Download Maharashtra University of Health Sciences (MUHS) MBBS (Bachelor of Medicine, Bachelor of Surgery) 2nd Year Pharmacology Syllabus
Second MBBS (from October 2020)
Subject: PHARMACOLOGY Theory / Practical
Based on Medical Council of India, Competency based Undergraduate curriculum for the Indian Medical Graduate, 2018.
(Vol. 1; page nos. 136-159)
1. Total Teaching hours : 230
2. A. Lectures(hours): 80
B. Self directed learning ( hours ) :- 12
C. Clinical Postings (Hours): NA
D. Small group teachings/tutorials/Integrated teaching/Practicals (hours): 138
Competency Nos.
Topics & Subtopics
PH1.1
PH1.2
PH1.3
Introduction to Pharmacology
PH1.9
PH1.11
Routes of drug administration
PH1.4
Pharmacokinetics ? Absorption, Distribution, Metabolism, Excretion
PH1.5
Pharmacodynamics
PH1.6
Adverse drug reactions ?Types, mechanisms and precautions
PH1.7
PH1.52
Principles of management of Poisoning
PH1.8
Drug interactions- Mechanisms and clinical relevance
PH1.59
Essential medicines, Fixed dose combinations Over the counter drugs Herbal medicines
PH1.60
Pharmacogenomics, Pharmacoeconomics
PH1.63
Drug Regulations
PH1.64
Drug development, Good Clinical Practice
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Competency Nos.
Topics & Subtopics
PH1.10
Prescription writing
PH1.12
Factors modifying drug dose- Dose calculation
PH1.13
Pharmacology of Adrenergic drugs, Pharmacology of Anti adrenergic drugs
PH1.14
Pharmacology of Cholinergic drugs, Pharmacology of Anticholinergic drugs
PH1.15
Pharmacology of Skeletal muscle relaxants
Pharmacology of Histamine and antihistaminics,
PH1.16
Pharmacology of Serotonin and drugs acting on serotonergic pathways, Pharmacotherapy of MigrainePharmacology
of NSAIDSPharmacotherapy of Gout and Rheumatoid arthritis
PH1.17
Pharmacology of Local anaesthetics
PH1.18
Pharmacology of General anaesthetics and Preanesthetic drugs
Pharmacology of Sedatives & hypnotics
Pharmacology of Antiepileptics
Pharmacology of Anti depressants and anti anxiety drugs
PH1.19
Pharmacology of Antipsychotics and anti manic drugs
Pharmacology of Drugs used for neurodegenerative disorders
Pharmacology of Opioids
PH1.20
Pharmacology of Alcohol and alcohol poisoning
PH1.21
PH1.22
Pharmacology of drug dependence, drug abuse and Deaddiction
PH1.23
PH1.24
Pharmacology of Diuretics and antidiuretics
Pharmacology of coagulants and anticoagulants
Pharmacology of antiplatelets
PH1.25
Pharmacology of thrombolytics and antifibrinolytics
Pharmacology of plasma expanders
PH1.26
Pharmacology of Renin Angiotensin-Aldosterone system
Pharmacology of calcium channel blockers
PH1.27
Pharmacology of other vasodilators and sympatholytics
Pharmacotherapy of Hypertension, Pharmacotherapy of Shock
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Competency Nos.
Topics & Subtopics
Pharmacology of Antianginal drugs
PH1.28
Pharmacotherapy of IHD
Pharmacology of Drugs for PVD
PH1.29
Pharmacology of Drugs used in CCF
PH1.30
Pharmacology of Antiarrhythmics
PH1.31
Pharmacology of Drugs for dyslipidemia
PH1.32
Pharmacology of Drugs for bronchial asthma and COPD
PH1.33
Pharmacology of Drugs for cough
Pharmacology of Drugs for acid peptic diseases
PH1.34
Pharmacology of Antiemetics and prokinetics
Pharmacology of Drugs for diarrhea and constipation
PH1.35
Pharmacotherapy of anemias
Pharmacology of Antidiabetic drugs
PH1.36
Pharmacology of Drugs for thyroid dysfunction
Pharmacology of Drugs affecting calcium metabolism
Pharmacology of Estrogen and antiestrogens
Pharmacology of Progestins and antiprogestins
PH1.37
Pharmacology of Androgens and antiandrogens
Pharmacology of Anterior Pituitary hormones and their antagonists
PH1.38
Pharmacology of Corticosteroids and antagonists
PH1.39
Pharmacology of Hormonal contraceptives
PH1.40
Pharmacotherapy of infertility and erectile dysfunction
PH1.41
Pharmacology of Oxytocics and tocolytics
Introduction to Chemotherapy-General principles, Pharmacology of Sulfonamides and Timethoprim
PH1.42
Pharmacology of Fluoroquinolones, Pharmacology of Penicillin and its derivatives
Pharmacology of Cephalosporins, Pharmacology of other Beta lactam antibiotics
Pharmacology of Aminoglycosides, Pharmacology of Macrolides
PH1.43
Pharmacology of Broad spectrum antibiotics, Pharmacology of newer antibacterials
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Competency Nos.
Topics & Subtopics
PH1.44
Pharmacology of Antitubercular drugs including MDR and XDR TB
PH1.45
PH1.46
Pharmacology of Antileprotics
Pharmacology of Antimalarials
PH1.47
Pharmacology of Antiamoebic and other Antiprotozoal drugs
Pharmacology of Anthelminthics
Pharmacotherapy of UTI
PH1.48
Pharmacotherapy of STD
Pharmacology of Antiretroviral drugs
PH1.49
Pharmacology of Anticancer drugs
PH1.50
Pharmacology of Immunomodulators
PH1.51
Occupational and environmental toxicology
PH1.53
Pharmacology of Chelating agents
PH1.54
Vaccines and Antisera
PH1.55
National health programs
PH1.56
Geriatric and Pediatric pharmacology
PH1.57
Drugs used in skin disorders
PH1.58
Drugs used in Ocular disorders
PH1.61
Dietary supplements and Nutraceuticals
PH1.62
Antiseptics and Disinfectants
Competency Nos.
Topics & Subtopics
CLINICAL PHARMACY
PH2.1
Drug dosage forms (Oral, local, parenteral)
PH2.2
ORS preparation
PH2.3
Intravenous drip setting
PH2.4
Dosage calculation
CLINICAL PHARMACOLOGY
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Competency Nos.
Topics & Subtopics
CLINICAL PHARMACY
PH3.1
PH3.8
Prescription writing and communication
PH5.1
PH3.2
Critical appraisal of Prescription
PH3.3
Evaluation of Promotional Drug literature
PH3.4
Adverse drug reaction-Identification and reporting
PH3.5
Introduction to the concept of P ? drugs and preparation of P-drug list
PH3.6
Interaction with a pharmaceutic representative and critical evaluation of Drug information
PH3.7
Introduction to the concept of Essential medicines
EXPERIMENTAL PHARMACOLOGY
PH4.1
Drug administration on Maniquins
PH4.2
Study of effects of drugs on blood pressure using software
COMMUNICATION TOPICS
PH5.2
Importance of optimal use of drug therapy, storage of medicines
PH5.3
Importance of Drug Compliance
PH5.4
PH5.5
Problems associated with prescribing drugs with dependence liability
PH5.6
Problems associated with use of OTC drugs
PH5.7
Prescription: legal and ethical aspects
2.1
AETCOM-1
2.2
AETCOM-2
2.3
AETCOM-3
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Paper wise distribution of topics for Prelim & MUHS Annual Examination
Year: Second MBBS Subject: Pharmacology
Paper
Section
Topics
I
A
MCQs on all topics of the paper I
B
General Pharmacology
Autonomic Nervous system including skeletal muscle relaxants
Cardiovascular system
Haematology
Gastro intestinal drugs
Respiratory system
AETCOM- 2.1, 2.2, 2.3 (section B one SAQ)
II
A
MCQs on all topics of the paper II
B
Central Nervous system including general/local anaesthesia
Endocrine system
Chemotherapy system
Autacoids
MISC. TOPICS : Chelating agents, Vaccines and Antisera,
ocular pharmacology, dermatological pharmacology,
nutraceuticals, occupational and environmental
pharmacology, toxicology)
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Second MBBS
Internal Assessment
Subject: Pharmacology
Applicable w.e.f October 2020 onwards examination for batches admitted from June 2019 onwards
I-Exam ( Jan)
II-Exam (May )
Prelim (July)
p
Practical
Practical
Phase
(Including 10
Including 10
Total
Total
Theory
Theory
Marks for
Theory
Marks for
Practical
Total Marks
Marks
Marks
Journal &
Journal &
Log Book )
Log Book
Second
Paper 1 -100
100
100
200
100
100
200
100
300
MBBS
Paper 2 -100
1. There will be 3 internal assessment examinations in Pharmacology. The structure of the internal
assessment theory examinations should be similar to the structure of University examinations.
2. It is mandatory for the students to appear for all the internal assessment examinations.
3. First internal assessment examination will be held in January, second internal assessment examination will
be held in May and third internal assessment examination will be held in July.
4. A student who has not taken minimum required number of tests for Internal Assessment each in theory
and practical will not be eligible for University examinations.
5. There will be only one additional examination for absent students (due to genuine reason) after approval
by the Institutional Grievances Committee. It should be taken after preliminary examination and before
submission of internal assessment marks to the University.
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6. Internal assessment marks for theory will be out of 400 and practical will be out of 300.
7. Reduce total theory internal assessment to 40 marks and total practical internal assessment to 40 marks.
Students must secure at least 50% marks of the total marks (combined in theory and practical; not less
than 40 % marks in theory and practical separately) to be eligible for appearing University examination
8. Conversion Formula for calculation of marks in internal assessment examinations
First IA
Second IA
Third IA
Total Internal assessment
Eligibility to appear for final University
(Prelim)
marks: Conversion
examination
formula
(after conversion out of 40)
(out of 40)
(40% separately in Theory & Practical, 50%
Combined)
Theory
100
100
200
400
Total marks obtained 10
16 (Minimum) Total of Theory + Practical
Practical
100
100
100
300
Total marks obtained 7.5
16 (Minimum) Must be 40.
While preparing Final Marks of Internal Assessment, the rounding-off marks shall done as illustrated in following table
Internal Assessment Marks
Final rounded marks
15.01 to 15.49
15
15.50 to 15.99
16
9. Internal assessment marks will reflect as separate head of passing at the summative examination.
10. Internal assessment marks will not to be added to marks of the University examinations and will be shown
separately in mark list.
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Practical marks Distribution:
A. For I st and II nd term examinations
1. Journal / Logbook - 10 Marks
2. Viva ? 20 marks
3. Clinical Pharmacy (20 marks) ?
a. Dosage form- 10 marks,
b. ORS preparation/ IV drip setting- 5 marks
c. Dose calculation ? 5 marks
4. Clinical Pharmacology (30 marks)-
a. Prescription writing- 10 marks
b. Prescription criticism and rewriting / justification of FDC ? 10 marks
c. ADR identification / ADR reporting- 5 marks
d. P- drug list- 5 marks.
5. Experimental Pharmacology (10 marks) OSPE ?
a. Drug administration using maniquin / drug effect using CAL software (or any other)- 10 marks
6. Communication (10 marks) OSPE-
a. prescription communication / ethics- legal drug storage/ use of device/drug adherence-compliance/ drug
dependence/OTC/ interaction with Medical representative- 10 marks
B. For Preliminary examinations
1. Viva ? 30 marks
a. Viva I- 15 marks
b. Viva II- 15 marks
2. Clinical Pharmacy (20 marks) ?
a. Dosage form- 10 marks,
b. ORS preparation/ IV drip setting- 5 marks
c. Dose calculation ? 5 marks
3. Clinical Pharmacology (30 marks)-
a. Prescription writing- 10 marks
b. Prescription criticism and rewriting / justification of FDC ? 10 marks
c. ADR identification / ADR reporting- 5 marks
d. P- drug list- 5 marks.
4. Experimental Pharmacology (10 marks) OSPE ?
a. Drug administration using maniquin / drug effect using CAL software (or any other)- 10 marks
5. Communication (10 marks) OSPE-
a. prescription communication / ethics- legal drug storage/ use of device/drug adherence-compliance/ drug
dependence/OTC/ interaction with Medical representative- 10 marks
9
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Second MBBS Practical Mark's Structure (I, II & Prelim Exam.)
Applicable w.e.f October 2020 onwards examination for batches admitted from June 2019 onwards
Subject: PHARMACOLOGY
Practical
Log Book/
VIVA
Practical & Oral
Seat
Clinical
Clinical
Experimental
Journal
Communication Total
No.
Pharmacy
Pharmacology Pharmacology
Max.
20
30
10
10
70
20
10
100
Marks
10
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Second MBBS Practical Mark's Structure
(M.U.H.S. Final Exam.)
Applicable w.e.f October 2020 onwards examination for batches admitted from June 2019 onwards
Subject: PHARMACOLOGY
Oral/Viva
Practical
Total
Seat
Clinical
Clinical
Experimental
Practical & Oral
Communication Total
VIVA 1
VIVA 2
Total
No.
Pharmacy
Pharmacology Pharmacology
(E + H)
A
B
C
D
E
F
G
H
I
Max.
20
30
10
10
70
15
15
30
100
Marks
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MAHARASHTRA UNIVERSITY OF HEALTH SCIENCES, NASHIK
FORMAT / SKELETON OF QUESTION PAPER
1. Course and
: Second MBBS
2. Subject Code
:
Year
(applicable w.e.f. September 2021& onwards examinations)
3. Subject (PSP) : Pharmacology
(TT)
:
4. Paper :
:
I
5. Total Marks : 100
6. Total Time
: 3 Hrs.
7. Remu. (Rs)
: Rs. 300/-
8. Remu. (Rs)
: Rs. 350/-
9. Web Pattern
: [ ]
10. Web
: [ ]
11. Web
: [ ]
12. Web Old QP
: [ ]
Skeleton
Syllabus
SECTION "A" MCQ
Instructions:
1)
Put in the appropriate box below the question number once only.
2)
Use blue ball point pen only.
3)
Each question carries One mark.
4)
Students will not be allotted mark if he/she overwrites strikes or put white ink on the cross once
marked.
SECTION "A" MCQ (20 Marks)
1.
Multiple Choice Questions (Total 20 MCQ of One mark each)
(20 x1 = 20)
a) b) c) d) e) f) g) h) i) j)
k) l) m) n) o) p) q) r) s) t)
SECTION "B"
1) Use blue/black ball point pen only.
2) Do not write anything on the blank portion of the question paper. If written anything, such type of
Instructions:
act will be considered as an attempt to resort to unfair means.
3) All questions are compulsory.
4) The number to the right indicates full marks.
5) Draw diagrams wherever necessary.
6) Distribution of syllabus in Question Paper is only meant to cover entire syllabus within the stipulated
frame. The Question paper pattern is a mere guideline. Questions can be asked from any paper's
syllabus into any question paper. Students cannot claim that the Question is out of syllabus. As It is
only for the placement sake, the distribution has been done.
7) Use a common answerbook for all sections.
SECTION "B"
2.
Short Answer Questions ( AETCOM(2.1, 2.2, 2.3)(compulsory)
(7x1=07)
a)
3.
Short Answer Questions (Answer Any 3 out of 4)
(7x3=21)
a) b) c) d)
(12x1=12)
4.
Structured Long Answer Questions (Compulsory)
a)
(7x4=28)
5.
Short Answer Questions (Answer Any 4 out of 5)
a) b) c) d) e)
6.
Structured Long Answer Questions (Compulsory)
(12x1=12)
a)
12
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MAHARASHTRA UNIVERSITY OF HEALTH SCIENCES, NASHIK
FORMAT / SKELETON OF QUESTION PAPER
1.
Course and
: Second MBBS
2. Subject Code
:
Year
(applicable w.e.f. September 2021& onwards examinations)
3. Subject (PSP) : Pharmacology
(TT)
:
4. Paper :
:
II
5. Total Marks : 100
6. Total Time
: 3 Hrs.
7. Remu. (Rs)
: Rs. 300/-
8. Remu. (Rs)
: Rs. 350/-
9. Web Pattern
: [ ]
10. Web
: [ ]
11. Web
: [ ]
12. Web Old QP
: [ ]
Skeleton
Syllabus
SECTION "A" MCQ
Instructions:
1) Put in the appropriate box below the question number once only.
2)
Use blue ball point pen only.
3)
Each question carries One mark.
4)
Students will not be allotted mark if he/she overwrites strikes or put white ink on the cross once marked.
SECTION "A" MCQ (20 Marks)
1.
Multiple Choice Questions (Total 20 MCQ of One mark each)
(20 x1 = 20)
a) b) c) d) e) f) g) h) i) j)
k) l) m) n) o) p) q) r) s) t)
SECTION "B"
Instructions: 1) Use blue/black ball point pen only.
2) Do not write anything on the blank portion of the question paper. If written anything, such type of
act will be considered as an attempt to resort to unfair means.
3) All questions are compulsory.
4) The number to the right indicates full marks.
5) Draw diagrams wherever necessary.
6) Distribution of syllabus in Question Paper is only meant to cover entire syllabus within the stipulated
frame. The Question paper pattern is a mere guideline. Questions can be asked from any paper's
syllabus into any question paper. Students cannot claim that the Question is out of syllabus. As It is
only for the placement sake, the distribution has been done.
7) Use a common answerbook for all sections.
SECTION "B"
2.
Short Answer Questions(Answer Any 4 out of5)
(7x4=28)
a) b) c) d) e)
3.
Structured Long Answer Questions (Compulsory)
(12x1=12)
a)
4.
(7x4=28)
Short Answer Questions (Answer Any 4 out of 5)
a ) b) c) d) e)
5.
Structured Long Answer Questions (Compulsory)
(12x1=12)
a)
13
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Competency Based Medical Education
Year: Second MBBS
Subject: Pharmacology Learning Resource Material
Books recommended :
1. Basic & Clinical Pharmacology. Katzung BG (Ed), Publisher:
Prentice Hall International Ltd., London.
2. Pharmacology & Pharmacotherapeutics. Satoskar RS,
Bhandarkar SD (Ed), Publisher: Popular Prakashan, Bombay.
3. Essentials of Medical Pharmacology. Tripathi KD (Ed), Jaypee
Brothers, publisher:Medical Publishers (P) Ltd.
4. Clinical Pharmacology. Laurence DR, Bennet PN, Brown MJ (Ed).
Publisher: Churchill Livingstone
Reference books :
1. Goodman & Gilman s The Pharmacological Basis of
Therapeutics. Hardman JG & Limbird LE (Ed), Publisher:
McGraw-Hill, New York.
2. A Textbook of Clinical Pharmacology. Roger HJ, Spector RG,
Trounce JR (Ed), Publisher: Hodder and Stoughton Publishers.
14
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Maharashtra University of Health Sciences
Nashik
PHARMACOLOGY LOGBOOK For PHASE SECOND
MBBS STUDENTS AS PER COMPETENCY BASED
CURRICULUM
15
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Preface
The Medical Council of India has revised the undergraduate medical education
curriculum so that the Indian Medical Graduate (IMG) is able to recognize "Health
for all" as a national goal. He/she should also be able to fulfil his/her societal
obligations. The revised curriculum has specified the competencies that a student
must attain and clearly defined teaching learning strategies for the same. With this
goal in mind, integrated teaching, skill development, AETCOM and self-directed
learning have been introduced. There would be emphasis on communication skills,
basic clinical skills and professionalism. There is a paradigm shift from the
traditional didactic classroom-based teaching to learning environments where
there is emphasis on learning by exploring, questioning, applying, discussing,
analysing, reflecting, collaborating and doing. The recognition of this need is
enshrined by a greatly enhanced allocation of time to these methods and also the
assessment techniques. With this view in mind the log book has been designed as
per the guidelines of competency Based curriculum.
16
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Name of the College
___________________________________________________________________
______
___________________________________________________________________
____
____________________________
Admission Year : ____________
CERTIFICATE
This is to certify that,
Mr/Ms.______________________________________________________
Roll No. ________ has satisfactorily attended/completed all assignments
mentioned in this logbook as per the guidelines prescribed by Medical Council of
India, for Phase I MBBS Competency Based Curriculum in the subject of
Pharmacology.
Date: ___/___/______
Place: _____________
Teacher Incharge
Professor and Head
Department of Pharmacology
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Instructions
1) This logbook is prepared as per the guidelines of MCI for implementation of
Competency based curriculum for Phase II MBBS students in the subject of
Pharmacology.
2) Students are instructed to keep their logbook entries up to date.
3) Students are expected to write minimum 2 reflections on any two activities
each of Clinical Pharmacology skills & Self-Directed Learning (SDL).
4) Students also have to write reflections on AETCOM Module 2.1 , 2.2, 2.3)
Reflections should be structured using the following guiding questions:
What happened? (What did you learn from this experience)
So what? (What are the applications of this learning)
What next? (What knowledge or skills do you need to develop so that you
can handle this type of situation?)
5) The logbook assessment will be based on multiple factors like
Attendance
Active participation in the sessions
Timely completions
Quality of write up of reflections
Overall presentation
18
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INDEX
Sr. No Description
Page No's
Status
Signature of
Complete/
Teacher
Incomplete
1
Clinical Pharmacology
Skills
2
Self-Directed
Learning, Seminars,
Projects, Quizzes
3
AETCOM Module
* 2.1 , 2.2, 2.3
4
Attendance Records
5
Records of Internal
Assessment
* AETCOM ? Competencies for IMG, 2018, Medical Council of India.
19
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Record of Clinical Pharmacology Skills
S.No Skill
Setting
Correlation Date
Signature
of Teacher
1
Critical appraisal of
prescription / audit
2
Critical evaluation of
promotional
literature
3
Filling and
interpretation of
ADR report
4
Prepare and explain
P drug list
5
Optimised
Interaction with
pharmaceutical
representative
6
Prepare essential
drug list for health
care facility
20
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Reflection on Clinical Pharmacology Skills
Topic:
Date:
Signature of Teacher-in- charge
21
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Reflection on Clinical Pharmacology Skills
Topic:
Date:
Signature of Teacher-in- charge
22
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Reflection on Clinical Pharmacology Skills
Topic:
Date:
Signature of Teacher-in- charge
23
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2. Self Directed Learning, Seminars, Tutorials, Projects, Quizzes
S.No
Self Directed Learning,
Date
Signature of
Seminars, Tutorials,
Teacher
Projects, Quizzes
24
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Reflection on self directed learning activities
Topic:
Date:
Signature of Teacher-in- charge
25
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Reflection on self directed learning activities
Topic:
Date:
Signature of Teacher-in- charge
26
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Reflection on self directed learning activities
Topic:
Date:
Signature of Teacher-in- charge
27
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3: AETCOM Module
2.1 Foundation of communication 2
2.2 Foundation of bioethics
2.3 Health care as a right
28
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Reflection on AETCOM module
Topic:
Date:
Signature of Teacher-in- charge
29
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Reflection on AETCOM module
Topic:
Date:
Signature of Teacher-in- charge
30
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Reflection on AETCOM module
Topic:
Date:
Signature of Teacher-in- charge
31
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4A: Attendance Record of the Student
S. No Term
Theory
Practical
Signature
Signature
(%)
(%)
of the
of the
Student
Teacher
A
I Term
B
II Term
C
Overall
attendance
Note: Above information is for the benefit of students and parents. In case of any discrepancy
departmental record will be treated as final.
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SECTION 4B: Details of attending extra classes [For poor
attendance (if any)]
S.No
Date
Period
Total
Signature Signature
hrs
of
of
student Teacher
Total hours
Note: Above information is for the benefit of students and parents. In case of
any discrepancy departmental record will be treated as final.
33
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Section 5. Records of Internal Assessment Examinations
Records of Internal Assessment examinations
S.No
Exam
Theory
Practical
Signature of Signature of
including
student
Teacher
viva
1
I Internal
/ 100
/ 100
Assessment
2
II Internal
/ 100
/ 100
Assessment
3
III Internal
/ 200
/ 100
Assessment
(Prelim)
4
Internal
/ 400
/ 300
Assessment
marks
5
Betterment
/ 200
/ 100
exam
6
Final
/ 400
/ 300
Internal
Assessment
Note: Above information is for the benefit of students and parents. In case of
any discrepancy departmental record will be treated as final.
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Acad 25 G:\MBBS Second Year Syllabus 27-7-2020\3.Pharmacology\Pharmacology.docx
This post was last modified on 29 June 2021