MBBS Curriculum Medicine

MEDICINE MBBS CURRICULUM

S.no          Contents of the Topic Learning Objectives (At the end of the session the student should be able to ) Teaching Guidelines Methodology Time
  1 Introduction to General Medicine Medical practice, & recognize To explain Aims of  signs, symptoms, diagnosis, differential diagnosis, treatment & prognosis diseases Etiology & Pathogenesis to explain signs, symptoms differential diagnosis, treatment & prognosis Didactic with power point Tutorial/ Seminar   2 Hrs
2 Pain management and palliative care _ General principles of pain _ Assessment and treatment of pain _ Palliative care   Pain importance & Co- Relation with Various diseases Etiology & Pathogenesis to explain signs, symptoms, differential diagnosis, treatment & prognosis pertaining to diseases Didactic with power point Tutorial/ Seminar   1 Hrs
4 Poisonings _ General approach to the poisoned patient _ Poisoning by specific pharmaceutical agents _ Chemicals and pesticides _ Snake bite and Envenomation   _ Drugs of misuse   _ Other bites and stings - scorpion, spider To identify common  Poisoning, asses Severity & to give the general as well  Specific treatment Etiology & Pathogenesis to explain signs, symptoms, differential diagnosis, treatment & prognosis Didactic with power point Tutorial/ Seminar       4 ½ Hrs                        
5 Specific environmental and occupational hazards _ Heatstroke and hypothermia _ Drowning and near drowning   _ Electrical injuries _ Radiation injury _ Heavy metal poisoning To the identify duration of Exposure to various industrial into link with working environment Etiology & Pathogenesis to explain signs, symptoms, differential diagnosis, treatment & prognosis Didactic with power point Tutorial/ Seminar       2 Hrs            
6 Immune response and Infections _ Basic considerations _ Patterns of infection _ Laboratory diagnosis of infections _ Principles of immunization and vaccine use _ Clinical syndromes _ Fever and rash _ Fever of unknown origin _ Infective endocarditis _ Intra-abdominal infections and abscesses _ Acute infectious diarrhoeal diseases and food poisoning _ Sexually transmitted diseases - overview & clinical approach   _ The febrile patient _ Hospital acquired infections _ Infections in immuno-compromised hosts       _ Infections of skin, muscle & soft tissues _ Osteomyelitis   Basic understanding of immune system & its response to various diseases Etiology & Pathogenesis to explain signs, symptoms, differential diagnosis, treatment & prognosis Didactic with power point Tutorial/ Seminar       9 Hrs                                                      
7 Specific Infections - Epidemiology, clinical features, laboratory diagnosis, treatment and prevention of : _ Protozoal infections _ Amobiasis _ Malaria _ Giardiasis _ Trichomoniasis _ Giardiasis _ Trichomoniasis _ Trypanosomiasis _ Bacterial infections _ Streptococcal infections _ Pneumococcal infections _ Staphylococcal infections _ Meningococcal infections _ Gonococcal infections _ Tetanus _ Botulism _ Cholera _ Salmonellosis - Typhoid and paratyphoid fevers _ Shigellosis and bacillary dysentery _ Helicobacter Pylori _ Infections due to pseudomonas & other gram - negative bacteria _ Tuberculosis _ Leprosy _ Viral infections _ Common exanthemata - Measles - Mumps - Rubella - Varicella _ Common viral respiratory infections     -Human immunodeficiency virus (HIV)     _ Dengue fever   _ Rabies _ Leishmaniasis _ Toxoplasmosis _ Legionella infections _ Pertussis and Diphtheria _ Gas gangrene, other clostridial infections _ Viral gastroenteritis _ Histoplasmosis _ Brucellosis _ Plague _ Anaerobic infections _ Mycobacterial diseases _ Rickettsia, Mycoplasma & Chlamydial diseases     _ Donovanosis (Granuloma inguinale) Fungal infections _ Candidiasis _ Aspergillosis _ Helminthic infections _ Nematodes _ Cestodes - Intestinal _ Histoplasmosis - Tissue   _ Cryptococcosis _ Mucormycosis _ Pneumocystis carinii     - Tissue - Intestinal   Clarity about epidemiology & mode of infection & its prevention, importance of personal hygiene & potable water                                                                                             Preventable disease   Immunization schedule             Preventive measures & symptomatic treatment         To know modes of transmission, To indentify dangve haemorrhagic & DSS, control measures & treatment To identify high risk dengue cases & indications of referral to higher cerates                                                                 Relation to Systemic involvement   Diagnosis & management         Life cycle, clinical futures & drug of Choice for specific infestation                     Diagnosis & Management & link with HIV & AIDS crypto coccal  meningitis   Diagnosis link with HIV & AIDS possibility in cases   Suffering from Pneumocystis carinii Pneumonia   Etiology & Pathogenesis to explain signs, symptoms, differential diagnosis, treatment & prognosis Didactic with power point Tutorial/ Seminar   31 Hrs                                                                                                                                                                                                                                                    
8 System-Based diseases Cardiovascular system _ Functional anatomy, physiology and investigations _ Major manifestations of cardiovascular disease _ Chest pain _ Breathlessness _ Palpitation _ Acute circulatory failure (cardiogenic shock) _ Heart failure _ Hypertension   _ Presyncope and syncope _ Cardiac arrest and sudden cardiac death _ Atrial fibrillation _ Disorders of heart rate, rhythm and conduction _ Congestive cardiac failure   _ Rheumatic fever   Valvular heart disease   _ Ischaemic heart disease   _ Congenital heart disease in the adult   _ Cor pulmonale   _ Hypertension _ Peripheral vascular disease   _ Atherosclerosis   _ Pericardial disease   _ Myocarditis and cardiomyopathy         To correlate to various diseases               To identify Cardinal signs of CHF Classifications treatment guidelines Covered in CVS Covered in CVS Covered in CVS           To understand major & minor Jones criteria   Clinical understanding of Valvular Heart diseases To know about primary & Secondary Prevention of IHD   Covered already in Pediatrics Curriculum Covered under Pulmonary Medicine To indentify target organ damage Early diagnosis & early treatment   Importance of lipid profile & geneses of atherosclerosis Diagnosis & management   To know the diagnostic criteria & classification     Etiology & Pathogenesis to explain signs, symptoms, differential diagnosis, treatment & prognosis Didactic with power point Tutorial/ Seminar   19 Hrs                        
9 Respiratory system   _ Clinical examination of the respiratory system _ Functional anatomy, physiology and investigations _ Major manifestations of lung disease _ Cough _ Dyspnoea _ Chest pain _ Haemoptysis _ Respiratory failure _ Upper and lower respiratory infections _ Bronchial asthma _ Chronic obstructive pulmonary disease _ Pulmonary tuberculosis _ Suppurative lung diseases _ Bronchiectasis _ Lung abscess _ Plural effusion and empyema _ Interstitial and infiltrative lung diseases _ Acute respiratory distress syndrome   _ The solitary radiographic pulmonary lesion _ Obstructive sleep apnoea _ Occupational lung diseases _ Tumors of the bronchus and lung _ Pulmonary vascular diseases - Pulmonary hypertension - Pulmonary thromboembolism _ Diseases of the nasopharynx, larynx and trachea _ Diseases of the mediastinum, diaphragm and chest wall Already covered under Pulmonary Medicine  Department           Covered in the curriculum of dept. of pulmonary Medicine                                   11 Hrs                                                 1 Hrs               4 Hrs              
10. Kidney and genitourinary system   _ Functional anatomy, physiology and investigations _ Major manifestations of renal and urinary tract disease _ Dysuria, pyuria, urethral symptoms _ Disorders of urine volume _ Hamaturia _ Proteinuria _ Oedema _ Obstruction of the urinary tract _ Acute and chronic renal failure _ Infections of the kidney and urinary tract   _ Glomerulonephritides _ Tubulo-interstitial diseases _ Renal involvement in systemic disorders _ Urinary tract calculi and nephrocalcinosis _ Tumors of the kidney and genitourinary tract     _ Incontinence _ Congenital abnormalities of the kidneys and urinary system     _ Drugs and the kidney   _ Renal vascular diseases _ Renal replacement therapy To correlate to various diseases of renal system       Their correlation with systemic diseases                     Covered under department of General Surgery Diagnosis’s treatment & referral criteria To know common etiology pathogens & importance of urine culture & sensitivity covered under Department of Pediatrics Relation of Drug  to diseases leading to acute renal injury Covered under various systemic diseases Covered under department of General Surgery           Covered in neurological section of curriculum   Covered under Deptt. of Gen. Surgery         Must know the drugs which cause TIN leading to acute kidney injury   pathology, its  complication   Indication of dialysis knowledge of renal transplant               Etiology & Pathogenesis to explain signs, symptoms, differential diagnosis, treatment & prognosis Didactic with power point Tutorial/ Seminar                                       12 Hrs                                 1 Hrs                     2 Hrs  
11. Gastrointestinal tract Functional anatomy, physiology and investigations particularly role of imaging, endoscopy and tests of function _ Major manifestations of gastrointestinal disease _ Abdominal pain (acute and chronic) _ Dysphagia _ Dyspepsia _ Vomiting _ Constipation _ Diarrhoea _ Abdominal lump _ Weight loss _ Gastrointestinal bleeding - upper and lower _ Approach to the patient with gastrointestinal disease   _ Diseases of the mouth and salivary glands - oral ulcers, candidiasis, parotitis _ Diseases of the oesophagus - GERD, other motility disorders, oesophagitis, carcinoma oesophagus _ Diseases of the stomach and duodenum - gastritis, peptic ulcer disease, tumors of stomach _ Diseases of the small intestine _ Acute gastroenteritis & food poisoning   _ Intestinal tuberculosis   _ Inflammatory bowel disease   _ Malabsorption syndrome   _ Bacillary dysentery   _ Amoebic colitis _ Ulcerative colitis     _ Irritable bowel disease   - Peritoneal - Nodal - Gastrointestinal _ Ascites _ Peritoneal carcinomatotis   _ Tumors of small intestine _ Acute, sub-acute and chronic intestinal obstruction _ Disorders of the colon and rectum _ Abdominal tuberculosis _ Acute and chronic peritonitis   _ Tumors of the colon & rectum _ Ischaemic gut injury _ Anorectal disorders _ Diseases of the peritoneal cavity     To correlate with diseases           To correlate with various diseases of GIT & of other systems                     Covered under Gen Surgery     Causes, & urgent management Identification & correlation with systemic diseases     To view –in relation to cancer HIV & AIDS. Foods/Alcohol & use of analgesics     Differential diagnosis & management Not to be taken lightly as symptoms come late, even of cancer like diseases   Diagnosis, investigation & management Students should also know the importance of fresh foods, safe water & excreta disposal Always keep one possibility of TUB. abdomen any chronic abdominal diseases Diagnosis & management     Also link with Vitamins, macronutrients & Micronutrients First – diagnosis & then find causes To know every aspect of IT   To know everything about it   Correlate with psychiatric problems auto immune phenomenon, diagnosis & management be able to differential   Abdominal tuberculosis in these 4 categories & RNTCP management Be able to difference that abdominal tub Diagnosis & its differential diagnosis       Non responding cases – investigate for it   Focus on primary tumors   Covered –(Gen. Surgery Dept.) Salient features Covered Covered (Gen. Surgery Dept.)     Covered (Gen. Surgery Dept.) Covered (Gen. Surgery Dept.) Covered (Gen. Surgery Dept.) Covered (Gen. Surgery Dept.)  & also under Gen Medicine   Etiology & Pathogenesis to explain signs, symptoms, differential diagnosis, treatment & prognosis Didactic with power point Tutorial/ Seminar                                                                     14 Hrs                                                                                 3 Hrs                       3 Hrs        
12. Diseases of the pancreas _ Acute and chronic pancreatitis _ Tumors of pancreas   Mainly in relation, to alcohol & any patient of vomiting pain epigastrium   Gen. Surgery Etiology & Pathogenesis to explain signs, symptoms, differential diagnosis, treatment & prognosis Didactic with power point Tutorial/ Seminar     1 Hrs   ½ Hrs
13. Liver and Biliary tract disease _ Functional anatomy, physiology and investigations of hepatobiliary disease _ Major manifestations of liver disease _ ‘Asymptomatic’ abnormal liver function tests _ Jaundice _ Acute (fulminant) hepatic failure   _ Liver abscess - amoebic & pyogenic _ Viral hepatitis - acute and chronic     _ Alcoholic liver disease _  liver disease Cirrhosis of liver and chronic _ Portal hypertension and ascites   _ Gallbladder and biliary tract diseases _ Functional anatomy _ Acute and chronic ‘cholecystitis’ _ Cholelithiasis   _ Hepatic (portosystemic) encephalopathy _ Hepatorenal failure _ Drugs, toxins and liver _ Fatty liver and non alcoholic steatohepatitis _ Infiltrative diseases of liver   _ Tumors of gall bladder and bile ducts   _ Wilson’s disease _ Hemachromatosis _ Tumors of the liver     To correlate with diseases     In chronical  order   Look for uncommon causes   Differential diagnosis according to prevalence Cardinal signs, symptoms, treatment & specific investigation   Complete know ledge from ABC to XYZ   How to stop progress & measures of recovery Early identification prevention   To know every measure to diagnose early & early management to avoid hepatic failure & its complication       Covered Gen. Surgery   Covered Gen. Surgery   Covered Gen. Surgery   Covered Gen. Surgery   All recovery measures of hepatic failure Complication identification & management Just names & type of injury caused Causes & management   Common causes, presentation, diagnosis treatment Surgery deptt. over view       Over view Over view   Covered under (Gen. Surgery Dept.) Etiology & Pathogenesis to explain signs, symptoms, differential diagnosis, treatment & prognosis Didactic with power point Tutorial/ Seminar                           11 Hrs                                             4 Hrs                   1 Hrs
14. Endocrinology and Metabolism Diabetes mellitus _ Epidemiology _ Physiology, pathophysiology and investigations _ Aetiology and pathogenesis _ Major manifestations of disease _ Hyperglycaemia _ Acute metabolic complications - Diabetic ketoacidosis - Hypoglycemia _ Management of diabetes   - Hyperglycemic non-ketotic coma _ End organ damage _ Long-term complications (micro and macrovascular)   _ Long-term supervision _ Special problems in management _ Prospects in diabetes mellitus         To correlate with diseases             Identification causes & management     Diagnosis & protocol of management History, diagnosis & management OHA & insulin therapy       Diagnosis,Management, & advice   Management       Goals Over view   Over view Etiology & Pathogenesis to explain signs, symptoms, differential diagnosis, treatment & prognosis Didactic with power point Tutorial/ Seminar                     4 Hrs                             1 ½ Hrs               1 Hrs
15. Thyroid gland _ Functional anatomy, physiology and investigations _ Major manifestations of thyroid disease _ Hyperthyroidism _ Hypothyroidism _ Thyroid enlargement _ Abnormal thyroid function test results   To correlate with diseases       Diagnosis medical & surgical management   All about it   Categorizes in etiology based For diagnosis & during management         Etiology & Pathogenesis to explain signs, symptoms, differential diagnosis, treatment & prognosis Didactic with power point Tutorial/ Seminar               4 Hrs
16 The reproductive system _ Major manifestations of reproductive disease _ Male hypogonadism]----------------------------------------à _ Gynaecomastia]----------------------------------------------à _ Impotence------------------------------------------------------à _ Short stature and delayed puberty _ Cryptorchidsm _ Hirsutism _ Secondary amenorrhoea _       Infertility       To correlate with various diseases Identification & its consequences T be correlated with lab tests Diagnostic guidelines, investigations,management   Classify causes in primary &  secondary.   oerview       Diagnosis & treatment         Under gynae Dept.         Identify treatable untreatable causes & further advices   Etiology & Pathogenesis to explain signs, symptoms, differential diagnosis, treatment & prognosis Didactic with power point Tutorial/ Seminar                     3 Hrs
17. The parathyroid glands _ Major manifestations of diseases of the                                               parathyroid glands _ Hypercalcemia _ Hypocalcemia   To be correlate with various diseases   Treatment &prevention Etiology & Pathogenesis to explain signs, symptoms, differential diagnosis, treatment & prognosis Didactic with power point Tutorial/ Seminar       2 Hrs
18. The adrenal glands _ Major manifestations of adrenal disease _ The ‘Cushingoid’ patient _ Adrenal insufficiency _ Pheochromocytoma     To be correlated clinically Clinical presentation diagnosis Diagnosis clinical feature & management In D?D of resistant hypertension treatment Etiology & Pathogenesis to explain signs, symptoms, differential diagnosis, treatment & prognosis Didactic with power point Tutorial/ Seminar   1 ½ Hrs         1 ½ Hrs
19. The endocrine pancreas and gastrointestinal tract _ Major manifestations of disease of the endocrine pancreas _ Spontaneous hypoglycemia _ Disorders affecting multiple endocrine system         To correlate with diseases     Early recognition prompt treatment Over view Etiology & Pathogenesis to explain signs, symptoms, differential diagnosis, treatment & prognosis Didactic with power point Tutorial/ Seminar             1 ½ Hrs
20. The hypothalamus and the pituitary gland _ Major manifestations of hypothalamic and pituitary disease _ Hypopituitarism _ Visual field defects _ Galactorrhea       To correlated with various diseases   Primary or secondary & Headache its relation to pituitary tumors   Hormonal essay   Etiology & Pathogenesis to explain signs, symptoms, differential diagnosis, treatment & prognosis Didactic with power point Tutorial/ Seminar       1 Hrs       1 Hrs
21. Hematological disorders _ Functional anatomy, physiology and investigations _ Major manifestations of hematological diseases _ Anaemia _ Polycythemia _ Leucopenia _ Leucocytosis _ Thrombocytopenia _ Thrombocytosis _ Pancytopenia _ Lymphadenopathy _ Splenomegaly _ Bleeding _ Venous thrombosis _ Infections _ Anemias _ Myeloproliferative disorders _ Bleeding disorders _ Disorders of coagulation and venous thrombosis   _ Blood products and transfusion _ Bone marrow transplantation   _ Abnormal coagulation screen _ Haematological malignancies       To be correlated with various  hematological & systemic disease Classification/management   Classification and preventive measures, ,genetics over view In relation to bone marrow depression, myelofibrosis . Relate with infections, malignancies Etiology & Pathogenesis to explain signs, symptoms, differential diagnosis, treatment & prognosis Didactic with power point Tutorial/ Seminar             9 Hrs                                                             1 Hrs           1 ½  Hrs          
22. Disorders of the immune system, connective tissue and joints _ HIV, AIDS and related disorders   _ Fibromyalgia _ Diseases of bone _ Introduction to the immune system and autoimmunity _ Major manifestations of musculoskeletal disease _ Joint pains _ Bone pain _ Muscle pain and weakness _ Regional periarticular pain _ Back and neck pain _ Approach to articular and musculoskeletal disorders _ Inflammatory joint disease _ Infectious arthritis _ Inflammatory muscle disease _ Osteoarthritis _ Systemic connective tissue diseases - SLE, RA, PSS   _ Ankylosing spondylitis, reactive arthritis and undifferentiated spondyloarthropathy _ Musculoskeletal manifestations of disease in other systems _ Primary immune deficiency diseases   _ Vasculitis _ Sarcoidosis _ Amyloidosis       To know diagnosis .route of transmission & prevention  and management complications   Over view     Already covered   Covered by orthopedic Dept.   Covered by orthopedic Dept   Covered by orthopedic Dept   Covered by orthopedic Dept   Covered by orthopedic Dept   Covered by orthopedic Dept     Covered by orthopedic Dept   Covered by orthopedic Dept   Covered by orthopedic Dept   Etiology  clinical presentation complication & management   Diagnosis & management     Over view     Over view       Over view   Over view   In relation to various disease Etiology & Pathogenesis to explain signs, symptoms, differential diagnosis, treatment & prognosis Didactic with power point Tutorial/ Seminar         2 Hrs                                 6 Hrs                                                   2 Hrs  
23. Skin diseases _ Major manifestations of skin disease _ Various types of rash _ Pruritis _ Erythroderma   _ Urticaria _Approach to patient with skin disease _ Some common skin infections and infestations - scabies, fungal infections, pyoderma _ Eczema, psoriasis and other erythematous scaly eruptions   _ Photosensitivity _ Blisters _ Leg ulcers _ Alopecia _ Acne _ Cutaneous drug reactions _ Disorders of pigmentation _ Disorders of the nails _ Skin manifestations of systemic diseases         Covered under Deptt. of Dermatology       ½ Hrs                   3 Hrs                 2 Hrs
24. Neurological diseases   _ Functional anatomy, physiology and investigations _ Major manifestations of nervous system disease _ Headache and facial pain _ Raised intracranial tension _ Faintness, dizziness, syncope & vertigo _ Sleep disorders _ Disorders of movement _ Ataxia   _ Sensory disturbances (numbness, tingling and sensory loss) _ Acute confusional states _ Coma and brain death _ Aphasias and other focal cerebral disorders _ Speech, swallowing and brain-stem disturbance _ Migraine and cluster headaches _ Seizures and epilepsy _ Cerebrovascular disease _ Diseases of cranial nerves   _ Diseases of spinal cord _ Multiple sclerosis and other demyelinating diseases _ Parkinson’s disease and other extrapyramidal disorders _ Cerebellar disorders _ Motor neuron disease _ Peripheral neuropathy _ Nutritional and metabolic diseases of the nervous system _ Myasthenia gravis and other diseases of neuromuscular junction _ Diseases of muscle     _ Visual disturbances _ Sphincter disturbances     _ Dementias _ Neurological manifestations of system diseases   _Acute and chronic meningitis _ Viral encephalitis _ Intracranial tumors         To correlate with various diseases Definition diagnostic signs & symptoms, to know how to categorize Categories in degenerating Part of systemic disease   To differentiate betwwen Degenerative, Demyelinating inflammatory malignant neurological diseases Dealt in examination       Diagnosis & management   Point of identification.reconfirmation before final diagnosis Covered under CVA   Pseudobulbar palsy, D?D with systemic disease  andmanagement Classification, cardinal symptoms $ management Classification & specific medication protocol Classification, causes, diagnosis & management Ischaemic &  hemorrhagic CVA Clinical examination in relation to diseases nerves injury Diagnosis .treatment   Able to identify degeneration demyelization or compression effect Presentations on management any   Identifications management       Identification – in relation to CVA/ degenerative disorder, Presentation sensory, major mixed Over view Diagnosis long term management   Muscular dystrophy classificaton     Ophtalmo(covered) in relation to medical problems, in neurology section covered   Classification & diagnosis autonomic nervous system in evolvement  over view Over view   Over view       Pyogenic & tubercular diagnosis & management Over view   Over view Signs of raised & focal effects   Etiology & Pathogenesis to explain signs, symptoms, differential diagnosis, treatment & prognosis Didactic with power point Tutorial/ Seminar                                     19 Hrs                                                                                             2 Hrs                 2 ½ Hrs