Download Maharashtra University of Health Sciences (MUHS) MBBS (Bachelor of Medicine, Bachelor of Surgery) MUHS MBBS Old Syllabus MBBS 3rd Year Syllabus
Education Modules" TOPIC in 2nd &3rd MBBS Syllabus
MAHARASTRA UNIVERSITY OF HEALTH
SCIENCES, NASHIK
III M.B.B.S.
MEDICINE
Introduction of "Palliative Care Medicine" Topic In 3rd MBBS (Part II) in
General Medicine Syllabus
(i) GOAL
The broad goal of the teaching of undergraduate students in Medicine is to
have the knowledge, skills and behavioral attributes to function effectively as the first
contact physician.
(ii) OBJECTIVES :
(a) KNOWLEDGE :
At the end of the course, the student shall be able to :
(1)
Diagnose common clinical disorders with special reference to
infectious diseases, nutritional disorders, tropical and environmental
diseases;
(2)
Outline various modes of management including drug therapeutics
especially dosage, side effects, toxicity, interactions, indications and
contra-indications;
(3)
Propose diagnostic and investigative procedures and ability to
interpret them;
(4)
Provide first level management of acute emergencies promptly and
efficiently and decide the timing and level of referral, if required;
(5)
Recognize geriatric disorders and their management.
(iii) SKILLS :
At the end of the course, the student shall be able to :
(1) develop clinical skills (history taking, clinical examination and other
instruments of examination to diagnose various common medical disorders
and emergencies;
(2) refer a patient to secondary and/or tertiary level of health care after having
instituted primary care;
(3) perform simple routine investigations like hemogram, stool, urine, sputum and
biological fluid examinations;
(4) assist the common bedside investigative procedures like pleural tap, lumber
puncture, bone marrow aspiration/ biopsy and liver biopsy.
A course of systematic instruction in the principles and practice of medicine,
including medical disease of infancy;
a. Lecture - demonstrations, seminars and conferences in clinical medicine
during the 3 years shall run concurrently with other clinical subjects.;
b. Instructions in comprehensive medical care;
c. Instructions in applied anatomy and physiology and pathology throughout the
period of clinical studies;
d. Instructions in dietetics, nutrition and principles of nursing Medical and in
simple ward procedure e.g. should be imparted during clinical concurrently.
iv) Attitude :
a. The teaching and training in clinical medicine must aim at developing the
attitude in students to apply the knowledge & skills he/she acquires for
benefit and welfare of the patients.
b. It is necessary to develop in students a sense of responsibility towards holistic
patient care & prognostic outcomes.
c. Students should develop behavioural skills and humanitarian approach while
communicating with patients, as individuals, relatives, society at large & the
co- professionals.
Curriculum for Theory Lecture series & Tutorials and LCD for
General Medicine including Psychiatry, Tb. & Dermatology
TERM DAY TIME LECTURES
TOPIC
4th
MON 8-9
20
Introduction to Medicine
5th
MON 8-9
15
Infectious Diseases/Tropical diseases
FRI
8-9
15
Cardiovascular System
TUE 12-1
20
GIT, Liver, Pan.
THU
8-9
20
Chest + Miscellaneous
6th
MON 8-9
20
TB
TUE
8-9
20
Psychiatry
SAT
8-9
15
Skin
FRI
8-9
15
Neurology
12-1
15
Haematology/Haemato-oncology
7th
THU
FRI
2-4
30
Tutorials
MON 2-3
20
Skin / STD
TUE
8-9
20
Endo + Misc + Genetics ( 3 Lectures.)
8th
THU
8-9
20
Nephro. +Clinical Nutrition
TUE
2-4
40
Tutorial Medicine, Skin, Tb, Psychiatry,
WED
2-4
40
Tutorial
LCD Medicine (10 ) Skin 1 Psychiatry (1)
12-1
15
9th
TUE
Tb(1)
MON 2-4
30
LCD Medicine (7)
The above timetable is general outline to guide the planning of curriculum at
college level. However, flexibility may be exercised to the extend that there may be
minor re-scheduling of course contents day-wise or term-wise. It must be ascertained
that the course contents are covered fully and total hours allotted for the subjects are
effectively implemented.
Note :- These are suggested time tables. Adjustments where required,
depending upon the availability of time and facility, be made.
SYLLABUS
(General Instruction: 1) The Lectures Stated below shall cover knowledge about applied
aspects of basic & allied sciences, practical approaches in the management of patients in the
outdoor & indoor settings as well as their management in the community. Special emphasis
shall be placed on preventive aspects, National Health Programs & dietetics & nutrition.)
2) During practical teaching & training in wards, OPD & field works
proper emphasis should be given to common health problems in addition to other diseases.
Emphasis should be given to learning of tacit knowledge & skills in diagnosis &
interpretation of finding & Lab. data.
INTRODUCTION TO MEDICINE : 4 TH SEMESER
Lect.01. : History of Medicine.
Lect.2/3. : Concept & objectives of history taking. Diagnosis, Provisional Diagnosis,
Differential diagnosis.
Lect.04. : Symptomatology of Cardiovascular Diseases.
Lect.05. : Symptomatology of Respiratory diseases.
Lect.06. : Symptomatology in Nervous system.
Lect.07. : Symptomatology in Gastrointestinal and Hepatobiliary diseases.
Lect.08. : Approach towards a patient with Fever / Oedema.
Lect.09. : Approach towards a patient with anaemia / jaundice.
Lect.10. : Approach towards a patient with Lymphadenopathy.
Lect.11. : Investigations ( Non- Invasive )
X-rays, USG
C.T. ./ M.R.I. Scan
Secretions examinations
Peripheral smear
Lect.12.: Investigations ( Invasive )
Bone marrow
F.N.A.C.
Liver biopsy
Lymph node biopsy
Endoscopies
Lumber puncture.
Lect.13/14.: Review of common diseases in India.
Lect.15/16,: Revision.
Lect.17.: Examination.
Lect.18/20: Buffer.
INFECTIOUS DISEASES : 5 TH SEMESTER
Lect.01:Introduction.
Infections ? types, Modes of Infection transmission, Incubation period
Host defenses, Immunity & Immunization & Management including
Prevention Lect.02 :
Viral hepatitis. Lect.3/4/5:
Tetanus/ Diphtheria Lect.6/7:
Malaria
Lect.08: Rabies Lect.09:
Typhoid fever
Lect.10/11: Gastroenteritis
Lect.12: Plague / Dengue
Lect.13/14: ( HIV ) Infection & AIDs.
Lect.15.: Examination.
Note :- The course contents in above topics should also cover applied aspects in
basic sciences like Anatomy, Physiology, Bio-Chemistry, Micro- Biology,
Pharmacology, Pathology, FMT while giving training on Clinical features,
investigations, Diagnosis, D/D treatment & prevention.
CARDIOVASCULAR SYSTEM : 5 TH SEMESTER
Lect.01 : Introduction
Functions / anatomy / physiology and its applications
Various terminologies used
Lect.2/3: Methods of evaluation
Non - invasive
Invasive
Lect.04 : Arrhythmias
Concept & Classification
Presentation Diagnosis
Pharmacotherapy in short
Lect.05: Cardiac arrest.
Lect.06: C.C.F.
Types
Presentations
Pathophysiology
Management
Lect.07: C.H.D.
Aetiology and classification
CHD in adults & its importance
Lect.08: Rheumatic fever
Lect.09: Presentation and haemodynamics of various Valvular lesions including
investigations, Diagnosis, D/D treatment & Prevention.
Lect.10: Infective endocarditis
Lect.11/12: C.A.D, (Coronary artery disease)
Lect.13: Pericardial diseases and cardiomyopathy
Lect.14: Hypertension
Lect.15: Examination.
GASTROENTEROLOGY, HEPATOBILIARY SYSTEM & PANCREAS :
6 TH SEMESTER
Lect.01: Introduction to GIT
Oral Cavity
Ulcers
Bleeding
Pigmentation
Oral manifestation of systemic diseases
Lect.2/3: Oesophagus
Inflammation, Dysphagia
Lect.4/5: Stomach Peptic
ulcers
Aetiopathogenesis
Clinical features
Investigations
D/D and management
Acute and Chronic gastritis
Lect.6/7. Small and large intestine diseases
Secretions & functions
MAS Mal ?absorption-syndrome
Tuberculosis of Abdomen
Lect.08: Ulcerative colitis & Crohns disease
Lect.09: Liver.
Introduction
LFT & their interpretation
Lect.10/11: Hepatitis - Acute & Chronic
Lect.12/13: Cirrhosis of liver
Lect.14: Gall bladder diseases
Lect. 15/16: Pancreas
Functions
Investigations
Acute and Chronic pancreatitis
Manifestation and D/D & treatment.
Lect.17/18: Misc. & Revision.
Lect.19: Examination.
RESPIRATORY SYSTEM : 6 TH SEMESTER
Lect.01: Applied Anatomy and physiology of R.S.
Lect.02: P.F.T. ( Pulmonary Function Testing)
Lect.03: Resp. Infection- Pneumonias.
Lect.04: Chronic bronchitis and emphysema
Lect.5/6: Bronchiectasis and lung abscess.
Lect.07: Bronchial asthma
Lect.08: Malignancies
Lect.09: Mediastinum and its disorders.
Lect.10: Pleural disease - Emphasis on pneumothorax
Lect.11: Pleural effusion.
Lect.12: Occupational lung disease. Its concept and short review
Lect.13: Revision - Fungal & Parasitic diseases
Lect. 14:Respiratory emergencies & Introduction to mechanical ventilators
Collagen Vascular Disorders
Lect.1: Allergy - Concept & hypersensitity, Autoimmunity
Lect.2: Collagen disease.
Lect.3: Rheumatoid arthritis
Lect.4: Sero negative arthritis
Lect.5: Revision HIV , Alcohol related disease
Lect.6: Examination
TUBERCULOSIS : 6 TH SEMESTER
Lect.01: History and introduction
Lect.2/3: Pathogenesis and pathology
Lect.04: Role of host related factors
Lect.05: Microbiology of AFB
Lect.06: Clinical features of pulmonary tuberculosis and its investigations
Lect.07: Anti ? Tubercular drugs
Pharmacology & Schedules of treatment.
Lect.8/9: Resistant tuberculosis
DOTS
Prophylaxis - Drugs /BCG/ Tuberculin test.
HIV & TB.
Lect.10: Extra - pulmonary tuberculosis
Plural effusion
Empyema
Others
Lect.11/12: Revision
Lect.13: Examination
NEUROLOGY: 7 TH SEMESTERS
Lect.01: Introduction
Applied anatomy & physiology
History taking in neurology
Lect.02: Investigations
Lect.3/4: CVD ( Cerebro Vasular Disease)
Types & its differential diagnosis
Predisposing factors
Diagnosis and management
Lect.05: S.O.L. (Space Occupying Lesions)
Lect.06: Encephalitis and meningitis
Lect.07: Epilepsy
Lect.08: Cerebellar syndrome
Lect.09: Parkinsonism
Lect.10: Paripheral neuropathy
Lect.11: Muscle disorders in brief
Lect.12/13: Spinal cord disorders
Lect.14: CSF
Formation and absorption
Status in various disorders
Lect.15: Examination.
HEMATOLOGY: 7 TH SEMESTER
Lect.01: Introduction
Cell line of hemopoisis
Stimulating factors
Physiology and Anatomy of RBCs.
Lect.02: Anemias
Introduction
Classification
Symptoms & signs in general
Basic investigations & its interpretation
Lect.03: Microcytic hypochromic anaemias
Fe Kinetics
C/F, investigations of Fe deficiency.
Treatment of Fe deficiency.
D/D - Sideroblastic / thallasemic.
Lect. 04: Macrocytic anaemias
Kinetics of B-12 and Folic acid
C/F, investigations and management of B-12 / FA deficiency.
Lect.05: Anaemias (continued)
Brief of Chronic infections and inflammation
Hemolytic anaemias
Lect.06: Hemoglobinopathies
Lect.07: Hypoplastic / Aplastic anemia
Definition
Classification
Diagnosis and management
Lect.08: Introduction to WBCs.
Agranulocytosis - Aetiology & its significance
Leukemias ( AML, ALL, CML, CLL)
Lect.09: Management of leukemia
Lect.10: Lymphomas
Hodgkins disease / NHL (Non-Hodgkins lymphoma)
Lect.11: Approach to a patient with bleeding disorders
Recognition
Investigations
Physiology ofPlatelets
Therapy
Lect.12: Blood groups & Blood Transfusion & Component Therapy
Lect.13-14: Revision
Lect. 15: Examination.
ENDOCRINOLOGY : 8 TH SEMESTER
Lect. 01: Introduction - Hormones
Concept
Types
Action
Endocrine system
General
Control
Lect.2/3: Pituitary
Anatomy
Regulation
Disorders of Ant. Pituitary
Acromegaly
A.G. Syndrome
Disorders of Post. Pituitary
Hypopituitarism
Lect.4/5: Thyroid
Anatomy
Regulation
Goiter
Hypothyroid state & hyperthyroid state
Classifications
Management
Lect.6/7: Adrenal gland
Anatomy
Regulation
Addisons & Cushing syndrome
Recognition
Investigations
Management
Pheocromocytoma
Lect.08: Vit. D. Metabolism.
Ca. Metabolism and its relations to parathyroid
Diagnosis & management of related disorders.
Lect.9/10: Diabetes Mellitus
Lect.11: FSH < H. Oestrogens Progesterones
Significance
Disorders
Its recognition and diagnosis
Management
Lect.12: Multiple endocrine-syndrome and paraneoplastic syndrome Overview.
Diabetes incipidus.
Miscellaneous
Lect.13/14 : Poisoning
Suicidal / Homicidal / Accidental
Chemical / Biological / Corrosives / Drugs
Concepts of management
Optimum
Barbiturate
DDT
Organophosphorus
Lect.15: Hyperpyrexia and Heat exhaustion
Aetiology
Pathophysiology
C / F. Types
Management
Preventive measures
Lect.16 : Electrical injury
Types
Manifestations
Management
Lightening
Lect.17: Shock
Types
Pathophysiology / Complications
Management
Lect.18/19: Revision
Lect.20: Examination
NEPHROLOGY, NUITRITION : 8 TH SEMESTER
NEPHROLOGY :
Lect.01: Anatomy & Physiology of Urinary system
Lect.02: R.F.T. ( Renal Function Tests)
Lect.03: Acute Glomerulonephropathy
Lect.04: Chronic Glomerulonephropathy
Lect.05: Infections of urinary system.
Lect.06: Nephrotic syndrome
Lect.07: Approach towards common problem
i.
Proteinuria
ii.
Hematuria
iii.
Renal colics
Lect.08: Acute & Chronic renal failure Lect.09:
Dialysis - Diet - Drugs. In renal failure
Lect.10:Revision
Lect.11:
Examination
Genetics (3 lectures )
Lect.1 : Introduction
Lect.2 : Common genetic disorders
Lect.3 : Application of Genetic Engineering in Medicine
NUTRITION :
Lect.11: Concepts of carbohydrate, proteins, fats, vitamins and minerals. Balanced
diet.
Lect.12: Protein energy malnutrition.
Lect.13/14: Vitamin deficiency state
Scurvy / Beribery / Pellegra / Vit.A
Lect.15: Obesity / Asthenia
Diagnosis
"Complications and management
Lect.16: Revision
Lect.17: Examination.
Introduction of " Brain Death and Organ Donation" topic in subjects of Physiology ,
Preventive & Social Medicine, Psychiatry, Medicine & Surgery
Recommended Books:
1.
Hutchinsons Clinical Methods by Hunter and Bomford,
2.
The Principles and practise of Medicine - Sir Stanley Davidson
3.
Text book of Medical Treatment - Dunlop and Alstead.
4.
Savills system of Clinical Medicine - E. C. Warner.
5.
Principles of internal Medicine - Harrison.
6.
API Text Book of Medicine.
7.
Reference Book (Clinical Medicine) : "Clinical Examination in
Medicine": Author: Dr. A. P. Jain
8.
"Manual of Clinical Practical Medicine" : 1) Dr. G.S.Sainani
2) Dr. V.R. Joshi
3) Dr. Rajesh G. Sainani
9. "Essentials of Dermatology and Sexually Transmitted Diseases''- Dr.Ramji Gupta.
SKIN
DERMATOLOGY / STD/ LEPROSY
Goals :
The aim of teaching the Under graduate students in Dermatology, S.T.D. and
Leprosy is to impart such knowledge and skills that may enable him to diagnose and
treat common ailments and to refer rare diseases or complications and unusual
manifestations of common diseases to the specialist.
OBJECTIVES :
Knowledge :
At the end of the course of Dermatology, Sexually Transmitted Diseases & Leprosy
the student shall be able to :
1. Demonstrate sound knowledge of common diseases, their clinical
manifestations including emergent situations and of investigative procedures to
confirm their diagnosis.
2. Demonstrate comparative knowledge of various modes of topical therapy.
3. Demonstrate the mode of action of commonly used drugs, their doses, side
effects / toxicity, indications and contraindication & interactions.
4. Describe commonly used modes of management including the medical &
Surgical procedures available for the treatment of various diseases and to offer
a comparative plan of management for a given disorder.
Skills :
The student shall be able to
1. Interview the patient, elicit relevant and correct information and describe the
history in a chronological order :
2. conduct clinical examination, elicit and interpret physical findings and
diagnose common disorders and emergencies :
3. perform simple, routine investigative and laboratory procedures required for
making the bed-side diagnosis, especially the examination of scrapings for
fungus, preparation of slit smears and staining for AFB for leprosy patients
and for STD cases :
4. take a skin biopsy for diagnostic purposes ;
5. Manage common diseases recognizing the need for referral for specialized care,
in case of inappropriateness of therapeutic response.
Structures and functions of Skin and its appendages
Pruritus
Infections (Bacterial , Chlamidia, Mycoplasma, Fungal & Viral )
Infestations ( Ecto and Endoparasites)
Nutritional disorders
Allergic Disorders
Leprosy
STD
HIV & Skin Papulesquamous
disorders Collagen Vascular
Disorders
Pigmentory disorder
Drug reactions.
Recommended Books:
9.Reference Book of Medicine : "Essentials of Dermatology, Sexually Transmitted Diseases"
Author:
Dr.
Ramji
Gupta
Chest
TUBERCULOSIS AND RESPIRATORY DISEASES:
(i) GOAL :
The aim of teaching the undergraduate student in Tuberculosis and Chest
Diseases is to impart such knowledge and skills that may enable him/her to diagnose
and manage common ailments affecting the chest with the special emphasis on
management and prevention of Tuberculosis and especially National Tuberculosis
control programme.
(ii) OBJECTIVES :
(a) KNOWLEDGE :
At the end of the course of Tuberculosis and Chest diseases, the student shall
be able to:
1)
demonstrate sound knowledge of common chest diseases, their clinical
manifestations, including emergent situations and of investigative
procedures to confirm their diagnosis
2)
demonstrate comprehensive knowledge of various modes of therapy
used in treatment of respiratory diseases;
3)
describe the mode of action of commonly used drugs, their doses, side-
effects/toxicity, indications and contra-indications and interactions.;
4)
describe commonly used modes of management including medical and
surgical procedures available for treatment of various diseases and to
offer a comprehensive plan of management inclusive of National
Tuberculosis Control Programme.
(b) SKILLS :
The student shall be able to :
1)
interview the patient, elicit relevant and correct information and
describe the history in chronological order;
2)
conduct clinical exami9nation, elicit and interpret clinical findings and
diagnose common respiratory disorders and emergencies;
3)
perform simple, routine investigative and office procedures required
for making the bed side diagnosis, especially sputum collection and
examination for etiologic organisms especially Acid Fast Bacilli
(AFB), interpretation of the chest x-rays and respiratory function tests;
4)
interpret and manage various blood gase4s and PH abnormalities in
various respiratory diseases.
5)
Manage common diseases recognizing need for referral for specialized
care, in case of inappropriateness of therapeutic response;
6)
Assist in the performance of common procedures, like laryngoscopic
examination, pleural aspiration, respiratory physiotherapy, laryngeal
intubation and pneumo-thoracic drainage/aspiration
(c) INTEGRATION:
The broad goal of effective teaching can be obtained through
integration with departments of Medicine, Surgery, Microbiology, Pathology,
Pharmacology and Preventive and Social Medicine
Lect. 01 : History and introduction.
Lect. 2/3: Pathogenesis and pathology
Lect. 04: Role of host related factors.
Lect. 05: Microbiology of AFB
Lect. 06: Clinical features of pulmonary tuberculosis
Lect. 07: Anti-tuberculous drugs
-Pharmacology & schedules of drug therapy
Lect. 8/9: Resistant tuberculosis
DOTS
Prophylaxis - Drugs / BCG / Tuberculin test.
HIV & TB
Lect 10 Extra - Pulmonary tuberculosis
Pleural Effusion
Others.
Lect 11/ 12: Revision
Lect. 13: Examination.
Respiratory System :
1. Applied anatomy & Physiology of R.S.
2. Lung function tests
3. Respiratory infections, pneumonias, fungus,
4. Bronchiectasis & lung Abscess.
5. Bronchial Asthma.
6. Lung & Pleural Malignancies.
7. Mediastinum & its disorders.
8. Pleural Diseases
9. Occupational Lung Disease
10. Respiratory emergencies.
Lecture cum Demos ( Resp system)
1. Lung function test and blood gas Analysis and Resp. alkalosis & Acidosis.
2. Chest bronchios emphysema
3. Suppurative lung diseases
4. Bronchogenic carcinoma & other malignancies with Mediastinal obstruction
5. Pleural disease - pneumothorax, pyopneumothorax, Pleural
L.C.D. In T.B.
1. Haemoptysis
2. Drug resistance
3. TB & HIV
Psychiatry
(i) GOAL :
The aim of teaching of the undergraduate student in Psychiatry is to impart
such knowledge and skills that may enable him to diagnose and treat common
Psychiatric
disorders,
handle
Psychiatric
emergencies
and
to
refer
complications/unusual manifestation of common disorders and rare Psychiatric
disorders to the specialist.
(ii) OBJECTIVES :
(a) KNOWLEDGE :
At the end of the course, the student shall be able to :
1. comprehensive nature and development of different aspects of normal human
behaviour like learning, memory, motivation, personality and intelligence;
2. recognize differences between normal and abnormal behaviour;
3. classify psychiatric disorders;
4. recognize clinical manifestations of the following common syndromes and
plan their appropriate management of organic psychosis, functional psychosis,
schizophrenia, affective disorders, neurotic disorders, personality disorders,
psychophysiological disorders, drug and alcohol dependence, psychiatric
disorders of childhood and adolescence;
5. describe rational use of different modes of therapy in psychiatric disorders.
(b) SKILLS :
The Student shall be able to :
1)
interview
the
patient
and
understand
different
methods
of
communications in patient-doctor relationship;
2)
Elicit detailed psychiatric case history and conduct clinical examination
for assessment of mental status;
3)
Define, elicit and interpret psycho-pathological symptoms and signs;
4)
Diagnose and manage common psychiatric disorders;
5)
Identify and manage psychological reactions and psychiatric disorders in
medical and surgical patients in clinical practice and in community
setting.
(c) INTEGRATION :
Training in Psychiatry shall prepare the students to deliver preventive,
promotive, curative and re-habilitative services for the care of patients both in
the family and community and to refer advanced cases for a specialized
Psychiatry / Mental Hospital. Training should be integrated with the
departments of Medicine, Neuro-Anatomy, Behavioral and Forensic Medicine.
4th or 5th semester 5 lectures
2. Motivation (including) frustration, conflicts etc.) Emotion (including mind-
body relationship)
3. Learning (different types) memory ( Types of memory, cause of forgetting
etc.)
4. Intelligence, emotional Quotient including M.R. and sifted child.
5. Personality-Different types with mental mechanisms
6. Difference between normal and abnormal behaviour. Doctor-Patient
relationship and communication skills
In 8th & 9th Semester remaining 15 lectures.
1. Psychiatric classification. Difference between functional and organic
psychosis. Difference between psychosis and neurosis.
2. Schizophrenia including drugs and rehabilitation.
3. Affective disorders including pharmacotherapy
4. Affective disorders including non-pharmocotherapy treatment.
5. Anxiety disorders-Generalised anxiety, disorders, panic disorders.
6. O.K.D. and Phobias.
7. Somatoform disorders.
8. Alcohol dependence
9. Psycho-Physiological disorders.
10. Scholastic problems.
11. Behavioural disorders.
12. Sexual disorders.
13. Psychiatric emergencies including suicide and organic brain disorders.
14. Psychotherapies including behaviour therapy.
Introduction of " Brain Death and Organ Donation" topic in subjects of Physiology ,
Preventive & Social Medicine, Psychiatry, Medicine & Surgery
Academic Notification No. 08/2013
Introduction of "WHO New Growth Charts/SAM/IYCF" Topic In MBBS Syllabus
Paediatrics
Paediatric including Neonatology
The course includes systematic instructions in growth and development,
nutritional needs of a child, immunization schedules and management of common
diseases of infancy and childhood including scope for Social Paediatrics and
counseling.
(i) GOAL :
The broad goal of the teaching of undergraduate students in Paediatrics is to
acquire adequate knowledge and appropriate skills for optimally dealing with major
health problems of children to ensure their optimal growth and development.
(ii) OBJECTIVES :
(a) KNOWLEDGE :
At the end of the course, the student shall be able to:
(1) Describe the normal growth and development during foetal life,
neonatal period, childhood and adolescence and outline deviations
thereof;
(2) Describe the common paediatric disorders and emergencies in terms
of Epidemiology, aetiopathogenesis, clinical manifestations,
diagnosis, rational therapy and rehabilitation;
(3) Age related requirements of calories, nutrients, fluids, drugs etc, in
health and disease;
(4) Describe preventive strategies for common infectious disorders,
malnutrition, genetic and metabolic disorders, poisonings,
accidents and child abuse;
(5) Outline national Programmes relating to child health including
immunization Programmes.
(b) SKILLS :
At the end of the course, the student shall be able to :
(2) take a detailed paediatric history, conduct an appropriate physical examination
of children including neonates, make clinical diagnosis, conduct common
bedside investigative procedures, interpret common laboratory investigation
results and plan and institute therapy.
(3) Take anthropometric measurements, resuscitate newborn infants at birth,
prepare oral rehydration solution, perform tuberculin test, administer vaccines
available under current national programmes, perform venesection, start an
intravenous saline and provide nasogastric feeding :
(4) Conduct diagnostic procedures such as a lumbar puncture, liver and kidney
biopsy, bone marrow aspiration, pleural tap and ascitic tap;
(5) Distinguish between normal newborn babies and those requiring special care
and institute early care o all new born babies including care of preterm and
low birth weight babies, provide correct guidance and counseling in breast
feeding ;
(6) Provide ambulatory care to all sick children, identify indications for
specialized / inpatient care and ensure timely referral of those who require
hospitalization :
(C) INTEGRATION :
The training in paediatrics should prepare the student to deliver preventive,
promotive, curative and rehabilitative services for care of children both in the
community and at hospital as part of team in an integrated form with other disciplines,
e.g. Anatomy, Physiology, Forensic Medici9ne, Community Medicine and Physical
Medicine and Rehabilitation.
LIST OF LECTURE/ SEMINARS
Lectures : 3rd / 4th Semester :
1. Introduction of Paediatrics.
2. History taking in children.
3. Examination of Children.
4. Normal Growth
5. Normal Development.
6. Introduction to newborn and normal newborn baby.
7. Temperature regulation in newborn.
8. Breast feeding and lactation management.
9. Infant and child feeding ( include complimentary feeding)
10. Normal fluid and electrolyte balance in children.
11. Immunization.
Lecturers : 7th / 8th / 9th Semester :
1. Birth Asphyxia
2. Low Birth Weight Babies.
3. Neonatal Respiratory Distress.
4. Jaundice in newborn.
5. Neonatal Infections.
6. Neonatal convulsions.
7. PEM and its management.
8. Vitamin and micronutrient deficiencies.
9. Nutritional anaemia in infancy and childhood.
10. Acute diarrhoea.
11. Hypothyroidism in children.
12. Congestive heart failure - diagnosis and management.
13. Congenital heart disease.
14. Rheumatic heart disease.
15. Hypertension in children.
16. Acute respiratory infections.
17. Bronchial asthma.
18. Nephrotic syndrome
19. Acute glomerulonephritis and hematuria
20. Abdominal pain in children.
21. Chronic liver disease including ICC.
22. Haemolytic anaemia including thalassemia.
23. Leukaemias.
24. Bleeding and coagulation disorders.
25. Seizure disorders.
26. Cerebral Palsy.
27. Common exanthematous illness.
28. Childhood tuberculosis
Other Lectures to be covered :
1. Fluid and electrolyte balance -pathophysiology and principles of Management.
2. Acid-base disturbances - pathophysiology and principles of management.
3. Adolescent growth and disorders of puberty.
4. Congenital heart disease.
5. Acute respiratory infections, Measles, Mumps, Chicken pox
6. Other childhood malignancies.
7. Coagulation disorders - Haemophilia
8. Mental retardation.
9. Approach to a handicapped child.
10. Acute flaccid paralysis.
11. Behaviour disorders.
12. Meningitis.
13. Diphtheria, Pertussis and Tetanus.
14. Childhood tuberculosis.
15. HIV infection.
16. Malaria.
17. Neurocysticercosis.
18. Enteric fever.
19. Immunization.
20. Paediatric prescribing.
21. Common childhood poisonings.
Integrated Seminar Topics :
Convulsions
Coma
PUO
Jaundice
Portal hypertension
Respiratory failure
Shock
Rheumatic Heart Disease
Hypertension
Diabetes mellitus
Hypothyroidism
Anemia Bleeding
Renal failure
Tuberculosis
Malaria
HIV infection
Neurocysticercosis
Perinatal asphyxia ( with obstetrics )
Intrauterine growth retardation ( with obstetrics)
In trodu ctio n of " In tigrate d Man a ge me n t of Neo n a ta l And Ch
ild ho od Illn e ss"
Topic in MBBS Syllabus
Academic Notification No. 08/2013
Introduction of "WHO New Growth Charts/SAM/IYCF" Topic In MBBS Syllabus
Preventive and Social Medicine / Community
Medicine (PSM)
A.
The teaching of Social & Preventive Medicine shall place throughout the
teaching period.
B.
Field experience in rural health is included in pre-clinical as well as during
clinical period
C.
During the students attendance at various departments which is now
required under medicine and surgery, such as infectious diseases. T.B.
Leprosy, V.D. etc. emphasis shall be laid as much on the preventive as on
the clinical and Therapeutic aspects of these diseases.
D.
In addition to the teaching undertaken by the department of Social &
Preventive Medicine, a joint programme with other departments is
essential in order to give the students a comprehensive picture of man, his
health and illness.
E.
Stress shall be laid on national programmes, including those of control of
communicable diseases and family planning and health education.
F.
An epidemiological units as an integrate part of every hospital in order to
achieve a comprehensive study disease by the students should be
established.
G.
The objective of the internship shall be clearly defined and that a proper
training programme is oriented for this period.
Objectives, and the
methods by which the internship could be made into a satisfying and
fruitful experience. Sharpening and for planning in this phase of education
shall be done.
H.
As regards the qualifications of the teachers it is highly important that All
teachers in Social and A preventive Medicine should have as far as
possible had adequate administrative experience in addition to the teaching
experience. They should also be encouraged to acquire skills in clinical
subject specially related to community medicine.
I.
Practical Skills : Due stress shall be laid on the students acquiring practical
skill in the following procedures.
Community Medicine including Humanities
(Preventive and Social Medicine)
(Phase I,II and Part 1st of Phase III M.B.B.S.)
GOALS :
The broad goal of the teaching of undergraduate students in community
medicine is to prepare them to function as community and first level physicians in
accordance with the institutional goals.
OBJECTIVES :
Knowledge :
At the end of the course the student shall be able
Explain the principles of sociology including demographic population
dynamics.
Identify social factors related to health, disease and disability in the context of
urban and rural societies.
Appreciate the impact of urbanization on health and disease.
Observe and interpret the dynamic of community behaviours.
Describe the elements of normal psychology and social psychology.
Observe the principles of practice of medicine in hospital and community
settings.
Describe the health care delivery systems including rehabilitation of the
disabled in the country.
Describe the National Health Programmes with particular emphasis on
maternal and child health programmes, family welfare planning and
population control.
List the epidemiological methods and techniques.
Outline the demographic pattern of the country and appreciate the roles of the
individuals, family, community and socio-cultural milieu in health and
disease.
Describe the health information systems.
Enunciate the principles and components of primary health care and the
national health policies to achieve the goal of "Health for all".
Identify the environmental and occupational hazards and their control.
Describe the importance of water and sanitation in human health.
To understand the principles of health economies, health administration,
health education in relation to community.
Skills :-
At the end of the course, the student shall be able to make use of
The principles and practice of medicine in hospital and community settings
and familiarization with elementary practices.
Use the Art of communication with patients including history taking and
medico social work.
Use epidemiology as a scientific tool to make rational decisions relevant to
community and individual patient intervention.
Collect, analyse, interpret and present simple community and hospital base
data.
Diagnose and manage common health problems and emergencies at the
individual, family and community levels keeping in mind the existing health
care resources and in the context of the prevailing socio-culture beliefs.
Diagnose and manage common nutritional problems at the individual and
community level.
Plan, implement and evaluate a health education programme with skill to use
simple audio-visual aids.
Interact with other members of the health care team and participate in the
organization of health care services and implementation of national health
programmes.
Integration:
Develop capabilities of synthesis between cause of illness in the environment
or community and individual health and respond with leadership qualities to institute
remedial measures for this.
Course Content :
Total hours of teaching in community medicine and Humanities are 376. The
distribution of them shall be as follows.
Phase
Semester
Theory
Practical Hours
I
I & II
30
30
II
III & IV
68
132
III Part1st
VI & VII
50
66
Community Medicine (P.S.M.)
List of theory lectures
Phase I (1st and 2nd semester) 30 Hours
1. Introduction ? Evolution of Community Medicine.
2. Health ? Definition, spectrum of health and factors affecting ? indicators of
health.
3. Health Problem of World ? Urban and Rural ? Indian Health.
4. Health Care Delivery system in India ? Urban and Rural.
5. Demography, Demographic cycle, Population trends ? World and India.
6. Fertility and factors affecting it.
7. Family welfare and Population control.
8. Medical ethics and Doctor ? patient relationship ? Consumer Protection Act.
9. Sociology and Social factors effecting health.
10. Social Psychology ? introduction, Group Behaviour, Motivation Personality.
11. Economics and health.
12. Health Education and Communication.
13. Hospital Management.
14. Nutrition and Health.
Constituents of food.
Food and food groups.
Diet planning and recommended dietary allowances.
Nutritional diseases.
Iodine deficiency disorders.
Diseases due to vitamin and mineral imbalance
Toxins in the food.
Assessment of Nutritional status.
Examination
Phase II ? (3rd and 4th Semester) 68 Hours
General Epidemiology
The concepts of disease.
Natural history of disease.
Epidemiological triad.
Dynamics of diseases transmission.
Concept of disease control.
Epidemiology
Definition, types, measurements in epidemiology, epidemiological studies,
and clinical trial, investigation of an epidemic.
Uses of epidemiology.
Screening for disease.
Disinfection, sterilization and control of Hospital acquired infections.
Immunity.
Environmental health
Introduction to environment health.
Water in relation to health and disease.
Air pollution and ecological balance.
Housing and health.
Effects of radiation on human health ( Ionizing, Non-ionizing & Nuclear
warfare)
Effects of Noise on human health.
Meteorological environment.
Solid waste disposal.
Disposal of hospital waste.
Liquid waste disposal
Medical entomology
Arthropods of medical importance and their control.
Biostatistics (Theory and Practical)
Introduction and uses.
Data- Types, Collection and Presentation.
Centering constants.
Measures of Variation.
Normal distribution.
Sampling methods and Sampling variability.
Tests of significance.
SE of difference between two means.
SE of difference between two proportions
X2 test. ( Chi-square)
Students ,,t test
- Paired .
- Unpaired.
Statistical fallacies.
Computers in Medicine
There use at all the stages to be demonstrated. The students should use
computers in analysis and presentation of data
Epidemiology of communicable diseases.
Air borne infections.
Exanthematous fevers.
Chicken pox, Rubella, and Measles
Factors responsible to eradicate small pox.
Influenza and ARI.
Diphtheria and Pertussis
Tuberculosis.
Faeco-oral infections.
Poliomyelitis.
Hepatitis.
Enteric Fever and Cholera
Bacillary and Amoebic dysentery.
Soil transmitted Helminths.
Tetanus
Rabies and other Viral Zoonotic disease.
Leprosy.
Leprosy.
Malaria
Filariasis.
Arthropod borne viral diseases.
Sexually transmitted diseases and their control.
A.I.D.S.
Examinations at the end of 3rd and 4th semester.
(Phase III (6th and 7th Semester)
50 hrs.
(Teaching in 7th semester includes tutorials also.)
Community development programmes and multisectoral development.
Comprehensive medical care and Primary health care.
National Health Policy.
Maternal and Child Health care.
Epidemiology of Non-communicable diseases.
Occupational health.
Problems of adolescence including Drug dependence.
Geriatrics
Vital statistics ? sources and uses, Census, Fertility statistics.
Management information system.
Mental health.
Genetics in public health.
Health planning and management.
National Health Programmes.
International health and Voluntary Health Agencies.Tutorials.
Examination at the end of 6th and 7th semester.
Practicals
Phase I (Ist And 2nd semester)
-
30 hours.
Field visit-
Every Medical College should have adequate transport facilities to take medical
undergraduate for field visits. In the phase I total 15 visits, each of 2 hours duration or
total 10 visits ? each of 3 hours duration (depending on distances ) are to be planned
by the departments of community medicine. The broad outline of place for
educational field visits is given below.
Hospital visits (O.P.D., Casualty, Immunization clinic, different
wards, Kitchen, FW Centre, PPP, Blood Bank, Sterilization section,
Infectious disease ward, Minor operation theatre, etc.)
Rural Health Training Centre.
Primary Health Centre.
Urban Health Centre.
District Health Office (DHO).
District Training Team (DTT)/IEC Bureau.
District Tuberculosis Centre.
Public Health Laboratory.
District Malaria Office.
Remand Home.
Rehabilitation Centre.
III rd Semester, Ist Clinical Posting
-
66 hours.
Lecture ? Cum ? Demonstration, at appropriate places
SN
Topic
Demonstration
Visit to Urban / Rural health
Functions of UHC/ RHTC
1
Training Centre.
Manpower & Duty arrangements
2
Immunization Programme
I (demonstration)
3
Immunization Programme
II ( Cold Chain)
4
Care of ANC mother
Demonstration of Antenatal case
5
Care of Infant
Demonstration of case
6
Post-natal case of mother/child. Demonstration of case
7
Contraceptive devices
Situation to be given and sex education.
8
Exclusive breast feeding
Visit to Baby Friendly Hospital
9
Weaning foods
Demonstration
10
Nutritional demonstration
Explain nutritive values of Indian foodstuff
11
Nutritional assessment
Demonstration
12
Anthropometric measurements
Demonstration
Nutritional deficiency
With A/V aids or case, Road to Health
13
disorders
Chart
14
Protein Energy Malnutrition
With A/V aids or case, ORS preparation
Diarrhoea as a community
With A/V aids or case
15
health problem
ARI as a community health
With A/V aids or case
16
problem
17
Elementary essential drugs
Visit to drug store, Inventory control
18
Examination
4th Semester 2nd Clinical Posting
-
66 hours.
The board guidelines for planning programmes are as follows.
1)
Posting for family care study
-
6 days
Principle of clinical epidemiology
Morbidity Survey.
Data analysis and presentation.
2)
Posting for School Health
-
6 days
Health check-up of school children.
Data analysis and presentation.
Health education activities in the school by the students.
3)
Visit to anganwadi and ICDS scheme block
-
2 days
4)
Visit to Home for aged and discussion
-
2 days
on geriatric health problems
5)
Students seminars on topics like
-
5 days
Disaster management
Road traffic accidents
Population explosion etc.
6)
Examinations
-
3 days.
Phase III (6th and 7th Semester)
3rd Clinical Posting -
66 hours.
Posting : Clinical case presentation by students
1.
Introduction to infectious diseases ? history taking
2.
Exanthematous fever.
3.
Diarrhoea / Cholera / Dysentery.
4.
Tuberculosis
5.
Leprosy.
6.
Dog ? bite case.
7.
Tetanus.
8.
PUO / Enteric fever / Malaria.
9.
S.T.D. / AIDS.
10.
Hepatitis
11.
Introduction to non- communicable diseases.
Rheumatic heart disease.
Cancer.
Obesity / diabetes.
Examinations.
MARKS OF INTERNAL ASSESSMENT :-
Theory ?20 marks and practical 20 marks. The students must secure at least
50% , marks of the total marks fixed for internal assessment in the subject in order to
clear the subject.
I) Theory
1) 3rd Semester
50 Marks
2) 4th Semester
50 Marks
3) 6th Semester
50 Marks
Total 150 Marks
Converted it to out of 10 marks
4) Prelim exam. Theory Paper I
-
60 Marks
Paper II
-
60 Marks
Total
120 Marks,
Convert it to out of 10 marks
Total Theory Internal Assessment marks will be 20.
II)
Practicals -
1) 1st Clinical rotation exam. -
3rd Semester - 50 Marks
2) 2nd Clinical rotation exam. -
4th Semester - 50 Marks
3) 3rd Clinical rotation exam. -
6th Semester - 50 Marks
Total
150 Marks
Convert it to out of 10 marks
4) Prelim exam.
-
40 Marks
10 Marks for Journals
Total
50 Marks
Convert it to out of 10 marks
Total Practical Internal Assessment marks will be 20.
Introduction of " Brain Death and Organ Donation" topic in subjects of Physiology ,
Preventive & Social Medicine, Psychiatry, Medicine & Surgery
Introduction Of "Bio-Medical Waste" topic in subject of Microbiology & Preventive
& Social Medicine
In trodu ctio n of " In tigrate d Man a ge me n t of Neo n a ta l And Ch
ild ho od Illn e ss"
Topic in MBBS Syllabus
BOOKS RECMMENDED.
1. Text book of Community Medicine, Kulkarni A.P. and Baride J.P.
2. Parks Textbook of Preventive and Social Medicine, Park
3. Principles of Preventive and Social Medicine, K. Mahajan
4. Textbook of Community Medicine, B. Shridhar Rao.
5. Essentials of Community Medicine, Suresh Chandra.
6. Textbook of Biostatistics, B. K. Mahajan
7. Review in Community Medicine, V.R. Sheshu Babu.
8. Reference Book for Community Medicine: "Principles and practice of
Biostatistics", Author: Dr. J.V. Dixit
FURTHER READINGS.
Epidemiology and Management for health care for all P.V. Sathe and A.P. Sathe.
Essentials of Preventive Medicine O.P. Ghai and Piyush Gupta.
Record Book:
1) The case records will have to be entered in a record book separately
for General Medicine , for Paediatrics and for PSM.
2) In the record book of General Medicine, number of case records for
Medicine shall be 12, for Skin & V.D. & Leprosy shall be 3, for
Psychiatry shall be 2 and for Chest & TB shall be 3 cases.
3) The certificate of satisfactory completion of all Clinical postings will
be entered based on similar certificates from all postings in all the
above subjects.
4) In addition, details of the marks secured in the posting ending
examination shall be entered on the second page on which the
calculations of the internal assessments shall also be stated. Record
book will not carry any marks but its satisfactory completion will be a
prerequisite for appearing in examination.
University Examinations in Medicine and Allied Subjects at a Glance
MEDICINE :-
Theory 2 papers of 60 marks each
= 120 marks
Paper I - General Medicine
Paper II - General Medicine(Including Psychiatry, Dermatology, STD
shall contain one question on basic sciences and allied subject.)
Oral (viva) interpretation of X-Ray, ECG etc.
= 20 marks
Clinical (Bedside)
= 100 marks
Internal Assessment
= 60 marks
(Theory 30 Marks, Practical 30 Marks)
Grand Total
= 300 marks
PAEDIATRICS :- (Including Neonatology)
Theory ? One paper
= 40 marks
(Shall include one question on basic sciences & allied subjects)
Oral (Viva)
= 10 marks
Clinical
= 30 marks
Internal Assessment
= 20 marks
(Theory 10 Marks, Practical 10 Marks )
Grand Total
= 100 marks
COMMUNITY MEDICINE :-
Theory 2 papers of 60 marks each
= 120 marks
Includes problems showing applied aspects of management at primary level
including essential drugs, occupational (agro based) diseases rehabilitation
and social aspects of community.
Oral (Viva)
= 10 marks
Practical /Project evaluation
= 30 marks
Internal Assessment
= 40 marks
(Theory 20 Marks, Practical 20 Marks)
Grand Total
= 200 marks
Criteria of passing in various subjects at III MBBS Examination
SN
Subject
Theory Paper ./ Oral/
Maximum
Minimum
Minimum
Practical / Internal
Marks in
marks
marks
Assessment
each of the
required to
required to
subject
pass in
pass in each
each part of
subject out
any subject
of
01)
Community
a) Theory
Paper - I
60
Medicine
60
65
100
Paper - II
60
200
b) Oral
10
c) Practical
30
15
d) Internal
Theory
20
Assessme
Practical
20
20
nt
02) General
a) Theory
Paper I
60
60
70
Medicine
Paper II
60
150
b ) Oral
20
c) Practical
100
50
300
d) Internal
Theory
30
Assessme
Practical
30
nt
30
03) Paediatrics
a) Theory
Paper
40
20
25
b ) Oral
10
c) Practical
30
15
50
d) Internal
Theory
10
100
Assessme
Practical
10
10
nt
It is compulsory to obtain 50% marks in theory.
It is mandatory to obtain 50% marks in theory+viva/oral.
( The Frequency & other details of Internal Assessment Examinations
shall be as stated in circular dated 15/02/01 table no III & IV. of General
Guidelines for U.G. teaching & training & Internal Assessment. Passing in
Internal Assessment is prerequisite for eligibility to clear the subject. For
passing in Internal Assessment student should secure minimum 30 out of 60
marks (theory & practical combined)
The Internal Assessment Examination shall consist of one clinical case
paired with viva-voce for the periodical tests. However, the preliminary
examination shall be carried out in a pattern similar to final University
examination.
University (Final) Exam : General Medicine
Paper I (60 Marks) Time 3 hours.
Paper II (60 Marks) Time 3 hours.
Section A ? Marks 15
Section A ? Marks 15
MCQs 30 Items each of ? mark
MCQs ? 30 Items each of ? mark
Maximum time 30 minutes
Time 30 minutes
(Shall cover whole course syllabus stated
(Shall cover whole course syllabus stated
in Section B and C of Paper I below
in Section B and C of Paper I below
Section B ? (Total Marks 25)
Section B ? (Total Marks 25)
Two long questions
Two long Questions each of 8 marks and
Each of 8 marks
&
3 short answer questions (out of 5 SAQs)
3 Short Answer Questions of 3 marks on course contents of
each. (3 out of 5 SAQs by choice. On Neurology, Psychiatry, Dermatology,
course contents of -
Veneroleprology` & Collagen Disorders
Cardiovascular System, Gastrointestinal
System,
Hepatobiliary
System
&
Pancreas,
Haematology,Haemato-
oncology& Genetics
Section C ? (Total Marks 20)
Section C ? (Total Marks 20 )
One long Question of 8 marks and 4 (out One long question of 8 marks and 4 (out
of six) SAQs of 3 marks each on course of six) SAQs of 3 marks each on course
contents of Endocrinology, infectious contents on Respiratory Diseases,
diseases/Tropical Disease, Miscellaneous
Tuberculosis & Clinical Nutrition and
Nephrology
The Max Time for Section B & C shall be The Max time for section B and C shall be
of 2 hrs. + 30 minutes
of 2 hrs. and 30 minutes
MCQ Section A shall be given to the candidates in the beginning of examination.
After 30 min. section A will be collected following which B & C shall be given. The
time given Section B & C together is two and half hours. This applies to paper I &
II.
( one of the short answer questions shall be on basic & allied sciences.)
Final University Exam : Practical Exam :
Shall comprise of total 120 marks . with divisions as below :-
(A) Clinical Bed side :
One Long case - 50 Marks
Long Case / The time for case taking
Two short case - 25 Marks each
for student is 45 min. & for examination
Total - 100 Marks
is 10 min.
Short Case / The same for each short
case is 10 min. & 5 min. respectively
(B) Oral Viva Voce and interpretation of investigation materials (like X-Rays, ECGs,
etc. ? 20 marks
Viva at Two Tables Each for 10 mars There should be even & balanced
distribution of the course contents on these tables, between Internal & External
examiners. This should include, specimens, instruments, microscopy & drugs on
table no 1 & emergencies, radio-diagnostics, electrodiagnostic & Biochemical Lab.
investigations on table no 2 as applicable to the course contents of final M.B.B.S.
Exam.
(C) The marks of Internal Assessment shall be sent to the University before the
commencement of the Theory Examination.
Note ? In the event when I.A. could not be held on the specified time due to technical
reasons or otherwise, then it should be held during the vacation.
IIIrd MBBS EXAM. PATTERN
FINAL MBBS EXAMINATION IN Paediatrics
Evaluation
Internal assessment: 20 ( Theory 10 +Practical 10)
Plan of Internal assessment in Paediatrics ( as per university circular on 9th February
2001) Marks of Internal Assessment should be sent to University confidentially
before the commencement of Theory examination.
Passing in internal assessment will be pre-requisite for clearing the subject.
Combined theory and practical of internal assessment will be considered for passing
in internal assessment.
Internal assessment in Theory -
1 . Examinations during semesters : This will be carried out by conducting
two theory examinations at the end of 6th and 8th semesters ( 50 marks each).
Total of 100 marks to be converted into 5 marks.( A/5)
2 . Prelim examination : This shall be carried out during 9th semester.
One theory papers of 40 marks as per university examination.
Total of 40 marks to be converted into 5 marks. ( B/5)
Total marks of Internal assessment of Theory will be addition of A and B.
Internal assessment in Practical
Examinations at end of Clinical postings:
1
There will be practical examination at the end of each clinical posting of
Paediatrics.: 6th and 8th semester. Each examination will be of 50 marks.
Total of 2 examinations ? 100 marks , will be converted to 5 marks.( C/5)
2. Prelim examination:
This will be conducted for 40 marks as per university examination pattern
and marks
will be converted to 5 (D/5).
Total marks of Internal assessment of Practical will be addition of C and D.
Evaluation Methods - Theory, Practical and Viva
Pattern of theory examination including distribution of marks, questions
and time
Pattern of theory examination including distribution of marks
There shall be one theory paper , carrying 40 marks
The paper will have two sections, A and B
The paper will be of 2.5 hours duration.
Section A will be MCQ in each paper. Section B will have to be written in separate
answer sheets.
THEORY : 40 marks
Duration Two and half hours
(2.5) hours
MCQ section A will be given to candidates at the beginning of the examination. After 30
minutes Section A will be collected. Section B of paper will then be handed over to
candidates.
Section A :30 min. duration
28 MCQs - 1/2 mark each
14 marks
Separate paper
Single based response
MCQ will cover whole syllabus
Section B
: 2 hours duration
2 LAQ of 7 marks each
14 marks
3 /5 SAQ of 4 marks each
12 marks
PRACTICAL (FINAL EXAMINATION) : 40 Marks
One Long Case
20 Marks
Case Taking Time
45 Minutes
Examination Time
10 Minutes
One Short Case
10 Marks
Case Taking Time
10 Minutes
Examination Time
05 Minutes
ORAL (VIVA VOCE)
10 Marks
Duration
10 Minutes
(Instruments, X-ray, Drugs, Emergency in Paediatrics.)
It is directed to interpretation of investigations
Clinical :One long case :30 marks :30 min. for taking case and 10 minutes for assessment
Oral (viva voce) :10 marks:10 min. duration
1. Dark Room
5 marks
2. Instruments
5 marks
FINAL EXAMINATION :- IN PSM
The distribution of marks at final examination
Theory : two papers of 60 marks each
120 Marks
Oral (Viva)
10 Marks
Practicals
30 Marks
Internal assessment
40 Marks
(Theory 20 Marks)
(Practical 20 Marks)
-------------------------------------------------------------------------------------------------------
Total
200 Marks
PATTERN :
THEORY : TWO PAPERS OF 60 MARKS EACH 120 MARKS :-
Paper I include Concepts in Health & Disease, Sociology / Humanities,
Epidemiology, Biostatistics, Communicable and non- communicable
diseases, Genetics and Environmental Health.
Paper II includes Demography & Family Planning, Maternal and child
health Nutrition, Occupational Health, Mental Health, Health Education,
Health Planning & Management, Health Care Delivery System , National
Health Programmes, International Health,
These are broad divisions. There are some chances of overlapping.
NATURE OF THEROY QUESTION PAPERS :
Final MBBS Examination of subject-PSM
Theory
Paper ?I
Paper -II
Section A :
30 MCQs
Section A :
30
MCQs
? Mark each
? Mark each
Should cover whole course
Should cover whole course
content Of the Paper I
content Of the Paper II
stated in Section B & C
stated in Section B & C
below ( Max time = 30 min)
below ( Max time = 30 min)
Section B:
Total Marks =25
Section B:
Total Marks =25
2. LAQs, each of 8 Marks
2. LAQs, each of 8 Marks
3. (out of 5 ) SAQs.
3. (out of 5 ) SAQs.
each of 3 marks on
each of 3 marks on
Epidemiology, Bio-statistics
Demography & Family Planning
& communicable & non
Maternal and child health,
communicable diseases
Nutrition, Occupational health;
Section C: Total Marks =20
Section C:
Total Marks =20
One LAQ of 8 marks
One LAQ of 8 marks
& 4 (out of 6 ) SAQs
& 4 (out of 6 ) SAQs
each of 3 marks
each of 3 marks
On
On
Concepts in Health & Disease,
Mental Health, Health Education,
Sociology / Humanities
Health Planning & Management
Genetics & environmental
Health care delivery system.
Health
National Health Programmes
International Health
The full time for section B plus section C shall be of 2? hrs. of Paper I and
2? hrs for Paper II.
MCQ Section will be given to candidates first. After 30 minutes the Section B
& C will be given to the candidates.
PATTERN AT PRACTICAL EXAMINATION
Marks
Orals (Viva)
10
Practical
30
The distribution of 30 marks of practical shall be -
1)
Spots
-
10 Marks
( 5 spots of 2 marks each) Time 10 min.
2)
Exercises
-
10 Marks
( 5 marks for Bio-Stat. & 5 marks for
Epidemiological exercises) Time 10 min.
3)
Clinical case -
10 Marks
Time 45 min.
Presentation
Total 30 Marks
It is compulsory to obtain 50% marks in theory.
It is mandatory to obtain 50% marks in theory+viva/oral.
---------------------------------------------------
COURSE OF SURGERY AND ITS ALLIED
SPECIALITIES FOR THIRD M.B.B.S.
Inclusion of the book "Manipal Manual of Surgery" as references book for M.B.B.S. Course.
These guidelines are based on MCI recommendations.
Teaching has to be done keeping in mind the goals and objectives to be achieved by
medical student
SURGERY and allied specialties-
(i) GOAL:
The broad goal of the teaching of undergraduate students in Surgery is to
produce graduates capable of delivering efficient first contact surgical care.
(ii) OBJECTIVES:
The departmental objectives, syllabus and skills to be developed in the department of
surgery during undergraduate medical education are presented herewith. These are prepared
taking into consideration of various aspects and institutional goals given below:
1. A medical student after graduation may have different avenues of his/her professional
career and may work either as a first contact physician in a private, semi-private or public
sector or may take up further specialization in surgery or other specialties.
2. He may have to work in different settings such as rural, semi-urban or urban which may
have deficient or compromised facilities.
3. These are based on the various health services research data in our community.
4. These are also based on following institutional goals in general;
At the end of the teaching/ training the undergraduate will be able to:
Diagnose and manage common health problems of the individual and the
community appropriate to his/her position as a member of the health team at
primary, secondary and tertiary levels.
Be competent to practice curative, preventive, promotive and rehabilitative
medicine and understand the concepts of primary health care.
Understand the importance and implementation of the National Health
Programmes in the context of national priorities.
Understand the socio-psychological, cultural, economic and environmental factors
affecting health and develop humane attitude required for professional
responsibilities.
Develop the ability for continued self-learning with a scientific attitude of mind and
acquire further expertise in any chosen area of medicine.
A. KNOWLEDGE
At the end of the course, the student shall be able to:
1. Describe aetiology, pathophysiology, principles of diagnosis and
management of common surgical problems including emergencies,
in adults and children;
2. Define indications and methods for fluid and electrolyte replacement
therapy including blood transfusion.
3. Define asepsis, disinfection and sterilization and recommend judicious
use of antibiotics.
4. Describe common malignancies in the country and their management
including prevention.
5. Enumerate different types of anaesthetic agents, their indications,
mode of administration, contraindications and side effects
B. SKILLS
At the end of the course, the student should be able to
1. Diagnose common surgical conditions both acute and chronic, in adult
and children.
2. Plan various laboratory tests for surgical conditions and interpret the
results;
3. Identify and manage patients of haemorrhagic; septicaemic and other
types of shock.
4. Be able to maintain patent air-way and resuscitate:
A A critically injured patient.
B Patient with cardio-respiratory failure;
C A drowning case.
5. Monitor patients of head, chest, spinal and abdominal injuries, both in
adults and children
6. Provide primary care for a patient of burns;
7. Acquire principles of operative surgery, including pre-operative,
operative and post operative care and monitoring;
8. Treat open wounds including preventive measures against tetanus and
gas gangrene.
9. Diagnose neonatal and paediatric surgical emergencies and provide
sound primary care before referring the patient to secondary/territory
centers;
10. Identify congenital anomalies and refer them for appropriate
management.
In addition to the skills referred above in items (1) to (10), he shall have
observed/assisted/performed the following:
i.
Incision and drainage of abscess;
ii.
Debridement and suturing open wound;
iii.
Venesection;
iv.
Excision of simple cyst and tumours.
v.
Biopsy and surface malignancy
vi.
Catheterisation and nasogastric intubation;
vii.
Circumcision
viii.
Meatotomy;
ix.
Vasectomy;
x.
Peritoneal and pleural aspirations;
xi.
Diagnostic proctoscopy;
xii.
Hydrocoele operation;
xiii.
Endotracheal intubation
xiv.
Tracheostomy and cricothyroidetomy;
xv.
Chest tube insertion.
Human values,and Ethical practice
.Adopt ethical principles in all aspects of his clinical practice. Professional
honesty and integrity are to be fostered. Surgical care is to be delivered
irrespective of the social status, caste, creed or religion of the patient.
.Develop communication skills, in particular the skill to explain various
options available in management
.Be humble and accept the limitations in his knowledge and skill and to ask for
help from colleagues and specialist in the field when needed.
Respect patient's rights and privileges including patient's right to information
and right to seek a second opinion
? INTEGRATION
The undergraduate teaching in surgery shall be integrated at various stages with
different pre and para and other clinical departments.
LEARNING METHODS
Lectures, Tutorials bedside clinics and lecture cum demonstrations
Distribution of Teaching hours -
Lectures - 160 hours
Tutorials and revision - 140 hours
Bedside clinics - 468 hours
five clinical postings
totalling 26 weeks including Anaesthesiology
Clinical postings in General Surgery -
3rd Semester - 6 weeks
5th Semester - 4 weeks
7th Semester - 4 weeks
8th Semester - 6 weeks
9th Semester - 6 weeks
Sequential organisation of contents and their division -
GENERAL SURGERY LECTURES
4TH Term
General Surgery : Part I
16 Lectures
6th Term
3 modules
Module l
Vascular Surgery
: 8 Lectures
Tropical Surgery
: 4 Lectures
Gen. Surgery Remaining
16 Lectures
Module 2
Head and Neck surgery
Endocrine surgery
16 Lectures
Module (3)
Breast surgery
4
Plastic & Reconstructive Surgery 6
Neurosurgery
6
16 Lectures
7th Term: 3 modules
Module (1)
Cardio Thoracic surgery
8
Paediatric surgery
8
16 Lectures
Module (3)
Liver
)
Spleen
)
16 Lectures
Pancreas
)
Biliary Tract
)
Portal Hypertension.).
Module (3)
Upper Gastro intestinal Tract + Peritoneum
16 Lectures
8th Term
4 modules
Module (1)
Lower G.I. tract
16 Lectures
Abdominal wall,
Incisional Hernia
Module (2)
Upper GUT
16 Lectures
Organ transplantation
Module (3)
Lower GUT
16 Lectures
Hernia, Hydrocoele
------------------------------
160 Hours
9th Term
Revision Lectures/ tutorials/ lecture cum demonstrations
48
--------------------------------
208
--------------------------------
TUTORIALS
6TH Term
Surgical pathology
32
8th Term
Operative Surgery + Instruments
32
9th Term
Imaging sciences-
Interpretation of Investigations
28
----------------------------------
300
------------------------------------
Course contents- General Surgery - including paediatric surgery
COURSE CONTENTS
I. A. GENERAL PRINCIPLES
1. Wound healing and management, scars: Hypertrophic scar and keloid; First aid
management of severely injured.
2. Asepsis, antisepsis, sterilisation.
3. Surgical sutures, knots, drains, bandages and splints.
4. Surgical infections and rational use of antibiotics: Causes of infection, prevention of
infection, common organisms causing infection.
5. Boils, cellulitis, abscess, necrotising fascitis.
6. Tetanus and Gas gangrene: Prevention of Tetanus and Gas Gangrene.
7. Chronic specific infections: Tuberculosis, Filariasis, and Leprosy.
8. Antibiotic therapy.
9. Hospital infection.
10. AIDS and Hepatitis B; Occupational hazards and prevention.
I . B . 1. Mechanism and management of missile, blast and gunshot injuries.
2. Surgical aspects of diabetes mellitus.
3. Bites and stings.
4. Organ transplantation - Basic principles.
5. Nutritional support to surgical patients.
II. RESUSCITATION.
1. Fluid electrolyte balance.
2. Shock: Aetiology, pathophysiology and management.
3. Blood transfusion : Indication and hazards.
4. Common postoperative complications.
COMMON SKIN AND SUBCUTANEOUS CONDITIONS.
1. Sebaceous cyst, dermoid cyst, lipoma, haemangioma, neurofibroma, premalignant
conditions of the skin, basal cell carcinoma, naevi and malignant melanoma.
2. Sinus and fistulae. Pressure sores; prevention and management.
IV.
ARTERIAL DISORDERS.
1. Acute arterial obstruction : diagnosis and initial management; types of gangrene ;
diagnosis of chronic arterial insufficiency with emphasis on Burgers disease,
athreosclerosis and crush injuries.
2. Investigations in cases of arterial obstruction. Amputations;
3. Vascular injuries : basic principles of management.
V. VENOUS DISORDERS.
1. Varicose veins: diagnosis and management; deep venous thrombosis: diagnosis,
prevention, principles of therapy; thrombophlebitis.
LYMPHATICS AND LYMPH NODES.
1. Diagnosis and principles of management of lymphangitis, lymphedema, acute and
chronic lymphadenitis; cold abscess, lymphomas, surgical manifestations of filariasis.
VII.
BURNS.
1. Causes, prevention and first aid management; pathophysiology; assessment of depth
and surface area, fluid resuscitation; skin cover; prevention of contractures.
VIII.
SCALP, SKULL AND BRAIN.
1. Wounds of scalp and its management: recognition, diagnosis and monitoring of
patients with head injury including unconsciousness; Glasgow coma scale recognition
of acute / chronic cerebral compression.
IX.
ORAL CAVITY, JAWS, SALIVARY GLANDS.
1. Oral cavity: I) Cleft lip and palate; Leukoplakia; retention cyst; ulcers of the tongue.
Features, diagnosis and basic principles of management of carcinoma
lip, buccal mucosa and tongue, prevention and staging of oral
carcinomas.
2. Salivary glands: I) Acute sialoadenitis, neoplasm: diagnosis and principles of
treatment.
IX. B. Epulis, cysts and tumours of jaw: Maxillofacial injuries; salivary fistulae
X. NECK.
1. Branchial cyst; cystic hygroma.
2. Cervical lymphadenitis: Non-specific and specific, tuberculosis of lymphnodes,
secondaries of neck.
X. B. Thoracic outlet syndrome: diagnosis.
XI.
THYROID GLAND
1. Thyroid: Surgical anatomy, physiology, investigations of thyroid disorders; types,
clinical features, diagnosis and principles of management of goitre, thyrotoxicosis
and malignancy, thyroglossal cyst and fistula.
XI. B. Thyroiditis, Hypothyroidism.
XII.
PARATHYROID AND ADRENAL GLANDS.
Clinical features and diagnosis of hyperparathyroidism, adrenal hyperfunction/
hypofunction.
XIII.
BREAST.
1. Surgical anatomy; nipple discharge;
acute mastitis, breast abscess; mammary
dysplasia; gynaecomastia; fibroadenomas.
2. Assessment and investigations of a breast lump.
3. Cancer breast : diagnosis, staging, principles of management.
XIV. THORAX.
1. Recognition and treatment of pneumothorax, haemothorax, pulmonary embolism:
Prevention/ recognition and treatment, flail chest; Stove in chest ; Postoperative
pulmonary complications.
XIV.
B. Principles of management of pyothorax; cancer lung.
XV.
HEART AND PERICARDIUM.
1. Cardiac tamponade
2. Scope of cardiac surgery.
XVI.
OESOPHAGUS.
1. Dysphagia: Causes, investigations and principles of management.
2. Cancer oesophagus : Principles of management.
XVII. STOMACH AND DUODENUM.
1. Anatomy; Physiology, Congenital hypertrophic pyloric stenosis; aetiopathogenesis,
diagnosis and management of peptic ulcer, cancer stomach; upper gastrointestinal
haemorrhage with special reference to bleeding varices and duodenal ulcer.
XVIII. LIVER
1. Clinical features , diagnosis and principles of management of : Amoebic liver
abscess, hydatid cyst and portal hypertension. Liver trauma.
XVIII. B. Surgical anatomy; primary and secondary neoplasms of liver.
XIX.
SPLEEN
Splenomegaly: causes, investigations and indications for
splenectomy: splenic injury.
XX.
GALL BLADDER AND BILE DUCTS
1. Anatomy, physiology and investigations of biliary tree; clinical features, diagnosis,
complications and principles of management of cholelithiasis and cholecystitis;
obstructive jaundice.
XX. B. Carcinoma of gall bladder, choledochal cyst.
XXI.
PANCREAS.
Acute pancreatitis : Clinical features, diagnosis, complications and management.
Chronic pancreatitis, pancreatic tumours.
XXII. PERITONEUM, OMENTUM, MESENTERY AND RETROPERITONEAL SPACE.
Peritonitis : Causes, recognition and principles of management; intraperitoneal
abscess.
XXII B. Laparoscopy and laparoscopic surgery.
XXIII. SMALL AND LARGE INTESTINES
1. Diagnosis and principles of treatment of : Intestinal amoebiasis, tuberculosis of
intestine, carcinoma colon; lower gastrointestinal haemorrhage; Enteric fever,
parasitic infestations.
XXIII. B. Ulcerative colitis, premalignant conditions of large bowel.
XXIV. INTESTINAL OBSTRUCTION.
1. Types, aetiology, diagnosis and principles of management; paralytic ileus.
XXV. ACUTE ABDOMEN.
Causes, approach, diagnosis and principles of management.
XXVI. APPENDIX
1. Diagnosis and management of acute appendicitis, appendicular lump and abscess.
XXVII.
RECTUM.
1. Carcinoma rectum: diagnosis, clinical features and principles of management;
indications and management of colostomy.
XXVII.
B. Management of carcinoma rectum; prolapse of rectum.
XXVIII.
ANAL CANAL .
1. Surgical anatomy. Clinical features and management of: fissure, fistula in ano,
perianal and ischiorectal abscess and haemorrhoids; Diagnosis and referral of
anorectal anomalies.
XXVIII. B. Anal carcinoma.
XXIX. HERNIAS.
1. Clinical features, diagnosis, complications and principles of management of :
Umbilical, Inguinal, epigastric and femoral hernia.
2. Omphalitis.
XXIX . B. Umbilical fistulae, Burst abdomen, ventral hernia.
XXX. GENITO- URINARY SYSTEM.
1. Symptoms and investigations of the urinary tract.
XXXI. KIDNEY AND URETER
1. Investigations of renal mass; diagnosis and principles of management of urolithiasis,
hydronephrosis, pyonephrosis, and perinephric abscess, congenital anomalies of
kidney & Ureter and renal tumours.
2. Renal tuberculosis.
XXXII.
URINARY BLADDER.
1. Causes, diagnosis and principles of management of haematuria, anuria and acute
retention of urine.
XXXIII.
PROSTATE AND SEMINAL VESICLES.
1. Benign prostatic hyperplasia: diagnosis and management.
XXXIII. B. Carcinoma prostate.
XXXIII.
URETHRA AND PENIS
1. Diagnosis and principles of management of Phimosis, paraphimosis and carcinoma
penis.
2. Principles of management of urethral injuries.
3. Urethral strictures.
XXXV.
TESTES AND SCROTUM
1. Diagnosis and principles of treatment of undescended testis; torsion testis;
Hydrocoele, hematocoele, pyocoele, varicocele, epididymo-orchitis and testicular
tumours.
XXXVI PAEDIATRIC SURGERY
1. Oesophageal atresia and Intestinal atresia
2. Anorectal malformations
3. Constipation in children: Hirschsprung's disease, Acquired megacolon,
4. Congenital diaphragmatic hernia
5. Extrophy, Epispadias complex and hypospadias
6. Spinal diastrophism and Hydrocephalus
7. Urinary tract infections in children- Vesicoureteral reflux, posterior urethral
Valves, Vesico Ureteral Junction obstruction/Duplex ureter, Obstructive
uropathy in Children : Hydronephrosis, Hydroureteronephrosis
8. Testicular Maldescent
9. Umbilical Hernia, Exompholos: Major/minor
10. Wilms Tumours:Neuroblastoma, Ganglionioneuloblestoma, Ganglioneuroma,
Endo-dermal Sinus Tumours.
11. Hamartomas
in
Children:
Lymphangioma
and
Cystic
hygroma,
Haemangioma.
Biliary Atresia and Surgical jaundice
Suggested lecture program
Distribution of syllabus in respective semesters
This is suggested programme and can vary at institute
Total 300 hours of teaching has to be done in General Surgery including Tutorials
Details of syllabus is given separately below after distribution as per semester
4 th Semester
:
16 Lectures
1) Introduction to Surgery
2) Body response to injury
3) Wound and wound healing
4) Acute infection, Boils, Carbuncle etc
5) Chronic infections
6) Tetanus and Gas gangrene
7) Neoplasm General Consideration
8) Surgical Nutrition
9) Pre operative and Post operative Care
10) Sepsis and Anti Spesis
11) Burns
12) Shock
13) Fluid and Electrolyte Balance
14) Monitoring of surgical Patients
15) Hemostasis and Blood transfusion.
6th Term
3 modules
Module l
General surgery
a. Polytrauma
b. Missiles and their effects & blast injuries
c. Management of war wounds
d. Surgical diseases skin conditions
e. Minimally invasive surgery
f. Principal of Radiotherapy
g. OT Techniques
h. AIDS in surgery
i. Foot including Diabetic Foot
j. Hand and hand infection
Vascular Surgery
* ARTERIAL DISORDERS.
1. Acute arterial obstruction: diagnosis and initial management; types of gangrene ;
diagnosis of chronic arterial insufficiency with emphasis on Burgers disease,
athreosclerosis and crush injuries.
2. Investigations in cases of arterial obstruction. Amputations;
3. Vascular injuries : basic principles of management.
4. Surgically correctable Hypertension
* VENOUS DISORDERS.
1. Varicose veins: diagnosis and management; deep venous thrombosis :
diagnosis, prevention, principles of therapy; thrombophlebitis.
LYMPHATICS AND LYMPH NODES.
Diagnosis and principles of management of lymphangitis, lymphedema, acute and chronic
lymphadenitis; cold abscess, lymphomas, surgical manifestations of filariasis.
Module 2
HEAD, FACE, NECK
8 lectures
1. ORAL CAVITY , JAWS, SALIVARY GLANDS.
1. Oral cavity :
I) Cleft lip and palate; Leukoplakia ; retention cyst; ulcers of the tongue.
II) Features, diagnosis and basic principles of management of carcinoma lip, buccal
mucosa and tongue, prevention and staging of oral carcinomas.
2. Salivary glands :
I) Acute sialoadenitis, neoplasm : diagnosis and principles of treatment
II) Salivary fistulae
2. Epulis, cysts and tumours of jaw: maxilofacial injuries
3 NECK
1. Branchial cyst; cystic hygroma.
2. Cervical lymphadenitis : Non specific and specific,
3. Tuberculosis of lymphnodes, secondaries of neck.
4. Thoracic outlet syndrome : diagnosis.
2. ENDOCRINE SURGERY
8 lectures
A.THYROID GLAND
I) Thyroid : Surgical anatomy, physiology, investigations of thyroid disorders; types,
clinical features, diagnosis and principles of management of goitre, thyrotoxicosis
and malignancy, thyroglossal cyst and fistula.
ii) Thyroiditis, Hypothyroidism.
B.PARATHYROID AND ADRENAL GLANDS.
Clinical features and diagnosis of hyperparathyroidism,
Tumours of the adrenal gland
Adrenal hyperfunction/ hypofunction
C.Diseases of thymus
Module 3
1. NEURO-SURGERY
6 lectures
1. Head injury
2. Intracranial tumours & other ICSOL
3. Congenital anomalies of brain & spinal cord
4. Surgery of peripheral nerves & diseases
2. Surgery of Breast
5 lectures
1. Surgical anatomy; nipple discharge; acute mastitis, breast abscess;
mammary dysplasia; gynaecomastia; fibroadenomas.
2. Assessment and investigations of a breast lump.
3. Cancer breast : diagnosis, staging, principles of management
3. PLASTIC & RECONSTRUCTIVE SURGERY 6 lectures
1.Management of burns
2.Skin grafting including flaps
3.Injuries of the hand
4.Infections of the hand
7 th Semester
Module (1)
Cardio Thoracic surgery
8
Paediatric surgery
8
16 lectures
CARDIO-THORACIC SURGERY
1. Injuries of the chest
2. Tumours of the lung & bronchial tree
3. congenital heart disease
4. Acquired heart disease
5. Surgery of ischaemic heart disease
6. Diseases of pericardium
7. Cardiac arrest
Paediatric Surgery
1. Oesophageal atresia and Intestinal atresia
2. Anorectal malformations
3. Constipation in children: Hirschsprung's disease, Acquired megacolon,
4. Congenital diaphragmatic hernia
5. Extrophy, Epispadias complex and hypospadias
6. Spinal diastrophism and Hydrocephalus
7. Urinary tract infections in children- Vesicoureteral reflux, posterior urethral
Valves, Vesico Ureteral Junction obstruction/Duplex ureter, Obstructive
uropathy in Children : Hydronephrosis, Hydroureteronephrosis
8. Testicular Maldescent
9. Umbilical Hernia, Exompholos : Major/minor
10. Wilms Tumours: Neuroblastoma, Ganglionioneuloblestoma,
Ganglioneuroma, Endo-dermal Sinus Tumours.
11. Hamartomas
in
Children
:
Lymphangioma and
Cystic
hygroma,
Haemangioma.
12. Biliary Atresia and Surgical jaundice
Module 2
TROPICAL SURGERY
1. Surgical consideration in Amoebiasis & Enteric fever
2. Filariasis, Dracontiasis & Ascariasis
3. Hydatid disease
4. Leprosy, Madura foot, Tropical ulcer Actionomycosis
HEPATOBILIARY PANCREATIC SURGERY +SPLEEN
A.L IVER
Clinical features, diagnosis and principles of management of: Amoebic liver abscess,
Liver trauma
Surgical anatomy; primary and secondary neoplasms of liver.
SPLEEN
Splenomegaly: causes, investigations and indications for splenectomy: splenic
injury.
GALL BLADDER AND BILE DUCTS
Anatomy, physiology and investigations of biliary tree; clinical features,
diagnosis, complications and principles of management of cholelithiasis and
cholecystitis; obstructive jaundice.
Carcinoma of gall bladder, choledochal cyst.
PANCREAS.
Acute pancreatitis: Clinical features, diagnosis, complications and management.
Chronic pancreatitis, pancreatic tumours.
PORTAL HYPERTENSION
Clinical presentation, Investigation and management
Module 3
Upper gastrointestinal Tract and Peritoneum
PERITONEUM, OMENTUM, MESENTERY AND
RETROPERITONEAL SPACE.
1. Peritonitis: Causes, recognition and principles of management;
2. Intraperitoneal abscess
OESOPHAGUS.
1. Dysphagia: Causes, investigations and principles of management.
2. Cancer oesophagus: Principles of management.
STOMACH AND DUODENUM.
1. Anatomy; Physiology, Congenital
hypertrophic pyloric stenosis;
aetiopathogenesis, diagnosis and management of peptic ulcer, cancer
stomach; upper gastrointestinal haemorrhage with special reference to
bleeding varices and duodenal ulcer.
SMALL INTESTINES
1. Diagnosis and principles of treatment of, tuberculosis of intestine.
8th Semester
Module 1
Lower gastrointestinal Tract and abdominal wall
Acute Abdomen
INTESTINAL OBSTRUCTION.
Types, aetiology, diagnosis and principles of management; paralytic ileus
Aetiology, Clinical Features. Invesigations and management
Abdominal Wall
1. Features, diagnosis, complications and principles of management of :
Umbilical, epigastric hernia., incisional; hernia ventral hernia
LARGE INTESTINES
Ulcerative colitis, premalignant conditions of large bowel carcinoma colon;
lower gastrointestinal haemorrhage;, parasitic infestations.
.
APPENDIX
Diagnosis and management of acute appendicitis,
Appendicular lump and abscess.
RECTUM.
Carcinoma rectum: diagnosis, clinical features and principles of
management; indications and
Management of colostomy.
Management of carcinoma rectum;
Prolapse of rectum.
ANAL CANAL
.
Surgical anatomy. Clinical features and management of: fissure, Fistula in
ano, perianal and ischiorectal abscess and haemorrhoids; Diagnosis and
referral of anorectal anomalies.
Anal carcinoma.
Umbilicus and Abdominal wall
Umbilical fistulae, Burst abdomen, ventral hernia.
Module 2
Upper genito-urinary Tract and Organ
Transplantation
GENITO- URINARY SYSTEM.
Symptoms and investigations of the urinary tract.
KIDNEY AND URETER
Anatomy and Embryology of Kidney and ureter
Congenital anomalies of kidney & Ureter
Investigations of renal mass;
Diagnosis and principles of management of urolithiasis,
Hydronephrosis, pyonephrosis, perinephric abscess,
Renal tumours.
Renal tuberculosis.
Module 3
Upper genito-urinary Tract and Hernia
URINARY BLADDER.
Causes, diagnosis and principles of management of haematuria,
Anuria and Acute retention of urine.
PROSTATE AND SEMINAL VESICLES.
Benign prostatic hyperplasia: diagnosis and management.
Carcinoma prostate.
URETHRA AND PENIS
Diagnosis and principles of management of Phimosis , paraphimosis and.
Principles of management of urethral injuries.
Urethral strictures.
Carcinoma penis
TESTES AND SCROTUM.
Diagnosis and principles of treatment of undescended testis; torsion testis;
Hydrocoele, hematocoele, pyocoele,
Varicocele, epididymo-orchitis and
Testicular tumours
HERNIAS.
Clinical features, diagnosis, complications and principles of management of:
Umbilical, Inguinal, epigastric and femoral hernia.
Introduction of " Brain Death and Organ Donation" topic in subjects of Physiology ,
Preventive & Social Medicine, Psychiatry, Medicine & Surgery
RECOMMENDED BOOKS FOR GENERAL SURGERY
TEXT BOOKS:
1 . Charles V. Mann, R.C.G. Russel, Norman S., Williams,
Bailey and Loves Short Practice of Surgery, 23rd Edition, 2000 Chapman and
Hall.
2. K.Das: Clinical Methods in Surgery, 8th Edition, 1968, Suhas Kumar Dhar,
Calcutta.
3. JSP Lumley : Hamilton Baileys Physical Signs 18th Edn Butterworth/Heinemann.
1997,
4. Somen Das ; A Practical Guide to Operative Surgery, 4th Edition, 1999, s. Das,
Calcutta
REFERENCE TEXT BOOKS
1. .James Kyle : Pyes Surgical handicraft, Indian edition, k.m. Varghese
Company David C.
2. Sabiston ; Text Book of surgery : The Biological basis of Modern Surgical
Practice, 15th Edition, 1971, W.B. Saunders.
3. Seymour I. Schwartz, G. Tom Shines, Frank C. Spencer, Wendy Cowles
Husser: Principles of Surgery, Vol. 1 & 2, 7th Edition, 1999, Mc Graw Hill
4. R.F. Rintoul : Farqharsons Text Book of Operative Surgery, 8th Edition, 1995,
Churchill Livingstone.
5. Sir Charles Illingworth, Bruce m. Dick: A Text Book of Surgical
Pathology,12th Edition, 2979, Churchill Livingstone.
6. R.W.H. McMinn : Lasts Anatomy: Regional and Applied; 10th Edition, 1999,
Churchill Livingstone
Goals and objectives of Allied Subjects
(B) ORTHOPAEDICS
(A) KNOWLEDGE
The student shall be able to:
1. Explain the principles of recognition of bone injuries and
dislocation.
2. Apply suitable methods to detect and manage common
infections of bones and joints.
3. Identify congenital, skeletal anomalies and their referral for
appropriate correction or rehabilitation.
4. Recognize metabolic bone diseases as seen in this country:
5. Explain etiogenesis, manifestations, and diagnosis of neoplasm
affecting bones.
(B) SKILLS:
At the end of the course, the student shall be able to:
1. Detect sprains and deliver first aid measures for common fractures and
sprains and manage uncomplicated fractures of clavicle, Colless
forearm, phalanges etc.
2. Use techniques of splinting, plaster, immobilization etc.
3. Manage common bone infections, learn indications for sequestration,
amputations and corrective measures for bone deformities;
4. Advise aspects of rehabilitation for Polio, Cerebral Palsy and
Amputation.
(C) APPLICATION
Be able to perform certain orthopaedic skills, provide sound advice of
skeletal and related conditions at primary or secondary health care level.
(D) INTEGRATION
LEARNING METHODS
Lectures, Tutorials bedside clinics and lecture cum demonstrations
Distribution of Teaching hours -
Lectures - 50 hours
Tutorials and revision - 50
Clinical postings in Orthopaedics
Total clinical Posting of 10 weeks of 180 hours
5th Semester - 4 weeks
6th Semester - 4 weeks
9th Semester - 2 weeks
Course contents and suggested lecture program of Orthopaedics
(Total 100 hours)
This is suggested programme and can vary at institute
Total 100 hours of teaching has to be done in Orthopaedics including Tutorials
Details of syllabus is given separately below after distribution as per semester
6th Semester
Lectures
1 to 16
8 th Semester
Lectures 1
17 to 32
8th Semester
Lectures 2
33 to 48
Topic : General Orthopaedics
Lectures
1. Introduction and scope of Orthopaedics Traumatology and Orthopaedic
Diseases. Idea about Scheme of Examination.
2. Definition and Classification of Fracture and Dislocation Signs, symptoms
and diagnosis of sprain, contusion fracture and dislocation.
3. First aid measures in Poly-trauma patient, spinal cord Injury patients and
knowledge about various splints.
4. & 5 Principles of Management of sprain, Fracture and Dislocation with
emphasis on various aspects of closed reduction, immobilization including
internal fixation and rehabilitation.
6,7,8 Complications of fracture and its management with specific reference to
malunion Delayed union, Non union, Myositis Ossificans, Sudecks dystrophy,
Volkmans
ischaemia,
Avascular
Necrosis,
Fat
embolism,
secondary
Osteoarthrosis and injury to Muscles, Tendon, nerve and Blood vessels.
1. Plaster technique, plaster complications and plaster disease.
2. Fracture Healing in cortical and cancellous bones and factors affecting fracture
healing.
Topic : Orthopaedic Traumatology
3. Fracture clavicle, scapula, neck humerus and shaft humours.
4. Supracondylar fracture humerus with complications.
5. Fracture Forearm bones, Monteggia and Galeassi fracture dislocations,
fracture olecranon head and neck radius.
6. Fracture scaphoid, Metacarpals and phalanges.
7. Colles fracture and Complications.
8. Dislocation (Acute and Recurrent) of shoulder and elbow.
9. Fracture of Vertebrae with complications.
10. Fracture of Pelvis with complications.
11. Fracture Neck femur and trochanteric fracture.
12. Fracture shaft femur and fractures around knee.
13. Meniscus and ligaments injury at knee.
14. Fracture Tibia-fibula, fracture in tarsals, Metatarsals and phalanges.
15. Fracture dislocation around ankle,
16. Dislocation of Hip, knee, ankle, tarsals and small bones in foot.
Topic : Orthopaedic Diseases
25,26 Congenital skeletal anomalies with emphasis on congenital
Talipes Equino varus (CTEV). :-
27.
Congenital dislocation of hip (CDH), Osteogenesis Imperfecta, spina
28.
Bifida and Torticollis.
29.
Ostecochondritis ? various types.
30. Post Polio Residual Palsy with stress on preventive and rehabilitation aspect.
30.
Acute Osteomyelitis.
31. Chromic Osteomyelitis.
32.
Pyogenic arthritis of Hip, knee.
33,& 34. Osteo-articular Tuberculosis with special reference to
Tuberculous of Hip, knee and elbow.:-
35. Tuberculosis spine and paraplegia.
36. Fungal Infections and leprosy in Orthopaedics.
37. Cerebral palsy, Diagnosis and rehabilitation.
38. Rheumatoid arthritis.
39. Degenerative arthritis.
40. Nerve injuries and principles of management.
41. Amputation and Disarticulation ? Indications methods and complications.
42. Metabolic bone disease : Rickets, Osteomalacia and Osteoporosis.
43,& 44 Tumours of bones and its classification. Benign :- Osteochondroma,
Giant cell tumour Unicameral Bone cyst, Aneurysmal cyst.
45,46 Malignant- Osteogenic sarcoma, Ewings tumour,
Fibrosarcoma, Chondrosarcoma, Multiple Myeloma, Secondaries from
Primary Carcinoma (Metastatic tumours)
47. Back ache,
48. Frozen shoulder, Tennis Elbow, Dequervains disease, Dupuytrens
Contracture Osgood ? Schlatter;s disease, planter fascitis.
Practical and Lecture cum Demonstration Classes, in MBBS in Orthopaedics
Once a week class for two hours in 8th/9th semester.
Topics of Demonstrations :-
1. Plaster technique and splint applications.
2. Traction application, Orthopaedic appliances demonstration, Demonstration of
Physiotherapy equipments.
3. Specimens of sequestrum and Tumours, Madura foot etc.
4. Common instruments and Implants.
5 to 7. Common X-rays of traumatology, bony infection, joint infection and
tuberculosis, Malunited Colles fracture, forearm or Supracondylar Humerus fracture. 8
to 10. Chronic osteomyelitis case, knee effusion case, Non union case, Bony tumour
case.
Seminar Topics :-
1. Osteomyelitis.
2. Tuberculosis.
3. Bone tumours
4. First aid and Acute trauma Life saving (ATLS) measures.
Tutorial Topics :-
15. Supracondylar fracture Humerus.
16. Colles fracture.
17. Fracture neck femur.
18. Spine examination, Potts spine and paraplegia
19. CTEV.
20. Shoulder, Elbow and wrist examination.
21. Hip examination.
22. Knee, ankle foot examination.
23. Nerve examination and nerve injuries.
Internal assessment:
Two Term ending examination at the end of Posting of 50 markseach
Total 100 out of 450 marks under general surgery.
C) ANAESTHESIOLOGY
DEPARTMENTAL OBJECTIVES:
At the end of the training, the students should be able to:
Perform cardio-pulmonary resuscitation with the available resources and transfer
the patients to a bigger hospital for advanced life support.
Set up intravenous infusion.
Clear and maintain airway in an unconscious patient.
Administer oxygen correctly.
Perform simple nerve block.
Exhibit awareness of the principles of administration of general and local
anaesthesia.
SKILLS:
1. Start I V line and infusion in adults, children and neonates.
2. Do venous cutdown.
3. Insert, manage a CVP line.
4. Conduct CPR (Cardiopulmonary resuscitation) and first aid in newborns, children
and adults including endotracheal intubation.
5. Perform nerve blocks like infiltration, digital and field blocks.
6. Do lumbar puncture.
7. Administer O2 by mask, catheter, and O2 tent and be able to handle O2 cylinder.
LEARNING METHODS
Lectures, Tutorials bedside clinics and lecture cum demonstrations
Distribution of Teaching hours -
Lectures - 20 hours
Tutorials and revision -
Bedside clinics - 36 hours, one clinical postings
2 weeks in Anaesthesiology
COURSE CONTENTS:
1. Cardiopulmonary resuscitation (CPR) - basic and advanced, including use of
simple ventilators.
2. Anatomy of upper airway, sites of respiratory obstruction and management of
airway in an unconscious patient.
3. Various methods of oxygen therapy and its indications.
4. The pharmacology of local anaesthetics, their use and how to perform simple nerve
blocks like - Infiltration anaesthesia, digital block, ankle block, pudendal and
paracervical blocks.
5. Management of complications of regional anaesthesia. The principles of
administration of general anaesthesia.
D) Radiology :Diagnosis & Imaging
Goals :
Realisation of the basic need of various radio-diagnostic tools.
Radio-diagnostic Techniques to be adopted indifferent clinical situations in
diagnosis of ailments.
Objectives :
Knowledge: -
The student shall be able to
1. Understand basics of X-ray / USG production, its utility and hazards
2. Appreciate and diagnose radiological changes in diseases of Chest, Abdomen,
Skeletal system, Gastro-intestinal system, Genito-urinary System & CNS
3. Learn about various Imaging techniques like nuclear medicine, computerised
tomography (CT), Ultrasound, magnetic resonance imaging (MRI),
conventional & Digital subtraction Angiography (DSA).
Skills: -
At the end of the course the student shall be able to
1. Interpret various radiological findings and their consequences
2. Use basic protective techniques during various Imaging procedures
3. Advice appropriate Diagnostic procedures to arrive at an appropriate
diagnosis.
LEARNING METHODS
Lectures, Tutorials bedside clinics and lecture cum demonstrations
Distribution of Teaching hours -
Lectures - 20 hours
Tutorials and revision -
Bedside clinics - 36 hours, one clinical postings
2 weeks in Radiology
I : BONES & JOINTS :
Congenital dislocation of hip, congenital syphilis, Achonodroplasis, Osteogenesis
Imperfecta.
Infection : Osteomyelitis, Tuberculosis of Bone & Spine.
Lesions of Joints : Septic / Tuberculous Arthritis, Rheumatoid, Arthritis, Ankylosing
Spondylitis, Osteo-Arthritis, Gout.
Bone Tumours: Ewings, Osteogenic Sarcoma, Giant Cell Tumour Neurofibroma.
Lymphoreticular system & Haemopoietic Disorders : Thalassaemia, Sickle Cell
disease, Lymphomas, Multiple myeloma, plasmacytoma, Haemophilia.
Metabolic & Endocrine Disorders of Bone: Rickets & Osteomalacia, Scurvy,
Osteoporosis, Acromegaly, and Hyperparathyroidism.
Skeletal trauma: General Principles.
II: Chest:
Methods of examination, Normal X-ray Chest, Bronchopulmonary Segments.
Interpretation of Abnormal Chest X-ray : Silhouette sign, Air Bronchogram,
Interstitial Shadows, Alveolar Shadows, Honeycomb Lung, Cavitations, Calcification,
Hilar Shadow, Mediastinum, Pleura.
Bronchography.
Bronchogenic Carcinoma.
Miliary
Shadows, Pulmonary
Tuberculosis,
Solitary
Pulmonary
Nodule,
Bronchiectasis, Primary complex.
III : CARDIO-VASCULAR SYSTEM
Normal Heart : Methods of examination.
Cardiomegaly, Pericardial Effusion.
Acquired Heart Diseases: Valvular Heart Disease, Ischaemic Heart Disease.
Congenital Heart Disease.
Aortic Aneurysms, Co-arctation of Aorta.
IV : GASTRO-INTESTINAL TRACT & ABDOMEN :
Barium Examination of GI Tract.
Acute Abdomen.
Oesophagus: Carcinoma, Strictures, Varices, Achalasia, and Hiatus Hernia.
Stomach & Duodenum : Ulcer disease, Malignancy.
Intestine: Intestinal Obstruction, Volvulus, Ulcerative Colitis,
Intussusceptions, Malignancy, Hirschsprungs Disease, Kochs Abdomen Diverticular
Disease, Polyps.
V : HEPATO-BILARY SYSTEM, PANCREAS :
Liver : Abscess, Hepatoma, Cirrhosis, Portal Hypertension, and Spenoportography.
Gall-Bladder : Calculus Disease, Malignancy, PTC, ERCP.
Pancreas : Pancreatitis, Malignancy.
VI : URORADIOLOGY:
Method of Examination : Intravenous Urography (IVP)
Calculus Disease, PUJ Obstruction, PU Valves, Renal Artery Stenosis,
Wilms Tumour, Renal Cell Carcinoma, GU Kochs.
VII : OBSTETRICS & GYNAECOLOGY :
Hysterosalpingography (HSG), Intra-Uterine Foetal Death, Fibroid, Ovarian
Tumours, Ultrasongraphy & Transvaginal US.
VII: CENTRAL NERVOUS SYSTEM :
Raised Intracranial Tension, Intracranial Calcification, Head Injury, Cerebrovascular
Accident, Rind Enhancing Lesions in Brain, Spinal Neoplasms, Myelograpy.
IX: MISCELLANEOUS:
Radiation Hazards, Radiation Protection.
Imaging Modalities :
USG, CT, MRI : Principles, Applications, Advantages, Limitations, Developments.
Angiography : Seldinger Technique, Conventional Angiogram, DSA, Carotid,
Coronary, Renal Angiograms, Aortogram.
Contrast Media : Barium Sulphate, Water Soluble & Oily Contrast.
Interventional Radiology : Developments, Angioplasty, Embolisation.
Mammography: Principles & Applications.
Internal assessment:
Term ending examination at the end of Posting of 50 marks out of
Total 450 marks under general surgery.
Dentistry for MBBS students under Surgery
GOALS
Comprehensive understanding of Dentistry, Orofacial structures, the
Dentition, Maxillary and Mandibular jaws and the Diagnosis, Treatment,
Prevention, Restoration and Rehabilitation of the common dental problems
OBJECTIVES
A. KNOWLEDGE
Various Diseases, Syndromes, Lesions, Disorders manifesting and
affecting the Oral cavity, the Jaws and the TM joint.
Effects of Dental Caries, Gingival and Periodontal diseases and
Malocclusion.
B. SKILLS
Examination of the Oral cavity and the TM Joint
Local Anaesthesia Administration. Dental block
Exodontia.
Emergency management of Maxillofacial Trauma.
Plaque control and Oral health care regimen.
Learning methods
Total teaching hours: 10
Theory lectures: 10 in 7th Semester
Clinical Postings; 2weeks each in 7th semester
Internal assessment:
Term ending examination at the end of Posting of 50 marks out of
Total 450 marks under general surgery.
COURSE
III MBBS, 7Th SEMESTER LECTURES: 10 Hours.
1.
Scope of Dentistry
Introduction of various branches of Dentistry.
Basic Understanding of Dental Epidemiology
Effects of deleterious Habits on Dentition and Orofacial structures.
2. Development and Growth of Jaws & Orofacial structures.
Development & Eruption of teeth, Deciduous & Permanent.
Occlusion.
Preventive Care in Paediatric patients.
3. Dental Caries
Gingival & Periodontal Diseases.
Developmental Anomalies.
Cysts & Tumours of Oral cavity.
Neoplasms of Oral cavity.
Oral Microbiology.
4. Orofacial Pain & its Management
5.
Maxillofacial Trauma and Management of patient.
6.
Oral Medicine
Systemic diseases, the relevance of medications prescribed & their
Oral Manifestations.
Infections of Orofacial structures esp. periodontal diseases & their
Manifestations in Systemic conditions.
Relationship between Oral and systemic health.
Womens Oral health care in Reproductive phase.
7.
Interdisciplinary team approach in the management of a patient in
Dentistry
involving
Paediatrics,
Plastic
surgery,
ENT
Surgery,
Neurosurgery, Opthalmic surgery, Gen. Surgery, Medicine, Orthopaedics,
Dermatology, Endocrinology and OB-GYN.
8.
Rehabilitation of lost Oral structures.
Implantology.
9.
Dentofacial Deformities and Surgical corrections.
10.
Biomaterials used in Dentistry.
Emerging technologies in Contemporary Dentistry.
Molecular Dentistry.
Integration with anatomy, surgery,
pathology radiology and Forensic Medicine be done.
CLINICAL POSTING in DENTISTRY - 2 WEEKS
1.
L.A. Administration, Techniques for different Blocks.
2.
Exodontia
3.
Preliminary Management of Maxillofacial Trauma
4.
Pathological conditions of Oral cavity.
5.
Oral and Maxillofacial Radiography & Imaging
6.
Maxillo Facial Prosthodontics
Demonstration of Clinical Procedures in Dental Clinics.
Criteria of passing in various surgical subjects at III MBBS Examination
Minimum
Minimum
Maxim
marks
marks
um
Theory Paper / Oral/
required
required to
Marks
SN
Subject
Practical / Internal
to pass in
pass in
in each
Assessment
each part
each
of the
of any
subject out
subject
subject
of
01)
Otorhinolaryngology
a) Theory
Paper - I
40
20
25
50
100
b) Oral
10
c) Practical
30
15
d) Internal
Theory
10
Assessment
Practical
10
10
02) General Surgery
a) Theory
Paper I
60
60
70
150
Paper II
60
b ) Oral
20
300
c) Practical
100
50
d) Internal
Theory
30
Assessment
Practical
30
30
03) Obstetrics and
a) Theory
Paper1
40
Gynaecology
b ) Oral
20
50
100
c) Practical
60
30
200
d) Internal
Theory
20
Assessment
Practical
20
40
04)
a) Theory
Paper - I
Ophthalmology
40
20
50
25
100
b) Oral
10
c) Practical
30
15
d) Internal
Theory
10
Assessment
10
Practical
10
It is compulsory to obtain 50% marks in theory.
It is mandatory to obtain 50% marks in theory+ viva/oral.
FINAL MBBS EXAMINATION IN SURGERY
Evaluation :
Methods ? Internal assessment, Theory,
Practical and Viva
Internal Assessment ( Formative Assessment)
Theory ? 30 Practical - 30
Total 60
Marks of Internal Assessment should be sent to University before the
commencement of Theory examination.
Passing in internal assessment is essential for passing ,as Internal assessment
is separate head of passing. in examination.
It will also be considered for grace marks as per existing rules
Combined theory and practical of internal assessment will be considered for
passing in internal assessment.
Student will be allowed to appear for both theory and practical exam
independent of marks obtained in internal assessment but he if fails in that
head even after including the grace marks he will be declared "Fail in that
Subject"
Internal assessment in Theory -
Examinations during semesters:
This will be carried out by conducting two theory examinations during 6th and 8rth
semesters (100 marks each).
Total of 200 marks to be converted into 15 marks.( A/15)
Prelim examination :
This shall be carried out during 9th semester. Two theory papers of 60 marks each as
per university examination Pattern
Total of 120 marks to be converted into 15 marks. ( B/15)
Total marks of Internal assessmentfor Theory will be addition of A and B.
Internal assessment in Practical
Examinations at end of Clinical postings:
There will be practical examination at the end of each clinical posting of General
Surgery. (3rd, 5th, 7th and 8th semester) Each examination will be of 50 marks.
Total of 4 examinations - 200 marks.
These marks and marks from Orthopaedics 100, Radiology 50, Dentistry 50 and
Casualty 50 will be added. - Total 450 marks will be converted to 15 marks.( C/15)
Prelim examination:
This will be conducted for 120 marks as per university pattern and marks will be
converted to 15 (D/15).
Total marks of Internal assessment for Practical will be addition of C and D.
Record BOOK
Case record will have to be entered in a record book.
A combined record book of General surgery, Orthopaedics, Causality,
Anaesthesiology, Dentistry and radiology will have to be maintained
Minimum of five histories have to be recorded in each posting
The certificate of satisfactory completion of all clinical posting will be required from
Head Of the department of Surgery. This will be base on multiple similar certificates
from all postings in all subjects
In addition it will have details of all marks in posting ending exam on second page
and calculation of internal assessment
Record book will not carry any marks but it will be prerequisite for
Appearing for examination.
Pattern of theory examination including distribution of marks,
Questions and Time
Theory
1. There shall be two theory papers - Paper I and II, carrying 60 marks each.
2. Each paper will have three sections, A, B and C. Each paper will be of 3 hours
duration.
3. Section A will be MCQ in each paper. Section B and C will have to be written in
separate answer sheets. Both will have Long Answer Question ( LAQ) and
Short Answer Questions (SAQ)
4. The topic covered in each section shall be as follows : -
A. Paper I
Section A ? MCQ : will cover whole syllabus of Paper I
Section B- General principles of Surgery, Oncology, head, face, neck,
Breast, Endocrine Surgery and Trauma
Section C - Orthopaedic surgery.
B.P aper II
Section A ? MCQ : will cover whole syllabus of Paper II
Section B- Gastrointestinal Tract including colon rectum and anal canal
o Liver, pancreas and biliary tract, Spleen. Paediatric Surgery
Section C - Urology, Cardio thoracic surgery and Plastic surgery
Dental surgery, Radiology and Radiotherapy, Anaesthesiology.
Paper I - 3 hrs - 60 marks
Section . A -
MCQ - 30 x ? marks each ? 15 marks
30 minutes
Separate paper
Single based response
MCQ will cover whole syllabus of Paper I
Section . B - General Surgery
25 Marks
2 LAQS ? 8 marks x 2
= 16 marks
3/5
SAQS ? 3 marks
= 9 marks
Topics - General principles of Surgery, Oncology, head, face, neck, Breast,
Endocrine Surgery and Trauma..
NB : Shall contain one question on basic Sciences and allied subjects
.
Sec. C ?Orthopaedics Surgery
: 20 marks
Topic; All topics in Orthopaedics
Orthopaedics examiner will set this part of paper and to be evaluated by
Orthopaedics examiner.
1 LAQS ( Long answer questions) ? 8 marks
4/6 SAQS( Short answer questions) x 3 marks each = 12 marks
Time Sec. B & C ? Two and half hours.
Section B and C to be written in separate answer sheets.
MCQ section A will be given to candidates at the beginning of the
examination. After 30 minutes Section A will be collected.
Section B and C paper will then be handed over to candidates.
PAPER II - Time 3 hrs - 60 marks
Section . A -
MCQ - 30 x ? marks ? 15 marks
30 minutes
Separate paper
Single based response
MCQ will cover whole syllabus of Paper II
Section . B ? Marks: 25 marks
Topics :Gastrointestinal Tract including colon rectum and anal canal
Liver, pancreas and Biliary tract, Spleen, Paediatric surgery.
2 LAQS ? 8 marks x 2 = 16 marks
One question clinical Problem solving.
3/5
SAQS ? 3 marks
= 9 marks
NB : Shall contain one question on basic Sciences and allied subjects
Section . C ?
Marks: 20 marks
Topics: Urology, Cardio thoracic surgery and plastic surgery
Dental surgery, Radiology and Radiotherapy, Anaesthesiology.
1 LAQS ?
8 marks
4/6 SAQS x 3 marks each = 12 marks
Time Sec. B & C ? Two and half hours.
Section B and C to be written in separate answer sheets.
MCQ section A will be given to candidates at the beginning of the
examination. After 30 minutes Section A will be collected. Section B and C
paper will then be handed over to candidates.
PRACTICAL EXAMINATION - 120 marks
Clinical examination
Clinical cases
o
Long case I ? Gen, Surgery. ? 50 marks
o
Short case I - Orthopaedics ? 25 marks
o
Short case II ? Gen. Surgery -- 25 marks
Time for Long cases- 30 minutes for taking history and clinical examination.
10 minutes for viva
Time for
2 short cases - 20 minutes for taking history and clinical
examination.
10 minutes for viva.
Viva examination - Duration and topic distribution (Total 20 marks)
Tables ? Viva will be directed towards interpretation of investigation
At two tables, each for ten marks. Time- 10 minutes at each table
o Instruments + Operations, ? 10 marks
o Surgical Pathology, Imaging sciences and Orthopaedics ? 10 marks
Marks of VIVA will be added to Theory marks
It is compulsory to obtain 50% marks in theory.
It is mandatory to obtain 50% marks in theory+viva/oral.
OPHTHALMOLOGY
These guidelines are based on MCI recommendations.
Teaching has to be done keeping in mind the goals and objectives to be achieved by
medical student
(i)
GOAL
The broad goal of the teaching of students in ophthalmology is to provide such
knowledge and skills to the student that shall enable him/her to practice as a
clinical and as a primary eye care physician and also to function effectively as
a community health leader to assist in the implementation of National
Programme for the prevention of blindness and rehabilitation of the visually
impaired.
(II) OBJECTIVES
(a) KNOWLEDGE
At the end of the course, student shall have the knowledge of
1.Common problems affecting the eye,
2. Principles of management of major ophthalmic emergencies,
3.main systemic diseases affecting the eye;
4. Effects of local and systemic diseases on patients vision and the necessary
action required to minimize the sequelae of such diseases;
5. Adverse drug reactions with special reference to ophthalmic manifestations;
6, Magnitude of blindness in India and its main causes;
7. National programme for control of blindness and its implementation at
various levels.
8. Eye care education for prevention of eye problems
9. Role of primary health center in organization of eye camps;
10. organization of primary health care and the functioning of the ophthalmic
assistant;
11. Integration of the national programme for control of blindness with the
other national health Programmes.
12. Eye bank organization
SKILLS
At the end of the course, the student shall be able to:
1. Elicit a history pertinent to general health and ocular status;
2. Assist in diagnostic procedures such as visual acuity testing, examination of
eye, Schiotz tonometry, Staining of Corneal pathology, confrontation perimetry,
Subjective refraction including correction of presbyopia and
aphakia,
direct
ophthalmoscopy and conjunctival smear examination and
Cover test;
3. Diagnose and treat common problems affecting the eye;
4. Interpret ophthalmic signs in relation to common systemic disorders,
5. Assist/observe therapeutic procedures such as subconjunctival injection,
corneal conjunctival foreign body removal, carbolic cautery for corneal
ulcers, Nasolacrimal duct syringing and tarsorraphy;
6. Provide first aid in major ophthalmic emergencies;
7. Assist to organize community surveys for visual check up;
8. Assist to organize primary eye care service through primary health centers.
9. Use effective means of communication with the public and individual to
motivate for surgery in cataract and for eye donation.
10.
Establish rapport with his seniors, colleagues and paramedical workers,
so as to effectively function as a member of the eye care team.
(C) INTEGRATION
The undergraduate training in Ophthalmology will provide an integrated
approach towards other disciplines especially Neuro-sciences, ENT, General
Surgery and Medicine.
LEARNING METHODS
Total teaching hours: 100
Theory lectures: 70(4th,6th,7th term.)
Tutorials
:30(7th term)
Clinical Postings Two clinical postings of 4weeks
First in 4th semester and second in 6th semester and 3rd posting of 2 weeks in 7th
term Bedside clinics 10 weeks of three hours per day 180 hours
SYLLABUS OF III MBBS IN OPHTHALMOLOGY
INTRODUCTION ANATOMY & PHYSIOLOGY OF THE EYE
COMMON DISEASE OF EYE.
A) Conjunctiva.
Symptomatic conditions: - Hyperemia, Sub conjunctival Haemorrhage.
Diseases:
- Classification of Conjunctivitis
:- Mucopurulant Conjunctivitis
:- Membranous Conjunctivitis Spring Catarrh.
:- Degenerations :- Pinguecula and Pterigium
B) Cornea:
- Corneal Ulcers: Bacterial, Fungal, Viral, Hypopyon.
:- Interstitial Keratitis.
:- Keratoconus.
:- Pannus
:- Corneal Opacities.
:- Keratoplasty.
C) Sclera :
:- Episcleritis.
:- Scleritis.
:- Staphyloma.
D) Uvea
:- Classification of Uveitis
:- Gen. Etiology, Investigation and Principles Management of
Uveitis.
:- Acute & Chronic Iridocyclitis.
:- Panophthalmitis.
:- End Ophthalmitis.
:- Choriditis.
E) Lens :
I) Cataract ? Classification & surgical management of cataract.
:- Including Preoperative Investigation.
:- Anaesthesia.
:- Aphakia.
:- IOL Implant
F) Glaucoma :
:- Aqueous Humor Dynamics.
:- Tonometry.
:- Factors controlling Normal I.O.P.
:- Provocative Tests.
:- Classifications of Glaucoma.
:- Congenital Glaucoma.
:- Angle closure Glaucoma.
:- Open Angle Glaucoma.
:- Secondary Glaucoma
G) Vitreous :
:- Vitreous. Opacities.
:- Vitreous. Haemorrhage.
H) Intraocular Tumours :
:- Retinoblastoma.
:- Malignant Melanoma
I) Retina :
:- Retinopathies : Diabetic, Hypertensive Toxaemia of
Pregnancy.
:- Retinal Detachment.
:- Retinitis Pigmentosa, Retinoblastoma
J) Optic nerve :
:- Optic Neuritis.
:- Papilloedema.
:- Optic Atrophy.
K) Optics :
:- Principles : V.A. testing Retinoscopy, Ophthalmoscopy.
:- Ref. Errors.
:- Refractive Keratoplasty.
:- Contact lens, Spectacles
L) Orbit :
:- Proptosis ? Aetiology, Clinical Evaluation, Investigations &
Principles of Management
:- Endocrinal Exophthalmos.
:- Orbital Haemorrhage.
M) Lids :
:- Inflammations of Glands.
:- Blepharitis.
:- Trichiasis, Entropion.
:- Ectropion.
:- Symblepharon.
:- Ptosis.
N) Lacrimal System :
:- Wet Eye.
:- Dry Eye
:- Naso Lacrimal Duct Obstruction
:- Dacryocystitis
O) Ocular Mobility :
:- Extrinsic Muscles.
:- Movements of Eye Ball.
:- Squint : Gen. Aetiology, Diagnosis and principles of
Management.
:- Paralytic and Non Paralytic Squint.
:- Heterophoria.
:- Diplopia.
P) Miscellaneous :
:- Colour Blindness.
:- Lasers in Ophthalmology ? Principles.
Q) Ocular Trauma : - Blunt Trauma.
:- Perforating Trauma
:- Chemical Burns
:- Sympathetic Ophthalmitis
2) Principles of Management of Major Opthalmic Emergencies :
:- Acute Congestive Glaucoma.
:- C. Ulcer.
:- Intraocular Trauma.
:- Chemical Burns.
:- Sudden Loss of vision
:- Acute Iridocyclitis.
:- Secondary Glaucomas
3) Main Systemic Diseases Affecting the Eye :
:- Tuberculosis.
:- Syphilis.
:- Leprosy.
:- Aids.
:- Diabetes.
:- Hypertension
4) Drugs :
:- Antibiotics
:- Steroids.
:- Glaucoma Drugs.
:- Mydriatics.
:- Visco elastics.
:- Fluoresceue.
5) Community Ophthalmology :
:- Blindness : Definition Causes & Magnitude
N.P.C.B. ? Integration of N.P.C.B. with other health
:- Preventable Blindness.
:- Eye care.
:- Role of PHCs in Eye Camps.
:- Eye Banking.
6) Nutritional :- Vit. A. Deficiency.
Clinical Ophthalmology cases To Be Covered
MBBS
History taking & Eye examination
Assessment of visual function.
Conjunctiva
:- Pterigium.
:- Pinguecula
:- Conjunctivitis.
:- Sub Conj. Haemorrhage.
Cornea
:- Corneal Opacity .
:- Corneal Ulcer.
:- Corneal Abscess.
:- Corneal Transplant
Sclera
:- Scleritis, Epi Scleritis.
:- Staphyloma.
Uvea
:- Iridocyclitis.
Lens
:- Cataract.
:- Aphakia
:- IOLs
:- Complications
Glaucoma ? Types, Signs, Symptoms & Management
Squint
Lids
:- Entropion
:- Ectropion
:- Ptosis.
OPHTHALMOLOGY - MBBS
TUTORIALS
TOPICS
(Total 30 Hours)
SURGICAL TECHNIQUES
Cataract
:- ECCE
:- ICCE
:- IOL Implantation
:- Phaco-emulsification.
- Pterigium
- Chalazion
- Glaucoma
- Foreign Body Removal
- Enucletion
- Keratoplasty
- Basic of squint, L 10
Instruments
- OPD
- Operative
- Basic Examination and Diagnostic instruments
Tonometer, Sac Syringing, Slip Lamp.
Optics
- Lenses ? Spheres, Cylinders, Prisms,
Pinhole, Slit, Maddox Rod & Maddox wing,
Red & Green Glasses.
- IOLs
- Ophthalmoscopy
- Retinoscopy
- Contact Lenses
- Colour Vision
Drugs
Miotics
Antibiotics
Antiglaucoma
Mydriatics
Steroids
Anti virals
NSAIDS
Anti Fungal
Viscoflastics
Pre-Op. & Post ? Op.
Lecture held each term for VII and VIII term :
Under graduate Theory Lectures:
Topics
(No.of)
1. Anatomy & Physiology
4
2. Optics
6
3. Conjunctiva
4
4. Cornea
6
5. Sclera
1
6. Uvea
4
7. Cataract
6
8. Glaucoma
6
9. Optic Nerve
4
10. Retina
1
11. Vitreous
4
12. Squint
4
13. Community Ophthalmology
2
14. Lids
4
15. Orbit
2
16. Lacrimal Appartus and Dry Eye
4
17. Miscellaneous & Others
2
Total Lectures
70
Tutorials
30
100
FINAL MBBS EXAMINATION IN OPHTHALMOLOGY
Evaluation
Internal assessment: 20 ( Theory 10 +Practical 10)
Plan of Internal assessment in Ophthalmology
Marks of Internal Assessment should be sent to University before the
commencement of Theory examination.
Passing in internal assessment is essential for passing, as Internal
assessment is separate head of passing. in examination.
It will also be considered for grace marks as per existing rules
Combined theory and practical of internal assessment will be
considered for passing in internal assessment.
Student will be allowed to appear for both theory and practical exam
independent of marks obtained in internal assessment but he if fails
in that head even after including the grace marks he will be declared
"Fail in that Subject"
Internal assessment in Theory -
1. Examinations during semesters : This will be carried out by
conducting two theory examinations during 4th and 6th semesters
(
50 marks each).
Total of 100 marks to be converted into 5 marks.( A/5)
2. Prelim examination : This shall be carried out during 9th semester.
One theory papers of 40 marks as per university examination.
Total of 40 marks to be converted into 5 marks. ( B/5)
Total marks of Internal assessment- Theory will be addition of A and B.
Internal assessment in Practical
Examinations at end of Clinical postings:
1. There will be practical examination at the end of each clinical
posting of Opthalamology.,4th and 6th semester. Each examination will
be of 50 marks. Total of 2 examinations ? 100 marks , will be
converted to 5 marks.( C/5)
2. Prelim examination:
This will be conducted for 40 marks as per university pattern and
marks will be converted to 5 (D/5).
Total marks of Internal of-of Practical will be addition of C and D.
Evaluation Methods - Theory, Practical and Viva
Pattern of theory examination including distribution of marks, questions
and time
Pattern of theory examination including distribution of marks
1. There shall be one theory papers , carrying 40 marks
2. The paper will have two sections, A and B
3. The paper will be of 2.5 hours duration.
4. Section A will be MCQ in each paper. Section B will have to be written in
separate answer sheets.
THEORY : 40 marks
Duration Two and half hours
(2.5) hours
MCQ section A will be given to candidates at the beginning of the
examination.
After 30 minutes Section A will be collected. Section B of paper will
then be handed over to candidates.
Section A :30 min. duration
Twenty eight single MCQs- 1/2 mark each :
14 marks
Separate paper
Single based response
MCQ will cover whole syllabus
Section B
: 2 hours duration
Two long questions (LAQ) of 7 marks each :
14 marks
(will contain some preclinical/paraclinical aspects)
Three /five (SAQ)short notes -4 marks each :
12 marks
PRACTICAL :
40 marks
Clinical : One long case :30 marks :30 min. for taking case and 10 minutes for
assessment
Oral (viva voce) :10 marks:10 min. duration
1. Dark Room
5 marks
2. Instruments
5 marks
Marks of VIVA will be added to Theory marks
It is compulsory to obtain 50% marks in theory.
It is mandatory to obtain 50% marks in theory+viva/oral.
Course of OTORHINOLARYNGOLOGY
These guidelines are based on MCI recommendations.
Teaching has to be done keeping in mind the goals
and objectives to be
achieved by medical student
1. GOAL
The basic idea of undergraduate students teaching and training in
otolaryngology
is that he /she should have acquired adequate knowledge and skills for
optimally
Dealing with common disorders, emergencies in E.N.T .and basic
principles of
impaired hearing rehabilitation.
2. OBJECTIVES
(a) KNOWLEDGE
At the end of course the student shall be able to :
(1)
Describe the basic pathophysiology and common Ear, Nose, Throat
diseases and emergencies.
(2)
Adopt the rationale use of commonly used drugs,keeping in mind their
side effects
(3)
Suggest common investigative methods and their interpretation.
(b) SKILLS
At the end of course ,the student shall be able to:
1. Examine and diagnose common ear ,nose ,throat problems including
premalignant and malignant diseases of head and neck.
2. Manage ear ,nose ,throat (E.N.T)problems at the first level of care
and be able to refer whenever and wherever necessary.
3. Assist/do independently basic E.N.T. procedures like ear syringing,
Ear dressings, nasal packing removal of foreign bodies from nose, ear,
throat.
4. Assist in certain procedures like tracheostomy, endoscopies.
5. Conduct CPR (cardiopulmonary resuscitation).
6. Be able to use auroscope, nasal speculum, tongue depressor, tunning fork
and head mirror.
INTEGRATION
The undergraduate training in E.N.T. will provide an integrated
approach towards other disciplines especially
neurosciences,
ophthalmology and general surgery.
LEARNING METHODS
1. Total teaching hours : 70
2. Theory lectures :
48(4th,6th,7th term.)
3. Tutorials :
22(7th term)
4. Clinical Postings Two clinical postings of 4weeks
First in 4th semester and second in 6th semester
Bedside clinics ? 8 weeks of three hours per day 144 hours
Course distribution and Teaching Programme
This is suggested programme and can vary at institute
Total 70 hours of teaching has to be done in ENT including Tutorials
Details of syllabus is given separately below after distribution as per semester
Theory lectures will be taken once a week and their distribution will be as below:
1. 4th term :16(nose and Paranasal sinuses/throat)
a. NOSE AND P.N.S. :
10
b. THROAT AND NECK:
6
2. 6th term :16 (Remaining topics of throat, head and neck and / ear)
a. THROAT AND NECK:
8
b. EAR :
8
3. 7 th term :
16 lectures
a. RECENT ADVANCES AND OTHERS :
4
b. EAR
12
Total Theory lectures
48
Tutorials
7th Term
22 hours teaching
THEORY LECTURES: 4th, 6th, 7th term (one hour per week)
Topics
No.of lectures
Throat
Anatomy/physiology
1
Diseases of buccal cavity
1
Diseases of pharynx
2
Tonsils and adenoids
2
Pharyngeal tumours and related
Topics (trismus, Plummer.Vinson Syndrome etc.)
1
Anatomy /physiology/examination
Methods/symptomatology of larynx
2
Stridor /tracheostomy
2
Laryngitis /laryngeal trauma/
Laryngeal paralysis/ foreign body larynx/
Bronchus, etc.
2
Laryngeal tumours
1
Nose and paranasal sinuses
Anatomy /physiology/ exam.
Methods /symptomatology
2
Diseases of ext. nose/cong.
Conditions
1
Trauma to nose/p.n.s/Foreign Body. / Rhinolith
1
Epistaxis
1
Diseases of nasal septum
1
Rhinitis
1
Nasal polyps/nasal allergy
1
Sinusitis and its complications
1
Tumours of nose and Para nasal sinuses
1
EAR
Anatomy /physiology
2
Methods/methods of examination
1
Cong.diseases/ ext.ear /middle ear
1
Acute/chronic supp. otitis media
Aetiology, clinical features and its
Management/complications
6
Serous/adhesive otitis media
1
Mastoid/middle ear surgery
1
Otosclerosis/tumours of ear
2
Facial paralysis/Menieres disease
2
Tinnitus /ototoxicity
2
Deafness/hearing aids/rehabilitation
Audiometry
2
FINAL MBBS EXAMINATION IN OTORHINOLARYNGOLOGY
Evaluation
Internal assessment: 20 ( Theory 10 +Practical 10)
Marks of Internal Assessment should be sent to University before the
commencement of Theory examination.
Passing in internal assessment is essential for passing, as Internal assessment
is separate head of passing. in examination.
It will also be considered for grace marks as per existing rules
Combined theory and practical of internal assessment will be considered for
passing in internal assessment.
Student will be allowed to appear for both theory and practical exam
independent of marks obtained in internal assessment but he if fails in that
head even after including the grace marks he will be declared "Fail in that
Subject
Internal assessment in Theory -
1 Examinations during semesters: This will be carried out by conducting two
theory examinations during 4th and 6th semesters ( 50 marks each). Total of
100 marks to be converted into 5 marks.( A/5)
2 Prelim examination : This shall be carried out during 7th semester.
One theory papers of 40 marks as per university examination. Total
of 40 marks to be converted into 5 marks. ( B/5)
3 Total marks of Internal assessment- Theory will be addition of A and B.
Internal assessment in Practical
Examinations at end of Clinical postings:
There will be practical examination at the end of each clinical posting of ENT,
4th and 6th semester) Each examination will be of 50 marks.
Total of 2 examinations ? 100 marks , will be converted to 5 marks.( C/5)
Prelim examination:
This will be conducted for 4 0 marks as per university pattern and marks
will be converted to 5 (D/5).
Total marks of Internal assessment-of Practical will be addition of C and D.
Methods - Theory, Practical and Viva
Pattern of theory examination including distribution of marks, questions and
time
1. There shall be one theory paper , carrying 40 marks
2. The paper will have two sections, A and B
3. The paper will be of 2.5 hours duration.
4. Section A will be MCQ in each paper. Section B will have to be written in
separate answer sheets.
5. MCQ section A will be given to candidates at the beginning of the examination.
After 30 minutes Section A will be collected. Section B of paper will then be
handed over to candidates.
THEORY: 40 marks
Duration: Two and half hours
(2.5) hours
Section A :30 min. duration
1. Twenty eight MCQs- 1/2 mark each:
14 marks
2. Separate paper Single based response
3. MCQ will cover whole syllabus
Section B
: 2 hours duration
1. Two long questions (LAQ) of 7 marks each :
14 marks
(will contain some preclinical / paraclinical aspects)
2. Three /five (SAQ)short notes - 4 marks each :
12 marks
PRACTICAL : 40 marks
Clinical
1.One long case :20 marks :30 min. For examination and 10minutes for assessment
2.One short case :10 marks :15 min.for examination and 5 minutes for assessment
Oral (viva voce): 10 marks: 10 min. duration
(Instruments, x-rays, specimens, audiograms)
Marks of VIVA will be added to Theory marks
It is compulsory to obtain 50% marks in theory.
It is
mandatory to obtain 50% marks in theory+viva/oral.
OBSTETRICS & GYNAECOLOGY
These guidelines are based on MCI recommendations Teaching has to be done
keeping in mind the goals and
objectives to be achieved by medical student
(i)
GOAL
The broad goal of the teaching of undergraduate students in Obstetrics and
Gynaecology is that he/she shall acquire understanding of anatomy, physiology
and pathophysiology of the reproductive system & gain the ability to optimally
manage common conditions affecting it.
(II) OBJECTIVES;
(A) KNOWLEDGE:
At the end of the course, the student shall be able to:
Outline the anatomy, physiology and pathophysiology of the reproductive
system and the common conditions affecting it.
Detect normal pregnancy, labour puerperium and manage the problems he/she
is likely to encounter therein,
List the leading causes of maternal perinatal morbidity and mortality.
Understand the principles of contraception and various techniques employed,
methods of medical termination of pregnancy, sterilization and their
complications.
Identify the use, abuse and side effects of drugs in pregnancy, pre-menopausal
and post-menopausal periods;
Describe the national programme of maternal and child health and family
welfare and their implementation at various levels.
Identify common gynaecological diseases and describe principles of their
management.
State the indications, techniques and complications of surgeries like Caesarian
Section, laparotomy, abdominal and vaginal hysterectomy, Fathergills
operation and vacuum aspiration for Medical Termination of Pregnancy
(MTP)
(B) SKILLS
At the end of the course, the student shall be able to :
1. Examine a pregnant woman; recognize high-risk pregnancies AND make
appropriate referrals
2. conduct a normal delivery, recognize complications and provide postnatal care;
3. Resuscitate the newborn and recognize the congenital anomalies
4. advise a couple on the use of various available contraceptive devices and
assist
in insertion and removal of intra-uterine contraceptive devices.
5. Perform pelvic examination, diagnose and manage common gynaecological
problems including early detection of genital malignancies;
6. Make a vaginal cytological smear, perform a post coital test and wet vaginal
smear examination for Trichomonas vaginalis, Moniliasis and gram stain for
gonorrhoea;
7. interpretation of data of investigations like biochemical, histopathological,
radiological ultrasound etc.
(C) INTEGRATION
The student shall be able to integrate clinical skills with other disciplines and
bring about coordination of family welfare programme for the national goal of
population control.
(D) GENERAL GUIDELINES FOR TRAINING:
1. attendance of a maternity hospital or the maternity wards of a general
hospital including
(i) antenatal care
the management of the puerperium and
a minimum period of 5 months in-patient and out-patient training
including family welfare planning
2. of this period of clinical instruction, not less than one month shall be
spent as a resident pupil in a maternity ward of a general hospital.
3. during this period, the student shall conduct at least 10 cases of labour
under adequate supervision and assist 10 other cases.
4. a certificate showing the number of cases of labour attended by the
student in the maternity hospital and/or patient homes respectively,
shall be signed by a responsible medical officer on the staff of the
hospital and shall state:
(a) that the student has been present during the course of labour
and personally conducted each case, making the necessary
abdominal and other examinations under the supervision of the
certifying officer who shall describe his official position.
(b) That satisfactory written histories of the cases conducted
including
wherever
possible
antenatal
and
postnatal
observations, were presented by the student and initialed by the
supervising officer
LEARNING METHODS
Lectures, Tutorials bedside clinics and lecture cum demonstrations
Distribution of Teaching hours -
Lectures - 130 hours
Tutorials and revision - 170 hours
Bedside clinics - 468 hours
DIDACTIC LECTURES
SEMESTER
HOURS/WEEK
TOTAL
4
1 / WEEK
17
6
3 / WEEK
48
7
3 / WEEK
48
8
1 / WEEK
17
TOTAL
130
B) CLINICAL DEMONSTRATIONS, PRACTICAL DEMONSTRATIONS,
SEMINARS ETC.
SEMESTER
HOURS/WEEK
TOTAL
8
4 / WEEK
68
9
6 / WEEK
102
TOTAL
170
=============================================================
TOTAL TEACHING HOURS
300
Suggested lecture program
Distribution of syllabus in respective semesters
This is suggested programme and can vary at institute
Total 300 hours of teaching has to be done in OB GY including Tutorials
Details of syllabus is given separately below after distribution as per semester
*
4th Semester :OBSTETRICS :
1. Applied anatomy of female genital tract.
2. Development of genital tract
3. Physiology of menstruation
4. Puberty and menopause
5. Physiology of ovulation / conception / implantation.
6. Early development of human embryo.
7. Structure, function and anomalies of placenta.
8. Physiological changes during pregnancy / diagnosis of pregnancy.
9. Antenatal care, nutrition in pregnancy, detection of high-risk pregnancy.
10. Normal labour - Physiology, mechanism, clinical course and management,
pain relief in labour.
11. Normal puerperium and breast-feeding.
12. Examination and care of newborn.
13. Contraception - Introduction and basic principles
14. Maternal mortality and morbidity, perinatal mortality and morbidity.
National health
Programme - safe-motherhood, reproductive and child health, social obstetrics.
6TH Semester: GYNAECOLOGY & FAMILY PLANNING
GYNAECOLOGY
1. Development of genital tract, congenital anomalies and clinical significance,
Chromosomal abnormalities and intersex.
2. Physiology of Menstruation, Menstrual abnormalities -
Amenorrhoea,Dysmenorrhea, Abnormal Uterine Bleeding, DUB.
3. Puberty and its disorders, Adolescent Gynaecological problems.
4. Menopause & H R T.
5. Infections of genital tract, Leucorrhoea, Pruritus vulvae, Vaginitis, Cervicitis,
PID, Genital TB, Sexually transmitted infections including HIV infection.
6. Benign & Malignant tumours of the genital tract.
Leiomyoma, carcinoma cervix, carcinoma endometrium,chorio carcinoma,
ovarian tumors.Benign & Malignant Lesions of Vulva
7. Radiotherapy & Chemotherapy in Gynaecology.
8. Other gynaecological disorders - Adenomyosis, Endometriosis
9. Genital Prolapse, Genital Tract displacement,
10. Urinary disorders in Gynaecology, Perineal tears, Genital Fistulae, RVF & VVF.
FAMILY PLANNING :
-------------------------------
1. Demography and population Dynamics.
2. Contraception - Temporary methods.
Permanent methods.
1. MTP Act and procedures of MTP in first & second trimester.
2. Emergency contraception. :
7TH Semester : OBSTETRICS & NEWBORN
1.
Complications in early pregnancy.
Hyperemesis gravidarum / abortion / ectopic pregnancy /
gestational trophoblastic disease.
2.
Obstetrical complications during pregnancy.
APH - Accidental hemorrhage. Placenta praevia.
3.
Poly hydramnios / oligohydramnios, multifetal pregnancy.
4.
Medical disorders in pregnancy.
Anemia, Heart disease. Hypertensive disorder,
PIH and Eclampsia,
Diabetes, jaundice, pulmonary disease in pregnancy.
5.
Infections in pregnancy
Urinary tract diseases, sexually transmitted infections including HIV,
malaria, TORCH etc.
6.
Gynaecological and surgical conditions in pregnancy.
Fibroid with pregnancy, ovarian tumours, acute
abdomen, genital
prolapse.
7.
High risk pregnancy, pre-term labour, post term pregnancy, IUGR,
IUFD, pregnancy wastages, Rh incompatibility, post caesarean
pregnancy.
8.
Induction of labour.
9.
Abnormal position & presentation : Occipito posterior, Breech,
Transverse, Face & Brow, Compound, Cord Presentation and
prolapse.
10.
Abnormal labour - abnormal uterine action, CPD.
Obstructed labour, uterine rupture.
11.
Third stage complications - Retained placenta,
PPH, Shock, Uterine
inversion, Fluid
Embolism.
12.
Puerperial Sepsis and Other Complications in puerperium.
13.
Evaluation of Foetal Health during pregnancy and
labour.
14.
Drugs used in obstetric practice.
15.
Operative procedures in Obstetrics : Caesarean Section, Instrumental
Vaginal Delivery. Forceps, Vacuum,
16.
Maternal Mortality and morbidity, Perinatal mortality
and
morbidity. National program - safe motherhood, reproductive and
child health , Social Obstetrics.
NEW BORN :
------------------
1. Examination and care of new born & low birth weight babies.
2. Asphyxia and neonatal resuscitation.
3. Diagnosis of early neonatal problems.
4. Birth injuries, jaundice, infection.
5. Anencephaly & Hydrocephalus and other Congenital Anomalies of fetus.
8TH Semester : PREVENTIVE ONCOLOGY
1. Preventive Oncology
2. Principles of gynaecological surgical procedures
3. Pre and post operative care in Gynaecology
4. Ultrasongraphy and Radiology, in Gynaecology
5. Endoscopy in in Gynaecology
6. Drugs and hormones in Gynaecology
7. Surgical procedures in obstetrics
8. Maternal mortality
9. Perinatal mortality
10. Recurrent pregnancy wastages
11. High risk pregnancy
12. Rural obstetrics
13. Drugs in Pregnancy
14. Drugs in obstetric practice
In addition, integrated teaching with other departments like anatomy, physiology,
biochemistry, pathology, microbiology, Forensic Medicine and Preventive and Social
medicine to be organized for selected topics.
LIST OF TOPICS INTEGRATED TEACHING: 8TH
TERM
1. Development of genital tract - any malformations
of genital tract and their clinical significance - Anatomy
2. Fetal physiology - fetal circulation Physiology
3. fetal malformations - genesis- Embryology
4. CIN Pathology
5. ARF Physiology Medicine
6. Coagulation failure Pathology Medicine
7. Diabetes, heart disease Medicine
8. USG Radiology
9. Infections in pregnancy Microbiology
10. Medico-legal aspects Forensic Medicine
11. Nutrition in pregnancy and lactation PSM
12. Evidence based obstetrics PSM
13. Drugs in pregnancy Pharmacology
SCHEME FOR EXAMINTION FOR FINAL MBBS
EXAMINATION IN OBSTETRICS AND GYNAECOLOGY
Methods ? Internal assessment, Theory, Practical and Viva
Internal assessment: 40 ( Theory 20 +Practical 20)
Marks of Internal Assessment should be sent to University before
the commencement of Theory examination.
Passing in internal assessment is essential for passing ,as Internal
assessment is separate head of passing. in examination.
It will also be considered for grace marks as per existing rules
Combined theory and practical of internal assessment will be
considered for passing in internal assessment.
Student will be allowed to appear for both theory and practical
exam independent of marks obtained in internal assessment but
he if fails in that head even after including the grace marks he will
be declared "Fail in that Subject"
Internal assessment in Theory -
Examinations during semesters : This will be carried out by conducting
two theory examinations during
6th and 8rth semesters ( 100 marks each). Total of 200 marks to be converted
into 10 marks.( A/10)
Prelim examination : This shall be carried out during 9th semester. Two
theory papers of 40 marks
each as per university examination. Total of 80 marks to be converted into
10 marks. ( B/10)
Total marks of Internal assessment- Theory will be addition of A and B.
Internal assessment in Practical
Examinations at end of Clinical postings:
There will be practical examination at the end of each clinical posting of OBGY.
Each examination will be of 50 marks. Total of all exams marks will be converted to
10 marks.( C/10)
Prelim examination:
This will be conducted for 60 marks as per university pattern and marks will
be converted to 10 (D/10). Total marks of Internal assessment- Practical will be
addition of C and D.
Evaluation Methods - Theory, Practical and Viva
Pattern of theory examination including distribution of marks, questions
and time
Pattern of theory examination including distribution of marks
1. There shall be two theory papers - Paper I and II, carrying 40 marks each.
2. Each paper will have three sections, A , B and C. Each paper will be of 2.5
hours duration.
3. Section A will be MCQ in each paper. Section B will have SAQ and Section
C LAQ answer sheet.
4. MCQ section A will be given to candidates at the beginning of the
examination.
5. After 30 minutes Section A will be collected. Section B & C of paper will
then be handed over to candidates
PAPER I
Topics - Obstetrics including social obstetrics and newborn care
.Section A :30 min. duration
Twenty eight MCQs- /2 mark each :
14 marks
o Single based response
MCQ will cover whole syllabus of Paper I
Section B & C
: 2 hours duration
Section B - Three /five (SAQ)short notes -4 marks each
12 marks
o Section C - Two long questions (LAQ) of 7 marks each
14
marks
(will contain some preclinical/Para clinical aspects)
PAPER II :
Topics :Gynaecology, Family Welfare and Demography -
Section A :30 min. duration
Separate paper
Twenty eight
MCQs- 1/2 mark each
14 marks
Single based response
MCQ will cover whole syllabus of Paper II
Section B & C : 2 hours duration
Section B - Three /five (SAQ)short notes -4 marks each
12marks
Section C - Two long questions (LAQ) of 7 marks each
14 marks
(will contain some preclinical/Para clinical aspects)
Scheme Of Practical & Oral Examination For Obstecrics & Gynaecology
PRACTICAL : Total ? 60 Marks
1) LONG CASE : 40 Marks
A) History
10 Marks
B) Clinical Exam
10 Marks
C) Investigations & diagnosis
10 Marks
D) Management
10 Marks
2) SHORT CASE : 10 Marks
A) Presentation
05 Marks
B) Discussion
05 Marks
3) FAMILY PLANNING
10 Marks
Total : 60 Marks
4) ORAL / VIVA
20 Marks
A) Obstetric Viva
10 Marks
B) Gynaecology Viva
10 Marks
TOTAL MARKS FOR PRACTICAL & ORAL (60+20) = 80 Marks
Marks of VIVA will be added to Theory marks
It is mandatory to obtain 50% marks in theory+viva/oral.
REVISED INTERNAL ASSESSMENT EXAMINATION SCHEME w.e.f. JUNE 2007 EXAMINATION
YEAR: -
Third (I) MBBS
1st Term End
2nd Term End
Preliminary Examination
SN.
Subject
Semester
Theory
Practical
Semester
Theory
Practical
Semester
Theory
Practical
(A)
(B)
(C)
(D)
(E)
(F)
1.
PSM
IV
60
20
VI
60
20
VII
120
40
2.
ophthalmology
VI
40
40
-
-
-
VII
40
40
3.
ENT
VI
40
40
-
-
-
VII
40
40
(B) Calculation Method:-
(A)+(C)+(E)
60+60+120 240
I) For PSM Theory Marks to be send to the University out of 20
=
=
=
=
20
12
12
12
(B)+(D)+(F)
20+20+40 80
II)
For PSM Practical Marks to be send to the University out of 20
=
=
=
=
20
4
4
4
(A)+(C)+(E)
40+0+40
80
III)
For Ophthalm & ENT Theory Marks to be send to the University out of 10
=
=
=
= 10
8
8
8
(B)+(D)+(F)
40+0+40
80
IV)
For Ophthalm & ENT Practical Marks to be send to the University out of 10
=
=
=
= 10
8
8
8
REVISED INTERNAL ASSESSMENT EXAMINATION SCHEME w.e.f. JUNE 2007 EXAMINATION
YEAR: -
Third (II) MBBS
1st Term End
2nd Term End
Preliminary Examination
SN.
Subject
Semester
Theory
Practical
Semester
Theory
Practical
Semester
Theory
Practical
(A)
(B)
(C)
(D)
(E)
(F)
1.
Medicine
VI
60
60
VIII
60
60
IX
120
120
2.
Surgery
VI
60
60
VIII
60
60
IX
120
120
3.
Obstetrics/Gynecology
VI
40
40
VIII
40
40
IX
80
80
4.
Pediatrics
VI
20
20
VIII
20
20
IX
40
40
(B) Calculation Method:-
(A)+(C)+(E)
240
I) For Medicine & Surgery Theory Marks to be send to the University out of 30
=
60+60+120
=
=
=
30
8
8
8
(B)+(D)+(F)
60+60+120
240
II) For Medicine & Surgery Practical Marks to be send to the University out of 30
=
=
=
=
30
8
8
8
(A)+(C)+(E) 40+40+80
160
III) For Obstetrics/Gynecology Theory Marks to e send to the University out of 20
=
=
=
=
20
8
8
8
(B)+(D)+(F)
40+40+80
160
IV) For Obstetrics/Gynecology Practical Marks to be send to the University out of 20
=
=
=
=
20
8
8
8
(A)+(C)+(E) 20+20+40
80
V) For Pediatrics Theory Marks to be send to the University out of 10
=
=
=
=
10
8
8
8
(B)+(D)+(F)
20+20+40
80
VI) For Pediatrics Practical Marks to be send to the University out of 10
=
=
=
=
10
8
8
8
Note:- For Surgery and Orthopedics Scheme will be as follows, however these marks should be combined and send to the University out of 30.
1st Term End
2nd Term End
Preliminary Examination
SN.
Subject
Semester
Theory
Practical
Semester
Theory
Practical
Semester
Theory
Practical
(A)
(B)
(C)
(D)
(E)
(F)
1.
Surgery
VI
48
48
VIII
48
48
IX
96
96
2.
Orthopedics
VI
12
12
VIII
12
12
IX
24
24
SECTION C :
INTERNSHIP PROGRAMME
Internship discipline related and curriculum in family welfare shall be
according to norms laid down by Medical Council of India
SECTION D :
CURRICULAI FOR THE FAMILY WELFARE :
It shall be as per M.C.I. and is included in respective subjects.
This post was last modified on 29 June 2021