Curriculum

First Medicine

1 Consultant/ supervisor All Physicians
2 Duration 8 weeks [8x6x4=192 hours]
3 Number of Students  Up to 15 students / Physician
4 Usual time  8 A M -12 noon
5 Additional time Students are expected to come early enough to be ready for consultants by 8.00 AM.  Casualty Sundays and all other available times.
6 Prerequisite Completed Introductory course
7 Are patients allocated for clerking? yes
8 Places to visit Medical wards,EU,MICU,Diabetic centre, Clinics, Clinical Skill Laboratory
9 Objectives / purpose of the appointment As in the “objects for clinical course in Medicine”Emphasis on learning to take history and perform examination in common diseases
10 Knowledge students should acquire  Features of common medical illness
11 Skills students should develop Elicit signs and symptoms, examine urine, sputum, stoolsBasic procedures like venepuncture.Familiarize with ECGs and X’ Rays.
12 Attitudes students to acquire To learn patient welfare and to under stand patient’s concern. Learn to work as a team. To utilize the time to improve knowledge and skills.
13 Any other relevant information Period for students to master the skills of communication including history taking
14 Assessment method Observed history taking and a short case to assess examination technique.
15 Criteria to sign Student record book Attendance and end of the appointment assessment.
16 References  Hutchison’s clinical Methods,Macleod’s Clinical Examination

 

Second Medicine

1 Consultant/ supervisor All Physicians
2 Duration 8 weeks [8x6x4=196 hours]
3 Number of Students  Up to 15 students / Physician
4 Usual time  8 A M -12 noon
5 Additional time Students are expected to come early enough to be ready for consultants by 8.00 AM.  Casualty Sundays and all other available times.
6 Prerequisite Completed First appointment in Medicine
7 Are patients allocated for clerking? yes
8 Places to visit Medical wards, Clinics, Diabetic centre, Clinical Skill Laboratory and EU and ICU.
9 Objectives / purpose of the appointment As in the “objects for clinical course in Medicine”For the First appointment at higher level
10 Knowledge students should acquire  Features of common medical illness and principles of management
11 Skills students should develop  Eliciting signs and symptoms, examine urine, sputum, stoolsHistory taking, basic procedures like venepuncture.Familiarise with ECG and X’ Ray.
12 Attitudes students to acquire To learn patient welfare and to under stand patient’s concern. Learn to work as a team. To utilize the time to improve knowledge and skills.
13 Any other relevant information  Student should master the examination skills
14 Assessment method A viva on ethics and communication and a theory(MCQ/SEQ/Structure) based on clinical medicine.
15 Criteria to sign Student record book Attendance and assessment throughout the appointment
16 References Macleods Clinical ExaminationHutchison’s clinical MethodsDavidson’s Principle and Practice of MedicineKumar and clerk’s Clinical Medicine

 

Professorial Medicine

1 Consultant/supervisor Staff of Department of Medicine
2 Duration  8 weeks [416  hours]
3 Number of Students  1/4 of the batch
4 Usual time Full time
5 Additional time  Students are expected to come early enough to be ready for consultants by 8.00 AM.  Casualty Sundays and all other times requested by the teachers.
6 Prerequisite Should have completed all pre-professorial appointments and elective.Completion of all 2 medicine assessments.Passed all para-clinical subjects
7 Are patients allocated for clerking? yes
8 Places to visit Professorial Medical ward/EU/MICU/Clinic
9 Objectives / purpose of the appointment  To be able to clerk patients, request basic investigations, give immediate treatment for emergency, treat common conditions
10 Knowledge students should acquire The limits in prescribing and ordering special investigations
11 Skills students should develop Investigation procedures in the ward, resuscitation,LP, Pleural tap, peritoneal tap- under supervision
12 Attitudes students to acquire Be able to understand socio-economic background of patients and respond to their levelThink whether you can do better than what you have done to the patients
13 Any other relevant information  To appoint 2 students as assistant house officers on weekly rotation to clerk, write diagnosis card, procedures under supervision
14 Assessment method An in course assessment(mcq/seq/structure), Viva on emergency Medicine, OSCE(20 stations)
15 Criteria to sign Student record book Attendance, completion of assessment
16 References Davidson’s Principle and Practice of MedicineKumar and clerk’s Clinical Medicine

 

Final Year Professorial Programme (8weeks)

 

1. This is a full day programme

    • Students are expected to work in the wards from 7.30 AM to 5.30 PM on week days & Saturdays and from 7.30 AM to 12 Noon on Sundays. On casualty days students are expected to stay till 7.30 PM in the wards
    • Lunch break will be from 12 Noon to 1.00 PM

2. Attendance is compulsory

    • The register will be maintained by the monitor of the group.  Students who absent themselves without prior permission should submit their explanation in writing to the consultant.
    • If absent for 2 days or more they should repeat the appointment for the number of days absent.

3. Unsatisfactory performance during the course will necessitate extension of the period of appointment.

4. Students doing the medicine appointment in the 1st and 2nd groups should follow 12 ward classes and 3rd and 4th groups should follow 8 ward classes.  (with other consultants)

5. The log book should be signed weekly from relevant consultants.

6. The log book should be submitted to the department at the end of the7th week of the appointment.

 

In course Assessment

  1. An in course assessment in theory
  2. Clinical assessment at the end of the appointment
  3. Viva on management of emergencies at the end of the appointment
  4. Log Books too will be marked
  5. Communication skills, ethics and general attitude of the student will be objectively assessed throughout the appointment

 

The marks for in course assessment carry 10 % of the final examination.

 

Procedure Sheet

Laboratory Investigations sheet

Cases Seen

Case Presentations sheet

Problem Sheet

 

 

List of Emergency Topics to be discussed by the students

  1. Cardiac Arrest
  2. Poisoning – General Management of Poisoning and Organophosphate  Paracetamol Alary,  Kerosene oil
  3. Snake bite
  4. Acute severe asthma and Pneumothorax
  5. Pulmonary Oedema
  6. Atrial arrhythmias including SVT
  7. Ventricular arrhythmias and heart blocks
  8. Status epilepticus & Meningitis
  9. Hypertensive emergencies
  10. Respiratory failure
  11. Acute renal failure
  12. Pulmonary embolism
  13. Hepatic encephalopathy
  14. Sub arachnoid haemorrhage
  15. Management of unconscious patient
  16. Addisonian crisis and Thyrotoxic crisis, Myxoedema coma, Hypercalcaemic crisis

 

List of Procedures to be discussed by the students

( Patient preparation, indications, contraindications, complications, major abnormalities in common disease)

  1. Upper GI endoscopy
  2. Ultrasound examination
  3. CT scan
  4. Echocardiographic examination
  5. Preparation for an IVP examination
  6. Pleural tap & Biopsy
  7. Abdominal paracentesis
  8. Barium studies
  9. Liver biopsy
  10. Lung  function test
  11. Bronchoscopy & Endotracheal intubation
  12. Bone marrow examination
  13. Renal biopsy
  14. Passing a nasogastric tube and performing gastric lavage
  15. lumbar puncture

List of Seminar Topics to be discussed by the students

  1. Diabetes
  2. Ischaemic heart disease
  3. Shock
  4. Anaemia
  5. Cerebrovascular disease
  6. Chronic renal failure
  7. Heart Failure
  8. COPD

List of Common Topics to be discussed in the ward

    1. Coronary artery diseases – Acute coronary syndrome, Angina
    2. Rhythm disturbance – Heart block, atrial  fibrillation, ventricular ectopics
    3. Hypertension & Peripheral vascular diseases
    4. Valvular heart disease, ASD, VSD
    5. Pulmonary hypertension
    6. Myocarditis, Endocarditis
    7. Pericarditis & Pericardial effusion
    8. Cardiomyopathies
    9. Cardiac failure
    10. Common ECG abnormalities,  X’ rays
    11. Fever – Dengue, Typhoid, Typhus, Malaria, Meningitis & Hepatitis
    12. Urinary tract infection, Pneumonia, Pleural effusion
    13. Acute and Chronic renal failure
    14. Nephrotic syndrome & Nephritic syndrome
    15. Polycystic kidney disease
    16. Bronchial Asthma & COPD
    17. Chronic cough – TB, Bronchiectasis, TPE, Bronchial carcinoma
    18. Haemoptysis
    19. Acute diarrhoea, chronic diarrhoea
    20. Jaundice
    21. Cholecystitis
    22. Acute & Chronic liver cell disease, other alcohol related problems
    23. Liver abscess
    24. Ascites
    25. Epilepsy
    26. Cerebrovascular accident, subarachnoid haemorrhage, SDH
    27. Paraplegia, Root lesion, Spinal cord lesions
    28. Nerve lesions, 3rd cranial, 7th cranial, Peroneal, Ulnar, Radial and Median nerve lesions
    29. Peripheral neuropathy
    30. Proximal muscle weakness
    31. Motor neuron disease, cervical spondylosis
    32. Rheumatoid arthritis, SLE, Sero negative arthritis, Osteoarthritis
    33. Anaemias – Iron deficiency anaemia, haemolytic anaemia
    34. Lymphoma, Haematological malignancies
    35. Diabetes mellitus and complications
    36. Hypothyroidism
    37. Thyrotoxicosis
    38. Addison’s disease, Cushing’s disease, Acromegaly
    39. Obesity

Medicine Lectures

Term 8

Cardiovascular system – 02
01 Lecture Disorders of myocardium – cardiopulmyopathy and myocarditis
01 Lecture Disorders of pericardium – Pericarditis, pericardial effusion and constriction

Term 9

Respiratory System -03
01 Lecture Ca bronchus
01 Lecture Occupational lung disease
01 Lecture Interstitial lung disease, eosinophilia
Gastroenterology – 05
01 Lecture Oesophagus – GORD
01 Lecture Small intestine – malabsorption
01 Lecture Large intestine – dysenteries
01 Lecture IBD
01 Lecture Hepatitis & miscellaneous

Term 10

Nephrology – 03
03 Lecture Acute pyelonephritis, RPGN, tubule interstial disease, nephrolithiasis, cystic renal diseases

Term 11

Neurology – 05
01 Lecture Cerebrovascular disease
02 Lecture Extrapyramidal synd, syringomyelia, MND
01 Lecture Paraplegia
01 Lecture Peripheral neuropathy
Haematology – 05
01 Lecture Approach to a patient with anaemia
01 Lecture Myeloproliferative disorders
01 Lecture Lympho proliferative disorders
01 Lecture Myeloma and paraprotenamia
01 Lecture Approach to a patient with bleeding disorder
Total 23

Assessments

Theory

Clinical

Continuous Assessment

   PAPER I
 – 30 SBA – 10 marks
– 20 MCQ (T/F) – 10 marks
– Duration – 2 hours
Total – 20 marks
   *Common paper   for merit*
 
  PAPER II
–  10 SEQs
–  Duration 3 hours
–  20 marks
  1. Four short cases
  – 7.5 minutes for each – 20 marks
  2. One long case
– 40 minutes for history,
examination & investigation
– 20 minutes for discussion
    – 20 marks
      Total – 40 marks
  Pre professorial
 – First- Second
– 05 marks
 
  During Professorial
-15 marks
 
 

 

TOTAL: 40 MARKS 40 MARKS FOR MERIT TOTAL : 20 MARKS