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