WBUHS MBBS Syllabus-1st Year, 2nd Year, 3rd Year Part-I, 3rd Year Part-II || The West Bengal University Of Health Sciences
Course Content
(Based on Medical Council of India, Competency based Undergraduate curriculum for the Graduate, 2018. Vol. 2 ; page no.41-59)
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Applicable for batch admitted in M.B.B.S Course from Academic Year 2019-20
Subject: Community Medicine Year: First
| Competency No. CM | Topics & subtopics |
|---|---|
| 17.1 | Health care of the community |
| Health care to community | |
| Visit to primary/secondary health facility | |
| Role of physician in health care delivery- Integration with AETCOM module 1.1 What does it mean | |
| 17.2 | Community diagnosis |
| 17.3 | Primary Health Care- Def, Principles |
| 17.4 | National Health Policies , MDGs |
| SDL- Current national / state level status of health indicators | |
| 17.5 | Health Care delivery in India |
| Nutrition | |
| 5.1 | Common sources of various nutrients |
| Demonstration: Foods we eat & their nutritive values | |
| Special nutritional requirements according to age, sex, activity, physiological conditions | |
| SDL- Foods customs in our families for special groups such as children/ pregnant/lactating women (data collection by interviewing 5 homemakers) | |
| 5.2 | Nutritional assessment at individual level- DOAP |
| Nutritional assessment at family and community level -DOAP | |
| 5.3 | Common nutritional deficiency diseases- Epidemiology , prevention and control |
| 5.4 | Diet planning at individual level |
| Diet planning at family level | |
| 5.5 | Nutritional surveillance and rehabilitation |
| Visit to Nutritional rehabilitation centre | |
| Nutrition education | |
| 5.6 | National Nutritional Policy, National Nutritional Programs |
| 5.7 | Food hygiene, food adulteration |
| Demonstration of simple tests to identify food adulteration | |
| 5.8 | Food fortification, food additives |
| Concept of Health and Disease | |
| 1.1 | Concept of Public Health |
| 1.2 | Concept, definition, determinants of health |
| Determinants of health- Group discussion | |
| 1.3 | Epidemiological triad, multifactorial causation of disease |
| SDL-Identification of multiple causative factors of 2 common diseases( interview in wards/family | |
| 1.4 | Natural history of disease |
| 1.5 | Levels of Prevention |
| 1.6 | Health education, IEC, BCC |
| 1.7 | Indicators of health |
| Exercise on calculation of indicators | |
| 1.8 | Demographic profile of India |
| Exercise on calculation of demographic indicators, fertility rates, | |
| SDL- Demographic trends in India | |
| 1.9 | Communication skills in Health |
| DOAP-Verbal/non verbal communication | |
| Empathy- What does it mean to be patient? | |
| AETCOM module 1.2 | |
| 1.10 | Doctor patient relationship |
| SDL- Determinants of doctor patient relationship(Collection of data from patients/ relatives) | |
| Case discussions – Integration with AETCOM module 1.3 | |
| Principles of health promotion and education | |
| 4.1 | Methods of health education |
| Demonstration of various methods of health education | |
| Improving communication, barriers in communication- integration with AETCOM module 1.4 | |
| 4.2 | Organization of health educational and counselling activities for individual & family |
| Organization of counselling activity in ward/OPDs | |
| Organization of community based health educational activity(community/school) | |
| 4.3 | Evaluation of health education & promotion program |
| SDL- Preparation of tool for evaluation | |
| Conducting evaluation of health education & promotion program |
Note:
- The observations/ reflections of family / hospital visits, DOAP sessions, Self directed learning activities (SDL), should be entered in the log book immediately after the assignment.
- The observer / facilitator / teacher will provide the written brief feedback in the log book for the learner related to the competencies.
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Course Content
Second Professional (from October 2020)
Subject: Community Medicine Theory / Practical
(Based on Medical Council of India, Competency based Undergraduate curriculum for the Indian Medical Graduate, 2018. Vol. 2; page nos. 41-59)
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- Total Teaching hours :60
- A. Lectures(hours): 20 B. Self-directed learning ( hours ) :10
- C. Clinical Postings (hours): 4 weeks (20 working days x 3)- 60 hours
- D. Small group teachings/tutorials/Integrated teaching/Practicals (hours): 30
| Competency Nos. | Topics Subtopics |
|---|---|
| Environmental Health Problems | |
| CM3.1 | Indicators of air pollution. Health hazards of air, water, noise, radiation and pollution. |
| Prevention and control of environmental pollution. | |
| CM3.2 | Safe and wholesome water, sanitary sources of water, water purification processes, water quality standards, concepts of water conservation and rainwater harvesting |
| CM3.3 | Epidemiology , prevention and control of water borne diseases /jaundice/hepatitis/ diarrheal diseases |
| CM3.4 | Solid waste, human excreta, sullage and sewage disposal |
| CM3.5 | Standards of housing and the effect of housing on health |
| CM3.6 | Role of vectors in the causation of diseases. National Vector Borne Disease Control Program |
| CM3.7 | Identifying features and life cycles of vectors of Public Health importance and their control measures |
| CM3.8 | Mode of action, application cycle of commonly used insecticides and rodenticides |
| Epidemiology of communicable diseases | |
| CM 7.2 | Modes of transmission and measures for prevention and control of communicable |
| CM8.1 | Epidemiological and control measures including the use of essential laboratory tests at the primary care level for communicable diseases |
| Epidemiological characteristics and control measures including the use of essential laboratory tests at the primary care level for Airborne infections &Exanthematous fevers e.g TB, Influenza, ARI, Measles, Mumps,Diptheria,Pertusis. | |
| Epidemiological characteristics and control measures including the use of essential laboratory tests at the primary care level for Faeco-oral diseases, Infective hepatitis e.g polio, AGE, Typhoid etc. | |
| Epidemiological characteristics and control measures including the use of essential laboratory tests at the |
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| Competency Nos. | Topics Subtopics |
|---|---|
| primary care level for zoonotic diseases e.g Rabies, Plague, Brucellosis, Leptospirosis etc | |
| Epidemiological characteristics and control measures including the use of essential laboratory tests at the primary care level for Arthropod borne diseases eg Malaria, Chikungunya, Filaria, JE etc | |
| Epidemiological characteristics and control measures including the use of essential laboratory tests at the primary care level for Surface infections and STDs eg HIV, Syphilis, Gonorrhea etc | |
| Epidemiological characteristics and control measures including the use of essential laboratory tests at the primary care level for Emerging and reemerging diseases eg Ebola virus disease, Nipah | |
| CM8.2 | Epidemiological characteristics and control measures including the use of essential laboratory tests at the primary care level for Non Communicable diseases (diabetes, Hypertension, Stroke, obesity and cancer etc.) |
| CM8.3 | Disease specific National Health Programs including their prevention and treatment of a case |
| CM8.4 | Principles and measures to control a disease epidemic |
| CM 7.7 | Steps in the Investigation of an epidemic of communicable disease and the principles of control measures |
| CM8.5 | Principles of planning, implementing and evaluating control measures for disease at community level bearing in mind the public health importance of the disease |
| CM8.6 | Training of health workers in disease surveillance, control & treatment and health education |
| Disaster Management | |
| CM13.1 | Concept of Disaster management |
| CM13.2 | Disaster management cycle |
| CM13.3 | Man made disasters in the world and in India |
| CM13.4 | National Disaster Management Authority |
| Hospital waste management | |
| CM14.1 | Hospital waste- definition and classification |
| CM14.3 | Laws related to hospital waste management |
| Essential Medicine | |
| CM19.1 | Essential Medicine List (EML) |
| CM19.2 | Essential medicine in primary health care |
| CM19.3 | Counterfeit medicine and its prevention |
| Competency Nos. | Topics Subtopics |
|---|---|
| Relationship of social and behavioural to health and disease | |
| CM2.1 | Clinico socio-cultural and demographic assessment of the individual, family and community |
| CM2.2 | Socio-cultural factors, family (types), its role in health and disease & assessment of socio-economic status |
| CM2.3 | Factors affecting health seeking behaviour and assessment of barriers for the same. |
| CM2.4 | Social psychology, community behaviour and community relationship and their impact on health and disease |
| CM2.5 | Indicators for assessment of poverty , social security measures and its relationship to health and disease |
Second Professional - Community Medicine : Proposed List of Practicals / DOAP/ SDL Activities
| Competency no. | Practical / DOAP |
|---|---|
| CM3.2 | Visit to water purification plant |
| Visit to Dist Public Health Laboratory | |
| Exercise on interpretation of water analysis report | |
| CM 3.2- 3.4SDL | DOAP- water collection estimation of chlorine demand/ residual chlorine content of drinking water, OT test |
| Preparation of Proforma/ checklist for sanitary survey of the community | |
| 3.4 | Visit to sewage purification plant |
| 3.6 | Visit to office of Dist Vector borne Diseases Control Program |
| 3.7 | Demonstration: Identifying characteristics of vectors of Public Health Importance – DOAP |
| SDL | Preparation of Proforma/ checklist for entomological survey of the community |
| 8.1 | Visits to the Dist Offices/ Units/ clinics related to implementation of Disease Control Measures of Communicable Diseases |
| 8.1 | Visit to Public Health Microbiology / Reference laboratories |
| 8.1 | DOAP- Methods of Specimen collection and transportation of various body specimens in various communicable diseases |
| CM 7.7 | Describe and demonstrate the steps in the Investigation of an epidemic of communicable disease and describe the principles of control measures |
| 8.4 | DOAP- Analysis & interpretation of disease outbreak data |
| 8.4 | DOAP- Preparation of epidemic curve / spot map with the help of given data and its interpretation |
| 8.6 | Visit to Dist Training Centre / Dist Disease Surveillance Unit |
| 13.2 | DOAP- Preparation of Disaster Preparedness Plan for a Primary Health Centre |
| 13.4 | Visit to Civil Defence Dept / Dist Disaster Management Office |
| 14.1 | Conducting Survey of Hospital Wastes Segregation Practices |
| SDL | |
| 14.1 | DOAP- Hospital waste segregation of various types of hospital wastes |
| 19.2 | Visit to hospital pharmacy |
Second Professional - Proposed Activities in First Clinical Community Medicine Posting ( 4 weeks )
| Week | Proposed Activities |
|---|---|
| First and second week | a. Clinico socio-cultural and demographic assessment of the individuals and allotted families, --- Content provided by FirstRanker.com --- b. Sanitary survey of the allotted householdsc. Assessment of housing conditions in allotted families d. Entomological survey of the allotted households e. Analysis of survey findings of the allotted families and group discussion on important health related issues in the community. f. Organization of health educational activity for the allotted families and allotted community. |
| Third and fourth week | Epidemiological history taking of common communicable diseases admitted in hospital such as diarrhoeal diseases, jaundice, typhoid, food poisoning, measles, mumps, influenza, diphtheria, pertussis, tuberculosis, malaria, filarial, dengue fever, HIV / AIDS, STDs etc |
Note:
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- The observations/ reflections of family / hospital / community visits, DOAP sessions, Self directed learning activities (SDL), practicals should be entered in the log book immediately after the assignment.
- The observer / facilitator / teacher will provide the written brief feedback in the log book for the learner related to the competencies.
Course Content
Third Professional Part I ( from October 2020)
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Subject :Community Medicine Theory / Practical
(Based on Medical Council of India, Competency based Undergraduate curriculum for the Indian Medical Graduate, 2018. Vol. 2; page nos. 41-59)
- Total Teaching hours : 105
- A. Lectures(hours): 40 B. Self directed learning ( hours ) :5
- C. Clinical Postings( hours): 6 weeks(30 working days x 3)- 90 hours
- D. Small group teachings/tutorials/Integrated teaching/Practicals(hours): 60
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| Competency Nos. | Topics & Subtopics |
|---|---|
| Epidemiology | |
| CM 7.1 | Epidemiology- definition, principles, concepts and uses |
| CM 7.3 | Sources of epidemiological data |
| CM 7.4 | Morbidity and mortality indicators |
| CM 7.5 | Epidemiological study designs |
| CM 7.6 | Screening |
| CM 7.8 | Principles of association, causation and biases in epidemiological studies |
| CM 7.9 | Application of computers in epidemiology |
| Basic statistics and its applications | |
| CM6.1 | Concepts of research problem, Research question, research hypothesis for a study |
| CM6.2 | Methods of collection, classification, analysis, interpretation and presentation of statistical data |
| SGT | |
| CM6.3 | Application of elementary statistical methods including test of significance in various study designs |
| CM6.4 | Common sampling techniques, simple statistical methods, frequency distribution, measures of central tendency and dispersion |
| Competency Nos. | Topics & Subtopics |
|---|---|
| Epidemiology of non- communicable diseases | |
| CM8.2 | Epidemiological and control measures including the use of essential laboratory tests at the primary care level for Non Communicable diseases (diabetes, Hypertension, Stroke, obesity and cancer etc.) |
| CM8.3 | National Health Programs |
| CM8.5 | Principles of planning, implementing and evaluating control measures for disease at community level bearing in mind the public health importance of the disease |
| CM8.6 | Education and training of health workers in disease surveillance, control & treatment and health education |
| CM8.7 | Principles of management of information systems |
| Demography and vital statistics | |
| CM9.1 | Principles of Demography, Demographic cycle, Vital statistics |
| CM9.2 | Demographic indices including birth rate, death rate, fertility rates |
| CM9.3 | Causes of declining sex ratio and its social and health implications |
| CM9.4 | Causes and consequences of population explosion and population dynamics of India. |
| CM9.5 | Methods of population control |
| CM9.6 | National Population Policy |
| CM9.7 | Sources of vital statistics including census, SRS, NFHS, NSSO etc |
| Reproductive maternal and child health | |
| CM10.1 | Current status of Reproductive, maternal, newborn and Child Health |
| CM10.2 | Methods of screening high risk groups and common health problems |
| Population Genetics: Screening and counselling for genetic conditions | |
| CM10.3 | Local customs and practices during pregnancy, childbirth, lactation and child feeding practices |
| CM10.4 | Reproductive, maternal, newborn & child health (RMCH); child survival and safe motherhood interventions |
| Competency Nos. | Topics & Subtopics |
|---|---|
| CM10.5 | Universal Immunization Program; Integrated Management of Neonatal and Childhood Illness (IMNCI) and other existing Programs. |
| CM10.6 | Family planning methods, their advantages and shortcomings |
| CM10.7 | Basis and principles of the Family Welfare Program including the organization, technical and operational aspects |
| CM10.8 | Physiology, clinical management and principles of adolescent health including ARSH |
| CM10.9 | Gender issues and women empowerment |
| Occupational Health | |
| CM11.1 | Occupational illnesses including diseases in agricultural workers. |
| CM11.2 | Role, benefits and functioning of the employees state insurance scheme |
| CM11.3 | Specific occupational health hazards, their risk factors and preventive measures |
| CM11.4 | Prevention & control of occupational diseases: Medical, Engineering and other legislative measures |
| CM11.5 | Principles of ergonomics in health preservation |
| Occupational disorders of health professionals and their prevention & management and interpretation and interpretation | |
| Geriatric services | |
| CM12.1 | Concept of Geriatric services |
| CM12.2 | Health problems of aged population |
| CM12.3 | Prevention of health problems of aged population |
| CM12.4 | Describe National program for elderly |
| Mental Health | |
| CM15.1 | Concept of mental Health |
| CM15.1 | Warning signals of mental health disorder |
| CM15.1 | National Mental Health program |
| Health planning and management | |
| CM16.1 | Concept of Health planning |
| CM16.2 | Planning cycle |
| CM16.3 | Health management techniques |
| CM16.4 | Health planning in India and National policies related to health and health planning |
| Competency Nos. | Topics & Subtopics |
|---|---|
| International Health | |
| CM18.1 | Concept of International health |
| CM18.2 | Roles of various international health agencies |
| Recent advances in Community Medicine | |
| CM20.1 | Important public health events of last five years |
| CM20.2 | Various issues during outbreaks and their prevention |
| CM20.3 | Describe any event important to Health of the Community |
| CM20.4 | Laws pertaining to practice of medicine such as Clinical establishment Act and Human Organ Transplantation Act and its implications |
Third Professional Part I - Community Medicine: List of Practicals / DOAP/ SDL Activities
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| Competency no. | Practicals / DOAP/SDL Activities |
|---|---|
| CM 7.4 | Exercises on calculation of morbidity and mortality indicators based on given set of data and their interpretation |
| CM6.1 | Demonstration and exercises on Formulation of a research problem, research question & research hypothesis for a study |
| CM 7.5 | Exercise on developing appropriate epidemiological study design and method for a given public health problem. |
| CM 7.9 | Demonstration and hands on training of application of computers in epidemiology. |
| CM6.2 | Demonstration and hands on exercises of application of MS- Excel, Epi Info etc. |
| CM6.3 | Demonstration and exercises on the methods of data collection, classification, analysis, interpretation and presentation of statistical data |
| CM6.4 | Demonstration and exercises on the application of elementary statistical methods including test of significance in various study designs and interpretation of statistical tests. |
| CM9.2 | Demonstration and exercises on Common sampling techniques, simple statistical methods, frequency distribution, measures of central tendency and dispersion |
| CM9.2 SDL | Calculation and interpretation of demographic indices including birth rate, death rate, fertility rates A small scale survey of local customs and practices during pregnancy, childbirth, lactation and child feeding practices |
| CM 11.3 | Visit to Industry- Assessment of occupational environment and preventive measures |
| CM20.3 SDL | Exercise on occupational history taking Describe any event important to Health of the Community |
Third Professional Part I - Proposed Activities in Second Clinical Community Medicine Posting (6 weeks)
| Duration( weeks) | Proposed Activities |
|---|---|
| Two weeks (Posting in Urban Health Centre / ANC/FW clinic/ Obstetric wards) | Preventive and Community Obstetrics ( including Family Welfare) a. Clinico social assessment of antenatal, postnatal cases b. Assessment of high risk mothers c. Neonatal assessment d. Assessment of eligible couples for family welfare services and health education e. Organization of community based maternal health services and health educational activity for mothers. |
| Two weeks (Posting in Urban Health Centre / Under five clinic / Immunization clinic / Paediatric wards) | Preventive and Community Paediatrics, Adolescent Health Care a. Health and Nutritional assessment of underfive child b. Clinico social case reviews of Nutritional Deficiency Diseases in children and childhood malnutrition c. Clinico social case reviews of common childhood infections such as ARI, fever with rash, acute GE, malarial fever etc d. Childhood immunization, organization of immunization session, assessment of cold chain etc e. School health examination, assessment of school environment, organization of health educational activity for school children |
| Two weeks (Posting in Urban Health Centre / Medicine wards) | Non communicable diseases and Preventive Geriatrics Clinico social case reviews of chronic non communicable diseases such as hypertension , diabetes mellitus, CHD, Stroke, COPD, Cancer, psychiatric disorders, geriatric health problems, occupational diseases etc. |
Note:
- The observations/ reflections of family / hospital / community visits, DOAP sessions, Self directed learning activities (SDL), practicals should be entered in the log book immediately after the assignment.
- The observer / facilitator / teacher will provide the written brief feedback in the log book for the learner related to the competencies.
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Paper wise distribution of topics for Prelim & MUHS Annual Examination
Year: III-I MBBS Subject: Community Medicine
| Paper | Section | Topics |
|---|---|---|
| I | A | MCQs on all topics of the paper I Concept of health and disease Epidemiology Screening for disease Communicable diseases & related NHP Emerging & Remerging diseases Sociology Environmental health Occupational Health Hospital waste management Biostatistics & Vital statistics AETCOM Module no. 3.1 & 3.3 |
| II | A | MCQs on all topics of the paper II Demography & FP & NHP MCH, Geriatrics & related NHP Nutrition & related NHP Mental Health Health education & Communication Health planning & Management Health care delivery system Non communicable Diseases & related NHP International health Disaster Management |
Internal Assessment
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Subject: Community Medicine
Applicable w.e.f March 2020 onwards examination for batches admitted from onwards
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