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DEPARTMENT OF MEDICINE AND ALLIED SPECIALITIES

CURRICULUM OF STUDY MEDICINE AND ALLIED SPECIALITIES


(A) MEDICINE
(I) GOAL:
The broad goal of the teaching of undergraduate students in medicine is to
have the knowledge, skills and behavioral attributes to function effectively as
the first contact physician.
(II) OBJECTIVES:
(a) KNOWLEDGE:
At the end of the course, the students shall be able to :

(1) diagnose common clinical disorders with special reference to infectious


diseases, nutritional disorders, tropical and environmental diseases;
(2) Outline various modes of management including drug therapeutics especially
dosage, side effects, toxicity, interactions, indications and contra-indications;
(3) Propose diagnostic and investigative procedures and ability to interpret them;
(4) Provide first level management of acute emergencies promptly and efficiently
and decide the timing and level of referral, if required;
(5) recognize geriatric disorders and their management.
(b) SKILLS:
At the end of the course, the students shall be able to:

(1) develop clinical skills (history taking, clinical examination and other
instruments of examination) to diagnose various common medical disorders
and emergencies;
(2) refer a patient to secondary and/or tertiary level of health care after having
instituted primary care;
(3) perform simple routine investigations like haemogram, stool, urine, sputum
and biological fluid examinations;
(4) assist the common bedside investigative procedures like pleural tap, lumbar
puncture,bone marrow aspiration/biopsy and liver biopsy.
(C) INTEGRATION:

(1) with community medicine and physical medicine and rehabilitation to have the
knowledge and be able to manage important current national health
programmes, also to be able to view the patient in his/her total physical
,social and economic milieu;
(2) with other relevant academic inputs which provide scientific basis of clinical
medicine e.g. anatomy, physiology, biochemistry, microbiology, pathology and
pharmacology.

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DEPARTMENT OF MEDICINE AND ALLIED SPECIALITIES
CURRICULUM
(B) PSYCHIATRY:
(i) GOAL:
The aim of teaching the undergraduate student in Psychiatry is to impart
such knowledge and skills that may enable him to diagnose and treat
common Psychiatric disorders, handle Psychiatric emergencies and to refer
complication / unusual manifestations of common disorders and rare
Psychiatric orders to the specialist.
(ii) OBJECTIVES:
(a) KNOWLEDGE:
At the end of the course, the student shall be able to:
(1) Comprehend nature and development of different aspects of normal human
behaviour like learning, memory, motivation. Personality and intelligence;
(2) Recognize differences between normal and abnormal behaviour;
(3) Classify psychiatric disorders;
(4) Recognize clinical manifestations of the following common syndromes and plan
their appropriate management of organic psychosis, functional psychosis,
schizophrenia, affective disorders, neurotic disorders, personality disorders,
psycho-physiological disorders, drug and alcohol dependence, psychiatric
disorders of childhood and adolescence;
(5) Describe rational use of different modes of therapy in psychiatric disorders.
(b) SKILLS:
The student shall be able to:
(1) Interview the patient and understand different methods of communications in
patient-doctor relationship;
(2) Elicit detailed psychiatric case history and conduct clinical examination for
assessment of mental status;
(3) Define, elicit and interpret psycho-pathological symptoms and signs;
(4) Diagnose and manage common psychiatric disorders;
(5) Identify and manage psychological reactions and psychiatric disorders in
medical and surgical patients in clinical practice and in community setting.
(c) INTEGRATION:
Training in psychiatry shall prepare the students to deliver preventive,
promotive, curative and re-habilitative services for the care of patients both in
the family and community and to refer advance cases to a Specialised
Psychiatry/Mental Hospital. Training should be integrated with the
departments of Medicine, Neuro-Anatomy. Behavioral Sciences and Forensic
Medicine.

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C) DERMATOLOGY AND SEXUALLY TRANSMITTED DISEASES
(i)GOAL:
The aim of teaching the undergraduate student in Dermatology, Sexually
Transmitted Disease (STD) and Leprology is to impart such knowledge and skill
that may enable him to diagnose and treat common ailments and to refer rare
diseases or complication/unusual manifestations of common disease, to the
specialist.
(ii)OBJECTS:
(a)KNOWLEDGE:
At the end of the course of Dermatology, the student shall be able to:
(1) demonstrate sound knowledge of common disease, their clinical manifestations,
including emergent situations and of investigative procedures to confirm their
diagnosis;
(2) Demonstrate comprehensive knowledge of various modes of topical therapy;
(3) describe the mode of action of commonly used drugs, their doses, side-
effects/toxicity, indications and contra-indications and interactions;
(4) describe commonly used modes of management including the medical and
surgical procedures available for the treatment of various diseases and to offer a
comprehensive plan of management for a given disorder.
(b)SKILLS:
The student shall be able to:
(1) Interview the patient, elicit relevant and correct information and describe the
history in a chronological order;
(2) Conduct clinical examination, elicit and interpret physical findings and
diagnose common disorders and emergencies;
(3) Perform simple, routine investigative and laboratory procedures required for
making the bed-side diagnosis, especially the examination of scraping for
fungus, preparation of slit smears and staining for AFB for leprosy patient and
for STD cases;
(4) take a skin biopsy for diagnostic purposes;
(5) Manage common diseases recognizing the need for referral for specialized care,
in case of inappropriateness of therapeutic response.

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(D)PULMONARY MEDICINE:
(i)GOAL:
The aim of teaching the under graduate student in tuberculosis and chest diseases
is to impart such knowledge and skills that may enable him/her to diagnose and
treat common ailment affecting the chest with the special emphasis on
management and prevention of tuberculosis and especially National Tuberculosis
Control Programme.
(ii)OBJECTIVE:
(A)KNOWLEDGE:
At the end of the course of Tuberculosis & chest-diseases student shall be able to:
(1) Demonstrate sound knowledge of common chest diseases, their clinical
manifestations, including emergent situations and of investigative procedures to
confirm their diagnosis;
(2) Demonstrate comprehensive knowledge of various modes of therapy used in
treatment of respiratory diseases;
(3) Describe the mode of action of commonly used drugs, their doses, side-effects/
toxicity, indications and contra-indications and interactions;
(4) Describe commonly used modes of management including medical and surgical
procedures available for treatment of various diseases and to offer a
comprehensive plan of management inclusive of National Tuberculosis Control
Programme.
(B) SKILL:
The student shall be able to:
(1) Interview the patient, elicit relevant and correct information and describe the
history in chronological order;
(2) Conduct clinical examination, elicit and interpret clinical findings and diagnose
common respiratory disorders and emergencies;
(3) Perform simple, routine investigative and office procedures required for making
the bed side diagnosis, especially sputum collection and examination for
etiologic organisms especially Acid Fast Bacilli (AFB), interpretation of the chest
X-rays and respiratory function tests;
(4) interpret and manage various blood gases and pH abnormalities in various
respiratory diseases;
(5) Manage common diseases recognizing need for referral for Specialised care, in
case of inappropriateness of therapeutic response;
(6) Assist in the performance of common procedure, like larynogoscopic
examination, pleural aspiration, respiratory physiotherapy, laryngeal intubation
and pneumo-thoracic drainage aspiration.
(C) INTEGRATION :
The broad goal of effective teaching can be obtained through integration with
departments of Medicine, Surgery, Microbiology, Pathology, Pharmacology and
Preventive and Social Medicine

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DEPARTMENT OF MEDICINE AND ALLIED SPECIALITIES
LIST OF LECTURES IN MEDICINE

4TH SEMESTER: 5TH SEMESTER:


Infectious & Tropical Diseases Digestive System
1. Malaria 1. Nausea, Vomiting, Indigestion & Dysphagia
2. Severe & Complicated Malaria 2. Diarrhea and Constipation
3. Typhoid 3. Ac Inf Diarrhea & Bact Food Poisoning
4. Viral haemorrhagic fever and 4. Gastrointestinal bleeding
5. Leptospirosis
Dengue 5. Ascites, abd swelling, hepatosplenomegaly
6. Meningococcal infections 6. Approach to the Pt with Liver Dz incl LFTs
7. Chikungunya & other viral fevers 7. Jaund, bili metab, hyperbilirubinemias
8. Avian & other influenzas 8. Acute Viral Hepatitis I
9. Cholera 9. Acute Viral Hepatitis II
10. Tetanus 10. Alcoholic liver dz,
11. Plague and Other Yersinia 11. Cirrhosis & its complications
12.Infections
Rabies 12. Peptic Ulcer Disease and Related Disorders
13. Syphilis 13. Inflamm Bowel Dz & Irritable Bowel Synd
14. HIV 14. Toxic/Drug-Induced,/Chr hepatitis
15. Rx & Prophy of Bact Infections 15. Oral manifestations of medical diseases
16. Nosocomial infs & their control 16. Pancreatic disease

17. Diag & Rx of Fungal Infections 17. Malabsorption Syndromes


18. H. Simplex & Varicella-Zoster 18. Worm infestations
19.Viruses
Sepsis and Septic Shock 19. Amoebiasis
20. Fever, D/D of fever with rash 20. Bacillary Dysentery
21. Fever of Unknown Origin 21. Inspection of the abdomen
22. Palpation of the abdomen
23. Percussion & Ausculatation of abdomen

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LIST OF LECTURES IN MEDICINE
6TH SEMESTER: 7TH SEMESTER:
Respiratory Diseases Cardiovascular System
1. Common symptoms & dzes of RS 1. Common symptoms & dzes of CVS
2. Dyspnoea / Cough / Sputum 2. Palpitations/ Chest pain
3. Hemoptysis / Clubbing 3. Syncope/Cyanosis
4. Examination of Resp System 4. Arterial Pulse/JVP/BP/Periph pulses
5. Spirometry 5. Examination of CVS System
6. Pleural Effusion 6. ECG
7. Pneumothorax 7. X-rays, Echo, TMT & other Ixs in CVS
8. Bronchial Asthma 8. Rheumatic Fever
9. Pneumonia 9. Mitral Valve Disease
10. Lung Abscess 10. Aortic Valve Disease
11. Pulmonary Function tests 11. Congenital Heart Dz in adults
12. COPDs 12. Approach to the Pt with a Heart Murmur
13. Respi Failure & Mech Ventilation 13. Infective Endocarditis
14. Acute Resp Distress Synd 14. Hypertension
15. Smoking and hazards 15. Ischaemic Heart dz
16. Interstitial Lung Diseases 16. Heart Failure
17. Hypersensitivity Pneumonitis 17. The Bradyarrhythmias
18. Environmental Lung Diseases 18. The Tachyarrhythmias
19. Disorders of Ventilation 19. Cardiomyopathies
20. Sleep Apnea 20. Cor Pulmonale, Pulm Emb, PHT, PVD
General Examination 21. Pericardial Dz
1. Built & Nutrition 22. Heart Diseases in Pregnancy
2. Pallor, Clubbing, Koilonychia Nephrology
3. Oedema 1. Urinary Examination
4. Palp of LNs, Gen lymphadenopathy 2. Fluid and Electrolyte Disturbances
5. Signs of nutritional deficiencies 3. Acidosis and Alkalosis
6. Signs of liver cell failure 4. Renal function tests
7. General Examination (Remaining) 5. Nephrotic Syndrome
6. The Major Glomerulopathies
7. Acute Renal Failure
8. Chronic Renal Failure
9. Dialysis in the Rx of Renal Failure

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DEPARTMENT OF MEDICINE AND ALLIED SPECIALITIES
LIST OF LECTURES IN MEDICINE
8TH SEMESTER: 9TH SEMESTER:
Hematology Neurology
1. Approach to a pt of anaemia 1. Approach to the Pt with Neurologic Dz
2. Iron Deficiency Anaemia 2. Myalgias,Weakness, Paralysis
3. Megaloblastic Anaemia 3. Disorders of Movt, & Imbalance
4. Enlarg of the Lymph Nodes & 4. Tingling, numbness, sensory
5. Hemolytic
Spleen Anemias 5. Faintness,
disturbancesSyncope, Dizziness, & Vertigo
6. Hemoglobinopathies 6. Investigations in Neurology
7. Bleeding and Thrombosis 7. Acute Confusional States & Coma
8. Blood Transfusion 8. Common dzes of CNS
9. Acute and Chronic Myeloid 9. Examination of CNS
10. Other hematologic malignancies
Leukemia 10. Acute Meningitis
11. Anticoag/Fibrinolytic/Antiplatelet 11. Epilepsy
Endocrine
Rx System 12. Headache
1. Hyperthyroidism 13. CV Stroke
2. Hypothyroidism 14. Diseases of the Spinal Cord
3. Hypoparathroidism & Tetany 15. Common Disorders of the Cranial Nerves
4. Hyperparathyroidism 16. Parkinson's Dz
5. Diabetes Mellitus 17. Dzes of Periph nerves
6. Hyperpituitarism 18. Myopathies
7. Hypopituitarism 19. Myasthenia Gravis
8. Adrenocortical Hypofunction 20. Other Dzes of the NM Junction
9. Adreno cortical hyperfunction 21. Deficiency Dzes of CNS
10. Osteoporosis Connective Tissue /Autoimmune
11. Paraneoplastic Syndromes 1. Rheumatoid Arthritis
disorders
Environmental Hazards 2. Sarcoidosis
1. Approach to a patient of poisoning 3. Systemic Lupus Erythematosus
2. O P Poisoning 4. Scleroderma & Sjogren's Syndrome
3. Barbiturate poisoning 5. Amyloidosis
4. Snake Bite Genetics
5. Alcohol and Alcoholism 1. Chromosomes & Chromosomal Disorders
6. Drowning and Near-Drowning 2. Unifactorial and multi factorial
7. Electrical Injuries 3. Prevention
inheritance.of Genetic Diseases
8. Cardiopulmonary resuscitation 4. Gene Therapy
9. Anaphylaxis Miscellaneous
Nutrition 1. Geriatric Medicine
1. Obesity & Hyperlipidaemias
2. Nutritional Reqts & Dietary
3. Malnutrition
Assessment & Nutritional
4. Vitamin & Trace Mineral Def &
Assessment
5. Enteral
Excess and Parenteral Nutrition
6. Rx

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DEPARTMENT OF MEDICINE AND ALLIED SPECIALITIES
LIST OF LECTURES IN PSYCHIATRY
1. Intro and General Considerations 2. Psychosexual Disorders.
3. Diagnosis & Inx of a Psych ill pt 4. Substance Abuse
5. Organic Psychiatry 6. Personality Disorders
7. Mood Disorders 8. Child Psychiatry
9. Neurotic Disorders 10. Drug induced Psychiatric Disorder
11. Psychotic Disorders 12. Psychiatric Emergencies
13. Treatment Methods in Psychiatry

LIST OF LECTURES IN DERMATOLOGY AND VENEREOLOGY


1. Normal Skin : Structure/function
2. Parasitic infestation : Scabies / pediculosis
3. Fungal infections: Tinea/Pityriasis/Versicolor-candidiasis.
4. Leprosy - epidemiology/clinical/diagnosis
5. Leprosy - Management/Lepra reactions
6. STD : Genital discharge Gonorrhoea.
7. Papulosquamous erupt : Psoriasis/Lichen Planus, Seborrhoeic Dermatitis
8. Vesiculo bullous eruptions : Pemphigus/pemphigoid
9. STD : Syphilis 16. Dermatotherapy
10. STD : Chancroid 17. Urticaria and Vascular disorder
11. STD : LGV/GI/Genital Herpes. 18. Drug Reactions
12. AIDS 19. Skin in Systemic diseases
13. Eczema and contact dermatitis 20. Skin malignancies
14. Acne 21. Nutritional & Metabolic Disorders.
15. Pigmentory disorders 22. Disorders of Hair & Nail.
23. Bacterial Infections of Skin 24. Viral Infections of Skin

LIST OF LECTURES IN PULMONARY MEDICINE

1. TB: Intro, Epidemio & Types 2. Pulmonary TB


3. Extra Pulmonary TB 4. RNTCP
5. Pleural Effusions 6. Pneumonia
7. COPD 8. Bronchial Asthma
9. Bronchiectasis 10. Multi Drug Resistant TB
11. Interstitial Lung Disease 12. Cor- Pulmonale
13. Pulmonary Embolism 14. Smoking Cessation
15. Acute Respiratory Failure 16. Mechanical Ventilation