(a) Competencies: The student must demonstrate :
1. Knowledge of common eye problems in the community
2. Recognize, diagnose and manage common eye problems and identify indications for referral,
3. Ability to recognize visual impairment and blindness in the community and implement
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National programmes as applicable in the primary care setting.(b) Integration: The teaching should be aligned and integrated horizontally and vertically in
order to allow the student to understand the structural basis of ophthalmologic problems,
their management and correlation with function, rehabilitation and quality of life.
TEACHING METHODS & HOURS
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Large GroupSmall group
SDL
AETCOM
Total
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Clinical/FieldTeaching
teaching/Practical
Posting
/Tutorials
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--
-
-
-
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-3rd part
30 hours
60 hours
10 hours
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MODULE100 hours
PHASE 2
I/I
3.2
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PHASE 3Total
30 hours
60 hours
10 hours
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100 hours8 weeks
CURRICULUM
UG CURRICULUM FOR LARGE GROUP TEACHING
Topic
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TopicNo. of
Integration Method of
code
hours
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Teaching(30)
Visual Acuity Assessment
OP1.1 Describe the physiology of vision
1 hr
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physiology LGTOP1.2 Define, classify and describe the types and
2 hrs
LGT
methods of correcting refractive errors
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OP1.4 Enumerate the indications and describe the1 hr
LGT
principles of refractive surgery
Lids and Adnexa, orbit
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OP2.1 Enumerate the causes, describe and discuss2 hr
Human
LGT
the etiology, clinical presentations and
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anatomydiagnostic features of common conditions of
the lid and adnexa including
Hordeolumexternum / internum, blepharitis,
preseptal cel ulitis , dacryocystitis ,
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hemangioma, dermoid, ptosis , entropion, lidlag, lagophthalmos
OP2.6 Enumerate the causes and describe the
1 hr
LGT
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differentiating features and clinical features ofproptosis
Conjunctiva
OP3.3 Describe the aetiology , pathophysiology,
2hr
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LGTocular features, differential diagnosis,
complications and management of various
causes of conjunctivitis
Corneas
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OP4.1 Enumerate, describe and discuss the types and 3 hrHuman
LGT
&
causes of corneal ulceration
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anatomyOP4.2 Enumerate and discuss the differential
diagnosis of infective Keratitis
OP4.4 Enumerate the causes and discuss the
1hr
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LGTmanagement of dry eye
OP4.5 Enumerate the causes of corneal blindness
1 hr
LGT
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OP4.6 Enumerate the indications and types of1 hr
LGT
keratoplasty
OP4.9 Describe and discuss the importance and
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1 hrLGT
protocols involved in eye donation and eye
banking
Iris and Anterior Chamber
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OP6.1 Describe clinical signs of intraocular2 hrs
LGT
inflammation and enumerate the features that
distinguish granulomatous from non
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granulomatous inflammation.OP6.2 Identify and distinguish acute iridocyclitis from
chronic iridocyclitis
OP6.7 Enumerate and discuss the aetiology, the
4 hr
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HumanLGT
clinical distinguishing features of shallow and
Anatomy
deep anterior chamber . Choose appropriate
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investigations for patients with aboveconditions of anterior chamber
Lens
OP7.2 Describe and discuss the aetio-pathogenesis ,
1 hr
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Pathology LGTstages of maturation and complications of
cataract
OP7.4 Enumerate the types of cataract surgey and
1 hr
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LGTdescribe the steps intraoperative and
postoperative complications of extracapsular
cataract extraction surgery
Retina & Optic Nerve
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OP8.1 Discuss the aetiology , pathology , clinical1 hr
Human
LGT
features and management of vascular
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Anatomyocclusion of the retina
,
Pathology
OP8.3 Demonstrate the correct technique of a fundus 1 hr
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LGTexamination and describe and distinguish the
funduscopic features in normal condition and
in conditions causing abnormal retinal exam
OP8.5 Describe and discuss the correlative anatomy , 2 hr
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LGTaetiology , clinical manifestations, diagnostic
tests , imaging and management of diseases of
optic nerve and visual pathway
Miscel aneous
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OP9.2 Classify , enumerate the types, methods of1 hr
LGT
diagnosis and indications for referral in a
patient with heterotropia/ strabismus
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OP9.5 Describe the evaluation and enumerate the1 hr
LGT
steps involved in the stabilization , initial
management and indication for referral in a
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patient with ocular injuryUG CURRICULUM FOR SMALL GROUP TEACHING
Topic
Topic
No. of Integration
--- Content provided by FirstRanker.com ---
Method ofcode
hours
Teaching
(60)
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Visual Acuity AssessmentOP1.5
Define, enumerate the types and the
2 hr
SGT
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mechanism by which strabismus leads toamblyopia
Lids and Adnexa, orbit
OP2.4
Describe the aetiology , clinical
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2 hrSGT
presentation, Discuus the complication
and management of orbital cel ulitis
OP2.5
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Describe clinical features on ocular2 hr
SGT
examination and management of a
patient with cavernous sinus thrombosis
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OP2.6Enumerate the causes and describe the
3 hr
SGT
differentiating features and clinical
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features and management of proptosisOP2.7
Classify the various types of orbital
4 hr
SGT
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tumors . Differentiate the symtoms andsigns of the presentations of various types
of ocular tumors
OP2.8
List the investigations helpful in diagnosis 2 hr
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SGTof orbital tumors. Enumerate the
indications of appropriate referral
Conjunctiva
OP3.4
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Describe the etiology, pathophysiology ,2hr
SGT
ocular features, differential diagnosis ,
complication and management of
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trachomaOP3.5
Describe the etiology, pathophysiology ,
2 hr
SGT
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ocular features, differential diagnosis ,complication and management of vernal
catarrh
OP3.6
Describe the etiology, pathophysiology ,
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2 hrSGT
ocular features, differential diagnosis ,
complication and management of
pterygium
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OP3.7
Describe the etiology, pathophysiology ,
1 hr
SGT
ocular features, differential diagnosis ,
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complication and management ofsymblepharon
Cornea
OP4.3
Enumerate the causes of corneal edema
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2 hrSGT
OP4.7
Enumerate the indications and describe
2 hr
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SGTthe methods of tarsorraphy
Sclera
OP5.1
Define, enumerate and Describe the
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2 hrSGT
etiology, associated systemic conditions ,
ocular features, indications for referral ,
complication and management of
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episcleritisOP5.2
Define, enumerate and Describe the
2 hr
SGT
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etiology, associated systemic conditions ,ocular features, indications for referral ,
complication and management of scleritis
Iris and anterior chamber
OP6.3
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Enumerate systemic conditions that can3 hr
SGT
present as iridocyclitis and describe their
ocular manifestations
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OP6.4Describe and distinguish hyphema and
3 hr
SGT
hypopyon
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OP6.5Describe and discuss the angle of the
3 hr
SGT
anterior chamber and its clinical
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correlatesOP6.8
Enumerate and choose the appropriate
3 hr
SGT
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investigations for patients with conditionsaffecting the uvea
OP6.9
Choose the correct local and systemic
2 hr
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SGTtherapy for conditions of anterior
chamber and enumerate their indications
, adverse events and interactions
Lens
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OP7.1Describe the surgical anatomy and the
2 hr
Anatomy &
SGT
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metabolism of lensbiochemistry
Retina and Optic Nerve
SGT
OP8.2
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Enumerate the indications for laser4 hr
SGT
therapy in the treatment of retinal
disease ( including retinal detachment,
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retinal degeneration , diabeticretinopathy and hypertensive
retinopathy)
OP8.8
Enumerate and discuss treatment
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5hrSGT
modalities in management of diseases of
retina
Miscel aneous
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OP9.3Describe the role of refractive error
2 hr
SGT
correction in a patient with headache and
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enumerate the indications of refrralOP9.4
Enumerate, describe and discuss the
3 hr
SGT
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causes of avoidable blindness and thenational programs for control of blindness
( including vision 2020)
UG CURRICULUM FOR CLINICAL DEMONSTRATION/BED SIDE TEACHING /
DOAP:
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TopicTopic
No. of
Integration
Method of
--- Content provided by FirstRanker.com ---
codehours
Teaching
(10)
Visual Acuity Assessment
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OP1.3Demonstrate the steps in performing the
1 hr
physiology
DOAP
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visual acuity assessment for distancevision, near vision, color vision , the pin
hole test and the menace and blink
reflexes
Lids and Adnexa , Orbit
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OP2.2Demonstrate the symptoms and clinical
1 hr
Human
DOAP
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signs of conditions enumerated in OP2.1Anatomy
OP2.3
Demonstrate under supervision clinical
1 hr
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DOAPprocedure performed in the lid including :
bel s phenomenon, assessment of
entropion / ectropion, perform the
regurgitation test of lacrimal sac, massage
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technique in congdacryocystitis andtrichiatic cilia removd by epilation
Conjunctiva
OP3.1
Elicit document and present an
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1 hrDOAP
appropriate history in a patient presenting
with a " red eye" including congestion ,
discharge , pain
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OP3.2Demonstrate document and present the
correct method of examination of a red
eye including vision assessment , corneal
lustre, pupil abnormality, ciliary
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tendernessOP3.8
Demonstrate the correct technique of
1 hr
DOAP
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removal of foreign body from the eye in asimulated environment
OP3.9
Demonstrate the correct technique of
instil ation of eye drops in a simulated
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environmentCornea
OP4.8
Demonstrate the correct technique of
removal of foreign body in cornea in a
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simulated environmentOP4.10 Counsel patient and family about eye
1 hr
DOAP
donation in a simulated environment
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Iris and Anterior ChamberOP6.6
Identify and demonstrate the clinical
1 hr
DOAP
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features and distinguish and diagnosecommon clinical conditions affecting the
anterior chamber
OP6.10 Counsel patients with condition of iris and
anterior chamber about their diagnosis ,
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therapy and prognosis in an empatheticmanner in a simulated environment
Lens
OP7.3
Demonstrate the correct technique of
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1 hrDOAP
ocular examination ina patient with
cataract
OP7.5
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To participate in team for cataract surgery 1 hrDOAP
OP7.6
Administer informed consent and counsel
DOAP
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patient for cataract surgery in a simulated
enviroment
Miscel aneous
OP9.1
Demonstrate the correct technique the
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1 hrDOAP
examine extraocular movements (
uniocular& binocular )
UG CURRICULUM FOR SDL
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TOPIC CODETOPIC
TOTAL NO. OF INTEGRATI
METHOD
HOURS
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ONOF
TEACHING
Competency OP
Enumerate the
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1ST Hour ?SDL
4.5
causes of corneal
Introduction
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blindness2nd Hour ?
Enumerate the
symposium
indications and
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3rd Hour - feedbacktypes of
Total : 3 hours
keratoplasty
Competency OP
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Enumerate ,1st hour ? Horizontal Horizontal
SDL
9.4
describe and
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integration withintegration
discuss the causes
community
with
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of avoidablemedicine
community
blindness and the
2nd hour ?
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medicineNPCB ( Including
orientation
VISION 2020)
3rd hour- quiz
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Total : 3 hoursCompetency OP
Enumerate and
1st hour ?
SDL
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6.7discuss the
Introduction/
aetiology, clinical
Orientation
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features of various2nd hour ? tutorials
glaucomas
Total : 2 hours
associated with
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shallow and deepanterior chamber.
Choose
appropriate
investigations and
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treatment forpatients with
above mentioned
conditions
Competency OP
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Define , enumerate 1st hour ?SDL
1.5
the types and the
introduction
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mechanism by2nd hour ? role play
which strabismus
Total : 2 hours
leads to amblyopia
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Suggested books :1. Parson's text book of Ophthalmology
2. Kanski' s clinical Ophthalmology
3. Khurana's text book of Ophthalmology
4. Textbook of Ophthalmology, S.K Mittal ( Thieme), 2021 edition
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Internal Assessment
Subject ? Ophthalmology
Applicable w.e.f batches admitted from 2019 and onwards
Phase
Theory
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PracticalSecond
-
EOP Practical Examination may be conducted.
MBBS
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However, these marks shall not be added to theInternal Assessment.
3rd Year (III MBBS, PART I)
Phase
I-Exam (March)
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II-Exam Prelim (August)Theory
Practical
Total
Marks
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TheoryPractical
Total
Marks
I I/I
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5050
100
100
100
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200MBBS
Assessment in CBME is ONGOING PRCESS,
No Preparatory leave is permitted.
1.
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There shall be 2 internal assessment examinations in Ophthalmologyincluding Prelim.
2.
The suggested pattern of question paper for internal assessment internal
examinations, except prelim examination is attached at the end. Pattern of the
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prelims examinations should be similar to the University examinations.3.
Internal assessment marks for theory and practical wil be converted to out
of 25 (theory) + 25 (practical). Internal assessment marks, after conversion,
should be submitted to university within the stipulated time as per directives
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from the University. Conversion Formula for calculation of marks in internalassessment examinations.
Theory
Practical
Phase II
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--
Phase III/I
150
150
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Total150
150
Conversion out of
25
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25Conversion
Total marks in 2 Total marks in 2
formula
IA
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theory IAPractical
examinations /6
examinations /6
Eligibility criteria
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1010
after conversion
Combined theory + Practical = 25
1. While preparing Final Marks of Internal Assessment, the rounding-off marks
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shall done as il ustrated in fol owing table.Total Internal Assessment Marks
Final rounded
marks
13.01 to 13.49
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1313.50 to 13.99
14
2. Students must secure at least 50% marks of the total marks (combined in theory
and practical / clinical; not less than 40 % marks in theory and practical
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separately) assigned for internal assessment in order to be eligible for appearingat the final University examination of that subject.
3. Internal assessment marks wil not to be added to marks of the University
examinations and wil be shown separately in mark list.
4. Remedial measures
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A. Remedial measures for non-eligible studentsi) At the end of each internal assessment examination, students securing
less than 50% marks shall be identified. Such students should be
counseled at the earliest and periodically. Extra classes for such students
may be arranged.
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i ) If majority of the students found to be weak in a particular area thenextra classes must be scheduled for all such students. Even after these
measures, if a student is failed to secure 50% marks combined in theory
and practical (40% separately in theory and practical) after prelim
examination, the student shall not be eligible for final examination.
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i i) Non eligible candidates are offered to reappear for repeat internalassessment examination/s, which must be conducted 2 months before
next University examination. The pattern for this repeat internal
assessment examination shall be similar to the final University
examination. The marks in this examination shall be considered for
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deciding the eligibility criteria. Fol owing conversion formula shall beused for converting the marks.
Theory
Practical
Remedial
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100100
examination
Conversion out of
25
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25Conversion
Marks in remedial Marks in remedial
formula
theory
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Practicalexaminations /4
examinations /4
Eligibility criteria
10
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10after conversion
Combined theory + Practical = 25
B. Remedial measures for absent students:
If any of the students is absent for any of the 2 IA examinations due to
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any reasons, fol owing measures shall be taken.i.
The student is asked to apply to the academic committee of the col ege
for reexamination, through HOD, to ascertain the genuineness of the
reason for absentee.
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i .
If permitted by academic committee, an additional examination for such
students is to be conducted after prelims examination. Marks for such
additional examination shall be equal to the missed examination.
i i.
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Even if a student has missed more than one IA examination, he/she canappear for only one additional IA examination. In such scenario,
eligibility should be determined by marks obtained in internal
assessment examinations for which the candidate has appeared,
without changing the denominator.
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Format for Practical Examinations
Ophthalmology
Internal Assessment Practical
Seat
Long case
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OSCEViva including Dark
Log book
Practical
No.
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includingroom instruments,
and Journal
communication
(2 stations of 5 marks
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Operativeviva
Total
skil s
each)
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instrumentsMax
20
10
10
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1050
Marks
# OSCE Stations to include Signs of General examinations, Local examinations, Psychomotor skills and
Communication skills., history taking of a particular symptom.
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Prelims and MUHS Final PracticalSeat
Long case
OSCE (4 stations)
Log book and Journal
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Dark roomOperative
Practical
No.
including
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vivainstruments
instruments
& Oral
communic
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ation skil sMax.
50
20
10
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1010
100
Marks
*Communication skills to be assessed by Kalamazoo Consensus, clinical signs to be assessed by
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either GLOBAL Rating Scale or OSCE, Psychomotor Skills to be assessed by OSCE with checklist.If the skills are small, 2 or 3 skills may be combined.
Internal Assessment Theory Examination (I)
Ophthalmology
SECTION "A" MCQ
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Instructions:1)
Put in the appropriate box below the question number once only.
2)
Use blue ball point pen only.
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3)Each question carries One mark.
4)
Students will not be allotted mark if he/she overwrites strikes or put white ink on the cross once
marked.
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SECTION "A" MCQ (10 Marks)1.
Multiple Choice Questions (Total 10 MCQ of One mark each)
(1x10=10)
a)
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b) c) d) e) f) g) h) i) j)1)
Use blue/black ball point pen only.
2)
Do not write anything on the blank portion of the question paper. If written anything, such type of act will be considered as an
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Instructions:attempt to resort to unfair means.
3)
All questions are compulsory.
4)
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The number to the right indicates full marks.5)
Draw diagrams wherever necessary.
6)
Use a common answer book for all sections.
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SECTION "B" (40 Marks)2. Long Answer Questions structured clinical questions
(15 x1=15)
a)
(5 x 5=25)
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3.Short Answer Questions (Any 5 out of 6),(including 1 on AETCOM)a)
b) c) d)
e) f)
MUHS Final Theory Examination
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OphthalmologyMAHARASHTRA UNIVERSITY OF HEALTH SCIENCES, NASHIK
FORMAT / SKELETON OF QUESTION PAPER
SECTION "A" MCQ
Instructions:
--- Content provided by FirstRanker.com ---
5)Put in the appropriate box below the question number once only.
6)
Use blue ball point pen only.
7)
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Each question carries One mark.8)
Students will not be allotted mark if he/she overwrites strikes or put white ink on the cross once
marked.
SECTION "A" MCQ (20 Marks)
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1.Multiple Choice Questions (Total 20 MCQ of One mark each)
(1x20=20)
a)
b) c) d) e) f) g) h) i) j)
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k) l) m) n) o) p) q) r) s) t)SECTION "B" & "C"
Instructions:
1)
Use blue/black ball point pen only.
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2)Do not write anything on the blank portion of the question paper. If written anything, such type of act will be considered as an
attempt to resort to unfair means.
3)
All questions are compulsory.
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4)The number to the right indicates full marks.
5)
Draw diagrams wherever necessary.
6)
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Use a common answer book for all sections.SECTION "B" (40 Marks)
2. Long Answer Questions (Any 2 out of 3) structured clinical questions
(15 x 2=30)
a)
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b) c)(5 x 3=15)
3.Short Answer Questions (All 3),(including 1 on AETCOM)
a)
b) c)
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SECTION C (40 Marks )4 Long answer questions
(15x1=15)
a)
5 Short answer questions( any 4 out of 5) (Clinical Reasoning)
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(5x4=20)a)
b) c) d) e)
Document Outline
- MUHS__Ophthalmology_CBME_U_-_Copy.pdf
- Internal assessment format.pdf
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