KH
Y
Lecture,Small group
Written/ Viva voce
Pathology, Physiology
failure
ilure inc
luding
including i s
ischemia
hem arry
,
thmi
arrythm as, anemia
anem , thyr
thy otox
r
icosis,
discussion
dietary factors drugs etc.
IM1.8
Describe and discuss the pathogenesis and development of
K
KH
Y
Lecture, Small group Written/ Viva voce
Pathology, Physiology
common arrythmias involved in heart failure particularly atrial
discussion
fibrillation
IM1.9
Describe and discuss the clinical presentation and features,
K
KH
Y
Lecture, Small group Written/ Viva voce
Pathology,
diagnosis, recognition and management of acute rheumatic fever
discussion
Microbiology
60
Number COMPETENCY
Domain
Level Core Y/ Suggested Learning Suggested Assessment
Number
Vertical Integration Horizontal
The student should be able to
K/S/A/C K/KH/
N
methods
methods
required to
Integration
SH/P
certify
P
IM1.10
Elicit document and present an appropriate history that will establish
S
SH
Y
Bedside clinic
Skill assessment
the diagnosis, cause and severity of heart failure including:
presenting complaints, precipitating and exacerbating factors, risk
factors exercise tolerance, changes in sleep patterns, features
suggestive of infective endocarditis
IM1.11
Perform and demonstrate a systematic examination based on the
S
SH
Y
Bedside clinic, DOAP Skill assessment
history that will help establish the diagnosis and estimate its severity
session
including: measurement of pulse, blood pressure and respiratory
rate, jugular v
enous
v
f orm
for s
m and puls
pul es
se ,
s, peripheral
puls
pul es
se ,
s,
conjunctiva and fundus, lung, cardiac examination including
palpation and auscultation with identification of heart sounds and
murmurs, abdominal distension and splenic palpation
IM1.12
Demonstrate peripheral pulse, volume, character, quality and
S
SH
Y
Bedside clinic, DOAP Skill assessment
variation in various causes of heart failure
session
IM1.13
Measure the blood pressure accurately, recognise and discuss
S
SH
Y
Bedside clinic, DOAP Skill assessment
alterations in blood pressure in valvular heart disease and other
session
causes of heart failure and cardiac tamponade
IM1.14
Demonstrate and measure jugular venous distension
S
SH
Y
Bedside clinic, DOAP Skill assessment
session
IM1.15
Identify and describe the timing, pitch quality conduction and
S
SH
Y
Bedside clinic, DOAP Skill assessment
significance of precordial murmurs and their variations
session
IM1.16
Generate a differential diagnosis based on the clinical presentation
K
KH
Y
Bedside clinic, Small
Skill assessment
and prioritise it based on the most likely diagnosis
group discussion
IM1.17
Order and interpret diagnostic testing based on the clinical
K
SH
Y
Bedside clinic, DOAP Skill assessment
diagnosis including 12 lead ECG, Chest radiograph, blood cultures
session
IM1.18
Perform and interpret a 12 lead ECG
S
P
Y
Bedside clinic, DOAP Skill assessment
3
session
IM1.19
Enumerate the indications for and describe the findings of heart
S
KH
N
Lecture, Small group Skill assessment
Radiodiagnosis
failure with the following conditions including: 2D echocardiography,
discussion, Bedside
brain natriuretic peptide, exercise testing, nuclear medicine testing
clinic
and coronary angiogram
61
Number COMPETENCY
Domain
Level Core Y/ Suggested Learning Suggested Assessment
Number
Vertical Integration Horizontal
The student should be able to
K/S/A/C K/KH/
N
methods
methods
required to
Integration
SH/P
certify
P
IM1.20
Determine the severity of valvular heart disease based on the
C
SH
Y
Small group
Written/ Skill
clinical and laboratory and imaging features and determine the level
discussion, Lecture,
assessment
of intervention required including surgery
Bedside clinic
IM1.21
Describe and discuss and identify the clinical features of acute and
K
KH/SH
Y
Bedside clinic, Small Skill assessment
subacute endocarditis, echocardiographic findings, blood culture
group discussion,
and sensitivity and therapy
Lecture
IM1.22
Assist and demonstrate the proper technique in collecting specimen
S
SH
Y
DOAP session
Skill assessment
Microbiology
for blood culture
IM1.23
Describe, prescribe and communicate non pharmacologic
S/C
SH
Y
Lecture, Small group Skill assessment
management of heart failure including sodium restriction, physical
discussion
activity and limitations
IM1.24
Describe and discuss the pharmacology of drugs including
K
KH
Y
Lecture, Small group Viva voce/written
Pharmacology
indications, contraindications in the management of heart failure
discussion
including diuretics, ACE inhibitors, Beta blockers, aldosterone
antagonists and cardiac glycosides
IM1.25
Enumerate the indications for valvuloplasty, valvotomy, coronary
K
KH
Y
Lecture, Small group Viva voce/written
revascularization and cardiac transplantation
discussion, Bedside
clinic
IM1.26
Develop document and present a management plan for patients with
S
SH
Y
Bedside clinic, Skill
Bedside clinic/ Skill
heart failure based on type of failure, underlying aetiology
assessment, Small
assessment/written
group discussion
IM1.27
Describe and discuss the role of penicillin prophylaxis in the
K
KH
Y
Bedside clinic, Small Written
Microbiology,
prevention of rheumatic heart disease
group discussion
Pharmacology
IM1.28
Enumerate the causes of adult presentations of congenital heart
K
KH
Y
Bedside clinic, Small Bedside clinic/ Skill
disease and describe the distinguishing features between cyanotic
group discussion
assessment/written
and acyanotic heart disease
IM1.29
Elicit document and present an appropriate history, demonstrate
K
KH
Y
Bedside clinic,Small
Skill assessment/ written
correctly general examination, relevant clinical findings and
group discussion
formulate document and present a management plan for an adult
patient presenting with a common form of congenital heart disease
62
Number COMPETENCY
Domain
Level Core Y/ Suggested Learning Suggested Assessment
Number
Vertical Integration Horizontal
The student should be able to
K/S/A/C K/KH/
N
methods
methods
required to
Integration
SH/P
certify
P
IM1.30
Administer an intramuscular injection with an appropriate
S
SH
Y
Bedside clinic, Skill
Log book documentation
Pharmacology
explanation to the patient
assessment
of completion
Topic: Acute Myocardial Infarction/ IHD Number of competencies: (24) Number of procedures that require certification : (02)
IM2.1
Discuss and describe the epidemiology, antecedents and risk
K
KH
Y
Lecture, Small group Written/ Viva voce
Pathology,
factors for atherosclerosis and ischemic heart disease
discussion
Physiology,
Community Medicine
IM2
IM .2
Dis
Di cus
scu s
ss the
aetiology
of
ris
risk f ac
fa tors
tors both modif
modifiable
iable and
non
K
KH
Y
Lecture, Sma
Sm ll
all group
Wrirtten/
itten/ Viva
Viva voce
Pathology, Phys
Phy iology
modifiable of atherosclerosis and IHD
discussion
IM2.3
Discuss and describe the lipid cycle and the role of dyslipidemia in
K
KH
Y
Lecture, Small group Written/ Viva voce
Physiology,
the pathogenesis of atherosclerosis
discussion
Biochemistry
IM2.4
Discuss and describe the pathogenesis natural history, evolution
K
KH
Y
Lecture, Small group Written/ Viva voce
Pathology, Physiology
and complications of atherosclerosis and IHD
discussion
IM2.5
Define the various acute coronary syndromes and describe their
K
KH
Y
Lecture, Small group Written/ Viva voce
Pathology
evolution, natural history and outcomes
discussion
IM2.6
Elicit document and present an appropriate history that includes
S
SH
Y
Bedside clinic, DOAP Skill assessment
onset evolution, presentation risk factors, family history, comorbid
session
conditions, complications, medication, history of atherosclerosis,
IHD and coronary syndromes
IM2.7
Perform, demonstrate and document a physical examination
S
SH
Y
Bedside clinic, DOAP Skill assessment
including a vascular and cardiac examination that is appropriate for
session
the clinical presentation
IM2.8
Generate document and present a differential diagnosis based on
S
SH
Y
Bedside clinic, DOAP Skill assessment
the clinical presentation and prioritise based on "cannot miss", most
session
likely diagnosis and severity
IM2.9
Distinguish and differentiate between stable and unstable angina
S
SH
Y
Bedside clinic, DOAP Skill assessment
and AMI based on the clinical presentation
session
IM2.10
Order, perform and interpret an ECG
S
P
Y
Bedside clinic, DOAP Skill assessment
3
session
63
Number COMPETENCY
Domain
Level Core Y/ Suggested Learning Suggested Assessment
Number
Vertical Integration Horizontal
The student should be able to
K/S/A/C K/KH/
N
methods
methods
required to
Integration
SH/P
certify
P
IM2.11
Order and interpret a Chest X-ray and markers of acute myocardial
S
SH
Y
Bedside clinic, DOAP Skill assessment
infarction
session
IM2.12
Choose and interpret a lipid profile and identify the desirable lipid
S
SH
Y
Bedside clinic, DOAP Skill assessment
Biochemistry
profile in the clinical context
session
IM2.13
Discuss and enumerate the indications for and findings on
K
KH
Y
Lecture, Small group Written/ Viva voce
echocardiogram, stress testing and coronary angiogram
discussion
IM2.14
Discuss and describe the indications for admission to a coronary
K
KH
Y
Lecture, Small group Written/ Viva voce
care unit and supportive therapy for a patient with acute coronary
discussion
syndrome
IM2.15
Discuss and describe the medications used in patients with an
K
KH
Y
Lecture, Small group Written/ Viva voce
Pharmacology
acute coronary syndrome based on the clinical presentation
discussion
IM2.16
Discuss and describe the indications for acute thrombolysis, PTCA
K
KH
Y
Lecture, Small group Written/ Viva voce
and CABG
discussion
IM2.17
Discuss and describe the indications and methods of cardiac
K
KH
Y
Lecture, Small group Written/ Viva voce
rehabilitation
discussion
IM2.18
Discuss and describe the indications, formulations, doses, side
K
KH
Y
Lecture, Small group Written/ Viva voce
Pharmacology,
effects and monitoring for drugs used in the management of
discussion
Biochemistry
dyslipidemia
IM2.19
Discuss and describe the pathogenesis, recognition and
K
KH
Y
Lecture, Small group Written/ Viva voce
management of complications of acute coronary syndromes
discussion
including arrhythmias, shock, LV dysfunction, papillary muscle
rupture and pericarditis
IM2.20
Discuss and describe the assessment and relief of pain in acute
K
KH
Y
Lecture, Small group Written/ Viva voce
Pharmacology
coronary syndromes
discussion
IM2.21
Observe and participate in a controlled environment an ACLS
S
KH
N
DOAP session
NA
program
IM2.22
Perform and demonstrate in a mannequin BLS
S
P
Y
DOAP session
Skill assessment
1
64
Number COMPETENCY
Domain
Level Core Y/ Suggested Learning Suggested Assessment
Number
Vertical Integration Horizontal
The student should be able to
K/S/A/C K/KH/
N
methods
methods
required to
Integration
SH/P
certify
P
IM2.23
Describe and discuss the indications for nitrates, anti platelet
K
KH
Y
Lecture, Small group Written/ Viva voce
Pharmacology
agents, gpIIb IIIa inhibitors, beta blockers, ACE inhibitors etc in the
discussion
management of coronary syndromes
IM2.24
Counsel and communicate to patients with empathy lifestyle
C/A
SH
Y
DOAP session
Skill assessment
AETCOM
changes in atherosclerosis / post coronary syndromes
Topic: Pneumonia Number of competencies: (19) Number of procedures that require certification: (NIL)
IM3.1
Define, discuss, describe and distinguish community acquired
K
K
Y
Lecture, Small group Short note/ Viva voce
Human Anatomy,
pneumonia, nosocomial pneumonia and aspiration pneumonia
discussion
Pathology,
Microbiology
IM3.2
Discuss and describe the aetiologies of various kinds of pneumonia
K
K
Y
Lecture, Small group Short note/ Viva voce
Microbiology
and their microbiology depending on the setting and immune status
discussion
of the host
IM3.3
Discuss and describe the pathogenesis, presentation, natural
K
K
Y
Lecture, Small group Short note/ Viva voce
Pathology,
history and complications of pneumonia
discussion
Microbiology
IM3.4
Elicit document and present an appropriate history including the
S
SH
Y
Bedside clinic, DOAP Skill assessment
evolution, risk factors including immune status and occupational risk
session
IM3.5
Perform, document and demonstrate a physical examination
S
SH
Y
Bedside clinic, DOAP Skill assessment
including general examination and appropriate examination of the
session
lungs that establishes the diagnosis, complications and severity of
disease
IM3.6
Generate document and present a differential diagnosis based on
S
SH
Y
Bedside clinic, DOAP Skill assessment
the clinical features, and prioritise the diagnosis based on the
session
presentation
IM3.7
Order and interpret diagnostic tests based on the clinical
S
SH
Y
Bedside clinic, DOAP Skill assessment
Radiodiagnosis,
presentation including: CBC, Chest X ray PA view, Mantoux, sputum
session
Microbiology
gram stain, sputum culture and sensitivity, pleural fluid examination
and culture, HIV testing and ABG
65
Number COMPETENCY
Domain
Level Core Y/ Suggested Learning Suggested Assessment
Number
Vertical Integration Horizontal
The student should be able to
K/S/A/C K/KH/
N
methods
methods
required to
Integration
SH/P
certify
P
IM3.8
Demonstrate in a mannequin and interpret results of an arterial
S
SH
Y
Bedside clinic, DOAP Skill assessment
blood gas examination
session
IM3.9
Demonstrate in a mannequin and interpret results of a pleural fluid
S
SH
Y
DOAP session
Skill assessment
aspiration
IM3.10
Demonstrate the correct technique in a mannequin and interpret
S
SH
Y
DOAP session
Skill assessment
Microbiology
results of a blood culture
IM3
IM .11
11
Des
De cribe
scribe and
enum
erate
enum
the
the indicati
a ons
tions fo
for further
urther testing inc
including
luding
S
SH
Y
Bedside clinic
clinic, DOAP
DOAP Skill assessme
ssm nt
Radiodiagnosis,
HRCT, Viral cultures, PCR and specialised testing
session
Microbiology
IM3.12
Select, describe and prescribe based on the most likely aetiology,
S
SH
Y
Bed side clinic, DOAP Skill Assessment/
Pharmacology,
an appropriate empirical antimicrobial based on the pharmacology
session
Written/ Viva voce
Microbiology
and antimicrobial spectrum
IM3.13
Select, describe and prescribe based on culture and sensitivity
S
SH
Y
Bedside clinic, DOAP Skill assessment/
Pharmacology,
appropriate empaling antimicrobial based on the pharmacology and
session
Written/ Viva voce
Microbiology
antimicrobial spectrum.
IM3.14
Perform and interpret a sputum gram stain and AFB
S
P
Y
DOAP session
Skill assessment
Microbiology
IM3.15
Describe and enumerate the indications for hospitalisation in
K
K
Y
Lecture, Small group Short note/ Viva voce
patients with pneumonia
discussion
IM3.16
Describe and enumerate the indications for isolation and barrier
K
K
Y
Lecture, Small group Short note/ Viva voce
nursing in patients with pneumonia
discussion
IM3.17
Describe and discuss the supportive therapy in patients with
K
K
Y
Lecture, Small group Short note/ Viva voce
pneumonia including oxyg
ygen use and indications for ventilation
discussion
IM3.18
Communicate and counsel patient on family on the diagnosis and
C/A
SH
Y
DOAP session
Skill assessment
therapy of pneumonia
IM3.19
Discuss, describe, enumerate the indications and communicate to
S/C
K
Y
Lecture, Small group Short note/ Viva voce
Microbiology
patients on pneumococcal and influenza vaccines
discussion
Topic: Fever and febrile syndromes Number of competencies: (26) Number of procedures that require certification :
(NIL)
66
Number COMPETENCY
Domain
Level Core Y/ Suggested Learning Suggested Assessment
Number
Vertical Integration Horizontal
The student should be able to
K/S/A/C K/KH/
N
methods
methods
required to
Integration
SH/P
certify
P
IM4.1
Describe and discuss the febrile response and the influence of host
K
K
Y
Lecture, Small group Written
Microbiology
immune status, risk factors and comorbidities on the febrile
discussion
response
IM4.2
Describe and discuss the influence of special populations on the
K
K
Y
Lecture, Small group Written
Microbiology
febrile response including: the elderly, immune suppression,
discussion
malignancy and neutropenia, HIV and travel
IM4
IM .3
Dis
Di cus
scu s
ss and
des
de cribe
scribe t he
the c
o
c m
o mon
mmo c
aus
c
es pathophy
,
s
pathophy iology and
K
K
Y
Lecture, Sma
Sm ll
all group
Written
r
Mi
M crobiology
cr
,
manifestations of fever in various regions in India including
discussion
Community Medicine
bacterial, parasitic and viral causes (e.g.Dengue, Chikungunya,
Typhus)
IM4.4
Describe and discuss the pathophysiology and manifestations of
K
KH
Y
Lecture, Small group Written
Microbiology
inflammatory causes of fever
discussion
IM4.5
Describe and discuss the pathophysiology and manifestations of
K
KH
Y
Lecture, Small group Written
Pathology,
malignant causes of fever including hematologic and lymph node
discussion
Microbiology
malignancies
IM4.6
Discuss and describe the pathophysiology and manifestations of
K
KH
Y
Lecture, Small group Written
Microbiology
malaria
discussion
IM4.7
Discuss and describe the pathophysiology and manifestations of the
K
K
Y
Lecture, Small group Written
sepsis syndrome
discussion
IM4.8
Discuss and describe the pathophysiology, aetiology and clinical
K
K
Y
Lecture, Small group Written
Microbiology
manifestations of fever of unknown origin (FUO) including in a
discussion
norma
norm l host, neutropenic host, nosocomial
om hos
t a
nd
and a
hos
t w
ith
with H
IV
HIV
disease
IM4.9
Elicit document and present a medical history that helps delineate
S
SH
Y
Bedside clinic, DOAP Skill assessment
Microbiology
the aetiology of fever that includes the evolution and pattern of
session
fever, associated symptoms, immune status, comorbidities, risk
factors, exposure through occupation, travel and environment and
medication use
67
Number COMPETENCY
Domain
Level Core Y/ Suggested Learning Suggested Assessment
Number
Vertical Integration Horizontal
The student should be able to
K/S/A/C K/KH/
N
methods
methods
required to
Integration
SH/P
certify
P
IM4.10
Perform a systematic examination that establishes the diagnosis
S
SH
Y
Bedside clinic, DOAP Skill assessment
and severity of presentation that includes: general skin mucosal and
session
lymph node examination, chest and abdominal examination
(including examination of the liver and spleen)
IM4.11
Generate a differential diagnosis and prioritise based on clinical
K
SH
Y
Bedside clinic, DOAP Written/ Viva voce
features that help distinguish between infective, inflammatory,
session
malignant and rheumatologic causes
IM4.12
Order and interpret diagnostic tests based on the differential
K
SH
Y
Bedside clinic, Skill
Skill assessment
Pathology,
diagnosis including: CBC with differential, peripheral smear, urinary
assessment
Microbiology
analysis with sediment, Chest X ray, blood and urine cultures,
sputum gram stain and cultures, sputum AFB and cultures, CSF
analysis, pleural and body fluid analysis, stool routine and culture
and QBC
IM4.13
Perform and interpret a sputum gram stain
S
SH
Y
DOAP session
Log book/
Microbiology
documentation
IM4.14
Perform and interpret a sputum AFB
S
SH
Y
DOAP session
Log book/
Microbiology
documentation
IM4.15
Perform and interpret a malarial smear
S
SH
Y
DOAP session
Log book/
Microbiology
documentation/ Skill
assessment
IM4.16
Enumerate the indications and describe the findings in tests of
K
KH
N
Lecture, Small group Written
Pathology
inflammation and specific rheumatologic tests, serologic testing for
discussion
pathogens including HIV, bone marrow aspiration and biopsy
IM4.17
Observe and assist in the performance of a bone marrow aspiration
S
SH
N
Skills lab
Log book/
Pathology
and biopsy in a simulated environment
documentation/ DOAP
session
IM4.18
Enumerate the indications for use of imaging in the diagnosis of
K
KH
N
Lecture, Small group Written/ Viva voce
febrile syndromes
discussion
IM4.19
Assist in the collection of blood and wound cultures
S
SH
Y
DOAP session
Log book/
Microbiology
documentation
68
Number COMPETENCY
Domain
Level Core Y/ Suggested Learning Suggested Assessment
Number
Vertical Integration Horizontal
The student should be able to
K/S/A/C K/KH/
N
methods
methods
required to
Integration
SH/P
certify
P
IM4.20
Interpret a PPD (Mantoux)
S
SH
Y
DOAP session
Log book/ documentation
Microbiology
IM4.21
Develop and present an appropriate diagnostic plan based on the
K
KH
Y
Bedside clinic, Skill
Skill assessment
clinical presentation, most likely diagnosis in a prioritised and cost
assessment
effective manner
IM4.22
Describe and discuss the pharmacology, indications, adverse
K
KH
Y
Lecture, Small group Written/ Viva voce
Pharmacology
reactions, interactions of antimalarial drugs and basis of resistance
discussion
IM4.23
Prescribe drugs for malaria based on the species identified,
S
SH
Y
Small group
Skill assessment
Microbiology,
prevalence of drug resistance and national programs
discussion
Pharmacology
IM4.24
Develop an appropriate empiric treatment plan based on the
C
SH
Y
DOAP session
Skill assessment
patient's clinical and immune status pending definitive diagnosis
IM4.25
Communicate to the patient and family the diagnosis and treatment
C
SH
Y
DOAP session
Skill assessment
AETCOM
IM4.26
Counsel the patient on malarial prevention
C
SH
Y
DOAP session
Skill assessment
Microbiology,
Pharmacology
Topic: Liver disease Number of competencies: (18) Number of procedures that require certification : (NIL)
IM5.1
Describe and discuss the physiologic and biochemical basis of
K
K
Y
Lecture, Small group Written/Viva voce
Pathology, Physiology
hyperbilirubinemia
discussion
IM5.2
Describe and discuss the aetiology and pathophysiology of liver
K
K
Y
Lecture, Small group Written/ Viva voce
Pathology, Physiology
injury
discussion
IM5.3
Describe and discuss the pathologic changes in various forms of
K
K
Y
Lecture, Small group Written/ Viva voce
Pathology
liver disease
discussion
IM5.4
Describe and discuss the epidemiology, microbiology, immunology
K
K
Y
Lecture, Small group Written/ Viva voce
Pathology,
and clinical evolution of infective (viral) hepatitis
discussion
Microbiology
IM5.5
Describe and discuss the pathophysiology and clinical evolution of
K
K
Y
Lecture, Small group Written/ Viva voce
Pathology
alcoholic liver disease
discussion
69
Number COMPETENCY
Domain
Level Core Y/ Suggested Learning Suggested Assessment
Number
Vertical Integration Horizontal
The student should be able to
K/S/A/C K/KH/
N
methods
methods
required to
Integration
SH/P
certify
P
IM5.6
Describe and discuss the pathophysiology, clinical evolution and
K
K
Y
Lecture, Small group Written/ Viva voce
Pathology
complications of cirrhosis and portal hypertension including ascites,
discussion
spontaneous bacterial peritonitis, hepatorenal syndrome and
hepatic encephalopathy
IM5.7
Enumerate and describe the causes and
K
K
Y
Lecture, Small group Written/ Viva voce
Pathology,
pathophysiology of drug induced liver injury
discussion
Pharmacology
IM5.8
Describe and discuss the pathophysiology, clinical evolution and
K
K
Y
Lecture, Small group Written/ Viva voce
General Surgery
complications cholelithiasis and cholecystitis
discussion
IM5.9
Elicit document and present a medical history that helps delineate
S
SH
Y
Bedside clinic, DOAP Skill assessment
the aetiology of the current presentation and includes clinical
session
presentation, risk factors, drug use, sexual history, vaccination
history and family history
IM5.10
Perform a systematic examination that establishes the diagnosis
S
SH
Y
Bedside clinic, DOAP Skill assessment
and severity that includes nutritional status, mental status, jaundice,
session
abdominal distension ascites, features of portosystemic
hypertension and hepatic encephalopathy
IM5.11
Generate a differential diagnosis and prioritise based on clinical
K
KH
Y
Bedside clinic, DOAP Skill assessment/ Viva
features that suggest a specific aetiology for the presenting
session
voce
symptom
IM5.12
Choose and interpret appropriate diagnostic tests including: CBC,
S
KH
Y
Bedside clinic, DOAP Skill assessment
Pathology
bilirubin,
bilir
f unction
unction tests,
tests, Hepat
itis
Hepatitis ser
se ology
rology and ascitic
ascitic f luid
fluid
session
examination in patient with liver diseases.
IM5.13
Enumerate the indications for ultrasound and other imaging studies
K
K
Y
Bedside clinic,Small
Viva voce/ Written
Radiodiagnosis
General Surgery
including MRCP and ERCP and describe the findings in liver
group discussion
disease
IM5.14
Outline a diagnostic approach to liver disease based on
S
SH
Y
Bedside clinic,Small
Viva voce/ Written
Pathology,
hyperbilirubinemia, liver function changes and hepatitis serology
group discussion
Microbiology
70
Number COMPETENCY
Domain
Level Core Y/ Suggested Learning Suggested Assessment
Number
Vertical Integration Horizontal
The student should be able to
K/S/A/C K/KH/
N
methods
methods
required to
Integration
SH/P
certify
P
IM5.15
Assist in the performance and interpret the findings of an ascitic
S
KH
Y
DOAP session
documentation in log
fluid analysis
book
IM5.16
Describe and discuss the management of hepatitis, cirrhosis, portal
K
KH
Y
Written, Small group Skill assessment/
Pharmacology
General Surgery
hypertension, ascites spontaneous, bacterial peritonitis and hepatic
discussion
Written/ Viva voce
encephalopathy
IM5.17
Enumerate the indications, precautions and counsel patients on
K/C
SH
Y
Written, Small group Written/ Viva voce
Microbiology
vaccination for hepatitis
discussion
IM5.18
Enumerate the indications for hepatic transplantation
K
K
Y
Written, Small group Written/ Viva voce
General Surgery
discussion
Topic: HIV Number of competencies: (23) Number of procedures that require certification : (NIL)
IM6.1
Describe and discuss the symptoms and signs of acute HIV
K
KH
Y
Lecture, Small group Short note/ Viva voce
Microbiology
seroconversion
discussion
IM6.2
Define and classify HIV AIDS based on the CDC criteria
K
KH
Y
Lecture, Small group Short notes/ Viva voce
Microbiology
discussion
IM6.3
Describe and discuss the relationship between CDC count and the
K
KH
Y
Lecture, Small group Short notes/ Viva voce
Microbiology
risk of opportunistic infections
discussion
IM6.4
Describe and discuss the pathogenesis, evolution and clinical
K
KH
Y
Lecture, Small group Short notes/ Viva voce
Microbiology
features of common HIV related opportunistic infections
discussion
IM6.5
Describe and discuss the pathogenesis, evolution and clinical
K
KH
Y
Lecture, Small group Short notes/ Viva voce
Pathology,
features of common HIV related malignancies
discussion
Microbiology
IM6.6
Describe and discuss the pathogenesis, evolution and clinical
K
KH
Y
Lecture, Small group Short notes/ Viva voce
Pathology,
features of common HIV related skin and oral lesions
discussion
Microbiology
IM6.7
Elicit document and present a medical history that helps delineate
S
SH
Y
Bedside clinic, DOAP Skill assessment
the aetiology of the current presentation and includes risk factors for
session
HIV, mode of infection, other sexually transmitted diseases, risks for
opportunistic infections and nutritional status
71
Number COMPETENCY
Domain
Level Core Y/ Suggested Learning Suggested Assessment
Number
Vertical Integration Horizontal
The student should be able to
K/S/A/C K/KH/
N
methods
methods
required to
Integration
SH/P
certify
P
IM6.8
Generate a differential diagnosis and prioritise based on clinical
S
SH
Y
Bedside clinic, DOAP Skill assessment
features that suggest a specific aetiology for the presenting
session, Small group
symptom
discussion
IM6.9
Choose and interpret appropriate diagnostic tests to diagnose and
K
KH
Y
Bedside clinic, DOAP Written/ Skill
Pathology,
classify the severity of HIV-AIDS including specific tests of HIV,
session, Small group assessment
Microbiology
CDC
discussion
IM6.10
Choose and interpret appropriate diagnostic tests to diagnose
S
KH
Y
Bedside clinic, DOAP Written/ Skill
opportunistic infections
ctions inc
luding CBC
s
, putum
s
ex
amination
am
and
session
ssio Sm
,
a
Sm l
all g
roup
group assessme
ssm nt
cultures, blood cultures, stool analysis, CSF analysis and Chest
discussion
radiographs
IM6.11
Enumerate the indications and describe the findings for CT of the
K
K
N
Small group
Written/ Viva voce
Radiodiagnosis
chest and brain and MRI
discussion, Lecture,
Bedside clinic
IM6.12
Enumerate the indications for and interpret the results of: pulse
K
KH
Y
Bedside clinic, DOAP Written/ Skill
oximetry, ABG, Chest Radiograph
session, Small group assessment
discussion
IM6.13
Describe and enumerate the indications and side effects of drugs
K
K
Y
Lecture, Small group Written/ Viva voce
Pharmacology,
for bacterial, viral and other types of diarrhea
discussion
Microbiology
IM6.14
Perform and interpret AFB sputum
S
P
Y
DOAP session
Skill assessment
Microbiology
IM6.15
Demonstrate in a model the correct technique to perform a lumbar
S
SH
Y
Simulation
Skill assessment
Microbiology
puncture
IM6.16
Discuss and describe the principles of HAART, the classes of
K
K
Y
Lecture, Small group Written/ Viva voce
Microbiology,
antiretrovirals used, adverse reactions and interactions
discussion
Pharmacology
IM6.17
Discuss and describe the principles and regimens used in post
K
K
Y
Lecture, Small group Written/ Viva voce
Microbiology,
exposure prophylaxis
discussion
Pharmacology
IM6.18
Enumerate the indications and discuss prophylactic drugs used to
K/C
K
Y
Lecture, Small group Written/ Viva voce
Pathology,
prevent HIV related opportunistic infections
discussion
Microbiology
72
Number COMPETENCY
Domain
Level Core Y/ Suggested Learning Suggested Assessment
Number
Vertical Integration Horizontal
The student should be able to
K/S/A/C K/KH/
N
methods
methods
required to
Integration
SH/P
certify
P
IM6.19
Counsel patients on prevention of HIV transmission
C
SH
Y
DOAP session
Skills assessment
AETCOM
IM6.20
Communicate diagnosis, treatment plan and subsequent follow up
C
SH
Y
DOAP session
Skills assessment
AETCOM
plan to patients
IM6.21
Communicate with patients on the importance of medication
C
SH
Y
DOAP session
Skills assessment
AETCOM
adherence
IM6.22
Demonstrate understanding of ethical and legal issues regarding
K/A
SH
Y
DOAP session, Small Viva voce/ Written/ Skill
AETCOM
patient confidentiality and disclosure in patients with HIV
group discussion
Assessment
IM6.23
Demonstrate a non-judgemental attitude to patients with HIV and to
A
SH
Y
Small group
observation by teacher
AETCOM
their lifestyles
discussion
Topic: Rheumatologic problems Number of competencies: (27) Number of procedures that require certification: (NIL)
IM7.1
Describe the pathophysiology of autoimmune disease
K
KH
Y
Lecture, Small group Written/ Viva voce
Pathology
discussion
IM7.2
Describe the genetic basis of autoimmune disease
K
KH
N
Lecture, Small group Written/ Viva voce
Pathology
discussion
IM7.3
Classify cause of joint pain based on the pathophysiology
K
KH
Y
Lecture, Small group Written/ Viva voce
discussion
IM7.4
Develop a systematic clinical approach to joint pain based on the
K
KH
Y
Lecture, Small group Written/ Viva voce
Orthopedics
pathophysiology
discussion
IM7.5
Describe and discriminate acute, subacute and chronic causes of
K
KH
Y
Lecture, Small group Written/ Viva voce
Orthopedics
joint pain
discussion
IM7.6
Discriminate, describe and discuss arthralgia from arthritis and
K
KH
Y
Lecture, Small group Written/ Viva voce
Orthopedics
mechanical from inflammatory causes of joint pain
discussion
IM7.7
Discriminate, describe and discuss distinguishing articular from
K
KH
Y
Lecture, Small group Written/ Viva voce
Orthopedics
periarticular complaints
discussion
IM7.8
Determine the potential causes of join pain based on the presenting
K
KH
Y
Lecture, Small group Written/ Viva voce
Orthopedics
features of joint involvement
discussion
73
Number COMPETENCY
Domain
Level Core Y/ Suggested Learning Suggested Assessment
Number
Vertical Integration Horizontal
The student should be able to
K/S/A/C K/KH/
N
methods
methods
required to
Integration
SH/P
certify
P
IM7.9
Describe the common signs and symptoms of articular and
K
KH
Y
Lecture, Small group Written/ Viva voce
Orthopedics
periarticular diseases
discussion
IM7.10
Describe the systemic manifestations of rheumatologic disease
K
KH
Y
Lecture, Small group Written/ Viva voce
discussion
IM7.11
Elicit document and present a medical history that will differentiate
S
SH
Y
Bedside clinic, DOAP Skill assessment
the aetiologies of disease
session
IM7.12
Perform a system
y
atic examination of all jo
j ints, muscle and skin that
S
SH
Y
Bedside clinic, DOAP Skill assessment
Orthopedics
will establish the diagnosis and severity of disease
session
IM7.13
Generate a differential diagnosis and prioritise based on clinical
K/S
KH
Y
Bedside clinic, Small
Skill assessment/
features that suggest a specific aetiology
group discussion
Written
IM7.14
Describe the appropriate diagnostic work up based on the
K
KH
Y
Bedside clinic, Small
Skill assessment/
presumed aetiology
group discussion
Written
IM7.15
Enumerate the indications for and interpret the results of : CBC, anti-
K
SH
Y
Bedside clinic, Small
Skill assessment/
Pathology
CCP, RA, ANA, DNA and other tests of autoimmunity
group discussion
Written
IM7.16
Enumerate the indications for arthrocentesis
K
K
Y
Small group
Written/ Viva voce
Orthopedics
discussion, Lecture
IM7.17
Enumerate the indications and interpret plain radiographs of joints
K
SH
Y
Bedside clinic, Small
Skill assessment/
Radiodiagnosis
Orthopedics
group discussion
Written
IM7.18
Communicate diagnosis, treatment plan and subsequent follow up
C
SH
Y
DOAP session
Skill assessment/
plan to patients
Written
IM7.19
Develop an appropriate treatment plan for patients with
K
KH
Y
Bedside clinic, Small
Skill assessment/
rheumatologic diseases
group discussion
Written
IM7.20
Select, prescribe and communicate appropriate medications for
K/C
SH
Y
DOAP session
Skill assessment/
Pharmacology
Orthopedics
relief of joint pain
Written
IM7.21
Select, prescribe and communicate preventive therapy for crystalline K/C
SH
Y
DOAP session
Skill assessment/
Pharmacology
arthropathies
Written
74
Number COMPETENCY
Domain
Level Core Y/ Suggested Learning Suggested Assessment
Number
Vertical Integration Horizontal
The student should be able to
K/S/A/C K/KH/
N
methods
methods
required to
Integration
SH/P
certify
P
IM7.22
Select, prescribe and communicate treatment option for systemic
K/C
SH
Y
DOAP session
Skill assessment/
Pharmacology
rheumatologic conditions
Written
IM7.23
Describe the basis for biologic and disease modifying therapy in
K
KH
Y
Bedside clinic, Small
Skill assessment/
Pharmacology
rheumatologic diseases
group discussion
Written
IM7.24
Communicate and incorporate patient preferences in the choice of
C/A
SH
Y
DOAP session
Skill assessment
AETCOM
therapy
IM7
IM .25
25
Develop and communicat
i
e appropr ate folllow up and monitit i
or ng
C
SH
Y
DOAP session
Skill assessment
plans for patients with rheumatologic conditions
IM7.26
Demonstrate an understanding of the impact of rheumatologic
A
SH
Y
DOAP session
Skill assessment
conditions on quality of life, well being, work and family
IM7.27
Determine the need for specialist consultation
K
K
Y
Small group
Viva voce
discussion, Lecture
Topic: Hypertension Number of competencies: (20) Number of procedures that require certification: (NIL)
IM8.1
Describe and discuss the epidemiology, aetiology and the
K
KH
Y
Lecture, Small group Written/ Viva voce
Pathology, Physiology
prevalence of primary and secondary hypertension
discussion
IM8.2
Describe and discuss the pathophysiology of hypertension
K
KH
Y
Lecture, Small group Written/ Viva voce
Pathology, Physiology
discussion
IM8.3
Describe and discuss the genetic basis of hypertension
K
KH
N
Lecture, Small group Written/ Viva voce
Pathology
discussion
IM8.4
Define and classify hypertension
K
KH
Y
Lecture, Small group Written/ Viva voce
Pathology
discussion
IM8.5
Describe and discuss the differences between primary and
K
KH
Y
Lecture, Small group Written/ Viva voce
Pathology
secondary hypertension
discussion
IM8.6
Define, describe and discuss and recognise hypertensive urgency
K
KH
Y
Lecture, Small group Written/ Viva voce
and emergency
discussion
75
Number COMPETENCY
Domain
Level Core Y/ Suggested Learning Suggested Assessment
Number
Vertical Integration Horizontal
The student should be able to
K/S/A/C K/KH/
N
methods
methods
required to
Integration
SH/P
certify
P
IM8.7
Describe and discuss the clinical manifestations of the various
K
KH
Y
Lecture, Small group Written/ Viva voce
Pathology
aetiologies of secondary causes of hypertension
discussion
IM8.8
Describe, discuss and identify target organ damage due to
K
KH
Y
Lecture, Small group Written/ Viva voce
Pathology
hypertension
discussion
IM8.9
Elicit document and present a medical history that includes: duration
K
SH
Y
Bedside clinic, DOAP Skill assessment
and levels, symptoms, comorbidities, lifestyle, risk factors, family
session
history, psychosocial and environmental factors, dietary
assessment, previous and concomitant therapy
IM8.10
Perform a systematic examination that includes : an accurate
S
SH
Y
Bedside clinic, DOAP Skill assessment
measurement of blood pressure, fundus examination, examination
session
of vasculature and heart
IM8.11
Generate a differential diagnosis and prioritise based on clinical
S
SH
Y
Bedside clinic, DOAP Skill assessment
features that suggest a specific aetiology
session
IM8.12
Describe the appropriate diagnostic work up based on the
K
KH
Y
Small group
Skill assessment/
presumed aetiology
discussion
Written/ Viva voce
IM8.13
Enumerate the indications for and interpret the results of : CBC,
K
KH
Y
Small group
Skill assessment/
Urine routine, BUN, Cr, Electrolytes, Uric acid, ECG
discussion
Written/ Viva voce
IM8.14
Develop an appropriate treatment plan for essential hypertension
K
KH
Y
Small group
Written/ Viva voce
Pharmacology
discussion
IM8.15
Recognise, prioritise and manage hypertensive emergencies
S
SH
Y
DOAP session
Skill assessment/
Pharmacology
Written
IM8.16
Develop and communicate to the patient lifestyle modification
C
SH
Y
DOAP session
Skill assessment
including weight reduction, moderation of alcohol intake, physical
activity and sodium intake
IM8.17
Perform and interpret a 12 lead ECG
S
P
Y
DOAP session
documentation in log
book/ skills station
IM8.18
Incorporate patient preferences in the management of HTN
A/C
SH
Y
DOAP session
Skill assessment
76
Number COMPETENCY
Domain
Level Core Y/ Suggested Learning Suggested Assessment
Number
Vertical Integration Horizontal
The student should be able to
K/S/A/C K/KH/
N
methods
methods
required to
Integration
SH/P
certify
P
IM8.19
Demonstrate understanding of the impact of Hypertension on quality
A
SH
Y
Bedside clinic, DOAP observation by faculty
of life, well being, work and family
session
IM8.20
Determine the need for specialist consultation
K
KH
Y
Lecture, Small group Written/ Viva voce
discussion
Topic: Anemia Number of competencies: (21) Number of procedures that require certification : (NIL)
IM9.1
Define, describe and classify anemia based on red blood cell size
K
KH
Y
Lecture, Small group Written/ Viva voce
Pathology
and reticulocyte c
y
ount
discussion
IM9.2
Describe and discuss the morphological characteristics, aetiology
K
KH
Y
Lecture, Small group Written/ Viva voce
Pathology
and prevalence of each of the causes of anemia
discussion
IM9.3
Elicit document and present a medical history that includes
S
SH
Y
Bed side clinic, DOAP Skill assessment
symptoms, risk factors including GI bleeding, prior history,
session
medications, menstrual history, and family history
IM9.4
Perform a systematic examination that includes : general
S
SH
Y
Bedside clinic, DOAP Skill assessment
examination for pallor, oral examination, DOAP session of hyper
session
dynamic circulation, lymph node and splenic examination
IM9.5
Generate a differential diagnosis and prioritise based on clinical
S
SH
Y
Bedside clinic, DOAP Skill assessment/
Pathology
features that suggest a specific aetiology
session
Written
IM9.6
Describe the appropriate diagnostic work up based on the
S
SH
Y
Bedside clinic, DOAP Skill assessment/
Pathology
presumed aetiology
session
Written
IM9.7
Describe and discuss the meaning and utility of various components
K
KH
Y
Lecture, Small group Written/ Viva voce/ Skill
Pathology
f
of th
the hhemogram
di
discu i
ssion
assessment
IM9.8
Describe and discuss the various tests for iron deficiency
K
KH
Y
Lecture, Small group Written/ Viva voce/ Skill
Pathology
discussion
assessment
IM9.9
Order and interpret tests for anemia including hemogram, red cell
S
SH
Y
Bedside clinic, DOAP Skill assessment/
Pathology
indices, reticulocyte count, iron studies, B12 and folate
session
Written
IM9.10
Describe, perform and interpret a peripheral smear and stool occult
S
SH
P
Bedside clinic, DOAP Skill assessment/
Pathology
blood
session
Written
77
Number COMPETENCY
Domain
Level Core Y/ Suggested Learning Suggested Assessment
Number
Vertical Integration Horizontal
The student should be able to
K/S/A/C K/KH/
N
methods
methods
required to
Integration
SH/P
certify
P
IM9.11
Describe the indications and interpret the results of a bone marrow
K
KH
Y
Lecture, Small group Written/ Viva voce/ Skill
Pathology
aspirations and biopsy
discussion
assessment
IM9.12
Describe, develop a diagnostic plan to determine the aetiology of
K
KH
Y
Lecture, Small group Written/ Viva voce/ Skill
Pathology
anemia
discussion
assessment
IM9.13
Prescribe replacement therapy with iron, B12, folate
S
SH
Y
Bedside clinic, DOAP Skill assessment/
Pharmacology
session
Written
IM9.14
Describe the national programs for anemia prevention
K
KH
Y
Lecture, Small group Written/ Viva voce
Pharmacology,
discussion
Community Medicine
IM9.15
Communicate the diagnosis and the treatment appropriately to
C
SH
Y
DOAP session
Skill assessment
patients
IM9.16
Incorporate patient preferences in the management of anemia
C
SH
Y
DOAP session
Skill assessment
IM9.17
Describe the indications for blood transfusion and the appropriate
K
KH
Y
Lecture, Small group Written/ Viva voce/ Skill
Pathology
use of blood components
discussion
assessment
IM9.18
Describe the precautions required necessary when performing a
K
KH
Y
Lecture, Small group Written/ Viva voce/ Skill
blood transfusion
discussion
assessment
IM9.19
Assist in a blood transfusion
S
SH
Y
Bedside clinic
document in log book
IM9.20
Communicate and counsel patients with methods to prevent
C
SH
Y
DOAP session
Skill assessment
nutritional anemia
IM9.21
Determine the need for specialist consultation
K
KH
Y
Lecture, Small group Written
discussion
Topic: Acute Kidney Injury and Chronic renal failure Number of competencies: (31) Number of procedures that require certification: (NIL)
IM10.1
Define, describe and differentiate between acute and chronic renal
K
KH
Y
Lecture, Small group Written/ Viva voce
Pathology
failure
discussion
IM10.2
Classify, describe and differentiate the pathophysiologic causes of
K
KH
Y
Lecture, Small group Written/ Viva voce
Pathology
acute renal failure
discussion
78
Number COMPETENCY
Domain
Level Core Y/ Suggested Learning Suggested Assessment
Number
Vertical Integration Horizontal
The student should be able to
K/S/A/C K/KH/
N
methods
methods
required to
Integration
SH/P
certify
P
IM10.3
Describe the pathophysiology and causes of pre renal ARF, renal
K
KH
Y
Lecture, Small group Written/ Viva voce
Pathology
and post renal ARF
discussion
IM10.4
Describe the evolution, natural history and treatment of ARF
K
KH
Y
Lecture, Small group Written/ Viva voce
Pathology
discussion
IM10.5
Describe and discuss the aetiology of CRF
K
KH
Y
Lecture, Small group Written/ Viva voce
Pathology
discussion
IM10.6
Stage Chronic Kidney Disease
K
KH
Y
Lecture, Small group Written/ Viva voce
Pathology
discussion
IM10.7
Describe and discuss the pathophysiology and clinical findings of
K
KH
Y
Lecture, Small group Written/ Viva voce
Pathology
uraemia
discussion
IM10.8
Classify, describe and discuss the significance of proteinuria in CKD
K
KH
Y
Lecture, Small group Written/ Viva voce
Pathology
discussion
IM10.9
Describe and discuss the pathophysiology of anemia and
K
KH
Y
Lecture, Small group Written/ Viva voce
Pathology
hyperparathyroidism in CKD
discussion
IM10.10 Describe and discuss the association between CKD glycemia and
K
KH
Y
Lecture, Small group Written/ Viva voce
Pathology
hypertension
discussion
IM10.11 Describe and discuss the relationship between CAD risk factors and
K
KH
Y
Lecture, Small group Written/ Viva voce
Pathology
CKD and in dialysis
discussion
IM10.12 Elicit document and present a medical history that will differentiate
S
SH
Y
Bedside clinic, DOAP Skill assessment
the aetiologies of disease, distinguish acute and chronic disease,
session
identify predisposing conditions, nephrotoxic drugs and systemic
causes
IM10.13 Perform a systematic examination that establishes the diagnosis
S
SH
Y
Bedside clinic, DOAP Skill assessment
and severity including determination of volume status, presence of
session
edema and heart failure, features of uraemia and associated
systemic disease
IM10.14 Generate a differential diagnosis and prioritise based on clinical
K
KH
Y
DOAP session, Small Skill assessment/
features that suggest a specific aetiology
group discussion
Written/ Viva voce
79
Number COMPETENCY
Domain
Level Core Y/ Suggested Learning Suggested Assessment
Number
Vertical Integration Horizontal
The student should be able to
K/S/A/C K/KH/
N
methods
methods
required to
Integration
SH/P
certify
P
IM10.15 Describe the appropriate diagnostic work up based on the
K
SH
Y
DOAP session, Small Skill assessment/
presumed aetiology
group discussion
Written/ Viva voce
IM10.16 Enumerate the indications for and interpret the results of : renal
K
KH
Y
DOAP session, Small Skill assessment/
Pathology
function tests, calcium, phosphorus, PTH, urine electrolytes,
group discussion
Written/ Viva voce
osmolality, Anion gap
IM10.17 Describe and calculate indices of renal function based on available
S
SH
Y
DOAP session, Small Skill assessment/
Pathology
laboratories including FENa (Fractional Excretion of Sodium) and
group discussion
Written/ Viva voce
CrCl (Creatinine Clearance)
IM10.18 Identify the ECG findings in hyperkalemia
S
SH
Y
DOAP session, Small Skill assessment/
group discussion
Written/ Viva voce
IM10.19 Enumerate the indications and describe the findings in renal
K
KH
N
Lecture, Small group Written/ Viva voce
Radiodiagnosis
ultrasound
discussion
IM10.20 Describe and discuss the indications to perform arterial blood gas
S
P
Y
DOAP session
documentation in log
analysis: interpret the data
book
IM10.21 Describe and discuss the indications for and insert a peripheral
S
P
Y
DOAP session,
documentation in
intravenous catheter
Bedside clinic
logbook
IM10.22 Describe and discuss the indications, demonstrate in a model and
S
SH
N
DOAP session
Skill assessment with
assist in the insertion of a central venous or a dialysis catheter
model
IM10.23 Communicate diagnosis treatment plan and subsequent follow up
C
SH
Y
DOAP session
Skill assessment
plan to patients
IM10.24 Counsel patients on a renal diet
K
SH
Y
DOAP session
Skill assessment
IM10.25 Identify and describe the priorities in the management of ARF
K/C
KH
Y
Lecture, Small group Written/ Viva voce
Pharmacology
including diet, volume management, alteration in doses of drugs,
discussion
monitoring and indications for dialysis
IM10.26 Describe and discuss supportive therapy in CKD including diet, anti
K
KH
Y
Written/ Viva voce
hypertensives, glycemic therapy, dyslipidemia, anemia,
Lecture, Small group
hyperkalemia, hyperphosphatemia and secondary
discussion
hyperparathyroidism
80
Number COMPETENCY
Domain
Level Core Y/ Suggested Learning Suggested Assessment
Number
Vertical Integration Horizontal
The student should be able to
K/S/A/C K/KH/
N
methods
methods
required to
Integration
SH/P
certify
P
IM10.27 Describe and discuss the indications for renal dialysis
C/A
KH
Y
Lecture, Small group Written/ Viva voce
discussion
IM10.28 Describe and discuss the indications for renal replacement therapy
C
KH
Y
Lecture, Small group Written/ Viva voce
discussion
IM10.29 Describe discuss and communicate the ethical and legal issues
C/A
KH
Y
Lecture, Small group Written/ Viva voce
involved in renal replacement therapy
discussion
IM10.30 Recognise the impact of CKD on patient's quality of life well being
A
K
Y
Lecture, Small group observation by faculty
work and family
discussion, Bedside
clinic
IM10.31 Incorporate patient preferences in to the care of CKD
A/C
KH
Y
Lecture, Small group observation by faculty
discussion, Bedside
clinic
Topic: Diabetes Mellitus Number of competencies: (24) Number of procedures that require certification : (02)
IM11.1
Define and classify diabetes
K
KH
Y
Lecture, Small group Written/ Viva voce
discussion
IM11.2
Describe and discuss the epidemiology and pathogenesis and risk
K
KH
Y
Lecture, Small group Written/ Viva voce
Pathology
factors and clinical evolution of type 1 diabetes
discussion
IM11.3
Describe and discuss the epidemiology and pathogenesis and risk
K
KH
Y
Lecture, Small group Written/ Viva voce
Pathology
factors economic impact and clinical evolution of type 2 diabetes
discussion
IM11
IM .4
De
i
scr b
ibe and di
scu th
ss e geneti b
c ackground and th
i
e f
n lfluence of
K
KH
N
Lecture, Smalll group W irtt
itten/ Vi
Viva voce
the environment on diabetes
discussion
IM11.5
Describe and discuss the pathogenesis and temporal evolution of
K
KH
Y
Lecture, Small group Written/ Viva voce
Pathology
microvascular and macrovascular complications of diabetes
discussion
IM11.6
Describe and discuss the pathogenesis and precipitating factors,
K
KH
Y
Lecture, Small group Written/ Viva voce
recognition and management of diabetic emergencies
discussion
81
Number COMPETENCY
Domain
Level Core Y/ Suggested Learning Suggested Assessment
Number
Vertical Integration Horizontal
The student should be able to
K/S/A/C K/KH/
N
methods
methods
required to
Integration
SH/P
certify
P
IM11.7
Elicit document and present a medical history that will differentiate
S
SH
Y
Bedside clinic, DOAP Skill assessment
the aetiologies of diabetes including risk factors, precipitating
session
factors, lifestyle, nutritional history, family history, medication
history, co-morbidities and target organ disease
IM11.8
Perform a systematic examination that establishes the diagnosis
S
SH
Y
Bedside clinic, DOAP Skill assessment
and severity that includes skin, peripheral pulses, blood pressure
session
measurement, fundus examination, detailed examination of the foot
(pulses, nervous and deformities and injuries)
IM11.9
Describe and recognise the clinical features of patients who present
K
KH
Y
Small group
Written/ Viva voce
with a diabetic emergency
discussion, Lecture
IM11.10 Generate a differential diagnosis and prioritise based on clinical
K
KH
Y
Small group
Written/ Viva voce
features that suggest a specific aetiology
discussion, Lecture
IM11.11 Order and interpret laboratory tests to diagnose diabetes and its
S
SH
Y
Bedside clinic, DOAP Skill assessment
Pathology
complications including: glucoses, glucose tolerance test,
session
glycosylated hemoglobin, urinary micro albumin, ECG, electrolytes,
ABG, ketones, renal function tests and lipid profile
IM11.12 Perform and interpret a capillary blood glucose test
S
P
Y
Bedside clinic, DOAP Skill assessment
2
Pathology,
session
Biochemistry
IM11.13 Perform and interpret a urinary ketone estimation with a dipstick
S
P
Y
Bedside clinic, DOAP Skill assessment
2
Pathology,
session
Biochemistry
IM11.14 Recognise the presentation of hypoglycaemia and outline the
K
KH
Y
Small Group
Written/ Viva voce
principles on its therapy
discussion, Lecture
IM11.15 Recognise the presentation of diabetic emergencies and outline the
K
KH
Y
Small Group
Written/ Viva voce
principles of therapy
discussion, Lecture
IM11.16 Discuss and describe the pharmacologic therapies for diabetes their
K
KH
Y
Small Group
Written/ Viva voce
Pharmacology
indications, contraindications, adverse reactions and interactions
discussion, Lecture
IM11.17 Outline a therapeutic approach to therapy of T2Diabetes based on
K
KH
Y
Small Group
Written/ Viva voce
presentation, severity and complications in a cost effective manner
discussion, Lecture
82
Number COMPETENCY
Domain
Level Core Y/ Suggested Learning Suggested Assessment
Number
Vertical Integration Horizontal
The student should be able to
K/S/A/C K/KH/
N
methods
methods
required to
Integration
SH/P
certify
P
IM11.18 Describe and discuss the pharmacology, indications, adverse
K
KH
Y
Lecture, Small group Written/ Viva voce
Pharmacology
reactions and interactions of drugs used in the prevention and
discussion
treatment of target organ damage and complications of Type II
Diabetes including neuropathy, nephropathy, retinopathy,
hypertension, dyslipidemia and cardiovascular disease
IM11.19 Demonstrate and counsel patients on the correct technique to
S/C
SH
Y
DOAP session
Skill assessment
Pharmacology
administer insulin
IM11.20
IM
Demons
Dem
trate to
to and counsel patients on
on the
the c
o
correc
rre t
ct technique of se
self S/C
SH
Y
DOAP
DOAP session
Skill assessme
ssm nt
monitoring of blood glucoses
IM11.21 Recognise the importance of patient preference while selecting
A
KH
Y
DOAP session
faculty observation
therapy for diabetes
IM11.22 Enumerate the causes of hypoglycaemia and describe the counter
K
KH
Y
Lecture, Small group Written/ Viva voce
Pathology, Physiology
hormone response and the initial approach and treatment
discussion
IM11.23 Describe the precipitating causes,
K
KH
Y
Lecture, Small group Written/ Viva voce
pathophysiology, recognition, clinical features, diagnosis,
discussion
stabilisation and management of diabetic ketoacidosis
IM11.24 Describe the precipitating causes, pathophysiology, recognition,
K
KH
N
Lecture, Small group Written/ Viva voce
clinical features, diagnosis, stabilisation and management of
discussion
Hyperosmolar non ketotic state
Topic: Thyroid dysfunction Number of competencies: (15) Number of procedures that require certification : (NIL)
IM12.1
Describe the epidemiology and pathogenesis of hypothyroidism and
K
K
Y
Lecture, Small group Written/ Viva voce
Pathology, Physiology
hyperthy
hy
r
perthy oidis
r
m including the
i nf
influenc
luence of
of iodine
iodine def
iciency and
discussion
autoimmunity in the pathogenesis of thyroid disease
IM12.2
Describe and discuss the genetic basis of some forms of thyroid
K
K
N
Lecture, Small group Written/ Viva voce
dysfunction
discussion
IM12.3
Describe and discuss the physiology of the hypothalamopituitary -
K
K
Y
Lecture, Small group Short notes
Pathology, Physiology
thyroid axis, principles of thyroid function testing and alterations in
discussion
physiologic function
83
Number COMPETENCY
Domain
Level Core Y/ Suggested Learning Suggested Assessment
Number
Vertical Integration Horizontal
The student should be able to
K/S/A/C K/KH/
N
methods
methods
required to
Integration
SH/P
certify
P
IM12.4
Describe and discuss the principles of radio iodine uptake in the
K
KH
Y
Lecture, Small group Short notes/ Viva voce
diagnosis of thyroid disorders
discussion
IM12.5
Elicit document and present an appropriate history that will establish
S
SH
Y
Bedside clinic
Skill assessment/ Short
the diagnosis cause of thyroid dysfunction and its severity
case
IM12.6
Perform and demonstrate a systematic examination based on the
S
SH
Y
Bed side clinic, DOAP Skill assessment
General Surgery
history that will help establish the diagnosis and severity including
session
systemic signs of thyrotoxicosis and hypothyroidism, palpation of
the pulse f or
fo r ate
rate and
rhy
thm
rhythm abnorma
abnorm lities nec
,
k palpation
of
the
thyroid and lymph nodes and cardiovascular findings
IM12.7
Demonstrate the correct technique to palpate the thyroid
S
SH
Y
Bedside clinic, DOAP Skill assessment
General Surgery
session
IM12.8
Generate a differential diagnosis based on the clinical presentation
K
KH
Y
Bedside clinic, small
Short case
General Surgery
and prioritise it based on the most likely diagnosis
group discussion
IM12.9
Order and interpret diagnostic testing based on the clinical
S
SH
Y
Bedside clinic, DOAP Skill assessment
General Surgery
diagnosis including CBC, thyroid function tests and ECG and radio
session
iodine uptake and scan
IM12.10 Identify atrial fibrillation, pericardial effusion and bradycardia on
S
SH
Y
Bedside clinic, lab
Skill assessment
General Surgery
ECG
IM12.11 Interpret thyroid function tests in hypo and hyperthyroidism
S
SH
Y
Bedside clinic, lab
Skill assessment
General Surgery
IM12.12 Describe and discuss the iodisation programs of the government of
K
KH
Y
Lecture, Bedside clinic Short note
Community Medicine
India
IM12.13 Describe the pharmacology, indications, adverse reaction,
K
KH
Y
Lecture, Small group Viva voce/ Short note
Pharmacology
General Surgery
interactions of thyroxine and antithyroid drugs
discussion
IM12.14 Write and communicate to the patient appropriately a prescription
S/C
SH
Y
Skill assessment
Skill assessment
Pharmacology
for thyroxine based on age, sex, and clinical and biochemical status
IM12.15 Describe and discuss the indications of thionamide therapy, radio
K
KH
Y
Bedside clinic, Small
Short note/ Viva voce
Pharmacology
General Surgery
iodine therapy and surgery in the management of thyrotoxicosis
group discussion
84
Number COMPETENCY
Domain
Level Core Y/ Suggested Learning Suggested Assessment
Number
Vertical Integration Horizontal
The student should be able to
K/S/A/C K/KH/
N
methods
methods
required to
Integration
SH/P
certify
P
Topic: Common malignancies Number of competencies: (19) Number of procedures that require certification : (NIL)
IM13.1
Describe the clinical epidemiology and inherited & modifiable risk
K
K
Y
Lecture, Small group
Short note/ Viva voce
Pathology,
factors for common malignancies in India
discussion
Biochemistry
IM13.2
Describe the genetic basis of selected cancers
K
K
N
Lecture, Small group Short note/ Viva voce
Pathology
discussion
IM13.3
Describe the relationship between infection and cancers
K
K
Y
Lecture, Small group Short note/ Viva voce
Pathology,
discussion
Microbiology
IM13.4
Describe the natural history, presentation, course, complications
K
K
Y
Lecture, Small group Short note/ Viva voce
Pathology
and cause of death for common cancers
discussion
IM13.5
Describe the common issues encountered in patients at the end of
K
K
N
Lecture, Small group Short note/ Viva voce
life and principles of management
discussion
IM13.6
Describe and distinguish the difference between curative and
K
K
N
Lecture, Small group Short note/ Viva voce
Pharmacology
palliative care in patients with cancer
discussion
IM13.7
Elicit document and present a history that will help establish the
S
K
Y
Bedside clinic
Skill assessment/ Short
General Surgery
aetiology of cancer and includes the appropriate risk factors,
case
duration and evolution
IM13.8
Perform and demonstrate a physical examination that includes an
S
SH
Y
Bedside clinic
Skill assessment/ short
General Surgery
appropriate general and local examination that excludes the
case
diagnosis, extent spread and complications of cancer
IM13.9
Demonstrate in a mannequin the correct technique for performing
S
K
Y
Bedside clinic
Skill assessment/ Short
Human Anatomy
General Surgery
breast ex
exam
am, rec
rectal
tal ex
exami
am nation
ination and ce
cerv
r ic
v al
ical examination
am
a
nd
and pap
case
smear
IM13.10 Generate a differential diagnosis based on the presenting symptoms
S
K
Y
Bedside clinic
Skill assessment/ Short
General Surgery
and clinical features and prioritise based on the most likely
case
diagnosis
IM13.11 Order and interpret diagnostic testing based on the clinical
S
K
Y
Bedside clinic
Skill assessment/ Short
diagnosis including CBC and stool occult blood and prostate
case
specific antigen
85
Number COMPETENCY
Domain
Level Core Y/ Suggested Learning Suggested Assessment
Number
Vertical Integration Horizontal
The student should be able to
K/S/A/C K/KH/
N
methods
methods
required to
Integration
SH/P
certify
P
IM13.12 Describe the indications and interpret the results of Chest X Ray,
K
KH
Y
Bedside clinic, Small
Short note/ Viva voce
Radiodiagnosis
mammogram, skin and tissue biopsies and tumor markers used in
group discussion
common cancers
IM13.13 Describe and assess pain and suffering objectively in a patient with
K
KH
Y
Bedside clinic, Small
Short note/ Viva voce
Pharmacology
General Surgery
cancer
group discussion
IM13.14 Describe the indications for surgery, radiation and chemotherapy for
K
KH
Y
Bedside clinic, Small
Short note/ Viva voce
Pharmacology
General Surgery
commo
mmon malignanc
malignancies
group dis
di cu
scussion
ssion
IM13.15 Describe the need, tests involved, their utility in the prevention of
K
KH
Y
Bedside clinic, Small
Short note/ Viva voce
Pathology
common malignancies
group discussion
IM13.16 Demonstrate an understanding and needs and preferences of
A/C
KH
Y
Bedside clinic, small
Short note/ Viva voce
AETCOM
patients when choosing curative and palliative therapy
group discussion
IM13.17 Describe and enumerate the indications, use, side effects of
K
KH
Y
Bedside clinic,Small
Short note/ Viva voce
Pharmacology
Anesthesiology
narcotics in pain alleviation in patients with cancer
group discussion
IM13.18 Describe and discuss the ethical and the medico legal issues
K
KH
Y
Bedside clinic, Small
Short note/ Viva voce
AETCOM
involved in end of life care
group discussion
IM13.19 Describe the therapies used in alleviating suffering in patients at the
K
KH
Y
Bedside clinic, Small
Short note/ Viva voce
AETCOM
end of life
group discussion
Topic: Obesity Number of competencies: (15) Number of procedures that require certification: ( NIL)
IM14.1
Deffine and measure obesity as it relates to the Indian population
K
K
Y
Lec
S
ture, mall group SShort note/ Viva voce
discussion
IM14.2
Describe and discuss the aetiology of obesity including modifiable
K
K
Y
Lecture, Small group Short note/ Viva voce
Pathology
and non-modifiable risk factors and secondary causes
discussion
IM14.3
Describe and discuss the monogenic forms of obesity
K
K
N
Lecture, Small group Short note/ Viva voce
Pathology
discussion
86
Number COMPETENCY
Domain
Level Core Y/ Suggested Learning Suggested Assessment
Number
Vertical Integration Horizontal
The student should be able to
K/S/A/C K/KH/
N
methods
methods
required to
Integration
SH/P
certify
P
IM14.4
Describe and discuss the impact of environmental factors including
K
K
Y
Lecture, Small group Short note/ Viva voce
Pathology, Community
eating habits, food, work, environment and physical activity on the
discussion
Medicine
incidence of obesity
IM14.5
Describe and discuss the natural history of obesity and its
K
K
Y
Lecture, Small group Short note/ Viva voce
Pathology
complications
discussion
IM14.6
Elicit and document and present an appropriate history that includes
S
SH
Y
Bedside clinic, Skills Skill assessment
the natural history, dietary history, modifiable risk factors, family
lab
history, clues
lues f or
fo s
ec
econdary c
auses and mo
m tiva
tiv tion to
los
e
lose weight
IM14.7
Perform, document and demonstrate a physical examination based
S
SH
Y
Bedside clinic, Skills Skill assessment
on the history that includes general examination, measurement of
lab
abdominal obesity, signs of secondary causes and comorbidities
IM14.8
Generate a differential diagnosis based on the presenting symptoms
S
SH
Y
Bedside clinic,Skills
Skill assessment/ Short
and clinical features and prioritise based on the most likely
lab
note/ Viva voce
diagnosis
IM14.9
Order and interpret diagnostic tests based on the clinical diagnosis
S
SH
Y
Bedside clinic, Skills Skill assessment/ Short
including blood glucose, lipids, thyroid function tests etc.
lab, Small group
note/ Viva voce
discussion
IM14.10 Describe the indications and interpret the results of tests for
K
KH
Y
Bedside clinic, Skills Skill assessment/ Short
secondary causes of obesity
lab, Small group
note/ Viva voce
discussion
IM14.11 Communicate and counsel patient on behavioural, dietary and
C
SH
Y
Bedside clinic, Skills Skill assessment
lifestyle m
y
odifications
lab
IM14.12 Demonstrate an understanding of patient's inability to adhere to
A/C
SH
Y
Bedside clinic, Skills Skill assessment
lifestyle instructions and counsel them in a non - judgemental way
lab
IM14.13 Describe and enumerate the indications, pharmacology and side
K
K
Y
Lecture, Small group Short note/ Viva voce
Pharmacology
effects of pharmacotherapy for obesity
discussion
IM14.14 Describe and enumerate the indications and side effects of bariatric
K
K
Y
Lecture, Small group Short note/ Viva voce
General Surgery
surgery
discussion
87
Number COMPETENCY
Domain
Level Core Y/ Suggested Learning Suggested Assessment
Number
Vertical Integration Horizontal
The student should be able to
K/S/A/C K/KH/
N
methods
methods
required to
Integration
SH/P
certify
P
IM14.15 Describe and enumerate and educate patients, health care workers
K
K
Y
Lecture, Small group Short note/ Viva voce
and the public on measures to prevent obesity and promote a
discussion
healthy lifestyle
Topic: GI bleeding Number of competencies: (18) Number of procedures that require certification : ( NIL)
IM15.1
Enumerate, describe and discuss the aetiology of upper and lower
K
KH
Y
Lecture, Small group Short note/ Viva voce
Pathology
General Surgery
GI bleeding
discussion
IM15.2
Enumerate, describe and discuss the evaluation and steps involved
S
SH
Y
DOAP session, Small Written/ Viva voce/ Skill
Pathology
General Surgery
in stabilizing a patient who presents with acute volume loss and GI
group discussion,
assessment
bleed
Lecture
IM15.3
Describe and discuss the physiologic effects of acute blood and
K
K
Y
Lecture, Small group Short note/ Viva voce
Pathology, Physiology General Surgery
volume loss
discussion
IM15.4
Elicit and document and present an appropriate history that
S
SH
Y
Bedside clinic
Skill assessment
General Surgery
identifies the route of bleeding, quantity, grade, volume loss,
duration, etiology, comorbid illnesses and risk factors
IM15.5
Perform, demonstrate and document a physical examination based
S
SH
Y
Bedside clinic, Skills Skill assessment
General Surgery
on the history that includes general examination, volume
lab
assessment and appropriate abdominal examination
IM15.6
Distinguish between upper and lower
S
KH
Y
Lecture, Small group Short note/ Viva voce
General Surgery
gastrointestinal bleeding based on the clinical features
discussion
IM15.7
Demonstrate the correct technique to perform an anal and rectal
S
SH
Y
DOAP session
Skill assessment
General Surgery
examination in a mannequin or equivalent
IM15.8
Generate a differential diagnosis based on the presenting symptoms
S
SH
Y
Bedside clinic, Skills Skill assessment/ Short
General Surgery
and clinical features and prioritise based on the most likely
lab
note/ Viva voce
diagnosis
IM15.9
Choose and interpret diagnostic tests based on the clinical
S
SH
Y
Bedside clinic, DOAP Skill assessment/ Short
Pathology
General Surgery
diagnosis including complete blood count, PT and PTT, stool
session, Small group note/ Viva voce
examination, occult blood, liver function tests, H.pylori test.
discussion
88
Number COMPETENCY
Domain
Level Core Y/ Suggested Learning Suggested Assessment
Number
Vertical Integration Horizontal
The student should be able to
K/S/A/C K/KH/
N
methods
methods
required to
Integration
SH/P
certify
P
IM15.10 Enumerate the indications for endoscopy, colonoscopy and other
K
KH
Y
Lecture, Small group Written/ Viva voce
General Surgery
imaging procedures in the investigation of Upper GI bleeding
discussion
IM15.11 Develop, document and present a treatment plan that includes fluid
S
KH
Y
Lecture, Small group Short note/ Viva voce
Pathology
General Surgery
resuscitation, blood and blood component transfusion, and specific
discussion
therapy for arresting blood loss
IM15.12 Enumerate the indications for whole blood, component and platelet
K
K
Y
Lecture, Small group Short note/ Viva voce
Pathology
General Surgery
transfusion and describe the clinical features and management of a
discussion
mismatched transfusion
IM15.13 Observe cross matching and blood / blood component transfusion
S
SH
Y
Bedside clinic
Short note/ Viva voce/
Pathology
General Surgery
Skill assessment
IM15.14 Describe and enumerate the indications, pharmacology and side
K
K
Y
Lecture, Small group Short note/Viva voce
Pharmacology
General Surgery
effects of pharmacotherapy of pressors used in the treatment of
discussion
Upper GI bleed
IM15.15 Describe and enumerate the indications, pharmacology and side
K
K
Y
Lecture, Small group Short note/ Viva voce
Pharmacology,
General Surgery
effects of pharmacotherapy of acid peptic disease including
discussion
Microbiology
Helicobacter pylori
IM15.16 Enumerate the indications for endoscopic interventions and Surgery
K
K
Y
Lecture, Small group Short note/ Viva voce
General Surgery
discussion
IM15.17 Determine appropriate level of specialist consultation
S
K
Y
Small group
General Surgery
discussion
IM15.18 Counsel the family and patient in an empathetic non-judgmental
S
SH
Y
DOAP session
Skill assessment
General Surgery
manner on the diagnosis and therapeutic options
Topic: Diarrheal disorder Number of competencies: (17) Number of procedures that require certification : (NIL)
IM16.1
Describe and discuss the aetiology of acute and chronic diarrhea
K
K
Y
Lecture, Small group Short note/ Viva voce
Microbiology
including infectious and non infectious causes
discussion
IM16.2
Describe and discuss the acute systemic consequences of diarrhea
K
K
Y
Lecture, Small group Short note/ Viva voce
including its impact on fluid balance
discussion
89
Number COMPETENCY
Domain
Level Core Y/ Suggested Learning Suggested Assessment
Number
Vertical Integration Horizontal
The student should be able to
K/S/A/C K/KH/
N
methods
methods
required to
Integration
SH/P
certify
P
IM16.3
Describe and discuss the chronic effects of diarrhea including
K
K
Y
Lecture, Small group Short note/ Viva voce
malabsorption
discussion
IM16.4
Elicit and document and present an appropriate history that includes
S
SH
Y
Bedside clinic, Skills Skill assessment
Microbiology,
the natural history, dietary history, travel , sexual history and other
lab
Pathology
concomitant illnesses
IM16.5
Perform, document and demonstrate a physical examination based
S
SH
Y
Bedside clinic, Skills Skill assessment
on the history that includes general examination, including an
lab
appropriate abdominal examination
IM16.6
Distinguish between diarrhea and dysentery based on clinical
S
KH
Y
Lecture, Small group Short note/ Viva voce
features
discussion
IM16.7
Generate a differential diagnosis based on the presenting symptoms
S
SH
Y
Bedside clinic, Skills Skill assessment/ short
and clinical features and prioritise based on the most likely
lab
note/ Viva voce
diagnosis
IM16.8
Choose and interpret diagnostic tests based on the clinical
S
SH
Y
Bedside clinic, Skills Skill assessment/ Short
Microbiology,
diagnosis including complete blood count, and stool examination
lab, Small group
note/ Viva voce
Pathology
discussion
IM16.9
Identify common parasitic causes of diarrhea under the microscope
S
SH
Y
DOAP session
Skill assessment
Microbiology
in a stool specimen
IM16.10 Identify vibrio cholera in a hanging drop specimen
S
SH
Y
DOAP session
Skill Assessment
Microbiology
IM16.11 Enumerate the indications for stool cultures and blood cultures in
K
KH
Y
Lecture, Small group Written/ Viva voce
Microbiology
patients with acute diarrhea
discussion
IM16.12 Enumerate and discuss the indications for further investigations K
KH
Y
Lecture, Small group Written/ Viva voce
Pathology
General Surgery
including antibodies, colonoscopy, diagnostic imaging and biopsy in
discussion
the diagnosis of chronic diarrhea
IM16.13 Describe and enumerate the indications, pharmacology and side
K
K
Y
Lecture, Small group Short note/ Viva voce
Pharmacology,
effects of pharmacotherapy for parasitic causes of diarrhea
discussion
Microbiology
IM16.14 Describe and enumerate the indications, pharmacology and side
K
K
Y
Lecture, Small group Short note/ Viva voce
Pharmacology,
effects of pharmacotherapy for bacterial and viral diarrhea
discussion
Microbiology
90
Number COMPETENCY
Domain
Level Core Y/ Suggested Learning Suggested Assessment
Number
Vertical Integration Horizontal
The student should be able to
K/S/A/C K/KH/
N
methods
methods
required to
Integration
SH/P
certify
P
IM16.15 Distinguish based on the clinical presentation Crohn's disease from
S
SH
Y
Lecture, Small group Short note/ Viva voce
Pathology
General Surgery
Ulcerative Colitis
discussion
IM16.16 Describe and enumerate the indications, pharmacology and side
K
K
Y
Lecture, Small group Short note/ Viva voce
Pharmacology
effects of pharmacotherapy including immunotherapy
discussion
IM16.17 Describe and enumerate the indications for surgery in inflammatory
K
K
Y
Lecture, Small group Short note/ Viva voce
General Surgery
bowel disease
discussion
Topic: Headache Number of competencies: (14) Number of procedures that require certification : (NIL)
IM17.1
Define and classify headache and describe the presenting features,
K
KH
Y
Lecture, Small group Short note/ Viva voce
Human Anatomy
precipitating factors, aggravating and relieving factors of various
discussion
kinds of headache
IM17.2
Elicit and document and present an appropriate history including
S
SH
Y
Bedside clinic, Small Bedside clinic/ Skill
aura, precipitating aggravating and relieving factors, associated
group discussion
assessment
symptoms that help identify the cause of headaches
IM17.3
Classify migraine and describe the distinguishing features between
K
KH
Y
Bedside clinic, Small Bedside clinic/ Skill
classical and non classical forms of migraine
group discussion
assessment
IM17.4
Perform and demonstrate a general neurologic examination and a
S
SH
Y
Bedside clinic, Small Bedside clinic/ Skill
focused examination for signs of intracranial tension including neck
group discussion
assessment
signs of meningitis
IM17.5
Generate document and present a differential diagnosis based on
S
SH
Y
Bedside clinic,Small
Bedside clinic/ skill
the clinical
clinical f eatures and
,
prioritise the diagnos
diagnosis bas
ed on
the
group dis
di cu
scussion
ssion
assessme
ssm nt
presentation
IM17.6
Choose and interpret diagnostic testing based on the clinical
S
SH
Y
Lecture, Small group Skill Assessment
diagnosis including imaging
discussion, Bedside
clinic
IM17.7
Enumerate the indications and describe the findings in the CSF in
K
K
Y
Small group
Skill Assessment
Microbiology,
patients with meningitis
discussion, Bedside
Pathology
clinic
91
Number COMPETENCY
Domain
Level Core Y/ Suggested Learning Suggested Assessment
Number
Vertical Integration Horizontal
The student should be able to
K/S/A/C K/KH/
N
methods
methods
required to
Integration
SH/P
certify
P
IM17.8
Demonstrate in a mannequin or equivalent the
S
SH
Y
DOAP session
Skill assessment
Microbiology,
correct technique for performing a lumbar puncture
Pathology
IM17.9
Interpret the CSF findings when presented with various parameters
S
SH
Y
Small group
Skill assessment
Microbiology,
of CSF fluid analysis
discussion, Bedside
Pathology
clinic
IM17.10 Enumerate the indications for emergency care admission and
K
K
Y
Lecture, Small group Written/ Viva voce
immediate supportive care in patients with headache
discussion
IM17.11 Describe the indications, pharmacology, dose, side effects of
K
KH
Y
Lecture, Small group Written/ Viva voce
Pharmacology
abortive therapy in migraine
discussion
IM17.12 Describe the indications, pharmacology, dose, side effects of
K
KH
Y
Lecture, Small group Written/ Viva voce
Pharmacology
prophylactic therapy in migraine
discussion
IM17.13 Describe the pharmacology, dose, adverse reactions and regimens
K
KH
Y
Lecture, Small group Written/ Viva voce
Pharmacology
of drugs used in the treatment of bacterial, tubercular and viral
discussion
meningitis
IM17.14 Counsel patients with migraine and tension headache on lifestyle
A/C
SH
N
DOAP session
Skill Assessment
Pharmacology
Psychiatry
changes and need for prophylactic therapy
Topic: Cerebrovascular accident Number of competencies: (17) Number of procedures that require certification : (NIL)
IM18.1
Describe the functional and the vascular
K
KH
Y
Lecture, Small group Written/ Viva voce
Human Anatomy
anatomy of the brain
discussion
IM18.2
Classify cerebrovascular accidents and describe the aetiology,
K
KH
Y
Lecture, Small group Written/ Viva voce
Pathology
predisposing genetic and risk factors pathogenesis of hemorrhagic
discussion
and non hemorrhagic stroke
IM18.3
Elicit and document and present an appropriate history including
S
SH
Y
Bedside clinic
Skill assessment
Pathology
onset, progression, precipitating and aggravating relieving factors,
associated symptoms that help identify the cause of the
cerebrovascular accident
92
Number COMPETENCY
Domain
Level Core Y/ Suggested Learning Suggested Assessment
Number
Vertical Integration Horizontal
The student should be able to
K/S/A/C K/KH/
N
methods
methods
required to
Integration
SH/P
certify
P
IM18.4
Identify the nature of the cerebrovascular accident based on the
K
KH
Y
Bedside clinic, Small Skill Assessment
temporal evolution and resolution of the illness
group discussion
IM18.5
Perform, demonstrate & document physical examination that
S
SH
Y
Bedside clinic, DOAP Skill Assessment
includes general and a detailed neurologic examination as
session
appropriate, based on the history
IM18.6
Distinguish the lesion based on upper vs lower motor neuron, side,
K/S
SH
Y
Bedside clinic, DOAP Skill Assessment
Physiology
site and most probable nature of the lesion
session
IM18.7
Describe the clinical features and distinguish, based on clinical
K/S
SH
N
Bedside clinic, DOAP Skill Assessment
Physiology
examination, the various disorders of speech
session
IM18.8
Describe and distinguish, based on the clinical presentation, the
K
KH
Y
Small group
Written/ Viva voce
Physiology
types of bladder dysfunction seen in CNS disease
discussion, Bedside
clinic
IM18.9
Choose and interpret the appropriate diagnostic and imaging test
S
KH
Y
Bedside clinic, DOAP Written/ Viva voce/ Skill
Radiodiagnosis
that will delineate the anatomy and underlying cause of the lesion
session, Small group assessment
discussion
IM18.10 Choose and interpret the appropriate diagnostic testing in young
S
SH
Y
Lecture, Small group Written/ Viva voce
patients with a cerebrovascular accident (CVA)
discussion
IM18.11 Describe the initial supportive management of a patient presenting
K
KH
Y
Lecture, Small group Written/ Viva voce
with a cerebrovascular accident (CVA)
discussion
IM18.12 Enumerate the indications for and describe acute therapy of non
K
KH
Y
Lecture, Small group Written/ Viva voce
hemorrhagic stroke including the use of thrombolytic agents
discussion
IM18.13 Enumerate the indications for and describe the role of anti platelet
K
KH
Y
Lecture, Small group Written/ Viva voce
agents in non hemorrhagic stroke
discussion
IM18.14 Describe the initial management of a hemorrhagic stroke
K
KH
Y
Lecture, Small group Written/ Viva voce
discussion
IM18.15 Enumerate the indications for surgery in a hemorrhagic stroke
K
K
Y
Lecture, Small group Written/ Viva voce
General Surgery
discussion
93
Number COMPETENCY
Domain
Level Core Y/ Suggested Learning Suggested Assessment
Number
Vertical Integration Horizontal
The student should be able to
K/S/A/C K/KH/
N
methods
methods
required to
Integration
SH/P
certify
P
IM18.16 Enumerate the indications describe and observe the
S
KH
Y
Lecture, Small group Written/ Viva voce
Physical Medicine &
multidisciplinary rehabilitation of patients with a CVA
discussion
Rehabilitation
IM18.17 Counsel patient and family about the diagnosis and therapy in an
A/C
SH
Y
DOAP session
Skill assessment
empathetic manner
Topic: Movement disorders Number of competencies: (09 ) Number of procedures that require certification : (NIL)
IM19.1
Describe the functional anatomy of the locomotor system of the
K
KH
Y
Lecture, Small group Written/ Viva voce
Human Anatomy,
brain
discussion
Phys
Phy iology
IM19.2
Classify movement disorders of the brain based on distribution,
K
KH
Y
Lecture, Small group Written/ Viva voce
rhythm, repetition, exacerbating and relieving factors
discussion
IM19.3
Elicit and document and present an appropriate history including
S
SH
Y
Bedside clinic
Skill assessment
onset, progression precipitating and aggravating relieving factors,
associated symptoms that help identify the cause of the movement
disorders
IM19.4
Perform, demonstrate and document a physical examination that
S
SH
Y
Bedside clinic
Skill assessment
includes a general examination and a detailed neurologic
examination using standard movement rating scales
IM19.5
Generate document and present a differential diagnosis and
S
SH
Y
Bedside clinic
Skill assessment
prioritise based on the history and physical examination
IM19.6
Make a clinical diagnosis regarding on the anatomical location,
S
SH
Y
Bedside clinic
Skill assessment
nature and cause of the lesion based on the clinical presentation
and findings
IM19.7
Choose and interpret diagnostic and imaging tests in the diagnosis
S
SH
Y
Bedside clinic, Small
Skill assessment/
Radiodiagnosis
of movement disorders
group session
Written/ Viva voce
IM19.8
Discuss and describe the pharmacology, dose, side effects and
K
KH
Y
Lecture, Small group Written/ Viva voce
Pharmacology
interactions used in the drug therapy of Parkinson's syndrome
discussion
IM19.9
Enumerate the indications for use of surgery and botulinum toxin in
K
KH
Y
Lecture, Small group Written/ Viva voce
Pharmacology
General Surgery
the treatment of movement disorders
discussion
94
Number COMPETENCY
Domain
Level Core Y/ Suggested Learning Suggested Assessment
Number
Vertical Integration Horizontal
The student should be able to
K/S/A/C K/KH/
N
methods
methods
required to
Integration
SH/P
certify
P
Topic: Envenomation Number of competencies: (09) Number of procedures that require certification : (NIL)
IM20.1
Enumerate the local poisonous snakes
K
KH
Y
Lecture, Small group Written/ Viva voce
Forensic Medicine,
and describe the distinguishing marks of each
discussion
Pharmacology
IM20.2
Describe, demonstrate in a volunteer or a mannequin and educate
S
SH
Y
DOAP session
Skill assessment/
Forensic Medicine
(to other health care workers / patients) the correct initial
Written/ Viva voce
management of patient with a snake bite in the field
IM20.3
Describe the initial approach to the stabilisation of the patient who
K
KH
Y
Lecture, Small group Written/ Viva voce
Forensic Medicine
presents with snake bite
discussion
IM20.4
Elicit and document and present an appropriate history, the
S
SH
Y
Bedside clinic, DOAP Skill assessment
Forensic Medicine
circumstance, time, kind of snake, evolution of symptoms in a
session
patient with snake bite
IM20.5
Perform a systematic examination, document and present a physical
S
SH
Y
Bedside clinic, DOAP Skill assessment
examination that includes general examination, local examination,
session
appropriate cardiac and neurologic examination
IM20.6
Choose and interpret the appropriate diagnostic testing in patients
S
SH
Y
Small group
Written/ Viva voce
with snake bites
discussion
IM20.7
Enumerate the indications and describe the pharmacology, dose,
K
KH
Y
Lecture, Small group Written/ Viva voce
Pharmacology
adverse reactions, hypersensitivity reactions of anti snake venom
discussion
IM20.8
Describe the diagnosis, initial approach stabilisation and therapy of
K
KH
N
Lecture, Small group Written/ Viva voce
Pharmacology
scorpion envenomation
discussion
IM20.9
Describe the diagnosis initial approach stabilisation and therapy of
K
KH
N
Lecture, Small group Written/ Viva voce
Pharmacology
bee sting allergy
discussion
Topic: Poisoning Number of competencies: (08) Number of procedures that require certification : (NIL)
IM21.1
Describe the initial approach to the
K
KH
Y
Lecture, Small group Written/ Viva voce
Pharmacology
stabilisation of the patient who presents with poisoning
discussion
95
Number COMPETENCY
Domain
Level Core Y/ Suggested Learning Suggested Assessment
Number
Vertical Integration Horizontal
The student should be able to
K/S/A/C K/KH/
N
methods
methods
required to
Integration
SH/P
certify
P
IM21.2
Enumerate the common plant poisons seen in your area and
K
KH
Y
Lecture, Small group
Written/ Viva voce
Forensic Medicine,
describe their toxicology, clinical features, prognosis and specific
discussion
Pharmacology
approach to detoxification
IM21.3
Enumerate the common corrosives used in your area and describe
K
KH
Y
Lecture, Small group Written/ Viva voce
Forensic Medicine,
their toxicology, clinical features, prognosis and approach to therapy
discussion
Pharmacology
IM21.4
Enumerate the commonly observed drug overdose in your area and
K
KH
Y
Lecture, Small group Written/ Viva voce
Forensic Medicine,
describe their toxicology, clinical features, prognosis and approach
discussion
Pharmacology
to therapy
IM21.5
Observe and describe the functions and role of a poison center in
S
KH
Y
DOAP session
document in log book
Forensic Medicine,
suspected poisoning
Pharmacology
IM21.6
Describe the medico legal aspects of suspected suicidal or
S
KH
Y
Lecture, Small group Written/ Viva voce/ Skill
Forensic Medicine,
homicidal poisoning and demonstrate the correct procedure to write
discussion, DOAP
assessment
Pharmacology
a medico legal report on a suspected poisoning
session
IM21.7
Counsel family members of a patient with suspected poisoning
A/C
SH
Y
DOAP session
Skill assessment
Forensic Medicine,
about the clinical and medico legal aspects with empathy
Pharmacology
IM21.8
Enumerate the indications for psychiatric consultation and describe
K
KH
Y
DOAP session
Skill assessment
Forensic Medicine,
the precautions to be taken in a patient with suspected suicidal
Psychiatry
ideation / gesture
Topic: Mineral, Fluid Electrolyte and Acid base Disorder Number of competencies: (13) Number of procedures that require certification : (NIL)
IM22.1
Enumerate the causes of hypercalcemia and
K
KH
N
Lecture, Small group Written/ Viva voce
Pathology, Physiology
distinguish the features of PTH vs non PTH mediated
discussion
hypercalce i
m a
IM22.2
Describe the aetiology, clinical manifestations, diagnosis and clinical
K
KH
N
Lecture, Small group Written/ Viva voce
Pathology
General Surgery
approach to primary hyperparathyroidism
discussion
IM22.3
Describe the approach to the management of hypercalcemia
K
KH
N
Lecture, Small group Written/ Viva voce
Pharmacology
discussion
IM22.4
Enumerate the components and describe the genetic basis of the
K
KH
N
Lecture, Small group Written/ Viva voce
Pathology
multiple endocrine neoplasia syndrome
discussion
96
Number COMPETENCY
Domain
Level Core Y/ Suggested Learning Suggested Assessment
Number
Vertical Integration Horizontal
The student should be able to
K/S/A/C K/KH/
N
methods
methods
required to
Integration
SH/P
certify
P
IM22.5
Enumerate the causes and describe the clinical features and the
K
KH
Y
Lecture, Small group Written/ Viva voce
correct approach to the diagnosis and management of the patient
discussion
with hyponatremia
IM22.6
Enumerate the causes and describe the clinical and laboratory
K
KH
Y
Lecture, Small group Written/ Viva voce
features and the correct approach to the diagnosis and
discussion
management of the patient with hyponatremia
IM22.7
Enumerate the causes and describe the clinical and laboratory
K
KH
Y
Lecture, Small group Written/ Viva voce
features and the correct approach to the diagnosis and
discussion
management of the patient with hypokalemia
IM22.8
Enumerate the causes and describe the clinical and laboratory
K
KH
Y
Lecture, Small group Written/ Viva voce
features and the correct approach to the diagnosis and
discussion
management of the patient with hyperkalemia
IM22.9
Enumerate the causes and describe the clinical and laboratory
K
KH
N
Lecture, Small group Written/ Viva voce
Physiology
features of metabolic acidosis
discussion
IM22.10 Enumerate the causes of describe the clinical and laboratory
K
KH
N
Lecture, Small group Written/ Viva voce
Physiology
features of metabolic alkalosis
discussion
IM22.11 Enumerate the causes and describe the clinical and laboratory
K
KH
N
Lecture, Small group Written/ Viva voce
Physiology
features of respiratory acidosis
discussion
IM22.12 Enumerate the causes and describe the clinical and laboratory
K
KH
N
Lecture, Small group Written/ Viva voce
Physiology
features of respiratory alkalosis
discussion
IM22.13 Identify the underlying acid based disorder based on an ABG report
S
KH
N
Lecture, Small group Written/ Viva voce
Physiology
and clinical situation
situation
discussion
Topic: Nutritional and Vitamin Deficiencies Number of competencies: (05) Number of procedures that require certification: (NIL)
IM23.1
Discuss and describe the methods of nutritional assessment in an
K
KH
Y
Lecture, Small group Written/ Viva voce
Physiology,
Pediatrics
adult and calculation of caloric requirements during illnesses
discussion
Biochemistry
IM23.2
Discuss and describe the causes and consequences of protein
K
KH
Y
Lecture, Small group Written/ Viva voce
Physiology,
Pediatrics
caloric malnutrition in the hospital
discussion
Biochemistry
97
Number COMPETENCY
Domain
Level Core Y/ Suggested Learning Suggested Assessment
Number
Vertical Integration Horizontal
The student should be able to
K/S/A/C K/KH/
N
methods
methods
required to
Integration
SH/P
certify
P
IM23.3
Discuss and describe the aetiology, causes, clinical manifestations,
K
KH
Y
Lecture, Small group Written/ Viva voce
Physiology,
Pediatrics
complications, diagnosis and management of common vitamin
discussion
Biochemistry
deficiencies
IM23.4
Enumerate the indications for enteral and parenteral nutrition in
K
KH
Y
Lecture, Small group Written/ Viva voce
Physiology,
Pediatrics
critically ill patients
discussion
Biochemistry
IM23.5
Counsel and communicate to patients in a simulated environment
S
SH
Y
DOAP session
Skill assessment
with illness on an appropriate balanced diet
Topic: Geriatrics Number of competencies: (22) Number of procedures that require certification : (NIL)
IM24.1
Describe and discuss the epidemiology, pathogenesis, clinical
K
KH
Y
Lecture, Small group Written/ Viva voce
evolution, presentation and course of common diseases in the
discussion
elderly
IM24.2
Perform multidimensional geriatric assessment that includes
S
SH
Y
Bedside clinic, DOAP Skill assessment
Psychiatry
medical, psycho-social and functional components
session
IM24.3
Describe and discuss the aetiopathogenesis,clinical presentation,
K
KH
Y
Lecture, Small group Written/ Viva voce
identification, functional changes, acute care, stabilization,
discussion
management and rehabilitation of acute confusional states
IM24.4
Describe and discuss the aetiopathogenesis,clinical presentation,
K
KH
Y
Lecture, Small group Written/ Viva voce
identification, functional changes, acute care, stabilization,
discussion
management and rehabilitation of vascular events in the elderly
IM24
IM
5
24.5
Des
De cr
scribe
ibe and
dis
di cus
scu s
ss the
aetiopathogenes
is clinic
,c
al
linic pres
entation
entation,
K
KH
Y
Lecture
ure, Sma
Sm ll
all group
Wrirtten/
itten/ Viva
Viva voce
Psyc
Psy hiatry
hiatr
identification, functional changes, acute care, stabilization,
discussion
management and rehabilitation of depression in the elderly
IM24.6
Describe and discuss the aetiopathogenesis causes, clinical
K
KH
Y
Lecture, Small group Written/ Viva voce
AETCOM
presentation, difference in discussion presentation identification,
discussion
functional changes, acute care, stabilization, management and
rehabilitation of dementia in the elderly
98
Number COMPETENCY
Domain
Level Core Y/ Suggested Learning Suggested Assessment
Number
Vertical Integration Horizontal
The student should be able to
K/S/A/C K/KH/
N
methods
methods
required to
Integration
SH/P
certify
P
IM24.7
Describe and discuss the aetiopathogenesis,clinical presentation,
K
KH
N
Lecture, Small group Written/ Viva voce
Psychiatry
identification, functional changes, acute care, stabilization,
discussion
management and rehabilitation of personality changes in the
elderly
IM24.8
Describe and discuss the aetiopathogenesis,clinical presentation,
K
KH
Y
Lecture, Small group Written/ Viva voce
identification, functional changes, acute care, stabilization,
discussion
management and rehabilitation of osteoporosis in the elderly
IM24
IM .9
Des
De cr
scribe
ibe and
dis
di cus
scu s
ss the
aetiopathogenes
is,clinical
clinical pres
entation,
K
KH
Y
Lecture, Sma
Sm ll
all group
Wrirtten/
itten/ Viva
Viva voce
identification, functional changes, acute care, stabilization,
discussion
management and rehabilitation of CVA in the elderly
IM24.10 Describe and discuss the aetiopathogenesis,clinical presentation,
K
KH
Y
Lecture, Small group Written/ Viva voce
Respiratory Medicine
identification, functional changes, acute care, stabilization,
discussion
management and rehabilitation of COPD in the elderly
IM24.11 Describe and discuss the aetiopathogenesis,clinical presentation,
K
KH
Y
Lecture, Small group Written/ Viva voce
Anesthesiology,
identification, functional changes, acute care, stabilization,
discussion
General Surgery
management and rehabilitation of the elderly undergoing surgery
IM24.12 Describe and discuss the aetiopathogenesis,clinical presentation,
K
KH
Y
Lecture, Small group Written/ Viva voce
Orthopedics
identification, functional changes, acute care, stabilization,
discussion
management and rehabilitation of degenerative joint disease
IM24.13 Describe and discuss the aetiopathogenesis,clinical presentation,
K
KH
Y
Lecture, Small group Written/ Viva voce
Orthopedics,
identification, functional changes, acute care, stabilization,
discussion
Physical Medicine &
management and rehabilitation of falls in the elderly
Rehabilitation
IM24.14 Describe and discuss the aetiopathogenesis,clinical presentation,
K
KH
Y
Lecture, Small group Written/ Viva voce
Orthopedics
identification, functional changes, acute care, stabilization,
discussion
management and rehabilitation of common fractures in the elderly
IM24.15 Describe and discuss the aetiopathogenesis,clinical presentation,
K
KH
Y
Lecture, Small group Written/ Viva voce
Ophthalmology
identification, functional changes, acute care, stabilization,
discussion
management and rehabilitation of vision and visual loss in the
elderly
99
Number COMPETENCY
Domain
Level Core Y/ Suggested Learning Suggested Assessment
Number
Vertical Integration Horizontal
The student should be able to
K/S/A/C K/KH/
N
methods
methods
required to
Integration
SH/P
certify
P
IM24.16 Describe and discuss the principles of physical and social
K
KH
Y
Lecture, Small group Written/ Viva voce
Orthopedics,
rehabilitation, functional assessment, role of physiotherapy and
discussion
Physical Medicine &
occupational therapy in the management of disability in the
Rehabilitation
elderly
IM24.17 Describe and discuss the aetiopathogenesis,clinical presentation,
K
KH
Y
Lecture, Small group Written/ Viva voce
ENT
identification, functional changes, acute care, stabilization,
discussion
management and rehabilitation of hearing loss in the elderly
IM24.18 Describe the impact of the demographic changes in ageing on the
K
KH
Y
Lecture, Small group Written/ Viva voce
Community Medicine
population
discussion
IM24.19 Enumerate and describe the social problems in the elderly including
K
KH
Y
Lecture, Small group Written/ Viva voce
Psychiatry
isolation, abuse, change in family structure and their impact on
discussion
health.
IM24.20 Enumerate and describe social interventions in the care of elderly
K
KH
Y
Lecture, Small group Written/ Viva voce
including domiciliary discussion services, rehabilitation facilities, old
discussion
age homes and state interventions
IM24.21 Enumerate and describe ethical issues in the care of the elderly
K
KH
Y
Lecture, Small group Written/ Viva voce
AETCOM
discussion
IM24.22 Describe and discuss the aetiopathogenesis, clinical presentation,
K
KH
Y
Lecture, Small group Written/ Viva voce
Physiology,
complications, assessment and management of nutritional disorders
discussion
Biochemistry
in the elderly
Topic: Miscellaneous Infections Number of competencies: (13) Number of procedures that require certification : (NIL)
IM25.1
Describe and discuss the response and the influence of host
K
K
Y
Lecture, Small group Written
Microbiology,
immune status, risk factors and comorbidities on zoonotic diseases
discussion
Community Medicine
(e.g. Leptospirosis, Rabies) and non-febrile infectious disease (e.g.
Tetanus)
IM25.2
Discuss and describe the common causes, pathophysiology and
K
K
Y
Lecture, Small group Written
Microbiology,
manifestations of these diseases
discussion
Community Medicine
IM25.3
Describe and discuss the pathophysiology and manifestations of
K
KH
Y
Lecture, Small group Written
Microbiology
these diseases
discussion
100
Number COMPETENCY
Domain
Level Core Y/ Suggested Learning Suggested Assessment
Number
Vertical Integration Horizontal
The student should be able to
K/S/A/C K/KH/
N
methods
methods
required to
Integration
SH/P
certify
P
IM25.4
Elicit document and present a medical history that helps delineate
S
SH
Y
Bedside clinic, DOAP Skill assessment
Community Medicine
the aetiology of these diseases that includes the evolution and
session
pattern of symptoms, risk factors, exposure through occupation and
travel
IM25.5
Perform a systematic examination that establishes the diagnosis
S
SH
Y
Bedside clinic, DOAP Skill assessment
and severity of presentation that includes: general skin, mucosal
session
and lymph node examination, chest and abdominal examination
(including examination of the liver and spleen)
IM25.6
Generate a differential diagnosis and prioritise based on clinical
K
SH
Y
Bedside clinic, DOAP Written/ Viva voce
features that help distinguish between infective, inflammatory,
session
malignant and rheumatologic causes
IM25.7
Order and interpret diagnostic tests based on the differential
K
SH
Y
Bedside clinic, Skill
Skill assessment
Pathology,
diagnosis including: CBC with differential, blood biochemistry,
assessment
Microbiology
peripheral smear, urinary analysis with sediment, Chest X ray, blood
and urine cultures, sputum gram stain and cultures, sputum AFB
and cultures, CSF analysis, pleural and body fluid analysis, stool
routine and culture and QBC
IM25.8
Enumerate the indications for use of newer techniques in the
K
KH
N
Lecture, Small group Written/ Viva voce
diagnosis of these infections
discussion
IM25.9
Assist in the collection of blood and other specimen cultures
S
SH
Y
DOAP session
Log book
Microbiology
documentation
IM25.10 Develop and present an appropriate diagnostic plan based on the
K
KH
Y
Bedside clinic, Skill
Skill assessment
clinical presentation, most likely diagnosis in a prioritised and cost
assessment
effective manner
IM25.11 Develop an appropriate empiric treatment plan based on the
C
SH
Y
DOAP session
Skill assessment
Microbiology,
patient's clinical and immune status pending definitive diagnosis
Pharmacology
IM25.12 Communicate to the patient and family the diagnosis and treatment
C
SH
Y
DOAP session
Skill assessment
AETCOM
of identified infection
101
Number COMPETENCY
Domain
Level Core Y/ Suggested Learning Suggested Assessment
Number
Vertical Integration Horizontal
The student should be able to
K/S/A/C K/KH/
N
methods
methods
required to
Integration
SH/P
certify
P
IM25.13 Counsel the patient and family on prevention of various infections
C
SH
Y
DOAP session
Skill assessment
Community Medicine,
due to environmental issues
General Medicine
Topic: The role of the physician in the community Number of competencies: (49) Number of procedures that require certification : (NIL)
IM26.1
Enumerate and describe professional qualities and roles of a
K
KH
Y
Small group
Written/ Viva voce
physician
discussion
IM26.2
Describe and discuss the commitment to lifelong learning as an
K
KH
Y
Small group
Written/ Viva voce
important part of physician growth
discussion
IM26.3
Describe and discuss the role of non maleficence as a guiding
K
KH
Y
Small group
Written/ Viva voce
principle in patient care
discussion
IM26.4
Describe and discuss the role of autonomy and shared responsibility
K
KH
Y
Small group
Written/ Viva voce
as a guiding principle in patient care
discussion
IM26.5
Describe and discuss the role of beneficence of a guiding principle
K
KH
Y
Small group
Written/ Viva voce
in patient care
discussion
IM26.6
Describe and discuss the role of a physician in health care system
K
KH
Y
Small group
Written/ Viva voce
discussion
IM26.7
Describe and discuss the role of justice as a guiding principle in
K
KH
Y
Small group
Written/ Viva voce
patient care
discussion
IM26.8
Identify discuss medicolegal, socioeconomic and ethical issues as
K
KH
Y
Small group
Written/ Viva voce
it pertains to organ donation
discussion
IM26.9
Identify, discuss and defend medicolegal, sociocultural, economic
K
KH
Y
Small group
Written/ Viva voce
and ethical issues as it pertains to rights, equity and justice in
discussion
access to health care
IM26.10 Identify, discuss and defend medicolegal, socio-cultural and ethical
K
KH
Y
Small group
Written/ Viva voce
issues as it pertains to confidentiality in patient care
discussion
102
Number COMPETENCY
Domain
Level Core Y/ Suggested Learning Suggested Assessment
Number
Vertical Integration Horizontal
The student should be able to
K/S/A/C K/KH/
N
methods
methods
required to
Integration
SH/P
certify
P
IM26.11 Identify, discuss and defend medicolegal, socio-cultural and ethical
K
KH
Y
Small group
Written/ Viva voce
issues as it pertains to patient autonomy, patient rights and shared
discussion
responsibility in health care
IM26.12 Identify, discuss and defend medicolegal, socio-cultural and ethical
K
KH
Y
Small group
Written/ Viva voce
issues as it pertains to decision making in health care including
discussion
advanced directives and surrogate decision making
IM26.13 Identify, discuss and defend medicolegal, socio-cultural and ethical
K
KH
Y
Small group
Written/ Viva voce
issues as it pertains to decision making in emergency care
discussion
including
including situations
situations w
here
where patients
d
o
do not
hav
e
hav t he
the capability
o
r
or
capacity to give consent
IM26.14 Identify, discuss and defend medicolegal, socio-cultural and ethical
K
KH
Y
Small group
Written/ Viva voce
issues as it pertains to research in human subjects
discussion
IM26.15 Identify, discuss and defend, medicolegal,socio-cultural and ethical
K
KH
Y
Small group
Written/ Viva voce
issues as they pertain to consent for surgical procedures
discussion
IM26.16 Identify, discuss and defend medicolegal, socio-cultural,
K
KH
Y
Small group
Written/ Viva voce
professional and ethical issues as it pertains to the physician
discussion
patient relationship (including fiduciary duty)
IM26.17 Identify, discuss physician's role and responsibility to society and
K
KH
Y
Small group
Written/ Viva voce
the community that she/ he serves
discussion
IM26.18 Identify, discuss and defend medicolegal, socio-cultural,
K
KH
Y
Small group
Written/ Viva voce
professional and ethical issues in physician- industry relationships
discussion
IM26.19 Demonstrate ability to work in a team of peers and superiors
S
SH
Y
Bedside clinic, DOAP Skill assessment
session
IM26.20 Demonstrate ability to communicate to patients in a patient,
S
SH
Y
Bedside clinic, DOAP Skill assessment
respectful, non threatening, non judgemental and empathetic
session
manner
IM26.21 Demonstrate respect to patient privacy
S
SH
Y
Bedside clinic, DOAP Skill assessment
session
103
Number COMPETENCY
Domain
Level Core Y/ Suggested Learning Suggested Assessment
Number
Vertical Integration Horizontal
The student should be able to
K/S/A/C K/KH/
N
methods
methods
required to
Integration
SH/P
certify
P
IM26.22 Demonstrate ability to maintain confidentiality in patient care
S
SH
Y
Bedside clinic, DOAP Skill assessment
session
IM26.23 Demonstrate a commitment to continued learning
S
SH
Y
Small group
Skill assessment/ Viva
discussion
voce
IM26.24 Demonstrate respect in relationship with patients, fellow team
S
SH
Y
Bedside clinic, DOAP Skill assessment/ Viva
members, superiors and other health care workers
session
voce
IM26
IM .25 Demonstr
Demons ate
trate responsibility
esponsibility and
wor
k
work ethics
ethics while
while wor
k
working
ing i n
in t he
the
S
SH
Y
Bedside clinic
clinic, DOAP
DOAP Skill assessme
ssm n
e t
n /t Viv
a
Viv
health care team
session
voce
IM26.26 Demonstrate ability to maintain required documentation in health
S
SH
Y
Small group
Skill assessment/ Viva
care (including correct use of medical records)
discussion
voce
IM26.27 Demonstrate personal grooming that is adequate and appropriate
S
SH
Y
Small group
Skill assessment
for health care responsibilities
discussion
IM26.28 Demonstrate adequate knowledge and use of information
S
SH
Y
Small group
Skill assessment/ Viva
technology that permits appropriate patient care and continued
discussion
voce
learning
IM26.29 Communicate diagnostic and therapeutic opitons to patient and
S
SH
Y
Bedside clinic, DOAP Skill assessment/ Viva
family in a simulated environment
session
voce
IM26.30 Communicate care opitons to patient and family with a terminal
S
SH
Y
Bedside clinic, DOAP Skill assessment/ Viva
illness in a simulated environment
session
voce
IM26.31 Demonstrate awareness of limitations and seeks help and
S
SH
Y
Bedside clinic, DOAP Skill assessment/ Viva
consultations appropriately
session
voce
IM26.32 Demonstrate appropriate respect to colleagues in the profession
S
SH
N
Small group
Skill assessment/ Viva
discussion
voce
IM26.33 Demonstrate an understanding of the implications and the
S
SH
N
Small group
Skill assessment/ Viva
appropriate procedures and response to be followed in the event of
discussion
voce
medical errors
IM26.34 Identify conflicts of interest in patient care and professional
S
SH
Y
Small group
Skill assessment/ Viva
relationships and describe the correct response to these conflicts
discussion
voce
104
Number COMPETENCY
Domain
Level Core Y/ Suggested Learning Suggested Assessment
Number
Vertical Integration Horizontal
The student should be able to
K/S/A/C K/KH/
N
methods
methods
required to
Integration
SH/P
certify
P
IM26.35 Demonstrate empathy in patient encounters
S
SH
Y
Bedside clinic, DOAP Skill assessment/ Viva
session
voce
IM26.36 Demonstrate ability to balance personal and professional priorities S
SH
N
Small
group
Skill assessment/ Viva
discussion
voce
IM26.37 Demonstrate ability to manage time appropriately
S
SH
Y
Small group
Skill assessment/ Viva
discussion
voce
IM26.38 Demonstrate ability to form and function in appropriate professional
S
SH
N
Small group
Skill assessment/ Viva
networks
discussion
voce
IM26.39 Demonstrate ability to pursue and seek career advancement
S
SH
N
Small group
Skill assessment/ Viva
discussion
voce
IM26.40 Demonstrate ability to follow risk management and medical error
S
SH
N
Small group
Skill assessment/ Viva
reduction practices where appropriate
discussion
voce
IM26.41 Demonstrate ability to work in a mentoring relationship with junior
S
SH
N
Small group
Skill assessment/ Viva
colleagues
discussion
voce
IM26.42 Demonstrate commitment to learning and scholarship
S
SH
N
Small group
Skill assessment/ Viva
discussion
voce
IM26.43 Identify, discuss and defend medicolegal, sociocultural, economic
K
KH
N
Small group
Written/ Viva voce
Obstetrics &
and ethical issues as they pertain to in vitro fertilisation donor
discussion
Gynaecology
insemination and surrogate motherhood
IM26.44 Identify, discuss and defend medicolegal, socio-cultural professional
K
KH
N
Small group
Written/ Viva voce
and ethical i s
issues pertaining
pertaining to
to medic
m
al
a negligenc
e
discussion
IM26.45 Identify, discuss and defend medicolegal, socio-cultural professional
K
KH
N
Small group
Written/ Viva voce
and ethical issues pertaining to malpractice
discussion
IM26.46 Identify, discuss and defend medicolegal, socio-cultural
K
KH
N
Small group
Written/ Viva voce
professional and ethical issues in dealing with impaired physicians
discussion
105
Number COMPETENCY
Domain
Level Core Y/ Suggested Learning Suggested Assessment
Number
Vertical Integration Horizontal
The student should be able to
K/S/A/C K/KH/
N
methods
methods
required to
Integration
SH/P
certify
P
IM26.47 Identify, discuss and defend medicolegal, socio-cultural and ethical
K
KH
Y
Small group
Written/ Viva voce
issues as they pertain to refusal of care including do not resuscitate
discussion
and withdrawal of life support
IM26.48 Demonstrate altruism
S
SH
Y
Small group
Written/ Viva voce
discussion
IM26.49 Administer informed consent and approriately adress patient queries
S
SH
Y
Bedside clinic, DOAP Written/ Viva voce
to a patient being enrolled in a research protocol in a simulated
session
environment
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
Integration
Human Anatomy
AN5.6
Describe the concept of anastomoses and collateral circulation with
K
KH
Y
Lecture
Written/ Viva voce
General Medicine
Physiology
significance of end-arteries
AN7.5
Describe principles of sensory and motor innervation of muscles
K
KH
N
Lecture
Written
General Medicine
Physiology
AN7.6
Describe concept of loss of innervation of a muscle with its applied
K
KH
Y
Lecture
Written/ Viva voce
General Medicine
anatomy
AN20.8 Identify & demonstrate palpation of femoral, popliteal, post tibial,
K/S
SH
Y
Practical, Lecture, Viva voce/ Skill
General Medicine
anti tibial & dorsalis pedis blood vessels in a simulated environment
Small group
assessment
discussion
ssio D
, OAP
DOAP
session
AN20.9 Identify & demonstrate Palpation of vessels (femoral,
K/S
SH
Y
Practical, Lecture,
Viva voce/ Skill
General Medicine,
popliteal,dorsalis pedis,post tibial), Mid inguinal point, Surface
Small group
assessment
General Surgery
projection of: femoral nerve, Saphenous opening, Sciatic, tibial,
discussion, DOAP
common peroneal & deep peroneal nerve, great and small
session
saphenous veins
AN22.4 Describe anatomical basis of ischaemic heart disease
K
KH
Y
Lecture
Written/ Viva voce
General Medicine
Physiology
106
Number COMPETENCY
Domain
Level Core Y/ Suggested Learning Suggested Assessment
Number
Vertical Integration Horizontal
The student should be able to
K/S/A/C K/KH/
N
methods
methods
required to
Integration
SH/P
certify
P
AN22.7 Mention the parts, position and arterial supply of the conducting
K
KH
Y
Lecture
Written
General Medicine
Physiology
system of heart
AN24.1 Mention the blood supply, lymphatic drainage and nerve supply of
K
KH
Y
Practical, Lecture
Written/ Viva voce
General Medicine
Physiology
pleura, extent of pleura and describe the pleural recesses and their
applied anatomy
AN24.2 Identify side, external features and relations of structures which
K/S
SH
Y
Practical, Lecture,
Written/ Viva voce/ Skill
General Medicine
Physiology
form root of lung & bronchial tree and their clinical correlate
Small group
assessment
discussion, DOAP
session
AN24.3 Describe a bronchopulmonary segment
K
KH
Y
Lecture
Written/ Viva voce
General Medicine
Physiology
AN25.3 Describe fetal circulation and changes occurring at birth
K
KH
Y
Lecture
Written/ Viva voce
General Medicine
Physiology
AN25.4 Describe embryological basis of:
K
KH
Y
Lecture
Written/ Viva voce
General Medicine,
Physiology
1) atrial septal defect, 2)ventricular septal defect, 3) Fallot's
Pediatrics
tetralogy & 4) tracheo-oesophageal fistula
AN25.5 Describe developmental basis of congenital anomalies,
K
KH
Y
Lecture
Written/ Viva voce
General Medicine,
Physiology
transposition of great vessels, dextrocardia, patent ductus
Pediatrics
arteriosus and coarctation of aorta
AN25.7 Identify structures seen on a plain x-ray chest (PA view)
K/S
SH
Y
Practical, DOAP
Written/ Viva voce
Radiodiagnosis,
session
General Medicine
AN25.8 Identify and describe in brief a barium swallow
K/S
SH
N
Practical, DOAP
Written/ Viva voce
Radiodiagnosis,
session
General Medicine
AN25.9 Demonstrate surface marking of lines of pleural reflection, Lung
K/S
SH
Y
Practical
Viva voce/ Skill
General Medicine,
Physiology
borders and fissures, Trachea, Heart borders, Apex beat & Surface
assessment
Pediatrics
projection of valves of heart
AN28.7 Explain the anatomical basis of facial nerve palsy
K
KH
Y
Lecture
Written
General Medicine
AN50.3 Describe lumbar puncture (site, direction of the needle, structures
K
KH
Y
Lecture
Written/ Viva voce
General Medicine
pierced during the lumbar puncture)
107
Number COMPETENCY
Domain
Level Core Y/ Suggested Learning Suggested Assessment
Number
Vertical Integration Horizontal
The student should be able to
K/S/A/C K/KH/
N
methods
methods
required to
Integration
SH/P
certify
P
AN56.1 Describe & identify various layers of meninges with its extent &
K/S
SH
Y
Practical, Lecture, Written/ Viva voce/ Skill
General Medicine
modifications
Small group
assessment
discussion, DOAP
session
AN56.2 Describe circulation of CSF with its applied anatomy
K
KH
Y
Lecture
Written/ Viva voce
General Medicine
Physiology
AN57.4 Enumerate ascending & descending tracts at mid thoracic level of
K
KH
Y
Lecture
Written/ Viva voce
General Medicine
Physiology
spinal cord
AN57.5 Describe anatomical basis of syringomyelia
K
KH
N
Lecture
Written
General Medicine
Physiology
AN58.4 Describe anatomical basis & effects of medial & lateral medullary
K
KH
N
Lecture
Written
General Medicine
Physiology
syndrome
AN60.3 Describe anatomical basis of cerebellar dysfunction
K
KH
N
Lecture
Written
General Medicine
Physiology
AN61.3 Describe anatomical basis & effects of Benedict's and Weber's
K
KH
N
Lecture
Written
General Medicine
Physiology
syndrome
AN62.2 Describe & demonstrate surfaces, sulci, gyri, poles, & functional
K/S
SH
Y
Practical, Lecture, Written/ Viva voce/ Skill
General Medicine
Physiology
areas of cerebral hemisphere
Small group
assessment
discussion, DOAP
session
AN62.3 Describe the white matter of cerebrum
K
KH
Y
Lecture
Written/ Viva voce
General Medicine
Physiology
AN62.5 Describe boundaries, parts, gross relations, major nuclei and
K
KH
Y
Lecture
Written/ Viva voce
General Medicine
Physiology
connections of dorsal thalamus, hypothalamus, epithalamus,
me
m tathalamus
tathalam
and
s
ubthalamus
ubthalam
AN62.6 Describe & identify formation, branches & major areas of
K/S
SH
Y
Practical, Lecture,
Written/ Viva voce/ Skill
General Medicine
Physiology
distribution of circle of Willis
Small group
assessment
discussion, DOAP
session
AN74.1 Describe the various modes of inheritance with examples
K
KH
Y
Lecture
Written
General Medicine,
Pediatrics
108
Number COMPETENCY
Domain
Level Core Y/ Suggested Learning Suggested Assessment
Number
Vertical Integration Horizontal
The student should be able to
K/S/A/C K/KH/
N
methods
methods
required to
Integration
SH/P
certify
P
AN74.2 Draw pedigree charts for the various types of inheritance & give
K
KH
Y
Lecture
Written
General Medicine,
examples of diseases of each mode of inheritance
Pediatrics
AN74.3 Describe multifactorial inheritance with examples
K
KH
Y
Lecture
Written
General Medicine
AN74.4 Describe the genetic basis & clinical features of Achondroplasia,
K
KH
N
Lecture
Written
General Medicine,
Cystic Fibrosis, Vitamin D resistant rickets, Hemophilia, Duchene's
Pediatrics
muscular dystrophy & Sickle cell anaemia
Physiology
PY3.12
Explain the gradation of muscular activity
K
KH
Y
Lecture, Small group Written/ Viva voce
General Medicine
discussion
PY3.13
Describe muscular dystrophy: myopathies
K
KH
Y
Lecture, Small group Written/ Viva voce
General Medicine
Human Anatomy
discussion
PY4.9
Discuss the physiology aspects of: peptic ulcer, gastro-
S
SH
Y
Lecture, Small group Practical/ Viva voce
General Medicine
Biochemistry
oesophageal reflux disease, vomiting, diarrhoea, constipation,
discussion
Adynamic ileus, Hirschsprung's disease
PY5.5
Describe the physiology of electrocardiogram (E.C.G), its
K
KH
Y
Lecture, Small group Written/ Viva voce
General Medicine
applications and the cardiac axis
discussion
PY5.6
Describe abnormal ECG, arrythmias, heart block and myocardial
K
KH
Y
Lecture, Small group Written/ Viva voce
General Medicine
Human Anatomy
Infarction
discussion
PY5.10
Describe & discuss regional circulation including microcirculation,
K
KH
Y
Lecture, Small group Written/ Viva voce
General Medicine
lymphatic circulation, coronary, cerebral, capillary, skin, foetal,
discussion
pulmonary and splanchnic circulation
PY5.13
Record and interpret normal ECG in a volunteer or simulated
S
SH
Y
DOAP sessions
Practical/OSPE/Viva
General Medicine
environment
voce
109
Number COMPETENCY
Domain
Level Core Y/ Suggested Learning Suggested Assessment
Number
Vertical Integration Horizontal
The student should be able to
K/S/A/C K/KH/
N
methods
methods
required to
Integration
SH/P
certify
P
PY5.16
Record Arterial pulse tracing using finger plethysmography in a
S
SH
N
DOAP sessions,
Practical/OSPE/Viva
General Medicine
volunteer or simulated environment
Computer assisted
voce
learning methods
PY7.7
Describe artificial kidney, dialysis and renal transplantation
K
KH
Y
Lecture, Small group Written/Viva voce
General Medicine
discussion
PY11.14 Demonstrate Basic Life Support in a simulated environment
S
SH
Y
DOAP sessions
OSCE
General Medicine
Anaesthesiology
Biochemistry
BI2.4
Describe and discuss enzyme inhibitors as poisons and drugs,
K
KH
Y
Lecture, Small group Written/ Viva voce
Pathology, General
therapeutic enzymes and the clinical utility of various serum
discussion
Medicine
enzymes as markers of pathological conditions
BI2.5
Describe and discuss the clinical utility of various serum enzymes
K
KH
Y
Lecture, Small group Written/ Viva voce
Pathology, General
as markers of pathological conditions
discussion
Medicine
BI2.6
Discuss use of enzymes in laboratory investigations (Enzyme-
K
KH
Y
Lecture, Small group Written/ Viva voce
Pathology, General
based assays)
discussion
Medicine
BI2.7
Interpret laboratory results of enzyme activities & describe the
K
KH
Y
Lecture, Small group Written/ Viva voce
Pathology, General
clinical utility of various enzymes as markers of pathological
discussion, DOAP
Medicine
conditions
sessions
BI3.4
Define and differentiate the pathways of carbohydrate metabolism
K
KH
Y
Lecture,Small group
Written/ Viva voce
General Medicine
(glycolysis, gluconeogenesis, glycogen metabolism, HMP shunt)
discussion
BI3.5
Describe and discuss the regulation, functions and integration of
K
KH
Y
Lecture, Small group Written/ Viva voce
General Medicine
carbohydrate along with associated diseases/disorders
discussion
BI3.8
Discuss and interpret laboratory results of analytes associated with
K
KH
Y
Lecture, Small group Written/ Viva voce
Pathology, General
metabolism of carbohydrates
discussion
Medicine
BI3.9
Discuss the mechanism and significance of blood glucose
K
KH
Y
Lecture, Small group Written/ Viva voce
General Medicine
regulation in health and disease
discussion
110
Number COMPETENCY
Domain
Level Core Y/ Suggested Learning Suggested Assessment
Number
Vertical Integration Horizontal
The student should be able to
K/S/A/C K/KH/
N
methods
methods
required to
Integration
SH/P
certify
P
BI3.10
Interpret the results of blood glucose levels and other laboratory
K
KH
Y
Lecture, Small group Written/ Viva voce
General Medicine
investigations related to disorders of carbohydrate metabolism
discussion
BI4.1
Describe and discuss main classes of lipids (Essential/non-
K
KH
Y
Lecture, Small group Written/ Viva voce
General Medicine
essential fatty acids, cholesterol and hormonal steroids,
discussion
triglycerides, major phospholipids and sphingolipids) relevant to
human system and their major functions
BI4.2
Describe the processes involved in digestion and absorption of
K
KH
Y
Lecture, Small group Written/ Viva voce
General Medicine
dietary lipids and
als
o
als the
k
ey
key f eatures of their metabolis
metabolism
discussion
BI4.3
Explain the regulation of lipoprotein metabolism & associated
K
KH
Y
Lecture, Small group Written/ Viva voce
General Medicine
disorders
discussion
BI4.4
Describe the structure and functions of lipoproteins, their functions,
K
KH
Y
Lecture, Small group Written/ Viva voce
General Medicine
interrelations & relations with atherosclerosis
discussion
BI4.5
Interpret laboratory results of analytes associated with metabolism
K
KH
Y
Lecture, Small group Written/ Viva voce
General Medicine
of lipids
discussion
BI4.6
Describe the therapeutic uses of prostaglandins and inhibitors of
K
KH
Y
Lecture, Small group Written/ Viva voce
General Medicine
eicosanoid synthesis
discussion
BI4.7
Interpret laboratory results of analytes associated with metabolism
K
KH
Y
Lecture, Small group Written/ Viva voce
General Medicine
of lipids
discussion
BI5.2
Describe and discuss functions of proteins and structure-function
K
KH
Y
Lecture, Small group Viva voce/ Skill
Pathology, General
Physiology
relationships in relevant areas e.g., hemoglobin and selected
discussion
assessment
Medicine
hemoglobinopathies
BI5.5
Interpret laboratory results of analytes associated with metabolism
K
KH
Y
Lecture, Small group Written/ Viva voce
General Medicine
of proteins
discussion
BI6.1
Discuss the metabolic processes that take place in specific organs
K
KH
Y
Lecture, Small group Written/ Viva voce
General Medicine
in the body in the fed and fasting states
discussion
BI6.4
Discuss the laboratory results of analytes associated with gout &
K
KH
Y
Lecture, Small group Written/ Viva voce
General Medicine
Lesch Nyhan syndrome
discussion
111
Number COMPETENCY
Domain
Level Core Y/ Suggested Learning Suggested Assessment
Number
Vertical Integration Horizontal
The student should be able to
K/S/A/C K/KH/
N
methods
methods
required to
Integration
SH/P
certify
P
BI6.5
Describe the biochemical role of vitamins in the body and explain
K
KH
Y
Lecture, Small group Written/ Viva voce
General Medicine
the manifestations of their deficiency
discussion
BI6.7
Describe the processes involved in maintenance of normal pH,
K
KH
Y
Lecture, Small group Written/ Viva voce
General Medicine
Physiology
water & electrolyte balance of body fluids and the derangements
discussion
associated with these
BI6.8
Discuss and interpret results of Arterial Blood Gas (ABG) analysis in
K
KH
Y
Lecture, Small group Written/ Viva voce
General Medicine
various disorders
discussion
BI6.9
Describe the functions of various minerals in the body, their
K
KH
Y
Lecture, Small group Written/ Viva voce
General Medicine
Physiology
metabolism and homeostasis
discussion
BI6.10
Enumerate and describe the disorders associated with mineral
K
KH
Y
Lecture, Small group Written/ Viva voce
General Medicine
metabolism
discussion
BI6.11
Describe the functions of haem in the body and describe the
K
KH
Y
Lecture, Small group Written/ Viva voce
Pathology, General
Physiology
processes involved in its metabolism and describe porphyrin
discussion
Medicine
metabolism
BI6.12
Describe the major types of haemoglobin and its derivatives found
K
KH
Y
Lecture, Small group Written/ Viva voce
Pathology, General
Physiology
in the body and their physiological/ pathological relevance
discussion
Medicine
BI6.13
Describe the functions of the kidney, liver, thyroid and adrenal
K
KH
Y
Lecture, Small group Written/ Viva voce
Pathology, General
Physiology,
glands
discussion
Medicine
Human Anatomy
BI6.14
Describe the tests that are commonly done in clinical practice to
K
KH
Y
Lecture, Small group Written/ Viva voce
Pathology, General
Physiology,
assess the functions of these organs (kidney, liver, thyroid and
discussion
Medicine
Human Anatomy
adrenal glands)
BI6.15
Describe the abnormalities of kidney, liver, thyroid and adrenal
K
KH
Y
Lecture, Small group Written/ Viva voce
Pathology, General
Physiology,
glands.
discussion
Medicine
Human Anatomy
BI7.4
Describe applications of recombinant DNA technology, PCR in the
K
KH
Y
Lecture, Small group Written/ Viva voce
Pediatrics, General
diagnosis and treatment of diseases with genetic basis
discussion
Medicine
112
Number COMPETENCY
Domain
Level Core Y/ Suggested Learning Suggested Assessment
Number
Vertical Integration Horizontal
The student should be able to
K/S/A/C K/KH/
N
methods
methods
required to
Integration
SH/P
certify
P
BI7.7
Describe the role of oxidative stress in the pathogenesis of
K
KH
Y
Lecture, Small group Written/ Viva voce
General Medicine,
conditions such as cancer, complications of diabetes mellitus and
discussion
Pathology
atherosclerosis
BI8.1
Discuss the importance of various dietary components and explain
K
KH
Y
Lecture, Small group Written/ Viva voce
General Medicine,
importance of dietary fibre
discussion
Pediatrics, Pathology
BI8.2
Des
De cribe
scribe t he
the ty
pes
ty
and
c
auses of
protein
energy
ma
m lnutrition and
its
K
KH
Y
Lecture, Sma
Sm ll
all group
Wrirtten/
itten/ Viva
Viva voce
Ge
G neral Me
M dicine,
effects
discussion
Pediatrics, Pathology
BI8.3
Provide dietary advice for optimal health in childhood and adult, in
K
KH
Y
Lecture, Small group Written/ Viva voce
General Medicine
disease conditions like diabetes mellitus, coronary artery disease
discussion
and in pregnancy.
BI8.4
Describe the causes (including dietary habits), effects and health
K
KH
Y
Lecture, Small group Written/ Viva voce
General Medicine,
risks associated with being overweight/ obesity
discussion
Pathology
BI8.5
Summarize the nutritional importance of commonly used items of
K
KH
Y
Lecture, Small group Written/ Viva voce
Community Medicine,
food including fruits and vegetables (macro-molecules & its
discussion
General Medicine,
importance)
Pediatrics
BI9.2
Discuss the involvement of ECM components in health and disease
K
KH
Y
Lecture, Small group Written/ Viva voce
General Medicine
discussion
BI10.4
Describe & discuss innate and adaptive immune responses,
K
KH
Y
Lecture, Small group Written/ Viva voce
General Medicine,
Physiology
self/non-self recognition and the central role of T-helper cells in
discussion
Pathology
immune responses
BI11.4
Perform urine analysis to estimate and determine normal and
S
P
Y
Lecture, Small group Skill assessment
1
General Medicine
Physiology
abnormal constituents
discussion
BI11.5
Describe screening of urine for inborn errors & describe the use of
K
KH
Y
Lecture, Small group Written/ Viva voce
General Medicine
paper chromatography
discussion
113
Number COMPETENCY
Domain
Level Core Y/ Suggested Learning Suggested Assessment
Number
Vertical Integration Horizontal
The student should be able to
K/S/A/C K/KH/
N
methods
methods
required to
Integration
SH/P
certify
P
BI11.17 Explain the basis and rationale of biochemical tests done in the
K
KH
Y
Lecture, Small group Written/ Viva voce
General Medicine
following conditions:
discussion
Pathology
- diabetes mellitus,
- dyslipidemia,
- myocardial infarction,
- renal failure, gout,
- proteinuria,
- nephrotic syndrome,
- edema,
- jaundice,
- liver
liv dis
eas
dis
es
eas
panc
,
reatitis
panc
dis
, orders
o
of
of ac
acid
id- bas
base balance, -
thyroid disorders.
BI11.22 Calculate albumin: globulin (AG) ratio and creatinine clearance
K
KH
Y
Lecture, Small group Written/ Viva voce
General Medicine
discussion
BI11.23 Calculate energy content of different food Items, identify food items
K
KH
N
Lecture, Small group Written/ Viva voce
General Medicine
with high and low glycemic index and explain the importance of
discussion
these in the diet
BI11.24 Enumerate advantages and/or disadvantages of use of unsaturated,
K
KH
Y
Lecture, Small group Written/Viva voce
General Medicine
saturated and trans fats in food.
discussion
BI1.26
Calculate albumin: globulin (AG) ratio and creatinine clearance
S
SH
Y
Lecture, Small group Skill assessment
General Medicine
discussion
BI1.27
Calculate energy content of different food Items, identify food items
S
SH
N
Lecture, Small group Skill assessment
General Medicine
with high and low glycemic index and explain the importance of
discussion
these in the diet
BI1.28
Enumerate
Enum
advantages
adv
and/or
dis
advantages
adv
of
us
e
us o
f
of u
nsaturated,
unsaturated,
K
KH
Y
Lecture, Small
Sm g
roup
group Wrirtten/Viva
itten/Viva voce
Ge
G neral Me
M dicine
saturated and trans fats in food
discussion
Pathology
PA6.1
Define and describe edema its types pathogenesis and clinical
K
KH
Y
Lecture, Small group Written/ Viva voce
General Medicine
correlations
discussion
PA9.4
Define autoimmunity. Enumerate autoimmune disorders
K
KH
Y
Lecture, Small group Written/ Viva voce
General Medicine
discussion
114
Number COMPETENCY
Domain
Level Core Y/ Suggested Learning Suggested Assessment
Number
Vertical Integration Horizontal
The student should be able to
K/S/A/C K/KH/
N
methods
methods
required to
Integration
SH/P
certify
P
PA9.5
Define and describe the pathogenesis of systemic lupus
K
KH
Y
Lecture, Small group Written/ Viva voce
General Medicine
erythematosus
discussion
PA9.6
Define and describe the pathogenesis and pathology of HIV and
K
KH
Y
Lecture, Small group Written/ Viva voce
General Medicine
Microbiology
AIDS
discussion
PA9.7
Define and describe the pathogenesis of other common
K
KH
N
Lecture, Small group Written/ Viva voce
General Medicine
autoimmune diseases
discussion
PA10.1 Define and describe the pathogenesis and pathology of malaria
K
KH
Y
Lecture, Small group Written/ Viva voce
General Medicine
Microbiology
discussion
PA10.2 Define and describe the pathogenesis and pathology of
K
KH
Y
Lecture, Small group Written/ Viva voce
General Medicine
Microbiology
cysticercosis
discussion
PA10.3 Define and describe the pathogenesis and pathology of leprosy
K
KH
Y
Lecture, Small group Written/ Viva voce
General Medicine
Microbiology
discussion
PA10.4 Define and describe the pathogenesis and pathology of common
K
KH
N
Lecture, Small group Written/ Viva voce
General Medicine
Microbiology
bacterial, viral, protozoal and helminthic diseases
discussion
PA12.3 Describe the pathogenesis of obesity and its consequences
K
KH
Y
Lecture, Small group Written/ Viva voce
General Medicine
discussion
PA13.1 Describe hematopoiesis and extramedullary hematopoiesis
K
KH
Y
Lecture, Small group Written/ Viva voce
General Medicine
discussion
PA13.2 Describe the role of anticoagulants in hematology
K
KH
Y
Lecture, Small group Written/ Viva voce
General Medicine
discussion
PA13.3 Define and classify anemia
K
KH
Y
Lecture, Small group Written/ Viva voce
General Medicine
discussion
PA13.4 Enumerate and describe the investigation of anemia
K
KH
Y
Lecture, Small group Written/ Viva voce
General Medicine
discussion
PA13.5 Perform, Identify and describe the peripheral blood picture in
S
SH
Y
DOAP session
Skill assessment
General Medicine
anemia
PA14.2 Describe the etiology, investigations and differential diagnosis of
K
KH
Y
Lecture, Small group Written/ Viva voce
General Medicine
microcytic hypochromic anemia
discussion
115
Number COMPETENCY
Domain
Level Core Y/ Suggested Learning Suggested Assessment
Number
Vertical Integration Horizontal
The student should be able to
K/S/A/C K/KH/
N
methods
methods
required to
Integration
SH/P
certify
P
PA14.3 Identify and describe the peripheral smear in microcytic anemia
S
SH
Y
DOAP session
Skill assessment
General Medicine
PA15.1 Describe the metabolism of Vitamin B12 and the etiology and
K
KH
Y
Lecture, Small group Written/ Viva voce
Biochemistry,
pathogenesis of B12 deficiency
discussion
General Medicine
PA15.2 Describe the laboratory investigations of macrocytic anemia
K
KH
Y
Lecture, Small group Written/ Viva voce
General Medicine
discussion
PA15.4 Enumerate the differences and describe the etiology and
K
KH
N
Lecture, Small group Written/ Viva voce
General Medicine
distinguishi
hing features f
o megaloblastic and non-megaloblastic
discussion
macrocytic anemia
PA16.1 Define and classify hemolytic anemia
K
KH
Y
Lecture, Small group Written/ Viva voce
Biochemistry,
discussion
General Medicine
PA16.2 Describe the pathogenesis and clinical features and hematologic
K
KH
Y
Lecture, Small group Written/ Viva voce
Biochemistry,
indices of hemolytic anemia
discussion
General Medicine
PA16.3 Describe the pathogenesis, features, hematologic indices and
K
KH
Y
Lecture, Small group Written/ Viva voce
Biochemistry, General
peripheral blood picture of sickle cell anemia and thalassemia
discussion
Medicine
PA16.4 Describe the etiology pathogenesis, hematologic indices and
K
KH
Y
Lecture, Small group Written/ Viva voce
Biochemistry,
peripheral blood picture of Acquired hemolytic anemia
discussion
General Medicine
PA16.5 Describe indices and peripheral blood smear
K
KH
Y
Lecture, Small group Written/ Viva voce
General Medicine
discussion
PA 17.1 Enumerate the etiology, pathogenesis and findings in aplastic
K
K
N
Lecture, Small group Written/ Viva voce
General Medicine
anemia
anem
discussion
PA17.2 Enumerate the indications and describe the findings in bone marrow
K
K
N
Lecture, Small group Written/ Viva voce
General Medicine
aspiration and biopsy
discussion
PA19.6 Enumerate and differentiate the causes of splenomegaly
K
KH
Y
Lecture, Small group Written/ Viva voce
General Surgery,
discussion
General Medicine
PA21.3 Differentiate platelet from clotting disorders based on the clinical
S
SH
Y
Lecture, Small group Written/ Viva voce
General Medicine
and hematologic features
discussion
116
Number COMPETENCY
Domain
Level Core Y/ Suggested Learning Suggested Assessment
Number
Vertical Integration Horizontal
The student should be able to
K/S/A/C K/KH/
N
methods
methods
required to
Integration
SH/P
certify
P
PA21.4 Define and describe disseminated intravascular coagulation, its
K
KH
Y
Lecture, Small group Written/ Viva voce
General Medicine
laboratory findings and diagnosis of disseminated intravascular
discussion
coagulation
PA21.5 Define and describe disseminated intravascular coagulation its
K
KH
Y
Lecture, Small group Written/ Viva voce
General Medicine
laboratory findings and diagnosis of Vitamin K deficiency
discussion
PA22.4 Enumerate blood components and describe their clinical uses
K
KH
Y
Lecture, Small group Written/ Viva voce
General Surgery,
discussion
General Medicine
PA22.6 Describe transfusion reactions and enumerate the steps in the
K
KH
Y
Lecture, Small group Written/ Viva voce
General Medicine
investigation of a transfusion reaction
discussion
PA24.2 Describe the etiology, pathogenesis, pathology, microbiology,
K
KH
Y
Lecture, Small group Written/ Viva voce
General Medicine
clinical and microscopic features of peptic ulcer disease
discussion
PA24.3 Describe and identify the microscopic features of peptic ulcer
S
SH
Y
Lecture, Small group Written/ Viva voce
General Medicine
discussion
PA25.1 Describe bilirubin metabolism, enumerate the etiology and
K
KH
Y
Lecture, Small group Written/ Viva voce
Biochemistry,
pathogenesis of jaundice, distinguish between direct and indirect
discussion
General Medicine
hyperbilirubinemia
PA25.2 Describe the pathophysiology and pathologic changes seen in
K
KH
Y
Lecture, Small group Written/ Viva voce
General Medicine,
hepatic failure and their clinical manifestations, complications and
discussion
General Surgery
consequences
PA25.3 Describe the etiology and pathogenesis of viral and toxic hepatitis:
K
KH
Y
Lecture, Small group Written/ Viva voce
General Medicine
distinguish the causes of hepatitis based on the cli i
n l
ca
d
an
discussion
laboratory features. Describe the pathology, complications and
consequences of hepatitis
PA25.4 Describe the pathophysiology, pathology and progression of
K
KH
Y
Lecture, Small group Written/ Viva voce
General Medicine,
alcoholic liver disease including cirrhosis
discussion
General Surgery
PA25.5 Describe the etiology, pathogenesis and complications of portal
K
KH
Y
Lecture, Small group Written/ Viva voce
General Medicine,
hypertension
discussion
General Surgery
117
Number COMPETENCY
Domain
Level Core Y/ Suggested Learning Suggested Assessment
Number
Vertical Integration Horizontal
The student should be able to
K/S/A/C K/KH/
N
methods
methods
required to
Integration
SH/P
certify
P
PA25.6 Interpret a liver function and viral hepatitis serology panel.
S
P
Y
DOAP session
Skill assessment
1
General Medicine
Distinguish obstructive from non obstructive jaundice based on
clinical features and liver function tests
PA26.1 Define and describe the etiology, types, pathogenesis, stages,
K
KH
Y
Lecture, Small group Written/ Viva voce
General Medicine
Microbiology
morphology and complications of pneumonia
discussion
PA26.2 Describe the etiology, gross and microscopic appearance and
K
KH
Y
Lecture, Small group Written/ Viva voce
General Medicine
Microbiology
complications of lung abscess
discussion
PA26.3 Define and describe the etiology, types, pathogenesis, stages,
K
KH
Y
Lecture, Small group Written/ Viva voce
Physiology, General Microbiology
morphology and complications and evaluation of Obstructive airway
discussion
Medicine
disease (OAD) and bronchiectasis
PA26.4 Define and describe the etiology, types, pathogenesis, stages,
K
KH
Y
Lecture, Small group Written/ Viva voce
General Medicine
Microbiology
morphology microscopic appearance and complications of
discussion
tuberculosis
PA26.5 Define and describe the etiology, types, exposure, environmental
K
KH
Y
Lecture, Small group Written/ Viva voce
General Medicine,
influence, pathogenesis, stages, morphology, microscopic
discussion
Community Medicine
appearance and complications of Occupational lung disease
PA26.6 Define and describe the etiology, types, exposure, genetics
K
KH
Y
Lecture, Small group Written/ Viva voce
General Medicine
environmental influence, pathogenesis, stages, morphology,
discussion
microscopic appearance,metastases and complications of tumors of
the lung and pleura
PA26.7 Define and describe the etiology, types, exposure, genetics
K
KH
N
Lecture, Small group Written/ Viva voce
General Medicine,
environm
env
ental
ironm
influence, pathogenesis, mo
m rphology, mic
mi ros
cro co
scopic
pic
discussion
Com
Co mu
mmunity
nity Me
M dicine
appearance and complications of mesothelioma
PA27.1 Distinguish arteriosclerosis from atherosclerosis. Describe the
K
KH
Y
Lecture, Small group Written/ Viva voce
General Medicine
pathogenesis and pathology of various causes and types of
discussion
arteriosclerosis
PA27.2 Describe the etiology, dynamics, pathology types and complications
K
KH
Y
Lecture, Small group Written/ Viva voce
General Medicine
of aneurysms including aortic aneurysms
discussion
118
Number COMPETENCY
Domain
Level Core Y/ Suggested Learning Suggested Assessment
Number
Vertical Integration Horizontal
The student should be able to
K/S/A/C K/KH/
N
methods
methods
required to
Integration
SH/P
certify
P
PA27.3 Describe the etiology, types, stages pathophysiology pathology and
K
KH
Y
Lecture, Small group Written/ Viva voce
General Medicine,
complications of heat failure
discussion
Physiology
PA27.4 Describe the etiology, pathophysiology, pathology, gross and
K
KH
Y
Lecture, Small group Written/ Viva voce
General Medicine
Microbiology
microscopic, features, criteria and complications of rheumatic fever
discussion
PA27.5 Describe the epidemiology, risk factors, etiology, pathophysiology,
K
KH
Y
Lecture, Small group Written/ Viva voce
General Medicine
pathology, presentations, gross and microscopic, features,
discussion
diagnostic t es
tests
ts and comp
com lications
lications of
is
chemic
hem heart
dis
diseas
ease
PA27.6 Describe the etiology, pathophysiology, pathology, gross and
K
KH
Y
Lecture, Small group Written/ Viva voce
General Medicine
Microbiology
microscopic, features diagnosis and complications of infective
discussion
endocarditis
PA27.7 Describe the etiology, pathophysiology, pathology, gross and
K
KH
Y
Lecture, Small group Written/ Viva voce
General Medicine
microscopic, features diagnosis and complications of pericarditis
discussion
and pericardial effusion
PA27.8 Interpret abnormalities in cardiac function testing in acute coronary
S
SH
Y
DOAP session
Skill Assessment
Physiology, General
syndromes
Medicine
PA27.9 Classify and describe the etiology, types, pathophysiology,
K
KH
N
Lecture, Small group Written/ Viva voce
General Medicine,
pathology, gross and microscopic features, diagnosis and
discussion
Physiology
complications of cardiomyopathies
PA27.10 Describe the etiology, pathophysiology, pathology features and
K
KH
N
Lecture, Small group Written/ Viva voce
General Medicine
Microbiology
complications of syphilis on the cardiovascular system
discussion
PA28.3 Define and describe the etiology, precipitating factors,
K
KH
Y
Lecture, Small group Written/ Viva voce
General Medicine
pathogenesis, pathology, laboratory urinary findings, progression
discussion
and complications of acute renal failure
PA28.4 Define and describe the etiology, precipitating factors,
K
KH
Y
Lecture, Small group Written/ Viva voce
General Medicine
pathogenesis, pathology, laboratory urinary findings progression
discussion
and complications of chronic renal failure
119
Number COMPETENCY
Domain
Level Core Y/ Suggested Learning Suggested Assessment
Number
Vertical Integration Horizontal
The student should be able to
K/S/A/C K/KH/
N
methods
methods
required to
Integration
SH/P
certify
P
PA28.5 Define and classify glomerular diseases. Enumerate and describe
K
KH
Y
Lecture, Small group Written/ Viva voce
Physiology, General
the etiology, pathogenesis, mechanisms of glomerular injury,
discussion
Medicine
pathology, distinguishing features and clinical manifestations of
glomerulonephritis
PA28.6 Define and describe the etiology, pathogenesis, pathology,
K
KH
Y
Lecture, Small group Written/ Viva voce
General Medicine
laboratory, urinary findings, progression and complications of IgA
discussion
nephropathy
PA28.7 Enumerate and describe the findings in glomerular manifestations of
K
KH
Y
Lecture, Small group Written/ Viva voce
General Medicine
systemic disease
discussion
PA28.8 Enumerate and classify diseases affecting the tubular interstitium
K
KH
Y
Lecture, Small group Written/ Viva voce
General Medicine
discussion
PA28.9 Define and describe the etiology, pathogenesis, pathology,
K
KH
Y
Lecture, Small group Written/ Viva voce
General Medicine
laboratory, urinary findings, progression and complications of acute
discussion
tubular necrosis
PA28.11 Define classify and describe the etiology, pathogenesis pathology,
K
KH
Y
Lecture, Small group Written/ Viva voce
General Medicine
laboratory, urinary findings, distinguishing features, progression and
discussion
complications of vascular disease of the kidney
PA28.12 Define classify and describe the genetics, inheritance etiology,
K
KH
Y
Lecture, Small group Written/ Viva voce
General Medicine,
pathogenesis, pathology, laboratory, urinary findings, distinguishing
discussion
Pediatrics
features, progression and complications of cystic disease of the
kidney
PA28.15 Describe the etiology, genetics, pathogenesis, pathology, presenting
K
KH
N
Lecture, Small group Written/ Viva voce
General Medicine
features and progression of thrombotic angiopathies
discussion
PA31.4 Enumerate and describe the etiology, hormonal dependency and
K
KH
N
Lecture, Small group Written/ Viva voce
Pediatrics, General
pathogenesis of gynecomastia
discussion
Medicine
120
Number COMPETENCY
Domain
Level Core Y/ Suggested Learning Suggested Assessment
Number
Vertical Integration Horizontal
The student should be able to
K/S/A/C K/KH/
N
methods
methods
required to
Integration
SH/P
certify
P
PA32.1 Enumerate, classify and describe the etiology, pathogenesis,
K
KH
Y
Lecture, Small group Written/ Viva voce
Human Anatomy,
pathology and iodine dependency of thyroid swellings
discussion
Physiology, General
Medicine, General
Surgery
PA32.2 Describe the etiology, cause, iodine dependency, pathogenesis,
K
KH
Y
Lecture, Small group Written/ Viva voce
Physiology, General
manifestations, laboratory and imaging features and course of
discussion
Medicine
thyrotoxicosis
PA32.3 Describe the etiology, pathogenesis, manifestations, laboratory and
K
KH
Y
Lecture, Small group
Written/ Viva voce
Physiology, General
imaging
im
f eatures and course of thyrotoxicosis/ hyp
hy othyroidis
pothyroidism
Medic
M
ine
PA32.4 Classify and describe the epidemiology, etiology, pathogenesis,
K
KH
Y
Lecture, Small group Written/ Viva voce
Physiology, General
pathology, clinical laboratory features, complications and
discussion
Medicine
progression of diabetes mellitus
PA32.5 Describe the etiology, genetics, pathogenesis, manifestations,
K
KH
N
Lecture, Small group Written/ Viva voce
Physiology, General
laboratory and morphologic features of hyperparathyroidism
discussion
Medicine
PA32.7 Describe the etiology, pathogenesis, manifestations, laboratory,
K
KH
N
Lecture, Small group Written/ Viva voce
Physiology, General
morphologic features, complications of adrenal insufficiency
discussion
Medicine
PA32.8 Describe the etiology, pathogenesis, manifestations, laboratory,
K
KH
N
Lecture, Small group Written/ Viva voce
Physiology, General
morphologic features, complications of Cushing's syndrome
discussion
Medicine
PA32.9 Describe the etiology, pathogenesis, manifestations, laboratory and
K
KH
N
Lecture, Small group Written/ Viva voce
Human Anatomy,
morphologic features of adrenal neoplasms
discussion
Physiology, General
Medicine, General
Surgery
PA33.5 Classify and describe the etiology, immunology, pathogenesis,
K
KH
N
Lecture, Small group Written/ Viva voce
General Medicine
manifestations, radiologic and laboratory features, diagnostic criteria
discussion
and complications of rheumatoid arthritis
PA35.1 Describe the etiology, types and pathogenesis, differentiating
K
KH
Y
Lecture, Small group Written/ Viva voce
General Medicine
Microbiology
factors, CSF findings in meningitis
discussion
121
Number COMPETENCY
Domain
Level Core Y/ Suggested Learning Suggested Assessment
Number
Vertical Integration Horizontal
The student should be able to
K/S/A/C K/KH/
N
methods
methods
required to
Integration
SH/P
certify
P
PA35.3 Identify the etiology of meningitis based on given CSF parameters
S
P
Y
DOAP session
Skill Assessment
1
General Medicine
Microbiology
Microbiology
MI2.1
Describe the etiologic agents in rheumatic fever and their diagnosis
K
KH
Y
Lecture, Small group Written/ Viva voce
General Medicine
Pathology
discussion
MI2.2
Describe the classification, etio-pathogenesis, clinical features and
K
KH
Y
Lecture, Small group Written/ Viva voce
General Medicine
Pathology
discuss the diagnostic modalities of Infective endocarditis
discussion
MI2.3
Identify the microbial agents causing Rheumatic heart disease &
S
SH
Y
DOAP session
Skill assessment
General Medicine
Pathology
infective Endocarditis
MI2.4
List the common microbial agents causing anemia. Describe the
K
KH
Y
Lecture, Small group Written/ Viva voce
General Medicine
Pathology
morphology, mode of infection and discuss the pathogenesis,
discussion
clinical course, diagnosis and prevention and treatment of the
common microbial agents causing Anemia
MI2.5
Describe the etio-pathogenesis and discuss the clinical evolution
K
KH
Y
Lecture, Small group Written/ Viva voce
General Medicine
Pathology
and the laboratory diagnosis of kalazaar, malaria, filariasis and
discussion
other common parasites prevalent in India
MI2.6
Identify the causative agent of malaria and filariasis
K/S
SH
Y
DOAP session
Skill assessment
General Medicine
MI2.7
Describe the epidemiology, the etio- pathogenesis evolution
K
KH
Y
Lecture, Small group Written/ Viva voce
General Medicine
Pathology
complications, opportunistic infections, diagnosis prevention and the
discussion
principles of management of HIV
MI3.1
Enumerate the microbial agents causing diarrhea and dysentery.
K
KH
Y
Lecture, Small group Written/ Viva voce
General Medicine,
Pathology
Describe the epidemiology, morphology, pathogenesis, clinical
discussion
Paediatrics
features, and diagnostic modalities of these agents
MI3.2
Identify the common etiologic agents of diarrhea and dysentery
S
SH
Y
DOAP session
Skill assessment
General Medicine,
Paediatrics
122
Number COMPETENCY
Domain
Level Core Y/ Suggested Learning Suggested Assessment
Number
Vertical Integration Horizontal
The student should be able to
K/S/A/C K/KH/
N
methods
methods
required to
Integration
SH/P
certify
P
MI3.3
Describe the enteric fever pathogens and discuss the evolution of
K
KH
Y
Lecture, Small group Written/ Viva voce
General Medicine
Pharmacology,
the clinical course, the laboratory diagnosis of the diseases caused
discussion
Pathology
by them
MI3.4
Identify the different modalities for diagnosis of enteric fever.
S
KH
Y
DOAP session
Skill assessment
General Medicine
Pathology
Choose the appropriate test related to the duration of illness
MI3.5
Enumerate the causative agents of food poisoning and discuss the
K
KH
Y
Lecture, Small group Written/ Viva voce
General Medicine
Pharmacology
pathogenesis, clinical course and laboratory diagnosis
discussion
MI3.6
Describe the etio-pathogenesis of Acid peptic disease (APD) and
K
KH
Y
Lecture, Small group Written/ Viva voce
General Medicine
Pharmacology,
the clinical course. Discuss the diagnosis and management of the
discussion
Pathology
causative agent of APD
MI3.7
Describe the epidemiology, the etio- pathogenesis and discuss the
K
KH
Y
Lecture, Small group Written/ Viva voce
General Medicine
Pathology
viral markers in the evolution of Viral hepatitis. Discuss the
discussion
modalities in the diagnosis, and prevention of viral hepatitis
MI3.8
Choose the appropriate laboratory test in the diagnosis of viral
K
KH
Y
Small group
Written/ Viva voce/ OSPE
General Medicine
Pathology
hepatitis
discussion, Case
discussion
MI4.1
Enumerate the microbial agents causing anaerobic infections.
K
KH
Y
Lecture
Written/ Viva voce
General Medicine
Describe the etiopathogenesis, clinical course and discuss the
laboratory diagnosis of anaerobic infections
MI5.1
Describe the etiopathogenesis, clinical course and discuss the
K
KH
Y
Lecture
Written/ Viva voce
General Medicine,
Pathology
laboratory diagnosis of meningitis
Paediatrics
MI5.2
Describe the etiopathogenesis, clinical course and discuss the
K
KH
Y
Lecture
Written/ Viva voce
General Medicine,
Pathology
laboratory diagnosis of encephalitis
Paediatrics
MI5.3
Identify the microbial agents causing meningitis
S
SH
Y
DOAP session
Skill assessment
General Medicine,
Paediatrics
MI6.1
Describe the etio-pathogenesis, laboratory diagnosis and prevention
K
KH
Y
Lecture, Small group Written/ Viva voce
General Medicine
of Infections of upper and lower respiratory tract
discussion
123
Number COMPETENCY
Domain
Level Core Y/ Suggested Learning Suggested Assessment
Number
Vertical Integration Horizontal
The student should be able to
K/S/A/C K/KH/
N
methods
methods
required to
Integration
SH/P
certify
P
MI6.2
Identify the common etiologic agents of upper respiratory tract
S
P
Y
DOAP session
Skill assessment
3
General Medicine
infections (Gram Stain)
MI6.3
Identify the common etiologic agents of lower respiratory tract
S
P
Y
DOAP session
Skill assessment
3
General Medicine
infections (Gram Stain & Acid fast stain).
MI7.3
Describe the etio-pathogenesis, clinical features, the appropriate
K
KH
Y
Lecture, Small group Written/ Viva voce
General Medicine
method for specimen collection, and discuss the laboratory
y
discussion
diagnosis of Urinary tract infections
MI8.1
Enumerate the microbial agents and their vectors causing Zoonotic
K
KH
Y
Lecture, Small group Written/ Viva voce
General Medicine
diseases. Describe the morphology, mode of transmission,
discussion
pathogenesis and discuss the clinical course, laboratory diagnosis
and prevention
MI8.2
Describe the etio-pathogenesis of opportunistic infections (OI) and
K
KH
Y
Lecture
Written/ Viva voce General
Medicine
Pathology
discuss the factors contributing to the occurrence of OI, and the
laboratory diagnosis
MI8.3
Describe the role of oncogenic viruses in the evolution of virus
K
KH
Y
Lecture
Written
General Medicine
Pathology
associated malignancy
MI8.4
Describe the etiologic agents of emerging Infectious diseases.
K
KH
Y
Lecture, Small group Written/ Viva voce
General Medicine,
Discuss the clinical course and diagnosis
discussion
Community Medicine
MI8.5
Define Healthcare Associated Infections ( HAI) and enumerate it
K
KH
Y
Lecture, Small group Written/ Viva voce
General Medicine,
types. Discuss the factors that contribute to the development of HAI
discussion
Community M
y edicine
and the methods for prevention
Pharmacology
PH1.12 Calculate the dosage of drugs using appropriate formulae for an
K/S
SH
Y
Lecture, practical
Written/ Viva voce
Pediatrics, General
individual patient, including children, elderly and patient with renal
Medicine
dysfunction
124
Number COMPETENCY
Domain
Level Core Y/ Suggested Learning Suggested Assessment
Number
Vertical Integration Horizontal
The student should be able to
K/S/A/C K/KH/
N
methods
methods
required to
Integration
SH/P
certify
P
PH1.16 Describe mechanism/s of action, types, doses, side effects,
K
KH
Y
Lecture
Written/ Viva voce
General Medicine
indications and contraindications of the drugs which act by
modulating autacoids, including: Anti-histaminics, 5-HT modulating
drugs, NSAIDs, Drugs for gout, Anti-rheumatic drugs, drugs for
migraine
PH1.21 Describe the symptoms and management of methanol and ethanol
K
KH
Y
Lecture, Small group Written/Viva voce
General Medicine
poisonings
discussion
PH1.25 Describe the mechanism/s of action, typ
ypes, doses, side effects,
K
KH
Y
Lecture, Small group Written/ Viva voce
Physio
y logy
g ,
y General
indications and contraindications of the drugs acting on blood, like
discussion
Medicine
anticoagulants, antiplatelets, fibrinolytics, plasma expanders
PH1.26 Describe mechanisms of action, types, doses, side effects,
K
KH
Y
Lecture, Small group Written/ Viva voce
Physiology, General
indications and contraindications of the drugs modulating the renin
discussion
Medicine
angiotensin and aldosterone system
PH1.27 Describe the mechanisms of action, types, doses, side effects,
K
KH
Y
Lecture, Small group Written/ Viva voce
General Medicine
indications and contraindications of Antihypertensive drugs and
discussion
drugs used in shock
PH1.28 Describe the mechanisms of action, types, doses, side effects,
K
KH
Y
Lecture, Small group Written/ Viva voce
General Medicine
Pathology
indications and contraindications of the drugs used in
discussion
ischemic heart disease (stable, unstable angina and myocardial
infarction), peripheral vascular disease
PH1.29 Describe the mechanisms of action, types, doses, side effects,
K
KH
Y
Lecture, Small group Written/ Viva voce
General Medicine
Pathology
indications and contraindications of the drugs used in
discussion
congestive heart failure
PH1.30 Describe the mechanisms of action, types, doses, side effects,
K
KH
N
Lecture, Small group Written/ Viva voce
General Medicine
indications and contraindications of the drugs used as
discussion
Antiarrhythmics
PH1.31 Describe the mechanisms of action, types, doses, side effects,
K
KH
Y
Lecture, Small group Written/ Viva voce
General Medicine
indications and contraindications of the drugs used in the
discussion
management of dyslipidemia
125
Number COMPETENCY
Domain
Level Core Y/ Suggested Learning Suggested Assessment
Number
Vertical Integration Horizontal
The student should be able to
K/S/A/C K/KH/
N
methods
methods
required to
Integration
SH/P
certify
P
PH1.34 Describe the mechanism/s of action, types, doses, side effects,
K
KH
Y
Lecture, Small group Written/ Viva voce
General Medicine
indications and contraindications of the drugs used as below:
discussion
1. Acid-peptic disease and GERD
2. Antiemetics and prokinetics
3. Antidiarrhoeals
4. Laxatives
5. Inflammatory Bowel Disease
6. Irritable Bowel Disorders, biliary and pancreatic diseases
PH1.35 Describe the mechanism/s of action, types, doses, side effects,
K
KH
Y
Lecture
Written/ Viva voce
General Medicine,
Pharmacology
indications and contraindications of drugs used in hematological
Physiology
disorders like:
1.Drugs used in anemias
2.Colony Stimulating factors
PH1.36 Describe the mechanism of action, types, doses, side effects,
K KH
Y
Lecture
Written/ Viva voce
General Medicine
Pathology,
indications and contraindications of drugs used in endocrine
Pharmacology
disorders (diabetes mellitus, thyroid disorders and osteoporosis)
PH1.43 Describe and discuss the rational use of antimicrobials including
K
KH
Y
Lecture
Written/ Viva voce
General Medicine
Microbiology,
antibiotic stewardship program
Pediatrics
Pharmacology
PH1.47 Describe the mechanisms of action, types, doses, side effects,
K
KH
Y
Lecture
Written/ Viva voce General
Medicine
Microbiology
indications and contraindications of the drugs used in malaria, KALA-
AZAR, amebiasis and intestinal helminthiasis
PH1.52 Describe management of common poisoning, insecticides, common
K
KH
Y
Lecture
Written/ Viva voce
General Medicine
sting and bites
PH2.4
Demonstrate the correct method of calculation of drug dosage in
S
SH
Y
DOAP sessions
Skills assessment
Pediatrics,
patients including those used in special situations
Pharmacology
PH3.1
Write a rational, correct and legible generic prescription for a given
S/C
P
Y
Skill station
Skill station
5
General Medicine
condition and communicate the same to the patient
PH3.3
Perform a critical evaluation of the drug promotional literature
S
P
Y
Skill Lab
Maintenance of log book/
3
General Medicine
Skill station
126
Number COMPETENCY
Domain
Level Core Y/ Suggested Learning Suggested Assessment
Number
Vertical Integration Horizontal
The student should be able to
K/S/A/C K/KH/
N
methods
methods
required to
Integration
SH/P
certify
P
PH3.5
To prepare and explain a list of P-drugs for a given case/condition
S
P
Y
Skill station
Maintenance of log book
3
General Medicine
PH5.1
Communicate with the patient with empathy and ethics on all
A/C
SH
Y
Small group
Skill station
General Medicine
aspects of drug use
discussion
PH5.4
Explain to the patient the relationship between cost of treatment
A/C
SH
Y
Small group
Short note/ Viva voce
General Medicine
and patient compliance
discussion
Community Medicine
CM3.1
Describe the health hazards of air, water, noise, radiation and
K
KH
Y
Lecture, Small group Written/ Viva voce
General Medicine,
pollution
discussion
ENT
CM3.3
Describe the aetiology and basis of water borne
K
KH
Y
Lecture, Small group Written/ Viva voce
Microbiology, General
diseases/jaundice/hepatitis/ diarrheal diseases
discussion, DOAP
Medicine, Pediatrics
session
CM5.1
Describe the common sources of various nutrients and special
K
KH
Y
Lecture, Small group Written/ Viva voce
General Medicine,
nutritional requirements according to age, sex, activity, physiological
discussion
Pediatrics
conditions
CM5.2
Describe and demonstrate the correct method of performing a
S
SH
Y
DOAP sessions
Skill Assessment
General Medicine,
nutritional assessment of individuals, families and the community by
Pediatrics
using the appropriate method
CM5.3
Define and describe common nutrition related health disorders
K
KH
Y
Lecture, Small group Written/ Viva voce
General Medicine,
(including macro-PEM, Micro-iron, Zn, iodine, Vit. A), their control
discussion
Pediatrics
and managem
m
ent
anagem
CM5.4
Plan and recommend a suitable diet for the individuals and families
S
SH
Y
DOAP sessions
Skill Assessment
General Medicine,
based on local availability of foods and economic status, etc in a
Pediatrics
simulated environment
CM5.5
Describe the methods of nutritional surveillance, principles of
K
KH
Y
Lecture, Small group Written / Viva voce
General Medicine,
nutritional education and rehabilitation in the context of socio-
discussion
Pediatrics
cultural factors
127
Number COMPETENCY
Domain
Level Core Y/ Suggested Learning Suggested Assessment
Number
Vertical Integration Horizontal
The student should be able to
K/S/A/C K/KH/
N
methods
methods
required to
Integration
SH/P
certify
P
CM6.1
Formulate a research question for a study
K
KH
Y
Small group
Written/ Viva voce/ Skill
General Medicine,
discussion, Lecture,
Assessment
Pediatrics
DOAP sessions
CM6.2
Describe and discuss the principles and demonstrate the methods
S
SH
Y
Small group
Written/ Viva voce/ Skill
General Medicine,
of collection, classification, analysis, interpretation and presentation
discussion, Lecture,
Assessment
Pediatrics
of statistical data
DOAP sessions
CM6.3
Describe, discuss and demonstrate the application of elementary
S
SH
Y
Small group
Written/ Viva voce/ Skill
General Medicine,
statistical methods including test of significance in various study
discussion, Lecture,
Assessment
Pediatrics
designs
DOAP
DOAP sessions
CM6.4
Enumerate, discuss and demonstrate common sampling
S
SH
Y
Small group
Written/ Viva voce/ Skill
General Medicine,
techniques, simple statistical methods, frequency distribution,
discussion, Lecture,
Assessment
Pediatrics
measures of central tendency and dispersion
DOAP sessions
CM7.1
Define Epidemiology and describe and enumerate the principles,
K
KH
Y
Small group
Written/ Viva voce
General Medicine
concepts and uses
discussion, Lecture
CM7.2
Enumerate, describe and discuss the modes of transmission and
K
KH
Y
Small group
Written/ Viva voce
General Medicine
measures for prevention and control of communicable and non-
discussion, Lecture
communicable diseases
CM7.3
Enumerate, describe and discuss the sources of epidemiological
K
KH
Y
Small group
Written/ Viva voce
General Medicine
data
discussion, Lecture
CM7.4
Define, calculate and interpret morbidity and mortality indicators
S
SH
Y
Small group
Written/ Skill assessment
General Medicine
based on given set of data
discussion, DOAP
sessions
CM7.5
Enumerate, define, describe and discuss epidemiological study
K
KH
Y
Small group
Written / Viva voce
General Medicine
designs.
discussion, Lecture
CM7.6
Enumerate and evaluate the need of screening tests
S
SH
Y
Small group
Written/ Skill assessment
General Medicine
discussion, DOAP
sessions
CM7.7
Describe and demonstrate the steps in the Investigation of an
S
SH
Y
Small group
Written/ Skill assessment
General Medicine
Microbiology
epidemic of communicable disease and describe the principles of
discussion, DOAP
control measures.
sessions
128
Number COMPETENCY
Domain
Level Core Y/ Suggested Learning Suggested Assessment
Number
Vertical Integration Horizontal
The student should be able to
K/S/A/C K/KH/
N
methods
methods
required to
Integration
SH/P
certify
P
CM7.8
Describe the principles of association, causation and biases in
K
KH
Y
Small group
Written/ Viva voce
General Medicine
epidemiological studies
discussion, Lecture
CM8.1
Describe and discuss the epidemiological and control measures
K
KH
Y
Small group
Written/ Viva voce
General Medicine,
Microbiology
including the use of essential laboratory tests at the primary care
discussion, Lecture
Pediatrics
Pathology
level for communicable diseases
CM8.2
Describe and discuss the epidemiological and control measures
K
KH
Y
Small group
Written/ Viva voce
General Medicine
including the use of essential laboratory tests at the primary care
discussion, Lecture
le
l el
evel f or N
or on
N
Com
on Co m
mmunic
ni able
cabl d
e is
di eas
s
es
eas
(diabetes
(diabetes H
, pertens
ypertension
ion,
Stroke, obesity and cancer etc.)
CM8.3
Enumerate and describe disease-specific National Health Programs
K
KH
Y
Small group
Written/ Viva voce
General Medicine,
including their prevention and treatment of a case
discussion, Lecture
Pediatrics
CM8.4
Describe the principles and enumerate the measures to control a
K
KH
Y
Small group
Written/ Viva voce
General Medicine,
disease epidemic
discussion, Lecture
Pediatrics
CM8.5
Describe and discuss the principles of planning, implementing and
K
KH
Y
Small group
Written / Viva voce
General Medicine,
evaluating control measures for disease at community level bearing
discussion, Lecture
Pediatrics
in mind the public health importance of the disease
CM12.1 Define and describe the concept of Geriatric services
K
KH
Y
Lecture, Small group Written/ Viva voce
General Medicine
discussion
CM12.2 Describe health problems of aged population
K
KH
Y
Lecture, Small group Written/ Viva voce
General Medicine
discussion
CM12.3 Describe the prevention of health problems of aged population
K
KH
Y
Lecture, Small group Written/ Viva voce
General Medicine
discussion
CM12.4 Describe National program for elderly
K
KH
Y
Lecture, Small group Written/ Viva voce
General Medicine
discussion
CM13.1 Define and describe the concept of Disaster management
K
KH
Y
Lecture, Small group Written/ Viva voce
General Surgery,
discussion
General Medicine
129
Number COMPETENCY
Domain
Level Core Y/ Suggested Learning Suggested Assessment
Number
Vertical Integration Horizontal
The student should be able to
K/S/A/C K/KH/
N
methods
methods
required to
Integration
SH/P
certify
P
CM13.2 Describe disaster management cycle
K
KH
Y
Lecture, Small group Written/ Viva voce
General Surgery,
discussion
General Medicine
CM13.3 Describe man made disasters in the world and in India
K
KH
Y
Lecture, Small group Written / Viva voce
General Surgery,
discussion
General Medicine
CM13.4 Describe the details of the National Disaster management Authority
K
KH
Y
Lecture, Small group Written / Viva voce
General Surgery,
discussion
General Medicine
Forensic M
edicine
edicine &
T
oxicology
o
FM1.9
Describe the importance of documentation in medical practice in
K
KH
Y
Lecture, Small group Written/ Viva voce
Radiodiagnosis,
regard to medicolegal examinations, Medical Certificates and
discussion
General Surgery,
medicolegal reports especially
General Medicine,
? maintenance of patient case records, discharge summary,
Pediatrics
prescribed registers to be maintained in Health Centres.
-- maintenance of medico-legal register like accident register.
- documents of issuance of wound certificate
- documents of issuance of drunkenness certificate.
- documents of issuance of sickness and fitness certificate.
- documents for issuance of death certificate.
- documents of Medical Certification of Cause of Death - Form
Number4 and 4A
- documents for estimation of age by physical, dental and
radiological examination and issuance of certificate
FM2.34 Demonstrate ability to use local resources whenever required like in A & C
KH
Y
Lecture, Small group Written/Viva voce
General Medicine,
mass disaster situations
discussion
AETCOM
FM3.22 Define and discuss impotence, sterility, frigidity, sexual dysfunction,
K
K/KH
Y
Lecture, Small group Written/ Viva voce
Obstetrics &
premature ejaculation. Discuss the causes of impotence and sterility
discussion
Gynaecology,
in male and female
General Medicine
FM5.5
Describe & discuss Delirium tremens
K
K/KH
Y
Lecture, Small group Written/Viva voce
Psychiatry, General
discussion
Medicine
FM8.6
Describe the general symptoms, principles of diagnosis and
K
K/KH
Y
Lecture, Small group Written/Viva voce/OSCE
Pharmacology
management of common poisons encountered in India.
discussion, Bed side
clinic, DOAP session
130
Number COMPETENCY
Domain
Level Core Y/ Suggested Learning Suggested Assessment
Number
Vertical Integration Horizontal
The student should be able to
K/S/A/C K/KH/
N
methods
methods
required to
Integration
SH/P
certify
P
FM8.7
Describe simple Bedside clinic tests to detect poison/drug in a
K
K/KH
Y
Lecture, Small group Written/Viva voce/OSCE
Pharmacology,
patient's body fluids
discussion, Bed side
General Medicine
clinic, DOAP session
FM8.8
Describe basic methodologies in treatment of poisoning:
K
K/KH
Y
Lecture, Small group Written/ Viva voce/
Pharmacology,
decontamination, supportive therapy, antidote therapy, procedures
discussion, Bed side OSCE
General Medicine
of enhanced elimination
clinic, DOAP session
FM9.1
Describe General Principles and basic methodologies in treatment
K
K/KH
Y
Lecture, Small group Written/ Viva voce/
Pharmacology,
of poisoning: dec t
i
ontam
t
nation, s
ti
upportive th
therapy,
tid
antid t
ote th
therapy,
discussion, Bed sid
ide OSCE
General Medi
dicine
procedures of enhanced elimination with regard to:
Caustics
clinic, Autopsy, DOAP
Inorganic ? sulphuric, nitric, and hydrochloric acids Organic-
session
Carboloic Acid (phenol), Oxalic and acetylsalicylic acids .
FM9.2
Describe General Principles and basic methodologies in treatment
K
K/KH
Y
Lecture, Small group Written/ Viva voce/
Pharmacology,
of poisoning: decontamination, supportive therapy, antidote therapy,
discussion, Bed side OSCE
General Medicine
procedures of enhanced elimination with regard to Phosphorus,
clinic, Autopsy, DOAP
Iodine, Barium
session
FM9.3
Describe General Principles and basic methodologies in treatment
K
K/KH
Y
Lecture, Small group Written/ Viva voce/
Pharmacology,
of poisoning: decontamination, supportive therapy, antidote therapy,
discussion, Bed side OSCE
General Medicine
procedures of enhanced elimination with regard to Arsenic, lead,
clinic, Autopsy, DOAP
mercury, copper, iron, cadmium and thallium
session
FM9.4
Describe General Principles and basic methodologies in treatment
K
K/KH
Y
Lecture, Small group Written/ Viva voce/
Pharmacology,
of poisoning: decontamination, supportive therapy, antidote therapy,
discussion, Bed side OSCE
General Medicine
procedures of enhanced elimination with regard to Ethanol,
clinic, Autopsy, DOAP
methanol, ethylene glycol
session
FM9.5
Describe General Principles and basic methodologies in treatment
K
K/KH
Y
Lecture, Small group Written/ Viva voce/
Pharmacology,
of poisoning: decontamination, supportive therapy, antidote therapy,
discussion, Bed side OSCE
General Medicine
procedures
of
enhanced
elimination
with
regard
to
clinic, Autopsy, DOAP
Organophosphates, Carbamates, Organochlorines, Pyrethroids,
session
Paraquat, Aluminium and Zinc phosphide
131
Number COMPETENCY
Domain
Level Core Y/ Suggested Learning Suggested Assessment
Number
Vertical Integration Horizontal
The student should be able to
K/S/A/C K/KH/
N
methods
methods
required to
Integration
SH/P
certify
P
FM9.6
Describe General Principles and basic methodologies in treatment
K
K/KH
Y
Lecture, Small group Written/ Viva voce/
Pharmacology,
of poisoning: decontamination, supportive therapy, antidote therapy,
discussion, Bed side OSCE
General Medicine
procedures of enhanced elimination with regard to Ammonia,
clinic, Autopsy, DOAP
carbon monoxide, hydrogen cyanide & derivatives, methyl
session
isocyanate, tear (riot control) gases
FM10.1 Describe General Principles and basic methodologies in treatment
K
K/KH
Y
Lecture, Small group Written/ Viva voce/
Pharmacology,
of poisoning: decontamination, supportive therapy, antidote therapy,
discussion, Bed side OSCE
General Medicine
procedures of enhanced elimination with regard to:
clinic, Autopsy, DOAP
i. Antipyretics ? Paracetamol, Salicylates
session
ii. Antiti I-nfectitives (C
(Common antibi
tibiotitics ? an ov
i
erv ew)
iii. Neuropsychotoxicology Barbiturates, benzodiazepines,
phenytoin, lithium, haloperidol, neuroleptics, tricyclics
iv
. Narcotic Analgesics, Anaesthetics, and Muscle Relaxants
v.
Cardiovascular Toxicology Cardiotoxic plants ? oleander,
odollam, aconite, digitalis
vi
. Gastro-Intestinal and Endocrinal Drugs ? Insulin
FM11.1 Describe features and management of Snake bite, scorpion sting,
K
K/KH
Y
Lecture, Small group Written/Viva voce
General Medicine
bee and wasp sting and spider bite
discussion, Autopsy
FM12.1 Describe features and management of abuse/poisoning with
K
K/KH
Y
Lecture, Small group Written/Viva voce
General Medicine
following camicals: Tobacco, cannabis, amphetamines, cocaine,
discussion, Autopsy
hallucinogens, designer drugs& solvent
FM13.1 Describe toxic pollution of environment, its medico-legal aspects &
K
K/KH
Y
Lecture, Small group Written/Viva voce
General Medicine
toxic hazards of occupation and industry
discussion
FM14.2 Demonstrate the correct technique of clinical examination in a
S
SH
Y
Bedside clinic
Logbook Skill station/Viva
General Medicine
suspected case of poisoning & prepare medico-legal report in a
(ward/casualty), Small voce/ OSCE
simulated/ supervised environment
group discussion
FM14.3 Assist and demonstrate the proper technique in collecting,
S
SH
Y
Bedside clinic, Small Skill lab/Viva voce
General Medicine
preserving and dispatch of the exhibits in a suspected case of
group
poisoning, along with clinical examination .
discussion/DOAP
session
Dermatology, Venereology & Leprosy
132
Number COMPETENCY
Domain
Level Core Y/ Suggested Learning Suggested Assessment
Number
Vertical Integration Horizontal
The student should be able to
K/S/A/C K/KH/
N
methods
methods
required to
Integration
SH/P
certify
P
DR9.1
Classify, describe the epidemiology, etiology, microbiology
K
KH
Y
Lecture, Small group Written /Viva voce
General Medicine
Microbiology,
pathogenesis and clinical presentations and diagnostic features of
discussion
Community Medicine
Leprosy
DR9.2
Demonstrate (and classify based on) the clinical features of leprosy
S
SH
Y
Lecture, Small group Bedside clinic session/
General Medicine
including an appropriate neurologic examination
discussion
Skill assessment
DR9.4
Enumerate, describe and identify lepra reactions and supportive
K
KH
Y
Lecture, Small group Written /Viva voce
General Medicine
Pharmacology
measures and therapy of lepra reactions
discussion
DR9.5
Enumerate the indications and describe the pharmacology,
K
KH
Y
Lecture, Small group Written /Viva voce
General Medicine
Pharmacology,
administration and adverse reaction of pharmacotherapies for
discussion
Community Medicine
various classes of leprosy based on national guidelines
DR9.6
Describe the treatment of Leprosy based on the WHO guidelines
K
KH
Y
Lecture, Small group Written /Viva voce
General Medicine
Pharmacology,
discussion
Community Medicine
DR9.7
Enumerate and describe the complications of leprosy and its
K
KH
Y
Lecture, Small group Written / Viva voce
General Medicine
Pharmacology,
management, including understanding disability and stigma.
discussion
Psychiatry
DR10.1 Identify and classify syphilis based on the presentation and clinical
S
SH
Y
Bedside clinic
Skill assessment
General Medicine
Microbiology
manifestations
DR10.3 Enumerate the indications and describe the pharmacology,
K
KH
Y
Lecture, Small group Written /Viva voce
General Medicine
Pharmacology,
administration and adverse reaction of pharmacotherapies for
discussion
Microbiology
syphilis
DR10 4
.
Descr
De
ibe
scribe t he
the pr
evention
prev
of
of congenital sy
syphilis
K
KH
Y
Lecture, Sma
Sm ll
all group
Wrirtten
itten /Viva
/Viva voce
Ge
G neral Me
M dicine
discussion
DR10.5 Counsel in a non-judgemental and empathetic manner patients on
C
SH
Y
Lecture, Small group Skill assessment
General Medicine
prevention of sexually transmitted diseases
discussion
DR10.6 Describe the etiology, diagnostic and clinical features of non-
K
KH
Y
Lecture, Small group Written /Viva voce
General Medicine
Microbiology
syphilitic sexually transmitted diseases (chancroid, donovanosis and
discussion
LGV)
133
Number COMPETENCY
Domain
Level Core Y/ Suggested Learning Suggested Assessment
Number
Vertical Integration Horizontal
The student should be able to
K/S/A/C K/KH/
N
methods
methods
required to
Integration
SH/P
certify
P
DR10.7 Identify and differentiate based on the clinical features non-syphilitic
S
SH
Y
Lecture, Small group Skill assessment
General Medicine
Microbiology
sexually transmitted diseases (chancroid, donovanosis and LGV)
discussion
DR10.8 Enumerate the indications and describe the pharmacology,
K
KH
Y
Lecture, Small group Written /Viva voce
General Medicine
Pharmacology,
indications and adverse reactions of drugs used in the non-syphilitic
discussion
Microbiology
sexually transmitted diseases (chancroid, donovanosis and LGV)
DR10.9 Describe the syndromic approach to ulcerative sexually transmitted
K
KH
Y
Lecture, Small group Written /Viva voce
General Medicine
disease
discussion
DR10.10 Describe the etiology, diagnostic and clinical features and
K
KH
Y
Lecture, Small group Written /Viva voce
General Medicine
management of gonococcal and non gonococcal urethritis
discussion
DR11.1 Describe the etiology, pathogenesis and clinical features of the
K
KH
Y
Lecture, Small group Written /Viva voce
General Medicine
Microbiology
dermatologic manifestations of HIV and its complications including
discussion
opportunistic infections
DR11.2 Identify and distinguish the dermatologic manifestations of HIV its
S
SH
Y
Lecture, Small group Skill assessment
General Medicine
Microbiology
complications, opportunistic infections and adverse reactions
discussion
DR11.3 Enumerate the indications and describe the pharmacology,
K
KH
Y
Lecture, Small group Written / Viva voce
General Medicine
Pharmacology,
administration and adverse reaction of pharmacotherapies for
discussion
Microbiology
dermatologic lesions in HIV
DR12.7 Identify and distinguish fixed drug eruptions and Steven Johnson
S
SH
Y
Lecture, Small group Skill assessment
General Medicine
Pathology,
syndrome from other skin lesions
discussion
Microbiology
DR16.1 Identify and distinguish skin lesions of SLE
S
SH
Y
Lecture, Small group Skill assessment
General Medicine
Pathology
discussion
DR16.2 Identify and distinguish Raynaud's phenomenon
S
SH
Y
Lecture, Small group Skill assessment
General Medicine
Pathology
discussion
DR17.1 Enumerate and identify the cutaneous findings in vitamin A
K/S
SH
Y
Lecture, Small group Skill assessment/ Viva
General Medicine,
deficiency
discussion
voce
Pediatrics,
Biochemistry
134
Number COMPETENCY
Domain
Level Core Y/ Suggested Learning Suggested Assessment
Number
Vertical Integration Horizontal
The student should be able to
K/S/A/C K/KH/
N
methods
methods
required to
Integration
SH/P
certify
P
DR17.2 Enumerate and describe the various skin changes in Vitamin B
K
KH
Y
Lecture, Small group Written/Viva voce
General Medicine,
complex deficiency
discussion
Pediatrics,
Biochemistry
DR17.3 Enumerate and describe the various changes in Vitamin C
K
KH
Y
Lecture, Small group Written/Viva voce
General Medicine,
deficiency
discussion
Pediatrics,
Biochemistry
DR17.4 Enumerate and describe the various changes in Zinc deficiency
K
KH
Y
Lecture, Small group Written/Viva voce
General Medicine,
discussion
Pediatrics,
Biochemistry
DR18.1 Enumerate the cutaneous features of Type 2 diabetes
K
K
Y
Lecture, Small group Written/Viva voce
General Medicine
discussion
DR18.2 Enumerate the cutaneous features of hypo- & hyperthyroidism
K
K
Y
Lecture, Small group Written/Viva voce
General Medicine
discussion
Anesthesiology
AS2.1
Enumerate the indications, describe the steps and demonstrate in a
S
SH
N
DOAP session
Skill assessment
General Medicine,
simulated environment basic life support in adults children and
Pediatrics
neonates
AS2.2
Enumerate the indications, describe the steps and demonstrate in a
S
SH
N
DOAP session
Skill assessment
General Medicine
simulated environment advanced life support in adults and children
AS3.1
Des
De cribe
scribe t he
the princ
iples of
preoperativ
e
preoperativ eva
ev luation
aluation
K
KH
Y
Lecture, Sma
Sm ll
all group
Wrirtten/
itten/ Viva
Viva voce
Ge
G neral Surgery,
discussion
General Medicine
AS3.2
Elicit, present and document an appropriate history including
S
SH
Y
DOAP session,
Skill station
General Surgery,
medication history in a patient undergoing Surgery as it pertains to a
Bedside clinic
General Medicine
preoperative anaesthetic evaluation
AS3.3
Demonstrate and document an appropriate clinical examination in a
S
SH
Y
DOAP session,
Skill station
General Surgery,
patient undergoing General Surgery
Bedside clinic
General Medicine
135
Number COMPETENCY
Domain
Level Core Y/ Suggested Learning Suggested Assessment
Number
Vertical Integration Horizontal
The student should be able to
K/S/A/C K/KH/
N
methods
methods
required to
Integration
SH/P
certify
P
AS3.4
Choose and interpret appropriate testing for patients undergoing
S
SH
Y
DOAP session,
Skill station
General Surgery,
Surgery
Bedside clinic
General Medicine
AS3.5
Determine the readiness for General Surgery in a patient based on
S
SH
Y
DOAP session,
Skill station
General Surgery,
the preoperative evaluation
Bedside clinic
General Medicine
AS7.2
Enumerate and describe the criteria for admission and discharge of
S
KH
Y
Lecture, Small group Written/ Viva voce
General Medicine
a patient to an ICU
discussion, DOAP
session
AS7.3
Observe and de i
scr b
ibe th
the management of an unconscious patitient
S
KH
Y
Lecture, Smalll group W irtt
itten/ Vi
Viva voce
Physiology
General Medi
dicine
discussion DOAP
session
AS7.4
Observe and describe the basic setup process of a ventilator
S
KH
Y
Lecture, Small group Written/ Viva voce
Physiology
General Medicine
discussion DOAP
session
AS7.5
Observe and describe the principles of monitoring in an ICU
S
KH
Y
Lecture, Small group Written/ Viva voce
General Medicine
discussion DOAP
session
AS8.4
Describe the principles of pain management in palliative care
K
KH
Y
Lecture, Small group Written/ Viva voce
Pharmacology
General Medicine
discussion, DOAP
session
AS8.5
Describe the principles of pain management in the terminally ill
K
KH
Y
Lecture, Small group Written/ Viva voce
Pharmacology
General Medicine
discussion, DOAP
session
AS10.4
Define and des
de cribe
scribe c
om
o mon
mmo m
edic
m
a
edic l
a and
m
edic
m
a
edic tion
a
errors
in
K
KH
Y
Lecture, Sma
Sm ll
all group
Wrirtten/
itten/ Viva
Viva voce
Pharma
Pharm cology
Ge
G neral Me
M dicine
anaesthesia
discussion, DOAP
session
Otorhinolaryngology (ENT)
EN4.53 Describe the Clinical features, Investigations and principles of
K
KH
N
Lecture, Small group Written/ Viva voce/ Skill
General Medicine
management of HIV manifestations of the ENT
discussion,
assessment
Demonstration
136
Number COMPETENCY
Domain
Level Core Y/ Suggested Learning Suggested Assessment
Number
Vertical Integration Horizontal
The student should be able to
K/S/A/C K/KH/
N
methods
methods
required to
Integration
SH/P
certify
P
Ophthalmology
OP5.2
Define, enumerate and describe the aetiology, associated systemic
K
KH
Y
Lecture, Small group Written/ Viva voce
General Medicine
conditions, clinical features, complications, indications for referral
discussion
and management of scleritis
OP6.3
Enumerate systemic conditions that can present as iridocyclitis and
K
KH
Y
Lecture, Small group Written/ Viva voce
General Medicine
describe their ocular manifestations
discussion
OP9.3
Describe the role of refractive error correction in a patient with
K
K
Y
Lecture, Small group Written/ Viva voce
General Medicine
headache and enumerate the indications for referral
discussion
Dentistry
DE1.4
Discuss the role of dental caries as a focus of sepsis
K
KH
Y
Lecture, Small group Written/ Viva voce
Microbiology,
discussion
General Medicine
Psychiatry
PS3.7
Enumerate and describe common organic psychiatric disorders,
K
KH
Y
Lecture, Small group Written/ Viva voce
General Medicine
magnitude, etiology and clinical features
discussion
PS3.8
Enumerate and describe the essential investigations in patients with
K
KH
Y
Lecture, Small group Written/ Viva voce
General Medicine
organic psychiatric disorders
discussion
PS4.1
Describe the magnitude and etiology of alcohol and substance use
K
KH
Y
Lecture, Small group Lecture/ Small group
General Medicine
disorders
discussion
discussion
PS4.2
Eliciit, de
i
scr b
ibe and d
ocument clilini l
ca f eatures f
o l
a h
co l
o
d
an
S
SH
Y
Bedside clinic, D
OAP
DOAP Skill assessment
General Medi
dicine
substance use disorders
session
PS4.3
Enumerate and describe the indications and interpret laboratory and
S
SH
Y
Bedside clinic, DOAP Skill assessment
General Medicine
other tests used in alcohol and substance abuse disorders
session
PS4.4
Describe the treatment of alcohol and substance abuse disorders
K
KH
Y
Lecture, Small group Written/ Viva voce
Pharmacology
General Medicine
including behavioural and pharmacologic therapy
discussion
137
Number COMPETENCY
Domain
Level Core Y/ Suggested Learning Suggested Assessment
Number
Vertical Integration Horizontal
The student should be able to
K/S/A/C K/KH/
N
methods
methods
required to
Integration
SH/P
certify
P
PS4.6
Enumerate and describe the pharmacologic basis and side effects
K
KH
Y
Lecture, Small group Written/ Viva voce
Pharmacology
General Medicine
of drugs used in alcohol and substance abuse
discussion
PS10.1 Enumerate and describe the magnitude and etiology of somatoform,
K
KH
Y
Lecture, Small group Written/ Viva voce
General Medicine
dissociative and conversion disorders
discussion
PS10.2 Enumerate, elicit, describe and document clinical features in
S
SH
Y
Bedside clinic, DOAP Skill assessment
General Medicine
patients with somatoform, dissociative and conversion disorders
session
PS10.3 Enumerate and describe the indications and interpret laboratory and
S
SH
Y
Bedside clinic, DOAP Skill assessment
General Medicine
other tests used in somatoform, dissociative and conversion
session
disorders
PS10.4 Describe the treatment of somatoform disorders including
K
KH
Y
Lecture, Small group Written/ Viva voce
Pharmacology
General Medicine
behavioural, psychosocial and pharmacologic therapy
discussion
PS10.6 Enumerate and describe the pharmacologic basis and side effects
K
KH
Y
Lecture, Small group Written/ Viva voce
Pharmacology
General Medicine
of drugs used in somatoform, dissociative and conversion disorders
discussion
PS12.1 Enumerate and describe the magnitude and etiology of
K
KH
Y
Lecture Small group Written/ Viva voce
General Medicine
psychosomatic disorders
discussion
PS12.2 Enumerate, elicit, describe and document clinical features in
S
SH
Y
Bedside clinic, DOAP Skill assessment
General Medicine
patients with magnitude and etiology of psychosomatic disorders
session
PS12.3 Enumerate and describe the indications and interpret laboratory and
S
SH
Y
Bedside clinic, DOAP Skill assessment
General Medicine
other tests of psychosomatic disorders
session
PS12.4 Describe the treatment of psychosomatic disorders including
K
KH
Y
Lecture, Small group Written/ Viva voce
Pharmacology
General Medicine
behavioural
behavioural, psyc
y hosocial and
pharm
a
pharm c
a o
c logic
o
t herapy
therapy
discussion
PS16.1 Enumerate and describe common psychiatric disorders in the
K
KH
Y
Lecture, Small group Written/ Viva voce
General Medicine
elderly including dementia, depression and psychosis
discussion
PS16.2 Describe the aetiology and magnitude of psychiatric illness in the
K
KH
Y
Lecture, Small group Written/ Viva voce
General Medicine
elderly
discussion
PS16.3 Describe the therapy of psychiatric illness in elderly including
K
KH
Y
Lecture, Small group Written/ Viva voce
General Medicine
psychosocial and behavioural therapy
discussion
138
Number COMPETENCY
Domain
Level Core Y/ Suggested Learning Suggested Assessment
Number
Vertical Integration Horizontal
The student should be able to
K/S/A/C K/KH/
N
methods
methods
required to
Integration
SH/P
certify
P
PS16.4 Demonstrate family education in a patient with psychiatric disorders
S
SH
Y
Bedside clinic, DOAP Skill assessment
General Medicine
occurring in the elderly in a simulated environment
session
Obstetrics & Gynaecology
OG12.1 Define, classify and describe the etiology and pathophysiology,
K
KH
Y
Lecture, Small group Written/ Viva voce/ Skill
General Medicine
early detection, investigations; principles of management of
discussion, Bedside
assessment
hypertensive disorders of pregnancy and eclampsia, complications
clinics
of eclampsia
OG12.2 Define, Classify and des
y
cribe the etiology,
gy pathophysio
y logy,
gy
K
KH
Y
Lecture, Small group Written/ Viva voce/ Skill
General Medicine
diagnosis, investigations, adverse effects on the mother and foetus
discussion, Bedside
assessment
and the management during pregnancy and labor, and
clinics
complications of anemia in pregnancy
OG12.3 Define, Classify and describe the etiology, pathophysiology,
K
KH
Y
Lecture,Small group
Written/ Viva voce/ Skill
General Medicine
diagnosis, investigations, criteria, adverse effects on the mother and
discussion, Bedside
assessment
foetus and the management during pregnancy and labor, and
clinics
complications of diabetes in pregnancy
OG12.4 Define, classify and describe the etiology, pathophysiology,
K
KH
Y
Lecture, Small group Written/ Viva voce/ Skill
General Medicine
diagnosis, investigations, criteria, adverse effects on the mother and
discussion, Bedside
assessment
foetus and the management during pregnancy and labor, and
clinics
complications of heart diseases in pregnancy
OG12.5 Describe the clinical features, detection, effect of pregnancy on the
K
KH
Y
Lecture, Small group Written/ Viva voce/ Skill
General Medicine
disease and impact of the disease on pregnancy complications and
discussion, Bedside
assessment
management in pregnancy of urinary tract infections
clinics
OG12.6 Des
De cribe
scribe t he
the c
linical
clinical f e
f atures
e
detec
,
tion
detec
ef
, e fec
ffe t
c of
pregnanc
y o
n
on t he
the
K
KH
Y
Lecture, Sma
Sm ll
all group
Wrirtten/
itten/ Viva
Viva voce/ Skil
Skill
Ge
G neral Me
M dicine
disease and impact of the disease on pregnancy complications and
discussion, Bedside
assessment
management in pregnancy of liver disease
clinics
OG12.7 Describe and discuss Screening, risk factors, management of
K
KH
Y
Lecture, Small group Written/ Viva voce/ Skill
General Medicine
mother and newborn with HIV
discussion, Bedside
assessment
clinics
Pediatrics
139
Number COMPETENCY
Domain
Level Core Y/ Suggested Learning Suggested Assessment
Number
Vertical Integration Horizontal
The student should be able to
K/S/A/C K/KH/
N
methods
methods
required to
Integration
SH/P
certify
P
PE14.3 Discuss the risk factors, clinical features, diagnosis and
K
KH
N
Lecture, Small group Written/ Viva voce
Pharmacology
General Medicine
management of Organophosphorous poisoning
discussion
PE32.3 Interpret normal Karyotype and recognize Trisomy 21
S
SH
Y
Bedside clinics, Skills Log book
General Medicine
lab
PE32.9 Discuss the referral criteria and multidisciplinary approach to
K
KH
N
Lecture, Small group Written/ Viva voce
General Medicine,
management of Turner Syndrome
discussion
Obstetrics &
Gynecology
General Surgery
SU22.6 Describe and discuss the clinical features of hypo- &
K
KH
Y
Lecture, Small group Written/ Viva voce
General Medicine
hyperparathyroidism and the principles of their management
discussion
SU23.2 Describe the etiology, clinical features and principles of
K
KH
Y
Lecture, Small group Written/ Viva voce
General Medicine
management of disorders of adrenal gland
discussion
Orthopaedics
OR5.1
Describe and discuss the aetiopathogenesis, clinical features,
K
K/KH
Y
Lecture, Small group Written/ Viva voce
General Medicine
Investigations and principles of management of various
Discussion, Bedside OSCE
inflammatory disorder of joints
clinic
OR11.1 Describe and discuss the aetiopathogenesis, Clinical features,
K
K/H
Y
Lecture Small Group Written/ Viva voce
Human Anatomy
General Medicine,
Investigations and principles of management of peripheral nerve
discussion, case
OSCE
General surgery
injuries in diseases like foot drop, wrist drop, claw hand, palsies of
discussion
Radial, U
lnar,
Ulnar, M
edian,
M
Lateral
Popliteal and
Sc
iatic
Sciatic N
erve
Nerv s
es
Physical Medicine & Rehabiliation
PM1.2
Define and describe disability, its cause, and magnitude,
K
KH
Y
Lecture, Small group Written/ Viva voce
General Medicine
identification and prevention of disability
discussion
Orthopedics
PM1.3
Define and describe the methods to identify and prevent disability
K
KH
Y
Lecture, Small group Written/ Viva voce
General Medicine
discussion
Orthopedics
140
Number COMPETENCY
Domain
Level Core Y/ Suggested Learning Suggested Assessment
Number
Vertical Integration Horizontal
The student should be able to
K/S/A/C K/KH/
N
methods
methods
required to
Integration
SH/P
certify
P
PM1.4
Enumerate the rights and entitlements of differently abled persons
K
K
Y
Lecture, Small group Written/ Viva voce
General Medicine
discussion
Orthopedics
PM2.1
Describe the causes of disability in the patient with a
K
KH
Y
Lecture, Small group Written/ Viva voce
Human Anatomy
General Medicine
cerebrovascular accident
discussion
PM2.2
Describe and discuss the treatment of rigidity and spasticity
K
KH
Y
Lecture, Small group Written/ Viva voce
General Medicine
discussion
PM2.3
Describe and discuss the principles of early mobilizations, mobility
K
KH
Y
Lecture, Small group Written/ Viva voce
General Medicine
aids and splints
discussion
PM2.4
Describe and discuss the impact of comorbidities on the
K
KH
Y
Lecture, Small group Written/ Viva voce
General Medicine
rehabilitation of the patient with cerebrovascular accident
discussion
PM4.1
Describe the common patterns, clinical features, investigations,
K
KH
Y
Lecture, Small group Written/ Viva voce
General Medicine
diagnosis and treatment of common causes of arthritis
discussion
Orthopedics
PM4.5
Demonstrate correct assessment of muscle strength and range of
S
SH
Y
DOAP session,
Skill assessment
General Medicine
movements
Bedside clinic
Orthopedics
PM6.1
Perform and demonstrate a clinical examination of sensory and
S
SH
Y
Bedside clinic
Skill assessment
General Medicine
motor deficits of peripheral nerve
PM6.2
Enumerate the indications and describe the principles of nerve
K
KH
Y
Lecture, Small group Written/ Viva voce
General Medicine
conduction velocity and EMG
discussion
PM7.4
Assess bowel and bladder function and identify common patterns of
S
KH
Y
Small group
Written/ Viva voce
General Medicine
bladder dysfunction
discussion
Orthopedics
PM7.6
Enumerate the indications and describe the pharmacology and side
K
KH
Y
Lecture, Small group Written/ Viva voce
Pharmacology
General Medicine
effects of commonly used drugs in neuropathic bladder
discussion
PM7.7
Enumerate and describe common life threatening complications
K
KH
Y
Lecture, Small group Written/ Viva voce
General Medicine
following SCI like Deep vein Thrombosis, Aspiration Pneumonia,
discussion
Orthopedics
Autonomic dysreflexia
141
Number COMPETENCY
Domain
Level Core Y/ Suggested Learning Suggested Assessment
Number
Vertical Integration Horizontal
The student should be able to
K/S/A/C K/KH/
N
methods
methods
required to
Integration
SH/P
certify
P
PM8.1
Describe the clinical features, evaluation, diagnosis and
K
KH
Y
Lecture, Small group Written/ Viva voce
General Medicine
management of disability following traumatic brain injury
discussion
Orthopedics
General Surgery
PM8.2
Describe and discuss cognitive dysfunction like deficits in attention,
K
KH
Y
Lecture, Small group Written/ Viva voce
General Medicine
memory and communication
discussion
PM8.3
Describe and discuss common behavior and mood changes
K
KH
Y
Lecture, Small group Written/ Viva voce
General Medicine
following TBI
discussion
PM8.4
Describe metabolic co-morbidities like SIADH, diabetes mellitus,
K
KH
Y
Lecture, Small group Written/ Viva voce
General Medicine
insipidus and endocrine dysfunction following TBI
discussion
PM8.5
Describe the Vocational opportunities and community based
K
KH
Y
Lecture, Small group Written/ Viva voce
General Medicine
rehabilitation following TBI
discussion
PM 9.1
Describe rehabilative aspects as they pertain to the elderly including
K
KH
Y
Lecture, Small group
Written Viva voce
General Medicine
patients with dementia, depression, incontinence immobility and
Psychiatry
nutritional needs
Radiotherapy
RT1.3
Enumerate, describe and discuss classification and staging of
K
KH
Y
Lecture
Written/ Viva voce Pathology
General
Surgery
cancer (AJCC, FIGO etc.)
General Medicine
142
This post was last modified on 16 August 2021