SRI BALAJI VIDYAPEETH

(DEEMED-TO-BE-UNIVERSITY)
DECLARED U/S 3 OF THE UGC, ACT, 1956

COMPETENCY BASED
UNDERGRADUATE
CURRICULUM
(VOL-II)

Pharmacology,Pathology&Prarmacology

MAHATMA GANDHI MEDICAL SHRI SATHYA SAI MEDICAL

COLLEGE & RESEARCHINSTITUTE COLLEGE & RESEARCH INSTITUTE
Pondy-Cuddalore Main Road,Pilliyarkuppam, Tiruporur-Guduvancherry Main Road
Pondicherry-607402 Nellikuppam,, Tamil Nadu-603108

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 Preface
The curriculum forms the rudimentary base for any robust educational program. Effective
implementation of the curriculum plays a central role in the program outcome. In medical education,
the outcome that is expected is to produce competent doctors who are adept at all the three domains,
namely knowledge, skills and attitude.

In order to produce a competent doctor in the modern era it is imperative to have a healthy mix
of traditional medical curricula and value based additions. Taking cognizance of this need, the apex
council, namely Medical Council of India (MCI) has taken the lead in this direction.

MCI was established in the year 1933 and ever since has been entrusted with the important task
of standardization of the medical education in the country. Thus, the MCI has formulated Graduate
Medical Education regulations, which aim at not only providing training to medical undergraduates,
but also recognize the health rights bestowed on Indian citizens. Besides, the MCI has assiduously
been facilitating compliance with the National health policy in addressing both the immediate and
long time health needs of the society.

However, over the years vivid gaps among societal health needs have emerged with respect to
the availability of health care and the medical education that is being imparted. The gaps have been
largely instrumental in sub optimal response to fulfil the expectations of the society. To bridge this
gap, the MCI has implemented Competency Based Undergraduate Medical Education (UGCBME)
which has now acquired proper shape and effective dimension.

Sri Balaji Vidyapeeth (SBV), Puducherry, a DeemedtobeUniversity, declared u/s 3 of The

UGC Act. has been accredited by NAAC with A grade. SBV is committed in letter, spirit and action
in not only fulfilling the aim and objectives of MCI towards implementation of CBME, but also has
functioned as the torch bearer in this endeavor. SBV has thus adopted the undergraduate CBME
curriculum, as described by MCI but modified to suit the strength of its students, infrastructure and
most importantly the need of the community.

Prof. Subhash Chandra Parija,

MBBS, MD, PhD, DSc, FRCPath,FAMS, FICPath, FABMS,
FICAI, FISCD, FIAVP, FIATP and FIMSA.
Vice-Chancellor
Sri Balaji Vidyapeeth
Puducherry.

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 Foreword

According to Frank, et. al. in 2010, CBE is defined as “Competency-based education (CBE) is
an approach to preparing physicians for practice that is fundamentally oriented to graduate outcome
abilities and organized around competencies derived from an analysis of societal and patient needs. It
de-emphasizes time-based training and promises greater accountability, flexibility, and learner-
centeredness”.

In 1997, it was notified by Medical Council of India (MCI) that regulations on Graduate
Medical Educations need a [Link] 2001, the Outcome Project was initiated by the Accreditation
Council for Graduate Medical Education (ACGME),United States, to emphasize the „educational
outcomes‟. As a refinement measure towards assessment and defining the training pathway the
ACGME launched the „Milestones Project‟ in 2007. The Royal College of Physicians and Surgeons
of Canada (RCPSC) expressed the outcome of undergraduate medical training in terms of seven
„roles‟. These roles were: medical expert, communicator, collaborator, manager, health advocate,
scholar and professional. Although late , marching along with global movement towards
Competency-Based Medical Education (CBME), it took more than twenty years for the MCI to bring
out a Competency-Based Medical Curriculum . This was possible with the contributions and efforts
from resource person, teachers and students.

The key components of GMR 20119 are as follows [Link] of Indian Medical Graduate
(IMG) as an achievable goal 2. Roles that define roles of IMG 3. Define global competencies for each
role envisaged 4. Define subject based out-come that can be mapped to global competencies 5.
Alignment of instruction with reasonable integration [Link] emphasis on learner centric instruction
[Link] emphasis learning in primary and secondary care environment 8. Student -Doctor method
of training 9. Emphasis on skill acquisition and certification [Link] clinical exposure
[Link] program on attitude, ethics and communication 12. Foundation course 13. Shared
responsibility and self-directed learning [Link] for sports and extracurricular activities
[Link] changes.

Although the Medical Council of India (superseded by the Board of Governors) released three
volumes of the curricular framework for the proposed Competency-based Undergraduate Medical
Education, Sri Balaji Vidyapeeth, Puducherry, Deemed-to-be- University, declared u/s 3 of the UGC
Act. Accredited by the NAAC with A grade, is pleased to bring out its own curriculum document,

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 aligning with MCI document, with great detail that suits best to its student community. It gives us
immense pleasure, to be a part, in implementing this competency based undergraduate curriculum.

Prof. M. Ravishankar Dr. Sukumaran Annamalai

MBBS, MD(Anaesthesia), FRCP. MBBS, M.D., (GM), D.H.H.M.,
Dean, Dean,
MGMCRI SSSMCRI
Puducherry. Kancheepuram District,
Tamil Nadu 603108

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 Table of content
Preface 2
Foreword 3
Table of content 5
Competency Based Under Graduate Curriculum for the Indian Medical Graduate 7
Preamble 7
Attitude, Ethics &Communication (AETCOM) Competencies 17
Module 2.1: The foundations of communication - 2 18
Module 2.2 The foundations ofbioethics 20
Module 2.3: Health care as a right 21
Module 2.4: Working in a health care team 22
Module 2.5 Bioethics continued – Case studies on patient autonomy and decision making 23
Module 2.6: Bioethics continued: Case studies on autonomy and decision making 25
Module 2.7: Bioethics continued: Case studies on autonomy and decision making 27
Module 2.8: What does it mean to be family member of a sick patient? 29
MBBS curricular Mapping 30
Teaching hours 34
Subjects 35
Period of training in weeks 35
Total weeks 35
II MBBS 35
III MBBS Part I 35
III MBBS Part II 35
Electives 35
8* (4 regular clinical posting) 35
4 35
General medicine1 35
General Surgery 35
Obstetrics & Gynaecology2 35
Paediatrics 35
Community Medicine 35
Orthopaedics-including trauma3 35
Otorhinolaryngology 35
Ophthalmology 35
Respiratory Medicine 35
Psychiatry 35
Radiodiagnosis4 35
DVL 35
Dentistry & Anaesthesia 35
Casualty 35
Total 35
Clinical posting 36
Syllabus 37
Pharmacology (CODE: PH) 38
Pathology (CODE: PA) 63

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 Microbiology (CODE: MI) 108
Assessment 133
Internal Assessment 134
Summative assessment 136
Blue print 139
Internal assessment 139
Pharmacology 139
Pathology 139
Summative assessment 139
Instruction to question paper setter 142
Blue print for question paper and Model Question Paper 144
Recommended books (*Latest edition) 172
Pharmacology 172
Pathology 172
Microbiology 172

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 Competency Based Under Graduate Curriculum for the Indian Medical
Graduate
Preamble

The new Graduate Medical Education Regulations attempts to stand on the shoulder of the
contributions and the efforts of resource persons, teachers and students (past and present). It intends
to take the learner to provide health care to the evolving needs of the nation and the world.

More than twenty years have passed since the existing Regulations on Graduate Medical
Education, 1997 was notified, necessitating a relook at all aspects of the various components in the
existing regulations and adapt them to the changing demography, socio-economic context,
perceptions, values and expectations of stakeholders. Emerging health care issues particularly in the
context of emerging diseases, impact of advances in science and technology and shorter distances on
diseases and their management also need consideration. The strong and forward-looking
fundamentals enshrined in the Regulations on Graduate Medical Education, 1997 has made this job
easier. A comparison between the 1997 Regulations and proposed Graduate Medical Education
Regulations, 2018 will reveal that the 2018 Regulations have evolved from several key principles
enshrined in the 1997 Regulations.

The thrust in the new regulations is continuation and evolution of thought in medical education
making it more learner-centric, patient-centric, gender-sensitive, outcome -oriented and environment
appropriate. The result is an outcome driven curriculum which conforms to global trends. Emphasis is
made on alignment and integration of subjects both horizontally and vertically while respecting the
strengths and necessity of subject-based instruction and assessment. This has necessitated a deviation
from using “broad competencies”; instead, the reports have written end of phase subject (sub)
competencies. These “sub-competencies” can be mapped to the global competencies in the Graduate
Medical Education Regulations.

A significant attempt has been made in the outcome driven undergraduate curriculum to
provide the orientation and the skills necessary for life-long learning to enable proper care of the
patient. In particular, the curriculum provides for early clinical exposure, electives and longitudinal
care. Skill acquisition is an indispensable component of the learning process in medicine. The

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 curriculum reinforces this aspect by necessitating certification of certain essential skills. The experts
and the writing group have factored in patient availability, access, consent, number of students in a
class etc. in suggesting skill acquisition and assessment methods; use of skills labs, simulated and
guided environments are encouraged. In the pre-internship years,- the highest level of skill
acquisition is a show how (SH) in a simulated or guided environment; few skills require independent
performance and certification - these are marked with P (for performance). Opportunity to „perform‟
these skills will be available during internship.

The importance of ethical values, responsiveness to the needs of the patient and acquisition of
communication skills is underscored by providing dedicated curriculum time in the form of a
longitudinal program based on Attitude, Ethics and Communication (AETCOM) competencies. Great
emphasis has been placed on collaborative and inter-disciplinary teamwork, professionalism, altruism
and respect in professional relationships with due sensitivity to differences in thought, social and
economic position and gender.

In addition to the above, an attempt has been made to allow students from diverse educational
streams and backgrounds to transition appropriately through a Foundation Course. Dedicated time
has been allotted for self-directed learning and co-curricular activities.

Formative and internal assessments have been streamlined to achieve the objectives of the
curriculum. Minor tweaks to the summative assessment have been made to reflect evolving thought
and regulatory requirements. Curricular governance and support have been strengthened, increasing
the involvement of Curriculum Committee and Medical Education Departments/Units.

The curriculum document in conjunction with the new Graduate Medical Education
Regulations (GMR), when notified, must be seen as a “living document” that should evolve as
stakeholder requirements and aspirations change. We hope that the current GMR does just that. The
Medical Council of India isgrateful to all the teachers, subject experts, process experts, patients,
students and trainees who have contributed through invaluable inputs, intellectual feedbacks and
valuable time spent to make this possible. This document would not have been possible without the
dedicated and unstinting intellectual, mental and time-consuming efforts of the members of the
Reconciliation Board of the Council and the Academic Cell of MCI.
Competencies for the Indian Medical Graduate

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 Section 1 - provides the global competencies extracted from the Graduate Medical Education
Regulations, 2018. The global competencies identified asdefining the roles of the Indian Medical
Graduate are the broad competencies that the learner has to aspire to achieve; teachers and
curriculum planners must ensure that the learning experiences are aligned to this Manual.
Extract from the Graduate Medical Education Regulations, 2018
2. Objectives of the Indian Graduate Medical Training Programme

The undergraduate medical education program is designed with a goal to create an “Indian Medical
Graduate” (IMG) possessing requisite knowledge, skills, attitudes, values and responsiveness, so that
she or he may function appropriately and effectively as a physician of first contact of the community
while being globally relevant. To achieve this, the following national and institutional goals for the
learner of the Indian Medical Graduate training program are hereby prescribed:-

2.1. National Goals

At the end of undergraduate program, the Indian Medical Graduate should be able to:

(a) recognize “health for all” as a national goal and health right of all citizens and by
undergoing training for medical profession fulfill his/her social obligations towards
realization of this goal.

(b) learn every aspect of National policies on health and devote herself/himself to its practical
implementation.

(c) achieve competence in practice of holistic medicine, encompassing promotive, preventive,

curative and rehabilitative aspects of common diseases.

(d) develop scientific temper, acquire educational experience for proficiency in profession and
promote healthy living.

(e) become exemplary citizen by observance of medical ethics and fulfilling social and
professional obligations, so as to respond to national aspirations.

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 2.2. Institutional Goals

In consonance with the national goals, each medical institution should evolve institutional goals to
define the kind of trained manpower (or professionals) they intend to produce. The Indian Medical
Graduates coming out of a medical institute should:

(a) be competent in diagnosis and management of common health problems of the individual
and the community, commensurate with his/her position as a member of the health team at
the primary, secondary or tertiary levels, using his/her clinical skills based on history,
physical examination and relevant investigations.

(b) be competent to practice preventive, promotive, curative and rehabilitative medicine in

respect to the commonly encountered health problems.

(c) appreciate rationale for different therapeutic modalities, be familiar with the administration
of the "essential drugs" and their common side effects.

(d) be able to appreciate the socio-psychological, cultural, economic and environmental

factors affecting health and develop humane attitude towards the patients in discharging
one's professional responsibilities.

(e) possess the attitude for continued self learning and to seek further expertise or to pursue
research in any chosen area of medicine, action research and documentation skills.

(f) be familiar with the basic factors which are essential for the implementation of the
National Health Programs including practical aspects of the following:

(i) Family Welfare and Maternal and Child Health (MCH);

(ii) Sanitation and water supply;

(iii) Prevention and control of communicable and non-communicable diseases;

(iv) Immunization;

(v) Health Education;

(vi) Indian Public Health Standards (IPHS) at various level of service delivery;

(vii) Bio-medical waste disposal; and

(viii) Organizational and or institutional arrangements.

(g) acquire basic management skills in the area of human resources, materials and resource
management related to health care delivery, General and hospital management, principal
inventory skills and counseling.

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 (h) be able to identify community health problems and learn to work to resolve these by
designing, instituting corrective steps and evaluating outcome of such measures.

(i) be able to work as a leading partner in health care teams and acquire proficiency in
communication skills.

(j) be competent to work in a variety of health care settings.

(k) have personal characteristics and attitudes required for professional life including personal
integrity, sense of responsibility and dependability and ability to relate to or show concern
for other individuals.

All efforts must be made to equip the medical graduate to acquire the skills as detailed in
Table 11 Certifiable procedural skills – A Comprehensive list of skills recommended as
desirable for Bachelor of Medicine and Bachelor of Surgery (MBBS) – Indian Medical
Graduate, as given in the Graduate Medical Education Regulations, 2018

2. 3. Goals for the Learner

In order to fulfil this goal, the Indian Medical Graduate must be able to function in the
following roles appropriately and effectively:

2.3.1. Clinician who understands and provides preventive, promotive, curative, palliative and holistic
care with compassion.

2.3.2. Leader and member of the health care team and system with capabilities to collect, analyze
synthesize and communicate health data appropriately.

2.3.3. Communicator with patients, families, colleagues and community.

2.3.4. Lifelong learner committed to continuous improvement of skills and knowledge.

2.3.5. Professional, who is committed to excellence, is ethical, responsive and accountable to

patients, community and profession.

3. Competency Based Training Programme of the Indian Medical Graduate

Competency based learning would include designing and implementing medical education
curriculum that focuses on the desired and observable ability in real life situations. In order to
effectively fulfil the roles as listed in clause 2, the Indian Medical Graduate would have obtained the
following set of competencies at the time of graduation:

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 3.1. Clinician, who understands and provides preventive, promotive, curative, palliative and
holistic care with compassion
3.1.1 Demonstrate knowledge of normal human structure, function and development from a
molecular, cellular, biologic, clinical, behavioral and social perspective.
3.1.2. Demonstrate knowledge of abnormal human structure, function and development from a
molecular, cellular, biological, clinical, behavioural and social perspective.
3.1.3 Demonstrate knowledge of medico-legal, societal, ethical and humanitarian principles that
influence health care.
3.1.4 Demonstrate knowledge of national and regional health care policies including the National
Health Mission that incorporates National Rural Health Mission (NRHM) and National Urban Health
Mission (NUHM), frameworks, economics and systems that influence health promotion, health care
delivery, disease prevention, effectiveness, responsiveness, quality and patient safety.
3.1.5. Demonstrate ability to elicit and record from the patient, and other relevant sources including
relatives and caregivers, a history that is complete and relevant to disease identification, disease
prevention and health promotion.
3.1.6. Demonstrate ability to elicit and record from the patient, and other relevant sources including
relatives and caregivers, a history that is contextual to gender, age, vulnerability, social and economic
status, patient preferences, beliefs and values.
3.1.7 Demonstrate ability to perform a physical examination that is complete and relevant to disease
identification, disease prevention and health promotion.
3.1.8 Demonstrate ability to perform a physical examination that is contextual to gender, social and
economic status, patient preferences and values.
3.1.9 Demonstrate effective clinical problem solving, judgment and ability to interpret and integrate
available data in order to address patient problems, generate differential diagnoses and develop
individualized management plans that include preventive, promotive and therapeutic goals.
3.1.10 Maintain accurate, clear and appropriate record of the patient in conformation with legal and
administrative frameworks.
3.1.11 Demonstrate ability to choose the appropriate diagnostic tests and interpret these tests based
on scientific validity, cost effectiveness and clinical context.
3.1.12 Demonstrate ability to prescribe and safely administer appropriate therapies including
nutritional interventions, pharmacotherapy and interventions based on the principles of rational drug
therapy, scientific validity, evidence and cost that conform to established national and regional health
programmes and policies for the following:
i) Disease prevention,

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 ii) Health promotion and cure,

iii) Pain and distress alleviation, and

iv) Rehabilitation and palliation.

3.1.13 Demonstrate ability to provide a continuum of care at the primary and/or secondary level that
addresses chronicity, mental and physical disability.

3.1.14 Demonstrate ability to appropriately identify and refer patients who may require specialized or
advanced tertiary care.

3.1.15 Demonstrate familiarity with basic, clinical and translational research as it applies to the care
of the patient.

3.2. Leader and member of the health care team and system

3.2.1 Work effectively and appropriately with colleagues in an inter-professional health care team
respecting diversity of roles, responsibilities and competencies of other professionals
3.2.2 Recognize and function effectively, responsibly and appropriately as a health care team leader
in primary and secondary health care settings.
3.2.3 Educate and motivate other members of the team and work in a collaborative and collegial
fashion that will help maximize the health care delivery potential of the team.
3.2.4 Access and utilize components of the health care system and health delivery in a manner that is
appropriate, cost effective, fair and in compliance with the national health care priorities and policies,
as well as be able to collect, analyze and utilize health data.
3.2.5 Participate appropriately and effectively in measures that will advance quality of health care
and patient safety within the health care system.
3.2.6 Recognize and advocate health promotion, disease prevention and health care quality
improvement through prevention and early recognition:in a) life style diseases and b) cancer, in
collaboration with other members of the health care team.
3.3. Communicator with patients, families, colleagues and community
3.3.1 Demonstrate ability to communicate adequately, sensitively, effectively and respectfully with
patients in a language that the patient understands and in a manner that will improve patient
satisfaction and health care outcomes.
3.3.2 Demonstrate ability to establish professional relationships with patients and families that are
positive, understanding, humane, ethical, empathetic, and trustworthy.
3.3.3 Demonstrate ability to communicate with patients in a manner respectful of patient‟s
preferences, values, prior experience, beliefs, confidentiality and privacy.

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 3.3.4 Demonstrate ability to communicate with patients, colleagues and families in amanner that
encourages participation and shared decision making
3.4. Lifelong learner committed to continuous improvement of skills and knowledge.
3.4.1. Demonstrate ability to perform an objective self-assessment of knowledge and skills, continue
learning, refine existing skills and acquire newskills
3.4.2. Demonstrate ability to apply newly gained knowledge or skills to the care of the patient.
3.4.3 Demonstrate ability to introspect and utilize experiences, to enhance personal and professional
growth and learning.
3.4.4 Demonstrate ability to search (including through electronic means), and critically revaluate the
medical literature and apply the information in the care of the patient.
3.4.5. Be able to identify and select an appropriate carrier pathway that is professionally rewarding
and personally fulfilling.
3.5. Professional who is committed to excellence, is ethical, responsive and accountable to
patients, community and the profession.
3.5.1. Practice selflessness, integrity, responsibility, accountability and respect.
3.5.2. Respect and maintain professional boundaries between patients, colleagues and society.
3.5.3. Demonstrate ability to recognize and manage ethical and professional conflicts.
3.5.4. Abide by prescribed ethical and legal codes of conduct and practice.
3.5.5. Demonstrate a commitment to the growth of the medical profession as a whole.

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 PEO and PO

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 Program Educational Objectives (PEO)
Program Educational Objectives are broad statements that describe what graduates are expected to
attain within few years of completing their program. These are based on the needs of the society as
analysed and outlined by the regulatory bodies. As defined in the MCI document, the roles of the
Indian Medical Graduate are being considered as program educational objectives for under graduate
program and are as follows:
 PEO1: Clinician who understands and provides preventive, promotive, curative, palliative and
holistic care with compassion.
 PEO2: Leader and team member who understands health care system and acts to provide safe
patient care with accountability and responsibility.
 PEO3: Communicator possessing adequate communication skills to convey required
information in an appropriate manner in various health care settings.
 PEO4: Lifelong learner keen on updating oneself regarding the advancement in the health care
field and able to perform the role of researcher and teacher.
 PEO5: Professional who understands and follows the principle of bio-ethics / ethics related to
health care system.
Program outcome (PO) Program outcomes represent broad statements that incorporate many areas of
inter-related knowledge and skills developed over the duration of the program through a wide range of
courses and experiences. They represent the big picture, describe broad aspects of knowledge, skill
and attitude development, and encompass multiple learning experiences.
At the end of the 5 1⁄2 years of training IMG of MGMCRI should be able to:
 [Link] the duty of a general physician.
 [Link] a history and perform a physical examination.
 [Link] a differential diagnosis following a clinical encounter.
 [Link] and interpret common diagnostic and screening tests.
 [Link] and discuss orders and prescriptions.
 [Link] a clinical encounter in the patient record.
 [Link] a patient requiring urgent or emergent care and initiate evaluation and
management.
 [Link] as a member of an inter professional team.
 [Link] effectively and appropriately with patient and their families, colleagues and
other health care members, and other stake holders in the community.
 .

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 Attitude, Ethics &Communication (AETCOM) Competencies

Learning modules for Professional Year II

Number of modules: 8
Number of hours: 37

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 Module 2.1: The foundations of communication - 2
Background
Communication is a fundamental prerequisite of the medical profession and beside skills is
crucial in ensuring professional success for doctors. This module continues to provide an
emphasis on effective communication skills. During professional year II, the emphasis is on
active listening and data gathering.
Competency addressed
The student should be able to: Level

Demonstrate ability to communicate to patients in a patient, respectful, non- SH

threatening, non- judgmental and empathetic manner

Learning Experience:
Year of study: Professional year 2
Hours: 5 (1 + 2 +1+1)
i. Introductory small group session - 1hour
ii. Focused small group session - 2hours
iii. Skills lab session – 1hour
iv. Discussion and closure – 1hour
Contents:
This module includes 2 interdependent learning sessions:
1. Introductory small group session on the principles of communication with focus on
opening the discussion, listening and gatheringdata.
2. Focused small group session with role play or videos where the students have an
opportunity to observe, criticise and discuss common mistakes in opening the discussion,
listening and datagathering.
3. Skills lab sessions where students can perform taskonstandardised or regular patients with
opportunity for self critique, critique by patient and by thefacilitator.
Assessment
1. Formative: Participation in session 2 and performance in session 3 may be used as part of
formativeassessment.
2. Summative: may bedeferred.
Resources:
1. Makoul G. Essential elements of communication in medical encounters: the Kalamazoo
consensus statement. Acad Med. 2001; Apr; 76(4):390-3.

18
 2. Hausberg M. Enhancing medical students' communication skills: development and
evaluation of an undergraduate training program. BMC Medical Education 2012;
12:16.

19
 Module 2.2 The foundations ofbioethics
Background
An introductory session in a large group that provides an overview of the evolution and the
fundamental principles of bioethics including the cardinal pillars of ethics viz., autonomy,
beneficence, non-maleficence andjustice.

Competencies addressed

The student should be able to: Level

1. Describe and discuss the role of non-maleficence as a guiding principle in KH

patient care
2. Describe and discuss the role of autonomy and shared responsibility as a KH
guiding principle in patient care
3. Describe and discuss the role of beneficence of a guiding principle in KH
patient care
4. Describe and discuss the role of a physician in health care system KH
5. Describe and discuss the role of justice as a guiding principle in patient KH
care

Learning Experience
Year of study: Professional year 2
Hours: 2 large group session - 2 hours
Contents:

This module is a large group learning session that can be made interactive by illustrative examples.
Assessment
Summative: Short notes on a) Autonomy b) Beneficence c) Non-maleficence
Resource:
A review of the four principles of bioethics is found here:
[Link] 2007 v14_34- [Link]

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 Module 2.3: Health care as a right

Background
This session is aimed at introducing students to health care systems, their access, equity in access,
the impact of socio-economic situations in determining health care access and the role of doctors
as key players in the health care system.

Competency addressed

The student should be able to: Level

Describe and discuss the role of justice as a guiding principle in patient care KH

Learning Experience

Year of study: Professional year 2

Hours: 2

i. Participatory student seminar - 2hours

Contents:

This module may be done as a participatory student seminar with debates on the more
controversial issues to increase a reflective process.

Focus may be on:

1. Is health care aright?

2. What are the implications of health care as a right?
3. What are the social and economic implications of health care as a right?
4. What are the missing links? (see resource 2 for a brief overview)and
5. What are the implications for doctors?
Assessment

Summative: Short note on barriers to implementation of health care as a universal right.

Resources

1. The Universal Declaration of Human Rights. http

2. [Link]://[Link]/opinion/lead/missing-links-
in-universal-health-care/[Link]

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 Module 2.4: Working in a health care team

Background

This session is aimed at introducing students to health care systems and their functioning. It allows
students to “tag along” with members of health care teams, observe their work and gain experience
about their perspectives. It is hoped that this experience will help students to understand the need
for collaborative work in health care, how each member of the health care team is important and
also develop respect.

Competencies addressed

The student should be able to: Level

1. Demonstrate ability to work in a team of peers and superiors SH
2. Demonstrate respect in relationship with patients, fellow team members, superiors SH
and other health care workers

Learning Experience
Year of study: Professional year 2
Hours: 6 hours (4 hours “tag along” + 2 hours discussion)
i. “Tag along” session in hospital- 2 x 2hours
ii. Small group discussion session - 2hours
Contents:
This module may be done as two interdependent sessions:
1. A “tag along” session where students spend time with other health care workers including
nurses, technicians and others, observe their work, their interactions, conduct a small
interview with them and write a narrative based on this interview.
2. A small group discussion which is based on the students‟ observations, experiences,
reflections and inferences and what must be done by them to work as an integral part of
the health care team.
Assessment
Formative: Student participation in session 2 with assessment of submitted narrative.

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 Module 2.5 Bioethics continued – Case studies on patient autonomy and decision making

Background

The important parts of ethical care of the patient are best learnt in a hybrid problem-based format
with additional lectures and other sessions that allow students to learn collaboratively with
different learning styles. A guide for case discussion is provided in the resources section of this
module and may be used as a guide for other modules. The key element isthat students remain in
the same group with the same facilitator since groups mature in their learning overtime.

Competency addressed

The student should be able to: Level

Identify, discuss and defend medico-legal, socio-cultural and ethical issues as it KH
pertains to patient autonomy, patient rights and shared responsibility in health
care

Learning Experience
Year of study: Professional year 2
Hours: 6
i. Introduction and group formation - 1hour
ii. Case introduction - 1hour
iii. Self-directed learning - 2hours
iv. Anchoring lecture - 1hour
v. Case Resolution - 1hour
Case: The Cover Up
You evaluate Mrs. Lakshmi Srinivasan who is a 48 year old woman presenting with
lymphadenopathy. She had been complaining of mild fever and weight loss for the past 4 -5
months. Examination of the neck shows large rubbery lymph nodes that are present also in the
axilla and the groin. There is a palpable spleen. She is accompanied by her caring husband.
Lakshmi undergoes a lymph node biopsy and the pathologist calls you and tells you that she has a
lymphoma. That evening Mr. Srinivasan comes in first into your office and leaves the report on
your table. As you read the description you realise that the final diagnosis has been altered to
Tuberculosis by whitening out the pathologist‟s report. When you look up he tells you –“Sir, I
googled lymphoma - it is almost like a cancer. My wife can‟t handle that diagnosis. She has

23
 always been a worried frightened person. I want you to tell my wife that she had TB. She is
waiting outside, doctor. I thought I will call her in after I had a chat about this with you”.

Points for discussion:

1. Does the patient have a right to know their diagnosis?

2. What should the patient be told about their diagnosis, therapy and prognosis?

3. How much should be told to a patient about their illness?

4. Are there exceptions to full disclosure? Can family members request withholding of
information from patient?
Assessment
1. Formative: The student may be assessed based on their active participation in the
sessions.
2. Summative: Short questions on: 1) Define patient autonomy, 2) Contrast autonomy and
paternalism, 3) What are the responsibilities of patients and doctors in shared decision
making? 4) What is full and reasonable disclosure?

The suggested location, duration and requirements are as in item 2.

Once the case (or part of the case) is resolved, the next case (or the next part of the case) is
introduced.

24
 Module 2.6: Bioethics continued: Case studies on autonomy and decision making

Background
This introduces the student to further issues in autonomy including competence and capacity to
make decisions (also see module 2.5).

Competency addressed

The student should be able to: Level

Identify, discuss and defend medico-legal, socio-cultural and ethical issues as KH
they pertain to refusal of care including do not resuscitate and withdrawal of life
support

Learning Experience
Year of study: Professional year 2
Hours: 5
i. Introduction of case - 1hour
ii. Self-directed learning - 2hours
iii. Anchoring lecture - 1hour
iv. Discussion and closure of case - 1hour
Case: Life on a machine
You are taking care of 78-year-old Mrs. Mythili who was living all alone in an apartment with
only a live-in caretaker, 3 streets away from your clinic. She is a widow and her only son
emigrated to the US 32 years ago. He visits her once a year. One year ago, she had a fall with a hip
fracture that healed badly. She has hypertension which is reasonably controlled on medications.
She continues to come to your clinic once a month. Four months ago, she spent some time talking
about her sister who recently died following metastatic breast cancer. “My sister suffered a lot,
Doctor - they put a tube down her throat to breathe. Even when her heart stopped they kept
thumping her chest - it was awful. If I ever fall sick I don't want to go through all this. Promise me,
doctor, that you won‟t do all of this to me. I have lived all alone since my husband died but I have
lived independently - now I don't want to depend on a machine to live”. You had reassured her that
she would be ok and this was just the recent death of her sister affect ingher. On subsequent is its
she would still bring up this issue and state that there was no use of her living as a burden to
anyone and that no one should endure what her sister had undergone.

25
 One day you get a call from the Emergency Room of the local hospital stating that Mrs. Mythili
has been admitted by the caretaker. She had developed fever and shortness of breath. She was
brought hypoxic to the emergency room and they had intubated her. Chest X ray revealed a large
pneumonic patch. Laboratory testing revealed hyponatremia.

When you visited her she is somewhat drowsy, intubated and restrained. The nurse tells you that
she is sometimes lucid; at other times not even able to recognise her son who was there since this
morning. She points out at the ET and makes a pleading gesture to remove it. Her son accosts you
in the hallway. He tells you that he got a call while he was traveling in Singapore and took the first
flight out to be with his mom. He was very distressed at his mother‟s health and that he wants
“everything” possible done for her. You ask him if she had ever indicated what she wanted to be
done if she were to require hospitalization and intubation - he says that he used to speak to her
every month on the phone and she was always cheerful and enquiring about her grandchildren but
did not talk about herhealth.

Points for discussion:

1. Extent of patient autonomy.
2. Elements in decision making: Competency vs Capacity.
3. Surrogacy in decision making.
4. Autonomy vs beneficence.
5. How much does family wishes count?
6. Legal, ethical and social aspects of „Do not resuscitate‟.

Assessment
1. Formative: The student may be assessed based on their active participation in the sessions.
2. Summative: Short questions on:
a) What determines decision making capacity and competency.
b) Who has the right to make decisions for a patient who cannot determine for himself.
Resources: See Module 2.5

26
 Module 2.7: Bioethics continued: Case studies on autonomy and decision making
Background
This introduces the student to further issues in autonomy including informed consent and refusal
(also see module 2.5).

Competency addressed

The student should be able to: Level

Identify, discuss and defend, medico-legal, socio-cultural and ethical issues as KH

they pertain to consent for surgical procedures

Learning Experience
Year of study: Professional year 2
Hours: 5
i. Introduction of case - 1hour
ii. Self-directed learning - 2hours
iii. Anchoring lecture - 1hour
iv. Discussion and closure of case - 1hour

Case: Who is the doctor?

A 54 year old man named Mr. Surendra Patel is admitted for acute chest pain in a medical centre.
His father had died of a myocardial infarction at the age of 60. Two years ago, his brother had
been admitted to a hospital with a myocardial infarction and had died after complications
following an angioplasty. Mr. Patel is a diabetic and is on multiple oral hypoglycemic agents with
moderate control. He is a businessman with his own small industry. After initial stabilization, the
patient is comfortable and pain-free after analgesics, nitrates and statins. Preliminary blood tests
and ECG confirm an acute coronary event. The next morning, the senior cardiologist makes rounds
and reviews the patient. “You have unstable angina, Mr. Patel and require an angiogram. You may
also require either a stent or coronary bypass after the procedure. The nurse will provide you with
the necessary paperwork. Please sign it and I will plan the procedure for 4.35 AM tomorrow
morning.”. “Doctor sahib”, asked Mr. Patel, “I am not comfortable with the idea of an angiogram;
my brother died on the table when an angioplasty was being done. Aren‟t there other tests thatyou
can do? I am not happy with this option”. “Your brother would have had it with someone else, Mr.
Patel - I have the best hands in town; nothing will happen when I do it” retorted the cardiologist.
“But aren‟t there any other options to see what I have? Is this the only test? I have read somewhere
that you can do a CT angiogram”, persisted Mr. Patel. “Are you the doctor or am I the doctor?”

27
 retorted the cardiologist angrily. “If you are ready to do as I say, sign the papers and I will see you
in the Cath lab tomorrow. Otherwise you are free to get discharged”. He stomped out.

Points for discussion:

1. Extent of patient autonomy.

2. Informed consent and informed refusal.
3. Conflict between autonomy and beneficence.
4. What should the patient be told about a procedure?
5. What must the informed consent include?

Assessment
1. Formative: The student may be assessed based on their active participation in the
sessions.
2. Summative: Short questions on 1) What is informed consent? 2) What is informed
refusal?
Resources
See module 2.5

28
 Module 2.8: What does it mean to be family member of a sick patient?
Background
Doctors deal with human suffering throughout their professional careers. A balanced approach to
the patient care experience requires an understanding of support systems of patients, priorities
coping and emotions of families, the role of the doctor, an exploration of empathy vs equanimity
and the difference between healing and curing and support.

Competency addressed

The student should be able to: Level

Demonstrate empathy in patient encounters SH
Learning Experience
Year of study: Professional year 2
Hours: 6 (includes 2 hours of SDL)
i. Hospital visit & interviews - 2hours
ii. Large Group Discussions with patients‟ relatives - 1hour
iii. Self-directed Learning - 2hours
iv. Discussion and closure - 1hour

1. Students are assigned to patients in the hospital, interview their family about their
illnesses, experience, reactions, emotions, outlook and expectations (or can be done
in a controlled environment with standardized patients.
2. Family members of patients with different illnesses may be brought to a large group
discussion with permission and an interactive discussion (based on the items
outlined in option A. Can use standardized patients)
3. Self-directed learning where students write a report from reflection based on
sessions 1 & 2 and on other readings, TV series, movies etc.
4. A closure session with students to share their reflections based on 1, 2 and 3 so that
it includes how they intend to incorporate the lessons learnt in patient care
Assessment

1. Formative: The student may be assessed based on their active participation in the sessions
and submission of the written narrative.
2. Summative: Short questions on the role of doctors in the community and expectations of
society formdoctors.
e.g. 1. What is empathy? What is the role of empathy in the care of patients?

29
 MBBS curricular Mapping
MBBS Curricular mapping

Program Educational Program outcome Assessment

Objective
At the end of the 5 ½ years of training  Formative assessment at
IMG of MGMCRI should be able to regular interval during the
 [Link] the duty of a general course.
physician  Summative assessment at
 [Link] a history and perform a the end of each phase
physical examination  OSCE at the end of each
[Link] who  [Link] a differential diagnosis phase
understands and provides following a clinical encounter.  Exit OSCE at the end of
preventive, promotive,  [Link] and interpret CRRI
curative, palliative and common diagnostic and screening
holistic care with tests
compassion.  [Link] and discuss orders and
prescriptions
 [Link] a clinical encounter in
the patient record
 [Link] a patient requiring
urgent or emergent care and initiate
evaluation and management.
[Link] and member
of the health care team and Should be able to
system with capabilities to
 [Link] as a member of an
collect analyze, synthesize
interprofessional team.
and communicate health data
appropriately.
Should be able to
 PO9. Communicate effectively and
PEO3. Communicator with
appropriately with patient and their
patients, families, colleagues
families, colleagues and other health
and community.
care members, and other stake holders
in the community.
[Link] learner Should be able to
committed to continuous  [Link] clinical questions and
improvement of skills and retrieve evidence to advance patient
knowledge. care.
Should be able to
 [Link] or receive a patient
[Link], who is handover to transition care
committed to excellence, is responsibility
ethical, responsive and  PO12. Obtain informed consent for
accountable to patients, tests and/or procedures.
community and profession.  PO13. Identify system failures and
contribute to a culture of safety and
improvement

30
 Phase I AN1-7/ BI1-8 /PY 1-
6
Phase II MI 1-8 / PH1-
12/PA1-10
Phase III (1) CM1-10/OP1-
[Link] the K/KH/S/ Written test
Phase III (2) 6/EN1-7 K/S/A
duty of a general SH /Bedside /
M&A GM1-8/AS 1-
physician History -OSCE
6/PS1,4-7 /PE 1-
Phase III (2) 7/FM 1-10
S&A DR1-8/CT1-11
GS1,3-6,8/OG 1-
15/OR1-6/RD1-9
Phase I AN 1,3,7/ BI 2,5,6 /
PY 1-6
Phase II PH5/PA1,4,6,7/
Phase III (1) CM2-6,8/OP1-
[Link] a history
Phase III (2) 3,5/EN1-3 K/KH/S/ Bedside/Mini-
and perform a K/S/A
M&A GM1,2,4,5,7,8/AS1- SH CEX/DOPS/OS
physical
3,5,6/PS2-9/FM 4,5 CE
examination.
Phase III (2) PE 1,2,4,5,7/DR2-
S&A 7/CT1-6,8-11
GS1,4-6,8/OG2,
13/OR1,3,4/RD4-6,8
Phase I AN 3,7/ BI4-6 /PY
1-6
Phase II MI1-3,5/PA1,2,4,6-
8,10
[Link] a
Phase III (1) CM 2-6,8/OP1-
differential diagnosis K K/KH Scenario-based
Phase III (2) 3/EN2,3
following a clinical Question/DOPS
M&A GM1,3,5,7,8/AS1-
encounter.
6/PS2-6,8,9/PE1,2,4/
Phase III (2) DR2-7/CT2,3,9
S&A GS1,2,4-6/OG 2 ,13/
OR1,3,4/RD2-6
Phase I AN 2,3,5,6/ BI 2-6/
PY 3-5, 7
Phase II MI 1-5,7,8/PA2,3,8-
10
[Link]
Phase III (1) CM 2-6,8/OP1-
and interpret K K/KH Written test
Phase III 5/EN2-4
common diagnostic /OSPE
(2)M&A GM1-5,7,8/AS1-
and screening tests.
5/PS1-6,9/PE 1-4,7/
Phase III DR2-7/CT1,4,5,9-11
(2)S&A GS2,3,5/OG 10,11/
OR1,3,4/RD1-4,6-8

31
 Phase I AN 3-6 /PY 5
Phase II MI 5,6/PH9/PA3,6
Phase III (1) CM 2-6,8/OP1-
[Link] and Phase III (2) 3,5/EN2,4
discuss orders and M&A GM1,3,4,7/AS1- K/S K/KH/S Practical/ OSPE
prescriptions 3,5,6/PS1-6,9/PE 2-
rationally. Phase III (2) 4/
S&A DR2,5-7/CT1,6,8,10
GS6/OG1,5,12,14/O
R1,3,6/RD4,6
Phase I PY5-7
Phase II MI 5/PH5/PA1,2,5-
Phase III (1) 7,10
Phase III (2) CM 2-6,8/OP1-
[Link] a
M&A 3,5,6/EN2-4 K/S K/KH/S Reflection /
clinical encounter in
GM5-8/AS1-7/PS2- Narrative
the patient record.
Phase III (2) 4,7-9/PE1-7/
S&A DR2-7/CT2,3,5,7-11
GS4/OG 2,5,9,13/
OR1-5/RD8
Phase I BI 6,7/ PY 1-7
Phase II MI 1-8/PH9,12/PA2-
Phase III (1) 4,6-8,10
[Link] a Phase III (2) CM 2-6,8/OP3-
patient requiring M&A 6/EN1-3,5,6
K/KH/S/ Scenario-based
urgent or emergent GM2- K/S/A
SH Question/DOPS/
care and initiate Phase III (2) 8/AS1,2,4,5/PS1-7/
MSF
evaluation and S&A PE1,2/DR2,5,7,8/CT
management. 2,3,6,7,9,11
GS2,6/OG
2,3,6,10,11,13/OR1,
5/RD1-4,6,8
Phase I AN 3-6 /BI 6,7/ PY 6
Phase II MI 4,5/PH5/PA2,4-8
Phase III (1) CM 1-6,8/ OP2,4-
[Link] as a Phase III (2) 6/EN2
member of an M&A GM4,5,7,8/AS1- K/KH/S/
K/S/A MSF/DOPS
interprofessional 6/PS1-3,10/PE1- SH
team. Phase III (2) 7/DR1-5/
S&A CT4-11
GS4,6,7/OG 3,4
/OR1,5,6/RD4-6,8
[Link] Phase I AN 3,4,6/ PY 6
effectively and Phase II MI 1-8/PH6/PA2,8/
appropriately with Phase III (1) CM1-8/OP1-9/EN5-
patient and their Phase III (2) 7 K/KH/S/
K/S/A MSF/DOPS/Kal
families, colleagues M&A GM1,4-8/AS2,3,5- SH amazoo Scale
and other. health 7/PS1,9/PE1-
care members, and Phase III (2) 7/DR1,2,4,7,8/CT1-
other stake holders in S&A 11
the community. GS4,7/OG 1,3,5,8,9 /

32
 OR1-6/ RD4-6,8
Phase I BI 7/ PY 5-7
Phase II MI 1-8/PA1,2,6-10
Phase III (1) EN1-4
[Link] clinical Phase III (2) GM1-5,7,8/AS1-
questions and M&A 5/PS2,3 K/KH/S/ Bedside/Mini-
K/S
retrieve evidence to /PE2,4/DR3,5,8/CT2 SH CEX/MSF
advance patient care. Phase III (2) ,7,9
S&A GS4,8/OG
2,10,11,13/ OR1-
4/RD4,6,7
Phase II MI 4/PA3,7,8
[Link] or Phase III (1) OP3,6/EN2
receive a patient Phase III (2) GM3-5,7,8/AS
M&A 2,3,5,6 /PS2,3 /PE2/ K/KH/S/
handover to K/S/A DOPS/OSCE
DR3,4/CT6,7 SH/D
transition care
Phase III (2) GS4,6/OG 3,6/
responsibility.
S&A OR1,2,4/RD8

Phase I AN 4,5 /PY 6

Phase II MI 5 /PA2/
Phase III (1) CM 2,4-6,8/OP1-
PO12. Obtain Phase III (2) 6/EN3,6
informed consent for M&A GM3,4,6-8/AS 7 K/KH/S/
K/S/A OSPE/DOPS
tests and/or PE1-4,7/DR4,6-8/ SH/D
procedures. Phase III (2) CT1,4,58,11/FM
S&A 1,4,5
GS5,7/OG9,12/
OR1,2/RD4-7
Phase I BI 8 / PY 5-7
Phase II MI 4,5/2,10
Phase III (1) CM 3,10/EN5,7
PO13. Identify
Phase III (2) GM3-5,7,8/AS 2-6,
system failures and K/KH/S/
M&A 8/PS10 K/S
contribute to a SH MSF
/PE3,6/DR3,5/CT4-
culture of safety and
Phase III (2) 8,10,11
improvement.
S&A GS8/OG 11,
12,16,17/ OR1-
6/RD8

33
 Teaching hours

Table 1: Second Professional teaching hours

Subjects Lectures Small group learning (Tutorials / Clinical Postings Self - Directed Total
(hours) Seminars) /Integrated learning (hours) (hours) * Learning (hours) (hours)
Pathology 80 138 - 12 230
Pharmacology 80 138 - 12 230
Microbiology -
70 110 10 190
Community Medicine 20 30 - 10 60
Forensic Medicine and
15 30 - 5 50
Toxicology
General Medicine 25 -
General Surgery 25 - 540** 615
Obstetrics
25 -
&Gynaecology
Attitude, Ethics &
Communication 29 - 8 37
Module (AETCOM)
Sports and
extracurricular - - - 28 28
activities
Total - - - - 1440
* At least 3 hours of clinical instruction each week must be allotted to training in clinical and procedural skill laboratories. Hours may be distributed
weekly or as a block in each posting based on institutional logistics.
**The clinical postings in the second professional shall be 15 hours per week (3 hrs per day from Monday to Friday).

34
 Subjects Period of training in weeks Total
II MBBS III MBBS Part I III MBBS Part II weeks
Electives 8* (4 regular clinical posting) 4
General medicine1 4 4 8+4 20
General Surgery 4 4 8+4 20
Obstetrics & Gynaecology2 4 4 8 +4 20
Paediatrics 2 4 4 10
Community Medicine 4 6 - 10
Orthopaedics-including trauma3 2 4 2 8
Otorhinolaryngology 4 4 - 8
Ophthalmology 4 4 - 8
Respiratory Medicine 2 - - 2
Psychiatry 2 2 - 4
Radiodiagnosis4 2 - - 2
DVL 2 2 2 6
Dentistry & Anaesthesia - 2 - 2
Casualty - 2 - 2
Total 36 42 48 126

35
 Clinical posting
* In four of the eight weeks of electives, regular clinical postings shall be accommodated.
Clinical postings may be adjusted within the time framework.
1
This posting includes Laboratory Medicine (Para-clinical) & Infectious Diseases (Phase III Part I).
2
This includes maternity training and family welfare (including Family Planning).
3
This posting includes Physical Medicine and Rehabilitation.
4
This posting includes Radiotherapy.

36
 Syllabus

37
 Pharmacology (CODE: PH)
Table 2. Topics & Competencies

Number of topics Number of outcomes

05 85

38
 Table 3. Details of Competency, Domain, T-L Methods, Assessment methods, Integration.

Number
Suggested
COMPETENCY Domain Level K/KH/S Suggested Teaching required to Horizontal
Number Core (Y/N) Assessment Vertical Integration
The student should be able to K/S/A/C H/P Learning method certify Integration
method
P

PHARMACOLOGY

KNOWLEDGE: Topic: [Link] Number of competencies: (64 ) Number of procedures that require certification : (NIL)

Define and describe the principles of pharmacology and

PH1.1 K K Y Lecture Written/Viva voce
pharmacotherapeutics

Describe the basis of Evidence based medicine and Therapeutic Written/

PH1.2 K KH Y Lecture
drug monitoring Viva voce

Enumerate and identify drug formulations and drug delivery Written/

PH1.3 K/S SH Y Lecture, Practical
systems Viva voce

Lecture, Small Group Written/

PH1.4 Describe absorption, distribution, metabolism & excretion of drugs K KH Y
discussion Viva voce

Lecture, Small Group Written/

PH1.5 Describe general principles of mechanism of drug action K KH Y
discussion Viva voce

Describe principles of Pharmacovigilance & ADR reporting Written/

PH1.6 K KH Y Lecture, Practical
systems Viva voce

Define, identify and describe the management of adverse drug Written/

PH1.7 K/S KH Y Lecture, Practical
reactions (ADR) Viva voce

Written/
PH1.8 Identify and describe the management of drug interactions K/S KH Y Lecture, Practical
Viva voce

Written/
PH1.9 Describe nomenclature of drugs i.e. generic, branded drugs K/S SH Y Lecture, Practical
Viva voce

Describe parts of a correct, complete and legible generic

Written/
PH1.10 prescription. Identify errors in prescription and correct K/S SH Y Lecture, Practical
Viva voce
appropriately

Describe various routes of drug administration, eg., oral, SC, IV, Lecture, Small group Written/
PH1.11 K KH Y
IM, SL discussion Viva voce

39
 Number
Suggested
COMPETENCY Domain Level K/KH/S Suggested Teaching required to Horizontal
Number Core (Y/N) Assessment Vertical Integration
The student should be able to K/S/A/C H/P Learning method certify Integration
method
P

Calculate the dosage of drugs using appropriate formulae for an Pediatrics, General
Written/
PH1.12 individual patient, including children, elderly and patient with renal K/S SH Y Lecture, practical Medicine
Viva voce
dysfunction.

Describe mechanism of action, types, doses, side effects,

Lecture, Small Group Written/
PH1.13 indications and contraindications of adrenergic and anti-adrenergic K KH Y
discussion Viva voce
drugs

Describe mechanism of action, types, doses, side effects,

Lecture, Small Group Written/
PH1.14 indications and contraindications of cholinergic and anticholinergic K KH Y
discussion Viva voce
drugs

Describe mechanism/s of action, types, doses, side effects, Written/ Anesthesiology,

PH1.15 K KH Y Lecture Physiology
indications and contraindications of skeletal muscle relaxants Viva voce

Describe mechanism/s of action, types, doses, side effects,

indications and contraindications of the drugs which act by
Written/ General Medicine
PH1.16 modulating autacoids, including: anti-histaminics, 5-HT modulating K KH Y Lecture
Viva voce
drugs, NSAIDs, drugs for gout, anti-rheumatic drugs, drugs for
migraine

Describe the mechanism/s of action, types, doses, side effects, Written/ Anesthesiology
PH1.17 K KH Y Lecture
indications and contraindications of local anesthetics Viva voce

Describe the mechanism/s of action, types, doses, side effects,

Written/ Anesthesiology
PH1.18 indications and contraindications of general anaesthetics, and pre- K KH Y Lecture
Viva voce
anesthetic medications

Describe the mechanism/s of action, types, doses, side effects,

indications and contraindications of the drugs which act on CNS, Psychiatry,
Written/
PH1.19 (including anxiolytics, sedatives & hypnotics, anti-psychotic, anti- K KH Y Lecture Physiology
Viva voce
depressant drugs, anti-maniacs, opioid agonists and antagonists,
drugs used for neurodegenerative disorders, anti-epileptics drugs)

Lecture, Small group Written/ Psychiatry

PH1.20 Describe the effects of acute and chronic ethanol intake K KH Y
discussion Viva voce

40
 Number
Suggested
COMPETENCY Domain Level K/KH/S Suggested Teaching required to Horizontal
Number Core (Y/N) Assessment Vertical Integration
The student should be able to K/S/A/C H/P Learning method certify Integration
method
P
Describe the symptoms and management of methanol and ethanol Lecture, Small group Written/ General Medicine
PH1.21 K KH Y
poisonings discussion Viva voce

Describe drugs of abuse (dependence, addiction, stimulants, Lecture, Small group Written/ Psychiatry Forensic
PH1.22 K KH Y
depressants, psychedelics, drugs used for criminal offences) discussion Viva voce Medicine

Lecture, Small group Written/ Psychiatry

PH1.23 Describe the process and mechanism of drug deaddiction K/S KH Y
discussion Viva voce

Describe the mechanism/s of action, types, doses, side effects,

indications and contraindications of the drugs affecting renal Written/
PH1.24 K KH Y Lecture
systems including diuretics, antidiuretics- vasopressin and Viva voce
analogues

Describe the mechanism/s of action, types, doses, side effects, Physiology,

Written/
PH1.25 indications and contraindications of the drugs acting on blood, like K KH Y Lecture General Medicine
Viva voce
anticoagulants, antiplatelets, fibrinolytics, plasma expanders

Describe mechanisms of action, types, doses, side effects, Physiology,

Written/
PH1.26 indications and contraindications of the drugs modulating the renin- K KH Y Lecture General Medicine
Viva voce
angiotensin and aldosterone system

Describe the mechanism so faction, types, doses, side effects,

Written/ General Medicine
PH1.27 indications and contra indications of antihypertensive drugs K KH Y Lecture
Viva voce
and drugs used in shock

Describe the mechanisms of action, types, doses, side effects,

indications and contraindications of the drugs used in Written/ General Medicine
PH1.28 K KH Y Lecture
ischemic heart disease (stable, unstable angina and myocardial Viva voce
infarction), peripheral vascular disease

Describe the mechanisms of action, types, doses, side effects,

Written/ General Medicine
PH1.29 indications and contraindications of the drugs used in congestive K KH Y Lecture
Viva voce
heart failure
Describe the mechanisms of action, types, doses, side effects, Written/ General Medicine
PH1.30 K KH N Lecture
indications and contraindications of the antiarrhythmics Viva voce

41
 Number
Suggested
COMPETENCY Domain Level K/KH/S Suggested Teaching required to Horizontal
Number Core (Y/N) Assessment Vertical Integration
The student should be able to K/S/A/C H/P Learning method certify Integration
method
P

Describe the mechanisms of action, types, doses, side effects, Written/

Lecture, Small group General Medicine
PH1.31 indications and contraindications of the drugs used in the K KH Y
discussion Viva voce
management of dyslipidemias

Describe the mechanism/s of action, types, doses, side effects, Written/ Respiratory
Lecture, Small Group
PH1.32 indications and contra indications of drugs used in bronchial asthma K KH Y Medicine
discussion Viva voce
and COPD

Describe the mechanism of action, types, doses, side effects, Written/ Respiratory
Lecture, Small Group
PH1.33 indications and contraindications of the drugs used in cough K KH Y Medicine
discussion Viva voce
(antitussives, expectorants/ mucolytics)

Describe the mechanism/s of action, types, doses, side effects,

indications and contraindications of the drugs used as below:
1. Acid-peptic disease and GERD Written/
2. Antiemetics and prokinetics Lecture, Small Group General Medicine
PH1.34 K KH Y
3. Antidiarrhoeals discussion Viva voce
4. Laxatives
5. Inflammatory Bowel Disease
6. Irritable Bowel Disorders, biliary and pancreatic diseases

Describe the mechanism/s of action, types, doses, side effects,

indications and contraindications of drugs used in hematological Written/ General Medicine,
PH1.35 disorders like: K KH Y Lecture Physiology Pharmacology
Viva voce
1. Drugs used in anemias
2. Colony Stimulating factors

Describe the mechanism of action, types, doses, side effects, Written/

PH1.36 indications and contraindications of drugs used in endocrine K KH Y Lecture General Medicine
Viva voce
disorders (diabetes mellitus, thyroid disorders and osteoporosis)

Describe the mechanisms of action, types, doses, side effects, Written/

PH1.37 indications and contraindications of the drugs used as sex K KH Y Lecture
Viva voce
hormones, their analogues and anterior Pituitary hormones

Describe the mechanism of action, types, doses, side effects, Written/

PH1.38 K KH Y Lecture
indications and contraindications of corticosteroids Viva voce

42
 Number
Suggested
COMPETENCY Domain Level K/KH/S Suggested Teaching required to Horizontal
Number Core (Y/N) Assessment Vertical Integration
The student should be able to K/S/A/C H/P Learning method certify Integration
method
P

Describe mechanism of action, types, doses, side effects, Written/ Obstetrics &
PH1.39 K KH Y Lecture Gynaecology
indications and contraindications the drugs used for contraception Viva voce

Describe mechanism of action, types, doses, side effects, Obstetrics &

Written/
PH1.40 indications and contraindications of 1. Drugs used in the treatment K KH Y Lecture Gynaecology
Viva voce
of infertility, and 2. Drugs used in erectile dysfunction
Describe the mechanisms of action, types, doses, side effects, Obstetrics &
Written/
PH1.41 indications and contraindications of uterine relaxants and K KH Y Lecture Gynaecology
Viva voce
stimulants

Written/
PH1.42 Describe general principles of chemotherapy K KH Y Lecture
Viva voce

Describe and discuss the rational use of antimicrobials including Written/ General Medicine,
PH1.43 K KH Y Lecture Pediatrics Microbiology
antibiotic stewardship program Viva voce

Describe the first line antitubercular dugs, their mechanisms of Written/ Respiratory
PH1.44 K KH Y Lecture Medicine
action, side effects and doses. Viva voce

Written/ Respiratory
PH1.45 Describe the dugs used in MDR and XDR Tuberculosis K KH Y Lecture Medicine Microbiology
Viva voce

Dermatology,
Describe the mechanisms of action, types, doses, side effects, Written/ Venereology &
PH1.46 K KH Y Lecture Microbiology
indications and contraindications of antileprotic drugs Viva voce Leprosy

Describe the mechanisms of action, types, doses, side effects,

Written/ General Medicine
PH1.47 indications and contra indications of the drugs used in malaria, K KH Y Lecture Microbiology
Viva voce
KALA-AZAR, amebiasis and intestinal helminthiasis

Describe the mechanisms of action, types, doses, side effects,

Written/
PH1.48 indications and contraindications of the drugs used in UTI/ STD K KH Y Lecture Microbiology
Viva voce
and viral diseases including HIV

Describe mechanism of action, classes, side effects, indications and Written/

PH1.49 K KH Y Lecture
contraindications of anticancer drugs Viva voce

43
 Number
Suggested
COMPETENCY Domain Level K/KH/S Suggested Teaching required to Horizontal
Number Core (Y/N) Assessment Vertical Integration
The student should be able to K/S/A/C H/P Learning method certify Integration
method
P
Describe mechanisms of action, types, doses, side effects,
PH1.50 indications and contraindications of immune modulators and K KH Y Lecture Written/ Viva voce
management of organ transplant rejection

Describe occupational and environmental pesticides, food

PH1.51 K KH/ Y Lecture Written/ Viva voce
adulterants, pollutants and insect repellents

Describe management of common poisoning, insecticides, common

PH1.52 K KH Y Lecture Written/ Viva voce General Medicine
sting and bites

PH1.53 Describe heavy metal poisoning and chelating agents K KH N Lecture Written/ Viva voce

PH1.54 Describe vaccines and their uses K KH Y Lecture Written/ Viva voce

Describe and discuss the following National Health Programmes

including Immunisation, Tuberculosis, Leprosy, Malaria, HIV,
Community
PH1.55 Filaria, Kala Azar, Diarrhoeal diseases, Anaemia & nutritional K KH Y Lecture Written/ Viva voce
Medicine
disorders, Blindness, Non-communicable diseases, cancer and
Iodine deficiency

PH1.56 Describe basic aspects of Geriatric and Pediatric pharmacology K KH Y Lecture Written/ Viva voce Pediatrics

Dermatology,
PH1.57 Describe drugs used in skin disorders K KH Y Lecture Written/ Viva voce Venereology &
Leprosy

PH1.58 Describe drugs used in Ocular disorders K KH Y Lecture Written/ Viva voce Ophthalmology

Describe and discuss the following: Essential medicines, Fixed

PH1.59 K KH Y Lecture Written/ Viva voce
dose combinations, Over the counter drugs, Herbal medicines

PH1.60 Describe and discuss Pharmacogenomics and Pharmacoeconomics K KH N Lecture Written/ Viva voce

PH1.61 Describe and discuss dietary supplements and nutraceuticals K KH N Lecture Written/ Viva voce

44
 Number
Suggested
COMPETENCY Domain Level K/KH/S Suggested Teaching required to Horizontal
Core (Y/N) Assessment Vertical Integration
Number The student should be able to K/S/A/C H/P Learning method certify Integration
method
P
PH1.62 Describe and discuss antiseptics and disinfectants K KH Y Lecture Written/ Viva voce

PH1.63 Describe Drug Regulations, acts and other legal aspects K KH Y Lecture Written/ Viva voce

Describe overview of drug development, Phases of clinical trials

PH1.64 K KH Y Lecture Written/ Viva voce
and Good Clinical Practice

SKILLS: Topic:[Link] Pharmacy Number of competencies: (04) Number of procedures that require certification :(NIL)

Demonstrate understanding of the use of various dosage forms

PH2.1 S/C SH Y DOAP sessions Skills assessment
(oral/local/parenteral; solid/liquid)

Prepare oral rehydration solution from ORS packet and explain its
PH2.2 S/C SH Y DOAP sessions Skills assessment
use

Demonstrate the appropriate setting up of an intravenous drip in a

PH2.3 S SH Y DOAP sessions Skills assessment
simulated environment

Demonstrate the correct method of calculation of drug dosage in Pediatrics, General

PH2.4 S SH Y DOAP sessions Skills assessment
patients including those used in special situations Medicine

SKILLS: Topic:[Link] Pharmacology Number of competencies: (08) Number of procedures that require certification :(04)

Write a rational, correct and legible generic prescription for a given

PH3.1 S/C P Y Skill station Skill station 5 General Medicine
condition and communicate the same to the patient

Perform and interpret a critical appraisal (audit) of a given Maintenance of

PH3.2 S P Y Skill Lab 3
prescription log book

Maintenance of log
PH3.3 Perform a critical evaluation of the drug promotional literature S P Y Skill Lab 3 General Medicine
book/ Skill station

Maintenance of log
PH3.4 To recognise and report an adverse drug reaction S SH Y Skill station
book/ Skill station

45
 Number
Suggested
COMPETENCY Domain Level K/KH/S Suggested Teaching required to Horizontal
Number Core (Y/N) Assessment Vertical Integration
The student should be able to K/S/A/C H/P Learning method certify Integration
method
P
Maintenance of
PH3.5 To prepare and explain a list of P-drugs for a given case/condition S P Y Skill station 3 General Medicine
log book

Demonstrate how to optimize interaction with pharmaceutical maintenance of log

PH3.6 S SH N Skill station
representative to get authentic information on drugs book

Maintenance of
PH3.7 Prepare a list of essential medicines for a healthcare facility S SH Y Skill station
log book

Communicate effectively with a patient on the proper use of

PH3.8 C/A SH Y Skill Lab Skill station
prescribed medication

SKILLS: Topic:[Link] Pharmacology Number of competencies: (02) Number of procedures that require certification:(NIL)

Administer drugs through various routes in a simulated

PH4.1 S SH Y DOAP sessions Skills assessment
environment using mannequins

Demonstrate the effects of drugs on blood pressure (vasopressor

PH4.2 and vaso-depressors with appropriate blockers) using computer S SH Y Skill lab Skill station
aided learning

Communication Topic:[Link] Number of competencies: (07) Number of procedures that require certification :(NIL)

Communicate with the patient with empathy and ethics on all

PH5.1 A/C SH Y Small group discussion skill station General Medicine
aspects of drug use

Communicate with the patient regarding optimal use of a) drug

PH5.2 A/C SH Y Small group discussion Skill station
therapy, b) devices and c) storage of medicines

Motivate patients with chronic diseases to adhere to the prescribed short note/skill
PH5.3 A/C SH Y Small group discussion
management by the health care provider station

Explain to the patient the relationship between cost of treatment short note/ viva
PH5.4 A/C SH Y Small group discussion General Medicine
and patient compliance voce

Demonstrate an understanding of the caution in prescribing drugs

short note/ Viva
PH5.5 likely to produce dependence and recommend the line of K KH Y Small group discussion Psychiatry
voce
management

46
 Number
Suggested
COMPETENCY Domain Level K/KH/S Suggested Teaching required to Horizontal
Number Core (Y/N) Assessment Vertical Integration
The student should be able to K/S/A/C H/P Learning method certify Integration
method
P
Demonstrate ability to educate public & patients about various
PH5.6 A/C SH Y Small group discussion Skill station Psychiatry
aspects of drug use including drug dependence and OTC drugs

Demonstrate an understanding of the legal and ethical aspects of short note/ Viva Forensic
PH5.7 K KH Y Small group discussion
prescribing drugs voce Medicine

ColumnC:K-Knowledge,S–Skill,A-Attitude/professionalism,C-Communication.
Column D: K–Knows, KH-Knows How, SH-Shows how, P-performs independently,
Column F: DOAP session – Demonstrate, Observe, Assess, Perform.
Column H: If entry is P: indicate how many procedures must be done independently for certification/ graduation

Integration
Physiology

Lectures, Small group Anaesthesiology,

PY3.5 Discuss the action of neuro-muscular blocking agents K KH Y Written/ Viva voce
discussion Pharmacology

Microbiology

Describe the mechanisms of drug resistance, methods of Written

Lecture , Small group
MI1.6 antimicrobial susceptibility testing and monitoring of antimicrobial K K Y Pharmacology
discussion Viva
therapy.

Describe the enteric fever pathogens and discuss the evolution of

Lecture, Small group Pharmacology,
MI3.3 the clinical course, the laboratory diagnosis of the diseases caused K KH Y Written/ Viva voce General Medicine
discussion Pathology
by them

Enumerate the causative agents of food poisoning and discuss the Lecture, Small group
MI3.5 K KH Y Written/ Viva voce General Medicine Pharmacology
pathogenesis, clinical course and laboratory diagnosis discussion

Describe the etio-pathogenesis of Acid Peptic Disease (APD) and

Lecture, Small group Pharmacology,
MI3.6 the clinical course. Discuss the diagnosis and management of the K KH Y Written/ Viva voce General Medicine
discussion Pathology
causative agent of APD

Community Medicine

47
 Number
Suggested
COMPETENCY Domain Level K/KH/S Suggested Teaching required to Horizontal
Number Core (Y/N) Assessment Vertical Integration
The student should be able to K/S/A/C H/P Learning method certify Integration
method
P
Describe the mode of action & application cycle of commonly used Lecture, Small group
CM3.8 K KH Y Written/ Viva voce Pharmacology
insecticides and rodenticides Discussion

Lecture, Small group

CM19.1 Define and describe the concept of Essential Medicine List (EML) K KH Y Written/ Viva voce Pharmacology
discussion

Lecture, Small group

CM19.2 Describe roles of essential medicine in primary health care K KH Y Written/ Viva voce Pharmacology
discussion

Lecture, Small group

CM19.3 Describe counterfeit medicine and its prevention K KH Y Written/ Viva voce Pharmacology
discussion

Forensic Medicine & Toxicology

Lecture, Small group

FM4.11 Describe and discuss euthanasia K KH Y Written/ Viva voce AETCOM Pharmacology
discussion

Lecture, Small group

FM4.12 Discuss legal and ethical issues in relation to stem cell research K KH Y Written/ Viva voce AETCOM Pharmacology
discussion

Describe and discuss ethical Principles: Respect for autonomy, Lecture, Small group
FM4.17 K KH Y Written/ Viva voce AETCOM Pharmacology
non-malfeasance, beneficence & justice discussion

Explain Oath – Hippocrates, Charaka and Sushruta and procedure Lecture, Small group
FM4.22 K KH Y Written/ Viva voce AETCOM Pharmacology
for administration of Oath discussion

Lecture, Small group

FM4.23 Describe the modified Declaration of Geneva and its relevance K KH Y Written/ Viva voce AETCOM Pharmacology
discussion
Clinical research & Ethics: Lecture, Small group
FM4.25 K KH N Written/ Viva voce AETCOM Pharmacology
Discuss human experimentation including clinical trials discussion

Lecture, Small group

FM4.26 Discuss the constitution and functions of ethical committees K KH Y Written/ Viva voce AETCOM Pharmacology
discussion

Describe and discuss Ethical Guidelines for Biomedical Research Lecture, Small group
FM4.27 K KH N Written/ Viva voce AETCOM Pharmacology
on Human Subjects & Animals discussion

Lecture, Small group

FM8.1 Describe the history of Toxicology K K/KH Y Written/ Viva voce Pharmacology
discussion

48
 Number
Suggested
COMPETENCY Domain Level K/KH/S Suggested Teaching required to Horizontal
Core (Y/N) Assessment Vertical Integration
Number The student should be able to K/S/A/C H/P Learning method certify Integration
method
P
Define the terms Toxicology, Forensic Toxicology, Clinical Lecture, Small group
FM8.2 K K/KH Y Written/ Viva voce Pharmacology
Toxicology and poison discussion

Describe the various types of poisons, Toxicokinetics & Lecture, Small group
FM8.3 K K/KH Y Written/ Viva voce Pharmacology
Toxicodynamics and diagnosis of poisoning in living and dead discussion

Describe the Laws in relations to poisons including NDPS Act, Lecture, Small group
FM8.4 K K/KH Y Written/ Viva voce Pharmacology
Medico-legal aspects of poisons discussion

Describe Medico-legal autopsy in cases of poisoning including Lecture, Small group Written/ Viva
FM8.5 K K/KH Y Pharmacology
preservation and dispatch of viscera for chemical analysis discussion voce/ OSPE

Describe the general symptoms, principles of diagnosis and Lecture, Small group Written/ Viva
FM8.6 K K/KH Y Pharmacology
management of common poisons encountered in India discussion voce/OSCE

Lectures, Small group

Describe simple Bedside clinic tests to detect poison/drug in a Written/ Viva Pharmacology,
FM8.7 K K/KH Y discussion, Bed side
patient‟s body fluids voce/OSCE General Medicine
clinic, DOAP session

Describe basic methodologies in treatment of poisoning: Lectures, Small group

Written/ Viva Pharmacology,
FM8.8 decontamination, supportive therapy, antidote therapy, procedures K K/KH Y discussion, Bed side
voce/ OSCE General Medicine
of enhanced elimination clinic, DOAP session

Describe General Principles and basic methodologies in treatmen Lectures, Small group
of poisoning: decontamination, supportive therapy, antidot discussion, Bed side Written/ Viva Pharmacology,
FM9.1 therapy, procedures of enhanced elimination with regard to Caustic K K/KH Y
clinic, Autopsy, DOAP voce/ OSCE General Medicine
Inorganic – sulphuric, nitric, and hydrochloric acid session
Organic- Carboloic Acid (phenol), Oxalic and acetylsalicylic acids.

Describe General Principles and basic methodologies in treatment Lectures, Small group
of poisoning: decontamination, supportive therapy, antidote discussion, Bed side Written/ Viva Pharmacology,
FM9.2 K K/KH Y
therapy, procedures of enhanced elimination with regard to clinic, Autopsy, DOAP voce/ OSCE General Medicine
Phosphorus, Iodine, Barium session

Describe General Principles and basic methodologies in treatment Lectures, Small group
of poisoning: decontamination, supportive therapy, antidote discussion, Bed side Written/ Viva Pharmacology,
FM9.3 K K/KH Y
therapy, procedures of enhanced elimination with regard to clinic, Autopsy, DOAP voce/ OSCE General Medicine
Arsenic, lead, mercury, copper, iron, cadmium and thallium session

49
 Number
Suggested
COMPETENCY Domain Level K/KH/S Suggested Teaching required to Horizontal
Number Core (Y/N) Assessment Vertical Integration
The student should be able to K/S/A/C H/P Learning method certify Integration
method
P
Describe General Principles and basic methodologies in treatment Lectures, Small group
of poisoning: decontamination, supportive therapy, antidote discussion, Bed side Written/ Viva Pharmacology,
FM9.4 K K/KH Y
therapy, procedures of enhanced elimination with regard to clinic, Autopsy, DOAP voce/ OSCE General Medicine
Ethanol, methanol, ethylene glycol session

Describe General Principles and basic methodologies in treatment

Lectures, Small group
of poisoning: decontamination, supportive therapy, antidote
discussion Bed side Written/ Viva Pharmacology,
FM9.5 therapy, procedures of enhanced elimination with regard to K K/KH Y Pharmacology
clinic, Autopsy, DOAP voce/ OSCE General Medicine
Organophosphates, Carbamates, Organ chlorines, Pyrethroids,
session
Paraquat, Aluminium and Zinc phosphide

Describe General Principles and basic methodologies in treatment

Lectures, Small group
of poisoning: decontamination, supportive therapy, antidote
discussion, Bed side Written/ Viva Pharmacology,
FM9.6 therapy, procedures of enhanced elimination with regard to K K/KH Y
clinic, Autopsy, DOAP voce/ OSCE General Medicine
Ammonia, carbon monoxide, hydrogen cyanide & derivatives,
session
methyl isocyanate, tear (riot control) gases

Describe General Principles and basic methodologies in treatment

of poisoning: decontamination, supportive therapy, antidote
therapy, procedures of enhanced elimination with regard to:
i. Antipyretics – Paracetamol, Salicylates Lectures, Small group
ii. Anti-Infectives (Common antibiotics – an overview) discussion, Bed side Written/ Viva Pharmacology,
FM10.1 iii. Neuropsycho toxicology Barbiturates, benzodiazepines, K K/KH Y Pharmacology
clinic, Autopsy, DOAP voce/ OSCE General Medicine
phenytoin, lithium, haloperidol, neuroleptics, tricyclics session
iv. Narcotic Analgesics, Anaesthetics, and Muscle Relaxants
v. Cardiovascular Toxicology Cardiotoxic plants–oleander,
odollam, aconite, digitalis
vi. Gastro-Intestinal and Endocrinal Drugs –Insulin

Dermatology, Venereology & Leprosy

Enumerate and describe the pharmacology, administration and Lecture, Small group Written / Viva
DR5.3 K KH Y Pediatrics Pharmacology
adverse reaction of pharmacotherapies for scabies discussion voce

Describe the pharmacology and action of antifungal (systemic and Lecture, Small group Microbiology,
DR7.3 K KH Y Written/ Viva voce
topical). agents Enumerate side effects of antifungal therapy discussion Pharmacology

50
 Number
Suggested
COMPETENCY Domain Level K/KH/S Suggested Teaching required to Horizontal
Number Core (Y/N) Assessment Vertical Integration
The student should be able to K/S/A/C H/P Learning method certify Integration
method
P
Enumerate the indications and describe the pharmacology,
Lecture, Small group Written / Viva
DR8.7 administration and adverse reaction of pharmacotherapies for K KH Y Pharmacology
discussion voce
common viral illnesses of the skin

Enumerate, describe and identify lepra reactions and supportive Lecture, Small group Written / Viva
DR9.4 K KH Y General Medicine Pharmacology
measures and therapy of lepra reactions discussion voce

Enumerate the indications and describe the pharmacology, Pharmacology,

Lecture, Small group Written / Viva
DR9.5 administration and adverse reaction of pharmacotherapies for K KH Y General Medicine Community
discussion voce
various classes of leprosy based on National Guidelines Medicine

Pharmacology,
Lecture, Small group Written / Viva
DR9.6 Describe the treatment of Leprosy based on WHO guidelines K KH Y General Medicine Community
discussion voce
Medicine

Enumerate and describe the complications of leprosy and its Lecture, Small group Written / Viva Pharmacology,
DR9.7 K KH Y General Medicine
management, including understanding disability and stigma discussion voce Psychiatry

Enumerate the indications and describe the pharmacology,

Lecture, Small group Written / Viva Pharmacology,
DR10.3 administration and adverse reaction of pharmacotherapies for K KH Y General Medicine
discussion voce Microbiology
syphilis

Enumerate the indications and describe the pharmacology,

indications and adverse reactions of drugs used in the non- Lecture, Small group Written / Viva Pharmacology,
DR10.8 K KH Y General Medicine
syphilitic sexually transmitted diseases (chancroid, donovanosis discussion voce Microbiology
and LGV)

Enumerate the indications and describe the pharmacology,

Lecture, Small group Written / Viva Pharmacology,
DR11.3 administration and adverse reaction of pharmacotherapies for K KH Y General Medicine
discussion voce Microbiology
dermatologic lesions in HIV

Enumerate the indications and describe the pharmacology

Lecture, Small group Written / Viva
DR14.5 indications and adverse reactions of drugs used intheurticaria and K KH Y Pharmacology
discussion voce
angioedema

Enumerate the indications and describe the pharmacology

Lecture, Small group Written / Viva Microbiology,
DR15.3 indications and adverse reactions of topical and systemic drugs K KH Y General Surgery
discussion voce Pharmacology
used in treatment of pyoderma

51
 Number
Suggested
COMPETENCY Domain Level K/KH/S Suggested Teaching required to Horizontal
Number Core (Y/N) Assessment Vertical Integration
The student should be able to K/S/A/C H/P Learning method certify Integration
method
P

Anesthesiology

Choose and write a prescription for appropriate premedications for DOAP session, Bedside
AS3.6 S SH Y Skill station Pharmacology
patients undergoing surgery clinic session

Describe and discuss the pharmacology of drugs used in induction

and maintenance of general anaesthesia (including intravenous and
Lecture, Small group Written / Viva
AS4.1 inhalation induction agents, opiate and non-opiate analgesics, K KH Y Pharmacology
discussion voce
depolarising and non-depolarising muscle relaxants,
anticholinesterases

Lecture, Small group

Observe and describe the principles and the practical aspects of Written / Viva
AS4.3 S KH Y discussion, DOAP Pharmacology
induction and maintenance of anesthesia voce
session

Lecture, Small group

Observe and describe the pharmacology and correct use of Written / Viva
AS5.4 S KH Y discussion, DOAP Pharmacology
commonly used drugs and adjuvant agents in regional anesthesia voce
session

Lecture, Small group

Describe the pharmacology and use of drugs in the management of Written / Viva
AS8.3 K KH Y discussion, DOAP Pharmacology
pain voce
session
Lecture, Small group
Written / Viva General
AS8.4 Describe the principles of pain management in palliative care K KH Y discussion, DOAP Pharmacology
voce Medicine
session

Lecture, Small group

Written / Viva General
AS8.5 Describe the principles of pain management in the terminally ill K KH Y discussion, DOAP Pharmacology
voce Medicine
session

Lecture, Small group

Define and describe common medical and medication errors in Written / Viva General
AS10.4 K KH Y discussion, DOAP Pharmacology
anaesthesia voce Medicine
session

Psychiatry

52
 Number
Suggested
COMPETENCY Domain Level K/KH/S Suggested Teaching required to Horizontal
Number Core (Y/N) Assessment Vertical Integration
The student should be able to K/S/A/C H/P Learning method certify Integration
method
P
Describe the treatment of alcohol and substance abuse disorders Lecture, Small group General
PS4.4 K KH Y Written/ Viva voce Pharmacology
including behavioural and pharmacologic therapy discussion Medicine

Enumerate and describe the pharmacologic basis and side effects of Lecture, Small group General
PS4.6 K KH Y Written/ Viva voce Pharmacology
drugs used in alcohol and substance abuse discussion Medicine

Describe the treatment of schizophrenia including behavioural and Lecture, Small group
PS5.3 K KH Y Written/ Viva voce Pharmacology
pharmacologic therapy discussion

Enumerate and describe the pharmacologic basis and side effects of Lecture Small group
PS5.5 K KH Y Written/ Viva voce Pharmacology
drugs used in schizophrenia discussion

Describe the treatment of depression including behavioural and Lecture, Small group
PS6.4 K KH Y Written/ Viva voce Pharmacology
pharmacologic therapy discussion

Enumerate and describe the pharmacologic basis and side effects of Lecture, Small group
PS6.6 K KH Y Written/ Viva voce Pharmacology
drugs used in depression discussion

Describe the treatment of bipolar disorders including behavioural Lecture, Small group
PS7.4 K KH Y Written/ Viva voce Pharmacology
and pharmacologic therapy discussion

Enumerate and describe the pharmacologic basis and side effects of Lecture, Small group
PS7.6 K KH Y Written/ Viva voce Pharmacology
drugs used in bipolar disorders discussion

Describe the treatment of anxiety disorders including behavioural Lecture, Small group
PS8.4 K KH Y Written/ Viva voce Pharmacology
and pharmacologic therapy discussion

Enumerate and describe the pharmacologic basis and side effects of Lecture, Small group
PS8.6 K KH Y Written/ Viva voce Pharmacology
drugs used in anxiety disorders discussion

Describe the treatment of somatoform disorders including Lecture, Small group General
PS10.4 K KH Y Written/ Viva voce Pharmacology
behavioural, psychosocial and pharmacologic therapy discussion Medicine

Enumerate and describe the pharmacologic basis and side effects of Lecture, Small group General
PS10.6 K KH Y Written/ Viva voce Pharmacology
drugs used in somatoform, dissociative and conversion disorders discussion Medicine

53
 Number
Suggested
COMPETENCY Domain Level K/KH/S Suggested Teaching required to Horizontal
Number Core (Y/N) Assessment Vertical Integration
The student should be able to K/S/A/C H/P Learning method certify Integration
method
P
Describe the treatment of personality disorders including Lecture, Small group
PS11.4 K KH Y Written/ Viva voce Pharmacology
behavioural, psychosocial and pharmacologic therapy discussion

Enumerate and describe the pharmacologic basis and side effects of Lecture, Small group
PS11.6 K KH Y Written/ Viva voce Pharmacology
drugs used in personality disorders discussion

Describe the treatment of psychosomatic disorders including Lecture, Small group General
PS12.4 K KH Y Written/ Viva voce Pharmacology
behavioural, psychosocial and pharmacologic therapy discussion Medicine

Enumerate and describe the pharmacologic basis and side effects of Lecture, Small group
PS12.6 K KH Y Written/ Viva voce Pharmacology
drugs used in psychosomatic disorders discussion

Describe the treatment of psychosexual and gender identity

Lecture, Small group
PS13.4 disorders including behavioural, psychosocial and pharmacologic K KH Y Written/ Viva voce Pharmacology
discussion
therapy

Enumerate the indications and describe the pharmacology, dose and Lecture, Small group
PS18.1 K KH Y Written/ Viva voce Pharmacology
side effects of commonly use drugs in psychiatric disorders discussion

General Medicine

Describe and discuss the pharmacology of drugs including

indications & contraindications in the management of heart failure Lecture, Small group
IM1.24 K KH Y Written/ Viva voce Pharmacology
including diuretics, ACE inhibitors, Beta blockers, aldosterone discussion
antagonists and cardiac glycosides

Describe and discuss the role of penicillin prophylaxis in the Bedside clinic, Small Microbiology
IM1.27 K KH Y Written
prevention of rheumatic heart disease group discussion Pharmacology

log book
Administer an intramuscular injection with an appropriate Bedside clinic, Skill
IM1.30 S SH Y documentation of Pharmacology
explanation to the patient assessment
completion

Discuss and describe the medications used in patients with an acute Lecture Small group
IM2.15 K KH Y Written/ Viva voce Pharmacology
coronary syndrome based on the clinical presentation discussion

54
 Number
Suggested
COMPETENCY Domain Level K/KH/S Suggested Teaching required to Horizontal
Number Core (Y/N) Assessment Vertical Integration
The student should be able to K/S/A/C H/P Learning method certify Integration
method
P
Discuss and describe the indications, formulations, doses, side
Lecture Small group Pharmacology,
IM2.18 effects and monitoring for drugs used in the management of K KH Y Written/ Viva voce
discussion Biochemistry
dyslipidemia

Discuss and describe the assessment and relief of pain in acute Lecture Small group
IM2.20 K KH Y Written/ Viva voce Pharmacology
coronary syndromes discussion

Describe and discuss the indications for nitrates, anti platelet

Lecture Small group
IM2.23 agents, gpIIb - IIIa inhibitors, beta blockers, ACE inhibitors etc in K KH Y Written/ Viva voce Pharmacology
discussion
the management of coronary syndromes

Select, describe and prescribe based on the most like lyaetiology, Skill Assessment/
Bed side clinic, DOAP Pharmacology,
IM3.12 an appropriate empirical antimicrobial based on the pharmacology S SH Y Written/ Viva
session Microbiology
and antimicrobial spectrum voce

Select, describe and prescribe based on culture and sensitivity Skill Assessment/
Bed side clinic, DOAP Pharmacology,
IM3.13 appropriate empalinganti microbial based on the pharmacology and S SH Y Written/ Viva
session Microbiology
antimicrobial spectrum voce

Describe and discuss the pharmacology, indications, adverse

IM4.22 K KH Y Small group, Lecture Written/ Viva voce Pharmacology
reactions, interactions of antimalarial drugs and basis of resistance

Prescribe drugs for malaria based on the species identified, Microbiology,

IM4.23 S SH Y Skill assessment Skill assessment
prevalence of drug resistance and National Programs Pharmacology

IM4.26 Counsel the patient on malarial prevention C SH Y DOAP session Skill assessment Microbiology,
Pharmacology

Enumerate and describe the causes and pathophysiology of drug Lecture, Small group Pathology,
IM5.7 K K Y Written/ Viva voce
induced liver injury discussion Pharmacology

Describe and discuss the management of hepatitis, cirrhosis, portal Skill Assessment/
IM5.16 hypertension, ascites spontaneous, bacterial peritonitis and hepatic K KH Y Written, Small group Written/ Viva Pharmacology General Surgery
encephalopathy voce

Describe and enumerate the indications and side effects of drugs Lecture, Small group Pharmacology,
IM6.13 K K Y Written/ Viva voce
for bacterial, viral and other types of diarrhea discussion Microbiology

55
 Number
Suggested
COMPETENCY Domain Level K/KH/S Suggested Teaching required to Horizontal
Number Core (Y/N) Assessment Vertical Integration
The student should be able to K/S/A/C H/P Learning method certify Integration
method
P
Discuss and describe the principles of HAART, the classes of Lecture, Small group Microbiology,
IM6.17 K K Y Written/ Viva voce
antiretrovirals used, adverse reactions and interactions discussion Pharmacology

Discuss and describe the principles and regimens used in post Lecture Small group Microbiology,
IM6.18 K K Y Written/ Viva voce
exposure prophylaxis discussion Pharmacology

Select, prescribe and communicate appropriate medications for Skill assessment/

IM7.21 K/C SH Y DOAP session Pharmacology Orthopedics
relief of joint pain written

Select, prescribe and communicate preventive therapy for Skill assessment/

IM7.22 K/C SH Y DOAP session Pharmacology
crystalline arthropathies written

Select, prescribe and communicate treatment option for systemic Skill assessment/
IM7.23 K/C SH Y DOAP session Pharmacology
rheumatologic conditions written

Describe the basis for biologic and disease modifying therapy in Bed side clinic, Small Skill assessment/
IM7.24 K KH Y Pharmacology
rheumatologic diseases group discussion written

Skill assessment/
IM8.14 Develop an appropriate treatment plan for essential hypertension K KH Y Small group discussion Written/ Viva Pharmacology
voce

Skill assessment/
IM8.15 Recognise, prioritise and manage hypertensive emergencies S SH Y DOAP session Pharmacology
written

Bed side clinic, DOAP Skill assessment/

IM9.14 Prescribe replacement therapy with iron, B12, folate S SH Y Pharmacology
session written
Pharmacology,
Lecture, Small group
IM9.15 Describe the national programs for anemia prevention K KH Y Written/ Viva voce Community
discussion
Medicine

Identify and describe the priorities in the management of ARF

Lecture, Small group
IM10.25 including diet, volume management, alteration in doses of drugs, K/C KH Y Written/ Viva voce Pharmacology
discussion
monitoring and indications for dialysis

Discuss and describe the pharmacologic therapies for diabetes their Small group discussion,
IM11.16 K KH Y Written/ Viva voce Pharmacology
indications, contraindications, adverse reactions and interactions Lecture

56
 Number
Suggested
COMPETENCY Domain Level K/KH/S Suggested Teaching required to Horizontal
Number Core (Y/N) Assessment Vertical Integration
The student should be able to K/S/A/C H/P Learning method certify Integration
method
P
Describe and discuss the pharmacology, indications, adverse
reactions and interactions of drugs used in the prevention and
Lecture, Small group
IM11.18 treatment of target organ damage and complications of Type II K KH Y Written/ Viva voce Pharmacology
discussion
Diabetes including neuropathy, nephropathy, retinopathy,
hypertension, dyslipidemia and cardiovascular disease

Demonstrate and counsel patients on the correct technique to

IM11.19 S/C SH Y DOAP session Skill assessment Pharmacology
administer insulin

Describe the pharmacology, indications, adverse reaction, Lecture, Small group Viva voce/ short
IM12.13 K KH Y Pharmacology General Surgery
interactions of thyroxine and antithyroid drugs discussion note

Write and communicate to the patient appropriately a prescription

IM12.14 S/C SH Y Skill assessment Skill assessment Pharmacology
for thyroxine based on age, sex, and clinical and biochemical status

Describe and discuss the indications of thionamide therapy, radio

Bedside clinic, small short note/ Viva
IM12.15 iodine therapy and General Surgery in the management of K KH Y Pharmacology General Surgery
group discussion voce
thyrotoxicosis

Describe and distinguish the difference between curative and Lecture, Small group short note/ Viva
IM13.6 K K N Pharmacology
palliative care in patients with cancer discussion voce

Describe and assess pain and suffering objectively in a patient with Bedside clinic, small short note/ Viva
IM13.13 K KH Y Pharmacology General Surgery
cancer group discussion voce

Describe the indications for General Surgery, radiation and Bedside clinic, small short note/ Viva
IM13.14 K KH Y Pharmacology General Surgery
chemotherapy for common malignancies group discussion voce

Describe and enumerate the indications, use, side effects of Bedside clinic, small short note/ Viva
IM13.17 K KH Y Pharmacology Anesthesiology
narcotics in pain alleviation in patients with cancer group discussion voce

Describe and enumerate the indications, pharmacology and side Lecture, small group short note/ Viva
IM14.13 K K Y Pharmacology
effects of pharmacotherapy for obesity discussion voce

Describe and enumerate the indications, pharmacology and side

Lecture, Small group Viva voce/ short
IM15.14 effects of pharmacotherapy of pressors used in the treatment of K K Y Pharmacology General Surgery
discussion note
Upper GI bleed

57
 Number
Suggested
COMPETENCY Domain Level K/KH/S Suggested Teaching required to Horizontal
Number Core (Y/N) Assessment Vertical Integration
The student should be able to K/S/A/C H/P Learning method certify Integration
method
P
Describe and enumerate the indications, pharmacology and side
Lecture, small group short note/ Viva Pharmacology,
IM15.15 effects of pharmacotherapy of acid peptic disease including K K Y General Surgery
discussion voce Microbiology
Helicobacter pylori

Describe and enumerate the indications, pharmacology and side Lecture, small group short note/ Viva Pharmacology,
IM16.13 K K Y
effects of pharmacotherapy for parasitic causes of diarrhea discussion voce Microbiology

Describe and enumerate the indications, pharmacology and side Lecture, Small group short note/ Viva Pharmacology,
IM16.14 K K Y
effects of pharmacotherapy for bacterial and viral diarrhea discussion voce Microbiology

Describe and enumerate the indications, pharmacology and side Lecture, small group short note/ Viva
IM16.16 K K Y Pharmacology
effects of pharmacotherapy including immunotherapy discussion voce

Describe the indications, pharmacology, dose, side effects of Lecture, Small Group
IM17.11 K KH Y Written/ Viva voce Pharmacology
abortive therapy in migraine discussion

Describe the indications, pharmacology, dose, side effects of Lecture, Small Group
IM17.12 K KH Y Written/ Viva voce Pharmacology
prophylactic therapy in migraine discussion

Describe the pharmacology, dose, adverse reactions and regimens Lecture, Small Group
IM17.13 of drugs used in the treatment of bacterial, tubercular and viral K KH Y Written/ Viva voce Pharmacology
discussion
meningitis

IM17.14 Counsel patients with migraine on lifestyle changes and need for A/C SH N DOAP session Skill Assessment Pharmacology
prophylactic therapy

Discuss and describe the pharmacology, dose, side effects and Lecture, Small group
IM19.8 K KH Y Written/ Viva voce Pharmacology
interactions used in the drug therapy of Parkinson‟s syndrome discussion

Enumerate the indications for use of surgery and botulinum toxin in Lecture, Small group
IM19.9 K KH Y Written/ Viva voce Pharmacology General Surgery
the treatment of movement disorders discussion

Enumerate the poisonous snakes of your area and describe the Lecture, Small group Forensic Medicine,
IM20.1 K KH Y Written/ Viva voce
distinguishing marks of each discussion Pharmacology

Enumerate the indications and describe the pharmacology, dose, Lecture, Small group
IM20.7 K KH Y Written/ Viva voce Pharmacology
adverse reactions, hypersensitivity reactions of anti-snake venom discussion

58
 Number
Suggested
COMPETENCY Domain Level K/KH/S Suggested Teaching required to Horizontal
Number Core (Y/N) Assessment Vertical Integration
The student should be able to K/S/A/C H/P Learning method certify Integration
method
P
Describe the diagnosis, initial approach, stabilisation and therapy of Lecture, Small group
IM20.8 K KH N Written/ Viva voce Pharmacology
scorpion envenomation discussion

Describe the diagnosis, initial approach, stabilisation and therapy of Lecture, Small group
IM20.9 K KH N Written/ Viva voce Pharmacology
bee sting allergy discussion

Describe the initial approach to the stabilisation of the patient who Lecture, Small group
IM21.1 K KH Y Written/ Viva voce Pharmacology
presents with poisoning discussion

Enumerate the common plant poisons seen in your area and

Lecture, Small group Forensic Medicine,
IM21.2 describe their toxicology, clinical features, prognosis and specific K KH Y Written/ Viva voce
discussion Pharmacology
approach to detoxification

Enumerate the common corrosives used in your area and describe

Lecture, Small group Forensic Medicine,
IM21.3 their toxicology, clinical features, prognosis and approach to K KH Y Written/ Viva voce
discussion Pharmacology
therapy

Enumerate the commonly observed drug overdose in your area and

Lecture, Small group Forensic Medicine,
IM21.4 describe their toxicology, clinical features, prognosis and approach K KH Y Written/ Viva voce
discussion Pharmacology
to therapy

Observe and describe the functions and role of a poison center in document in log Forensic Medicine,
IM21.5 S KH Y DOAP session
suspected poisoning book Pharmacology

Describe the medico-legal aspects of suspected suicidal or Lecture, Small group

Written/ Viva voce Forensic Medicine,
IM21.6 homicidal poisoning and demonstrate the correct procedure to write S KH Y discussion, DOAP
/ Skill assessment Pharmacology
a medico-legal report on a suspected poisoning session

Counsel family members of a patient with suspected poisoning Forensic Medicine,

IM21.7 A/C SH Y DOAP session Skill assessment
about the clinical and medico-legal aspects with empathy Pharmacology

Lecture, Small group

IM22.3 Describe the approach to the management of hypercalcemia K KH N Written/ Viva voce Pharmacology
discussion

Develop an appropriate empiric treatment plan based on the Microbiology,

IM25.11 C SH Y DOAP session Skill assessment
patient‟s clinical and immune status pending definitive diagnosis Pharmacology

Pediatrics

59
 Number
Suggested
COMPETENCY Domain Level K/KH/S Suggested Teaching required to Horizontal
Number Core (Y/N) Assessment Vertical Integration
The student should be able to K/S/A/C H/P Learning method certify Integration
method
P
PE13.5 Pathology,
Propose a management plan for Fe Deficiency Anaemia S SH Y Bed side clinics, Skill lab Skill Assessment
Pharmacology
Pharmacology,
PE13.6 Discuss the National Anaemia Control Program and its Lecture, Small group
K K Y Written/ Viva voce Community
recommendations Discussion
Medicine

PE14.1 Discuss the risk factors, clinical features, diagnosis and Lecture, Small group
K KH N Written/ Viva voce Pharmacology
management of Lead Poisoning Discussion

PE14.3 Discuss the risk factors, clinical features, diagnosis and Lecture, Small group General
K KH N Written/ Viva voce Pharmacology
management of Organo phosphorous poisoning Discussion Medicine

PE14.4 Discuss the risk factors, clinical features, diagnosis and Lecture, Small group
K KH N Written/ Viva voce Pharmacology
management of paracetamol Poisoning Discussion

PE24.5 Discuss the role of antibiotics, antispasmodics, anti-secretory Lecture, Small group Pharmacology,
K KH Y Written/ Viva voce
drugs, probiotics, anti- emetics in acute diarrheal diseases discussion Microbiology

PE24.8 Discuss the causes, clinical presentation and management of Lecture, Small group Pharmacology,
K KH Y Written/ Viva voce
dysentery in children discussion Microbiology

Microbiology,
PE34.3 Discuss the various regimens for management of Tuberculosis as Lecture, Small group Community Respiratory
K KH Y Written/ Viva voce
per National Guidelines discussion Medicine, Medicine
Pharmacology

Microbiology,
PE34.4 Discuss the preventive strategies adopted and the objectives and Lecture, Small group Community Respiratory
K KH Y Written/ Viva voce
outcome of the National Tuberculosis Control Program discussion Medicine, Medicine
Pharmacology

General Surgery

Discuss the Principles of immunosuppressive therapy. Enumerate

SU13.2 Lecture, Small group Microbiology,
indications, describe surgical principles, management of organ K KH Y Written/ Viva voce
discussion Pharmacology
transplantation

Physical Medicine & Rehabilitation

60
 Number
Suggested
COMPETENCY Domain Level K/KH/S Suggested Teaching required to Horizontal
Number Core (Y/N) Assessment Vertical Integration
The student should be able to K/S/A/C H/P Learning method certify Integration
method
P
Enumerate the indications and describe the therapies for spasticity
Lectures, Small group Pediatrics,
PM3.5 including medications, serial casts, nerve blocks, botulinum toxin K KH Y Pharmacology
discussion Orthopedics
injections

Enumerate the indications and describe the pharmacology and side Lectures, Small group Written / Viva General
PM7.6 K KH Y Pharmacology
effects of commonly used drugs in neuropathic bladder discussion voce Medicine

Respiratory Medicine

Community
Describe the epidemiology, the predisposing factors and microbial Lecture, Small group Written / Viva Medicine,
CT1.4 K KH Y
and therapeutic factors that determine resistance to drugs discussion voce Microbiology,
Pharmacology

Describe and discuss the pharmacology of various antituberculous

Lecture, Small group short note/ Viva Pharmacology,
CT1.14 agents, their indications, contraindications, interactions and adverse K KH Y
discussion voce Microbiology
reactions

Prescribe an appropriate antituberculosis regimen based on the

Pharmacology,
location of disease, smear positivity and negativity and co- Bedside clinic, Small
CT1.15 K SH Y Skill assessment Community
morbidities based on current national guidelines including group discussion, Lecture
Medicine
directly observed tuberculosis therapy (DOTS)

Discuss and describe therapies for OAD including bronchodilators,

Lecture, Small group Written / Viva
CT2.16 leukotriene inhibitors, mast cell stabilisers, theophylline, inhaled K KH Y Pharmacology
discussion voce
and systemic steroids, oxygen and immunotherapy

Orthopaedics

61
 Number
Suggested
COMPETENCY Domain Level K/KH/S Suggested Teaching required to Horizontal
Number Core (Y/N) Assessment Vertical Integration
The student should be able to K/S/A/C H/P Learning method certify Integration
method
P
Describe and discuss the aetiopathogenesis, clinical features,
Investigations and principles of management of Bone and Joint
infections
Lecture, Small group
a) Acute Osteomyelitis Written/ Viva Pathology,
K/S K/KH/S H Y Discussion, Video _ General surgery
b) Subacuteosteomyelitis voce/ OSCE Microbiology
assisted lecture
c) Acute Suppurativearthritis
OR3.1 d) Septic arthritis & HIV infection
e) Spirochaetal infection
f) Skeletal Tuberculosis

62
 Pathology (CODE: PA)
Table [Link] and outcomes

Number of topics Number of outcomes

36 182

63
 Table 5. Details of Competency, Domain, T-L Methods, Assessment methods, Integration.

Number
Suggested Horizontal
COMPETENCY Domain Level K/KH/S Core (Y/N) Suggested Teaching required to
Number Assessment Vertical Integration Integration
The student should be able to K/S/A/C H/P Learning method certify
method
P

PATHOLOGY

Topic: [Link] to Pathology Number of competencies:(03) Number of procedures that require certification:(NIL)

Describe the role of a pathologist in diagnosis and management

PA1.1 K K Y Departmental orientation Written/ Viva voce
of disease

Lecture, Small group

PA1.2 Enumerate common definitions and terms used in Pathology K K Y Written/ Viva voce
discussion

Lecture, Small group

PA1.3 Describe the history and evolution of Pathology K K N Written/ Viva voce
discussion

Topic: [Link] Injury and Adaptation Number of competencies:(08) Number of procedures that require certification:(NIL)

Demonstrate knowledge of the causes, mechanisms, types and Lecture, Small group
PA2.1 K KH Y Written/ Viva voce
effects of cell injury and their clinical significance discussion

Describe the etiology of cell injury. Distinguish between

Lecture, Small group
PA2.2 reversible-irreversible injury: mechanisms; morphology of cell K KH Y Written/ Viva voce
discussion
injury

Intracellular accumulation of fats, proteins, carbohydrates, Lecture, Small group

PA2.3 K KH Y Written/ Viva voce
pigments discussion

Describe and discuss Cell death- types, mechanisms, necrosis, Lecture, Small group
PA2.4 K KH Y Written/ Viva voce
apoptosis (basic as contrasted with necrosis), autolysis discussion

Lecture, Small group

PA2.5 Describe and discuss pathologic calcifications, gangrene K KH Y Written/ Viva voce
discussion

Describe and discuss cellular adaptations: atrophy, hypertrophy, Lecture, Small group
PA2.6 K KH Y Written/ Viva voce
hyperplasia, metaplasia, dysplasia discussion

64
 Number
Suggested Horizontal
COMPETENCY Domain Level K/KH/S Core (Y/N) Suggested Teaching required to
Number Assessment Vertical Integration Integration
The student should be able to K/S/A/C H/P Learning method certify
method
P

Describe and discuss the mechanisms of cellular aging and Lecture, Small group
PA2.7 K KH N Written/ Viva voce
apoptosis discussion

Identify and describe various forms of cell injuries, their

PA2.8 manifestations and consequences in gross and microscopic S SH Y DOAP session Skill assessment
specimens

Topic: [Link] Number of competencies: (02) Number of procedures that require certification: (NIL)

Lecture, Small group

PA3.1 Describe the pathogenesis and pathology of amyloidosis K KH Y Written/ Viva voce
discussion

PA3.2 Identify and describe amyloidosis in a pathology specimen S SH N DOAP session Skill assessment

Topic: [Link] Number of competencies:(04) Number of procedures that require certification: (NIL)

Define and describe the general features of acute and chronic Lecture, Small group
PA4.1 K KH Y Written/ Viva voce General Surgery
inflammation including stimuli, vascular and cellular events discussion

Lecture, Small group

PA4.2 Enumerate and describe the mediators of acute inflammation K KH Y Written/ Viva voce General Surgery
discussion

Define and describe chronic inflammation including causes, types, Lecture, Small group
PA4.3 K KH Y Written/ Viva voce
non-specific and granulomatous; and enumerate examples of each discussion

Identify and describe acute and chronic inflammation in gross and

PA4.4 S SH Y DOAP session Skill assessment
microscopic specimens

Topic: [Link] and repair Number of competencies: (01) Number of procedures that require certification :(NIL)

65
 Number
Suggested Horizontal
COMPETENCY Domain Level K/KH/S Core (Y/N) Suggested Teaching required to
Number Assessment Vertical Integration Integration
The student should be able to K/S/A/C H/P Learning method certify
method
P

Define and describe the process of repair and regeneration Lecture, Small group
PA5.1 K KH Y Written/ Viva voce General Surgery
including wound healing and its types discussion

Topic: [Link] disorders Number of competencies: (07) Number of procedures that require certification :(NIL)

Define and describe edema, its types, pathogenesis and clinical Lecture, Small group
PA6.1 K KH Y Written/ Viva voce General Medicine
correlations discussion

Lecture, Small group

PA6.2 Define and describe hyperemia, congestion, hemorrhage K KH Y Written/ Viva voce
discussion

Lecture, Small group

PA6.3 Define and describe shock, its pathogenesis and its stages K KH Y Written/ Viva voce General Surgery
discussion

Define and describe normal haemostasis and the etiopathogenesis Lecture, Small group
PA6.4 K KH Y Written/ Viva voce
and consequences of thrombosis discussion

Lecture, Small group

PA6.5 Define and describe embolism and its causes and common types K KH Y Written/ Viva voce
discussion

Define and describe Ischaemia/infarction its types, etiology, Lecture, Small group
PA6.6 K KH Y Written/ Viva voce
morphologic changes and clinical effects discussion

Identify and describe the gross and microscopic features of

PA6.7 S SH Y DOAP session Skill Assessment
infarction in a pathologic specimen

Topic: [Link] disorders Number of competencies: (05) Number of procedures that require certification: (NIL)

Define and classify neoplasia. Describe the characteristics of

Lecture, Small group
PA7.1 neoplasia including gross, microscopy, biologic, behaviour and K KH Y Written/ Viva voce
discussion
spread. Differentiate between benign from maignant neoplams

Lecture, Small group

PA7.2 Describe the molecular basis of cancer K KH Y Written/ Viva voce
discussion

66
 Number
Suggested Horizontal
COMPETENCY Domain Level K/KH/S Core (Y/N) Suggested Teaching required to
Number Assessment Vertical Integration Integration
The student should be able to K/S/A/C H/P Learning method certify
method
P

Lecture, Small group

PA7.3 Enumerate carcinogens and describe the process of carcinogenesis K KH Y Written/ Viva voce
discussion

Describe the effects of tumor on the host including paraneoplastic Lecture, Small group
PA7.4 K KH Y Written/ Viva voce
syndrome discussion

Lecture, Small group

PA7.5 Describe immunology and the immune response to cancer K KH N Written/ Viva voce Microbiology
discussion

Topic:8. Basic diagnostic cytology Number of competencies:(03) Number of procedures that require certification: (NIL)

Describe the diagnostic role of cytology and its application in Lecture, Small group
PA8.1 K KH Y Written/ Viva voce General Surgery
clinical care discussion

Written/ Viva
Describe the basis of exfoliative cytology including the technique Lecture, Small group
PA8.2 K KH Y voce / Skill General Surgery
& stains used discussion
assessment

Observe a diagnostic cytology and its staining and interpret the

PA8.3 S KH Y DOAP session Skill assessment
specimen

Topic: [Link] and AIDS Number of competencies: (07) Number of procedures that require certification: (NIL)

Lecture, Small group

PA9.1 Describe the principles and mechanisms involved in immunity K KH Y Written/ Viva voce Pediatrics Microbiology
discussion

Lecture, Small group

PA9.2 Describe the mechanism of hypersensitivity reactions K KH Y Written/ Viva voce Microbiology
discussion

Describe the HLA system and the immune principles involved in Lecture, Small group
PA9.3 K KH Y Written/ Viva voce Microbiology
transplant and mechanism of transplant rejection discussion

Lecture, Small group

PA9.4 Define autoimmunity. Enumerate autoimmune disorders K KH Y Written/ Viva voce General Medicine
discussion

Define and describe the pathogenesis of systemic Lupus Lecture, Small group
PA9.5 K KH Y Written/ Viva voce General Medicine
Erythematosus discussion

67
 Number
Suggested Horizontal
COMPETENCY Domain Level K/KH/S Core (Y/N) Suggested Teaching required to
Number Assessment Vertical Integration Integration
The student should be able to K/S/A/C H/P Learning method certify
method
P

Define and describe the pathogenesis and pathology of HIV and Lecture, Small group
PA9.6 K KH Y Written/ Viva voce General Medicine Microbiology
AIDS discussion

Define and describe the pathogenesis of other common Lecture, Small group
PA9.7 K KH N Written/ Viva voce General Medicine
autoimmune diseases discussion

Topic: 10. Infections and Infestations Number of competencies: (04) Number of procedures that require certification:(NIL)

Lecture, Small group

PA10.1 Define and describe the pathogenesis and pathology of malaria K KH Y Written/ Viva voce General Medicine Microbiology
discussion

Define and describe the pathogenesis and pathology of Lecture, Small group
PA10.2 K KH Y Written/ Viva voce General Medicine Microbiology
cysticercosis discussion

Lecture, Small group

PA10.3 Define and describe the pathogenesis and pathology of leprosy K KH Y Written/ Viva voce General Medicine Microbiology
discussion

Define and describe the pathogenesis and pathology of common Lecture, Small group
PA10.4 K KH N Written/ Viva voce General Medicine Microbiology
bacterial, viral, protozoal and helminthic diseases discussion

Topic: [Link] and paediatric diseases Number of competencies: (03) Number of procedures that require certification :(NIL)

Describe the pathogenesis and features of common cytogenetic Lecture, Small group
PA11.1 K KH N Written/ Viva voce Pediatrics
abnormalities and mutations in childhood discussion

Describe the pathogenesis and pathology of tumor and tumour- like Lecture, Small group
PA11.2 K KH N Written/ Viva voce Pediatrics
conditions in infancy and childhood discussion

Describe the pathogenesis of common storage disorders in infancy Lecture, Small group
PA11.3 K KH N Written/ Viva voce Pediatrics
and childhood discussion

Topic: 12. Environmental and nutritional diseases Number of competencies:(03) Number of procedures that require certification: (NIL)

68
 Number
Suggested Horizontal
COMPETENCY Domain Level K/KH/S Core (Y/N) Suggested Teaching required to
Number Assessment Vertical Integration Integration
The student should be able to K/S/A/C H/P Learning method certify
method
P

Enumerate and describe the pathogenesis of disorders caused by air Lecture, Small group Community
PA12.1 K KH Y Written/ Viva voce
pollution, tobacco and alcohol discussion Medicine

Describe the pathogenesis of disorders caused by protein calorie Lecture, Small group Biochemistry,
PA12.2 K KH Y Written/ Viva voce
malnutrition and starvation discussion Pediatrics

Lecture, Small group

PA12.3 Describe the pathogenesis of obesity and its consequences K KH Y Written/ Viva voce General Medicine
discussion

Topic: [Link] to haematology Number of competencies: (05) Number of procedures that require certification:(NIL)

Lecture, Small group

PA13.1 Describe hematopoiesis and extramedullary hematopoiesis K KH Y Written/ Viva voce General Medicine
discussion

Lecture, Small group

PA13.2 Describe the role of anticoagulants in hematology K KH Y Written/ Viva voce General Medicine
discussion

Lecture, Small group

PA13.3 Define and classify anemia K KH Y Written/ Viva voce General Medicine
discussion

Lecture, Small group

PA13.4 Enumerate and describe the investigation of anemia K KH Y Written/ Viva voce General Medicine
discussion

Perform, Identify and describe the peripheral blood picture in

PA13.5 S SH Y DOAP session Skill assessment General Medicine
anemia

Topic: [Link] anemia Number of competencies: (03) Number of procedures that require certification :(NIL)

Lecture, Small group

PA14.1 Describe iron metabolism K KH Y Written/ Viva voce Biochemistry
discussion

Describe the etiology, investigations and differential diagnosis of Lecture, Small group
PA14.2 K KH Y Written/ Viva voce General Medicine
microcytic hypochromic anemia discussion

Identify and describe the peripheral smear in microcytic

PA14.3 S SH Y DOAP session Skill assessment General Medicine
anemia

Topic: [Link] anemia Number of competencies: (04) Number of procedures that require certification :(NIL)

69
 Number
COMPETENCY Domain Level K/KH/S Suggested Teaching SuggestedAssessm required to Horizontal
Number Core (Y/N) Vertical Integration
The student should be able to K/S/A/C H/P Learning method ent method certify Integration
P

Describe the metabolism of Vitamin B12 and the etiology and Lecture, Small group Biochemistry,
PA15.1 K KH Y Written/ Viva voce
pathogenesis of B12 deficiency discussion General Medicine

Lecture, Small group

PA15.2 Describe laboratory investigations of macrocytic anemia K KH Y Written/ Viva voce General Medicine
discussion

Identify and describe the peripheral blood picture of macrocytic

PA15.3 S SH Y DOAP session Skill assessment
anemia

Enumerate the differences and describe the etiology and

Lecture, Small group
PA15.4 distinguishing features of megaloblastic and non-megaloblastic K KH N Written/ Viva voce General Medicine
discussion
macrocytic anemia

Topic: [Link] anemia Number of competencies: (07) Number of procedures that require certification: (01)

Lecture, Small group Biochemistry,

PA16.1 Define and classify hemolytic anemia K KH Y Written/ Viva voce
discussion General Medicine

Describe the pathogenesis and clinical features and hematologic Lecture, Small group Biochemistry,
PA16.2 K KH Y Written/ Viva voce
indices of hemolytic anemia discussion General Medicine

Describe the pathogenesis, features, hematologic indices and Lecture, Small group Biochemistry,
PA16.3 K KH Y Written/ Viva voce
peripheral blood picture of sickle cell anemia and thalassemia discussion General Medicine

Describe the etiology pathogenesis, hematologic indices and Lecture, Small group Biochemistry,
PA16.4 K KH Y Written/ Viva voce
peripheral blood picture of Acquired hemolytic anemia discussion General Medicine

Describe the peripheral blood picture in different hemolytic Lecture, Small group
PA16.5 K KH Y Written/ Viva voce General Medicine
anaemias discussion

Prepare a peripheral blood smear and identify hemolytic anaemia

PA16.6 S P Y DOAP session Skill assessment 1
from it

Lecture, Small group

PA16.7 Discribe the correct technique to perform a cross match S SH Y Written/ Viva voce
discussion

Topic: 17. Aplastic anemia Number of competencies: (02) Number of procedures that require certification: (NIL)

70
 Number
Suggested Horizontal
COMPETENCY Domain Level K/KH/S Core (Y/N) Suggested Teaching required to
Number Assessment Vertical Integration Integration
The student should be able to K/S/A/C H/P Learning method certify
method
P

Enumerate the etiology, pathogenesis and findings in aplastic Lecture, Small group
PA 17.1 K K N Written/ Viva voce General Medicine
anemia discussion

Enumerate the indications and describe the findings in bone Lecture, Small group
PA17.2 K K N Written/ Viva voce General Medicine
marrow aspiration and biopsy discussion

Topic: [Link] disorders Number of competencies: (02) Number of procedures that require certification:(NIL)

Enumerate and describe the causes of leucocytosis leucopenia Lecture, Small group
PA18.1 K KH Y Written/ Viva voce
lymphocytosis and leukemoid reactions discussion

Describe the etiology, genetics, pathogenesis classification, Lecture, Small group

PA`18.2 K KH Y Written/ Viva voce
features, hematologic features of acute and chronic leukemia discussion

Topic: [Link] node and spleen Number of competencies: (07) Number of procedures that require certification :(NIL)

Enumerate the causes and describe the differentiating features of Lecture, Small group
PA19.1 K KH Y Written/ Viva voce General Surgery
lymphadenopathy discussion

Describe the pathogenesis and pathology of tuberculous Lecture, Small group

PA19.2 K KH Y Written/ Viva voce General Surgery
lymphadenitis discussion

Identify and describe the features of tuberculous lymphadenitis in a

PA19.3 S SH Y DOAP session Skill assessment
gross and microscopic specimen

Describe and discuss the pathogenesis, pathology and the Lecture, Small group
PA19.4 K KH Y Written/ Viva voce General Surgery
differentiating features of Hodgkin's and non-Hodgkin's lymphoma discussion

Identify and describe the features of Hodgkin's lymphoma in a

PA19.5 S SH Y DOAP session Skill assessment General Surgery
gross and microscopic specimen

71
 Number
Suggested Horizontal
COMPETENCY Domain Level K/KH/S Core (Y/N) Suggested Teaching required to
Number Assessment Vertical Integration Integration
The student should be able to K/S/A/C H/P Learning method certify
method
P

Lecture, Small group General Surgery,

PA19.6 Enumerate and differentiate the causes of splenomegaly K KH Y Written/ Viva voce
discussion General Medicine

PA19.7 Identify and describe the gross specimen of anenlargedspleen S SH Y DOAP session Skill assessment

Topic: 20. Plasma cell disorders Number of competencies: (01) Number of procedures that require certification: (NIL)

PA20.1 Describe the features of plasma cell myeloma S SH Y DOAP session Skill assessment

Topic: 21. Hemorrhagic disorders Number of competencies: (05) Number of procedures that require certification: (NIL)

Lecture, Small group

PA21.1 Describe normal hemostasis K KH Y Written/ Viva voce
discussion

Classify and describe the etiology, pathogenesis and pathology of Lecture, Small group
PA21.2 K KH Y Written/ Viva voce Pediatrics
vascular and platelet disorders including ITP and haemophilia's discussion

Differentiate platelet from clotting disorders based on the clinical Lecture, Small group
PA21.3 S SH Y Written/ Viva voce General Medicine
and hematologic features discussion

Define and describe disseminated intravascular coagulation, Lecture, Small group

PA21.4 its laboratory findings and diagnosis of disseminated intra K KH Y Written/ Viva voce General Medicine
discussion
vascular coagulation

Define and describe disseminated intravascular coagulation, its Lecture, Small group
PA21.5 K KH Y Written/ Viva voce General Medicine
laboratory findings and diagnosis of Vitamin K deficiency discussion

Topic: [Link] banking and transfusion Number of competencies: (07) Number of procedures that require certification: (NIL)

Lecture, Small group

PA22.1 Classify and describe blood group systems (ABO and RH) K KH Y Written/ Viva voce
discussion

Enumerate the indications, describe the principles, enumerate and Lecture, Small group Obstetrics &
PA22.2 S SH Y Written/ Viva voce
demonstrate the steps of compatibility testing discussion Gynaecology

72
 Number
Suggested Horizontal
COMPETENCY Domain Level K/KH/S Core (Y/N) Suggested Teaching required to
Number Assessment Vertical Integration Integration
The student should be able to K/S/A/C H/P Learning method certify
method
P

Lecture, Small group General Surgery,

PA22.4 Enumerate blood components and describe their clinical uses K KH Y Written/ Viva voce
discussion General Medicine

Lecture, Small group

PA22.5 Enumerate and describe infections transmitted by blood transfusion K KH Y Written/ Viva voce Microbiology
discussion

Describe transfusion reactions and enumerate the steps in the Lecture, Small group
PA22.6 K KH Y Written/ Viva voce General Medicine
investigation of a transfusion reaction discussion

Enumerate the indications and describe the principles and Lecture, Small group
PA22.7 K KH Y Written/ Viva voce
procedure of autologous transfusion discussion

Topic:23. Clinical Pathology Number of competencies: (03) Number of procedures that require certification: (NIL)

Describe abnormal urinary findings in disease states and identify

PA23.1 S SH Y DOAP session Skill Assessment
and describe common urinary abnormalities in a clinical specimen

Lecture, Small group

PA23.2 Describe abnormal findings in body fluids in various disease states K KH Y Written/ Viva voce
discussion

Describe and interpret the abnormalities in a panel containing

PA23.3 semen analysis, thyroid function tests, renal function tests or liver S SH Y DOAP session Skill Assessment
function tests

Topic: 24. Gastrointestinal tract Number of competencies: (07) Number of procedures that require certification: (NIL)

Describe the etiology, pathogenesis, pathology and clinical features Lecture, Small group
PA24.1 K KH N Written/ Viva voce Dentistry
of oral cancers discussion

Describe the etiology, pathogenesis, pathology, microbiology, Lecture, Small group

PA24.2 K KH Y Written/ Viva voce General Medicine
clinical and microscopic features of peptic ulcer disease discussion

Lecture, Small group

PA24.3 Describe and identify the microscopic features of peptic ulcer S SH Y Written/ Viva voce General Medicine
discussion

73
 Number
Suggested Horizontal
COMPETENCY Domain Level K/KH/S Core (Y/N) Suggested Teaching required to
Number Assessment Vertical Integration Integration
The student should be able to K/S/A/C H/P Learning method certify
method
P

Describe and etiology and pathogenesis and pathologic features of Lecture, Small group
PA24.4 K KH Y Written/ Viva voce General Surgery
carcinoma of the stomach discussion

Describe and etiology and pathogenesis and pathologic features of Lecture, Small group
PA24.5 K KH N Written/ Viva voce General Surgery
Tuberculosis of the intestine discussion

Describe and etiology and pathogenesis and pathologic and Lecture, Small group
PA24.6 K KH Y Written/ Viva voce General Surgery
distinguishing features of Inflammatory bowel disease discussion

Describe the etiology, pathogenesis, pathology and distinguishing Lecture, Small group
PA24.7 K KH Y Written/ Viva voce General Surgery
features of carcinoma of the colon discussion

Topic: 25. Hepatobiliary system Number of competencies: (06) Number of procedures that require certification : (01)

Describe bilirubin metabolism, enumerate the etiology and Biochemistry,

Lecture, Small group
PA25.1 pathogenesis of jaundice, distinguish between direct and indirect K KH Y Written/ Viva voce General
hyperbilirubinemia discussion
Medicine

Describe the pathophysiology and pathologic changes seen Lecture, Small group General Medicine,
PA25.2 inhepatic failure and their clincial manifestations, complications K KH Y Written/ Viva voce
and consequences discussion General Surgery

Describe the etiology and pathogenesis of viral and toxichepatitis:

distinguish the causes of hepatitis based on the clinical and Lecture, Small group
PA25.3 K KH Y Written/ Viva voce General Medicine
laboratory features. Describe the pathology, complications and discussion
consequences of hepatitis

Describe the path physiology, pathology and progression of Lecture, Small group General Medicine,
PA25.4 K KH Y Written/ Viva voce
alcoholic liver disease including cirrhosis discussion General Surgery

Describe the etiology, pathogenesis and complications of portal Lecture, Small group General Medicine,
PA25.5 K KH Y Written/ Viva voce
hypertension discussion General Surgery

Interpret liver function and viral hepatitis serology panel.

PA25.6 Distinguish obstructive from non-obstructive jaundice based on S P Y DOAP session Skill assessment 1 General Medicine
clinical features and liver function tests

74
 Number
Suggested Horizontal
COMPETENCY Domain Level K/KH/S Core (Y/N) Suggested Teaching required to
Number Assessment Vertical Integration Integration
The student should be able to K/S/A/C H/P Learning method certify
method
P

Topic: 26. Respiratory system Number of competencies: (07) Number of procedures that require certification: (NIL)

Define and describe the etiology, types, pathogenesis, stages, Lecture, Small group
PA26.1 K KH Y Written/ Viva voce General Medicine Microbiology
morphology and complications of pneumonia discussion

Describe the etiology, gross and microscopic appearance and Lecture, Small group
PA26.2 K KH Y Written/ Viva voce General Medicine Microbiology
complications of lung abscess discussion

Define and describe the etiology, types, pathogenesis, stages,

Lecture, Small group Physiology, General
PA26.3 morphology and complications and evaluation of Obstructive K KH Y Written/ Viva voce Microbiology
discussion Medicine
airway disease (OAD) and bronchiectasis

Define and describe the etiology, types, pathogenesis, stages,

Lecture, Small group
PA26.4 morphology microscopic appearance and complications of K KH Y Written/ Viva voce General Medicine Microbiology
discussion
tuberculosis

Define and describe the etiology, types, exposure, environmental General Medicine,
Lecture, Small group
PA26.5 influence, pathogenesis, stages, morphology, microscopic K KH Y Written/ Viva voce Community
discussion
appearance and complications of Occupational lung disease Medicine

Define and describe the etiology, types, exposure, genetics

environmental influence, pathogenesis, stages, morphology, Lecture, Small group
PA26.6 K KH Y Written/ Viva voce General Medicine
microscopic appearance, metastases and complications of tumors of discussion
the lung and pleura

Define and describe the etiology, types, exposure, genetics General Medicine,
Lecture, Small group
PA26.7 environmental influence, pathogenesis, morphology, microscopic K KH N Written/ Viva voce Community
discussion
appearance and complications of mesothelioma Medicine

Topic:27. Cardiovascular Systems Number of Competencis:10) Number of procedures that require certification: (NIL)

Distinguish arteriosclerosis from atherosclerosis. Describe the

Lecture, Small group
PA27.1 pathogenesis and pathology of various causes and types of K KH Y Written/ Viva voce General Medicine
discussion
arteriosclerosis

Describe the etiology, dynamics, pathology types and Lecture, Small group
PA27.2 K KH Y Written/ Viva voce General Medicine
complications of aneurysms including aortic aneurysms discussion

75
 Number
Suggested Horizontal
COMPETENCY Domain Level K/KH/S Core (Y/N) Suggested Teaching required to
Number Assessment Vertical Integration Integration
The student should be able to K/S/A/C H/P Learning method certify
method
P

Describe the etiology, types, stages patho physiology, pathology Lecture, Small group General Medicine,
PA27.3 K KH Y Written/ Viva voce
and complications of heart failure discussion Physiology

Describe the etiology, pathophysiology, pathology, gross and

Lecture, Small group
PA27.4 microscopic features, criteria and complications of rheumatic K KH Y Written/ Viva voce General Medicine Microbiology
discussion
fever

Describe the epidemiology, risk factors, etiology, pathophysiology,

Lecture, Small group
PA27.5 pathology, presentations, gross and microscopic features, K KH Y Written/ Viva voce General Medicine
discussion
diagnostic tests and complications of ischemic heart disease

Describe the etiology, pathophysiology, pathology, gross and

Lecture, Small group
PA27.6 microscopic features, diagnosis and complications of infective K KH Y Written/ Viva voce General Medicine Microbiology
discussion
endocarditis

Describe the etiology, pathophysiology, pathology, gross and

Lecture, Small group
PA27.7 microscopic features, diagnosis and complications of pericarditis K KH Y Written/ Viva voce General Medicine
discussion
and pericardial effusion

Interpret abnormalities in cardiac function testing in acute coronary Physiology, General

PA27.8 S SH Y DOAP session Skill Assessment
syndromes Medicine

Classify and describe the etiology, types, pathophysiology,

Lecture, Small group General Medicine,
PA27.9 pathology, gross and microscopic features, diagnosis and K KH N Written/ Viva voce
discussion Physiology
complications of cardiomyopathies

Describe the etiology, pathophysiology, pathology features and Lecture, Small group
PA27.10 K KH N Written/ Viva voce General Medicine Microbiology
complications of syphilis on the cardiovascular system discussion

Topic: 28. Urinary Tract Number of competencies: (16) Number of procedures that require certification:(NIL)

Lecture, Small group

PA28.1 Describe the normal histology of the kidney K K Y Written/ Viva voce
discussion

Define, classify and distinguish the clinical syndromes and describe

Lecture, Small group
PA28.2 the etiology, pathogenesis, pathology, morphology, clinical and K KH Y Written/ Viva voce
discussion
laboratory and urinary findings, complications of renal failure

76
 Number
Suggested Horizontal
COMPETENCY Domain Level K/KH/S Core (Y/N) Suggested Teaching required to
Number Assessment Vertical Integration Integration
The student should be able to K/S/A/C H/P Learning method certify
method
P

Define and describe the etiology, precipitating factors,

Lecture, Small group
PA28.3 pathogenesis, pathology, laboratory urinary findings, progression K KH Y Written/ Viva voce General Medicine
discussion
and complications of acute renal failure

Define and describe the etiology, precipitating factors,

Lecture, Small group
PA28.4 pathogenesis, pathology, laboratory urinary findings progression K KH Y Written/ Viva voce General Medicine
discussion
and complications of chronic renal failure

Define and classify glomerular diseases. Enumerate and describe

the etiology, pathogenesis, mechanisms of glomerular injury, Lecture, Small group Physiology,
PA28.5 K KH Y Written/ Viva voce
pathology, distinguishing features and clinical manifestations of discussion General Medicine
glomerulonephritis

Define and describe the etiology, pathogenesis, pathology,

Lecture, Small group
PA28.6 laboratory, urinary findings, progression and complications of IgA K KH Y Written/ Viva voce General Medicine
discussion
nephropathy

Enumerate and describe the findings in glomerular manifestations Lecture, Small group
PA28.7 K KH Y Written/ Viva voce General Medicine
of systemic disease discussion

Lecture, Small group

PA28.8 Enumerate and classify diseases affecting the tubular interstitium K KH Y Written/ Viva voce General Medicine
discussion
Define and describe the etiology, pathogenesis, pathology,
Lecture, Small group
PA28.9 laboratory, urinary findings, progression and complications of acute K KH Y Written/ Viva voce General Medicine
discussion
tubular necrosis

Describe the etiology, pathogenesis, pathology, laboratory findings,

Lecture, Small group Human Anatomy,
PA28.10 distinguishing features progression and complications of acute and K KH Y Written/ Viva voce
discussion General Surgery
chronic pyelonephritis and reflux nephropathy

Define classify and describe the etiology, pathogenesis pathology,

laboratory, urinary findings, distinguishing features progression Lecture, Small group
PA28.11 and complications of vascular disease of the K KH Y Written/ Viva voce General Medicine
discussion
kidney

77
 Number
Suggested Horizontal
COMPETENCY Domain Level K/KH/S Core (Y/N) Suggested Teaching required to
Number Assessment Vertical Integration Integration
The student should be able to K/S/A/C H/P Learning method certify
method
P

Define classify and describe the genetics, inheritance, etiology,

pathogenesis, pathology, laboratory, urinary findings, Lecture, Small group General Medicine,
PA28.12 K KH Y Written/ Viva voce
distinguishing features, progression and complications of cystic Discussion Pediatrics
disease of the kidney

Define classify and describe the etiology, pathogenesis, pathology, Lecture, Small group
PA28.13 laboratory, urinary findings, distinguishing features progression K KH Y Written/ Viva voce General Surgery
and complications of renal stone disease and obstructive uropathy discussion

Classify and describe the etiology, genetics, pathogenesis, Lecture, Small group
PA28.14 pathology, presenting features, progression and spread of renal K KH Y Written/ Viva voce Pediatrics
tumors discussion

Describe the etiology, genetics, pathogenesis, pathology, presenting Lecture, Small group
PA28.15 K KH N Written/ Viva voce General Medicine
features and progression of thrombotic angiopathies Discussion

Describe the etiology, genetics, pathogenesis, pathology, presenting Lecture, Small group
PA28.16 K KH N Written/ Viva voce General Surgery
features and progression of urothelial tumors discussion

Topic: [Link] Number of competencies:(05) Number of procedures that require certification:(NIL)

Classify testicular tumors and describe the pathogenesis, pathology, Lecture, Small group
PA29.1 presenting and distinguishing features, diagnostic tests, progression K KH Y Written/ Viva voce General Surgery
and spread of testicular tumors discussion

Describe the pathogenesis, pathology, presenting and Lecture, Small group

PA29.2 distinguishing features, diagnostic tests, progression and spread of K KH Y Written/ Viva voce General Surgery
carcinoma of the penis discussion

Describe the pathogenesis, pathology, hormonal dependency Lecture, Small group

PA29.3 presenting and distinguishing features, urologic findings & K KH Y Written/ Viva voce General Surgery
diagnostic tests of benign prostatic hyperplasia Discussion

Describe the pathogenesis, pathology, hormonal dependency Lecture, Small group

PA29.4 presenting and distinguishing features, diagnostic tests, progression K KH Y Written/ Viva voce General Surgery
and spread of carcinoma of the prostate discussion

78
 Number
Suggested Horizontal
COMPETENCY Domain Level K/KH/S Core (Y/N) Suggested Teaching required to
Number Assessment Vertical Integration Integration
The student should be able to K/S/A/C H/P Learning method certify
method
P

Describe the etiology, pathogenesis, pathology and progression of Lecture, Small group
PA29.5 K KH N Written/ Viva voce General Surgery
prostatitis discussion

Topic:30. Female Genital Tract Number of competencies:(09) Number of procedures that require certification:(NIL)

Describe the epidemiology, pathogenesis, etiology, pathology, Lecture, Small group Obstetrics &
PA30.1 K KH Y Written/ Viva voce
screening, diagnosis and progression of carcinoma of the cervix discussion Gynaecology

Describe the pathogenesis, etiology, pathology, diagnosis and Lecture, Small group Obstetrics
PA30.2 K KH Y Written/ Viva voce
progression and spread of carcinoma of the endometrium discussion &Gynaecology

Describe the pathogenesis, etiology, pathology, diagnosis and

Lecture, Small group Obstetrics
PA30.3 progression and spread of carcinoma of the leiomyomas and K KH Y Written/ Viva voce
discussion &Gynaecology
leiomyosarcomas

Classify and describe the etiology, pathogenesis, pathology,

Lecture, Small group Obstetrics
PA30.4 morphology, clinical course, spread and complications of ovarian K KH Y Written/ Viva voce
discussion &Gynaecology
tumors

Describe the etiology, pathogenesis, pathology, morphology,

Lecture, Small group Obstetrics
PA30.5 clinical course, spread and complications of gestational K KH Y Written/ Viva voce
discussion &Gynaecology
trophoblastic neoplasms

Lecture, Small group Obstetrics

PA30.6 Describe the etiology and morphologic features of cervicitis K KH N Written/ Viva voce
discussion &Gynaecology

Describe the etiology, hormonal dependence, features and Lecture, Small group Obstetrics
PA30.7 K KH N Written/ Viva voce
morphology of endometriosis discussion &Gynaecology

Lecture, Small group Obstetrics

PA30.8 Describe the etiology and morphologic features of adenomyosis K KH N Written/ Viva voce
discussion &Gynaecology

79
 Number
Suggested Horizontal
COMPETENCY Domain Level K/KH/S Core (Y/N) Suggested Teaching required to
Number Assessment Vertical Integration Integration
The student should be able to K/S/A/C H/P Learning method certify
method
P

Describe the etiology, hormonal dependence and morphology of Lecture, Small group Obstetrics
PA30.9 K KH N Written/ Viva voce
endometrial hyperplasia discussion &Gynaecology

Topic:[Link] Number of competencies:(04) Number of procedures that require certification:(NIL)

Classify and describe the types, etiology, pathogenesis, pathology Lecture, Small group Human Anatomy,
PA31.1 K KH Y Written/ Viva voce
and hormonal dependency of benign breast disease discussion General Surgery

Classify and describe the epidemiology, pathogenesis,

Lecture, Small group
PA31.2 classification, morphology, prognostic factors, hormonal K KH Y Written/ Viva voce General Surgery
discussion
dependency, staging and spread of carcinoma of the breast

Describe and identify the morphologic and microscopic features of

PA31.3 S SH N DOAP session Skill Assessment General Surgery
carcinoma of the breast

Enumerate and describe the etiology, hormonal dependency and Lecture, Small group Pediatrics,
PA31.4 K KH N Written/ Viva voce
pathogenesis of gynecomastia discussion General Medicine

Topic:32. Endocrine system Number of competencies:(09) Number of procedures that require certification:(NIL)

Human Anatomy,
Enumerate, classify and describe the etiology, pathogenesis, Lecture, Small group Physiology,
PA32.1 K KH Y Written/ Viva voce
pathology and iodine dependency of thyroid swellings discussion General Medicine,
General Surgery

Describe the etiology, cause, iodine dependency, pathogenesis, Physiology,

Lecture, Small group
PA32.2 manifestations, laboratory and imaging features and course of K KH Y Written/ Viva voce
discussion General Medicine
thyrotoxicosis

Describe the etiology, pathogenesis, manifestations, laboratory and Physiology, General

PA32.3 K KH Y Lecture, Small group Written/ Viva voce
imaging features and course of thyrotoxicosis/ hypothyroidism Medicine

80
 Number
Suggested Horizontal
COMPETENCY Domain Level K/KH/S Core (Y/N) Suggested Teaching required to
Number Assessment Vertical Integration Integration
The student should be able to K/S/A/C H/P Learning method certify
method
P

Classify and describe the epidemiology, etiology, pathogenesis, Physiology,

Lecture, Small group
PA32.4 pathology, clinical laboratory features, complications and K KH Y Written/ Viva voce
discussion General Medicine
progression of diabetes mellitus

Describe the etiology, genetics, pathogenesis, manifestations, Lecture, Small group Physiology,
PA32.5 K KH N Written/ Viva voce
laboratory and morphologic features of hyperparathyroidism discussion General Medicine

Describe the etiology, pathogenesis, manifestations, laboratory,

Lecture, Small group
PA32.6 morphologic features, complications and metastases of pancreatic K KH N Written/ Viva voce General Surgery
discussion
cancer

Describe the etiology, pathogenesis, manifestations, laboratory,

morphologic features, complications of adrenal Lecture, Small group Physiology, General
PA32.7 K KH N Written/ Viva voce
discussion Medicine
insufficiency

Describe the etiology, pathogenesis, manifestations, laboratory, Lecture, Small group Physiology,
PA32.8 K KH N Written/ Viva voce
morphologic features, complications of Cushing's syndrome discussion General Medicine
Human Anatomy,
Describe the etiology, pathogenesis, manifestations, laboratory and Lecture, Small group Physiology,
PA32.9 K KH N Written/ Viva voce
morphologic features of adrenal neoplasms discussion General Medicine,
General Surgery

Topic: 33. Bone and soft tissue Number of competencies:(05) Number of procedures that require certification: (NIL)

Classify and describe the etiology, pathogenesis, manifestations,

Lecture, Small group Human Anatomy,
PA33.1 radiologic and morphologic features and complications of K KH Y Written/ Viva voce Microbiology
discussion Orthopaedics
osteomyelitis

Classify and describe the etiology, pathogenesis, manifestations,

Lecture, Small group
PA33.2 radiologic and morphologic features and complications and K KH Y Written/ Viva voce Orthopaedics
discussion
metastases of bone tumors

Classify and describe the etiology, pathogenesis, manifestations,

Lecture, Small group
PA33.3 radiologic and morphologic features and complications and K KH Y Written/ Viva voce Orthopaedics
discussion
metastases of soft tissue tumors

81
 Number
Suggested Horizontal
COMPETENCY Domain Level K/KH/S Core (Y/N) Suggested Teaching required to
Number Assessment Vertical Integration Integration
The student should be able to K/S/A/C H/P Learning method certify
method
P

Classify and describe the etiology, pathogenesis, manifestations,

Lecture, Small group
PA33.4 radiologic and morphologic features and complications of Paget's K KH N Written/ Viva voce Orthopaedics
discussion
disease of the bone

Classify and describe the etiology, immunology, pathogenesis,

Lecture, Small group
PA33.5 manifestations, radiologic and laboratory features, diagnostic K KH N Written/ Viva voce General Medicine
discussion
criteria and complications of rheumatoid arthritis

Topic: 34. Skin Number of competencies:(04) Number of procedures that require certification:(NIL)

Dermatology,
Describe the risk factors pathogenesis, pathology and natural Lecture, Small group
PA34.1 K KH Y Written/ Viva voce Venereology &
history of squamous cell carcinoma of the skin discussion
Leprosy

Dermatology,
Describe the risk factors pathogenesis, pathology and natural Lecture, Small group
PA34.2 K KH Y Written/ Viva voce Venereology &
history of basal cell carcinoma of the skin discussion
Leprosy

Describe the distinguishing features between a nevus and Dermatology,

Lecture, Small group
PA34.3 melanoma. Describe the etiology, pathogenesis, risk factors K KH N Written/ Viva voce Venereology &
discussion
morphology clinical features and metastases of melanoma Leprosy

Dermatology,
PA34.4 Identify, distinguish and describe common tumors of the skin S SH N DOAP session Skill Assessment Venereology &
Leprosy

Topic: 35. Central Nervous System Number of competencies:(03) Number of procedures that require certification:(01)

Describe the etiology, types and pathogenesis, differentiating Lecture, Small group
PA35.1 K KH Y Written/ Viva voce General Medicine Microbiology
factors, CSF findings in meningitis discussion

Classify and describe the etiology, genetics, pathogenesis, Lecture, Small group
PA35.2 K KH Y Written/ Viva voce Pediatrics
pathology, presentation sequelae and complications of CNS tumors discussion

82
 Number
Suggested Horizontal
COMPETENCY Domain Level K/KH/S Core (Y/N) Suggested Teaching required to
Number Assessment Vertical Integration Integration
The student should be able to K/S/A/C H/P Learning method certify
method
P

PA35.3 Identify the etiology of meningitis based on given CSF parameters S P Y DOAP session Skill Assessment 1 General Medicine Microbiology

Topic:[Link] Number of competencies:(01) Number of procedures that require certification:(NIL)

Describe the etiology, genetics, pathogenesis, pathology, Lecture, Small group

PA36.1 K KH N Written/ Viva voce Ophthalmology
presentation, sequelae and complications of retinoblastoma discussion

ColumnC:K-Knowledge,S–Skill,A-Attitude/professionalism,C-Communication.
ColumnD:K–Knows, KH-Knows How, S-Shows how, P-performs independently,
Column F: DOAP session – Demonstrate, Observe, Assess, Perform.
Column H: If entry is P: indicate how many procedures must be done independently for certification/ graduation

Integration
Human Anatomy

AN5.8 Define thrombosis, infarction & aneurysm K KH N Lecture Written Pathology Physiology

AN66.2 Describe the ultrastructure of connective tissue K KH N Lecture, Practical Written Pathology

Identify exocrine gland under the microscope & distinguish Written/ skill
AN70.1 K/S SH Y Lecture, Practical Pathology
between serous, mucous and mixed acini assessment

Identify the lymphoid tissue under the microscope & describe

Written/ skill
AN70.2 microanatomy of lymph node, spleen, thymus, tonsil and correlate K/S SH Y Lecture, Practical Pathology
assessment
the structure with function

Identify bone under the microscope, Classify various types and Written/ skill
AN71.1 K/S SH Y Lecture, Practical Pathology
describe the structure-function correlation of the same assessment

83
 Number
Suggested Horizontal
COMPETENCY Domain Level K/KH/S Core (Y/N) Suggested Teaching required to
Number Assessment Vertical Integration Integration
The student should be able to K/S/A/C H/P Learning method certify
method
P

Identify cartilage under the microscope & describe various types

and structure- function correlation of the same Written/ skill
AN71.2 K/S SH Y Lecture, Practical Pathology
describe various types and structure-function correlation of the assessment
same

Physiology
Lecture, Small group
PY1.4 Describe apoptosis – programmed cell death K KH Y Written/ Viva voce Pathology
discussion

Lecture, Small group

PY2.5 Describe different types of anemia & Jaundice K KH Y Written/ Viva voce Pathology Biochemistry
discussion

Describe the physiological basis of hemostasis and anticoagulants. Lecture, Small group
PY2.8 K KH Y Written/ Viva voce Pathology
Describe bleeding & clotting disorders (Hemophilia, purpura) discussion

Lecture, Small group

Describe different blood groups and discuss the clinical importance
PY2.9 K KH Y discussion, ECE- Visit to Written/ Viva voce Pathology
of blood grouping, blood banking and transfusion
blood bank

Practical/OSPE/
PY2.11 Estimate Hb, RBC, TLC, RBC indices, DLC, Blood groups, BT/CT S SH Y DOAP sessions Pathology
viva voce

Describe test for ESR, Osmotic fragility, Hematocrit. Note the

PY2.12 K KH Y Demonstration Written/ Viva voce Pathology
findings and interpret the test results etc

Demonstration
PY2.13 Describe steps for reticulocyte and platelet count K KH Y Written/ Viva voce Pathology
sessions

Lecture, Small group

PY3.6 Describe the pathophysiology of Myasthenia gravis K KH Y Written/ Viva voce Pathology
discussion

Biochemistry

Describe and discuss enzyme inhibitors as poisons and drugs and as Lecture, small group Pathology, General
BI2.4 K KH Y Written/ Viva voce
therapeutic enzymes discussions Medicine

84
 Number
Suggested Horizontal
COMPETENCY Domain Level K/KH/S Core (Y/N) Suggested Teaching required to
Number Assessment Vertical Integration Integration
The student should be able to K/S/A/C H/P Learning method certify
method
P

Describe and discuss the clinical utility of various serum enzymes Lecture, small group Pathology, General
BI2.5 K KH Y Written/ Viva voce
as markers of pathological conditions discussions Medicine

Discuss use of enzymes in laboratory investigations (Enzyme- Lecture, Small group Pathology, General
BI2.6 K KH Y Written/ Viva voce
based assays) discussion Medicine

Interpret laboratory results of enzyme activities & describe the Lecture, Small group
Pathology, General
BI2.7 clinical utility of various enzymes as markers of pathological K KH Y discussion /DOAP Written/ Viva voce
Medicine
conditions sessions

Discuss and interpret laboratory results of analytes associated with Lecture, Small group Pathology,
BI3.8 K KH Y Written/ Viva voce
metabolism of carbohydrates. discussion General Medicine

Describe and discuss functions of proteins and structure- function Pathology,

Lecture, Small group
BI5.2 relationships in relevant areas eg, hemoglobin and selected K KH Y Written/ Viva voce Physiology
discussions General Medicine
hemoglobinopathies

Describe the functions of haemin the body and describe the

Lecture, Small group Pathology, General
BI6.11 processes involved in its metabolism and describe porphyrin K KH Y Written/ Viva voce Physiology
discussions Medicine
metabolism

Describe the major types of haemoglobin and its derivatives found Lecture, Small group Pathology, General
BI6.12 K KH Y Written/ Viva voce Physiology
in the body and their physiological/ pathological relevance discussions Medicine

Pathology, Physiology,
Describe the functions of the kidney, liver, thyroid and adrenal Lecture, Small group
BI6.13 K KH Y Written/ Viva voce Human
glands. discussions General Medicine Anatomy

Pathology, Physiology,
Describe the tests that are commonly done in clinical practice to Lecture, Small group
BI6.14 K KH Y Written/ Viva voce Human
assess the functions of kidney, liver, thyroid and adrenal glands discussions General Medicine Anatomy

85
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The student should be able to K/S/A/C H/P Learning method certify
method
P

Physiology,
Describe the abnormalities of kidney, liver, thyroid and adrenal Lecture, Small group Pathology, General
BI6.15 K KH Y Written/ Viva voce Human
glands discussions Medicine
Anatomy

Describe the role of oxidative stress in the pathogenesis of

Lecture, Small group General Medicine,
BI7.7 conditions such as cancer, complications of diabetes mellitus and K KH Y Written/ Viva voce
discussions Pathology
atherosclerosis

Discuss the importance of various dietary components and explain Lecture, Small group General Medicine,
BI8.1 K KH Y Written/ Viva voce
importance of dietary fibre discussions Pediatrics, Pathology

Describe the types and causes of protein energy malnutrition and its Lecture, Small group General Medicine,
BI8.2 K KH Y Written/ Viva voce
effects discussions Pediatrics, Pathology

Describe the causes (including dietary habits), effects and health Lecture, Small group General Medicine,
BI8.4 K KH Y Written/ Viva voce
risks associated with being overweight/obesity discussions Pathology

Summarize the nutritional importance of commonly used items of Community

Lecture, Small group
BI8.5 food including fruits and vegetables (macro-molecules & its K KH Y Written/ Viva voce Medicine, General
discussions
importance) Medicine, Pediatrics

Obstetrics &
Describe the cancer initiation, promotion oncogenes & oncogene Lecture, Small group Gynaecology,
BI10.1 K KH Y Written/ Viva voce
activation discussions General Surgery,
Pathology

Obstetrics &
Describe various biochemical tumor markers and the biochemical Lecture, Small group Gynaecology,
BI10.2 K KH Y Written/ Viva voce
basis of cancer therapy discussions General Surgery,
Pathology

Obstetrics &
Describe the cellular and humoral components of the immune Lecture, Small group Gynaecology,
BI10.3 K KH Y Written/ Viva voce
system & describe the types and structure of antibody discussions General Surgery,
Pathology

86
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COMPETENCY Domain Level K/KH/S Core (Y/N) Suggested Teaching required to
Number Assessment Vertical Integration Integration
The student should be able to K/S/A/C H/P Learning method certify
method
P

Describe & discuss innate and adaptive immune responses,

Lecture, Small group General Medicine,
BI10.4 self/non-self recognition and the central role of T-helper cells in K KH Y Written/ Viva voce Physiology
discussions Pathology
immune responses

Pathology,
Lecture, Small group
BI10.5 Describe antigens and concepts involved in vaccine development K KH Y Written/ Viva voce Pediatrics,
discussions
Microbiology

Explain the basis and rationale of biochemical tests done in the

following conditions: diabetes mellitus, dyslipidemia, myocardial
Lecture, Small group General Medicine,
BI11.17 infarction, renal failure, gout, proteinuria, nephrotic syndrome, K KH Y Written/ Viva voce
discussions Pathology
edema, jaundice, liver diseases, pancreatitis, disorders of acid- base
balance, thyroid disorders

Microbiology

MI1.7 Describe the immunological mechanisms in health K KH Y Lecture Written/ Viva voce Pathology

Describe the mechanisms of immunity and response of the host

MI1.8 K KH Y Lecture Written/ Viva voce Pediatrics Pathology
immune system to infections

Lecture, Small group

MI2.1 Describe the etiologic agents in rheumatic fever and their diagnosis K KH Y Written/ Viva voce General Medicine Pathology
discussion

Describe the classification etio-pathogenesis, clinical features and Lecture, Small group
MI2.2 K KH Y Written/ Viva voce General Medicine Pathology
discuss the diagnostic modalities of Infective endocarditis discussion

Identify the microbial agents causing Rheumatic heart disease &

MI2.3 S SH Y DOAP session Skill assessment General Medicine Pathology
infective Endocarditis

List the common microbial agents causing anemia. Describe the

morphology, mode of infection and discuss the pathogenesis, Lecture, Small group
MI2.4 K KH Y Written/ Viva voce General Medicine Pathology
clinical course, diagnosis and prevention and treatment of the discussion
common microbial agents causing Anemia

87
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Number Assessment Vertical Integration Integration
The student should be able to K/S/A/C H/P Learning method certify
method
P

Describe the etio-pathogenesis and discuss the clinical

Lecture, Small group
MI2.5 evolution and the laboratory diagnosis of kalaazar, malaria, K KH Y Written/ viva voce General Medicine Pathology
discussion
filariasis and other common parasites prevalent in India

Describe the epidemiology, the etio-pathogenesis, evolution,

Lecture, Small group
MI2.7 complications, opportunistic infections, diagnosis, prevention K KH Y Written/ viva voce General Medicine Pathology
discussion
and the principles of management of HIV

Enumerate the microbial agents causing diarrhea and dysentery.

Lecture, Small group General Medicine,
MI3.1 Describe the epidemiology, morphology, pathogenesis, clinical K KH Y Written/ viva voce Pathology
discussion Pediatrics
features, and diagnostic modalities of these agents

Describe the enteric fever pathogens and discuss the evolution of

Lecture, Small group Pharmacology,
MI3.3 the clinical course, the laboratory diagnosis of the diseases caused K KH Y Written/ viva voce General Medicine
discussion Pathology
by them

Identify the different modalities for diagnosis of enteric fever.

MI3.4 S KH Y DOAP session Skill assessment General Medicine Pathology
Choose the appropriate test related to the duration of illness

Describe the etio-pathogenesis of Acid Peptic disease (APD) and

Lecture, Small group Pharmacology,
MI3.6 the clinical course. Discuss the diagnosis and management of the K KH Y Written/ viva voce General Medicine
discussion Pathology
causative agent of APD.

Describe the epidemiology, the etio-pathogenesis and discuss the

Lecture, Small group
MI3.7 viral markers in the evolution of Viral hepatitis. Discuss the K KH Y Written/ viva voce General Medicine Pathology
discussion
modalities in the diagnosis, and prevention of viral hepatitis

small group
Choose the appropriate laboratory test in the diagnosis of viral Written/ Viva
MI3.8 K KH Y discussion, Case General Medicine Pathology
hepatitis voce/ OSPE
discussion

Describe the etiopathogenesis, clinical course and discuss the General Medicine,
MI5.1 K KH Y Lecture Written/ viva voce Pathology
laboratory diagnosis of meningitis Pediatrics

Describe the etiopathogenesis, clinical course and discuss the General Medicine,
MI5.2 K KH Y Lecture Written/ viva voce Pathology
laboratory diagnosis of encephalitis. Pediatrics

88
 Number
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Number Assessment Vertical Integration Integration
The student should be able to K/S/A/C H/P Learning method certify
method
P

Describe the etio-pathogenesis of opportunistic infections (OI) and

MI8.2 discuss the factors contributing to the occurrence of OI, and the K KH Y Lecture Written/ Viva voce General Medicine Pathology
laboratory diagnosis

Describe the role of oncogenic viruses in the evolution of virus

MI8.3 K KH Y Lecture Written General Medicine Pathology
associated malignancy

Community Medicine

Describe and discuss the epidemiological and control measures

Small group General Medicine, Microbiology,
CM8.1 including the use of essential laboratory tests at the primary care K KH Y Written/ Viva voce
discussion, Lecture Pediatrics Pathology
level for communicable diseases

Forensic Medicine & Toxicology

Define, describe and discuss death and its types including

Lecture, Small group
FM2.1 somatic/clinical/cellular, molecular and brain-death, Cortical death K KH Y Written/ Viva voce Pathology
discussion
and Brainstem death

Lecture, Small group

FM2.2 Describe and discuss natural and unnatural deaths K KH Y Written/ Viva voce Pathology
discussion

Lecture, Small group

FM2.3 Describe and discuss issues related to sudden natural deaths K KH Y Written/ Viva voce Pathology
discussion

Discuss moment of death, modes of death-coma, asphyxia and Lecture, Small group
FM2.5 K KH Y Written/ Viva voce Pathology
syncope discussion

Lecture, Small group

Describe and discuss autopsy procedures including post- mortem discussion, Written/ Viva voce
FM2.11 examination, different types of autopsies, aims and objectives of K KH Y Pathology
Autopsy, DOAP / OSPE
post-mortem examination
session

Lecture, Small group

Describe the legal requirements to conduct post-mortem discussion, Written/ Viva voce
FM2.12 examination and procedures to conduct medico-legal post- mortem K KH Y Pathology
Autopsy, DOAP / OSPE
examination
session

89
 Number
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COMPETENCY Domain Level K/KH/S Core (Y/N) Suggested Teaching required to
Number Assessment Vertical Integration Integration
The student should be able to K/S/A/C H/P Learning method certify
method
P

Lecture, Small group

FM2.13 Describe and discuss obscure autopsy K KH Y Written/viva voce Pathology
discussion

Describe evidences of abortion - living and dead, duties of doctor Obstetrics &
Lecture, Small group
FM3.28 in cases of abortion, investigations of death due to criminal K K/KH Y Written/viva voce Gynaecology,
discussion
abortion Pathology

Describe different types of specimens and tissues to be collected

both in the living and dead: body fluids (blood, urine, semen,
faeces, saliva), skin, nails, tooth pulp, vaginal smear, viscera, skull, Lecture, Small group
FM6.1 K K/KH Y Written/viva voce Pathology
specimen for histo-pathological examination, blood grouping, HLA discussion
Typing and DNA Fingerprinting. Describe Locard‟s Exchange
Principle

Demonstrate & identify that a particular stain is blood and identify Small group Log book/ skill Forensic Medicicne,
FM14.7 S KH Y
the species of its origin discussion, Lecture station/ Viva voce Physiology

Small group
Demonstrate the correct technique to perform and identify ABO & Log book/ skill Forensic Medicicne,
FM14.8 S SH Y discussion, DOAP
RH blood group of a person station/ Viva voce Physiology
session

Dermatology, Venereology & Leprosy

Identify and distinguish fixed drug eruptions and Steven Johnson Pathology,
DR12.7 S SH Y Bedside clinic Skill assessment 1 General Medicine
syndrome from other skin lesions Microbiology

Describe the etiology, pathogenesis and clinical precipitating Lecture, Small group Microbiology,
DR14.1 K KH Y Written/viva voce
features and classification of Urticaria and angioedema discussion Pathology

DR16.1 Identify and distinguish skin lesions of SLE S SH Y Bedside clinic discussion Skill assessment 2 General Medicine Pathology

DR16.2 Identify and distinguish Raynaud's phenomenon S SH Y Bedside clinic discussion Skill assessment 2 General Medicine Pathology

Anesthesiology

90
 Number
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Number Assessment Vertical Integration Integration
The student should be able to K/S/A/C H/P Learning method certify
method
P

Lecture, Small group

Enumerate blood products and describe the use of blood products
AS9.4 K KH Y discussion, DOAP Written/ Viva voce Pathology General Surgery
in the preoperative period
session

ENT
Lecture, Small group
EN1.2 Describe the pathophysiology of common diseases in ENT K KH Y discussion, DOAP Written/ Viva voce Pathology
session

Ophthalmology

Describe and discuss the aetio-pathogenesis, stages of maturation Lecture, Small group
OP7.2 K KH Y Written/ Viva voce Pathology
and complications of cataract discussion

Discuss the aetiology, pathology, clinical features and management Lecture, Small group Human Anatomy,
OP8.1 K KH Y Written/ Viva voce
of vascular occlusions of the retina discussion Pathology

Dentistry
Discuss the prevalence of oral cancer and enumerate the common
types of cancer that can affect tissues of the oral Lecture, Small group
DE4.1 K K N Viva voce Pathology ENT
discussion
cavity

Discuss the role of etiological factors in the formation of Lecture, Small group
DE4.2 K KH Y Viva voce Pathology ENT
precancerous /cancerous lesions discussion

Observation, Bed side

DE4.3 Identify potential pre-cancerous / cancerous lesions S SH N Skill assessment Pathology ENT
clinics

Counsel patients to risks of oral cancer with respect to Document in Log

DE4.4 A/C SH Y DOAP session 2 Pathology ENT
tobacco, smoking, alcohol and other causative factors. book

General Medicine

91
 Number
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COMPETENCY Domain Level K/KH/S Core (Y/N) Suggested Teaching required to
Number Assessment Vertical Integration Integration
The student should be able to K/S/A/C H/P Learning method certify
method
P

Describe and discuss the epidemiology, pathogenesis clinical

Lecture, Small group Pathology,
IM1.1 evolution and course of common causes of heart disease including: K KH Y Written/ Viva voce
discussion Physiology
rheumatic/ valvular, ischemic, hypertrophic inflammatory

Describe and discuss the genetic basis of some forms of heart Lecture, Small group Pathology,
IM1.2 K KH N Written
failure discussion Physiology

Describe and discuss the aetiology, microbiology, pathogenies and

Pathology,
clinical evolution of rheumatic fever, criteria, degree of rheumatic Lecture, Small group
IM1.3 K KH Y Written/ Viva voce Physiology,
activity and rheumatic valvular heart disease and its complications discussion
Microbiology
including infective endocarditis

Lecture, Small group Pathology,

IM1.4 Stage heart failure K KH Y Written/ Viva voce
discussion Physiology

Describe, discuss and differentiate the processes involved in R vs L Lecture, Small group Pathology,
IM1.5 K KH Y Written/ Viva voce
heart failure, systolic vs diastolic failure discussion Physiology

Describe and discuss the compensatory mechanisms involved in

Lecture, Small group Pathology,
IM1.6 heart failure including cardiac remodelling and neurohormonal K KH Y Written/ Viva voce
discussion Physiology
adaptations

Enumerate, describe and discuss the factors that exacerbate heart

Lecture, Small group Pathology,
IM1.7 failure including ischemia, arrythmias, anemia, thyrotoxicosis, K KH Y Written/ Viva voce
discussion Physiology
dietary factors drugs etc.

Describe and discuss the pathogenesis and development of

Lecture, Small group Pathology,
IM1.8 common arrhythmias involved in heart failure particularly atrial K KH Y Written/ Viva voce
discussion Physiology
fibrillation

Describe and discuss the clinical presentation and features,

Lecture, Small group Pathology,
IM1.9 diagnosis, recognition and management of acuter heumatic K KH Y Written/ Viva voce
discussion Microbiology
fever

92
 Number
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COMPETENCY Domain Level K/KH/S Core (Y/N) Suggested Teaching required to
Number Assessment Vertical Integration Integration
The student should be able to K/S/A/C H/P Learning method certify
method
P

Pathology,
Discuss and describe the epidemiology, antecedents and risk factors Lecture, Small group Physiology,
IM2.1 K KH Y Written/ Viva voce
for atherosclerosis and ischemic heart disease discussion Community
Medicine

Discuss the aetiology of risk factors both modifiable and non- Lecture, Small group Pathology,
IM2.2 K KH Y Written/ Viva voce
modifiable of atherosclerosis and IHD discussion Physiology

Discuss and describe the pathogenesis natural history, evolution Lecture, Small group Pathology,
IM2.4 K KH Y Written/ Viva voce
and complications of atherosclerosis and IHD discussion Physiology

Define the various acute coronary syndromes and describe their Lecture, Small group
IM2.5 K KH Y Written/ Viva voce Pathology
evolution, natural history and outcomes discussion

Human Anatomy,
Define, discuss, describe and distinguish community acquired Lecture , Small group short note/ Viva
IM3.1 K K Y Pathology,
pneumonia, nosocomial pneumonia and aspiration pneumonia discussion voce
Microbiology

Discuss and describe the pathogenesis, presentation, natural history Lecture, Small group short note/ Viva Pathology,
IM3.3 K K Y
and complications of pneumonia discussion voce Microbiology

Describe and discuss the pathophysiology and manifestations of

Lecture, Small group Pathology,
IM4.5 malignant causes of fever including hematologic and lymph K KH Y written
discussion Microbiology
nodemalignancies

Order and interpret diagnostic tests based on the differential

diagnosis including: CBC with differential, peripheral smear,
urinary analysis with sediment, Chest X ray, blood and urine Bed side clinic, Skill Pathology,
IM4.12 K SH Y Skill assessment
cultures, sputum gram stain and cultures, sputum AFB and cultures, assessment Microbiology
CSF analysis, pleural and body fluid analysis, stool routine and
culture and QBC

Enumerate the indications and describe the findings in tests of

Lecture, Small group
IM4.16 inflammation and specific rheumatologic tests, serologic testing for K KH N written Pathology
discussion
pathogens including HIV, bone marrow aspiration and biopsy

log book
Observe and assist in the performance of a bone marrow aspiration
IM4.17 S SH N skills lab documentation/ Pathology
and biopsy in a simulated environment
DOAP session

93
 Number
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COMPETENCY Domain Level K/KH/S Core (Y/N) Suggested Teaching required to
Number Assessment Vertical Integration Integration
The student should be able to K/S/A/C H/P Learning method certify
method
P

Describe and discuss the physiologic and biochemical basis of Lecture, Small group Pathology,
IM5.1 K K Y Written/Viva voce
Hyper bilirubinemia Discussion Physiology

Describe and discuss the aetiology and pathophysiology of liver Lecture, Small group Pathology,
IM5.2 K K Y Written/Viva voce
injury discussion Physiology

Describe and discuss the pathologic changes in various forms of Lecture, Small group
IM5.3 K K Y Written/Viva voce Pathology
liver disease discussion

Describe and discuss the epidemiology, microbiology, immunology Lecture, Small group Pathology,
IM5.4 K K Y Written/Viva voce
and clinical evolution of infective (viral) hepatitis discussion Microbiology

Describe and discuss the pathophysiology and clinical evolution of Lecture, Small group
IM5.5 K K Y Written/Viva voce Pathology
alcoholic liver disease discussion

Describe and discuss the pathophysiology, clinical evolution and

complications of cirrhosis and portal hyper tension including Lecture, Small group
IM5.6 K K Y Written/Viva voce Pathology
ascites, spontaneous bacterial peritonitis, hepatorenal syndrome and Discussion
hepatic encephalopathy

Enumerate and describe the causes and pathophysiology of drug Lecture, Small group Pathology,
IM5.7 K K Y Written/Viva voce
induced liver injury Discussion Pharmacology

Choose and interpret appropriate diagnostic tests including: CBC, Bedside clinic, DOAP
IM5.12 bilirubin, function tests, Hepatitis serology and ascitic fluid S KH Y Skill assessment Pathology
examination in patient with liver diseases session

Outline a diagnostic approach to liver disease based on Bedside clinic, Small Pathology,
IM5.14 S SH Y viva voce/ written
hyperbilirubinemia, liver function changes and hepatitis serology group discussion Microbiology

Describe and discuss the pathogenesis, evolution and clinical Lecture, Small group short notes/ Viva Pathology,
IM6.5 K KH Y
features of common HIV related malignancies discussion voce Microbiology

Describe and discuss the pathogenesis, evolution and clinical Lecture, Small group short notes/ Viva Pathology,
IM6.6 K KH Y
features of common HIV related skin and oral lesions discussion voce Microbiology

94
 Number
Suggested Horizontal
COMPETENCY Domain Level K/KH/S Core (Y/N) Suggested Teaching required to
Number Assessment Vertical Integration Integration
The student should be able to K/S/A/C H/P Learning method certify
method
P

Choose and interpret appropriate diagnostic tests to diagnose and Bed side clinic, DOAP
written/ Skill Pathology,
IM6.10 classify the severity of HIV-AIDS including specific tests of HIV, K KH Y session, Small group
assessment Microbiology
CDC discussion

Enumerate the indications of and discuss about prophylactic drugs Lecture, Small group Pathology,
IM6.19 K/C K Y Written/ Viva voce
used to prevent HIV related opportunistic infections discussion Microbiology

Lecture, Small group

IM7.1 Describe the pathophysiology of autoimmune disease K KH Y Written/ Viva voce Pathology
discussion

Lecture, Small group

IM7.2 Describe the genetic basis of autoimmune disease K KH N Written/ Viva voce Pathology
discussion

Enumerate the indications for and interpret the results of: CBC,
Bed side clinic, small Skill assessment/
IM7.16 anti CCP (Anti-cyclic citrullinated peptide), RA, ANA, DNA and K SH Y Pathology
group written
other tests of autoimmunity

Describe and discuss the epidemiology, aetiology and the Lecture, Small group Pathology,
IM8.1 K KH Y Written/ Viva voce
prevalence of primary and secondary hypertension discussion Physiology

Lecture, Small group Pathology,

IM8.2 Describe and discuss the pathophysiology of hypertension K KH Y Written/ Viva voce
discussion Physiology

Lecture, Small group

IM8.3 Describe and discuss the genetic basis of hypertension K KH N Written/ Viva voce Pathology
discussion

Lecture, Small group

IM8.4 Define and classify hypertension K KH Y Written/ Viva voce Pathology
discussion

Describe and discuss the differences between primary and Lecture, Small group
IM8.5 K KH Y Written/ Viva voce Pathology
secondary hypertension discussion

Describe and discuss the clinical manifestations of the various Lecture, Small group
IM8.7 K KH Y Written/ Viva voce Pathology
aetiologies of secondary causes of hypertension discussion

Describe, discuss and identify target organ damage due to Lecture, Small group
IM8.8 K KH Y Written/ Viva voce Pathology
hypertension discussion

95
 Suggested Number required Horizontal
COMPETENCY Domain Level K/KH/S Core (Y/N) Suggested Teaching Vertical
Number Assessment to certify Integration
The student should be able to K/S/A/C H/P Learning method Integration
method P

Define, describe and classify anemia based on red blood cell size Lecture, Small group Written/
IM9.1 K KH Y Pathology
and reticulocyte count discussion Viva voce

Describe and discuss the morphological characteristics, aetiology Lecture, Small group Written/
IM9.2 K KH Y Pathology
and prevalence of each of the causes of anemia discussion Viva voce

Bed side clinic, DOAP

Generate a differential diagnosis and prioritise based on clinical Skill assessment/
IM9.6 S SH Y session, Small group Pathology
features that suggest a specific aetiology written
discussion

Describe the appropriate diagnostic work up based on the presumed Bed side clinic, DOAP Skill assessment/
IM9.7 S SH Y Pathology
aetiology session written

Written/
Describe and discuss the meaning and utility of various Lecture, Small group
IM9.8 K KH Y Viva voce / Skill Pathology
components of the hemogram discussion
assessment
Written/
Lecture, Small group
IM9.9 Describe and discuss the various tests for iron deficiency K KH Y Viva voce / Skill Pathology
discussion
assessment

Order and interpret tests for anemia including hemogram, red cell Bed side clinic, DOAP Skill assessment/
IM9.10 S SH Y Pathology
indices, reticulocyte count, iron studies, B12 and folate. session written

Describe, perform and interpret a peripheral smear and stool occult Bed side clinic, DOAP Skill assessment/
IM9.11 S SH P Pathology
blood session written

Written/
Describe the indications and interpret the results of a bone marrow Lecture, Small group
IM9.12 K KH Y Viva voce / Skill Pathology
aspirations and biopsy discussion
assessment
Written/
Describe, develop a diagnostic plan to determine the aetiology of Lecture, Small group
IM9.13 K KH Y Viva voce / Skill Pathology
anemia discussion
assessment
Written/
Describe the indications for blood transfusion and the appropriate Lecture, Small group
IM9.18 K KH Y Viva voce / Skill Pathology
use of blood components discussion
assessment

Define, describe and differentiate between acute and chronic renal Lecture, Small group Written/
IM10.1 K KH Y Pathology
failure discussion Viva voce

96
 Suggested Number required Horizontal
COMPETENCY Domain Level K/KH/S Core (Y/N) Suggested Teaching Vertical
Number Assessment to certify Integration
The student should be able to K/S/A/C H/P Learning method Integration
method P

Classify, describe and differentiate the pathophysiologic causes of Lecture, Small group
IM10.2 K KH Y Written/ Viva voce Pathology
acute renal failure discussion

Describe the pathophysiology and causes of pre renal ARF, renal Lecture, Small group
IM10.3 K KH Y Written/ Viva voce Pathology
and post renal ARF discussion

IM10.4 Describe the evolution, natural history and treatment of ARF K KH Y Lecture, small group Written/ Viva voce Pathology

Lecture, Small group

IM10.5 Describe and discuss the aetiology of CRF K KH Y Written/ Viva voce Pathology
discussion
Lecture, Small group
IM10.6 Stage Chronic Kidney Disease K KH Y Written/ Viva voce Pathology
discussion

Describe and discuss the pathophysiology and clinical findings of Lecture, Small group
IM10.7 K KH Y Written/ Viva voce Pathology
uraemia discussion

Classify, describe and discuss the significance of proteinuria in Lecture, Small group
IM10.8 K KH Y Written/ Viva voce Pathology
CKD discussion

Describe and discuss the pathophysiology of anemia and Lecture, Small group
IM10.9 K KH Y Written/ Viva voce Pathology
hyperparathyroidism in CKD discussion

Describe and discuss the association between CKD glycemia and Lecture, Small group
IM10.10 K KH Y Written/ Viva voce Pathology
hypertension discussion

Describe and discuss the relationship between CAD risk factors Lecture, Small group
IM10.11 K KH Y Written/ Viva voce Pathology
and CKD and in dialysis discussion

Enumerate the indications for and interpret the results of: renal Skill assessment/
DOAP session, Small
IM10.16 function tests, calcium, phosphorus, PTH, urine electrolytes, K KH Y Written/ Viva Pathology
group discussion
osmolality, Anion gap voce

Describe and calculate indices of renal function based on available Skill assessment/
DOAP session, Small
IM10.17 laboratories including FENa (Fractional Excretion of Sodium) and S SH Y Written/ Viva Pathology
group discussion
CrCl (Creatinine Clearance) voce

Describe and discuss the epidemiology and pathogenesis and risk Lecture, Small group
IM11.2 K KH Y Written/ Viva voce Pathology
factors and clinical evolution of type 1 diabetes discussion

97
 Suggested Number required Horizontal
COMPETENCY Domain Level K/KH/S Core (Y/N) Suggested Teaching Vertical
Number Assessment to certify Integration
The student should be able to K/S/A/C H/P Learning method Integration
method P

Describe and discuss the epidemiology and pathogenesis and risk Lecture, Small group
IM11.3 K KH Y Written/ Viva voce Pathology
factors, economic impact and clinical evolution of type 2 diabetes discussion

Describe and discuss the pathogenesis and temporal evolution of Lecture, Small group
IM11.5 K KH Y Written/ Viva voce Pathology
microvascular and macrovascular complications of diabetes discussion

Order and interpret laboratory tests to diagnose diabetes and its

Bed side clinic, DOAP
complications including: glucoses, glucose tolerance test,
IM11.11 S SH Y session, Small group Skill assessment Pathology
glycosylated hemoglobin, urinary micro albumin, ECG,
discussion
electrolytes, ABG, ketones, renal function tests and lipid profile

Bed side clinic, DOAP

Pathology,
IM11.12 Perform and interpret a capillary blood glucose test S P Y session, Small group Skill assessment 2
Biochemistry
discussion

Bed side clinic, DOAP Pathology,

IM11.13 Perform and interpret a urinary ketone estimation with a dipstick S P Y Skill assessment 2
session Biochemistry

Enumerate the causes of hypoglycaemia and describe the counter Lecture, Small group Pathology,
IM11.22 K KH Y Written/ Viva voce
hormone response and the initial approach and treatment discussion Physiology

Describe the epidemiology and pathogenesis

of hypothyroidism and hyperthyroidism including the influence of Lecture, Small group Pathology,
IM12.1 K K Y Written/ Viva voce
iodine deficiency and autoimmunity in the pathogenesis of thyroid discussion Physiology
disease

Describe and discuss the physiology of the hypothalamo- pituitary -

Lecture, Small group Pathology,
IM12.3 thyroid axis, principles of thyroid function testing and alterations in K K Y short notes
discussion Physiology
physiologic function

Describe the clinical epidemiology and inherited & modifiable risk Lecture, Small group short note/ Viva Pathology,
IM13.1 K K Y
factors for common malignancies in India discussion voce Biochemistry

Lecture, Small group short note/ Viva

IM13.2 Describe the genetic basis of selected cancers K K N Pathology
discussion voce

98
 Suggested Number required Horizontal
COMPETENCY Domain Level K/KH/S Core (Y/N) Suggested Teaching Vertical
Number Assessment to certify Integration
The student should be able to K/S/A/C H/P Learning method Integration
method P

Lecture, Small group short note/ Viva Pathology,

IM13.3 Describe the relationship between infection and cancers K K Y
discussion voce Microbiology

Describe the natural history, presentation, course, complications Lecture, Small group short note/ Viva
IM13.4 K K Y Pathology
and cause of death for common cancers discussion voce

Describe the need, tests involved, their utility in the prevention Bedside clinic, small short note/ Viva
IM13.15 K KH Y Pathology
of common malignancies group discussion voce

Describe and discuss the aetiology of obesity including Lecture, Small group short note/ Viva
IM14.2 K K Y Pathology
modifiable and non-modifiable risk factors and secondary causes discussion voce

Lecture, Small group short note/ Viva

IM14.3 Describe and discuss the monogenic forms of obesity K K N Pathology
discussion voce

Describe and discuss the impact of environmental factors Pathology,

Lecture, Small group short note/ Viva
IM14.4 including eating habits, food, work, environment and physical K K Y Community
discussion voce
activity on the incidence of obesity Medicine

Describe and discuss the natural history of obesity and its Lecture, Small group short note/ Viva
IM14.5 K K Y Pathology
complications discussion voce

Enumerate, describe and discuss the aetiology of upper andlower Lecture, Small group short note/ Viva
IM15.1 K K Y Pathology General Surgery
GI bleeding discussion voce

Enumerate, describe and discuss the evaluation and steps DOAP session, Small Written/
IM15.2 involved in stabilizing a patient who presents with acute volume S SH Y Viva voce/Skill Pathology General Surgery
loss and GI bleed group discussion, Lecture
assessment

Describe and discuss the physiologic effects of acute blood and Lecture, Small group short note/ Viva Pathology,
IM15.3 K K Y General Surgery
volume loss discussion voce Physiology

ChooseandinterpretdiagnostictestsbasedontheclinicalDiagnosisinc Bedside clinic, DOAP Skill assessment/

IM15.9 ludingcompletebloodcount,PTandPTT,stool examination, occult S SH Y session, Small group short note/ Viva Pathology General Surgery
blood, liver function tests, [Link] discussion voce

99
 Suggested Number required Horizontal
COMPETENCY Domain Level K/KH/S Core (Y/N) Suggested Teaching Vertical
Number Assessment to certify Integration
The student should be able to K/S/A/C H/P Learning method Integration
method P

Develop document and present a treatment plan that includes fluid

Lecture, Small group Short note/ viva
IM15.11 resuscitation, blood and blood component transfusion and specific S KH Y Pathology General Surgery
discussion voce
therapy for arresting blood loss

Enumerate the indications for whole blood, component and platelet

Lecture, Small group Short note/ viva
IM15.12 transfusion and describe the clinical features and management of a K K Y Pathology General Surgery
discussion voce
mismatched transfusion

Short note/
Viva voce/
IM15.13 Observe cross matching and blood / blood component transfusion S SH Y Bedside clinic Pathology General Surgery
Skill
assessment

Elicit and document and present an appropriate history that

Microbiology,
IM16.4 includes the natural history, dietary history, travel, sexual history S SH Y Bedside clinic skills lab Skill assessment
Pathology
and other concomitant illnesses

Bedside clinic, Skills Skill assessment/

Choose and interpret diagnostic tests based on the clinical diagnosis Microbiology,
IM16.8 S SH Y lab, Small group Short note/ viva
including complete blood count, and stool examination Pathology
discussion voce

Enumerate and discuss the indications for further investigations

Lecture, Small group
IM16.12 including antibodies, colonoscopy, diagnostic imaging and biopsy K KH Y Written/ Viva voce Pathology General Surgery
discussion
in the diagnosis of chronic diarrhea

Distinguish, based on the clinical presentation, Crohn‟s disease Lecture, Small group Short note/ viva
IM16.15 S SH Y Pathology General Surgery
from ulcerative colitis discussion voce

Enumerate the indications and describe the findings in the CSF in Small group, Bedside Microbiology,
IM17.7 K K Y Skill Assessment
patients with meningitis clinic Pathology

Demonstrate in a mannequin or equivalent the correct technique Microbiology,

IM17.8 S SH Y DOAP session Skill assessment
for performing a lumbar puncture Pathology
Small group
Interpret the CSF findings when presented with various parameters Microbiology,
IM17.9 S SH Y discussion, Bedside Skill assessment
of CSF fluid analysis Pathology
clinic

Classify cerebrovascular accidents and describe the aetiology,

Lecture, Small group
IM18.2 predisposing genetic and risk factors pathogenesis of hemorrhagic K KH Y Written/ Viva voce Pathology
discussion
and non hemorrhagic stroke

100
 Suggested Number required Horizontal
COMPETENCY Domain Level K/KH/S Core (Y/N) Suggested Teaching Vertical
Number Assessment to certify Integration
The student should be able to K/S/A/C H/P Learning method Integration
method P

Elicit and document and present an appropriate history including

onset, progression precipitating and aggravating relieving factors,
IM18.3 S SH Y Bedside clinic Skill assessment Pathology
associated symptoms that help identify the cause of the
cerebrovascular accident

Enumerate the causes of hypercalcemia and distinguish the features Lecture, Small group Pathology,
IM22.1 K KH N Written/ Viva voce
of PTH vs non PTH mediated hypercalcemia discussion Physiology

Describe the aetiology, clinical manifestations, diagnosis and Lecture, Small group
IM22.2 K KH N Written/ Viva voce Pathology General Surgery
clinical approach to primary hyperparathyroidism discussion

Enumerate the components and describe the genetic basis of the Lecture, Small group
IM22.4 K KH N Written/ Viva voce Pathology
multiple endocrine neoplasia syndrome discussion

Order and interpret diagnostic tests based on the differential

diagnosis including: CBC with differential, blood biochemistry,
peripheral smear, urinary analysis with sediment, Chest X ray, Bed side clinic, Skill Pathology,
IM25.7 K SH Y Skill assessment
blood and urine cultures, sputum gram stain and cultures, sputum assessment Microbiology
AFB and cultures, CSF analysis, pleural and body fluid analysis,
stool routine and culture and QBC

Obstetrics & Gynaecology

Enumerate the indications and describe the appropriate use of Lecture, Small group
OG10.2 K KH Y Pathology
blood and blood products, their complications and management discussion

Pediatrics
Physiology,
Describe the common etiology, clinical features and management Lecture, Small group
PE11.1 K KH Y Written/ Viva voce Biochemistry,
of obesity in children discussion
Pathology

Discuss the risk approach for obesity and discuss the prevention Lecture, Small group Physiology,
PE11.2 K KH Y Written/ Viva voce
strategies discussion Pathology

101
 Suggested Number required Horizontal
COMPETENCY Domain Level K/KH/S Core (Y/N) Suggested Teaching Vertical
Number Assessment to certify Integration
The student should be able to K/S/A/C H/P Learning method Integration
method P

Describe the causes, clinical features, diagnosis and management Biochemistry,

Lecture, Small group
PE12.7 of deficiency /excess of Vitamin D (Rickets and K KH Y Written/ Viva voce Physiology,
discussion
Hypervitaminosis D) Pathology

Biochemistry,
Bedside clinics, Skills Document in log
PE12.8 Identify the clinical features of dietary deficiency of Vitamin D S p Y 3 Physiology
lab book
Pathology

Biochemistry,
Assess patients with Vitamin D deficiency, diagnose, classify and Document in log
PE12.9 S SH Y Bed side clinics Physiology,
plan management book
Pathology
Biochemistry,
Discuss the RDA , dietary sources of Vitamin K and their role in Lecture, Small group
PE12.13 K K N Written/ Viva voce Physiology,
Health and disease discussion
Pathology
Biochemistry,
Describe the causes, clinical features, diagnosis, management and Lecture, Small group
PE12.14 K KH N Written/ Viva voce Physiology,
prevention of Deficiency of Vitamin K discussion
Pathology

Discuss the RDA, dietary sources of Iron and their role in health Lecture, Small group Pathology,
PE13.1 K K Y Written/ Viva voce
and disease discussion Biochemistry

Lecture, Small group Pathology

PE13.2 Describe the causes, diagnosis and management of Fe deficiency K KH Y Written/ Viva voce
discussion Biochemistry

Identify the clinical features of dietary deficiency of Iron and make Bed side clinics, Skill Document in log Pathology,
PE13.3 S SH Y
a diagnosis Lab book Biochemistry

Bed side clinic, Small Pathology,

PE13.4 Interpret hemogram and Iron Panel S P Y Skill Assessment 5
group discussion Biochemistry

Bed side clinics, Skill Pathology,

PE13.5 Propose a management plan for Fe Deficiency Anaemia S SH Y Skill Assessment
lab Pharmacology

Enumerate the etio-pathogenesis, clinical features, complications

Lecture, Small group
PE21.2 and management of Acute post streptococcal Glomerular Nephritis K KH Y Written/ Viva voce Pathology
discussion
in children

Lecture, Small group

PE21.3 Discuss the approach and referral criteria to a child with Proteinuria K KH Y Written/ Viva voce Pathology
discussion

102
 Suggested Number required Horizontal
COMPETENCY Domain Level K/KH/S Core (Y/N) Suggested Teaching Vertical
Number Assessment to certify Integration
The student should be able to K/S/A/C H/P Learning method Integration
method P

Enumerate the etio-pathogenesis clinical features, complications Lecture, Small group

PE21.5 K KH Y Written/ Viva voce Pathology
and management of Acute Renal Failure in children discussion

Enumerate the etio-pathogenesis, clinical features, complications Lecture, Small group

PE21.6 K KH Y Written/ Viva voce Pathology
and management of Chronic renal Failure in Children discussion

Enumerate the etio-pathogenesis clinical features, complications Lecture, Small group

PE21.7 K KH Y Written/ Viva voce Pathology
and management of Wilms Tumor discussion

Perform and interpret the common analytes in a Urine Bed side clinic Labs, Biochemistry,
PE21.11 S SH Y Skill assessment
examination Skill lab Pathology

Discuss the Hemodynamic changes, clinical presentation,

complications and management of Acyanotic Heart Diseases Lecture, Small group Physiology,
PE23.1 K KH Y Written/ Viva voce
discussion Pathology
–VSD, ASD and PDA

Discuss the Hemodynamic changes, clinical presentation,

Lecture, Small group Physiology,
PE23.2 complications and management of Cyanotic Heart Diseases – K KH Y Written/ Viva voce
discussion Pathology
Fallot‟s Physiology

Discuss the etio-pathogenesis, clinical presentation and Lecture, Small group Physiology,
PE23.3 K KH Y Written/ Viva voce
management of cardiac failure in infant and children discussion Pathology

Discuss the etio-pathogenesis, clinical presentation and Lecture, Small group Physiology,
PE23.4 K KH Y Written/ Viva voce
management of Acute Rheumatic Fever in children discussion Pathology

Discuss the clinical features, complications, diagnosis, management Lecture, Small group Physiology,
PE23.5 K KH Y Written/ Viva voce
and prevention of Acute Rheumatic Fever discussion Pathology

Physiology,
Discuss the etio-pathogenesis and clinical features and management Lecture, Small group
PE23.6 K KH Y Written/ Viva voce Pathology,
of Infective endocarditis in children discussion
Microbiology

Discuss the etio-pathogenesis, classification, clinical presentation Lecture, Small group Pathology,
PE24.1 K KH Y Written/ Viva voce
and management of diarrheal diseases in children discussion Microbiology

103
 Suggested Number required Horizontal
COMPETENCY Domain Level K/KH/S Core (Y/N) Suggested Teaching Vertical
Number Assessment to certify Integration
The student should be able to K/S/A/C H/P Learning method Integration
method P

Discuss the classification and clinical presentation of various types Lecture, Small group Pathology,
PE24.2 K KH Y Written/ Viva voce
of diarrheal dehydration discussion Microbiology

Discuss the etio-pathogenesis, clinical presentation and

Lecture, Small group
PE25.1 management of Malabsorption in children and its causes K KH Y Written/ Viva voce Pathology
discussion
including celiac disease

Discuss the etio-pathogenesis, clinical features and management of Lecture, Small group Pathology,
PE26.1 K KH Y Written/ Viva voce
acute hepatitis in children activity Microbiology

Discuss the etio-pathogenesis, clinical features and management of Lecture, Small group Pathology,
PE26.2 K KH Y Written/ Viva voce
Fulminant Hepatic Failure in children activity Microbiology

Discuss the etio-pathogenesis, clinical features and management of Lecture, Small group Pathology,
PE26.3 K KH Y Written/ Viva voce
chronic liver diseases in children activity Microbiology

Discuss the etio-pathogenesis, clinical features and management of Lecture, Small group
PE26.4 K KH Y Written/ Viva voce Pathology
Portal Hypertension in children activity

Bedside clinics, Skills

PE26.9 Interpret Liver Function Tests, viral markers, ultra sonogram report S SH Y Skill Assessment Pathology
lab

Discuss the etio-pathogenesis, clinical features, classification and Lecture, Small group Pathology,
PE29.1 K KH Y Written/ Viva voce
approach to a child with anaemia discussion Physiology

Discuss the etio-pathogenesis, clinical features and management of Lecture, Small group Pathology,
PE29.2 K KH Y Written/ Viva voce
Iron Deficiency anaemia discussion Physiology

Discuss the etiopathogenesis, clinical features and management of Lecture, Small group Pathology,
PE29.3 K KH Y Written/ Viva voce
VIT B12, Folate deficiency anaemia discussion Physiology

Discuss the etio-pathogenesis, clinical features and management of

Hemolytic anemia, Thalassemia Major, Sickle cellanaemia, Lecture, Small group Pathology,
PE29.4 K KH Y Written/ Viva voce
Hereditary spherocytosis, Auto-immunehemolytic anaemia and discussion Physiology
hemolytic uremicsyndrome

104
 Suggested Number required Horizontal
COMPETENCY Domain Level K/KH/S Core (Y/N) Suggested Teaching Vertical
Number Assessment to certify Integration
The student should be able to K/S/A/C H/P Learning method Integration
method P

Discuss the cause of thrombocytopenia in children: describe the

Lecture, Small group
PE29.6 clinical features and management of Idiopathic Thrombocytopenic K KH N Written/ Viva voce Pathology
discussion
Purpura (ITP)

Discuss the etiology, classification, pathogenesis and clinical Lecture, Small group
PE29.7 K KH N Written/ Viva voce Pathology
features of Hemophilia in children discussion

Discuss the etiology, clinical presentation and management of Lecture, Small group
PE29.8 K KH N Written/ Viva voce Pathology
Acute Lymphoblastic Leukemia in children discussion

Discuss the etiology, clinical presentation and management of Lecture, Small group
PE29.9 K KH N Written/ Viva voce Pathology
lymphoma in children discussion

General Surgery

Describe pathophysiology of shock, types of shock, principles of Lecture, Small group Pathology,
SU2.1 K KH Y Written/ Viva voce
resuscitation including fluid replacement and monitoring discussion Physiology

Describe the indications and appropriate use of blood and blood Lecture, Small group
SU3.1 K KH Y Written/ Viva voce Pathology
products and complications of blood transfusion. discussion

Lecture, Small group

SU5.1 Describe normal wound healing and factors affecting healing. K KH Y Written/ Viva voce Pathology
discussion

Choose appropriate biochemical, microbiological, pathological, Biochemistry,

Lecture, Small group
SU9.1 imaging investigations and interpret the investigative data in a K KH Y Written/ Viva voce Microbiology,
discussion
surgical patient Pathology

Lecture, Small group

SU22.2 Describe the etiopathogenesis of thyroidal swellings K KH Y Written/ Viva voce Pathology,
discussion

Respiratory Medicine
Lecture, Small group Physiology,
CT2.1 Define and classify obstructive airway disease K KH Y Written/ Viva voce
discussion Pathology

Describe and discuss the epidemiology, risk factors and evolution Lecture, Small group Physiology,
CT2.2 K KH Y Written/ Viva voce
of obstructive airway disease discussion Pathology

105
 Suggested Number required Horizontal
COMPETENCY Domain Level K/KH/S Core (Y/N) Suggested Teaching Vertical
Number Assessment to certify Integration
The student should be able to K/S/A/C H/P Learning method Integration
method P

Describe and discuss the physiology and pathophysiology of Lecture, Small group Physiology,
CT2.4 K KH Y Written/ Viva voce
hypoxia and hypercapnia discussion Pathology

Describe and discuss the genetics of alpha 1 antitrypsin deficiency Lecture, Small group Physiology,
CT2.5 K KH N Written/ Viva voce
in emphysema discussion Pathology

Describe the role of the environment in the cause and exacerbation Lecture, Small group
CT2.6 K KH Y Written/ Viva voce Pathology
of obstructive airway disease discussion

Describe and discuss allergic and non-allergic precipitants of Lecture, Small group
CT2.7 K KH Y Written/ Viva voce Pathology,
obstructive airway disease discussion

Bed side clinic, DOAP Physiology,

CT2.11 Describe, discuss and interpret pulmonary function tests S SH Y Skill assessment
session Pathology

Orthopedics

Describe and discuss the aetio-pathogenesis, clinical features,

investigations and principles of management of Bone and Joint
infections Lecture,
a) Acute Osteomyelitis Small group Written/ Viva voce Pathology,
OR3.1 K/S K/KH/S H Y General surgery
b) Subacuteo steomyelitis discussion, Video / OSCE Microbiology
c) Acute Suppurative arthritis assisted lecture
d) Septic arthritis & HIV infection
e) Spirochaetal infection
f) Skeletal Tuberculosis
Describe and discuss the clinical features, investigation and Lecture, Small group
Written/ Viva voce
OR4.1 principles of management of Tuberculosis affecting major joints K K/KH Y discussion, Case Pathology General surgery
/ OSCE
(Hip, Knee) including cold abcess and caries spine discussion

Lecture, Small group

Describe and discuss the aetiopathogenesis, clinical features,
discussion, Video Written/ Viva General surgery,
OR10.1 Investigations and principles of management of benign and K K/KH Y Pathology
assisted interactive voce/ OSCE Radiotherapy
malignant bone tumours and pathological fractures
lecture

Radiotherapy

106
 Suggested Number required Horizontal
COMPETENCY Domain Level K/KH/S Core (Y/N) Suggested Teaching Vertical
Number Assessment to certify Integration
The student should be able to K/S/A/C H/P Learning method Integration
method P

General Surgery,
Enumerate, describe and discuss classification and staging of
RT1.3 K KH Y Lecture Written/ Viva voce Pathology General
cancer (AJCC, FIGO etc.)
Medicine

General Surgery,
Describe and discuss role of radiation in management of common Lecture and Bed side
RT4.5 K KH Y Written/ Viva voce Pathology Obstetrics &
malignancies in India (region specific) clinic
Gynaecology

General Surgery,
RT4.6 Describe and discuss radiotherapy for benign disease K KH Y Lecture Written/ Viva voce Pathology Obstetrics &
Gynaecology

General Surgery,
Counsel patients regarding acute and late effects of radiation and Bed side clinic, Group
RT4.7 K/A/S KH Y Written/ Viva voce Pathology Obstetrics &
supportive care discussion
Gynaecology

General Surgery,
Describe and discuss cancer prevention, screening, vaccination,
RT5.1 K K Y Group discussion Written/ Viva voce Pathology Obstetrics &
cancer registry
Gynaecology

107
 Microbiology (CODE: MI)

Table 6. Topics and

outcomes

Number of topics Number of outcomes

08 54

108
 Table 7. Details of Competency, Domain, T-L Methods, Assessment methods, Integration.

Number
COMPETENCY Domain Level Suggested Teaching Suggested required to Vertical Horizontal
Number Core (Y/N)
The student should be able to K/S/A/C K/KH/S H/P Learning method Assessment method certify Integration Integration
P

MICROBIOLOGY

Topic: [Link] Microbiology and Immunity Number of competencies: (11) Number of procedures that require certification : (01)

Describe the different causative agents of Infectious diseases+A208, the

Lecture, Small group
MI1.1 methods used in their detection, and discuss the role of microbes in health K KH Y Written/ Viva voce
discussion
and disease

Perform and identify the different causative agents of Infectious diseases

MI1.2 S P Y DOAP session Skill assessment 5
by Gram Stain, ZN stain and stool routine microscopy

MI1.3 Describe the epidemiological basis of common infectious diseases K KH Y Lecture Written/ Viva voce Community
Medicine

Classify and describe the different methods of sterilization and

Lecture, Small group
MI1.4 disinfection. Discuss the application of the different methods in the K KH Y Written/ Viva voce General Surgery
discussion
laboratory, in clinical and surgical practice

Choose the most appropriate method of sterilization and disinfection to

Small group discussion, Written/ Viva voce /
MI1.5 be used in specific situations in the laboratory, in clinical and surgical K KH Y General Surgery
Case discussion OSPE
practice

Describe the mechanisms of drug resistance, and the methods of

Lecture, Small group
MI1.6 antimicrobial susceptibility testing and monitoring of antimicrobial K K Y Written/ Viva voce Pharmacology
discussion
therapy

MI1.7 Describe the immunological mechanisms in health K KH Y Lecture Written/ Viva voce Pathology

Describe the mechanisms of immunity and response of the host immune

MI1.8 K KH Y Lecture Written/ Viva voce Pediatrics Pathology
system to infections

109
 Number
Suggested Horizontal
COMPETENCY Domain Level K/KH/S Core (Y/N) Suggested Teaching required to
Number Assessment Vertical Integration Integration
The student should be able to K/S/A/C H/P Learning method certify
method
P

Discuss the immunological basis of vaccines and describe the Universal Written/ Viva
MI1.9 K KH Y Lecture Paediatrics
Immunisation schedule voce

Describe the immunological mechanisms in immunological disorder

Written/ Viva
MI1.10 (hypersensitivity, autoimmune disorders and immunodeficiency states) K KH Y Lecture Paediatrics
voce
and discuss the laboratory methods used in detection.

Describe the immunological mechanisms of transplantation and tumor Written/ Viva

MI1.11 K KH Y Lecture
immunity voce

Topic: [Link] and Blood Number of competencies: (7) Number of procedures that require certification : (NIL)

Lecture, Small group Written/ Viva

MI2.1 Describe the etiologic agents in rheumatic fever and their diagnosis K KH Y General Medicine Pathology
discussion voce

Describe the classification etio-pathogenesis, clinical features and discuss Lecture, Small group Written/ Viva
MI2.2 K KH Y General Medicine Pathology
the diagnostic modalities of Infective endocarditis discussion voce

Identify the microbial agents causing Rheumatic Heart Disease & infective
MI2.3 S SH Y DOAP session Skill assessment General Medicine Pathology
Endocarditis

List the common microbial agents causing anemia. Describe the

morphology, mode of infection and discuss the pathogenesis, clinical Lecture, Small group Written/ Viva
MI2.4 K KH Y General Medicine Pathology
course, diagnosis and prevention and treatment of the common microbial discussion voce
agents causing Anemia

Describe the etio-pathogenesis and discuss the clinical evolution and the
Lecture, Small group Written/ Viva
MI2.5 laboratory diagnosis of kalaazar, malaria, filariasis and other common K KH Y General Medicine Pathology
discussion voce
parasites prevalent in India

MI2.6 Identify the causative agent of malaria and filariasis K/S SH Y DOAP session Skill assessment General Medicine

110
 Number
Suggested Horizontal
COMPETENCY Domain Level K/KH/S Core (Y/N) Suggested Teaching required to
Number Assessment Vertical Integration Integration
The student should be able to K/S/A/C H/P Learning method certify
method
P

Describe the epidemiology, the etio- pathogenesis, evolution

Lecture, Small group Written/
MI2.7 complications, opportunistic infections, diagnosis, prevention and the K KH Y General Medicine Pathology
discussion Viva voce
principles of management of HIV

Topic:3. Gastrointestinal and hepatobiliary system Number of competencies: (8) Number of procedures that require certification : (NIL)

Enumerate the microbial agents causing diarrhea and dysentery. Describe

Lecture, Small group Written/ General Medicine,
MI3.1 the epidemiology, morphology, pathogenesis, clinical features and K KH Y Pathology
discussion Viva voce Paediatrics
diagnostic modalities of these agents

General Medicine,
MI3.2 Identify the common etiologic agents of diarrhea and dysentery S SH Y DOAP session Skill assessment
Paediatrics

Describe the enteric fever pathogens and discuss the evolution of the Lecture, Small group Written/ Pharmacology,
MI3.3 K KH Y General Medicine
clinical course and the laboratory diagnosis of the diseases caused by them discussion Viva voce Pathology

Identify the different modalities for diagnosis of enteric fever. Choose the
MI3.4 S KH Y DOAP session Skill assessment General Medicine Pathology
appropriate test related to the duration of illness

Enumerate the causative agents of food poisoning and discuss the Lecture, Small group Written/
MI3.5 K KH Y General Medicine Pharmacology
pathogenesis, clinical course and laboratory diagnosis discussion Viva voce

Describe the etio-pathogenesis of Acid peptic disease (APD) and the

Lecture, Small group Written/ Pharmacology,
MI3.6 clinical course. Discuss the diagnosis and management of the causative K KH Y General Medicine
discussion Viva voce Pathology
agent of APD

Describe the epidemiology, the etio-pathogenesis and discuss the viral

Lecture, Small group Written/
MI3.7 markers in the evolution of Viral hepatitis. Discuss the modalities in the K KH Y General Medicine Pathology
discussion Viva voce
diagnosis and prevention of viral hepatitis

111
 Number
Suggested Horizontal
COMPETENCY Domain Level K/KH/S Core (Y/N) Suggested Teaching required to
Number Assessment Vertical Integration Integration
The student should be able to K/S/A/C H/P Learning method certify
method
P

Small group
Choose the appropriate laboratory test in the diagnosis of viral hepatitis Written/ Viva voce
MI3.8 K KH Y discussion, Case General Medicine Pathology
with emphasis on viral markers / OSPE
discussion

Topic:4. Musculoskeletal system skin and soft tissue infections Number of competencies: (3) Number of procedures that require certification : (NIL)

Enumerate the microbial agents causing anaerobic infections.

MI4.1 Describe the etiopathogenesis, clinical course and discuss the laboratory K KH Y Lecture Written/ Viva voce General Medicine
diagnosis of anaerobic infections

Describe the etiopathogenesis, clinical course and discuss the laboratory

MI4.2 K KH Y Lecture Written/ Viva voce Orthopaedics
diagnosis of bone & joint infections

Dermatology,
Describe the etio-pathogenesis of infections of skin and soft tissue and Venereology &
MI4.3 K KH Y Lecture Written/ Viva voce
discuss the clinical course and the laboratory diagnosis Leprosy, General
Surgery

Topic: [Link] Nervous System infections Number of competencies: (3) Number of procedures that require certification : (NIL)

Describe the etiopathogenesis, clinical course and discuss the laboratory General Medicine,
MI5.1 K KH Y Lecture Written/ Viva voce Pathology
diagnosis of meningitis Pediatrics

Describe the etiopathogenesis, clinical course and discuss the laboratory General Medicine,
MI5.2 K KH Y Lecture Written/ Viva voce Pathology
diagnosis of encephalitis Pediatrics

General Medicine,
MI5.3 Identify the microbial agents causing meningitis S SH Y DOAP session Skill assessment
Pediatrics

Topic:6. Respiratory tract infections Number of competencies: (3) Number of procedures that require certification : (02)

Describe the etio-pathogenesis, laboratory diagnosis and prevention of Lecture, Small group
MI6.1 K KH Y Written/ Viva voce General Medicine
Infections of upper and lower respiratory tract discussion

112
 Suggested Number required
COMPETENCY Domain Level K/KH/S Core Suggested Teaching Vertical Horizontal
Number Assessment to certify
The student should be able to K/S/A/C H/P (Y/N) Learning method Integration Integration
method P

Identify the common etiologic agents of upper respiratory tract infections

MI6.2 S P Y DOAP session Skill assessment 3 General Medicine
(Gram Stain)

Identify the common etiologic agents of lower respiratory tract infections

MI6.3 S P Y DOAP session Skill assessment 3 General Medicine
(Gram Stain & Acid fast stain)

Topic: [Link] & Sexually transmitted infections Number of competencies: (3) Number of procedures that require certification : (NIL)

Describe the etio-pathogenesis and discuss the laboratory diagnosis of Lecture, Small group
MI7.1 K KH Y Written/ Viva voce General Surgery
infections of genitourinary system discussion

Dermatology,
Describe the etio-pathogenesis and discuss the laboratory diagnosis of Lecture, Small group Venereology &
MI7.2 K KH Y Written/ Viva voce
sexually transmitted infections. Recommend preventive measures discussion Leprosy, Obstetrics
& Gynaecology

Describe the etio-pathogenesis, clinical features, the appropriate method

Lecture, Small group
MI7.3 for specimen collection, and discuss the laboratory diagnosis of Urinary K KH Y Written/ Viva voce General Medicine
discussion
tract infections

Topic: [Link] diseases and miscellaneous Number of competencies: (16) Number of procedures that require certification : (01)

Enumerate the microbial agents and their vectors causing Zoonotic

Lecture, Small group
MI8.1 diseases. Describe the morphology, mode of transmission, pathogenesis K KH Y Written/ Viva voce General Medicine
discussion
and discuss the clinical course, laboratory diagnosis and prevention

Describe the etio-pathogenesis of opportunistic infections (OI) and discuss

MI8.2 the factors contributing to the occurrence of OI, and the laboratory K KH Y Lecture Written/ Viva voce General Medicine Pathology
diagnosis

Describe the role of oncogenic viruses in the evolution of virus associated

MI8.3 K KH Y Lecture Written General Medicine Pathology
malignancy

113
 Core Number required Horizontal
COMPETENCY Domain Level K/KH/S Suggested Teaching Suggested Vertical
Number (Y/N) to certify Integration
The student should be able to K/S/A/C H/P Learning method Assessment method Integration
P

General Medicine,
Describe the etiologic agents of emerging Infectious diseases. Lecture, Small group
MI8.4 K KH Y Written/ Viva voce Community
Discuss the clinical course and diagnosis discussion
Medicine

Define Healthcare Associated Infections (HAI) and enumerate the types. General Medicine,
Lecture, Small group
MI8.5 Discuss the factors that contribute to the development of HAI and the K KH Y Written/ Viva voce Community
methods for prevention discussion
Medicine
Lecture, Small group Community
MI8.6 Describe the basics of Infection control K KH Y Written/ Viva voce
discussion Medicine

3 each in
Demonstrate Infection control practices and use of Personal Protective Community
MI8.7 S P Y DOAP session Skill assessment (Hand hygiene General Surgery
Equipments (PPE) Medicine
&PPE)

Describe the methods used and significance of assessing the microbial Lecture, Small group
MI8.8 K KH Y Written/ Viva voce
contamination of food, water and air discussion

Discuss the appropriate method of collection of samples in the Lecture, Small group
MI8.9 performance of laboratory tests in the detection of microbial agents K KH Y Written/ Viva voce
causing infectious diseases discussion

Demonstrate the appropriate method of collection of samples in the

MI8.10 performance of laboratory tests in the detection of microbial agents S SH Y DOAP session Skill assessment
causing Infectious diseases

Demonstrate respect for patient samples sent to the laboratory for

MI8.11 performance of laboratory tests in the detection of microbial agents A SH Y DOAP session Skill assessment
causing Infectious diseases

Lecture, Small group

MI8.12 Discuss confidentiality pertaining to patient identity in laboratory results A KH Y Viva voce
discussion
Small group
Choose the appropriate laboratory test in the diagnosis of the infectious Written/ Viva voce /
MI8.13 K KH Y discussions, Case
disease OSPE
discussion

114
 Core Number required Horizontal
COMPETENCY Domain Level K/KH/S Suggested Teaching Suggested Vertical
Number (Y/N) to certify Integration
The student should be able to K/S/A/C H/P Learning method Assessment method Integration
P

Demonstrate confidentiality pertaining to patient identity in laboratory

MI8.14 A SH Y DOAP session Skill assessment AETCOM
results

Choose and Interpret the results of the laboratory tests used in diagnosis of Small group discussion, Written/ Viva voce /
MI8.15 K/S SH Y
the infectious disease Case discussion OSPE

Describe the National Health Programs in the prevention of common Community

MI8.16 K K Y Lecture Written/ Viva voce
infectious disease (for information purpose only as taught in CM) Medicine

*causative agents of Infectious diseases are inclusive of bacterial, viral, parasites and fungal agents causing various clinical conditions.

Column C: K- Knowledge, S – Skill, A - Attitude / professionalism, C- Communication.

Column D: K – Knows, KH - Knows How, SH - Shows how, P- performs independently,
Column F: DOAP session – Demonstrate, Observe, Assess, Perform.
Column H: If entry is P: indicate how many procedures must be done independently for certification/ graduation

Integration
Biochemistry
Pathology,
Lectures, Small group
BI10.5 Describe antigens and concepts involved in vaccine development. K KH Y Written/ Viva voce Pediatrics,
discussion
Microbiology

Pathology

Lecture, Small group

PA7.5 Describe the immunology and the immune response to cancer K KH N Written/ Viva voce Microbiology
discussion

Lecture, Small group

PA9.1 Describe the principles and mechanisms involved in immunity K KH Y Written/ Viva voce Pediatrics Microbiology
discussion

Lecture, Small group

PA9.2 Describe the mechanism of hypersensitivity reactions K KH Y Written/ Viva voce Microbiology
discussion

115
 Core Number required Horizontal
COMPETENCY Domain Level K/KH/S Suggested Teaching Suggested Vertical
Number (Y/N) to certify Integration
The student should be able to K/S/A/C H/P Learning method Assessment method Integration
P

Describe the HLA system and the immune principles involved in Lecture, Small group
PA9.3 K KH Y Written/ Viva voce Microbiology
transplant and mechanism of transplant rejection discussion

Lecture, Small group

PA9.6 Define and describe the pathogenesis and pathology of HIV and AIDS K KH Y Written/ Viva voce General Medicine Microbiology
discussion

Lecture, Small group

PA10.1 Define and describe the pathogenesis and pathology of malaria K KH Y Written/ Viva voce General Medicine Microbiology
discussion

Lecture, Small group

PA10.2 Define and describe the pathogenesis and pathology of cysticercosis K KH Y Written/ Viva voce General Medicine Microbiology
discussion

Lecture, Small group

PA10.3 Define and describe the pathogenesis and pathology of leprosy K KH Y Written/ Viva voce General Medicine Microbiology
discussion

Define and describe the pathogenesis and pathology of common bacterial, Lecture, Small group
PA10.4 K KH N Written/ Viva voce General Medicine Microbiology
viral, protozoal and helminthic diseases discussion

Lecture, Small group

PA22.5 Enumerate and describe infections transmitted by blood transfusion K KH Y Written/ Viva voce Microbiology
discussion

Define and describe the etiology, types, pathogenesis, stages, morphology Lecture, Small group
PA26.1 K KH Y Written/ Viva voce General Medicine Microbiology
and complications of pneumonia discussion

Describe the etiology, gross and microscopic appearance and Lecture, Small group
PA26.2 K KH Y Written/ Viva voce General Medicine Microbiology
complications of lung abscess discussion

Define and describe the etiology, types, pathogenesis, stages, morphology Physiology,
Lecture, Small group
PA26.3 and complications and evaluation of Obstructive Airway Disease (OAD) K KH Y Written/ Viva voce Microbiology
discussion General Medicine
and bronchiectasis

Define and describe the etiology, types, pathogenesis, stages, morphology, Lecture, Small group
PA26.4 K KH Y Written/ Viva voce General Medicine Microbiology
microscopic appearance and complications of tuberculosis discussion

116
 Core Number required Horizontal
COMPETENCY Domain Level K/KH/S Suggested Teaching Suggested Vertical
Number (Y/N) to certify Integration
The student should be able to K/S/A/C H/P Learning method Assessment method Integration
P

Describe the etiology, pathophysiology, pathology, gross and microscopic Lecture, Small group
PA27.4 K KH Y Written/ Viva voce General Medicine Microbiology
features, criteria and complications of rheumatic fever discussion

Describe the etiology, pathophysiology, pathology, gross and microscopic, Lecture, Small group
PA27.6 K KH Y Written/ Viva voce General Medicine Microbiology
features diagnosis and complications of infective endocarditis discussion

Describe the etiology, pathophysiology, pathology features and Lecture, Small group
PA27.10 K KH N Written/ Viva voce General Medicine Microbiology
complications of syphilis on the cardiovascular system discussion

Classify and describe the etiology, pathogenesis, manifestations, Lecture, Small group Human Anatomy,
PA33.1 K KH Y Written/ Viva voce Microbiology
radiologic and morphologic features and complications of osteomyelitis discussion Orthopaedics

Describe the etiology, types and pathogenesis, differentiating factors, CSF Lecture, Small group
PA35.1 K KH Y Written/ Viva voce General Medicine Microbiology
findings in meningitis discussion

PA35.3 Identify the etiology of meningitis based on given CSF parameters S P Y DOAP session Skill Assessment 1 General Medicine Microbiology

Pharmacology

Describe and discuss the rational use of antimicrobials including antibiotic General Medicine
PH1.43 K KH Y Lecture Written/ Viva voce Microbiology
stewardship program Pediatrics

Respiratory
PH1.45 Describe the dugs used in MDR and XDR Tuberculosis K KH Y Lecture Written/ Viva voce Microbiology
Medicine

Dermatology,
Describe the mechanisms of action, types, doses, side effects, indications
PH1.46 K KH Y Lecture Written/ Viva voce Venereology & Microbiology
and contraindications of antileprotic drugs
Leprosy

Describe the mechanisms of action, types, doses, side effects, indications

PH1.47 and contra indications of the drugs used in malaria, KALAAZAR, K KH Y Lecture Written/ Viva voce General Medicine Microbiology
amebiasis and intestinal helminthiasis

117
 Core Number required Horizontal
COMPETENCY Domain Level K/KH/S Suggested Teaching Suggested Vertical
Number (Y/N) to certify Integration
The student should be able to K/S/A/C H/P Learning method Assessment method Integration
P

Describe the mechanisms of action, types, doses, side effects, indications

PH1.48 and contraindications of the drugs used in UTI/ STD and viral diseases K KH Y Lecture Written/Viva voce Microbiology
including HIV

Community Medicine

Lecture, Small group Microbiology,

Describe the aetiology and basis of water borne diseases/ jaundice/hepatitis/
CM3.3 K KH Y discussion, DOAP Written/Viva voce General Medicine,
diarrheal diseases
session Pediatrics

Describe the role of vectors in the causation of diseases. Also discuss Lecture, Small group
CM3.6 K KH Y Written/Viva voce Microbiology
National Vector Borne disease Control Program discussion

Lecture, Small group

Identify and describe the identifying features and life cycles of vectors of Written/Viva voce /
CM3.7 S SH Y discussion, DOAP Microbiology
Public Health importance and their control measures Skill assessment
session

Lecture, Small group

CM5.7 Describe food hygiene K KH Y Written/Viva voce Microbiology
discussion

Describe and demonstrate the steps in the Investigation of an epidemic of Small group discussion, Written/ Skill
CM7.7 S SH Y General Medicine Microbiology
communicable disease and describe the principles of control measures DOAP sessions assessment

Describe and discuss the epidemiological and control measures including

Small group discussion, General Medicine, Microbiology,
CM8.1 the use of essential laboratory tests at the primary care level for K KH Y Written/Viva voce
Lecture Pediatrics Pathology
communicable diseases

Lecture, Small group

CM14.1 Define and classify hospital waste K KH Y discussion, visit to Written/Viva voce Microbiology
hospital

Lecture, Small group

CM14.2 Describe various methods of treatment of hospital waste K KH Y discussion, visit to Written/Viva voce Microbiology
hospital

118
 Core Number required Horizontal
COMPETENCY Domain Level K/KH/S Suggested Teaching Suggested Vertical
Number (Y/N) to certify Integration
The student should be able to K/S/A/C H/P Learning method Assessment method Integration
P

Lecture, Small group

CM14.3 Describe laws related to hospital waste management K KH Y Written/ Viva voce Microbiology
discussion

Dermatology, Venereology & Leprosy

Lecture, Small group

DR6.1 Describe the etiology pathogenesis and diagnostic features of pediculosis K KH Y Written/ Viva voce Pediatrics Microbiology
discussion

Describe the etiology microbiology pathogenesis and clinical presentations Lecture, Small group
DR7.1 K KH Y Written/ Viva voce Pediatrics Microbiology
and diagnostic features of dermatophytes discussion

DR7.2 Identify candida species in fungal scrapings and KOH mount S SH Y DOAP session Skill assessment Microbiology

Describe the pharmacology and action of antifungal (systemic and topical) Lecture, Small group Microbiology
DR7.3 K KH Y Written/ Viva voce
agents. Enumerate side effects of antifungal therapy discussion ,Pharmacology

Describe the etiology microbiology pathogenesis and clinical presentations Lecture, Small group
DR8.1 K KH Y Written/ Viva voce Pediatrics Microbiology
and diagnostic features of common viral infections of the skin discussion

Microbiology,
Classify, describe the epidemiology, etiology, microbiology, pathogenesis Lecture, Small group
DR9.1 K KH Y Written/ Viva voce General Medicine Community
and clinical presentations and diagnostic features of Leprosy discussion
Medicine

Identify and classify syphilis based on the presentation and clinical

DR10.1 S SH Y Bedside clinic Skill assessment General Medicine Microbiology
manifestations

DR10.2 Identify spirochete in a dark ground microscopy S SH Y DOAP session Skill assessment Microbiology

Enumerate the indications and describe the pharmacology, administration Lecture, Small group Pharmacology,
DR10.3 K KH Y Written/ Viva voce General Medicine
and adverse reaction of pharmacotherapies for syphilis discussion Microbiology

119
 Core Number required
COMPETENCY Domain Level K/KH/S Suggested Teaching Suggested Vertical Horizontal
Number (Y/N) to certify
The student should be able to K/S/A/C H/P Learning method Assessment method Integration Integration
P

Describe the etiology, diagnostic and clinical features of non- syphilitic Lecture, Small group
DR10.6 K KH Y Written/ Viva voce General Medicine Microbiology
sexually transmitted diseases (chancroid, donovanosis and LGV) discussion

DR10.7 Identify and differentiate based on the clinical features non- syphilitic S SH Y Bedside clinic Skill assessment General Medicine Microbiology
sexually transmitted diseases (chancroid, donovanosis and LGV)

Enumerate the indications and describe the pharmacology, indications and Lecture, Small group Pharmacology,
DR10.8 adverse reactions of drugs used in the non-syphilitic sexually transmitted K KH Y Written/ Viva voce General Medicine
discussion Microbiology
diseases (chancroid, donovanosis and LGV)

Describe the etiology, pathogenesis and clinical features of the dermatologic Lecture, Small group
DR11.1 manifestations of HIV and its complications including opportunistic K KH Y Written/ Viva voce General Medicine Microbiology
discussion
infections

DR11.2 Identify and distinguish the dermatologic manifestations of HIV its S SH Y Bedside clinic Skill assessment General Medicine Microbiology
complications, opportunistic infections and adverse reactions

Enumerate the indications and describe the pharmacology, administration Lecture, Small group Pharmacology
DR11.3 K KH Y Written/ Viva voce General Medicine
and adverse reaction of pharmacotherapies for dermatologic lesions in HIV discussion Microbiology

Identify and distinguish fixed drug eruptions and Steven Johnson syndrome Pathology,
DR12.7 S SH Y Bedside clinic Skill assessment General Medicine
from other skin lesions Microbiology

Describe the etiology, pathogenesis and clinical precipitating features and Lecture, Small group Microbiology,
DR14.1 K KH Y Written/ Viva voce
classification of Urticaria and angioedema discussion Pathology

DR15.2 Identify staphylococcus on a gram stain S SH Y Bedside clinic Skill assessment Microbiology

Enumerate the indications and describe the pharmacology, indications and Lecture, Small group Microbiology,
DR15.3 adverse reactions of topical and systemic drugs used in treatment of K KH Y Written/ Viva voce General Surgery
discussion Pharmacology
pyoderma

120
 Core Number required Horizontal
COMPETENCY Domain Level K/KH/S Suggested Teaching Suggested Vertical
Number (Y/N) to certify Integration
The student should be able to K/S/A/C H/P Learning method Assessment method Integration
P

Dentistry

Discuss the role of causative microorganisms in the aetio- pathogenesis of Lecture, Small group
DE1.2 K KH Y Viva voce Microbiology
dental caries discussion

Lecture, Small group Microbiology,

DE1.4 Discuss the role of dental caries as a focus of sepsis K KH Y Viva voce
discussion General Medicine

General Medicine

Describe and discuss the aetiology, microbiology, pathogenies and clinical

Pathology,
evolution of rheumatic fever, criteria, degree of rheumatic activity and Lecture, Small group
IM1.3 K KH Y Written/ Viva voce Physiology,
rheumatic valvular heart disease and its complications including infective discussion
Microbiology
endocarditis

Describe and discuss the clinical presentation and features, diagnosis, Lecture, Small group
IM1.9 K KH Y Written/ Viva voce Microbiology
recognition and management of acute rheumatic fever discussion

Assist and demonstrate the proper technique in collecting specimen for

IM1.22 S SH Y DOAP session Skill assessment Microbiology
blood culture

Describe and discuss the role of penicillin prophylaxis in the prevention of Bedside clinic, Small Microbiology,
IM1.27 K KH Y Written
rheumatic heart disease group discussion Pharmacology

Human Anatomy,
Define, discuss, describe and distinguish community acquired pneumonia, Lecture, Small group
IM3.1 K K Y short note/ Viva voce Pathology,
nosocomial pneumonia and aspiration pneumonia discussion
Microbiology

Discuss and describe the aetiology of various kinds of pneumonia and Lecture, Small group
IM3.2 K K Y short note/ Viva voce Microbiology
their microbiology depending on the setting and immune status of the host discussion

Discuss and describe the pathogenesis, presentation, natural history and Lecture , Small group Pathology,
IM3.3 K KH Y short note/ Viva voce
complications of pneumonia discussion Microbiology

121
 Core Number required Horizontal
COMPETENCY Domain Level K/KH/S Suggested Teaching Suggested Vertical
Number (Y/N) to certify Integration
The student should be able to K/S/A/C H/P Learning method Assessment method Integration
P

Order and interpret diagnostic tests based on the clinical presentation

including: CBC, Chest X ray PA view, Mantoux, sputum gram stain, Bed side clinic, Radiodiagnosis,
IM3.7 S SH Y Skill assessment
sputum culture and sensitivity, pleural fluid examination and culture, HIV DOAP session Microbiology
testing and ABG

Demonstrate the correct technique in a mannequin and interpret results of a

IM3.10 S SH Y DOAP session Skill assessment Microbiology
blood culture

Describe and enumerate the indications for further testing including Bed side clinic, Radiodiagnosis,
IM3.11 S SH Y Skill assessment
HRCT, Viral cultures, PCR and specialised testing DOAP session Microbiology

Select, describe and prescribe based on the most likely aetiology, an

Bed side clinic, Skill Assessment/ Pharmacology,
IM3.12 appropriate empirical antimicrobial based on the pharmacology and S SH Y
DOAP session Written/ Viva voce Microbiology
antimicrobial spectrum

Select, describe and prescribe based on culture and sensitivity appropriate

Bed side clinic, Skill assessment/ Pharmacology,
IM3.13 empaling antimicrobial based on the pharmacology and antimicrobial S SH Y
DOAP session Written/ Viva voce Microbiology
spectrum.

IM3.14 Perform and interpret a sputum gram stain and AFB S P Y DOAP session Skill assessment Microbiology

Discuss, describe and enumerate the indications and communicate to Lecture, Small group Short note/ Viva
IM3.19 S/C K Y Microbiology
patients on pneumococcal and influenza vaccines discussion voce

Describe and discuss the febrile response and the influence of host immune Lecture, Small group
IM4.1 K K Y Written Microbiology
status, risk factors and co-morbidities on the febrile response discussion

Describe and discuss the influence of special populations on the febrile

Lecture, Small group
IM4.2 response including: the elderly, immune suppression, malignancy and K K Y Written Microbiology
discussion
neutropenia, HIV and travel

122
 Core Number required Horizontal
COMPETENCY Domain Level K/KH/S Suggested Teaching Suggested Vertical
Number (Y/N) to certify Integration
The student should be able to K/S/A/C H/P Learning method Assessment method Integration
P

Discuss and describe the common causes, pathophysiology Microbiology,

Lecture, Small group
IM4.3 andmanifestations of fever in various regions in India including bacterial, K K Y Written Community
parasitic and viral causes (e.g. Dengue, Chikungunya, Typhus) discussion
Medicine

Describe and discuss the pathophysiology and manifestations Lecture, Small group
IM4.4 K KH Y Written Microbiology
ofinflammatory causes of fever discussion

Describe and discuss the pathophysiology and manifestations of

Lecture, Small group Pathology,
IM4.5 malignant causes of fever including hematologic and lymph node K KH Y Written
discussion Microbiology
malignancies

Lecture, Small group

IM4.6 Discuss and describe the pathophysiology and manifestations ofmalaria K KH Y Written Microbiology
discussion

Discuss and describe the pathophysiology, aetiology and clinical Lecture, Small group
IM4.8 manifestations of fever of unknown origin (FUO) including in a normal host, K K Y Written Microbiology
neutropenic host, nosocomial host and a host with HIV disease discussion

Elicit document and present a medical history that helps delineate the
aetiology of fever that includes the evolution and pattern of fever, associated Bed side clinic, DOAP
IM4.9 S SH Y Skill assessment Microbiology
symptoms, immune status, comorbidities, risk factors, exposure through session
occupation, travel and environment and medication use

Order and interpret diagnostic tests based on the differential diagnosis

including: CBC with differential, peripheral smear, urinary analysis with Bedside clinic, Skill Pathology,
IM4.12 sediment, Chest X ray, blood and urine cultures, sputum gram stain and K SH Y Skill assessment
cultures, sputum AFB and cultures, CSF analysis, pleural and body fluid assessment Microbiology
analysis, stool routine and culture and QBC

Log book
IM4.13 Perform and interpret a sputum gram stain S SH Y DOAP session Microbiology
documentation
Log book
IM4.14 Perform and interpret a sputum AFB S SH Y DOAP session Microbiology
documentation

123
 Core Number required Horizontal
COMPETENCY Domain Level K/KH/S Suggested Teaching Suggested Vertical
Number (Y/N) to certify Integration
The student should be able to K/S/A/C H/P Learning method Assessment method Integration
P

Log book
IM4.15 Perform and interpret a malarial smear S SH Y DOAP session documentation/ Skill Microbiology
assessment
Log book/
IM4.19 Assist in the collection of blood and wound cultures S SH Y DOAP session Microbiology
documentation
Log book/
IM4.20 Interpret a PPD (Mantoux) S SH Y DOAP session Microbiology
documentation

Prescribe drugs for malaria based on the species identified, prevalence of Small group Microbiology,
IM4.23 S SH Y Skill assessment
drug resistance and national programs discussion Pharmacology
Microbiology,
IM4.26 Counsel the patient on malarial prevention C SH Y DOAP session Skill assessment
Pharmacology

Describe and discuss the epidemiology, microbiology, immunology and Lecture, Small group Pathology,
IM5.4 K K Y Written/ Viva voce
clinical evolution of infective (viral) hepatitis discussion Microbiology

Outline a diagnostic approach to liver disease based on hyper bilirubinemia, Bedside clinic, Small Pathology,
IM5.14 S SH Y Viva voce/ Written
liver function changes and hepatitis serology group discussion Microbiology

Enumerate the indications precautions and counsel patients on vaccination written Small group
IM5.17 K/C SH Y Written/ Viva voce Microbiology
for hepatitis discussion

Lecture, Small group Short notes/ Viva

IM6.1 Describe and discuss the symptoms and signs of acute HIV sero conversion K KH Y Microbiology
discussion voce

Lecture, Small group Short notes/ Viva

IM6.2 Define and classify HIV AIDS based on the CDC criteria K KH Y Microbiology
discussion voce

Describe and discuss the relationship between CDC count and the risk of Lecture, Small group Short notes/ Viva
IM6.3 K KH Y Microbiology
opportunistic infections discussion voce

Describe and discuss the pathogenesis, evolution and clinical features of Lecture, Small group
IM6.4 K KH Y Written/ Viva voce Microbiology
common HIV related opportunistic infections discussion

124
 Core Number required Horizontal
COMPETENCY Domain Level K/KH/S Suggested Teaching Suggested Vertical
Number (Y/N) to certify Integration
The student should be able to K/S/A/C H/P Learning method Assessment method Integration
P

Bedside clinic, DOAP

Choose and interpret appropriate diagnostic tests to diagnose and classify the Written/ Skill Pathology,
IM6.10 K KH Y session, Small group
severity of HIV-AIDS including specific tests of HIV, CDC assessment Microbiology
discussion

Describe and enumerate the indications and side effects of drugs for Lecture, Small group Pharmacology,
IM6.13 K K Y Written/ Viva voce
bacterial, viral and other types of diarrhea discussion Microbiology

IM6.14 Perform and interpret a gram stain of the sputum S P Y DOAP session Skill assessment Microbiology

Describe and discuss the principles of HAART, the classes of antiretroviral Lecture, Small group Microbiology,
IM6.17 K K Y Written/ Viva voce
used, adverse reactions and interactions discussion Pharmacology

Describe and discuss the principles and regimens used in post exposure Lecture, Small group Microbiology,
IM6.18 K K Y Written/ Viva voce
prophylaxis discussion Pharmacology

Enumerate the indications of and discuss about prophylactic drugs used to Lecture, Small group Pathology,
IM6.19 K/C K Y Written/ Viva voce
prevent HIV related opportunistic infections discussion Microbiology

Lecture, Small group Short notes/ Viva Pathology,

IM13.3 Describe the relationship between infection and cancers K K Y General Surgery
discussion voce Microbiology

Describe and enumerate the indications, pharmacology and side effects of Lecture, Small group Pharmacology,
IM15.15 K K Y Written/ Viva voce
pharmacotherapy of acid peptic disease including Helicobacter pylori discussion Microbiology

Describe and discuss the aetiology of acute and chronic diarrhea including Lecture, Small group
IM16.1 K K Y Written/ Viva voce Microbiology
infectious and non-infectious causes discussion

Describe and enumerate the indications, pharmacology and side effects of Lecture, Small group Pharmacology,
IM6.13 K K Y Written/ Viva voce
pharmacotherapy for bacterial, viral and other types of diarrhea discussion Microbiology

Bedside clinic, Skills

Choose and interpret diagnostic tests based on the clinical diagnosis lab, Small group Skill assessment/ Microbiology,
IM16.8 S SH Y
including complete blood count, and stool examination Short note/ Viva voce Pathology
discussion

Identify common parasitic causes of diarrhea under the microscope in a stool

IM16.9 S SH Y DOAP session Skill assessment Microbiology
specimen

125
 Number
COMPETENCY Domain Level K/KH/S Core Suggested Teaching Suggested required to Vertical Horizontal
Number (Y/N) Integration
The student should be able to K/S/A/C H/P Learning method Assessment method certify Integration
P

IM16.10 Identify Vibrio cholera in a hanging drop specimen S SH Y DOAP session Skill Assessment Microbiology

Enumerate the indications for stool cultures and blood cultures in patients Lectures, Small group
IM16.11 K KH Y Written/ Viva voce Microbiology
with acute diarrhea discussion

Describe and enumerate the indications, pharmacology and side effects of Lectures, Small group Pharmacology,
IM16.13 K K Y Written/ Viva voce
pharmacotherapy for parasitic causes of diarrhea discussion Microbiology

Enumerate the indications and describe the findings in the CSF in patients Small group discussion, Microbiology,
IM17.7 K K Y Skill Assessment
with meningitis Bedside clinic Pathology

Demonstrate in a mannequin or equivalent the correct technique for Microbiology,

IM17.8 S SH Y DOAP session Skill assessment
performing a lumbar puncture Pathology

Interpret the CSF findings when presented with various parameters of CSF Small group discussion, Microbiology,
IM17.9 S SH Y Skill assessment
fluid analysis Bedside clinic Pathology

Describe and discuss the response and the influence of host immune status, Microbiology,
Lecture, Small group
IM25.1 risk factors and comorbidities on zoonotic disease (eg. Leptospirosis, K K Y Written Community
discussion
Rabies) and non febrile infectious disease (eg. Tetanus) Medicine

Microbiology,
Describe and discuss the common causes pathophysiology and Lecture, Small group
IM25.2 K K Y Written Community
manifestations of these diseases discussion
Medicine

Describe and discuss the pathophysiology and manifestations of these Lecture, Small group
IM25.3 K KH Y Written Microbiology
diseases discussion

IM25.9 Assist in the collection of blood and other specimen cultures S SH Y DOAP session Log book documentation Microbiology

Develop an appropriate empiric treatment plan based on the patient‟s clinical

IM25.11 C SH Y DOAP session Skill assessment Microbiology
and immune status pending definitive diagnosis

126
 Number
COMPETENCY Domain Level K/KH/S Core Suggested Teaching Suggested required to Vertical Horizontal
Number (Y/N) Integration
The student should be able to K/S/A/C H/P Learning method Assessment method certify Integration
P

Pediatrics

Community
Explain the components of the Universal immunization Program and the sub Lecture, Small group
PE19.1 K KH Y Written/ Viva voce Medicine,
National Immunization Programs discussion
Microbiology

Community
Lecture, Small group
PE19.2 Explain the epidemiology of Vaccine preventable diseases K KH Y Written/ Viva voce Medicine,
discussion
Microbiology

Vaccine description with regard to classification of vaccines, strain used, Community

Lecture, Small group
PE19.3 dose, route, schedule, risks, benefits and side effects, indications and K KH Y Written/ Viva voce Medicine,
discussion
contraindications Microbiology

Community
Define cold chain and discuss the methods of safe storage and handling of Lecture, Small group
PE19.4 K KH Y Written/ Viva voce Medicine,
vaccines discussion
Microbiology

Discuss immunization in special situations – HIV positive children, Community

Lecture, Small group
PE19.5 immunodeficiency, preterm, organ transplants, those who received blood and K KH Y Written/ Viva voce Medicine,
discussion
blood products, splenectomised children, adolescents, travellers Microbiology

Enumerate the etio-pathogenesis clinical features, complications and Lecture, Small group
PE21.1 K KH Y Written/ Viva voce Microbiology
management of Urinary Tract infection in children discussion

Physiology,
Discuss the etio-pathogenesis and clinical features and management of Lecture, Small group
PE23.6 K KH Y Written/ Viva voce Pathology,
Infective endocarditis in children discussion
Microbiology

Discuss the etio-pathogenesis, classification, clinical presentation and Lecture, Small group Pathology,
PE24.1 K KH Y Written/ Viva voce
management of diarrheal diseases in children discussion Microbiology

Discuss the classification and clinical presentation of various types of Lecture, Small group Pathology,
PE24.2 K KH Y Written/ Viva voce
diarrheal dehydration discussion Microbiology

Discuss the role of antibiotics, antispasmodics, anti-secretory drugs, Lecture, Small group Pharmacology,
PE24.5 K KH Y Written/ Viva voce
probiotics, anti- emetics in acute diarrheal diseases discussion Microbiology

127
 Number
COMPETENCY Domain Level K/KH/S Core Suggested Teaching Suggested required to Vertical Horizontal
Number (Y/N) Integration
The student should be able to K/S/A/C H/P Learning method Assessment method certify Integration
P

Discuss the causes, clinical presentation and management of persistent Lecture, Small group
PE24.6 K KH Y Written/ Viva voce Microbiology
diarrhoea in children discussion

Discuss the causes, clinical presentation and management of dysentery in Lecture, Small group Pharmacology,
PE24.8 K KH Y Written/ Viva voce
children discussion Microbiology

Bed side clinics, Skills

PE24.12 Perform and interpret stool examination including Hanging Drop S P N log book 2 Microbiology
lab

Discuss the etio-pathogenesis, clinical features and management of acute Lecture, Small group Pathology,
PE26.1 K KH Y Written/ Viva voce
hepatitis in children activity Microbiology

Discuss the etio-pathogenesis, clinical features and management of Lecture, Small group Pathology,
PE26.2 K KH Y Written/ Viva voce
Fulminant Hepatic Failure in children activity Microbiology

Discuss the etio-pathogenesis, clinical features and management of chronic Lecture, Small group Pathology,
PE26.3 K KH Y Written/ Viva voce
liver diseases in children activity Microbiology

Discuss the prevention of Hep B infection – Universal precautions and Lecture, Small group
PE26.12 K KH Y Written/ Viva voce Microbiology
Immunisation discussion activity

Discuss the etio-pathogenesis, clinical features, complications, management Lecture, Small group
PE30.1 K KH Y Written/ Viva voce Microbiology
and prevention of meningitis in children discussion

Lecture, Small group

PE30.2 Distinguish bacterial, viral and tuberculous meningitis K KH Y Written/ Viva voce Microbiology
discussion

Discuss the etio-pathogenesis, clinical features, management and prevention Lecture, Small group
PE30.13 K KH Y Written/ Viva voce Microbiology
of Poliomyelitis in children discussion

Respiratory
PE30.21 Interpret and explain the findings in a CSF analysis S SH Y Small group discussion Log book Microbiology
Medicine

Discuss the epidemiology, clinical features, clinical types, complications of Lecture, Small group Respiratory
PE34.1 K KH Y Written/ Viva voce Microbiology
Tuberculosis in Children and Adolescents discussion Medicine

128
 Number
COMPETENCY Domain Level K/KH/S Core Suggested Teaching Suggested required to Vertical Horizontal
Number (Y/N) Integration
The student should be able to K/S/A/C H/P Learning method Assessment method certify Integration
P

Lecture, Small group Respiratory

PE34.2 Discuss the various diagnostic tools for childhood tuberculosis K KH Y Written/ Viva voce Microbiology
discussion Medicine

Microbiology,
Discuss the various regimens for management of Tuberculosis asper Lecture, Small group Respiratory
PE34.3 K KH Y Written/ Viva voce Community
National Guidelines Discussion Medicine Medicine
Pharmacology
Microbiology,
Discuss the preventive strategies adopted and the objectives and outcome of Lecture, Small group Community Respiratory
PE34.4 K KH Y Written/ Viva voce Medicine
the National Tuberculosis Control Program discussion Medicine
Pharmacology
Bed side clinics, Respiratory
PE34.6 Identify a BCG scar S P Y Skill Assessment 3 Microbiology
Skills lab Medicine

Bed side clinics Respiratory

PE34.7 Interpret a Mantoux test S P Y Skill assessment 3 Microbiology
Skills lab Medicine

Bed side clinics, Small Respiratory

PE34.9 Interpret blood tests in the context of laboratory evidence for tuberculosis S SH N Log book Microbiology
group discussion Medicine

Discuss the various samples for demonstrating the organism eg Gastric Bed side clinics, Small Respiratory
PE34.10 K KH Y Written/ Viva voce Microbiology
Aspirate, Sputum, CSF, FNAC group discussion Medicine

Respiratory
PE34.11 Perform AFB staining S P Y DOAP session Log book/journal 3 Microbiology
Medicine

Enumerate the indications and Discuss the limitation of methods of culturing Small group
PE34.12 K KH Y Written/ Viva voce Microbiology
M. Tuberculii discussion

General Surgery

Lecture, Small group

SU6.1 Define and describe the aetiology and pathogenesis of surgical infections K KH Y Written/ Viva voce Microbiology
discussion

129
 Number
COMPETENCY Domain Level K/KH/S Core Suggested Teaching Suggested required to Vertical Horizontal
Number (Y/N) Integration
The student should be able to K/S/A/C H/P Learning method Assessment method certify Integration
P

Choose appropriate biochemical, microbiological, pathological, Biochemistry,

Lecture, Small group
SU9.1 imaging investigations and interpret the investigative data in a surgical K KH Y Written/ Viva voce Microbiology,
discussion
patient Pathology

Lecture, Small group

SU13.1 Describe the immunological basis of organ transplantation K KH Y Written/ Viva voce Microbiology
Discussion

Discuss the Principles of immunosuppressive therapy. Enumerate

Lecture, Small group Microbiology,
SU13.2 Indications, describe surgical principles, management of organ K KH Y Written/ Viva voce
discussion Pharmacology
transplantation

Lecture, Small group

SU14.1 Describe aseptic techniques, sterilization and disinfection K KH Y Written/ Viva voce Microbiology
discussion

Describe Classification of hospital waste and appropriate methods Lecture, Small group
SU15.1 K KH Y Written/ Viva voce Microbiology
of disposal discussion

Describe the Clinical features, Investigations and principles of Lecture, Small group
SU29.3 K KH Y Written/ Viva voce Microbiology
management of urinary tract infections discussion

Orthopaedics

Describe and discuss the aetiopathogenesis, clinical features,

Investigations and principles of management of Bone and Joint infections
a) Acute Osteomyelitis Lecture, Small group
Written/ Viva voce / Pathology,
OR3.1 b) Subacute osteomyelitis K/S K/KH/SH Y discussion, Video
c) Acute Suppurative arthritis OSCE Microbiology
assisted lecture
d) Septic arthritis & HIV infection
e) Spirochaetal infection
f) Skeletal Tuberculosis

Respiratory Medicine

130
 Number
Core Suggested Horizontal
COMPETENCY Domain Level K/KH/S Suggested Teaching required to Vertical
Number (Y/N) Assessment Integration
The student should be able to K/S/A/C H/P Learning method certify Integration
method
P

Describe and discuss the microbiology of tubercle bacillus, mode of Lecture, Small group
CT1.2 transmission, pathogenesis, clinical evolution and natural history of pulmonary K KH Y Written Microbiology
discussion
and extra pulmonary forms (including lymph node, bone and CNS).

Discuss and describe the impact of confection with HIV and other co morbid Lecture, Small group
CT1.3 K K Y Written Microbiology
conditions like diabetes on the natural history of tuberculosis discussion

Community
Describe the epidemiology, the predisposing factors and microbial and Lecture, Small group Medicine,
CT1.4 K KH Y Written/ Viva voce
therapeutic factors that determine resistance to drugs discussion Microbiology,
Pharmacology

Perform and interpret a PPD (Mantoux) and describe and discuss the indications Maintenance of log
CT1.7 S P Y DOAP session Microbiology
and pitfalls of the test book

CT1.10 Perform and interpret an AFB stain S P Y DOAP session Skill assessment 1 Microbiology

Enumerate the indications for tests including: serology, special cultures and Small group discussion, Short note/ Viva
CT1.12 K KH Y Microbiology
polymerase chain reaction and sensitivity testing Lecture voce

Describe and discuss the origins, indications, technique of administration, Lecture, Small group Short note/ Viva
CT1.13 K KH Y Microbiology
efficacy and complications of the BCG vaccine discussion voce

131
132
 Assessment
Introduction:
Competency based education has been defined as an outcome-based approach to the design,
implementation, assessment and evaluation of a medical education program using an organizing
framework of competencies. It mandates greater emphasis on setting up an ongoing and longitudinal
assessment . Assessment in competency based curriculum plays a crucial role in its implementation.
Competency is not an all or none phenomenon. Rather it is incremental. Thus, it is more about
integration of the required knowledge, skills and attitudes rather than anyone of them in isolation.
Therefore, assessment in competency based curriculum should incorporate integration to the extent
feasible while maintaining subject identity.

Purpose of assessment in competency based curriculum:

While an obvious purpose of assessment in competency based curriculum is to help the
teachers decide if the students have acquired the desired competencies, an equally important purpose
is to help the students acquire and improve their competencies. Quality assurance also requires
quality assessment. Major characteristics of competency based assessment are their longitudinal
nature, provision of developmental feedback and authentic settings, all of which result in lowering
the stakes on individual assessments. This has other important implications also for assessment
design. Since the stakes are low and purpose is to improve learning, high standardization and
psychometric rigor is not required. Authenticity of assessment task is more important than its
structure or objectivity. Expert subjective judgment plays a major role in assessment of
competencies.

Formative & Internal Assessment (IA):

Formative assessment is an assessment conducted during the instruction with the primary
purpose of providing feedback for improving learning. It also helps the teachers and learners to
modify their teaching learning strategies. The feedback is central to formative assessment and is
linked to deep learning, seeking to explore the educational literature and its pedagogical lessons for
healthcare educational practice. It provides inputs to both students and teachers regarding adequacy
of teaching-learning. In competency based curriculum, IA provides useful avenues for both
formative and summative assessment. IA focuses on the content and process of learning i.e. what
and how students have learnt throughout the course. This assessment gives priority to psychomotor,
communication and affective domains. These domains are usually not assessed by the traditional
assessment methods. It should involve all faculty members of a department (Senior Residents

133
 upwards) and not just one or two senior teachers. This helps to build ownership of teaching-learning
and assessment as well as provide „hands-on‟ experience in assessment to all teachers. IA can be a
very useful tool for assessing all competencies in any competency based curriculum. IA should not
be considered as an assessment without external controls and can be utilized in a manner to
overcome some of its perceived weaknesses. Utility of IA can be further improved by involving all
teachers in the department and limiting the contribution of individual teacher, test or tool.

Designing a system of assessment

Miller‟s pyramid will be followed while designing an internal assessment taking all domains
of learning i.e. cognitive, psychomotor and affective should be taken into account and weightage
should be assigned to these domains for assessment. [Knows- Knowledge tested by written
examination; Knows how-Application of knowledge tested by clinical problem solving; Shows
how-Demonstration of clinical skills tested y OSCE, Case presentation, SP; Dose- Daily patient care
tested by work based assessment.

While assessment will continue to be subject based, efforts must be made to ensure that
phase appropriate correlates are assessed to determine if the learner has internalized and integrated
the concept and its application

Internal Assessment
Table 8. Scheduling of tests for internal assessment for 2nd MBBS

Number of tests and Subjects Remarks

Three/Four tests  Clinical subjects should also be
 Pathology assessed at end of each posting
 Pharmacology (EOP) – Theory and Practical
 Microbiology  There should be at least one short
Two tests question from AETCOM in each
 General Medicine (Including Psychiatry, subject
Dermatology, Venereology & Leprosy (DVL)  In addition to 3 IA tests in Para-
and Respiratory Medicine including clinical subjects there will be one
Tuberculosis) prelim or pre-university examination
 General Surgery (Including Orthopaedics,
Dentistry, Anaesthesiology and Radiodiagnosis),
Obstetrics& Gynaecology,
 Forensic Medicine & Toxicology and Community

134
 Medicine
 End of posting (EOP) examination at each
clinical posting including those of allied subjects

Components of IA
i. Theory IA can include: Written tests, should have essay questions, short notes and creative
writing experiences.
ii. Practical / Clinical IA can include: practical / clinical tests, Objective Structured Clinical
Examination (OSCE) / Objective Structured Practical Examination (OSPE), Directly Observed
Procedural Skills (DOPS), Mini Clinical Evaluation Exercise (mini-CEX), records
maintenance and attitudinal assessment.
iii. Assessment of Log-book. Log book should record all activities like seminar, symposia,
quizzes and other academic activities. Achievement of certifiable competencies should also be
recorded in logbooks. It should be assessed regularly and submitted to the department. Up to
twenty per cent IA marks (Theory and Practical) should be from Log book assessment.
iv. Assessment for Professional development programme (AETCOM)will include:
a. Written tests comprising of short notes and creative writing experiences in each subject.
b. OSCE based clinical scenarios and/or viva voce. Skill competencies acquired during the
Professional Development Programme must be tested during the clinical, practical and viva
voce in every subject.
The internal assessment marks for each subject will be out of 100 for theory and out of 100 for
practical/clinical. Internal assessment marks will reflect as a separate head of passing at the
summative examination and will not be added to the University marks.

Feedback in IA
Feedback should be provided to students throughout the course so that they are aware of their
performance and remedial action can be initiated well in time. The feedbacks need to be structured
and the faculty and students must be sensitized to giving and receiving feedback. The results of IA
should be displayed on notice board within two weeks of the test and an opportunity provided to the
students to discuss the results and get feedback on making their performance better.

Remedial measures should be planned for students who are either not able to score qualifying marks
or have missed on some assessments due to any reason(s). It is also recommended that students
should sign with date whenever they are shown IA records in token of having seen and discussed the
marks.

135
 The results of internal assessment should be displayed on the notice board within 1-2 weeks of the
test. Universities shall guide the colleges regarding formulating policies for remedial measures for
students who are either not able to score qualifying marks or have missed on some assessments due
to any reason.

Internal assessment marks will not be added to University examination marks and will reflect
as a separate head of passing at the summative examination.

Summative assessment
Eligibility to appear for Professional examinations
(a) Attendance: Attendance requirements are 75% in theory and 80% in practical /clinical for
eligibility to appear for the examinations in that subject.
(b) Internal Assessment: Learners 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) assigned for internal
assessment in a particular subject 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.
(b) Certifiable competencies: Must have completed the required certifiable competencies for that phase
of training and completed the log book appropriate for that phase of training to be eligible for
appearing at the final university examination of that subject.
University Examinations
University examinations are to be designed with a view to ascertain whether the candidate has
acquired the necessary knowledge, minimal level of skills, ethical and professional values with clear
concepts of the fundamentals which are necessary for him/her to function effectively and
appropriately as a physician of first contact. Assessment shall be carried out on an objective basis to
the extent possible.
Schedule
1. The second professional examination shall be held at the end of second professional training
(11 months)in the subjects of Pathology, Microbiology and Pharmacology in Table.10.

136
 Table 9. Schedule of University Examination

Mark distribution
Summative assessment consists of University examinations. Each theory paper will have 100
marks. Marks distribution as per proposed GMER 2019 for various subjects in given in Table.11
Marks distribution for Second Professional in University examinations:
Summative assessment consists of University examinations. Each theory paper will have 100 marks.
Marks distribution as per proposed GMER 2019 for various subjects in given in

137
 Table 10. Marks distribution for Para-clinical subjects in University examinations

Written- Practicals /
Course Theory – Total Orals/ Clinicals

 Pharmacology –2 Papers 200 100

 Pathology –2 papers 200 100

 Microbiology –2 papers 200 100

Pass Criteria:
Internal Assessment: 50%combined in theory and practical (not less than 40% in each) for
eligibility for appearing for University Examinations
University Examination: Mandatory 50% marks in theory and practical (practical = practical/
clinical + viva) [theory=theory paper(s) only]
Internal assessment marks are not to be added to marks of the University examinations and
should be shown separately in the grade card.

There shall be one main examination in an academic year and a supplementary to be held not later
than 90 days after the declaration of the results of the main examination.

138
 Blue print
Blue print

Internal assessment

Table.11Component and weightage for internal assessment

Pharmacology Pathology Microbiology FMT
(100) (100) (100) (100)
Theory 40 40 40 40
Practical 30 30 30 30
AETCOM 20 20 20 20
Logbook 10 10 10 10

Summative assessment
Scheme for practical and viva
Table.12. Pharmacology
Sessions Components Marks
Prescription writing 10
Prescription audit 10
Computer assisted learning exercise 10
Pharmacokinetic/pharmacoeconomic problem/drug dose
Practical 10
calculation
(80 marks)
Routes of drug administration 10
Review of drug promotion literature/patient compliance 10
Emergency drugs 10
ADR reporting 10
Applied Pharmacology 5
Viva Toxicology 5
(20 marks) Clinical therapeutics & Management 5
Flash cards (Mechanism of action/interactions/ADR etc.) 5
Total 100

139
 [Link]
Sessions Components Marks
Spotters
20
(Slides-3,Specimen-3,Photographs-2,Instruments-2)
Peripheral Smear ( Certified skill) 20
Practical
UrineAnalysis. 10
(80 marks)
POL and Hematology charts(charts 4, one chart –certified
20
skill)
Hb estimation / Blood grouping 10
Viva General Pathology 5
(20 marks) Hematology and Instruments 5
Systemic Pathology I 5
Systemic Pathology II 5
Total 100

Table14. Microbiology
Sessions Components Marks
Gram Staining 15

ZN staining 15

Practical Stool Examination 10

(80 marks)
*OSPE 10

Problem based Questions(2) 30

General Microbiology / Immunology CVS & Blood 5

Viva Musculoskeletal System, GIT &Hepatobiliary 5

(20 marks) Genitourinary system, CNS, Respiratory System 5
Zoonotic Diseases, Miscellaneous 5
Total Mark 100

*OSPE: Out of three exercises, any one will be kept for university examination.
e.g. Steps in hand washing, Collection of blood sample

140
 FMT
Sessions Components Marks
Injury certificate 10
Age estimation by physical & Dental examination and Age estimation 10
by radiological examination (OR) Age estimation by skeletal remains
Practical Examination of accused and potency certificate (OR) Examination of 10
survivor of rape (OR) Drunkenness certificate
(60 marks)
Interpretation of age of fetus 10
Wet specimen, weapon, photograph, poison/appliance 10
Death certificate (OR)sickness and fitness certificate 10
Viscera packing
Viva 40
(40 marks)
Total 100

Scheme of theory examination (Pharmacology, Pathology, Microbiology, *FMT)

Section A 20 MCQs each for 1 mark 20x1 = 20
1 structured essay (SE) of 10 1X10=10
Section B marks
6 short answer questions of 5 6X5=30
Paper I marks each
1 structured essay (SE) of 10 1X10=10
Section C marks
6 short answer questions of 5 6X5=30
marks each
Theory Total 100
(200 marks) Section A 20 MCQs each for 1 mark
1 structured essay (SE) of 10 1X10=10
Section B marks
6 short answer questions of 5 6X5=30
Paper II marks each
1 structured essay (SE) of 10 1X10=10
Section C marks
6 short answer questions of 5 6X5=30
marks each
Total 100
* FMT only one paper

141
 Instruction to question paper setter
Theory
1. Designing of question paper should take into consideration all levels of knowledge domain e.g.
Bloom‟s taxonomy of cognitive domain. Use appropriate verbs for the questions at each level
to assess higher levels of learning. Use combination of various types of questions e.g.
structured essays (Long Answer Questions - LAQ), Short Answers Questions (SAQ) and
objective type questions (e.g. Multiple-Choice Questions-MCQ). Marks for each part should be
indicated separately. MCQs, should not have more than 20% weightage.
2. The question paper setter must sample the contents appropriately from competencies. The
blueprinting grid can help the paper setters to balance the question papers in content related
aspects. (Tab.) Blueprinting will add to the value and quality of these assessments. Moderation
of theory question paper by subject expert must be arranged by Universities.
3. The Modified Essay Questions (Problem based long answer questions), Clinical vignette based
Short Answers Questions (SAQ), and objective type questions (e.g. Multiple Choice Questions
- MCQs).

Table:15. Bloom’s Taxonomy : Knowledge Domain Action verbs

Level Suggested Verbs

Knowledge Define, Describe, Draw, Find, Enumerate, Cite, Name, Identify, List,
label, Match, Sequence, Write, State
Comprehension Discuss, Conclude, Articulate, Associate, Estimate, Rearrange,
Demonstrate, understanding, Explain, Generalise, Identify,
Illustrate, Interpret, Review, Suzmarise
Application Apply, Choose, Compute, Modify, Solve, Prepare, Produce, Select,
Show, Transfer, Use
Analysis Analyse, Characterise, Classify, Compare, Contrast, Debate,
Diagram, Differentiate, Distinguish, Relate, Categorise
Synthesis Compose, Construct, Create, Verify, Determine, Design, Develop,
Integrate, Organise, Plan, Produce, Propose, rewrite
Evaluation Appraise, Assess, Conclude, Critic, Decide, Evaluate, judge,
Justify, Predict, Prioritise, Prove, Rank

142
 Table: 16. Blueprinting in knowledge domain

Level Total
Knowledge 5 (20%)
Comprehension 5(20%)
Application 5 (20%)
Analysis 6(24%)
Synthesis 2 (8%)
Evaluation 2 (8%)
Total 25 (100%)

143
 Blue print for question paper and Model Question Paper
Pharmacology
Paper 1
(Model 1)
SECTION A SECTION B SECTION C Weightage
Sl.
TOPICS MCQs LAQ SAQs LAQ SAQs Marks %
No
(1 M/Q) (10 M/Q) (5 M/Q) (10 M/Q) (5 M/Q)
General
1 4 1 1 1 24 24
Pharmacology
Central Nervous
2 4 1 1 1 24 24
System
Gastrointestinal
3 4 1 2 19 19
System
Anti-Microbial
4 5 1 1 15 15
Agents
Cancer
5 1 1 6 6
Chemotherapy
6 Miscellaneous 2 1 7 7
7 AETCOM 1
Total Questions 20 1 6 1 6 100 100
(Model 2)
SECTION A SECTION B SECTION C Weightage
Sl.
TOPICS MCQs LAQ SAQs LAQ SAQs Marks %
No
(1 M/Q) (10 M/Q) (5 M/Q) (10 M/Q) (5 M/Q)
General
1 5 2 1 20 20
Pharmacology
Central Nervous
2 4 1 1 19 19
System
Gastrointestinal
3 3 1 1 1 23 23
System
Anti-Microbial
4 5 1 2 20 20
Agents
Cancer
5 1 1 6 6
Chemotherapy
6 Miscellaneous 2 1 7 7
7 AETCOM 1 5 5
Total Questions 20 1 6 1 6 100 100

144
 (Model3)

SECTION A SECTION B SECTION C Weightage

Sl.
TOPICS MCQs LAQ SAQs LAQ SAQs
No Marks %

(1 M/Q) (10 M/Q) (5 M/Q) (10 M/Q) (5 M/Q)

General
1 5 2 1 20 20
Pharmacology
Central Nervous
2 5 1 2 20 20
System
GastrointestinaS
3 3 1 1 18 18
ystem
Anti-Microbial
4 4 1 1 19 19
Agents
Cancer
5 1 1 6 6
Chemotherapy

6 Miscellaneous 2 1 1 12 12

9 AETCOM 1 5 5

Total Questions 20 1 6 1 6 100 100

Model4

SECTION A SECTION B SECTION C Weightage

Sl.
TOPICS MCQs LAQ SAQs LAQ SAQs Marks %
No
(1 M/Q) (10 M/Q) (5 M/Q) (10 M/Q) (5 M/Q)

General
1 4 1 1 1 24 24
Pharmacology
Central Nervous
2 5 2 1 20 20
System
Gastrointestinal
3 4 1 1 14 14
System
Anti-Microbial
4 4 1 1 1 24 24
Agents
Cancer
5 2 1 7 7
Chemotherapy

6 Miscellaneous 1 1 6 6

145
 9 AETCOM 1 5 5

Total Questions 20 1 6 1 6 100 100

146
 Paper 2

Model1

SECTION A SECTION B SECTION C Weightage

Sl.
TOPICS MCQs LAQ SAQs LAQ SAQs Marks %
No
(1 M/Q) (10 M/Q) (5 M/Q) (10 M/Q) (5 M/Q)
Autonomic
1 3 1 1 18 18
Nervous System
2 Autacoids 2 1 7 7
Respiratory
3 2 1 1 12 12
System
4 Hormones 3 1 1 18 18
Peripheral
5 2 1 7 7
Nervous System
Cardiovascular
6 4 1 2 19 19
System
7 Renal System 2 1 7 7

8 Blood 2 1 7 7

9 AETCOM 1 5 5

Total Questions 20 1 6 1 6 100 100

Model2

SECTION A SECTION B SECTION C Weightage

Sl.
TOPICS MCQs LAQ SAQs LAQ SAQs Marks %
No
(1 M/Q) (10 M/Q) (5 M/Q) (10 M/Q) (5 M/Q)

Autonomic
1 4 1 1 14 14
Nervous System
2 Autacoids 2 1 7 7
Respiratory
3 2 1 1 12 12
System
4 Hormones 3 1 1 18 18
Peripheral
5 2 1 7 7
Nervous System

1 47
 Cardiovascular
6 3 1 1 1 23 23
System
7 Renal System 2 1 7 7

8 Blood 2 1 7 7

9 AETCOM 1 5 5

Total Questions 20 1 6 1 6 100 100

Model3

Sl. SECTION A SECTION B SECTION C Weightage

TOPICS MCQs LAQ SAQs LAQ SAQs Marks %
No
(1 M/Q) (10 M/Q) (5 M/Q) (10 M/Q) (5 M/Q)
Autonomic
1 Nervous 4 1 1 14 14
System
2 Autacoids 2 1 7 7
Respiratory
3 2 1 1 17 17
System
4 Hormones 4 1 1 14 14
Peripheral
5 Nervous 2 1 7 7
System
Cardiovascular
6 2 1 1 1 22 22
System
7 Renal System 2 1 7 7
8 Blood 2 1 7 7
9 AETCOM 1 5 5
Total
20 1 6 1 6 100 100
Questions
Model4
SECTION A SECTION B SECTION C Weightage
Sl.
TOPICS MCQs LAQ SAQs LAQ SAQs Marks %
No
(1 M/Q) (10 M/Q) (5 M/Q) (10 M/Q) (5 M/Q)
Autonomic
1 Nervous 3 1 1 1 23 23
System
2 Autacoids 2 1 7 7
3 Respiratory 2 1 7 7

148
 System
4 Hormones 3 1 1 13 13
Peripheral
5 2 1 7 7
Nervous System
Cardiovascular
6 4 2 1 19 19
System
7 Renal System 2 1 7 7
8 Blood 2 1 12 12
9 AETCOM 1 5 5
Total Questions 20 1 6 1 6 100 100

149
 Model question paper
MAHATMA GANDHI MEDICAL COLLEGE AND RESEARCH INSTITUTE, SBV

DEPARTMENT OF PHARMACOLOGY

PAPER – I

Duration: 3 hours Max. Mark: 100

Answer all the questions asked. Draw schematic diagram wherever necessary.

Section A (20 Marks)

MCQ 1X20 =20 Marks
Section B (40 Marks)
Long Answer Question (1 x 10)
1. Classify the drugs used in peptic ulcer. Describe the mechanism of action, uses and adverse
effects of Omeprazole.
Short Answer Question (5 x 6)
2. Microsomal enzyme induction and Inhibition
3. What is Bioavailability? Write factors affecting bioavailability of drugs
4. Properties of ideal General anesthetic agent
5. Prokinetic agents
6. Amoxicillin - clavulanic acid combination.
7. Drugs used for psoriasis
SECTION C(40 Marks)
Long Answer Question (1 x 10)
8. Enumerate sedative hypnotics. What any three advantages of benzodiazepines over barbiturates
as sedative hypnotics? Add a note on benzodiazepine overdose.
Short Answer Question (5 x 6)
9. Kinetics of elimination
10. Drug dependence and its management
11. Selective serotonin reuptake inhibitor
12. Oral rehydration therapy
13. Common properties of aminoglycoside antibiotics
14. Directly Observed Treatment Short course chemotherapy (DOTS)
15. Anticancer antibiotics.

150
 MAHATMA GANDHI MEDICAL COLLEGE AND RESEARCH INSTITUTE, SBV

DEPARTMENT OF PHARMACOLOGY

PAPER – II

Duration: 3 hours Max. Mark: 100

Answer all the questions asked. Draw schematic diagram wherever necessary.

Section A (20 Marks)

MCQ 1X20 =20 Marks
Section B (40 Marks)
Long Answer Question 1 x 10=10 Marks
1. Enumerate β blockers. Mention their pharmacological actions, uses, adverse effects and
contraindications of β blockers.
Short Answer Question 5 x 6=30 Marks
Disease modifying anti rheumatoid drugs (DMARDs)
2. Management of status asthmaticus
3. Write a note on informed consent?
4. Uses of skeletal muscle relaxants
5. Therapeutic uses and adverse effects of ACE inhibitors.
6. High ceiling diuretics
Section C (40 Marks)
Long Answer Question 1 x 10=10 Marks
7. A 50 years old obese male is diagnosed with type 2 diabetes mellitus. Mention the mechanism of
action, uses and precautions of Metformin in this patient.
Short Answer Question 5 x 6=30 Marks
8. Prostaglandin analogues in glaucoma
9. Antitussives
10. Selective estrogen receptor modulators
11. Class III antiarrhythmic drugs.
12. Mechanism of action and therapeutic uses of digitalis.
13. Antiplatelet drugs

151
 Pathology
PAPER I
MULTIPLE CHOICE QUESTIONS
SECTION A

Knowledge/
Unit Weightage Marks Understanding Application
Unit Recall
No. (%) Allotted
MCQ (1) MCQ (1) MCQ(1)

Cell injury and

I 5 1 1
repair
Inflammation
II 10 2 1 1
&wound healing
Hemodynamic
III 5 1 1
disorders
IV Neoplasia 10 2 1 1
V Genetics 10 2 1 1
VI Immunity 5 1 1
VII Infectious 10 2 1 1
Nutritional
VIII disorders and 5 1 1
obesity
Clinical pathology
IX 5 1 1
and cytology
Red blood cell
X 5 1 1
disorders
White blood cell
XI 5 1 1
disorders
XII Platelets 5 1 1
XIII Lymph node 10 2 1 1
Spleen and
XIV 5 1 1
thymus
XV Blood banking 5 1 1
TOTAL 100% 20 08 09 3

152
 SECTION B
Knowledge/
Understanding Application
Unit Recall
Unit Weight Marks
No LAQ SAQ LAQ SAQ LAQ SAQ
(10) (5) (10) (5) (10) (5)
Cell injury and
I 25% 10 1 - - - - -
repair
Inflammation
II 12.5% 5 - 1 - - - -
&wound healing
Hemodynamic
III 12.5% 5 - - - 1 - -
disorders
IV Neoplasia 12.5% 5 - 1 - - - -
V Genetics 12.5% 5 - 1 - - - -
VI Immunity 12.5% 5 - 1
VII Infectious - - - - - - -
Nutritional
VIII disorders and - - - - - - - -
obesity
Clinical pathology
IX 12.5% 5 1
and cytology

TOTAL 100% 40 01 03 - 03 - -

SECTION C
Knowledge/
Understanding Application
Unit Marks Recall
Unit Weightage
No. Allotted LAQ SAQ LAQ SAQ LAQ SAQ
(10) (5) (10) (5) (10) (5)
Red blood cell
I 37.5% 15 - 1 - - 1 -
disorders
White blood cell
II 25% 10 - 1 - 1 - -
disorders
III Platelets 12.5% 5 - - - 1 - -
IV Lymph node 12.5% 5 - 1 - - - -
Spleen and
V - - - - - - - -
thymus
VI Blood banking 12.5% 5 - - - 1 - -
TOTAL 100% 40 0 03 - 03 1 -
PAPER II

153
 SECTION A
MULTIPLE CHOICE QUESTIONS
Knowledge/
Understanding Application
Unit Marks Recall
Unit Weightage
No. Allotted
MCQ(1) MCQ(1) MCQ(1)

Cardiovascular
I 10 2 1 - 1
system
II Blood vessel 5 1 - 1
III Respiratory system 10 2 1 - 1
Gastrointestinal
IV 10 2 - 1 1
system
V Liver 5 1 - 1 -
VI Gall bladder 5 1 - 1 -
VII Renal system 5 1 - - 1
VIII Male genital system 5 1 - - 1
Female genital
IX 10 2 1 1 -
system
X Breast 10 2 1 1 -
XI Endocrine 10 2 1 1
Central nervous
XII 5 1 - 1 -
system
Musculoskeletal
XIII System, skin and 10 2 1 1 -
soft tissue
TOTAL 100% 20 05 09 06

154
 SECTION B
Knowledge/
Understanding Application
Unit Marks Recall
Unit Weightage
No. Allotted LAQ SAQ LAQ LAQ SAQ
SAQ (5)
(10) (5) (10) (10) (5)
Cardiovascular
I 12.5% 5 - - - 1 - -
system
II Blood vessel 12.5% 5 - 1 - - - -

III Respiratory system 25% 10 - - - - 1

Gastrointestinal
IV 25% 10 - 1 - 1 - -
system
V Liver 12.5% 5 - - - 1 - -
VI Gall bladder 12.5% 5 - 1 - - - -
TOTAL 100% 40 - 03 - 03 01

SECTION C
Knowledge/
Unit Marks Recall
Unit Weightage
No. Allotted LAQ SAQ
(10) (5)
I Renal system 25% 10 - -
II Male genital
12.5% 5 - -
system
III Female genital
system 12.5% 5 - -

IV Breast 12.5% 5 - -
V Endocrine 12.5% 5 - -
VI Central nervous
12.5% 5 - 1
system
VII Musculoskeletal
System, skin and
12.5% 5 - 1
soft tissue

TOTAL 100% 50 0 02

155
 Model Question Paper
MAHATMA GANDHI MEDICAL COLLEGE AND RESEARCH INSTITUTE, SBV
DEPARTMENT OF PATHOLOGY
PAPER – I
Duration: 3 hours Max. Mark: 100
Answer all the questions asked. Draw schematic diagram wherever necessary.

Section –A
MCQs 20X1=20 Marks
Section B (40 marks)
Long Answers Questions: - 1X10=10 Marks
1. A 30 year old female patient came to the OPD with malar skin rashes and joint pain for the past
one month. On examination she had minimal plueral effusion. Her peripheral blood examination
showed [Link] had mild proteinuria.
a) What is your probable diagnosis and give reasons. (2)
b) Explain the pathogenesis and the organs affected in this condition (4)
c) Describe the laboratory investigations for this condition (4)
Short Answers Questions: - 6X5=30 Marks
2. Explain in brief etiopathogenesis of septicemic shock
3. Describe in brief various routes of metastasis with the mechanism of spread and examples
4. Define phagocytosis and explain its mechanisms.
5. Describe the mechanism of oncogenic viruses.
6. Describe the clinical presentation in Turner‟s syndrome with a mention about modes of
testing for genetic diseases
7. Explain the role of cytology in early diagnosis of malignancy
Section-C (40 marks)
Long Answers Question:- 1X10=10 Marks
8. 38 year old male presented with history of fatigability, tingling and numbness in the lower limb.
On examination patient is pale with mild splenomegaly. CBC showed Hb-6gms% WBC-2700
cell/[Link], MCV-110 fl, Platelet -50,000 cells/cumm
a) What is your probable diagnosis and give reason (2)
b) Describe in brief Etiopathogenesis and complications (4)
c) Describe in brief its relevant laboratory investigations (4)
Short Answers Questions:- 6X5=30 Marks

156
 9. Describe in brief lab investigations of multiple myeloma
10. Describe the clinical features and the crisis in sickle cell anemia
11. Mention FAB classification of AML with a note on its prognostic markers
12. Mention the types of ITP and add note on diagnostic workup
13. Classify Hodgkin‟s lymphoma and describe its pathogenesis
14. Classify Transfusion reactions, add a note on TRALI

MAHATMA GANDHI MEDICAL COLLEGE AND RESEARCH INSTITUTE, SBV

157
 DEPARTMENT OF PATHOLOGY
PAPER – II
Duration: 3 hours Max. Mark: 100
Answer all the questions asked. Draw schematic diagram wherever necessary.

Section –A(20 marks)

MCQ:- 20X1=20 Marks
Section B (40 marks)
Long Answer Questions:- 1X10=10 Marks
1. 67 year old male presented to the OPD with history of hemoptysis for past 2days associated with cough.
He gives history of weight loss. On examination, patient had left supraclavicular lymphadenopathy.
Chest X-ray showed irregular opacities in the left lower lobe.
a) What is your probable diagnosis? Reason it (2)
b) Describe in brief gross and microscopic features of the above condition (4)
c) Classify the above condition and mention its complications (4)
Short Answer Questions:- 6X5=30 Marks
2. Explain in brief etiopathogenesis of Rheumatic fever with the morphology of the affected organ in acute
and chronic stages of the disease.
3. Describe in brief etiopathogenesis and Risk factors of Atherosclerosis.
4. Explain the gross and microscopic features of benign mixed tumour of salivary gland.
5. Enumerate five differences between ulcerative colitis and Crohn‟s disease.
6. Describe in brief etiopathogenesis of Cholelithiasis with its complications
7. Explain in brief serological markers of Hepatitis B virus with a note on the morphology of
affected organ.
Section-C(40 marks)
Long Answer Questions:- 1X10=10 Marks
8. 12 year old boy presented to the pediatric OPD with history of facial puffiness, abdominal distention
and pedal edema for past 5 days. He also gives history of fever with pharyngitis before 10 days. Basic
investigations done showed Hb- 8gms% .Urine protein - 3+
a) What is your probable diagnosis? Reason it (2)
b) Describe its etiopathogenesis (4)
c) Enumerate its relevant laboratory investigations and mention its complication (4)
Short Answer Questions (6X5=30)
9. Classify Germ cell tumours of testis and write a note on gross and microscopic features of Seminoma.

158
 10. Explain the risk factors for carcinoma breast and how to communicate with the women at risk
about the screening tests and self examination of breast.
11. Enumerate types and components of MEN syndrome with a note on Pheochromocytoma.
12. Explain etiopathogenesis and morphology of Osteogenic sarcoma.
13. Explain the etiopathogenesis of Carcinoma of endometrium with mention on its types.
14. Explain the various causes of meningitis with note on CSF findings in this condition.

159
 Microbiology

Model 1
PAPER I
SECTION A
MCQs:- 1x20=20 Marks

Topics Weightage Mark

General Microbiology / Immunology 6 (30%) 6

CVS & Blood 4(20%) 4

Musculoskeletal system 4(20%) 4

GIT & Hepatobiliary 6(30%) 6

Section B(40 Marks)

LAQ Topics Weightage Mark

1 General Microbiology / Immunology

General Microbiology / 20
SAQs
Immunology
2 General Microbiology / Immunology

3 General Microbiology / Immunology 50%

4 CVS & Blood CVS & Blood

5 CVS & Blood 37.5% 15

6 CVS & Blood

AETCOM
7 AETCOM 5
12.5%

160
 Model 2
Section A
MCQs 1x20=20 Marks

Topics Weightage Mark

General Microbiology / Immunology 6 (30%) 6

CVS & Blood 4(20%) 4

Musculoskeletal system 4(20%) 4

GIT & Hepatobiliary 6(30%) 6

Section B (40 MARKS)

LAQ 10 MARKS Weightage Marks

1 CVS & Blood 20

SAQ 5 MARKS EACH CVS & Blood

50%
2 CVS & Blood 5
AETCOM
3 CVS & Blood 12.5%
4 AETCOM
General Microbiology/
5 Immunology
General Microbiology/
General Microbiology/ Immunology 15
6 Immunology
37.5%
General Microbiology/
7 Immunology

161
 Section C (40 Marks)
LAQ Topics Weightage Mark

8 GIT & Hepatobiliary

SAQs 20
GIT & Hepatobiliary
9 GIT & Hepatobiliary 50%
10 GIT & Hepatobiliary

11 Musculoskeletal System

12 Musculoskeletal System 20
Musculoskeletal System
50%
13 Musculoskeletal System

14 Musculoskeletal System

162
 Paper II
Model 1
Section A
MCQs 1x20=20 Marks

Topics Weightage Mark

Genitourinary system& Sexually 4(20%) 4

transmitting diseases

Respiratory System 4(20%) 4

CNS 3(15%) 3

Zoonotic Diseases 5(25%) 5

Miscellaneous 4(20%) 4

Section B (40 MARKS)

LAQ Topics Weightage Mark

1 Genitourinary system Genitourinary system

SAQs 25% 10

2 AETCOM 12.5% 5

3 Respiratory System Respiratory System 10

4 Respiratory System 25%

5 CNS
CNS
6 CNS 15
37.5%
7 CNS

Section C (40 Marks)

LAQ Topics Weightage Mark

8 Zoonotic Diseases
SAQs Zoonotic Diseases
20
50%
10 Zoonotic Diseases

163
 11 Zoonotic Diseases

12 Miscellaneous
Miscellaneous
13 Miscellaneous
50% 20
14 Miscellaneous

15 Miscellaneous

164
 Model 2
Section A
MCQs:- 1x20=20 Marks

Topics Weightage Mark

Genitourinary system& Sexually 4(20%) 4

transmitting diseases

Respiratory System 4(20%) 4

CNS 3(15%) 3

Zoonotic Diseases 5(25%) 5

Miscellaneous 4(20%) 4

Section B (40 MARKS)

LAQ Topics Weightage Mark

1 CNS CNS
25% 10
SAQs

2 AETCOM 12.5% 5

3 Respiratory System
Respiratory System
4 Respiratory System 15
37.5%
5 Respiratory System

6 Genitourinary system Genitourinary system

10
Genitourinary system 25%
7

Section C (40 Marks)

LAQ Topics Weightage Mark

8 Miscellaneous
SAQs Miscellaneous
20
9 Miscellaneous 50%

10 Miscellaneous

165
 11 Zoonotic Diseases

12 Zoonotic Diseases Zoonotic Diseases

20
13 Zoonotic Diseases 50%

14 Zoonotic Diseases

166
 Model 3
Section A
MCQs: - 1x20=20 Marks
Topics Weightage Mark

Genitourinary system& Sexually 4(20%) 4

transmitting diseases

Respiratory System 4(20%) 4

CNS 3(15%) 3

Zoonotic Diseases 5(25%) 5

Miscellaneous 4(20%) 4

Section B (40 marks)

LAQ Topics Weightage Mark

1 Respiratory System
Respiratory System
SAQs 15
37.5%
2 Respiratory System

3 CNS CNS
10
4 CNS 25%

5 AETCOM 12.5% 5

6 Genitourinary system Genitourinary system

10
7 Genitourinary system 25%

167
 Model Question paper

MAHATMA GANDHI MEDICAL COLLEGE AND RESEARCH INSTITUTE, SBV

DEPARTMENT OF MICROBIOLOGY

PAPER – I

Duration: 3 hours Max. Mark: 100

Answer all the questions asked. Draw schematic diagram wherever necessary.

Section –A (20 marks)

MCQ: - 20X1=20 Marks
Section B (40 marks)
Write Long Essays on: 1X10 =10 Marks

1. A 27 yr old woman with generalised weakness, joint pain and a rash over her cheeks for six
months was referred to the rheumatology clinic. She underwent various investigations like
Complete hemogram and X Ray. ESR was elevated. Investigations were not suggestive of any
infective aetiology. (1+1+4+3+1)
a) What is your probable clinical diagnosis?
b) Name two other diseases of similar aetiology.
c) Explain the pathogenesis of this condition.
d) Describe the laboratory diagnosis of this condition
e) How do you treat this condition?
Write Short answers on: 6X5 =30 Marks

2. Describe the various sources of infection with example.

3. Explain Anaerobic culture methods.
4. Describe lab diagnosis of Falciparum Malaria.
5. How do you communicate with the patient before performing ante-retroviral test?
6. Describe lab diagnosis of infective Endocarditis.
7. Describe lifecycle of [Link] in human.
Section C (40 marks)

Write Long Essays on: 1X10 =10 Marks

8. 50 year old man sustained road traffic accident with multiple fractures and open wounds in
the left leg. He was brought to the nearest hospital. He developed odema, pain and serous
discharge at the site after 2 days of treatment. Crepitation were felt around the wound site.

168
 Microscopic examination of the wound discharge showed thick, brick shaped, gram positive
bacilli and absence of neutrophils. (1+2+4+3)
a. What is the provisional diagnosis?
b. What are the causative agents of this condition?
c. Explain the pathogenesis of this condition.
d. Describe the laboratory diagnosis of this condition.

Write Short answers on: 6 X 5 =30 Marks

9. Describe lab diagnosis of Mycetoma

10. Explain Lepra reaction.
11. Describe lab diagnosis of Cholera
12. Describe pathogenesis of Bacterial food poisoning
13. Explain Modes of transmission and prevention of Hepatitis B
14. Describe lifecycle and laboratory diagnosis of [Link].

169
 MAHATMA GANDHI MEDICAL COLLEGE AND RESEARCH INSTITUTE, SBV

DEPARTMENT OF MICROBIOLOGY

PAPER – II

Duration: 3 hours Max. Mark: 100

Answer all the questions asked. Draw schematic diagram wherever necessary.

Section –A (20 marks)

MCQ:- 20X1=20 Marks
Section B (40 marks)
Write Long Essays on: 1X10 =10 Marks

1. A 25 year old male attended STD clinic with the complaints of papular rashes, mucous
patches in the oropharynx &condylomata at the mucocutaneous junctions. He gave the past
history of sexual exposure. (1+3+4+2)
a. What is your probable clinical diagnosis?
b. Explain the pathogenesis of this condition.
c. Describe the laboratory diagnosis for this condition
d. Name four bacterial STDs.
Write Short Essays on: 6 X 5 =30 Marks

2. Describe pathogenesis and laboratory diagnosis of Pulmonary tuberculosis

3. Explain Antigenic variation and its significance of Influenza virus.
4. Describe pathogenesis of Poliovirus.
5. Describe the pathogenesis of Neurocysticercosis.
6. Describe Etiopathogenesis of Cryptococcal meningitis.
7. What instructions would you give a patient before collection of urine sample for culture and
sensitivity?
Section C (40 marks)

Write Long Essays on: 1X10 =10 Marks

8. A 40 yrs old male presented to emergency department with 10 days history of fever of
unknown origin, headache, body pain and progressive shortness of breath. On examination, he
had rashes all over the body with eschar on the right armpit, lymphadenopathy and
hepatosplenomegaly ( 2+4+4)

170
 a) Identify the probable diagnosis and its aetiological agent
b) Describe the pathogenesis of this condition
c) Describe the laboratory diagnosis of this condition.
Write Short Essays on: 6 X 5 =30 Marks

9. Describe lab diagnosis of Leptospirosis.

10. Explain post exposure prophylaxis of Rabies.
11. Describe lab diagnosis of Brucellosis.
12. Describe Opportunistic infection with examples.
13. Briefly explain Biomedical Waste Management.
14. Describe sources of hospital infection

171
 Recommended books (*Latest edition)
Pharmacology
1. Basic and clinical Pharmacology by Bertram G. Katzung, *14th edition, Lange Publishers
2. Pharmacology by H.P. Rang and M.M. Dale, *8th edition, Elsevier Publishers
3. Principles of Pharmacology by H.L. Sharma & K.K. Sharma, *3rd edition, Paras Publishers
4. Essentials of Medical Pharmacology by K.D. Tripathi, *8th edition, JAYPEE publishers
5. Pharmacological Basis of Therapeutics, Goodman & Gilman, *13th edition, MC Graw Hill
6. Clinical Pharmacology, Bennet & Brown, *12th edition, Elsevier Publishers
7. Blue Prints Pharmacology – for case oriented Pharmacological discussions
Pathology
1. Kumar V, Abbas A, Aster JC. Pathologic basis of disease: South Asia edition. *9thedition.
Haryana: Elsevier; 2014.
2. Kumar V, Abbas A, Aster JC. Robbins Basic Pathology. *9thedition. Philadelphia: Elsevier
;2013.
3. Walter JB, Talbot IC. Walter and Israel General Pathology. *7thedition. Edinburgh; Elsevier
;1963
4. Cross SS. Underwood‟s Pathology: A clinical approach. *6thedition. China; Elsevier;2013
5. Singh T. Text and Practical Hematology for MBBS. New Delhi: APC Publications;2010.
6. Chaturvedi U, Singh T. Practical Pathology. *2ndedition. New Delhi: Arya Publications;2015.
Online Resources:
1. [Link]/
2. [Link]
Microbiology
1. Parija SC. Textbook of Microbiology& Immunology, latest edition. All India Publishers and
Distributors, New Delhi. India
2. Ananthanarayan&Paniker‟s Textbook of Microbiology, latest edition. Orient Longsman,
India; 2009.
3. Parasitology – [Link], latest edition
4. Textbook of Medical Parasitology – [Link], latest edition
5. Parija SC. Textbook of Medical Parasitology. *latest edition. All India Publishers and
Distributors, New Delhi. India
6. Apurba Sankar Sastry Sandhya Bhat K, Essentials of Medical Microbiology, *latest edition.

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