Professional Documents
Culture Documents
MEDICAL COUNCIL OF INDIA SECTOR-8, POCKET-14, DWARKA, NEW DELHI-110077 Phone Nos. 011-25367033, 25367035, 25367036 Fax Nos. 011-25367024, 25367025
1. Theundergraduatemedicaleducationprogrammeisdesignedwithagoaltocreatean IndianMedicalGraduate(IMG)possessingrequisiteknowledge,skills,attitudes,valuesand responsiveness,sothatheorshemayfunctionappropriatelyandeffectivelyasaphysicianof firstcontactofthecommunitywhilebeinggloballyrelevant. 2. Inordertofulfilthisgoal,theIMGmustbeabletofunctioninthefollowingROLES appropriatelyandeffectively: 2.1. Clinicianwhounderstandsandprovidespreventive,promotive,curative,palliativeand holisticcarewithcompassion. 2.2. Leaderandmemberofthehealthcareteamandsystemwithcapabilitiestocollect analyze,synthesizeandcommunicatehealthdataappropriately. 2.3. Communicatorwithpatients,families,colleaguesandcommunity. 2.4. Lifelonglearnercommittedtocontinuousimprovementofskillsandknowledge. 2.5. Professional,whoiscommittedtoexcellence,isethical,responsiveandaccountableto patients,communityandprofession. 3. Competencies:Competencybasedlearningwouldincludedesigningandimplementing medicaleducationcurriculumthatfocusesonthedesiredandobservableabilityinreallife situations.Inordertoeffectivelyfulfiltherolesaslistedinitem1above,theIndianMedical Graduatewouldhaveobtainedthefollowingsetofcompetenciesatthetimeofgraduation: 3.1. Clinician,whounderstandsandprovidespreventive,promotive,curative,palliativeand holisticcarewithcompassion 3.1.1. Demonstrateknowledgeofnormalhumanstructure,functionanddevelopment fromamolecular,cellular,biologic,clinical,behavioralandsocialperspective. 3.1.2. Demonstrateknowledgeofabnormalhumanstructure,functionand developmentfromamolecular,cellular,biological,clinical,behaviouralandsocial perspective. 3.1.3. Demonstrateknowledgeofmedicolegal,societal,ethicalandhumanitarian principlesthatinfluencehealthcare. 3.1.4. Demonstrateknowledgeofnationalandregionalhealthcarepoliciesincluding theNationalRuralHealthMission(NRHM),frameworks,economicsandsystems 2
thatinfluencehealthpromotion,healthcaredelivery,diseaseprevention, effectiveness,responsiveness,qualityandpatientsafety. 3.1.5. Demonstrateabilitytoelicitandrecordfromthepatient,andotherrelevant sourcesincludingrelativesandcaregivers,ahistorythatiscompleteandrelevant todiseaseidentification,diseasepreventionandhealthpromotion. 3.1.6. Demonstrateabilitytoelicitandrecordfromthepatient,andotherrelevant sourcesincludingrelativesandcaregivers,ahistorythatiscontextualtogender, age,vulnerability,socialandeconomicstatus,patientpreferences,beliefsand values. 3.1.7. Demonstrateabilitytoperformaphysicalexaminationthatiscompleteand relevanttodiseaseidentification,diseasepreventionandhealthpromotion.
3.1.12. Demonstrateabilitytoprescribeandsafelyadministerappropriatetherapies includingnutritionalinterventions,pharmacotherapyandinterventionsbasedon theprinciplesofrationaldrugtherapy,scientificvalidity,evidenceandcost thatconformtoestablishednationalandregionalhealthprogrammesandpolicies forthefollowing: a. b. c. d. Diseaseprevention, Healthpromotionandcure, Painanddistressalleviation,and Rehabilitationandpalliation. 3
Leaderandmemberofthehealthcareteamandsystem 3.2.1 3.2.2 3.2.3 3.2.4 3.2.5 3.2.6 Workeffectivelyandappropriatelywithcolleaguesinaninterprofessionalhealth careteamrespectingdiversityofroles,responsibilitiesandcompetenciesofother professionals. Recognizeandfunctioneffectively,responsiblyandappropriatelyasahealthcare teamleaderinprimaryandsecondaryhealthcaresettings. Educateandmotivateothermembersoftheteamandworkinacollaborativeand collegialfashionthatwillhelpmaximizethehealthcaredeliverypotentialofthe team. Accessandutilizecomponentsofthehealthcaresystemandhealthdeliveryina mannerthatisappropriate,costeffective,fairandincompliancewiththe nationalhealthcareprioritiesandpolicies,aswellasbeabletocollect,analyze andutilizehealthdata. Participateappropriatelyandeffectivelyinmeasuresthatwilladvancequalityof healthcareandpatientsafetywithinthehealthcaresystem. Recognizeandadvocatehealthpromotion,diseasepreventionandhealthcare qualityimprovementthroughpreventionandearlyrecognition:ina)lifestyle diseasesandb)cancer,incollaborationwithothermembersofthehealthcare team.
3.3.
Lifelonglearnercommittedtocontinuousimprovementofskillsandknowledge 3.4.1 3.4.2 3.4.3 3.4.4 3.4.5 Demonstrateabilitytoperformanobjectiveselfassessmentofknowledgeand skills,continuelearning,refineexistingskillsandacquirenewskills. Demonstrateabilitytoapplynewlygainedknowledgeorskillstothecareofthe patient. Demonstrateabilitytointrospectandutilizeexperiences,toenhancepersonal andprofessionalgrowthandlearning. Demonstrateabilitytosearch(includingthroughelectronicmeans),andcritically evaluatethemedicalliteratureandapplytheinformationinthecareofthe patient. Beabletoidentifyandselectanappropriatecareerpathwaythatisprofessionally rewardingandpersonallyfulfilling.
3.5.
Professionalwhoiscommittedtoexcellence,isethical,responsiveandaccountableto patientscommunityandtheprofession 3.5.1 3.5.2 3.5.3 3.5.4 3.5.5 Practiceselflessness,integrity,responsibility,accountabilityandrespect. Respectandmaintainprofessionalboundariesbetweenpatients,colleaguesand society. Demonstrateabilitytorecognizeandmanageethicalandprofessionalconflicts. Abidebyprescribedethicalandlegalcodesofconductandpractice. Demonstrateacommitmenttothegrowthofthemedicalprofessionasawhole.
4. Inordertoensurethattrainingisinalignmentwiththegoalsandcompetencieslistedin items,1and0above: 4.1. Thereshallbeabridgecoursetermedas"FoundationCourse"toorientmedical studentstoMBBSprogramme,andprovidethemwithrequisiteknowledge, communication(includingelectronic),technicalandlanguageskillsrequired. 4.2. Thecurricularcontentshallbeverticallyandhorizontallyalignedandintegratedtothe maximumextentpossibleinordertoenhancestudentinterestandeliminate redundancyandoverlap. 4.3. Teachinglearningmethodsshallbestudentcentricandshallpredominantlyinclude smallgrouplearning,interactiveteachingmethodsandcasebasedlearning. 4.4. Clinicaltrainingshallemphasizeearlyclinicalexposure,skillacquisition,certificationin essentialskills;community/primary/secondarycarebasedlearningexperiencesand emergencies. 4.5. Trainingshallprimarilyfocusonpreventiveandcommunitybasedapproachesto healthanddisease,withspecificemphasisonnationalhealthprioritiessuchasfamily welfare,communicablediseases,epidemicsanddisastermanagement. 4.6. Acquisitionandcertificationofskillsshallbethroughexperiencesinpatientcare, diagnosticandskilllaboratories. 4.7. Thedevelopmentofethicalvaluesandoverallprofessionalgrowthasintegralpartof curriculumshallbeemphasizedthroughastructuredlongitudinalanddedicated programmeonprofessionaldevelopmentandethics. 4.8. Progressofthemedicalstudentshallbedocumentedthroughstructuredperiodic assessmentthatincludesformativeassessment.Logsofskillbasedtrainingshallbe alsomaintained. 4.9. Appropriatefacultydevelopmentprogrammesshallbeconductedregularlyby institutionstofacilitatemedicalteachersatalllevelstocontinuouslyupdatetheir professionalandteachingskill;andaligntheirteachingskillstocurricularobjective. 5. AdmissiontotheMBBSprogramme 6. Migration:Migrationfromonemedicalcollegetootherisnotarightofastudentand normallyshallnotbeallowed.However,migrationfromonemedicalcollegetoanother 6
medicalcollegewithinIndiamaybeconsideredbytheMedicalCouncilofIndiaonlyin exceptionalcases,onextremecompassionategrounds,providedthefollowingcriteriaare fulfilled. 6.1 Bothcollegesi.e.,theoneatwhichthestudentisenrolledandonetowhichmigrationis sought,arerecognizedbytheMedicalCouncilofIndia. 6.2 TheapplicantcandidateshouldhavepassedfirstProfessionalMBBSexaminationinthe firstattempt. 6.3 Theapplicantshallsubmithisapplicationformigration,completeinallrespects,toall authoritiesconcernedwithinaperiodofonemonthofpassing(declarationofresult)the firstProfessionalBachelorofMedicineandBachelorofSurgery(MBBS)examination. 6.4 Theapplicantshallsubmitanaffidavitstatingthathe/shewillpursue14monthsof prescribedstudybeforeappearingatIIndProfessionalBachelorofMedicineandBachelor ofSurgery(MBBS)examinationatthetransfereemedicalcollege,whichshouldbeduly certifiedbytheRegistraroftheconcernedUniversityinwhichhe/sheisseekingtransfer. Thetransferwillbeapplicableonlyafterreceiptoftheaffidavit. 6.5 Migrationshallberestrictedto5%ofthesanctionedintakeofthecollegeduringthe year.Nomigrationwillbepermittedonanygroundfromonemedicalcollegetoanother locatedwithinthesamecity. 6.6 Thereshouldbeclearvacancythathasarisenduetononfillingofseats.Astudentwho wishestomigratemaybeaccommodatedonlyintheeventofvacancyinsanctioned seatsstrength.Failureofstudentsinexaminationwillnotcountasvacancyofsanctioned seatsstrength. 6.7 Migrationshallbeallowedonlyfortheregularbatch. 6.8 Migrationduringclinicalcourseofstudyshallnotbeallowedonanygrounds. 6.9 AllapplicationsformigrationshallbereferredtoMedicalCouncilofIndiabycollege authorities.Noinstitution/Universityshallallowmigrationsdirectlywithouttheapproval oftheCouncil. 6.10 Councilreservestheright,nottoentertainanyapplicationwhichisnotunderthe prescribedcompassionategroundsandalsototakeindependentdecisionwhere applicanthasbeenallowedtomigratewithoutreferringthesametotheCouncil.The 7
MedicalCouncilofIndiashallcommunicateitsdecisionwithin04weeksofreceiptof application. 6.11 Compassionategroundscriteria: 6.11.1 DeathofparentorsupportingguardianduringdurationoffirstProfessionalphase (FirstMBBS). 6.11.2 Illnessofcandidatecausingdisability. 6.11.3 DisturbedconditionsasdeclaredbyGovernmentintheareainwhichtheMedical Collegeislocated. 7 Trainingperiodandtimedistribution: 7.1. Everystudentshallundergoaperiodofcertifiedstudyextendingover4yearsfrom thedateofcommencementofstudyforthesubjectscomprisingthemedical curriculumtothedateofcompletionofexaminationwhichshallbefollowedbyone yearofcompulsoryrotatinginternship. 7.2. Eachacademicyearwillconsistofaminimumof240teachingdayswithaminimumof 08hourseachworkingdayincludingonehourforlunch. 7.3. Teachingandlearningshallbealignedandintegratedacrossspecialtiesbothvertically andhorizontallyforbetterstudentcomprehension.Studentcenteredlearning methodsshouldincludeproblemorientedlearning,casestudies,communityoriented learning,selfdirectedandexperientiallearning. 7.4. Theperiodof4yearsisdividedasfollows: 7.4.1 PreclinicalPhase(12monthsprecededbyfoundationcourseof2months):will consistofpreclinicalsubjectsHumanAnatomy,Physiology,Biochemistry, introductiontoCommunityMedicine,humanitiesandearlyclinicalexposure ensuringbothhorizontalandverticalintegration. 7.4.2 Phase2(12months):willconsistofParaclinical,namelyPathology, Pharmacology,Microbiology,CommunityMedicine,ForensicMedicineand Toxicology,andclinicalsubjectsasdetailedbelow(IIIMBBS)ensuringboth horizontalandverticalintegration.
a. Theclinicalexposuretostudentswillbeintheformofstudentdoctormethodof clinicaltraining.Theemphasiswillbeonprimary,preventiveandcomprehensive 8
healthcare.Apartoftrainingduringclinicalpostingsshouldtakeplaceatthe primarylevelofhealthcare.Itisdesirabletoprovidelearningexperiencesin secondaryhealthcare,whereverpossible.Thiswillinvolve: i) Experienceinrecognizingandmanagingcommonproblemsseenin outpatient,inpatientandemergencysettings. ii) iii) Involvementinpatientcareasateammember. Involvementinpatientmanagementandperformanceofbasic procedures. 7.4.3 Phase3(28months)
a. Part1(13months)TheclinicalsubjectsincludeOtorhinolaryngology, Ophthalmology,CommunityMedicineandForensicMedicineandToxicology. b. Elective(2months)Toprovidestudentswithopportunityfordiverselearning experiences,todoresearch/communityprojectsthatwillstimulateenquiry, selfdirected,experientallearningandlateralthinking[item9.3]. c. Part2(13months)Clinicalsubjectsinclude: i) Medicineandalliedspecialties(GeneralMedicine,Pediatrics, TuberculosisandChest,SkinandSexuallyTransmittedDiseases, Psychiatry,Radiodiagnosis,Infectiousdiseases). ii) Surgeryandalliedspecialties(GeneralSurgery,Orthopedicsincluding trauma,physiotherapyandrehabilitation,Anesthesia,Dentistry, Radiotherapy). iii) ObstetricsandGynecology(includingFamilyMedicineandFamily Welfare). iv) 7.5. Pediatrics.
7.6.
7.7.
7.8.
Astudentshallnotbeallowedtograduatelaterthan9yearsofjoiningfirstMBBS course.
7.9.
Passinginthe1stProfessionalexaminationsiscompulsorybeforeproceedingtoPhase IItraining.
7.10. Nomorethan04attemptsshallbeallowedforacandidatetopassthefirst Professionalexaminations.TotalperiodforsuccessfulcompletionoffirstProfessional shallnotexceed04years.Partialattendanceofexaminationinanysubjectshallbe countedasanattempt. 7.11. Astudent,whofailsintheIIndProfessionalexamination,shallnotbeallowedtoappear inIIIrdProfessionalPartIexaminationunlesshepassesallsubjectsofIIndProfessional examination. 7.12. PassinginIIIrdProfessional(PartI)examinationisnotcompulsorybeforestarting4th yeartraining,howeverpassingofIIIrdProfessional(PartI)iscompulsoryforbeing eligibleforIIIrdProfessional(PartII)examination. 7.13. DuringPhaseIIandPhaseIIIincludingprescribed04weeksofelectives,clinicalpostings ofthreehoursdurationdailyasspecifiedinTableissuggestedforvariousdepartments. 8. PhaseDistributionandTimingofexamination 8.1. 8.2. 8.3. 8.4. 8.5. TimedistributionoftheMBBSprogrammeisgivenintable1. Phasewisedistributionofsubjectsisgivenintable2. Minimumteachinghoursprescribedinvariousdisciplinesareasundertables37. Distributionofclinicalpostingsisgivenintable8. Totalweeksofclinicalpostingswillbe: 8.5.1 PhaseII:36weeks 10
PhaseIIIpart1:42weeks PhaseIIIpart2:44weeks
Timeallottedexcludestimereservedforinternal/universityexaminations,and vacation
8.7.
8.8.
25%ofallottedtimeofPhase3shallbeutilizedforintegratedlearningwithpreand paraclinicalsubjects.Thiswillbeincludedintheassessmentofclinicalsubjects.
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Table1:TimedistributionofMBBSprogramme
Jan
Feb
Mar
Apr
May
Jun
Jul
Aug
Sep
Oct
Nov
Dec
IMBBS
IMBBS IIMBBS
IIMBBS
IIyr exam
IIIMBBSPart1
Part1 exam
Electives andskills
NEETexaminationwillcompriseof6070%ofthecoursecontentfromPhaseIIIandrestwillbe fromphaseIandII.NEETwillbeheldinthelastweekofFebruary.
12
Table2:Phasewisedistributionofsubjects
Subjects&NewTeachingElements
Duration
University examination
2+12 months
IstProfessional
Phase2 IIMBBS
12months
IIndProfessional
13months
IIIrdProfessional (Part1)
2months 13months
IIIrdProfessional (Part2)
*AssessmentofelectivesandskillswillbeincludedinInternalassessment.
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Table3:FoundationCourse
Subjects/Contents
Teachinghours
SelfDirected Learning(hours)
Totalhours
Orientation1 SkillsModule2 CoreSubjectOrientation3 Fieldvisittocommunity healthcenter SportsandExtracurricular includingYoga Enhancementof language/computer skills4
30 35 120 8
0 0 15 0
30 35 135 8
32
32
80
80
320
14
Table4:PhaseIteachinghours
Subjects
Lectures (hours)
SmallGroup
Self
Total (hours)
Anatomy Physiology Biochemistry EarlyClinicalExposure CommunityMedicine Professional developmentincluding ethics* Sportsandextracurricular includingYoga Total
200 170 90 80 20 35
38
1440
*Professionaldevelopmentshallbealongitudinalteachingprogram.
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Table5:PhaseIIteachinghours
Subjects
Lectures (hours)
Total (hours)
Pathology Pharmacology Microbiology Community Medicine ForensicMedicine andToxicology ClinicalSubjects Professional development includingethics Sportsand extracurricular includingYoga Total
80 80 70 20
12 10 10
15
30
50
75 35
540
35
615 35
40
40
1440
Atleast3hoursofclinicalinstructioneachweekmustbeallottedtotraininginclinicalandproceduralskilllaboratories.The hoursmaybedistributedweeklyorasablockineachpostingbasedoninstitutionallogistics.
:Theclinicalpostingsinthesecondphaseshallbe15hoursperweek3hrsperdayonlyfromMondaytoFriday.Therest ofthetimeshallbeusedforparaclinicalsubjects
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Table6:PhaseIIIPart1teachinghours
Subjects
Teaching Hours
Total (hours)
GeneralMedicine GeneralSurgery Obstetricsand Gynecology Pediatrics Orthopedics ForensicMedicineand Toxicology CommunityMedicine Dermatology Psychiatry PulmonaryMedicine Otorhinolaryngology Ophthalmology Radiologyand Radiotherapy Anesthesiology ClinicalPostings Professional developmentincluding Ethics Total
25 25 25
65 65 65
20 15 25
30 20 45
5 5 5
55 40 75
40 20 25 10 25 30 10
60 5 10 8 40 60 8
5 5 5 2 5 10 2
105 30 40 20 70 100 20
10
20 756 25
303
401
66
1680
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Table7:PhaseIIIPart2teachinghours
Subjects
Teaching Hours
Total* (hours)
GeneralMedicine GeneralSurgery ObstetricsAnd Gynecology Pediatrics Orthopedics ClinicalPostings Professional Developmentincluding Ethics Electives Total
70 70 70
15 15 15
20 20
35 25
10 5
65 50 792 43
250
435*
60
200 1760
*25%ofallottedtimeofPhase3shallbeutilizedforintegratedlearningwithpreandparaclinicalsubjects.Thiswillbeincludedin theassessmentofclinicalsubjects.
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Table8:Clinicalpostings
Subjects
Periodoftraininginweeks
Total weeks
II MBBS
IIIMBBS PartI
Electives
GeneralMedicine1 GeneralSurgery2 OB/GYN3 Pediatrics CommunityMedicine3 Orthopedicsincluding Trauma4 Otorhinolaryngology Ophthalmology Tuberculosisand respiratorydiseases Psychiatry Radiology5 Dermatology,STDandHIV6 Dentistry Casualty
4 4 4 2 4 2
4 4 4 4 6 4
20 20 20 10 10 8
4 4 2
4 4
8 8 2
2 2 2
2 2 2 2
4 2 6 2 2
36
42
44
122
Infouroftheeightweeksofelectivesregularclinicalpostingsshallbeaccommodated. 19
Clinicalpostingsmaybeadjustedwithinthetimeframework
1 2 3 4 5 6
ThispostingincludesLaboratoryMedicineandInfectiousDiseases.
9. Newteaching/learningelements 9.1. FoundationCourse 9.1.1 Goal:ThegoaloftheFoundationCourseistoprepareastudenttostudymedicine effectively.Itwillbeoftwomonthsdurationafteradmission. 9.1.2 Objectives:Theobjectivesareto: a. Orientthestudentto: i) ii) iii) iv) v) vi) vii) viii) ix) x) xi) Themedicalprofessionandthephysiciansroleinsociety, TheMBBSprogramme, Alternatehealthsystemsinthecountry, Medicalethics,attitudesandprofessionalism, Healthcaresystemanditsdelivery, Nationalhealthprioritiesandpolicies, Universalprecautionsandvaccinations, Patientsafetyandbiohazardsafety, Principlesoffamilypractice, IndianmedicalgraduatedocumentoftheMedicalCouncilofIndia, Themedicalcollegeandhospital,
9.1.3 Elements:Theprogramwillinclude,inadditiontothemoduleslistedinthe objectivesabove: a. Traininginlanguageandcomputerskills, b. IntegratedCellBiologyModule, c. Foundationelementsofpreclinicalsciences. 9.1.4 Thesesessionsmustbeasinteractiveaspossible. 9.1.5 Sports(tobeusedthroughtheFoundationCourseasprotected04hoursper week). 9.1.6 Leisureandextracurricularactivity(tobeusedthroughtheFoundationCourseas protected02hoursperweek). 9.1.7 Studentsmaybeenrolledinoneofthefollowingprogrammeswhichwillberun concurrently: a. Locallanguageprogramme, b. Englishlanguageprogramme, c. Computerskills, d. Thesemaybedoneinthelasttwohoursofthedayforthedurationofthe FoundationCourse.
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9.1.8 Subjectfoundationelements,inclusiveoftheintegratedcellbiologymodule,may startafterthefirsttwoweeks(Anatomy60hours;Physiology40hours; Biochemistry20hours). 9.1.9 ManyoftheseelementswillrequiretobecontinuedbeyondtheFoundation Course. 9.1.10 Institutionsshalldeveloplearningmodulesandidentifytheappropriateresource personsfortheirdelivery. 9.1.11 ThetimecommittedfortheFoundationCoursemaynotbeusedforanyother curricularactivity. 9.1.12 Fromthe2ndweekonwards,untiltheendoftheFoundationCourse,thelast02 hoursofeachdaywillremainprotectedforlanguageandcomputerskillclasses. 9.1.13 Everycollegemustarrangeforameetingwithparentsandtheirwards. 9.2. EarlyClinicalExposure 9.2.1 Objectives:Theobjectiveofearlyclinicalexposureofthefirstyearmedical studentsistoenablethestudentto: a. Recognizetherelevanceofbasicsciencesinpatientcare, b. Provideacontextthatwillenhancebasicsciencelearning,and c. Relatetoexperienceofpatientsasamotivationtolearn, d. Recognizeethicsandprofessionalismasintegraltothedoctorpatient relationship, e. Understandthesocioculturalcontextofdiseasethroughstudyofhumanities. 9.2.2 Elements a. Basicsciencecorrelation:i.e.applyandcorrelateprinciplesofbasicsciencesas theyrelatetothecareofthepatient(Thiswillbepartofintegratedmodules). b. Clinicalskills:toincludeBasicskillsininterviewingpatients,doctorpatient communication,ethicsandprofessionalism,criticalthinkingandanalysisandself learning(Thistrainingwillbeimpartedinthetimeallottedforearlyclinical exposure). 22
c.
9.3.
Electives 9.3.1 Objectives:Toprovidethestudentwithopportunities: a. Fordiverselearningexperiences, b. Todoresearch/communityprojectsthatwillstimulateenquiry,selfdirected, experientiallearningandlateralthinking. 9.3.2 Twomonthsaredesignatedforelectiverotationsaftercompletionoftheexamat endoftheIIIrdMBBSpart1andbeforecommencementofIIIrdMBBSpart2. 9.3.3 Itismandatoryforstudentstodoanelective.Theelectivetimemaynotbeused tomakeupformissedclinicalpostings,shortageofattendanceorotherpurposes. 9.3.4 Structure a. Thestudentshallrotatethroughtwoelectiveblocksof04weekseach, b. Block1shallbedoneinapreselectedpreclinicalorparaclinicalorotherbasic OR underaresearcheronanongoingresearchproject.Duringtheelectivesregular clinicalpostingsshallcontinue. c. Block2shallbedoneinaclinicaldepartment(includingspecialties,super OR asasupervisedlearningexperienceataruralorurbancommunityclinic. d. Institutionswillpredeterminethenumberandnatureofelectives,namesofthe supervisors,thenumberofstudentsineachelectivebasedonthelocal conditions,availableresourcesandfaculty. 9.3.5 Eachinstitutionwilldevelopitsownmechanismforallocationofelectives. specialties,ICUs,bloodbankandcasualty)fromalistofelectivesdevelopedand availableintheinstitution scienceslaboratory
23
9.3.6 Itispreferablethatelectivechoicesaremadeavailabletothestudentsinthe beginningoftheacademicyear. 9.3.7 Thestudentmustsubmitalearninglogbookbasedonbothblocksoftheelective. 9.3.8 75%attendanceintheelectiveandsubmissionoflogbookmaintainedduring electiveisrequiredforeligibilitytoappearinthefinalMBBSexamination. 9.3.9 Institutionsmayusepartofthistimeforstrengtheningbasicskillcertification. 9.3.10 AllelectivesarerequiredtobedoneinIndiaONLY. 9.4. ProfessionalDevelopmentincludingEthicsandMedicalHumanities 9.4.1 Objectivesoftheprogramme:Attheendoftheprogramme,thestudentmust demonstrateabilityto: a. understandandapplyprinciplesofbioethicsandlawastheyapplytomedical practiceandresearch, b. understandandapplytheprinciplesofclinicalreasoningastheyapplytothecare ofthepatients, c. understandandapplytheprinciplesofsystembasedcareastheyrelatetothe careofthepatient, d. understandandapplyempathyandotherhumanvaluestothecareofthe patient, e. communicateeffectivelywithpatients,families,colleaguesandotherhealthcare professionals, f. understandthestrengthsandlimitationsofalternativesystemsofmedicine,
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b. Learningexperiencesmayincludesmallgroupdiscussions,patientcare scenarios,workshop,seminars,roleplays,lecturesetc. 9.4.3 75%attendanceinprofessionaldevelopmentprogramisrequiredforeligibilityto appearforfinalexaminationineachprofessionalyear. 9.4.4 InternalAssessmentwillinclude: a. Writtentestscomprisingofshortnotesandcreativewritingexperiences, b. OSCEbasedclinicalscenarios/viva. 9.4.5 Atleastonequestionineachpaperoftheclinicalspecialtiesintheuniversity examinationshouldtestknowledgecompetenciesacquiredduringthe professionaldevelopmentprogram 9.4.6 Skillcompetenciesacquiredduringtheprofessionaldevelopmentprogrammust betestedduringtheclinical,practicalandviva. 9.5. StudentdoctorMethodofClinicalTraining 9.5.1 Goal:Toprovidestudentswithexperiencein: a. Longitudinalpatientcare, b. Beingpartofthehealthcareteam, c. Handsoncareofpatientsinoutpatientandinpatientsetting. 9.5.2 Structure: a. ThefirstclinicalpostinginphaseIIshallorientstudentstothepatient,theirroles andthespecialty, b. Thestudentdoctorprogrammewillprogressasoutlinedinthetable9, c. Thestudentwillfunctionasapartofthehealthcareteamwiththefollowing responsibilities: i) ii) Bepartoftheunitsoutpatientservicesonadmissiondays, Remainwiththeadmissionunituntil6PMexceptduringdesignatedclass hours,
25
iii)
iv)
Participateintheunitroundsonitsadmissiondayandwillpresentthe assignedpatientstothesupervisingphysician,
v) vi)
vii)
Participateinunitroundsonatleastoneotherdayoftheweekexcluding theadmissionday,
viii) ix) x)
d. Nostudentwillbegivenindependentchargeofthepatient. e. Thesupervisingphysicianwillberesponsibleforallpatientcaredecisions. 9.5.3 Assessment: a. Adesignatedfacultymemberineachunitwillcoordinateandfacilitatethe activitiesofthestudent,monitorprogress,providefeedbackandreviewthe logbook/caserecord. b. Thelogbook/caserecordmustincludethewrittencaserecordpreparedbythe studentincludingrelevantinvestigations,treatmentanditsrationale,hospital course,familyandpatientdiscussions,dischargesummaryetc., c. Thelogbookshouldalsoincluderecordsofoutpatientsassigned.Submissionof thelogbook/caserecordtothedepartmentisrequiredforeligibilitytoappear forthefinalexaminationofthesubject.
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Table9:StudentDoctorprogram
YearofCurriculum Year2
Year3
Alloftheaboveandchoiceofinvestigations,basic proceduresandcontinuityofcare
Year4
Alloftheaboveanddecisionmaking,managementand outcomes
10. Competencies 10.1. Preamble:Thesalientfeatureoftherevisionofthemedicalcurriculumin2012isthe emphasisonlearningwhichiscompetencybased,integratedandstudentcentered acquisitionofskillsandethicalandhumanisticvalues. Eachofthecompetenciesdescribedbelowmustbereadinconjunctionwiththegoals ofthemedicaleducationaslistedinitem2and3. 10.2. Integrationmustbehorizontal(i.e.acrossdisciplinesinagivenphaseofthecourse)and vertical(acrossdifferentphasesofthecourse).Asfaraspossible,itisdesirablethat teaching/learningoccursineachphasethroughstudyoforgansystemsordisease blocksinordertoalignthelearningprocess.Clinicalcasesmustbeusedtointegrate andlinklearningacrossdisciplines. 10.3. Forclinicalsubjects,itisrecommendedthatdidacticteachingberestrictedtolessthan 30%ofthetotaltimeallottedforthatdiscipline.Greateremphasisistobelaidon handsontraining,symposia,seminars,smallgroupdiscussions,problemorientedand problembaseddiscussionsandselfdirectedlearning.Studentsmustbeencouragedto takeactivepartinandsharedresponsibilityfortheirlearning. 10.4. PreclinicalSubjects 10.4.1. HumanAnatomy a. Competencies:Theundergraduatemustdemonstrate: 27
i.
Understandingofthegrossandmicroscopicstructureanddevelopmentof humanbody,
ii. Comprehensionofthenormalregulationandintegrationofthefunctionsof theorgansandsystemsonbasisofthestructure, iii. Understandingoftheclinicalcorrelationoftheorgansandstructuresinvolved andinterprettheanatomicalbasisofthediseasepresentations. b. Integration:Theteachingshouldbealignedandintegratedhorizontallyand verticallyinorgansystemswithclinicalcorrelationthatwillprovideacontextfor thestudenttounderstandtherelationshipbetweenstructureandfunctionand interprettheanatomicalbasisofvariousclinicalconditionsandprocedures. 10.4.2. Physiology a. Competencies: Theundergraduatesmustdemonstrate: i. Understandingofthenormalfunctioningoftheorgansandorgansystemsof thebody, ii. Comprehensionofthenormalstructureandorganizationoftheorgansand systemsonbasisofthefunctions, iii. Understandingofagerelatedphysiologicalchangesintheorganfunctions thatreflectnormalgrowthanddevelopment, iv. Understandthephysiologicalbasisofdisease. b. Integration:Theteachingshouldbealignedandintegratedhorizontallyand verticallyinorgansystemsinordertoprovideacontextinwhichnormalfunction canbecorrelatedbothwithstructureandwiththebiologicalbasis,itsclinical features,diagnosisandtherapy. 10.4.3. Biochemistry a. ThecoursewillcompriseCellularBiochemistryandMolecularBiology. b. Competencies:Thestudentmustdemonstrateanunderstandingof: i. biochemicalandmolecularprocessesinvolvedinhealthanddisease,
ii. importanceofnutritioninhealthanddisease, 28
iii. biochemicalbasisandrationaleofclinicallaboratorytestsandDemonstrate abilitytointerprettheseintheclinicalcontext. c. Integration:Theteaching/learningprogrammeshouldbeintegratedhorizontally andvertically,asmuchaspossible,toenablestudentstomakeclinical correlationsandtoacquireanunderstandingofthecellularandmolecularbasis ofhealthanddisease. 10.4.4. IntroductiontoCommunityMedicine a. Competencies:Theundergraduatemustdemonstrate: i. Understandingoftheconceptofhealthanddisease,
ii. Understandingofdemography,populationdynamicsanddiseaseburdenin Nationalandglobalcontext, iii. Comprehensionofprinciplesofhealtheconomicsandhospitalmanagement. 10.5. Phase2(ParaClinical) 10.5.1. Pathology a. Competencies:Theundergraduatemustdemonstrate: i. Comprehensionofthecauses,evolutionandmechanismsofdisease,
ii. Knowledgeofalterationsingrossandcellularmorphologyoforgansin diseasestates, iii. Abilitytocorrelatethenaturalhistoryandstructuralandfunctionalchanges withtheclinicalmanifestationsofdiseases,theirdiagnosisandtherapy. b. Integration:Theteachingshouldbealignedandintegratedhorizontallyand verticallyinorgansystemsrecognizingdeviationsfromnormalstructureand functionandclinicallycorrelatedsoastoprovideanoverallunderstandingofthe etiology,mechanisms,laboratorydiagnosisandtherapyofdisease. 10.5.2. Microbiology a. Competencies:Theundergraduatestudentdemonstrate: i. Understandingofroleofmicrobialagentsinhealthanddisease,
29
ii. Understandingoftheimmunologicalmechanismsinhealthanddisease, iii. Abilitytocorrelatethenaturalhistory,mechanismsandclinical manifestationsofinfectiousdiseasesastheyrelatetothepropertiesof microbialagents, iv. Knowledgeoftheprinciplesandtheapplicationofinfectioncontrol measures, v. Anunderstandingofthebasisofchoiceoflaboratorydiagnostictestsand theirinterpretation,antimicrobialtherapy,controlandpreventionof infectiousdiseases. b. Integration:Theteachingshouldbealignedandintegratedhorizontallyand verticallyinorgansystemswithemphasisonhostmicrobeenvironment interactionsandtheiralterationsindiseaseandclinicalcorrelationssoasto provideanoverallunderstandingoftheetiologicalagents,theirlaboratory diagnosisandprevention. 10.5.3. Pharmacology a. Competencies:Theundergraduatemustdemonstrate: i. Knowledgeaboutessentialandcommonlyuseddrugsandanunderstanding ofthepharmacologicbasisoftherapeutics, ii. Abilitytoselectandprescribemedicinesbasedonclinicalconditionandthe pharmacologicproperties,efficacy,safety,suitabilityandcostofmedicines forcommonclinicalconditionsofnationalimportance, iii. Knowledgeofpharmacovigilance,essentialdrugconceptandlist,sourcesof druginformationandindustrydoctorrelationships, iv. Abilitytocounselpatientsregardingappropriateuseofprescribeddrugand drugdeliverysystems b. Integration:Theteachingshouldbealignedandintegratedhorizontallyand verticallyinorgansystemsrecognizingtheinteractionbetweendrug,hostand diseaseinordertoprovideanoverallunderstandingofthecontextoftherapy.
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10.6. PhaseIIIPart1 10.6.1. ForensicMedicineandToxicology a. Competencies:Thestudentmustdemonstrate: i. Understandingofmedicolegalresponsibilitiesofphysiciansinprimaryand secondarycaresettings, ii. Understandingoftherationalapproachtotheinvestigationofcrime,based onscientificandlegalprinciples, iii. Abilitytomanagemedicalandlegalissuesincasesofpoisoning/overdose, iv. Understandingthemedicolegalframeworkofmedicalpracticeandmedical negligence, v. Understandingofcodesofconductandmedicalethics. b. Integration:Theteachingshouldbealignedandintegratedhorizontallyand verticallyrecognizingtheimportanceofmedicolegal,ethicalandtoxicological issuesastheyrelatetothepracticeofmedicine 10.6.2. Communitymedicine a. Competencies:Thestudentmustdemonstrate: i. Understandingofphysical,social,psychological,economicandenvironmental determinantsofhealthanddisease, ii. Abilitytorecognizeandmanagecommonhealthproblemsincludingphysical, emotionalandsocialaspectsatindividualfamilyandcommunitylevelinthe contextofNationalHealthProgrammes, iii. AbilitytoImplementandmonitorNationalhealthprogrammesintheprimary caresetting, iv. Knowledgeofmaternalandchildwellnessastheyapplytonationalhealth careprioritiesandprogrammes, v. Abilitytorecognize,investigate,report,planandmanagecommunityhealth problemsandemergencies,
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vi. Abilitytorecognize,investigate,reportandmanagecommunityhealth problemsandemergencies. b. Integration:Theteachingshouldbealignedandintegratedhorizontallyand verticallyinordertoallowthestudenttounderstandtheimpactofenvironment, societyandnationalhealthprioritiesastheyrelatetothepromotionofhealth andpreventionandcureofdisease. 10.6.3. OtoRhinolarngology a. Competencies:Thestudentmustdemonstrate: i. KnowledgeofthecommonOtorhinolaryngological(ENT)emergenciesand problems, ii. Abilitytorecognize,diagnoseandmanagecommonENTemergenciesand problemsinprimarycaresetting, iii. AbilitytoperformsimpleENTproceduresasapplicableinaprimarycare setting, iv. Abilitytorecognizehearingimpairmentandrefertotheappropriatehearing impairmentrehabilitationprogramme, b. Integration:Theteachingshouldbealignedandintegratedhorizontallyand verticallyinordertoallowthestudenttounderstandthestructuralbasisofENT problems,theirmanagementandcorrelationwithfunction,rehabilitationand qualityoflife. 10.6.4. Ophthalmology a. Competencies:Thestudentmustdemonstrate: i. Knowledgeofcommoneyeproblemsinthecommunity,
ophthalmologicproblems,theirmanagementandcorrelationwithfunction, rehabilitationandqualityoflife. 10.7. PhaseIII(Part2) 10.7.1. Medicine a. Competencies: Mustdemonstrateabilitytodothefollowinginrelationto commonmedicalproblemsintheadultinthecommunity: i. Demonstrateunderstandingofthepathophysiologicbasis,epidemiological profile,signsandsymptoms,ofdiseaseandtheirinvestigationand management, ii. Competentlyinterviewandexamineanadultpatientandmakeaclinical diagnosis, iii. Appropriatelyorderandinterpretlaboratorytests, iv. Initiateappropriatecosteffectivetreatmentbasedonanunderstandingofthe rationaldrugprescriptions,medicalinterventionsrequiredandpreventive measures, v. Followuppatientswithmedicalproblemsandreferwheneverrequired, vi. Communicateeffectively,educateandcounselthepatientandfamily, vii. Managecommonmedicalemergenciesandreferwhenrequired, viii. Independentlyperformcommonmedicalproceduressafelyandunderstand patientsafetyissues, b. Integration:Theteachingshouldbealignedandintegratedhorizontallyand verticallyinordertoprovidesoundbiologicbasisandincorporatingtheprinciples ofinternalmedicineintoaholisticandcomprehensiveapproachtothecareof thepatient. 10.7.2. Pediatrics a. Competencies:Thestudentmustdemonstrate: i. Abilitytoassessandpromoteoptimalgrowth,developmentandnutritionof childrenandadolescentsandidentifydeviationsfromnormal, 33
ii. AbilitytorecognizeandprovideemergencyandroutineambulatoryandFirst LevelReferralUnitcareforneonates,infants,childrenandadolescentsand referasmaybeappropriate, iii. Abilitytoperformproceduresasindicatedforchildrenofallagesinthe primarycaresetting, iv. Abilitytorecognizechildrenwithspecialneedsandreferappropriately, v. Abilitytopromotehealthandpreventdiseasesinchildren, vi. AbilitytoparticipateinNationalProgrammesrelatedtochildhealthandin conformationwiththeIntegratedManagementofNeonatalandChildhood Illnesses(IMNCI)Strategy, vii. Abilitytocommunicateappropriatelyandeffectively. b. Integration:Theteachingshouldbealignedandintegratedhorizontallyand verticallyinordertoprovidecomprehensivecareforneonates,infants,children andadolescentsbasedonasoundknowledgeofgrowth,development,disease andtheirclinical,social,emotional,psychologicalcorrelatesinthecontextof nationalhealthpriorities. 10.7.3. Psychiatry a. Competencies:Thestudentmustdemonstrate: i. Abilitytopromotementalhealthandmentalhygiene,
ii. Knowledgeofetiology(biopsychosocialenvironmentalinteractions),clinical features,diagnosisandmanagementofcommonpsychiatricdisordersacross allages, iii. Abilitytorecognizeandmanagecommonpsychologicalandpsychiatric disordersinaprimarycaresetting,institutepreliminarytreatmentin disordersdifficulttomanage,andreferappropriately, iv. Abilitytorecognizealcohol/substanceabusedisordersandreferthemto appropriatecenters, v. Abilitytoassessriskforsuicideandreferappropriately, vi. Abilitytorecognizetemperamentaldifficultiesandpersonalitydisorders. 34
b. Integration:Theteachingshouldbealignedandintegratedhorizontallyand verticallyinordertoallowthestudenttounderstandbiopsychosocial environmentalinteractionsthatleadtodiseases/disordersforpreventive, promotive,curative,rehabilitativeservicesandmedicolegalimplicationsinthe careofpatientsbothinfamilyandcommunity. 10.7.4. Dermatology,sexuallytransmitteddiseasesandHIV a. Competencies:Theundergraduatestudentmustdemonstrate: i. Understandingoftheprinciplesofdiagnosisofdiseasesoftheskin,hair,nail andmucosa, ii. Abilitytorecognize,diagnose,orderappropriateinvestigationsandtreat commondiseasesoftheskinincludingleprosyintheprimarycaresettingand referasappropriate, iii. Asyndromicapproachtotherecognition,diagnosis,prevention,counseling, testingandmanagementofcommonsexuallytransmitteddiseasesincluding HIVbasedonnationalhealthpriorities, iv. Abilitytorecognizeandtreatemergenciesincludingdrugreactionsandrefer asappropriate. b. Integration:Theteachingshouldbealignedandintegratedhorizontallyand verticallyinordertoemphasizethebiologicbasisofdiseasesoftheskin,sexually transmitteddiseasesandleprosyandtoprovideanunderstandingthatskin diseasesmaybeamanifestationofsystemicdisease. 10.7.5. Tuberculosisandrespiratorydiseases a. Competencies:Thestudentmustdemonstrate: i. Knowledgeofcommonchestdiseases,theirclinicalmanifestations,diagnosis andmanagement, ii. Abilitytorecognize,diagnoseandmanagepulmonarytuberculosisas contemplatedinNationalTuberculosisControlprogramme, iii. Abilitytomanagecommonrespiratoryemergenciesinprimarycaresetting andreferappropriately.
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b. Integration:Theteachingshouldbealignedandintegratedhorizontallyand verticallyinordertoallowthestudenttorecognizediagnoseandtreatTBinthe contextofthesociety,nationalhealthpriorities,drugresistanceandcomorbid conditionslikeHIV. 10.7.6. Surgery a. Competencies:Theundergraduatestudentmustdemonstrate: i. Understandingofthestructuralandfunctionalbasis,principlesofdiagnosis andmanagementofcommonsurgicalproblemsinadultsandchildren, ii. Abilitytochoose,calculateandadministerappropriatelyintravenousfluids, electrolytes,bloodandbloodproductsbasedontheclinicalcondition, iii. Abilitytoapplytheprinciplesofasepsis,sterilization,disinfection,rationaluse ofprophylaxis,therapeuticutilitiesofantibioticsanduniversalprecautionsin surgicalpractice, iv. KnowledgeofcommonmalignanciesinIndiaandtheirprevention,early detectionandtherapy, v. Abilitytoperformcommondiagnosticandsurgicalproceduresattheprimary carelevel, vi. Abilitytorecognize,resuscitate,stabilizeandprovideadvancedlifesupportto patientsfollowingtrauma, vii. Abilitytoadministerinformedconsentandcounselpatientpriortosurgical procedures, viii. Commitmenttoadvancementofqualityandpatientsafetyinsurgical practice. b. Integration:Theteachingshouldbealignedandintegratedhorizontallyand verticallyinordertoprovideasoundbiologicbasisandaholisticapproachtothe careofthesurgicalpatient. 10.7.7. Orthopaedics a. Competencies:Thestudentmustdemonstrate:
36
i.
Abilitytorecognizeandassessboneinjuries,dislocationandpolytraumaand providefirstcontactcarepriortoappropriatereferral,
ii. Knowledgeofthemedicolegalaspectsoftrauma, iii. Abilitytorecognizeandmanagecommoninfectionsofboneandjointsinthe primarycaresetting, iv. Recognizecommoncongenital,metabolic,neoplastic,degenerativeand inflammatorybonediseasesandreferappropriately, v. Abilitytoperformsimpleorthopedictechniquesasapplicabletoaprimary caresetting, vi. Abilitytorecommendrehabilitativeservicesforcommonorthopedic problemsacrossallages. b. Integration:Theteachingshouldbealignedandintegratedhorizontallyand verticallyinordertoallowthestudenttounderstandthestructuralbasisof orthopedicproblems,theirmanagementandcorrelationwithfunction, rehabilitationandqualityoflife. 10.7.8. RadioDiagnosis a. Competencies:Thestudentmustdemonstrate: i. Understandingofindicationsforvariousradiologicalinvestigationsin commonclinicalpractice, ii. Awarenessoftheilleffectsofradiationandvariousradiationprotective measurestobeemployed, iii. Abilitytoidentifyabnormalitiesincommonradiologicalinvestigations. b. Integration:Horizontalandverticalintegrationtounderstandthefundamental principlesofradiologicimaging,anatomiccorrelationandtheirapplication indiagnosisandtherapy. 10.7.9. Radiotherapy a. Competencies:Thestudentmustdemonstrateunderstandingof: i. Clinicalpresentationsofvariouscancers, 37
ii. Appropriatetreatmentmodalitiesforvarioustypesofmalignancies, iii. Principlesofradiotherapyandtechniques. b. Integration:Horizontalandverticalintegrationtoenablebasicunderstandingof fundamentalprinciplesofradiotherapeuticprocedures. 10.7.10. ObstetricsandGynaecology a. CompetencyinObstetrics:Thestudentmustdemonstrateabilityto: i. Providepericonceptionalcounselingandantenatalcare,
ii. Identifyhighriskpregnanciesandreferappropriately, iii. Conductnormaldeliveries,usingsafedeliverypracticesintheprimaryand secondarycaresettings, iv. Prescribedrugssafelyandappropriatelyinpregnancyandlactation, v. Diagnosecomplicationsoflabor,instituteprimarycareandreferinatimely manner, vi. Performearlyneonatalresuscitation, vii. Providepostnatalcare,includingeducationinbreastfeeding, viii. Counselandsupportcouplesinthecorrectchoiceofcontraception, ix. Interprettestresultsoflaboratoryandradiologicalinvestigationsasthey applytothecareoftheobstetricpatient, x. Applymedicolegalprinciplesastheyapplytotubectomy,Medical TerminationofPregnancy(MTP)andPreconceptionandPrenatalDiagnostic Techniques(PCPNDTAct). b. CompetencyinGynecology:Thestudentmustdemonstrateabilityto: i. Elicitagynecologichistoryperformappropriatephysical,pelvicexamination andPAPsmearintheprimarycaresetting, ii. Recognizediagnoseandmanagecommonreproductivetractinfectionsinthe primarycaresetting,
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iii. Recognizeanddiagnosecommongenitalcancersandreferthem appropriately. c. Integration:Theteachingshouldbealignedandintegratedhorizontallyand verticallyinordertoprovidecomprehensivecareforwomenintheirreproductive yearsandbeyond,basedonasoundknowledgeofstructurefunctionanddisease andtheirclinical,social,emotional,psychologicalcorrelatesinthecontextof nationhealthpriorities. 11. Assessment 11.2. EligibilitytoappearforProfessionalexaminations 11.2.1. Theperformanceinessentialcomponentsoftrainingaretobeassessed,based on:
a. Attendance i. Attendancerequirementsare75%intheoryandpracticals/clinicalcombined foreligibilitytoappearfortheexaminationsinthatsubject, ii. Insubjectsthataretaughtinmorethanonephasethestudentmusthave 75%attendanceintheoryand75%inpracticalineachphaseofinstructionin thatsubject, iii. Whensubjectsaretaughtinmorethanonephasetheinternalassessment mustbedoneineachphaseandmustcontributeproportionallytofinal internalassessment, iv. Ifanexaminationcomprisesmorethanonesubject(fore.g.,Surgeryand alliedbranches),thecandidatemusthave75%attendanceineachsubject andclinicalposting, v. Thefinalinternalassessmentinabroadclinicalspecialty(e.g.,Surgeryand alliedetc.)shallcompriseofmarksfromalltheconstituentspecialties.The proportionofthemarksforeachconstituentspecialtyshallbedeterminedby thetimeofinstructionallottedtoeach, vi. Studentswhodonothaveatleast75%attendanceintheFoundationCourse willnotbeeligibleforthephaseIexamination,
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vii. Studentswhodonothaveatleast75%attendanceintheelectiveswillnotbe eligibleforthephaseIIIpart2examination. b. InternalAssessment:Internalassessmentshallbebasedondaytoday assessment.Itshallrelatetodifferentwaysinwhichstudentsparticipatein learningprocessincludingassignments,preparationforseminar,clinicalcase presentation,preparationofclinicalcasefordiscussion,clinicalcase study/problemsolvingexercise,participationinprojectforhealthcareinthe community,proficiencyincarryingoutapracticaloraskillinsmallresearch project,awrittentestetc. i. Regularperiodicexaminationsshallbeconductedthroughoutthe course.Thereshallbenolessthantwointernalassessmentexaminationsin eachnonclinicalsubjectandnolessthanoneexaminationineachclinical subjectinaprofessionalyear.Anendofpostingclinicalassessmentshallbe conductedforeachclinicalpostingineachprofessionalyear. ii. Insubjectsthataretaughtatmorethanonephase,proportionateweightage mustbegivenforinternalassessmentforeachPhase.Forexample,Medicine mustbeassessedin3rd,4thand5thyearsindependently. iii. Daytodayrecordsshouldbegivenimportanceduringinternalassessment. iv. Studentsmustsecureatleast50%marksofthetotalmarks(separatelyin theoryandpracticals/clinicals)fixedforinternalassessmentinaparticular subjectinordertobeeligibletoappearinfinaluniversityexaminationofthat subject. v. Internalassessmentmarkswilldetermineeligibilityforappearingfor universityexamination.Internalassessmentmarkswillnotbeaddedtothe finalexaminationsmarkstodeterminepassorfail. 11.3. UniversityExaminations 11.3.1. Universityexaminationsaretobedesignedwithaviewtoascertainwhetherthe candidatehasacquiredthenecessaryknowledge,minimumskills,ethicaland professionalvalueswithclearconceptsofthefundamentalswhicharenecessary forhim/hertofunctioneffectivelyandappropriatelyasaphysicianoffirst contact.Assessmentshallbecarriedoutonanobjectivebasistotheextent possible. 40
11.3.2. Natureofquestionswillbestructuredessay,shortanswertype/objectivetype andmarksforeachpartindicatedseparately. 11.3.3. Practical/clinicalexaminationswillbeconductedinthelaboratoriesorhospital wards.Theobjectivewillbetoassessproficiencyandskilltoconduct experiments,interpretdataandformlogicalconclusion.Clinicalcaseskeptinthe examinationmustbecommonconditionsthatthestudentmayencounterasa physicianoffirstcontactinthecommunity.Raresyndromesanddisordersareto bediscouraged.Emphasisshouldbeoncandidatescapabilityinelicitahistory demonstratephysicalsignswriteacaserecord,analyzethecaseanddevelopa managementplan. 11.3.4. Viva/oralincludesassessmentofmanagementapproachandhandlingof emergencies,ethicalandprofessionalvalues.Candidatesskillininterpretationof commoninvestigativedata,xrays,identificationofspecimens,ECG,etc.alsoisto beassessed. 11.3.5. Thereshallbeonemainexaminationinayearandasupplementarytobeheld notearlierthan60daysandnolaterthan90daysafterthepublicationofits results.
11.3.7. UniversityExaminationsshallbeheldasunder: a. FirstProfessional i. ThefirstProfessionalexaminationshallbeheldattheendofPhase1training (2+12months),inthesubjectsofAnatomy,PhysiologyandBiochemistry. ii. MaximumnumberofattemptsallowedatthefirstProfessionalUniversity examinationswillbefour;thefirstProfessionalcoursemustbecompleted within4yearsofadmission.Partialattendanceinanexaminationinany subjectshallbecountedasanattempt. 41
b. SecondProfessional i. ThesecondProfessionalexaminationshallbeheldattheendofPhase2 training(12months),inthesubjectsofPathology,Microbiology,and Pharmacology. c. ThirdProfessional i. Part1shallbeheldatendofPhase3(Part1)oftraining(13months)inthe subjectsofOphthalmology,Otorhinolaryngology,CommunityMedicineand ForensicMedicineandToxicology ii. ThirdProfessionalPartII(FinalProfessional)shallbeattheendofPhase3of training(15monthsincluding2monthsofelectives)inthesubjectsof Medicine,Surgery,Obstetrics&GynecologyandPediatrics.Thedisciplineof Orthopedicswillconstitute25%ofthetotaltheorymarksinSurgery.The questionswillformaseparatesectioninSurgeryPaperII.Thestudentmust secureatleast40%marksintheOrthopedicsSectionwiththeprovisoto obtain50%ofmarksintotalaspasspercentage. The discipline of Psychiatry and Dermatology, Venereology and Leprology (DVL)willconstitute25%ofthetotaltheorymarksinMedicine.Thequestions willformaseparatesectioninMedicinePaperII.Thestudentmustsecureat least40%marksinthePsychiatryandDVLSectionwiththeprovisotoobtain 50%ofmarksintotalaspasspercentage. d. Examinationscheduleisintable1. e. Marksdistributionisintable10.
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Table10:Markdistributionforvarioussubjects
PhaseofCourse
Practicals/Orals/Clinicals 100
PassCriteria
PhaseI Anatomy2 papers Physiology2 papers BioChemistry& MolecularBiology 2papers PhaseII Pharmacology2 Papers Pathology2 papers Microbiologyand Virology2papers PhaseIII PartI ForensicMedicine 1paper Ophthalmology1 paper Otorhino laryngology1 paper Community Medicine2 papers
200
100
Internal
200
100
Assessment: 50%
200
100
200
100
200
100
Exam
200
100
100
50%marksin theoryand
100
100
practical (practical=
100
100
practical/ clinical+viva)
200
100
43
200
200
200 100
200 100
200
200
11.3.9. AppointmentofExaminers a. Nopersonshallbeappointedasanexaminerinanyofthesubjectsofthe ProfessionalexaminationleadingtoandincludingthefinalProfessional examinationsfortheawardoftheMBBSdegreeunlesshe/shehastakenatleast eightyearspreviously,adoctoratedegreefromarecognizedUniversityoran equivalentqualificationintheparticularsubjectasperrecommendationofthe Councilonteacherseligibilityqualificationsandhashadatleasteightyearsof totalteachingexperienceinthesubjectconcernedinacollegeaffiliatedtoa recognizedUniversityatafacultyposition. b. Thereshallbeatleastfourexaminersfor100students,outofwhomnotlessthan 50%mustbeexternalexaminers.Ofthefourexaminers,theseniormostexternal examinerwillactastheChairmanandcoordinatorofthewholeexamination programmesothatuniformityinthematterofassessmentofcandidatesis maintained.Wherecandidatesappearingaremorethan100,twoadditional examinersforeveryadditional50orpartthereofcandidatesappearing,be appointed. 44
c. Nonmedicalscientistsengagedintheteachingofmedicalstudentsaswholetime teachers,maybeappointedexaminersintheirconcernedsubjectsprovidedthey possessrequisitedoctoratequalificationsandfiveyearteachingexperienceof medicalstudentsafterobtainingtheirpostgraduatequalifications.Provided furtherthatthe50%oftheexaminers(Internal&External)arefromthemedical qualificationstream. d. ExternalexaminersshallnotbefromthesameUniversityandmustbefrom outsidethestate. e. Theinternalexaminerinasubjectshallnotacceptexternalexaminershipfora collegefromwhichexternalexaminerisappointedinhis/hersubject.AUniversity havingmorethanonecollegeshallhaveseparatesetsofexaminersforeach college,withinternalexaminersfromtheconcernedcollege. f. Externalexaminersshallrotateatanintervalof2years.
g. ThereshallbeaChairmanoftheBoardofpapersetterswhoshallbeaninternal examinerandshallmoderatethequestions. h. ExceptHeadoftheDepartmentofsubjectconcernedinacollege/institution,all otherwiththerankofreaderorequivalentandabovewithrequisite qualificationsandexperienceshallbeappointedinternalexaminersbyrotationin theirsubjects;providedthatwheretherearenopostsofreaders,thenan AssistantProfessorof05years(total08yearsafterMD/MS)standingasAssistant Professormaybeconsideredforappointmentasexaminer. i. Thegracemarksuptoamaximumoffivemarksmaybeawardedatthediscretion oftheUniversitytoastudentwhohasfailedonlyinonesubjectbuthaspassedin allothersubjects.
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