MBBS Pulmonary Medicine & Tuberculosis Curriculum

Pulmonary Medicine Curriculum

Sr. No Topics Learning objectives (At the end of the session, the student should know) Teaching Guidelines Methodology Time
1. Anatomy & Physiology of Respiratory System To describe and learn about

  • various anatomical  parts of Respiratory System
  •  functioning of various physiological units and their respiratory system
  • Physiology of respiratory system knowing the  gaseous exchange mechanics.
  •  Congenital  malformations  and embryology.
Student  Interactive  Session through power point presentation.

Exhibition of models.

1 Hour
2 Symptoms & Signs  of Respiratory System To learn signs, symptoms and causes of

  • Shortness of breath
  • Cough
  • Haemoptysis
  • Pain chest
  • Wheeze
  • Sneeze
  • Explain the  symptoms & signs in  correlation  to various diseases.
  • Air pollution
  • Genetic disorders & family history

Student  Interactive  Session through power point presentation.

1 Hour
3. Pulmonary Tuberculosis To learn in detail

  • Epidemiology
  • Transmission
  •  Aetio pathogenesis
  • Risk factors
  • Type of tuberculosis
  • Diagnosis
  • Management
  • Prevention
  • Natural course of disease
 To cover about disease in detail

  • T.B. & HIV
  • T.B. & Diabetes
  • Post T.B. Sequele
Student  Interactive  Session through power point  presentation. 6 Hours
4. RNTCP & DOTS
  • To learn evolution of National Tuberculosis programme (NTP)
  • To know in detail about RNTCP
  • Structure & diagnosis
  • Various regimens of treatment
  • DOTS,MDR, XDR,TDR
  • Designated Microscope Centre (DMC)
  • Surveillance
  • Recording & reporting system
  • Problem of T.B. in India & world
  • Side effects of ATT
  • Contraindications of various anti tuberculosis drugs
  • Pit-falls in RNTCP
  • Student  Interactive  Session & power point presentation
  • Exhibition of various boxes of Cat I, Cat II etc.
  • Exhibition of various registered performa & reporting systems etc.
2 Hours
5. Pleural Effusion  & Empyema To know in detail about

  • Epidemiology
  • Causes
  • Signs, symptoms
  • Diagnosis
  • Pleural aspirations
  • Management & thoracocentesis .
  • To differentiate between pleural effusion from pleural thickening
  • Differential diagnosis
  • Analysis of pleural fluid

 

  • Student  Interactive  Session through point presentation
  • Exhibition of Radiographic models & pictures
1 Hour
6. COPD( chronic bronchitis emphysema)  To know in detail about

  • Epidemiology
  • Risk Factors
  • Diagnosis
  • Treatment
  • GOLD Classification
  • Exacerbations
  • Management
  • Prevention
To cover about

  • Differential diagnosis
  • Use of Inhalers
  • Use of SPIROMETRY
  • Student  Interactive  Session through power point presentation
  • Exhibition of Inhalers rotacap, spacers etc
1 Hour
7. Bronchial asthma To attain knowledge of bronchial asthma about

  • Epidemiology
  • Causes
  • GINA staging
  • Diagnosis
  • Treatment
  • Exacerbations
  • To cover differential diagnosis, complications & prevention.

 

  • To know  about proper inhalation technique & appropriate counseling of asthmatics.
To have overview of other allergic respiratory diseases 1 Hour
8. Bronchiectasis To learn about Bronchiectasis

  • Epidemiology
  • Classification
  • Diagnosis
  • Management
  • To know role of chest physiotherapy in bronchiectasis.
  • To differentiate b/w various D/d’s of non CF bronchiectasis.
Student  Interactive  Session through power point presentation 1 Hour

 

 

9. PneumothoraxHydropneumot-   horax To know in detail about

  • Epidemiology
  • Causes
  • Signs, symptoms & Diagnosis
  • Management
  • To know about mechanics of respirations involved in different respiratory failure
  • Appropriate clinical evaluation to differentiate pneumothorax from Hydropneumothorax.
Student  Interactive  Session through power point presentation

 

1 Hour
 

10.

Pneumonia ARDS To attain knowledge of Pneumonias regarding

  • Causes
  • Type/ classification
  • Risk Factors
  • Causative organisms
  • Signs ,symptoms & diagnosis
  • Management
 

  • To know gas exchange mechanics in various respiratory failure.
  • Clinical Evaluation of hypoxia & cyanosis
Student  Interactive  Session through power point presentation

 

 

1 Hour

 

11. Pulmonary Tumors To learn about Lung  tumours

  • Classification
  • Risk factors
  • Diagnosis
  • Treatment
  • Role of Early cancer  screaning & Immune histochemistry.
  • Role of Adjuvant chemo- radiation  therapy
Student  Interactive  Session through power point presentation

 

1 Hour
12. Respiratory Failure and Ventilatory Strategies To have knowledge of respiratory failure

  • Types
  • Causes
  • Management
 

  • Know O2-CO2 Carriage & dissociation curve
  • Role of Ventilation –Perfusion  mechanics
Student  Interactive  Session through power point presentation 1 Hour
13. Diagnostic Tools in Respiratory Diseases To have knowledge about following diagnostic tools

  • Pulse Oxymetery
  • ABG
  • Spirometry & Diffusion Studies
  • 6 Min. Walk Test
  • Respirometery
  • Radiography
  • CT Scan
  • CPET Test
 

To understand and
correlate  various pulmonary function tests & clinical scenarios.

Student  Interactive  Session through power point presentation

 

2 Hours

 

Sr. No CHAPTER (as per examination paper) TOPICS TO COVER TIME (In hours) MUST KNOW NICE TO KNOW MAY KNOW
1. MEDICINE  PART 2 Anatomy & Physiology of Respiratory System 1 Hour
  • Physiology of respiratory system knowing the  gaseous exchange mechanics.
  • anatomical  parts of Respiratory System
  • Embryology
  • Congenital malformations
2 MEDICINE  PART 2 Symptoms & Signs  of Respiratory System 1 Hour symptoms & signs in  correlation  to various diseases

      • Shortness of breath
      • Cough
      • Haemoptysis
      • Pain chest
      • Wheeze
  • Sneeze
  • Effects of air pollution

 

  • Genetic  disorders affecting Respiratory system

 

3. MEDICINE  PART 2  

Pulmonary Tuberculosis

 6 Hours
      • Epidemiology
      • Transmission
      • Aetio-pathogenesis
      • Risk factors
      • Natural course of disease
      • Types of tuberculosis
      • Diagnosis
      • Management
      • Prevention

 

  • T.B. & HIV
  • Post T.B Sequele
  • T.B. & Diabetes
  • MDR-TB
  • XDR –TB
  • TDR-TB

 

  • Bowine & Avian Tuberculosis

 

4. MEDICINE  PART 2 RNTCP &DOTS 2 Hours
  • Evolution of National Tuberculosis programme (NTP)
  • RNTCP

Structure & diagnosis

  • Various regimens of treatment
  • DOTS,MDR, Designated Microscope Centre (DMC)
  • Surveillance Recording &     reporting system
  • Problem of Tuberculosis in India and World
 

  • Pit-falls in RNTCP
  • Problem of Drug resistance
  • Effects of on-line sale of antitubercular drugs
5. MEDICINE  PART 2 Pleural Effusion  & Empyema 1 hour
  • Epidemiology
  • Causes
  • Signs, symptoms
  • Differential Diagnosis
  • Thoracocentesis and other Management
  • Analysis of pleural fluid

 

  • Pleural thickening
  • Role of Surgical interventions  (VATS)
  • Development of pleura
6. MEDICINE  PART 2 COPD ( chronic bronchitis and emphysema)  

1 Hour

  • Epidemiology
  • Risk Factors
  • Diagnosis
  • Treatment
  • GOLD Classification
  • Exacerbations
  • Management and

Prevention

  • Differential diagnosis
  • Use of Inhalers
  • Use of Spirometry
  • Effect of smoking and air-pollution
  • Exhibition of Inhalers rotacap, spacers etc
7. MEDICINE  PART 2 Bronchial asthma 1 Hour
  • Epidemiology
  • Causes
  • Diagnosis
  • Treatment
  • Exacerbations
  • complications
  • proper inhalation technique & appropriate counseling of asthmatics.
  • GINA staging
  • Other allergic respiratory diseases
  • Anti-IgE therapy
8. MEDICINE  PART 2 Bronchiectasis 1 Hour

 

Bronchiectasis

  • Epidemiology
  • Classification
  • Diagnosis
  • Management
 

  • Role of chest physiotherapy in bronchiectasis.
  • Differential diagnosis of bronchiectasis

.

 

  • Surgical interventions in bronchiectasis

 

9. MEDICINE  PART 2 Pneumothorax
Hydropneumot-    horax
1 Hour
  • Epidemiology
  • Causes
  • Signs and symptoms
  •  Diagnosis
  • Differential diagnosis
  • Management
  • mechanics of respirations involved in different respiratory failure

.

  • Management of Broncho-pleural fistula
 

10.

MEDICINE  PART 2 Pneumonia  and  ARDS  

1 Hour

  • Causes
  • Type/ classification
  • Risk Factors
  • Causative organisms
  • Signs and symptoms
  • Diagnosis and differential diagnosis
  •  Management
  • Clinical Evaluation of hypoxia & cyanosis
  • Altered gas exchange mechanics in various respiratory failure

 

 

  • Drug resistant pneumonia
11. MEDICINE  PART 2 Pulmonary Tumors 1 Hour
  • Epidemiology
  • Classification
  • Risk factors
  • Diagnosis
  • Treatment
  • Management
  • Role of Adjuvant chemo- radiation  therapy
  • Role of Early cancer  screaning
  • Tumour metasis to lungs

 

  • Immune histochemistry markers.

 

12. MEDICINE  PART 2 Respiratory Failure and Ventilatory Strategies  

1 Hour

  • Types
  • Causes
  • Management
  • O2-CO2 Carriage & dissociation curve
  • Ventilation –Perfusion  mechanics (shunting of blood, venous admixture)
  • Types of ventilator strategies
13. MEDICINE  PART 2 Diagnostic Tools in Respiratory Diseases  

2 Hours

  • Pulse Oxymeters
  • ABG
  • Spirometry & Diffusion Studies
  • 6 Min. Walk Test
  • Respirometery
  • Radiography & CT Scan

 

 

  • correlation of various pulmonary function test & clinical scenario
  • Cardio-pulmonary Exercise Testing (CPET) Test