Download MUHS MBBS 3rd year Comminity Medicine Syllabus

Download Maharashtra University of Health Sciences (MUHS) MBBS (Bachelor of Medicine, Bachelor of Surgery) 3rd year Comminity Medicine Syllabus

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Course Content
(Based on Medical Council of India, Competency based Undergraduate curriculum for the Indian Medical
Graduate, 2018. Vol. 2 ; page no.41-59)
Applicable for batch admitted in M.B.B.S Course from Academic Year 2019-20 & onwards

Subject: Community Medicine
Year: First MBBS

Competency
Topics & subtopics
No. CM
Health care of the communtiy
17.1
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 to be doctor?
17.2
Community diagnosis
17.3
Primary Health Care- Def, Principles
17.4
National Health Policies , MDGs
SDL- Current national / stale 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/ill persons (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 visit)

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:

1. The observations/ reflections of family / hospital visits , DOAP sessions , Self directed learning activities ( SDL) , practicals
should be entered in the log book immediately after the assignment.
2. The observer / facilitator / teacher will provide the written brief feedback in the log book for the learner related to the
competencies.

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)
1. Total Teaching hours :60
2. 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
Topics Subtopics
Nos.

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
Epidemilogy , 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

Competency
Topics Subtopics
Nos.
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
Topics Subtopics
Nos.
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 d isease
Second Professional - Community Medicine : Proposed List of Practicals / DOAP/ SDL Activities

Competency
Practical / DOAP
no.
CM3.2
Visit to water purification plant
Visit to Dist Public Health Laboratory
Exercise on interpretation of water analysis report
DOAP- water collection , estimation of chlorine demand/ residual chlorine content of drinking
water , OT test
CM 3.2-
Preparation of Proforma/ checklist for sanitary survey of the community
3.4SDL
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
a. Clinico socio-cultural and demographic assessment of the individuals and
First and second
allotted families,
week
b. Sanitary survey of the allotted households
c. 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
Epidemiological history taking of common communicable diseases admitted in hospital
week
such as diarrhoeal diseases , jaundice , typhoid , food poisoning , measles , mumps ,
influenza, diphtheria , pertussis , tuberculosis, malaria, filarial , dengue fever , HIV /
AIDS, STDs etc
Note:
1. 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.
2. 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)
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 )
1. Total Teaching hours : 105
2. 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

Competency
Topics & Subtopics
Nos.
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
Topics & Subtopics
Nos.
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
Current status of Reproductive, maternal, newborn and Child Health
CM10.1
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
Topics & Subtopics
Nos.
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
Prevention & control of occupational diseases : Medical, Engineering and other legislative
measures
CM11.4
Principles of ergonomics in health preservation
CM11.5
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
Topics & Subtopics
Nos.

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

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.
Demonstration and hands on exercises of application of MS- Excel , Epi Info etc.
CM6.2
Demonstration and exercises on the methods of data collection, classification, analysis, interpretation and

presentation of statistical data
CM6.3
Demonstration and exercises on the application of elementary statistical methods including test of
significance in various study designs and interpretation of statistical tests.
CM6.4
Demonstration and exercises on Common sampling techniques, simple statistical methods, frequency
distribution, measures of central tendency and dispersion
CM9.2
Calculation and interpretation of demographic indices including birth rate, death rate, fertility rates
CM9.2
A small scale survey of local customs and practices during pregnancy, childbirth,
SDL
lactation and child feeding practices
Visit to Industry- Assessment of occupational environment and preventive measures
CM 11.3
Exercise on occupational history taking
CM20.3
SDL
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
Preventive and Community Obstetrics ( including Family Welfare)
(Posting in Urban
a. Clinico social assessment of antenatal , postnatal cases
Health Centre /
b. Assessment of high risk mothers
ANC/ FW clinic/
c. Neonatal assessment
Obstetric wards )
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
Preventive and Community Paediatrics , Adolescent Health Care
(Posting in Urban
a. Health and Nutritional assessment of underfive child
Health Centre /
b. Clinico social case reviews of Nutritional Deficiency Diseases in children and
Under five clinic /
childhood malnutrition
Immunization
c. Clinico social case reviews of common childhood infections such as ARI ,
clinic / Paediatric
fever with rash , acute GE , malarial fever etc
wards )
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
Non communicable diseases and Preventive Geriatrics
( Posting in Urban
Clinico social case reviews of chronic non communicable diseases such as hypertension
Health Centre /
, diabetes mellitus , CHD , Stroke , COPD, Cancer , psychiatric disorders , geriatric
Medicine wards)
health problems , occupational diseases etc.
Note:
1. 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.
2. The observer / facilitator / teacher will provide the written brief feedback in the log book for
the learner related to the competencies.

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
Subject: Community Medicine
Applicable w.e.f March 2020 onwards examination for batches admitted from June 2019
onwards

Phase
I-Exam (At the end of second term- March)

Practical (Including 10 Marks for
Total Marks
Theory
Journal- Nutrition & Log Book )
First MBBS
50
50
100
Phase

I-Exam (At the end of first term)
II-Exam (At the end of second term )

Practical
Total Marks
Practical Including 10
(Including 10
Marks for Journal &
Theory
Theory
Total Marks
Marks for Journal
Log Book
& Log Book )
Second
50
50
100
50
50
100
MBBS

Phase

I-Exam (at the end of first term)
II-Exam Preliminary examination

Practical
Total Marks
Practical Including
(Including 10
10 Marks for Journal
Theory
Theory
Total Marks
Marks for Journal
& Log Book
& Log Book )
III
50
50
100
200
100
300
MBBS

1. There will be 5 internal assessment examinations in Community Medicine. The structure of the internal
assessment theory examinations should be similar to the structure of University examination.
2. It is mandatory for the students to appear for all the internal assessment
Examinations in the respective phases. 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.
3. 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.
4. Internal assessment marks for theory and practical will be converted to out of 40. Internal assessment marks,
after conversion, should be submitted to university within the stipulated time as per directives from the
University.
5. Conversion Formula for calculation of marks in internal assessment examinations

First IA
Second IA
Third IA
Fourth IA
(Prelim)
Total Internal assessment
Eligibility to appear for final
I
II Phase
II Phase
III Phase Part III Phase
marks: Conversion
University examination
Phase
Part -I
-I
Part -I
formula
(after conversion out of 40)
(out of 40)
(40% separately in Theory &
Practical, 50% Combined)
Theory
200
400
Total marks
obtained
16
10
(Minimum)
Total of Theory +
Practical Must be
Practical
100
300
Total marks
16
40.
obtained
(Minimum)
7.5

6. 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

7. Students must secure at least 50% marks of the total marks (combined in theory and practical / clinical; not less
than 40 % marks in theory and practical
Separately) assigned for internal assessment in order to be eligible for appearing
at the final University examination of that subject. Internal assessment marks
Will reflect as separate head of passing at the summative examination.
8. Internal assessment marks will not to be added to marks of the University examinations and will be shown
separately in mark list.

1st /2nd /3rdMBBS Practical Mark's Structure
Internal Assessment Examinations
(Applicable w.e.fOctober 2020 onwards examination for batches admitted from June 2019 onwards)

Subject :Community Medicine Practical ? 1st Internal assessment -
Seat

No.
Skill
assessment
Spotters
Log book
Nutrition
Viva Voce Practical

marks

exercises

Total

Max.
10 marks
(10-marks)
10 marks
20 marks
50 marks

Marks

Subject :Community Medicine Practical ? 2nd Internal assessment
Seat

No.
Spotters
Log book
Viva Voce
Practical

Total
Max.
20 marks
(10-marks)
20 marks
50 marks

Marks

Subject :Community Medicine Practical ? 4th Internal assessment
Seat

No.
Spotters
Log book
Clinicoepidemiological
Viva Voce Practical

marks

case

Total
Max.
(10-
10 marks
20 marks
10 marks
50 marks

Marks
marks)

Method of Clinico epidemiological Case evaluation

Sr.no.
Head
Marks allotted
01
Identifying and socio demographic information
05
(with house landmark, facilities for health care )
02
Present and past illness history
05
(with risk factors , exposures )
Environmental , behavioural and family information
03
Demonstration of relevant clinical signs/skills
05
05
Management plan and relevant control measures at individual, family and community level
05

Total
20

III-I MBBS Practical Mark's Structure (Prelim exam)
Applicable w.e.f October 2021onwards examination for batches admitted from June 2019 onwards

Subject: Community Medicine
Practical
Oral/Viva
Total

Seat No.
Spotters
Statistical Ex
Clinicoepidemilogical
Skill assessment
Viva/ voce
Practical &Oral
case
( 10 skills) *

Max.
20
20
20
20
20
100
Marks

As per MCI competency based document

Method of Clinico epidemiological Case evaluation
Sr.no.
Head
Marks allotted

Identifying and socio demographic information
05
(with house landmark, facilities for health care )

Present and past illness history
05
(with risk factors , exposures )
Environmental , behavioural and family information

Demonstration of relevant clinical signs/skills
05

Management plan and relevant control measures at individual, family and community
05
level
Total
20

III-I MBBS Practical Mark's Structure (University exam)
Applicable w.e.f October 2022onwards examination for batches admitted from June 2019 onwards

Subject: Community Medicine
Practical
Oral/Viva
Total

Seat
Spotters
Statistical
Clinicoepidemilogical case
Skill assessment
Viva/ voce
Practical &Oral
No.
Ex
( 10 skills) *

Max.
Mark
20
20
20
20
20
100
s

MAHARASHTRA UNIVERSITY OF HEALTH SCIENCES, NASHIK
FORMAT / SKELETON OF QUESTION PAPER-1
1. Course and Year
: III-I- MBBS
2. Subject Code
:
(applicable w.e.f. October 2022 & onwards examinations)
3. Subject
(PSP)
: Community Medicine
(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 Skeleton
: [ ]
11. Web Syllabus
: [ ]
12. Web Old QP
: [ ]

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 ( One Question AETCOM(3.1 and 3.3)(compulsory)
(7x1=07)
a)
3.
Short Answer Questions (Answer Any 3 out of 4)
(7x3=21)
a) b) c) d)

4.
Structured Long Answer Questions (Compulsory)
(12x1=12)
a)
5.
Short Answer Questions (Answer Any 4 out of 5)
(7x4=28)
a) b) c) d) e)
6.
Structured Long Answer Questions (Compulsory)
(12x1=12)
a)
22
Acad 25 G:\MBBS Second Year Syllabus 27-7-2020\4. Community Medicine\Comminity Medicine.docx

MAHARASHTRA UNIVERSITY OF HEALTH SCIENCES, NASHIK
FORMAT / SKELETON OF QUESTION PAPER-2
1. Course and Year
: III-I- MBBS
2. Subject Code
:
(applicable w.e.f. October 2022& onwards examinations)
3. Subject
(PSP)
: Community Medicine
(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 Skeleton
: [ ]
11. Web Syllabus
: [ ]
12. Web Old QP
: [ ]

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"
(7x4=28)
2.
Short Answer Questions (Answer Any 4 out of 5)
a) b) c) d) e)
(12x1=12)
3.
Structured Long Answer Questions (Compulsory)
a)
4.
Short Answer Questions (Answer Any 4 out of 5)
(7x4=28)
a)
b) c) d) e)
(12x1=12)
5.
Structured Long Answer Questions (Compulsory)
a)

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BOOKS RECMMENDED.

1. Text book of Community Medicine, Kulkarni A.P. and Baride J.P.
2. 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.

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Maharashtra University of Health Sciences Nashik

COMMUNITY MEDICINE LOGBOOK
For
1st, 2nd&3rd PROFESSIONAL
MBBS STUDENTS AS PER
COMPETENCY BASED CURRICULUM
First Edition:2020
All rights reserved
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Logo of college
Name of the College:..........................................

Personal details:
Paste recent self attested photo here
Name of the student:

Date of admission to MBBS Course:

College Roll No:

Permanent Address:

E mail ID:

Mobile Number:

Self:
Parent:

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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.

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Instructions

1) This logbook is prepared as per the guidelines of MCI for implementation of
Competency based curriculum for 1st, 2nd& 3rd Professional MBBS students in the
subject of Community Medicine.
2) Students are instructed to keep their logbook entries up to date.
3) Students are expected to write their reflections on all activities of Self-Directed
Learning (SDL) and Visits.
4) Students also have to write reflections on AETCOM Module 3.1 and3.3
5) 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?)
6) 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
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INDEX

Sr.
Description
Page
Status
Signature of
No
No.
Teacher
Complete/
Incomplete
1st Professional
1.
a. Competencies

b. Self-Directed Learning (Seminars,
Projects, Quizzes)
c. Certificate
2nd Professional
2.
a.
Term I: a. Competencies

b. Self-Directed Learning
c. Clinical posting - Cases
d. Visit
e. Certificate
b.
Term II: a. Competencies

b. Self-Directed Learning
c. Clinical posting - Cases
d. Visit
e. Certificate
3rd Professional
3.
a. Competency

b. Self-Directed Learning
c. Clinical posting - Cases
d. Visit
e. Certificate
4.
AETCOM module 3.1 and 3.3
5.
Attendance Record
6.
Final certificate

7.
Records of Internal Assessment
AETCOM ? Competencies for IMG, 2018, Medical Council of India.
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FIRST PROFESSIONAL

List of Competencies

Competency No
COMPETENCY - The student should be able to
CM1.9
Demonstrate the role of effective Communication skills in health
in a simulated environment
CM 1.10
Demonstrate the important aspects of the doctor patient
relationship in a simulated environment
CM4.3
Demonstrate and describe the steps in evaluation of health
promotion and education program
CM5.2
Describe and demonstrate the correct method of performing a
nutritional assessment of individuals, families and the community
by using the appropriate method
CM5.4
Plan and recommend a suitable diet for the individuals and
families based on local availability of foods and economic status,
etc in a simulated environment
CM9.2
Define, calculate and interpret demographic indices including birth
rate, death rate, fertility rates

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Competencies Sub Item:
Competency # Name of Date
Attempt at
Rating
Decision
Initial
Feedback
addressed
Activity completed: activity
of faculty of
Received
dd-mm-
Below(B)
faculty
expectations
yyyy
First or
Completed and
Initial of
Meets(M)
Only (F)
(C)
learner
expectations
date
Repeat (R)
Repeat
Exceeds (E)
Remedial
(R)
expectations
(Re)
OR
Remedial
Numerical
(Re)
Score
31
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Competencies Sub Item:
Competency # Name of Date
Attempt at
Rating
Decision
Initial
Feedback
addressed
Activity completed: activity
of faculty of
Received
dd-mm-
Below(B)
faculty
expectations
yyyy
First or
Completed and
Initial of
Meets(M)
Only (F)
(C)
learner
expectations
date
Repeat (R)
Repeat
Exceeds (E)
Remedial
(R)
expectations
(Re)
OR
Remedial
Numerical
(Re)
Score
32
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Reflection on Competencies

Topic:
Date:

Signature of Teacher-in- charge

Reflection on Competencies

Topic:
Date:

Signature of Teacher-in- charge

Reflection on Competencies
Topic:
Date:

Signature of Teacher-in- charge

Reflection on Competencies

Topic:
Date:

Signature of Teacher-in- charge

Reflection on Competencies

Topic:
Date:

Signature of Teacher-in- charge

Reflection on Competencies

Topic:
Date:

Signature of Teacher-in- charge

Self Directed Learning, (Seminars, Tutorials, Projects, Quizzes, small group discussions)

Sr.
Self Directed Learning
Date
Signature of
No
(Seminars, Tutorials, Projects, Quizzes, Group
Teacher
discussions etc.)

Reflection on Self-directed learning Experience

Topic:
Date:

Signature of Teacher-in- charge

Reflection on Self-directed learning Experience

Topic:
Date:

Signature of Teacher-in- charge

College Name: ..............................................

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 First Professional MBBS
Competency Based Curriculum in the subject of Community Medicine.

Teacher- Incharge
Professor and Head
Department of Community Medicine
Date:
/
/
Place:

SECOND PROFESSIONAL
TERM- I

List of Competencies

Competency No
COMPETENCY The student should be able to
CM2.1
Describe the steps and perform clinico-socio-cultural and
demographic assessment of the individual, family and community
CM2.2
Describe the socio-cultural factors, family (types), its role in health
and disease & demonstrate in a simulated environment the correct
assessment of socio-economic status
CM2.3
Describe and demonstrate in a simulated environment the
assessment of barriers to good health and health seeking behavior

Reflection on Competencies
Topic:
Date:

Signature of Teacher-in- charge

Reflection on Competencies

Topic:
Date:

Signature of Teacher-in- charge

Reflection on Competencies

Topic:
Date:

Signature of Teacher-in- charge

Reflection on Competencies

Topic:
Date:

Signature of Teacher-in- charge

Self Directed Learning, (Seminars, Tutorials, Projects, Quizzes)

Sr.
Self Directed Learning
Date
Signature of
No
(Seminars, Tutorials, Projects, Quizzes, Group
Teacher
discussions etc.)

CLINICAL POSTING: ..........................................
from.................to...............

S.NO.
DATE
FAMILY VISIT/ CLINICAL DIAGNOSIS
TEACHER'S
SIGN

Reflections
Topic:
Date:

Signature of Teacher-in- charge
Reflections
Topic:
Date:

Signature of Teacher-in- charge

VISIT:
COMPETENCY
VISIT
DATE
TEACHER'S SIGN.
No.

Visit to water purification plant
3.2

Visit to Dist Public Health Laboratory

Exercise on interpretation of water analysis
report

3.4
Visit to sewage purification plant

Reflection on visit:

Topic:
Date:

Signature of Teacher-in- charge
Reflection on visit:

Topic:
Date:

Signature of Teacher-in- charge

Coll
ege name: ...............................................

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 Second Professional first term
Competency Based Curriculum in the subject of Community Medicine.

Teacher- Incharge
Professor and Head
Department of Community Medicine
Date:
/
/
Place:

SECOND PROFESSIONAL
TERM- II

List of competencies

Competency COMPETENCY The student should be able to
No
CM3.7
Identify and describe the identifying features and life cycles of vectors of Public
Health importance and their control measures
CM8.6
Educate and train health workers in disease surveillance, control & treatment
and health education

Reflection on Competencies
Topic:
Date:

Signature of Teacher-in- charge

Reflection on Competencies

Topic:
Date:

Signature of Teacher-in- charge

Self Directed Learning (Seminars, Tutorials, Projects, Quizzes)

Sr.
Self Directed Learning
Date
Signature of
No
(Seminars, Tutorials, Projects, Quizzes, Group
Teacher
discussions etc.)

CLINICAL POSTING: ................................
From ............to.............

S.NO. DATE
FAMILY VISIT/ CLINICAL DIAGNOSIS
TEACHER'S SIGN

Reflections
Topic:
Date:

Signature of Teacher-in- charge
Reflections
Topic:
Date:

Signature of Teacher-in- charge

Reflections
Topic:
Date:

Signature of Teacher-in- charge
Reflections
Topic:
Date:

Signature of Teacher-in- charge
Reflections
Topic:
Date:

Signature of Teacher-in- charge

Reflections
Topic:
Date:

Signature of Teacher-in- charge

VISIT:
COMPETENCY
VISIT
DATE
TEACHER'S
No.
SIGN.

3.6
Visit to office of Dist Vector borne Diseases
Control Program

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

8.6
Visit to Dist Training Centre / Dist Disease
Surveillance Unit

13.4
Visit to Civil Defence Dept / Dist Disaster
Management Office

19.2
Visit to hospital pharmacy

Reflection on visit:

Topic:
Date:

Signature of Teacher-in- charge
Reflection on visit:

Topic:
Date:

Signature of Teacher-in- charge

College N ame: ............................................................

CERTIFICATE

This is to certify that,
Mr/Ms.
RollNo.
has satisfactorily attended/completed all assignments mentioned in this
logbook as per the guidelines prescribed by Medical Council of India, for Second Professional second
term Competency Based Curriculum in the subject of Community Medicine.

Teacher- Incharge
Professor and Head
Department of Community Medicine
Date:
/
/
Place:

THIRD PROFESSIONAL

List of competencies

Competency No COMPETENCY The student should be able to
CM6.2
Describe and discuss the principles and demonstrate the methods of
collection, classification, analysis, interpretation and presentation of
statistical data
CM6.3
Describe, discuss and demonstrate the application of elementary statistical
methods including test of significance in various study designs
CM6.4
Enumerate, discuss and demonstrate Common sampling techniques,
simple statistical methods, frequency distribution, measures of central
tendency and dispersion
CM7.4
Define, calculate and interpret morbidity and mortality indicators based on
given set of data
CM7.6
Enumerate and evaluate the need of screening tests
CM7.7
Describe and demonstrate the steps in the Investigation of an epidemic of
communicable disease and describe the principles of control measures
CM9.2
Define, calculate and interpret demographic indices including birth rate,
death rate, fertility rates

Reflection on Competencies

Topic:
Date:

Signature of Teacher-in- charge

Reflection on Competencies

Topic:
Date:

Signature of Teacher-in- charge

Self Directed Learning (Seminars, Tutorials, Projects, Quizzes)

Sr.
Self Directed Learning
Date
Signature of
No
(Seminars, Tutorials, Projects, Quizzes, Group
Teacher
discussions etc.)

CLINICAL POSTING: ................................
From ............to.............

S.NO. DATE
CLINICAL DIAGNOSIS
TEACHER'S

SIGN

Reflections
Topic:
Date:

Signature of Teacher-in- charge
Reflections
Topic:
Date:

Signature of Teacher-in- charge

VISIT:

COMPETENCY
VISIT
DATE
TEACHER'S

No.
SIGN.

A small scale survey of local customs and

CM 9.2
practices during pregnancy, childbirth,

lactation and child feeding practices
Visit to Industry- Assessment of occupational

CM 11.3
environment and preventive measures
Exercise on occupational history taking

CM 8.1
Visit to Public Health Microbiology /
Reference laboratories

CM 8.6
Visit to Dist Training Centre / Dist Disease
Surveillance Unit

CM 13.4
Visit to Civil Defence Dept / Dist Disaster
Management Office

CM 19.2
Visit to hospital pharmacy

Reflection on visit:

Topic:
Date:

Signature of Teacher-in- charge
Reflection on visit:

Topic:
Date:

Signature of Teacher-in- charge

College Name: ...............................................................

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 Third Professional Competency
Based Curriculum in the subject of Community Medicine.
Teacher- Incharge
Professor and Head
Department of Community Medicine
Date:
/
/
Place:

4. AETCOM Module

Module 3.1: Clinician who understands and provides preventive, promotive,
palliative and holistic care with compassion.
List of competencies

S. No
The student should be able to
1.
Demonstrate ability to communicate to patients in a patient, respectful, nonthreatening,
non-judgmental and empathetic manner

Module 3.3: Communicator with patients, family, colleagues and
community.

List of competencies

S. No
The student should be able to
1.
Administer informed consent and appropriately address patient queries to a patient
undergoing a surgical procedure in a simulated environment

Competencies Sub Item:
Competency # Name of Date
Attempt at
Rating
Decision
Initial
Feedback
addressed
Activity completed: activity
of faculty of
Received
dd-mm-
Below(B)
faculty
yyyy
First or
expectations
Completed and
Initial of
Meets(M)
Only (F)
(C)
learner
expectations
date
Repeat (R)
Repeat
Exceeds (E)
Remedial
(R)
expectations
(Re)
OR
Remedial
Numerical
(Re)
Score

Reflection on AETCOM MODULE

Topic:
Date:

Signature of Teacher-in- charge

Reflection on AETCOM MODULE
Topic:
Date

Signature of Teacher-in- charge

Section 5: Attendance Record of the Student

S.
Term
Theory
Clinical
Signature
Signature of
No
(%)
Posting
of student
Teacher
(%)
A
I Professional
B
II Professional
Term ? I

Term- II
C
III
Professional
D
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.

College Name: ..............................................

FINAL CERTIFICATE (before prelims)

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 First, Second and Third
Professional MBBS Competency Based Curriculum in the subject of Community Medicine.

Teacher- In charge
Professor and Head
Department of Community Medicine
Date:
/
/
Place:

7. Record of Internal Assessment Examinations

Sr.
Exam no
Theory
Practical
Signature
Signature
No
including
of student
of
Viva
Teacher

1
I Internal
/50
/50
Assessment

2
II Internal
/50
/50
Assessment

3
III Internal
/50
/50
Assessment

4
IV Internal
/50
/50
Assessment

5
PRELIMS
/200
/100

6
Betterment
/50
/50
exam
(If Any)

Note: Above information is for the benefit of students and parents. In case of
any discrepancy departmental record will be treated as final.

This post was last modified on 29 June 2021