Course Outcome
Pre-clinical Subjects
Human Anatomy
(a) Competencies: The undergraduate must demonstrate:
- Understanding of the gross and microscopic structure and development of human body,
- Comprehension of the normal regulation and integration of the functions of the organs and systems on basis of the structure and genetic pattern,
- Understanding of the clinical correlation of the organs and structures involved and interpret the anatomical basis of the disease presentations.
Physiology
(a) Competencies: The undergraduates must demonstrate:
- Understanding of the normal functioning of the organs and organ systems of the body,
- Comprehension of the normal structure and organization of the organs and systems on the basis of the functions,
- Understanding of age-related physiological changes in the organ functions that reflect normal growth and development,
- Understand the physiological basis of diseases.
Biochemistry: The course will comprise Molecular and Cellular Biochemistry.
(a) Competencies: The learner must demonstrate an understanding of:
- Biochemical and molecular processes involved in health and disease,
- Importance of nutrition in health and disease,
- Biochemical basis and rationale of clinical laboratory tests, and demonstrate ability to interpret these in the clinical context.
Introduction to Community Medicine
(a) Competencies: The undergraduate must demonstrate:
- Understanding of the concept of health and disease,
- Understanding of demography, population dynamics and disease burden in national and global context,
- Comprehension of principles of health economics and hospital management,
- Understanding of interventions to promote health and prevent diseases as envisioned in National and state health programmes.
Second Professional (Para-Clinical)
Pathology
(a) Competencies: The undergraduate must demonstrate:
- Comprehension of the causes, evolution and mechanisms of diseases,
- Knowledge of alterations in gross and cellular morphology of organs in disease states,
- Ability to correlate the natural history, structural and functional changes with the clinical Manifestations of diseases, their diagnosis and therapy.
Microbiology
(a) Competencies: The undergraduate learner must demonstrate:
- Understanding of the role of microbial agents in health and disease,
- Understanding of the immunological mechanisms in health and disease,
- Ability to correlate the natural history, mechanisms and clinical manifestations of infectious diseases as they relate to the properties of microbial agents,
- Knowledge of the principles and application of infection control measures,
- Understanding of the basis of choice of laboratory diagnostic tests and their interpretation, antimicrobial therapy, control and prevention of infectious diseases.
Pharmacology
(a) Competencies: The undergraduate must demonstrate:
- Knowledge about essential and commonly used drugs and an understanding of the pharmacologic basis of therapeutics,
- Ability to select and prescribe medicines based on clinical condition and the pharmacologic properties, efficacy, safety, suitability and cost of medicines for common clinical conditions of national importance,
- Knowledge of pharmacovigilance, essential medicine concept and sources of drug information and industry-doctor relationship,
- Ability to counsel patients regarding appropriate use of prescribed drug and drug delivery Systems.
Forensic Medicine and Toxicology
(a) Competencies: The learner must demonstrate:
- Understanding of medico-legal responsibilities of physicians in primary and secondary care settings,
- Understanding of the rational approach to the investigation of crime, based on scientific and legal principles,
- Ability to manage medical and legal issues in cases of poisoning / overdose,
- Understanding the medico-legal framework of medical practice and medical negligence,
- Understanding of codes of conduct and medical ethics.
Third Professional (Part I)
General Medicine
(a) Competencies: The student must demonstrate ability to do the following in relation to common medical problems of the adult in the community:
- Demonstrate understanding of the pathophysiologic basis, epidemiological profile, signs and symptoms of disease and their investigation and management,
- Competently interview and examine an adult patient and make a clinical diagnosis,
- Appropriately order and interpret laboratory tests,
- Initiate appropriate cost-effective treatment based on an understanding of the rational drug prescriptions, medical interventions required and preventive measures,
- Follow up of patients with medical concerns and refer whenever required,
- Communicate effectively, educate and counsel the patient and family,
- Manage common medical emergencies and refer when required,
- Independently perform common medical procedures safely and understand patient safety issues.
General Surgery
(a) Competencies: The student must demonstrate:
- Understanding of the structural and functional basis, principles of diagnosis and management of common surgical problems in adults and children,
- Ability to choose, calculate and administer appropriately intravenous fluids, electrolytes, blood and blood products based on the clinical condition,
- Ability to apply the principles of asepsis, sterilization, disinfection, rational use of prophylaxis, therapeutic utilities of antibiotics and universal precautions in surgical practice,
- Knowledge of common malignancies in India and their prevention, early detection and therapy,
- Ability to perform common diagnostic and surgical procedures at the primary care level,
- Ability to recognize, resuscitate, stabilize and provide basic and advanced life support to patients following trauma,
- Ability to administer informed consent and counsel patient prior to surgical procedures,
- Commitment to advancement of quality and patient safety in surgical practice.
Obstetrics and Gynaecology
(a) Competencies in Obstetrics: The student must demonstrate ability to:
- Provide peri-conceptional counselling and antenatal care,
- Identify high-risk pregnancies and refer appropriately,
- Conduct normal deliveries, using safe delivery practices in the primary and secondary care settings,
- Prescribe drugs safely and appropriately in pregnancy and lactation,
- Diagnose complications of labour, institute primary care and refer in a timely manner,
- Perform early neonatal resuscitation,
- Provide postnatal care, including education in breast-feeding,
- Counsel and support couples in the correct choice of contraception,
- Interpret test results of laboratory and radiological investigations as they apply to the care of the obstetric patient,
- Apply medico-legal principles as they apply to tubectomy, Medical Termination of Pregnancy (MTP), Pre-conception and Prenatal Diagnostic Techniques (PC PNDT Act) and other related Acts.
(b) Competencies in Gynaecology: The student must demonstrate ability to:
- Elicit a gynaecological history, perform appropriate physical and pelvic examinations and PAP smear in the primary care setting,
- Recognize, diagnose and manage common reproductive tract infections in the primary care setting,
- Recognize and diagnose common genital cancers and refer them appropriately.
Paediatrics
(a) Competencies: The student must demonstrate:
- Ability to assess and promote optimal growth, development and nutrition of children and adolescents and identify deviations from normal,
- Ability to recognize and provide emergency and routine ambulatory and first level referral unit care for neonates, infants, children and adolescents and refer as may be appropriate,
- Ability to perform procedures as indicated for children of all ages in the primary care setting,
- Ability to recognize children with special needs and refer appropriately,
- Ability to promote health and prevent diseases in children,
- Ability to participate in national programmes related to child health and in conformation with the Integrated Management of Neonatal and Childhood Illnesses (IMNCI) strategy,
- Ability to communicate appropriately and effectively.
Orthopaedics (including Trauma)
(a) Competencies: The student must demonstrate:
- Ability to recognize and assess bone injuries, dislocation and poly-trauma and provide first contact care prior to appropriate referral,
- Knowledge of the medico-legal aspects of trauma,
- Ability to recognize and manage common infections of bone and joints in the primary care setting,
- Recognize common congenital, metabolic, neoplastic, degenerative and inflammatory bone diseases and refer appropriately,
- Ability to perform simple orthopaedic techniques as applicable to a primary care setting,
- Ability to recommend rehabilitative services for common orthopaedic problems across all ages.
Community Medicine
(a) Competencies: The learner must demonstrate:
- Understanding of physical, social, psychological, economic and environmental determinants of health and disease,
- Ability to recognize and manage common health concerns including physical, emotional and social aspects at individual family and community level in the context of national health programmes,
- Ability to implement and monitor national health programmes in the primary care setting,
- Knowledge of maternal and child wellness as they apply to national health care priorities and programmes,
- Ability to recognize, investigate, report, plan and manage community health problems including malnutrition and emergencies.
Dermatology, Venereology and Leprosy
(a) Competencies: The undergraduate student must demonstrate:
- Understanding of the principles of diagnosis of diseases of the skin, hair, nail and mucosa,
- Ability to recognize, diagnose, order appropriate investigations and treat common diseases of the skin including leprosy in the primary care setting and refer as appropriate,
- A syndromic approach to the recognition, diagnosis, prevention, counselling, testing and management of common sexually transmitted diseases, including HIV, based on national health priorities,
- Ability to recognize and treat emergencies including drug reactions and refer as appropriate.
Psychiatry
(a) Competencies: The student must demonstrate:
- Ability to promote mental health and mental hygiene,
- Knowledge of aetiology (bio-psycho-social-environmental interactions), clinical features, diagnosis and management of common psychiatric disorders across all ages,
- Ability to recognize and manage common psychological and psychiatric disorders in a primary care setting, institute preliminary treatment in disorders difficult to manage, and refer appropriately,
- Ability to recognize alcohol/ substance abuse disorders and refer them to appropriate centres,
- Ability to assess risk for suicide and refer appropriately,
- Ability to recognize temperamental difficulties and personality disorders,
- Assess mental disability and rehabilitate appropriately,
- Understanding of national and state programmes that address mental health and welfare of patients and community.
Respiratory Medicine
(a) Competencies: The student must demonstrate:
- Knowledge of common chest diseases, their clinical manifestations, diagnosis and management,
- Ability to recognize, diagnose and manage pulmonary tuberculosis as contemplated in National Tuberculosis Control programme,
- Ability to manage common respiratory emergencies in primary care setting and refer appropriately.
Otorhinolaryngology
(a) Competencies: The learner must demonstrate:
- Knowledge of the common otorhinolaryngological (ENT) emergencies and problems,
- Ability to recognize, diagnose and manage common ENT emergencies and problems in primary care setting,
- Ability to perform simple ENT procedures as applicable in a primary care setting,
- Ability to recognize hearing impairment and refer to the appropriate hearing impairment Rehabilitation programme.
Ophthalmology
(a) Competencies: The student must demonstrate:
- Knowledge of common eye problems in the community,
- Recognize, diagnose and manage common eye concerns and identify indications for referral,
- Ability to recognize visual impairment and blindness in the community and implement National programmes as applicable in the primary care setting.
Radiodiagnosis
(a) Competencies: The student must demonstrate:
- Understanding of indications for various radiological investigations in common clinical practice,
- Awareness of the ill effects of radiation and various radiation protective measures to be employed,
- Ability to identify abnormalities in common radiological investigations.
Radiotherapy
(a) Competencies: The student must demonstrate understanding of:
- Clinical presentations of various cancers,
- Appropriate treatment modalities for various types of malignancies,
- Principles of radiotherapy and techniques.
Anaesthesiology
(a) Competencies in Anaesthesiology: The student must demonstrate ability to:
- Describe and discuss the pre-operative evaluation, assessing fitness for surgery and the modifications in medications in relation to anaesthesia / surgery,
- Describe and discuss the roles of the anaesthesiologist as a perioperative physician, including pre-medication, endotracheal intubation, general anaesthesia and recovery (including variations in recovery from anaesthesia and anaesthetic complications),
- Describe and discuss the management of acute and chronic pain, including labour analgesia,
- Demonstrate awareness about the maintenance of airway in children and adults in various situations,
- Demonstrate the awareness about the indications, selection of cases and execution of cardiopulmonary resuscitation in emergencies and in the intensive care and high dependency units,
- Choose cases for local / regional anaesthesia and demonstrate the ability to administer the same,
- Discuss the implications and obtain informed consent for various procedures and to maintain the documents.
