M.D. TROPICAL MEDICINE

Transcription

1 M.D. TROPICAL MEDICINE

2 THE TAMIL NADU Dr. M.G.R MEDICAL UNIVERSITY, CHENNAI M.D. Tropical Medicine 1. GOAL The goal of MD Tropical Medicine programme shall be to produce competent specialists and/or medical teachers, i. Who are well equipped to recognize and respond to the health needs specific to tropical countries, especially India, and carry out professional obligations ethically and in keeping with the objectives of the National Health Policy; ii. Who shall have mastered competencies pertaining to tropical diseases that are required to be practiced for the care of individual patients, iii. Who shall be able to prioritise, plan and implement appropriate measures with high coverage to achieve effective control of tropical diseases of public health importance at community and national level,. iv. Who shall be aware of the contemporary advance and developments in Tropical Medicine; iv. Who shall have acquired a spirit of scientific inquiry and have a firm grasp of the principles of research methodology and epidemiology; and v. Who shall have acquired the adequate skills in teaching of medical and allied health professionals 2. OBJECTIVES: postgraduate training in Tropical Medicine, the student will have obtained A) Knowledge i. In prevention, diagnosis, treatment and care interventions for diseases (both communicable and non-communicable) widely prevalent in tropical countries ii. About National Health Policy and various diseases control programmes in India iii. About the social, economical, environmental, nutritional and biological determinants of health in a given case, and take them

3 B) Attitude into account while planning therapeutic, rehabilitative, preventive and promotive strategies i. Demonstrate empathy and humane approach towards patients and their families, and exhibit interpersonal behaviour in accordance with the societal norms and expectations ii. Work as an effective team member for implementing appropriate disease control measures with high coverage C) Skills i. Diagnose and treat majority of disease conditions on the basis of clinical assessment, and rationally selected investigations. ii. Plan and implement measures for disease prevention, health promotion and rehabilitation of patients suffering from tropical diseases iii. Coordination with public health officials to implement national disease control programmes iv. Prioritize public health needs of poor and marginalized populations v. Deliver interventions through appropriate technology at sustainable costs vi. Plan collaborative, multi-sectoral (veterinary, agriculture, education) and trans-disciplinary approach for disease control with the goal of achieving optimal health outcomes for people, animals and the environment ( One Health concept) vii. Organize and supervise the chosen/assigned health care services demonstrating adequate managerial skills in the clinic/hospital or the field situation viii.develop skills as a self-directed learner, recognize continuing education needs; select and use appropriate learning resources. ix. Develop skills in using educational methods and techniques as applicable to the teaching of Medical / Nursing / Allied Health Sciences students / health workers. x. Function as an effective leader of a health team engaged in Health Care Delivery, teaching / training and/or research

4 3. COMPONENTS OF THE POSTGRADUATE CURRICULUM THEORETICAL KNOWLEDGE As per attached theory syllabus PRACTICAL AND CLINICAL SKILLS No. Technical Procedures No. Technical Procedures I. HEMATOLOGY Peripheral III. CARDIO VASCULAR smear [preparation Pericardiocentesis, staining & interpretation] Temporary pacing Bone marrow biopsy Defibrillation Bone marrow aspiration preparation,collection, transport, processing and interpretation] ECHO cardiogram - training and use in regular and emergency cases and for procedures. TMT testing II. RESPIRATORY SYSTEM Holter monitoring Pulmonary function test Peakflow meter IV. ABDOMEN Insertion of catheter Endotracheal Intubation A for- Ventilator Management 1.Peritoneal dialysis Pulse oximetry 2.Hemodialysis Pleural aspiration 3.Care of catheter Insertion of intercostal 4.Catheterization of tube [ICT] Bladder Pleural biopsy B Vascular procedures Pleurodesis 1.Preparing cases for AV Fiberoptic bronchoscopy Fistula Bronchial Artery 2,Care of AV fistula Polysomnography Embolization VI CNS ABG, VBG, Procedure Fundus Examination and interpretation Lumbar puncture, EEG EMG, Muscle Biopsy, Nerve Biopsy VII Endocrine investigations IX. SPECIMEN COLLECTION FOR VIII. OTHERS A] Microbiology Arterial puncture for Urine ABG Stool Central venous catheter sputum [insertion & care] Blood FNAC Body fluids Swabs Throat, nasal, etc.,

5 XI Ultrasonogram B] Pathology training and use in Body fluids regular and emergency Smear analysis USG guided aspiration Specimen procedures & Biopsy C]Biochemistry Echocardiogram [special investigation] Advanced high support XII technique Collection XIII Newer aspects as felt Transportation by the department/ PATIENTSspeciality or recommend A]. Radiology & Imaging by Authorities X-rays (Audiogram, Evoked Contrast studies potential, Joint CT scan aspiration, MRCP/ERCP ) MRI B]. Radio-isotope studies C]. Radiotherapy D]. Invasive / Non invasive Procedures Skills for COMMUNITY & NATIONAL LEVEL control of Tropical Diseases: a) Identify health problems of the community in the context of the socio -economic - cultural milieu b) Use of proper screening methods in early diagnosis of common diseases. c) Identify groups which require special attention (elderly, adolescents, gender, poor and other marginalized groups) including those facing occupational hazards d) Identify issues related to nutrition, life style e) Identify threats to the environment f) Anticipate, prepare for and respond to disasters g) Take necessary steps in disease outbreak/epidemics/natural disasters investigation of epidemic, food poisoning; notification; Organizing medical care following disasters. h) On the basis of epidemiology of communicable and non-communicable diseases, plan preventive measures and manage national health programs i) Facilitate inter-sectoral coordination for promoting health of communities a) Prioritize health problems, Set objectives; prepare action plan; implement programs; and monitor, supervise and evaluate them b) Plan health manpower development c) logistics and materials management d) Assess costs, plan, implement and supervise budget and alternative health options e) Perform economic evaluation of illness and health interventions

6 f) Manage Health Information System and respond appropriately to the information gathered g) Establish Surveillance System and respond to public health threats effectively and efficiently h) Understand basics of hospital management i) Evaluate health care delivery j) Study quality assurance and medical audit. k) Initiate, implement and supervise National Health Programs l) Understand and Implement public health laws m) Promote and establish partnerships - partnering with community, Panchayati Raj institutions, public private partnerships, NGOs and corporate sector n) Recommend policies relevant for the local community WRITING THESIS / RESEARCH ARTICLES The topic for the dissertation should be registered and sent to the University after Ethics Committee approval before 31 st of December of the first Post Graduate Year. Thesis shall be submitted at-least 6 Months before the Theory and Clinical/Practical Examination. ATTITUDE INCLUDING COMMUNICATION SKILLS : Understand the structure and behavior of communities and identify societal or individual behavior problems that can be improved Interact, communicate, educate effectively to people from diverse backgrounds, ages and gender to promote healthy behavior through community involvement Analyze different types of health communication initiatives and BCC tools Plan and develop environments that enable the maintenance of positive health behaviors, Facilitate inter-sectoral coordination for promoting health of communities Promote and establish partnerships - partnering with community, Panchayati Raj institutions, public private partnerships, NGOs and corporate sector

7 TRAINING IN RESEARCH METHODOLOGY MEDICAL ETHICS BIO ETHICS AND MEDICOLEGAL ASPECTS Students should compulsorily attend the research Methodology workshop conducted by the University within first six months of the M.D course. Students are encouraged to attend workshops/cme's on Bioethics conducted by the University and other reputed Institutions. Medical ethics, moral and legal issues, medical audit are part and parcel of the curriculum and syllabus. 4. THEORY SYLLABUS 1. ENVIRONMENTAL DISORDERS SUBTOPIC Hypothermia High altitude illnesses Podoconiosis Adverse health consequences of tobacco( Smoked and smokeless Air pollution COGNITIVE DOMAIN enumerate the causes, incidences and clinical presentations of hypothermia enumerate the causes, incidences and presentations of high altitude illnesses enumerate the causes, incidences and presentations of Podoconiosis enumerate the adverse health consequences of tobacco( Smoked and smokeless) enumerate the Adverse health consequences of air pollution PSYCHOMOTOR DOMAIN examine and treat a patient of hypothermia examine and treat a patient of high altitude illness examine and treat a patient of Podoconiosis examine and treat a patient suffering from tobacco related health disorders examine and treat a patient suffering from air pollution related health disorders AFFECTIVE DOMAIN assure the patient and make the patient aware regarding the measures to avoid hypothermia assure the patient and make the patient aware regarding the measures to avoid high altitude illnesses assure the patient and make the patient aware regarding the measures to avoid Podoconiosis convince the patient about the adverse health consequences of tobacco ( Smoked and smokeless) and counsel him/her to get rid of the habit. convince the patient about the adverse health consequences of air pollution and make him/her aware about the means to avoid the same

8 2. NUTRITIONAL DISORDERS Indoor air pollution Occupational lung diseases Health consequences of large scale natural disasters( Famines, floods, tsunami, earthquakes, landslides, forest fires) Health impacts of global warming SUBTOPIC Assessment of nutritional status Malnutrition Protein energy malnutrition Specific nutrient deficiency(fe, Vit A, Vit D, Vit C, Beri beri, pellagra, Micronutrient deficiency) enumerate the adverse health consequences of indoor air pollution enumerate the different occupational lung diseases enumerate the health consequences that may follow large scale natural disasters enumerate the health consequences that may follow global warming COGNITIVE DOMAIN examine and treat a patient suffering from indoor air pollution related health disorders examine and treat a patient suffering from occupational lung diseases examine and treat a patient affected by large scale natural disaster. examine and treat a patient affected by the adverse health consequences of global warming PSYCHOMOTOAFFECTIVE R DOMAIN DOMAIN a a a enumerate the methods applicable to assess the nutritional status examine and assess the nutritional status of an individual make the patient aware about the importance of regular assessment of nutritional status a enumerate the causes and common presenting features of malnutrition in an individual a enumerate the causes and common presenting features of protein energy malnutrition in an individual a enumerate the common presenting features of different Specific nutrient deficiency(fe, Vit A, Vit D, Vit C, Beri beri, pellagra, Micronutrient deficiency) convince the patient about the adverse health consequences of indoor air pollution and make him/her aware about the means to avoid the same make the patient aware about the lung diseases related to his/her occupation and the means to avoid the same at his work place/ change his job make the patient aware about the consequences of large scale natural disasters and the measures to prevent them make the patient aware about the causes and consequences of global warming and the measures to prevent them a a a make the patient aware case of malnutrition about the adverse health outcomes of malnutrition and the measures to prevent them a a a make the patient aware case of protein energy malnutrition about the adverse health outcomes of protein energy malnutrition and the measures to prevent them a a a make the patient aware case of Specific nutrient deficiency about the adverse health outcomes of different Specific nutrient deficiencies and the measures to prevent them

9 Alcoholism a enumerate the adverse health consequences of alcohol Endemic hypothyroidism a enumerate the cause, geographical distribution and common presenting features of endemic hypothyroidism Nutritional anaemia a enumerate the causes and presenting features of nutritional anaemia a a examine and treat a patient convince the patient about suffering from alcohol related health disorders the adverse health consequences of alcohol and counsel him/her to get rid of the habit. a a examine and treat a patient aware the patient regarding suffering from endemic hypothyroidism the causes of endemic hypothyroidism and inform hi/her about the methods of prevention and necessity of treatment a a a make the patient aware patient of nutritional anaemia about the causes of nutritional anaemia and the measures to prevent them SUBTOPIC COGNITIVE DOMAIN PSYCHOMOTO R DOMAIN AFFECTIVE DOMAIN 3. INFECTIOUS DISEASES a. Viral infections Acute and chronic viral hepatitis Viral infections of the CNS( Rabies, poliomyelitis, meningitis encephalitis) Viral haemorrhagic fevers: Arboviral infections(dengue and dengue haemorrhagic fevers and Chikunguya) Viral exanthems(varicella,, measles, rubella) & mumps be able to enumerate the possible etiologies of viral hepatitis, routes of transmission, presenting features and be able to enumerate the possible etiologies of meningitis, encephalitis, routes of transmission, presenting features and of the viral infections affecting the CNS be able to enumerate the possible etiologies of haemorrhagic fevers, routes and vectors of transmission, presenting features and be able to enumerate the possible etiologies of viral exanthems & mumps, routes of transmission, presenting features and be able to examine, assess and treat a patient of viral hepatitis and its be able to examine(including ophthalmoscopy), assess( including performance of lumber puncture) and treat a patient of Viral infections of the CNS and its be able to examine, assess and treat a patient of viral haemorrhagic fever and its be able to examine, assess and treat a patient of viral exanthematous fever &mumps and its be able to make the patient aware about the routes of transmission of viral hepatitis and measures to prevent them including vaccination be able to make the patient aware about the prognosis of Viral infections of the CNS, residual, prevention including vaccination be able to make the patient aware about the routes and mode of transmission of arboviruses and measures to prevent them. be able to make the patient aware about the routes of transmission of viral exanthems & mumps and measures to prevent them including vaccination.

10 Epstein Barr virus infections Viral Gastroenteritis Viral respiratory infections including influenza Cutaneous viral infections(molluscum contagiosum, viral warts, hand foot mouth disease) HIV/AIDS HIV related Opportunistic conditions be able to enumerate the routes of transmission, presenting features and caused by EB virus be able to enumerate the routes of transmission, presenting features and caused by viruses be able to enumerate the causes, presenting features and of respiratory infections caused by viruses be able to enumerate the causes, presenting features and of cutaneous viral infections be able to define the etiology, routes of transmission, natural history, clinical features and possible of HIV/AIDS be able to enumerate the different opportunistic conditions, their presenting features and related to HIV/AIDS be able to examine, assess and treat a patient of EB Virus infections and its be able to examine, assess and treat a patient of viral gastroenteritis and its be able to examine, assess and treat a patient of viral respiratory infections including influenza and its be able to examine, assess and treat a patient of cutaneous viral infections and its be able to examine, assess and treat a patient of HIV/AIDS and its be able to examine, assess and treat a patient of opportunistic condition related to HIV/AIDS be able to make the patient aware about the routes of transmission of EB Virus infections and measures to prevent them. be able to make the patient aware about the routes of transmission of viruses causing gastroenteritis and measures to prevent them. be able to make the patient aware about the routes of transmission of Viral respiratory infections including influenza and measures to prevent them including vaccinations. be able to make the patient aware about the routes of transmission of cutaneous viral infections and measures to prevent them. be able to make the patient aware about the routes of transmission of HIV/AIDS, its natural history and counsel him/her to adopt measures to prevent further transmission and lead a normal life be able to make the patient aware about opportunistic conditions that may occur in the different stages of the disease and the importance of preventive and remedial measures 3b Ricketsial Diseases be able to enumerate the different Rickettsial infections, their be able to examine, assess and treat a patient of Rickettsial be able to make the patient aware about the routes of transmission

11 presenting features and infections and its of Rickettsial infections and measures to prevent SUBTOPIC COGNITIVE DOMAIN PSYCHOMOTO R DOMAIN AFFECTIVE DOMAIN 3.c. Bacterial Infections Infections of central nervous system (Brain abscess, meningitis) be able to enumerate the different bacterial infections affecting the CNS, their presenting features and be able to examine, assess and treat a patient of bacterial infections of the CNS and its including performing a lumber puncture exam. a make the patient aware about the possible consequences of CNS bacterial infections and the need for urgent treatment 3d. Fungal Infections Pneumonia, sinusitis, tonsillitis, otitis Gastro intestinal infections ( typhoid, bacillary dysentery, non typhoidal salmonellosis, cholera) Skin and soft tissue infections(impetigo, erysipelas) Pulmonary and extrapulmonary Tuberculosis Fungal infections of skin and subcutaneous tissue( Candidiasis, mycetoma, onychomycosis, sporotrichosis) be able to enumerate the different bacterial infections affecting the respiratory tract, their presenting features and be able to enumerate the different gastro intestinal infections, causative organisms, their presenting features and be able to enumerate the different Skin and soft tissue infections, causative organisms, their presenting features and be able to enumerate the types of TB, causative organisms, natural history, their be able to discuss the causative organisms, natural history, presenting features and of fungal infections of skin and subcutaneous tissue be able to examine, assess and treat a patient of bacterial infections affecting the respiratory tract and its be able to examine, assess and treat a patient of Gastro intestinal infection and its be able to examine, assess and treat a patient of skin and soft tissue infections and its be able to examine, assess and treat a patient of pulmonary and extrapulmonary be able to examine, assess and treat a patient of fungal infections of skin and subcutaneous tissue and its a make the patient aware about the route of transmission and methods of prevention including vaccination a make the patient aware about the route of transmission and methods of prevention of gastro intestinal infections including vaccination a make the patient aware about the route of transmission and methods of prevention of Skin and soft tissue infections a make the patient aware about the route of transmission and methods a make the patient aware about the route of transmission, methods of prevention, importance of treatment of fungal infections of skin and subcutaneous tissue Systemic fungal infections( histoplasmo sis, cryptococcosis, penicilliosis, Pneumocystis jiroveci infection be able to discuss the causative organisms, natural history, presenting features and of be able to examine, assess and treat a patient of systemic fungal infections and its a make the patient aware about the route of transmission, methods of prevention, importance of treatment of systemic fungal infections

12 systemic fungal infections SUBTOPI C COGNITIVE DOMAIN PSYCHOMOTOR DOMAIN AFFECTIVE DOMAIN 3e. Protozoal Infections Malaria Hyperreactive malarial splenomegaly African Trypanosomias is American Trypanosomias is Visceral and cutaneous leishmaniasis Toxoplasmosis a discuss the epidemiology causative organisms, natural history, presenting features and of malaria a discuss the epidemiology causative organisms, natural history, presenting features and of hyperreactive malarial splenomegaly a discuss the epidemiology causative organisms, natural history, presenting features and of African trypanosomiasis a discuss the epidemiology causative organisms, natural history, presenting features and of American trypanosomiasis a discuss the epidemiology causative organisms, natural history, presenting features and of visceral and cutaneous leishmaniasis a discuss the epidemiology natural history, presenting features and of toxoplasmosis examine, assess including examination of peripheral blood smear and treat a patient of malaria and its examine, assess including examination of peripheral blood smear and treat a patient of hyperreactive malarial splenomegaly and its examine, assess including examination of peripheral blood smear and treat a patient of African trypanosomiasis and its examine, assess including examination of peripheral blood smear and treat a patient of American trypanosomiasis and its examine, assess including performing a splenic puncture and treat a patient of visceral and cutaneous leishmaniasis and its a patient of toxoplasmosis and its a make route of transmission, methods of prevention, importance of treatment of malaria a make route of transmission, methods of prevention, importance of treatment of hyperreactive malarial splenomegaly a make route of transmission, methods of prevention, importance of treatment of African trypanosomiasis a make route of transmission, methods of prevention, importance of treatment of American trypanosomiasis a make route of transmission, methods of prevention, importance of treatment of visceral and cutaneous leishmaniasis a make route of transmission, methods of prevention, importance of treatment of toxoplasmosis Amoebiasis a discuss the epidemiology natural history, presenting features and of amoebiasis a patient of amoebiasis and its a make route of transmission, methods of prevention, importance of treatment of amoebiasis

13 Amoebic liver abscess Giardiasis a discuss the risk factors predisposing to, natural history, presenting features and of amoebic liver abscess a discuss the epidemiology natural history, presenting features and a patient of amoebic liver abscess and its a patient of giardiasis and its a make importance of treatment and prognosis of amoebic liver abscess a make route of transmission, methods of 3.f. Helminthic Infections Soil transmitted helminths a discuss the epidemiology natural history, presenting features and of diseases caused by soil transmitted helminths a patient of diseases caused by soil transmitted helminths and its a make route of transmission, methods of prevention, importance of treatment of diseases caused by soil transmitted helminths Filariasis Onchocerciasis Hydatidosis Cysticercosis Schistosomiasis a discuss the epidemiology natural history, presenting features and of filariasis a discuss the causative organism, epidemiology natural history, presenting features and of onchocerciasis a discuss the epidemiology, causative organisms, natural history, presenting features and of hydatid disease a discuss the epidemiology, causative organisms, natural history, presenting features and of cysticercosis a discuss the epidemiology, causative organisms, natural examine, including detection of microfilaria under the microscope, assess and treat a patient of filariasis and its a patient of onchocerciasis and its a patient of hydatid disease and its a patient of cysticercosis and its a patient of schistosomiasis and its a make route of transmission, methods of prevention, importance of treatment of filariasis a make route of transmission, methods of prevention, importance of treatment of onchocerciasis a make route of transmission, methods of prevention, importance of treatment of hydatid disease a make route of transmission, methods of prevention, importance of treatment of cysticercoasis a make route of transmission, methods of

14 3g. Ecto parasitic diseases 3h. Miscellaneous Pediculosis Scabies Myiasis Arthropod dermatoses Insect stings including scorpion stings Bites/ animal bites Childhood and adult vaccination a discuss the epidemiology, causative organisms, natural history, presenting features and of infestations by pediculosis a discuss the epidemiology, causative organisms, natural history, presenting features and of infestations by Sarcoptes a discuss the epidemiology, causative organisms, natural history, presenting features and of infestations by myiasis a enumerate the common arthropod dermatoses, causative organisms, natural history, presenting features and. a discuss the common insects responsible, presenting features and following insect stings a discuss the common animals responsible, presenting features and following bites a enumerate the common vaccines available, indications, contra indications and a a patient of infestation by food borne pediculosis and its a a patient of infestation by Sarcoptes and its a a patient of infestation by myiasis and its a a patient of infestation by arthropod dermatoses and its a a patient suffering from insect stings and its a a patient suffering from animal bite and its a administer common vaccines and manage patients related to vaccine related a make the patient aware about the route of transmission, methods of prevention, importance of infestations by pediculosis a make the patient aware about the route of transmission, methods of prevention, importance of infestations by Sarcoptes a make the patient aware about the route of transmission, methods of prevention, importance of infestations by myiasis a make the patient aware about the route of transmission, methods of prevention, importance of infestations by arthropod dermatoses a make the patient aware about the methods of prevention, and consequences of insect bites a make the patient aware about the methods of prevention, and consequences of animal bites including importance of treatment and vaccination a make the patient /parents in case of children aware about the necessity and assure them about the safety of vaccination Advice to international travelers a enumerate the precautionary measures necessary for an international traveler prior to travel a an international traveler suffering from a disease acquired while travelling a make the patient aware about the necessity and assure about the precautions that must be taken prior to international

15 4.TROPICS SPECIFIC ORGAN RELATED DISEASES Acute rheumatic fever Rheumatic heart diseases Endomyocard ial fibrosis Tropical pulmonary eosiniphilia Parasitic pulmonary diseases Tropical pancreatitis Tropical sprue Haemoglobin opathies to discuss the epidemiology, causative organisms, natural history, presenting features and of acute rheumatic fever to discuss the epidemiology, causative organisms, natural history, presenting features and of rheumatic heart disease to discuss the epidemiology, risk factors, natural history, presenting features and of endomyocardial fibrosis to discuss the epidemiology, risk factors, natural history, presenting features and of tropical pulmonary eosiniphilia to discuss the epidemiology, causative organisms, natural history, presenting features and of parasitic pulmonary diseases to discuss the epidemiology, risk factors, natural history, presenting features and of tropical pancreatitis to discuss the epidemiology, risk factors, natural history, presenting features and of tropical sprue to discuss the common haemoglobinopathies in the community, their natural history, presenting to examine, assess and treat a patient of acute rheumatic fever and its to examine, assess and treat a patient of rheumatic heart disease and its to examine, assess and treat a patient of endomyocardial fibrosis and its to examine, assess and treat a patient of tropical pulmonary eosiniphilia and its to examine, assess and treat a patient of parasitic pulmonary diseases and its to examine, assess and treat a patient of tropical pancreatitis and its to examine, assess and treat a patient of tropical sprue and its to examine, assess and treat a patient suffering from a haemoglobinopathy and a student aware about the route of transmission, methods of prevention, importance of treatment of acute rheumatic fever a student aware about the methods of prevention, importance of treatment of rheumatic disease and its consequences a student treatment of endomyocardial fibrosis and its consequences a student aware about the methods of prevention, importance of treatment of tropical pulmonary eosiniphilia and its consequences a student aware about the routes of transmission, methods of prevention, importance of treatment of parasitic pulmonary diseases and its consequences a student aware about the risk factors, methods of prevention, importance of treatment of tropical pancreatitis and its consequences a student aware about the risk factors, methods of prevention, importance of treatment of tropical sprue and its consequences a student aware about screening of family members, importance of early detection and treatment of haemoglobinopathies and its

16 features and its consequences G6PD deficiency to discuss the prevalence, clinical significance, precipitating factors of haemolysis, presenting features and in a patient of G6PD deficiency to examine, assess and treat a patient of G6PD deficiency suffering from haemolysis. a student detection of G6PD and its consequences 5. POISONING General management of the poisoned patient Toxidromes Organophosph orus poisoning Organocarba mate/chlorine poisoning a discuss the common poisons, presenting features on their intake and subsequent. a discuss the epidemiology, cause, natural history, presenting features and of Toxidromes a discuss the mode of poisoning, presenting features and of organophosphorus poisoning a discuss the mode of poisoning, presenting features and of Organocarbamate/chlorine poisoning a a patient of suspected poisoning and its a a patient of Toxidromes and its a a patient of organophosphorus poisoning and its a a patient of Organocarbamate/chlorine poisoning and its a make ill effects of poisoning and counsel him/her to avoid similar episodes in the future a make methods of prevention, importance of treatment of Toxidromes and its consequences a make methods of prevention, importance of treatment of organophosphorus poisoning and its consequences a make methods of prevention, importance of treatment of Organocarbamate/chlorine poisoning and its consequences Aluminium a phosphide poisoning Copper sulphate poisoning Heavy metal poisoning ( Lead, arsenic, Thallium, Mercury) discuss the mode of poisoning, presenting features and of aluminium phosphide poisoning a discuss the mode of poisoning, presenting features and of copper sulphate poisoning a discuss the mode of poisoning, presenting features and of heavy metal poisoning a patient of aluminium phosphide poisoning and its a a patient of copper sulphate poisoning and its a a patient of heavy metal poisoning and its make methods of prevention, importance of treatment of aluminium phosphide poisoning and its consequences a make methods of prevention, importance of treatment of copper sulphate poisoning and its consequences a make methods of prevention, importance of treatment of heavy metal poisoning and its consequences

17 Inhalant substance abuse a discuss the mode of inhalation, presenting features and of inhalant substance abuse a a patient of inhalant substance abuse and its a make ill effects of, importance of treatment of inhalant substance abuse and its consequences and counsel him/her to get rid of it. Corrosive ingestion a enumerate the corrosives, presenting features and of Corrosive ingestion a a patient of Corrosive ingestion and its a make ill effects of, importance of treatment of Corrosive ingestion and its consequences Snake bite and snake envenomation Scorpion stings Yellow oleander poisoning Mushroom poisoning and other plant poisons Lathyrism Aflatoxin Epidemic dropsy a discuss the mode of inhalation, presenting features and of Snake bite and snake envenomation a discuss presenting features and of scorpion stings a discuss the presenting features and of yellow oleander poisoning a discuss the presenting features and of mushroom poisoning and other plant poisons a discuss the cause, mechanism of, presenting of mushroom poisoning and other plant poisons a discuss the mode of poisoning, mechanism, progression and of aflatoxin poisoning a discuss the cause, mechanism, presenting of epidemic dropsy a a patient of Snake bite and snake envenomation and its a a patient of scorpion stings and its a a patient of yellow oleander poisoning and its a a patient of Mushroom poisoning and other plant poisons and its a a patient of Lathyrism and its a a patient of aflatoxin poisoning and its a a patient of epidemic dropsy and its a make ill effects of, importance of Snake bite and snake envenomation and its consequences a make ways to avoid ill effects of, importance of treatment of scorpion stings a make ill effects of, importance of treatment of yellow oleander poisoning and its consequences. a make ill effects of, importance of treatment of mushroom poisoning and other plant poisons and its consequences a make ill effects of, importance early detection and treatment of Lathyrism and its consequences. a make methods to avoid, ill effects of, importance early detection and treatment of aflatoxin poisoning and its consequences. a make methods to avoid, ill effects of, importance, early detection and treatment of epidemic dropsy and its consequences.

18 Fluorosis a discuss the mechanism, progression and of fluorosis a a patient of fluorosis and its a make methods to avoid, ill effects of, importance early detection and treatment of fluorosis and its consequences 7. INTERNAL MEDICINE Epilepsy GB syndrome Alzheimer s dementia Parkinson s disease Osteoarthritis Infectious arthritis Reactive Arthritis Fibromyalgia classify epilepsy, its mechanism, presenting of epilepsy enumerate the typesof, etiology, its mechanism, progression and of GB syndrome enumerate the presenting of Alzheimer s disease enumerate the causes of, progression and of Parkinson s disease enumerate the natural history, presenting of osteoarthritis enumerate the causes, natural history, presenting of infectious arthritis enumerate the causes, natural history, presenting of reactive arthritis enumerate the natural history, presenting of fibromyalgia a patient of epilepsy and its a patient of GB syndrome and its a patient of Alzheimer s disease and its a patient of Parkinson s disease and its a patient of osteoarthritis and its a patient of infectious arthritis and its a patient of reactive arthritis and its a patient of fibromyalgia and its a student aware about the precautions to be taken and treatment of epilepsy and its consequences. a student aware about the precautions to be taken and treatment of GB syndrome and its consequences. a student aware about the precautions to be taken and importance treatment of Alzheimer s disease and its consequences. a student aware about the precautions to be taken and importance treatment of Parkinson s disease and its consequences a student aware about the precautions to be taken and importance treatment of osteoarthritis and its a student aware about the precautions to be taken and importance treatment of infectious arthritis and its a student aware about the importance treatment of reactive arthritis and its a student aware about the importance treatment of fibromyalgia and its

19 Somatoform disorders Depression Anxiety disorders Peptic ulcer disease Irritable bowel syndrome Ulcerative Colitis discuss the natural history, presenting of somatoform disorders discuss the natural history, types, presenting of depression discuss the natural history, types, presenting of anxiety disorders discuss the natural history, types, presenting of Peptic ulcer disease discuss the natural history, types, presenting of irritable bowel syndrome discuss the natural a patient of somatoform disorders and its a patient of depression and its a patient of anxiety disorders and its a patient of Peptic ulcer disease and its a patient of irritable bowel syndrome and its a student aware about the importance treatment of somatoform disorders and its a student aware about the importance treatment of depression and its a student aware about the importance treatment of anxiety disorders and its a student aware about the importance treatment Peptic ulcer disease and its a student aware about the importance treatment of irritable bowel syndrome and its a student aware Crohn s disease Chronic hepatitis Cirrhosis history, types, presenting of ulcerative colitis discuss the natural history, types, presenting of Crohn s disease discuss the causes, natural history, types, presenting of chronic hepatitis discuss the causes, natural history, types, presenting of cirrhosis a patient of ulcerative colitis and its a patient of Crohn s disease and its a patient of chronic hepatitis and its a patient of cirrhosis and its about the importance treatment of ulcerative colitis and its consequences a student aware about the importance treatment of Crohn s disease and its a student aware about the importance treatment of chronic hepatitis and its a student aware about the measures essential to avoid, importance of treatment of cirrhosis and its

20 Acute intestinal obstruction Bronchial Asthma Chronic obstructive pulmonary disease Bronchiectasi s Lung abscess Pleural effusion Empyema Congestive heart failure Pericardial Effusion discuss the causes, natural history, presenting of acute intestinal obstruction discuss the causes, risk factors, natural history, progression and of bronchial Asthma discuss the causes, risk factors, natural history, progression and of chronic obstructive pulmonary disease discuss the causes, risk factors, natural history, progression and of bronchiectasis discuss the causes, risk factors, natural history, progression and of lung abscess discuss the causes,, natural history, presenting of pleural effusion discuss the causes,,natural history, progression and of empyema discuss the causes,,natural history, progression and of congestive heart failure discuss the causes,, natural history, presenting a patient of acute intestinal obstruction and its a patient of bronchial asthma and its a patient of chronic obstructive pulmonary disease and its a patient of bronchiectasis and its a patient of lung abscess and its a patient pleural effusion and its a patient empyema and its a patient of congestive heart failure and its a patient pericardial a student treatment of acute intestinal obstruction and its a student treatment of bronchial asthma and its a student treatment of chronic obstructive pulmonary disease and its a student treatment of bronchiectasis and its a student treatment of lung abscess and its a student treatment pleural effusion and its a student treatment of empyema and its a student treatment of congestive heart failure and its a student treatment pericardial effusion and

21 of pericardial effusion effusion and its its Acid base and electrolyte disorders Management of acute/chronic renal failure Skin manifestation s of internal disease Eczema Psoriasis classify the various acid base disorders, their precipitating factors progression and. discuss the causes, natural history, presenting of acute/chronic renal failure enumerate the various skin manifestations of internal disease, their precipitating factors, diagnostic and prognostic value in relation to the internal disease and. discuss the causes, distribution, natural history, presenting of eczema discuss the causes, a patient of acid base disorders and its a patient of acute/chronic renal failure and its identify the skin manifestations of internal disease and treat it accordingly and its a patient of eczema and its a student treatment of acid base disorders and its a student treatment acute/chronic renal failure and its a student detection of the skin manifestations of the internal disease importance of treatment and its a student treatment of eczema and its a student aware Adverse drug Reactions Principles of transfusion therapy and transfusion related distribution, natural history, presenting of psoriasis training a student would be able to enumerate the various drug reactions, the responsible drugs, probable mechanism, progression and. training a student would be able to enumerate the indications of transfusion, various related to it, their mechanisms, presenting features and progression. a patient of psoriasis and its a patient of adverse drug reactions and its a patient of transfusion related about the importance of treatment of psoriasis and its a student aware about the precipitating drug, to avoid it in the future, importance of treatment and its a student aware about the necessity of transfusion if indicated, possible that may occur.

22 Leukemia training a student would be able to discuss the epidemiology, causes,, natural history, presenting features, progression and of leukemia examine including peripheral blood smear and bone marrow aspiration and microscopical examination, assess and treat a patient of leukemia and its a student treatment of leukemia and its Lymphoma training a student would be able to discuss the epidemiology, causes,, natural history, presenting features, progression and of lymphoma examine including peripheral blood smear and bone marrow aspiration and microscopical examination, assess and treat a patient of lymphoma and its a student treatment of lymphoma and its Approach to fever of unknown origin training a student would be able to enumerate the various probable causes of FUO, formulate a plan to investigate the problem a patient of fever of unknown origin and its a student evaluation and diagnosis for proper treatment of FUO and its Diagnostic evaluation of anaemia training a student would be able to enumerate the causes of anaemia with their characteristics,formulate a plan to manage a case of anaemia a patient of anaemia and its a student evaluation and diagnosis for proper treatment of anaemia and its Diabetes Mellitus training a student would be able to discuss the types, epidemiology, etiology, natural history, risk factors progression and of diabetes mellitus a patient of Diabetes Mellitus and its a student proper management of diabetes including avoidance of risk factors and its consequences Hypertension training a student would be able to discuss the types, epidemiology, etiology, natural history, risk factors progression and of hypertension a patient of hypertension and its a make the patient aware about the importance of proper management of hypertension including avoidance of risk factors and its

23 Coronary artery disease Cerebro vascular disease Low cost management and prevention of non communicable diseases Cancers prevalent in tropical settings Connective tissue disorders Schizophrenia training a student would be able to discuss the types, epidemiology, etiology, natural history, risk factors progression and of coronary artery disease training a student would be able to discuss the types, epidemiology, etiology, natural history, risk factors progression and of cerebro vascular disease training a student would be able to deduce a low cost plan for management and prevention of non communicable diseases training a student would be able to discuss the cancers prevalent in tropical settings, epidemiology, etiology, natural history, risk factors progression and. training a student would be able to discuss common connective tissue disorders, their epidemiology, natural history, progression and. training a student would be able to discuss different types of schizophrenia, their presentation, treatment and side effects of drugs. a patient of coronary artery disease and its a patient of cerebro vascular disease and its a patient of non communicable disease examine, assess and diagnose a patient of cancers prevalent in tropical settings and treat him/her as per guidelines and its examine, assess and diagnose a patient of connective tissue disorder and treat him/her as per guidelines and its examine, assess, diagnose and treat a patient of Schizophrenia and its a student proper management of coronary artery disease including avoidance of risk factors and its a student proper management of cerebro vascular disease including avoidance of risk factors and its a student proper management of non communicable diseases including avoidance of risk factors and its a student aware about the methods of prevention, importance of proper management of cancers prevalent in tropical settings, including avoidance of risk factors and its a student aware about the natural history, progression of connective tissue disorders, importance of proper management, and its a student and their care giver aware about the importance of proper management of Schizophrenia, and its

24 Severe dehydration training the student would be able to enumerate the causes to find out the cause of the make the patient aware of dehydration, know the methods to assess the degree of dehydration and the of dehydration. dehydration, assess the degree of dehydration and manage a case of dehydration. of the causes of dehydration and the ways to prevent dehydration and its causes 7. MEDICAL EMERGENCIES Acute myocardial infarction Malignant hypertension to enumerate the risk factors,, Treatment guidelines of AMI. to enumerate the diagnostic criteria of malignant hypertension, its presenting features, and Treatment guidelines to examine, assess, investigate and manage a case of Acute myocardial infarction including performing a bedside ECG. to examine, assess, investigate and manage a case of malignant hypertension the make the patient aware of the risk factors, alarming features, and prognosis of AMI and the life style changes to prevent it. the make the patient aware of the alarming features, and prognosis of malignant hypertension and the life style changes to prevent it. Acute stroke to enumerate the causes of acute stroke, its presenting features, and Treatment guidelines to examine, assess, investigate and manage a case of acute stroke. the make the patient aware of the risk factors, alarming features, and prognosis of acute stroke and the life style changes to prevent it. Status epilepticus to enumerate the causes of status epilepticus, its and Treatment guidelines to examine, assess, investigate and manage a case of status epilepticus the make the patient aware of the causes, alarming features and of status epilepticus and the life style changes to prevent it. Acute severe asthma Pneumothorax to enumerate the precipitating factors, and Treatment guidelines of acute severe asthma. to enumerate the causes, and treatment guidelines of Pneumothorax. to examine, assess, investigate and manage a case of acute severe asthma including interpretation of ABG analysis. to examine, assess, investigate and manage a case of Pneumothorax including ability to perform water seal drainage. the make the patient aware of the precipitating factors, alarming features and of acute severe asthma and the life style changes to prevent it the make the patient aware of the precipitating factors and alarming features of Pneumothorax and the need to treat it.

25 Hypoglycaemia Diabetic ketoacidosis to enumerate the precipitating factors, presenting features and of Hypoglycaemia. to enumerate the precipitating factors, to examine, assess, investigate and manage a case of Hypoglycaemia including bedside monitoring of CBG & urine sugar. to examine, assess, investigate and manage a case of diabetic the make the patient aware of the precipitating factors, alarming features of hypoglycaemia and immediate first aid measures to be taken. the make the patient aware of the precipitating factors, alarming features Acute pancreatitis Approach to an unresponsive patient Heat stroke Septic shock and severe sepsis Oxygen therapy and treatment guidelines of diabetic ketoacidosis. the enumerate the precipitating factors, presenting features and of Acute pancreatitis the enumerate the causes, their and immediate treatment guidelines of an unresponsive patient the enumerate the precipitating factors, presenting features, of heat stroke the enumerate the causes, presenting features and of septic shock and severe sepsis the enumerate the indications, methods and of oxygen therapy ketoacidosis including bedside monitoring of CBG and urine sugar & ketone. training the student would be able to examine, assess, investigate and manage a case of acute pancreatitis. training the student would be able to examine, assess, investigate and manage an unresponsive patient training the student would be able to examine, assess, investigate and manage a case of heat stroke training the student would be able to examine, assess, investigate and manage a case of septic shock and severe sepsis training the student would be able to examine, assess, investigate a case needing oxygen therapy and also able to initiate it of diabetic ketoacidosis and the ways to prevent it. the make the patient aware of the precipitating factors, alarming features of acute pancreatitis and the lifestyle changes to prevent relapse the make the patient aware of the causes, alarming features of an unresponsive patient and the need of the first aid measures to be taken the make the patient aware of the precipitating factors and alarming features of heat stroke and need of first aid measures the make the patient aware of the precipitating factors, alarming features of septic shock and severe sepsis and need of first aid measures the make the patient aware of the alarming features needing oxygen therapy