MBBS Curriculum Community Medicine

CURRICULUM PLANNING OF DEPARTMENT OF COMMUNITY MEDICINE

S.No Topic Learning Objectives (At the end of the session the student should be able to ) Teaching guidelines Methodology Time
1 MAN AND MEDICINE: Changing concepts in public health Enumerate the various phases in public health. To cover Disease control phase, health promotional phase, Social engineering phase and Health for all phase.(1988 – 2000)
  1. SIS lecture through Power point projections
 1 hr.
2 CONCEPT OF HEALTH AND DISEASE: 1.Dimensions and determinants of Health 2. Indicators of Health. 3.Natural history of disease 1. Explain positive health, concept of well being, spectrum and determinants of health. 2. Discuss the ecology, right and responsibility of health. 3. Enumerate indicators of health. 4. comprehend Concept of causation of disease and its prevention To cover Definition and dimension of health, positive health, concept of well being, spectrum of health, indicators of health, Heath service philosophies and levels of health care : primary health care, Disease causation, Natural history of disease, epidemiological concept, risk concept, concept of prevention, modes of intervention, changing pattern of disease, international class. Of disease.  
  1. SIS lecture through Power point projections
  1. Group discussion on Primary health care
 		   3 hrs.     2hr.
3 ENVIRONMENT AND HEALTH:
  1. Water
  2. Air
  3. Light
  4. Ventilation
  5. Noise
  6. Radiation
  7. Meteorological environment.
  8. Humidity
  9. Housing
  10. Disposal of waste
  11. Excreta disposal
  12. Medical entomology.
  13. Insecticides
  14. Rodents
  15. Zoon sis
 Discuss sources of water pollution, purification of water(large and small scale),Water quality standards, Surveillance of drinking water, Hardness of water,  Sources , effects and prevention and control of air pollution, Standards and type of ventilation, Lighting standards and biological effects of light, Effects of noise exposure and control of noise, sources and effects of radiation and their prevention and control, effects of atmospheric pressure on health, effect of heat and cold stress and their prevention, Standards of housing, Method of disposal of solid waste, method of excreta disposal, Arthropod borne diseases and vectors of medical importance and their prevention and control, Various types of insecticides used, diseases spread by rodents and their control, Zoonotic diseases and  their control To cover sources of water pollution, purification of water(large and small scale),Water quality standards, Hardness of water,  Sources , effects and prevention and control of air pollution,  Surveillance of drinking water Standards and type of ventilation, Lighting standards .   Biological effects of light, Effects of noise exposure and control of noise, sources and effects of radiation and their prevention and control, effects of atmospheric pressure on health, effect of heat and cold stress and their prevention, Arthropod borne diseases and vectors of medical importance and their prevention and control, Various types of insecticides used, diseases spread by rodents and their control, Zoonotic diseases and  their control Standards of housing, Method of disposal of solid waste, method of excreta disposal,
  1. Through Models as Demonstration / Tutorial.
  2. Tutorial
  3. Visit to Water and Sewage treatment plant
   
  1. SIS lecture with power point presentatn
                  6.Tutorial /Models /Group discussion		   14 hrs     2hrs         6hrs           6hrs           1hr
4 MEDICINE AND SOCIAL SCIENCE :
  1. Concepts in Sociology.
  2. Psychology
  3. Social Psychology
  4. Family in health and disease.
  5. Cultural factors in health and disease.
  6. Hospital Sociology.
  7. Art of Interviewing.
  8. Social Problems.
  9. Economics.
  10. Social security
 Explain various concepts in sociology, psychology, Social psychology, Social organization like family – family in health and disease, cultural factor in health and disease, economics, Hospital Sociology and Art of interviewing, various social problems and social security. To cover various concepts in sociology, psychology, Social psychology, Social organization like family – family in health and disease, cultural factor in health and disease, economics, Hospital Sociology and Art of interviewing, various social problems and social security.
  1. SIS lecture through Power point projections
  2. Orientation allotment and visit to family and presentation.
 7hrs       52 hrs.
5 SCREENING FOR DISEASE:
  1. Concept of screening
  2. Uses of Screening
  3. Criteria for screening
  4. Sensitivity and specificity
  5. Problems of the border line.
  1. Explain the concept of screening
  2. Uses of Screening
  3. Criteria for screening
  4. Sensitivity and specificity
  5. Problems of the border line.
 To cover the concept of screening, uses of screening, criteria for screening, sensitivity and specificity and problems of the borderline.
  1. SIS lecture through Power point projection.
  2. Demonstrations
   1hr.     2hrs
 
6 HOSPITAL WHASTE MANAGEMENT:
  1. Sources of health care waste.
  2. Health care waste hazards.
  3. Method of treatment.
  4. Bio medical waste management.
  5. Color coding.
 Tell Sources, hazards, treatment methods, bio waste management rules and color coding for segregation of waste at the point of generation. To cover the sources, hazards, treatment methods, bio waste management rules and color coding for segregation of waste at the point of generation
  1. SIS lecture through Power point projection
2.Demon strations		   1hr         2hrs
7 EPIDEMIOLOGY:
  1. Aims and Approaches of Epidemiology.
  2. Rates, ratios and measurement of morbidity and mortality.
  3. Epidemiological methods – Descriptive, Analytical and experimental.
  4. Association and causation.
  5. Uses of epidemiology.
  6. Infectious disease epidemiology – Dynamics of disease transmission, Immunity and immunizing agent.
  7. Disease prevention and control.
  8. Disinfection.
  9. Investigation of an epidemic.
 Tel l the Aims and Approaches of Epidemiology. Calculate Rates, ratios and measurement of morbidity and mortality. Know the various Epidemiological methods – Descriptive, Analytical and experimental. Association and causation. Enumerate Uses of epidemiology. Infectious disease epidemiology – Dynamics of disease transmission, Immunity and immunizing agent and national immunization schedule. Disease prevention and control. Disinfection. Investigation of an epidemic. To cover the Aims and Approaches of Epidemiology. Calculate Rates, ratios and measurement of morbidity and mortality. Know the various Epidemiological methods – Descriptive, Analytical and experimental. Association and causation. Enumerate Uses of epidemiology. Infectious disease epidemiology – Dynamics of disease transmission, Immunity and immunizing agent and national immunization schedule. Disease prevention and control. Disinfection. Investigation of an epidemic.
  1. SIS lecture through Power point projection.
  2. Tutorials
  3. Demonstrations
 		 15hrs.         2hrs. 8hrs.
8 EPIDEMIOLOGY OF COMMUNICABLE DISEASES:
  1. Small pox
  2. Chickenpox
  3. Measles
  4. Mumps
  5. Rubella
  6. Influenza
  7. Diphtheria
  8. Whooping cough
  9. Meningococcal meningitis
  10. Sars
  11. ARI
  12. Tuberculosis
  13. Polio
  14. Viral hepatitis
  15. Acute diarrheal diseases
  16. Cholera
  17. Typhoid fever
  18. Food poisoning
  19. Worm infestation
  20. Dengue
  21. Malaria
  22. Filiariasis
  23. Rabies
  24. JE
  25. KFD
  26. Chickengunia fever
  27. Plague
  28. All ricketsial diseases.
  29. Leishmaniasis
  30. Hydatid disease
  31. Trachoma
  32. Tetanus
  33. Leprosy
  34. STD
  35. AIDS
  36. Emerging and Reemerging infectious disease
  37. Hospital acquired infections
 To describe the natural history of disease and explain each one these diseases in relation to Agent host and environment To cover natural history of disease and explain each one these diseases in relation to Agent host and environment
  1. SIS lecture through Power point projection.
  2. Tutorials
 		   40 hrs.       8hrs.
9 EPIDEMIOLOGY OF NON COMMUNICABLE DISEASE:
  1. Cardiovascular diseases.
  2. Coronary heart disease.
  3. Hypertension
  4. Stroke
  5. RHD
  6. Cancer
  7. Diabetes
 To describe the natural history of disease and explain each one these diseases in relation to Agent host and environment To cover natural history of disease and explain each one these diseases in relation to Agent host and environment 1.SIS lecture through Power point projection. 2.Tutorials 8hrs.       4hrs.
10 DEMOGRAPHY AND FAMILY PLANNING:
  1. Fertility
  2. Contraception
  3. Family planning
  4. National population policy
 Describe demographic cycle; know various fertility rates, different methods of contraception. To cover demographic cycle; various fertility rates, different methods of contraception. 1. SIS lecture through Power point projection.   2.Demonstrations 6hrs.       2hrs.
11 PREVENTIVE MEDICINE IN PAEDIATRICS OBSTATRICS AND GERIATRICS:
  1. Introduction to MCH
  2. Antenatal and post natal care
  3. Care of the children.
  4. Low birth babies.
  5. Growth and development.
  6. Child health problems.
  7. Rights of women and children.
  8. Indicators of MCH care.
  9. IMNCI
  10. School health services.
  11. Handicap children
  12. Behavioral problems in children.
  13. Social welfare programs.
  14. Preventive medicine and geriatrics
  1. To tell the components of antenatal and post natal care, Care of the children.
Low birth babies. Growth and development. Child health problems. Rights of women and children. Indicators of MCH care. IMNCI School health services. Handicap children Behavioral problems in children. Social welfare
  1. To cover the components of antenatal and post natal care, Care of the children.
Low birth babies. Growth and development. Child health problems. Rights of women and children. Indicators of MCH care. IMNCI School health services. Handicap children Behavioral problems in children. Social welfare		 1.SIS lecture through Power point projection. 2.Demonstrations 14hrs.       6hrs.
12 NUTRITION AND HEALTH:
  1. Introduction to nutrition
  2. Vitamins
  3. Minerals
  4. Nutritional problems of public health importance
  5. Nutritional requirements.
  6. Assessment of nutritional status.
  7. Nutritional surveillance and social aspects of nutrition.
  8. Food hygiene and Food borne disease.
  9. Prevention of food adulteration act.
  10. Community nutrition programs.
 Describe proximate principles of nutrition, balanced diet minerals,  Nutritional problems of public health importance Nutritional requirements. Assessment of nutritional status. Nutritional surveillance and social aspects of nutrition. Food hygiene and Food borne disease. Prevention of food adulteration act. Community nutrition programs. To cover proximate principles of nutrition, balanced diet minerals,  Nutritional problems of public health importance Nutritional requirements. Assessment of nutritional status. Nutritional surveillance and social aspects of nutrition. Food hygiene and Food borne disease. Prevention of food adulteration act. Community nutrition programs.
  1. SIS lecture through Power point projection.
  2. Demonstrations
 		 10hrs.   8hrs.
13 DISASTER MANAGEMENT To describe various aspects of disaster management To cover various aspects of disaster management
  1. SIS lecture through Power point projection
 1hrs.
14 OCCUPATIONAL HEALTH:
  1. Occupational hazards and diseases. 2. Prevention and control of occupational diseases.
3. Factory act and ESI act.		 To know the different Occupational hazards and diseases their Prevention and control. Factory act and ESI act. To cover different Occupational hazards and diseases their Prevention and control. Factory act and ESI act.
  1.  SIS lecture through Power point projection
 3hrs.
15 GENETICS AND HEALTH: 1.Introduction to genetics
  1. Chromosomal and multifactorial disorders.
  2. Preventive and social measures.
 To know about the different Chromosomal and multifactorial disorders. Preventive and social measures. To cover different Chromosomal and multifactorial disorders. Preventive and social measures. 1.SIS lecture through 2.Power point projection 3hrs.
16 MENTAL HEALTH:
  1. Warning signals
  2. Types causes and preventive aspect of mental illnesses.
 To know the warning signals. Different types causes and preventive aspect of mental illnesses. To cover the warning signals. Different types causes and preventive aspect of mental illnesses.
  1. SIS lecture through Power point projection
 2hrs.
17 HEALTH INFORMATION AND BASIC MEDICAL STASTICS:
  1. Sources of health information
  2. Elementary statistical measures.
  3. Charts and diagrams.
  4. Statistical averages.
  5. Measures of dispersion.
  6. Normal distribution.
  7. Sampling.
  8. Test of significance
  9. Chi square test.
  10. Co relation and regression.
 To tell various sources of health information. Elementary statistical measures. Charts and diagrams. Statistical averages like mean median mode. Measures of dispersion. Normal distribution. Sampling. Test of significance Chi square test. Co relation and regression. To cover various sources of health information. Elementary statistical measures. Charts and diagrams. Statistical averages like mean median mode. Measures of dispersion. Normal distribution. Sampling. Test of significance Chi square test. Co relation and regression.
  1. SIS lecture through Power point projection
  2. Demonstrations
 10hrs.     10hrs
18 COMMUNICATION FOR HEALTH DUCATION:
  1. Communication process.
  2. Health education definition approaches and models.
  3. Health education contents, principles and practices.
 Know the Communication process. Health education definition approaches and models. Health education contents, principles and practices. To cover communication process. Health education definition approaches and models. Health education contents, principles and practices. 1.SIS lecture through Power point projection 2.Demonstrations 3hrs   2hrs.
19 HEALTH PLANNING AND MANAGEMENT:
  1. Health planning and planning cycle.
  2. Management methods and techniques.
  3. National health policy.
  4. Health systems in India.
 To know the concept of Health planning and planning cycle. Management methods and techniques. National health policy and various health systems in India. To cover Health planning and planning cycle. Management methods and techniques. National health policy and various health systems in India.
  1. SIS lecture through Power point projection.
  2. Visit to various health care facilities.
 		 5hrs       26hrs.
20 HEALTH CARE OF THE COMMUNITY:
  1. Primary health care and Health for all.
  2. Millennium development goals
  3. Health status and health problems.
 To know the various components of Primary health care and Health for all. Millennium development goals Health status and health problems. To cover the various components of Primary health care and Health for all. Millennium development goals Health status and health problems. 1.SIS lecture through Power point projection 3hrs.
21 INTERNATIONAL HEALTH:
  1. WHO
  2. Other united nation agencies and other NGOs
 To know about WHO, Other united nation agencies and other NGOs To cover works undertaken by WHO, united nation agencies and other NGOs 1.SIS lecture through Power point projection 2hrs
22 HEALTH PROGRAMMS IN INDIA:
  1. NVBDCP
  2. RNTCP
  3. NACO
  4. NACP
  5. Nation program for control of blindness
  6. UIP
  7. National Health mission.
  8. RCH
  9. RMNCH +A
  10. NPCDCS
  11. IDSP
  12. IDD
  13. National mental health.
  14. Minimum needs program me.
  15. 20 point program me.
 To know the key points about NVBDCP, RNTCP, NACO, NACP, Nation program for control of blindness, UIP, National Health mission, RCH, RMNCH +A, NPCDCS, IDSP, IDD, National mental health, Minimum needs program me and 20 point program me. To cover the various health programs like NVBDCP, RNTCP, NACO, NACP, Nation program for control of blindness, UIP, National Health mission, RCH, RMNCH +A, NPCDCS, IDSP, IDD, National mental health, Minimum needs program me and 20 point program me 1.SIS lecture through Power point projection           15hrs.
SKILLS Part I: GENERAL SKILLS: The student should be able to: 1. Elicit the clinico-social history to describe the agent, host and environmental factors that determine and influence health. 2. Recognize and assist in management of common health problems of the community. 3. Apply elementary principles of epidemiology in carrying out simple epidemiological studies in the community. 4. Work as a team members in rendering health care. 5. Carry out health education effectively for the community. Part II: SKILLS IN RELATION TO SPECIFIC TOPICS: 1. Communication The student should be able to communicate effectively with family members at home, patients at clinics or at homes; individuals, family or a group for health education, peers at scientific forums. 2. Team activity Work as a member of the health team; in planning and carrying out field work like school health. 3. Environmental sanitation Collect water samples for microbiological evaluation; chlorination of water; estimate the chlorine demand of water; estimate the residual chlorine of water. Insecticides – their proper storage and use in control of vectors. 4. Communicable and non- communicable diseases (including social problems) a) Eliciting clinico- social history and examining the patient for diagnosis and treatment. b) Collection of appropriate material for microbiological, pathological or biochemical tests. c) Fixing and staining and examining smears – peripheral blood smear for malaria and filariasis; sputum for AFB; slit skin smears for leprosy; Hb estimation; urine and stool examination. d) Assessing the severity and/ or classifying dehydration in diarrhea, upper respiratory tract infection, dog bite, leprosy. e) Adequate and appropriate treatment and follow-up of leprosy, malaria, filariasis, rabies, upper respiratory tract infection, diarrhea and dehydration. f) Advice on the prevention and prophylaxis of common diseases – vaccine preventable diseases,tetanus, malaria, filariasis, rabies, cholera, typhoid, intestinal parasites. g) Use of proper screening methods in early diagnosis of common diseases. h) Take necessary steps in disease outbreak/ epidemics/ natural disasters – investigation of epidemic, food poisoning; notification; organizing medical care following disasters. 5. Maternal and Child Health a) Antenatal – examination of the mother; application of the risk approach in antenatal care. b) Intranatal – conduction a normal delivery; early recognition of danger in intranatal period;referral of cases requiring special care. c) Postnatal – assessment of the mother and newborn; advice on appropriate family planning method; promotion of breast feeding; advice on weaning. d) Assessment of growth and development of the child – use of the ‘Road to Health’ card; recording important anthropometric assessments of the child; giving immunization to the child; identifying high risk infants. 6. Statistics a) Take proper sample. b) Apply appropriate tests of significance to make a correct inference. c) Simple analysis and presentation of data. 7. Nutrition a) Conducting a diet survey. b) Community survey and clinical diagnosis of nutritional deficiencies; vitamin A deficiency, iodine deficiency, malnutrition. c) Making recommendations regarding diet. 8. Occupational Health a) Inspection of work sites. b) Recommendation in improving work sites. c) Medical examination of workers. 9. Health Care of the Community a) Ensuring community participation in health care. b) Arranging intersectoral coordination where necessary. c) Working in liaison with other agencies involved in health care in various National Health Programmes. 10. Health Management a) Be an effective team leader. b) Guide and train workers. c) Supervision of workers and Programmes. 11. Family Planning: Advice on appropriate methods. 12. Managerial: Organise antenatal and under – five clinic. ELECTIVE POSTINGS: As and when required, students are posted at different national and international centres (NCDC, NBVDCP, INCLEN International, NACO etc)for elective postings. FIELD VISITS :  Minimum field visits – 5 Mandatory visits to 1. Primary Health Centre 2. Sub centre 3. Anganwadi 4. Industrial visit 5. Water purification works 6. Clinico-social posting 7. Family Health Advisory program.