::Competency Based Medical Education : 2021-2022 : Third MBBS Part one Clinicals

CLINICAL SCHEDULE FOR THIRD MBBS PART 1
 
SUBJECT WEEK DAY HOUR COMPETENCIES TYPE OF CLASS      
GENERAL MEDICINE  1 DAY 1 8-11 AM IM1.10 Elicit document and present an appropriate history that will establish
the diagnosis, cause and severity of heart failure including:
presenting complaints, precipitating and exacerbating factors, risk
factors exercise tolerance, changes in sleep patterns, features
suggestive of infective endocarditis
 Bed side clinic      
DAY 2 8-11 AM IM1.11 Perform and demonstrate a systematic examination based on the
history that will help establish the diagnosis and estimate its severity
including: measurement of pulse, blood pressure and respiratory
rate, jugular venous forms and pulses, peripheral pulses , conjunctiva and fundus, lung, cardiac examination including
palpation and auscultation with identification of heart sounds and
murmurs, abdominal distension and splenic palpation
Bed side clinic/DOAP      
DAY 3 8-11 AM IM1.17 Order and interpret diagnostic testing based on the clinical
diagnosis including 12 lead ECG, Chest radiograph, blood cultures                                                                                IM1.18 Perform and interpret a 12 lead ECG                                                    IM1.30 Administer an intramuscular injection with an appropriate
explanation to the patient
Bed side clinic/ DOAP       
DAY 4 8-11 AM IM2.9 Distinguish and differentiate between stable and unstable angina
and AMI based on the clinical presentation                                                      IM2.11 Order and interpret a Chest X-ray and markers of acute myocardial
infarction
IM2.12 Choose and interpret a lipid profile and identify the desirable lipid
profile in the clinical context
Bed side clinic      
DAY 5 8-11 AM IM3.4 Elicit document and present an appropriate history including the
evolution, risk factors including immune status and occupational risk

IM3.5 Perform, document and demonstrate a physical examination
including general examination and appropriate examination of the
lungs that establishes the diagnosis, complications and severity of
disease

IM3.6 Generate document and present a differential diagnosis based on
the clinical features, and prioritise the diagnosis based on the
presentation
Bed side clinic      
DAY 6 8-11AM IM2.24 Counsel and communicate to patients with empathy lifestyle
changes in atherosclerosis / post coronary syndromes                IM3.18 Communicate and counsel patient on family on the diagnosis and
therapy of pneumonia
DOAP      
2 DAY 1 8-11 AM IM3.8 Demonstrate in a mannequin and interpret results of an arterial
blood gas examination
IM3.9 Demonstrate in a mannequin and interpret results of a pleural fluid
aspiration
 
 Bed side clinic/DOAP      
DAY 2 8-11 AM IM4.12 Order and interpret diagnostic tests based on the differential
diagnosis of fever including: CBC with differential, peripheral smear, urinary
analysis with sediment, Chest X ray, blood and urine cultures,
sputum gram stain and cultures, sputum AFB and cultures, CSF
analysis, pleural and body fluid analysis, stool routine and culture
and QBC
 Bed side clinic      
DAY 3 8-11 AM IM4.19 Assist in the collection of blood and wound cultures DOAP      
DAY 4 8-11 AM IM5.9 Elicit document and present a medical history that helps delineate
the aetiology of liver disease and includes clinical
presentation, risk factors, drug use, sexual history, vaccination
history and family history                                                                 IM15.5 Perform, demonstrate and document a physical examination based
on the history that includes general examination, volume
assessment and appropriate abdominal examination
 Bed side clinic      
DAY 5 8-11 AM IM5.14 Outline a diagnostic approach to liver disease based on
hyperbilirubinemia, liver function changes and hepatitis serology
Bed side clinic      
DAY 6 8-11AM IM6.9 Choose and interpret appropriate diagnostic tests to diagnose and
classify the severity of HIV-AIDS including specific tests of HIV,
CDC
Bed side clinic      
3 DAY 1 8-11 AM IM6.10 Choose and interpret appropriate diagnostic tests to diagnose
opportunistic infections including CBC sputum examination and
cultures, blood cultures, stool analysis, CSF analysis and Chest
radiographs
Bed side clinic      
DAY 2 8-11 AM IM8.10 Perform a systematic examination that includes : an accurate
measurement of blood pressure, fundus examination, examination
of vasculature and heart
Bed side clinic/DOAP      
DAY 3 8-11 AM IM9.7 Describe and discuss the meaning and utility of various components
of the hemogram
IM9.8 Describe and discuss the various tests for iron deficiency K
IM9.9 Order and interpret tests for anemia including hemogram, red cell
indices, reticulocyte count, iron studies, B12 and folate
IM9.10 Describe, perform and interpret a peripheral smear and stool occult
Bed side clinic      
DAY 4 8-11 AM IM10.16 Enumerate the indications for and interpret the results of : renal
function tests, calcium, phosphorus, PTH, urine electrolytes,
osmolality, Anion gap
IM10.17 Describe and calculate indices of renal function based on available
laboratories including FENa (Fractional Excretion of Sodium) and
CrCl (Creatinine Clearance)
Bed side clinic      
DAY 5 8-11 AM IM10.18 Identify the ECG findings in hyperkalemia
IM10.19 Enumerate the indications and describe the findings in renal
ultrasound                                                                                                     IM10.22 Describe and discuss the indications, demonstrate in a model and
assist in the insertion of a central venous or a dialysis catheter
Bed side clinic/DOAP      
DAY 6 8-11AM IM11.12 Perform and interpret a capillary blood glucose test
IM11.13 Perform and interpret a urinary ketone estimation with a dipstick  IM11.19 Demonstrate and counsel patients on the correct technique to
administer insulin
IM11.20 Demonstrate to and counsel patients on the correct technique of self monitoring of blood glucoses
Bed side clinic/DOAP      
4 DAY 1 8-11 AM IM12.9 Order and interpret diagnostic testing based on the clinical
diagnosis including CBC, thyroid function tests and ECG and radi  iodine uptake and scan                                                                                             IM12.10 Identify atrial fibrillation, pericardial effusion and bradycardia on
ECG
IM12.11 Interpret thyroid function tests in hypo and hyperthyroidism
 Bed side clinic/ DOAP      
DAY 2 8-11 AM IM15.13 Observe cross matching and blood / blood component transfusion   IM15.18 Counsel the family and patient in an empathetic non-judgmental
manner on the diagnosis and therapeutic options
 Bed side clinic/DOPA      
DAY 3 8-11 AM Enumerate the indications and describe the findings in the CSF in
patients with meningitis   IM17.8 Demonstrate in a mannequin or equivalent the
correct technique for performing a lumbar puncture

IM17.9 Interpret the CSF findings when presented with various parameters
of CSF fluid analysis
 Bed side clinic      
DAY 4 8-11 AM IM20.4 Elicit and document and present an appropriate history, the
circumstance, time, kind of snake, evolution of symptoms in a
patient with snake bite
 
IM20.5 Perform a systematic examination, document and present a physical
examination that includes general examination, local examination,
appropriate cardiac and neurologic examination
 Bed side clinic      
DAY 5 8-11 AM IM26.19 Demonstrate ability to work in a team of peers and superiors
IM26.20 Demonstrate ability to communicate to patients in a patient,
respectful, non threatening, non judgemental and empathetic
manner

IM26.21 Demonstrate respect to patient privacy
Bed side clinic      
DAY 6 8-11AM IM26.22 Demonstrate ability to maintain confidentiality in patient care  IM26.24 Demonstrate respect in relationship with patients, fellow team
members, superiors and other health care workers  IM26.31 Demonstrate awareness of limitations and seeks help and
consultations appropriately
Bed side clinic/ DOAP      
OBSTETRICS AND GYNECOLOGY WEEK 1 1 8-11 AM OG 35.1 Obtain a logical sequence of history, and perform a humane and
thorough clinical examination, excluding internal examinations (perrectal
and per-vaginal)
BEDSIDE CLINICS CLINICAL ASSESSMENT  
2 8-9 AM OG 35.2 Arrive at a logical provisional diagnosis after examination. BEDSIDE CLINICS CLINICAL ASSESSMENT  
 9-10 AM OG 35.3  Recognize situations, which call for urgent or early treatment at
secondary and tertiary centres and make a prompt referral of such
patients after giving first aid or emergency treatment.
BEDSIDE CLINICS CLINICAL ASSESSMENT  
10-11 AM OG 35.4  Demonstrate interpersonal and communication skills befitting a
physician in order to discuss illness and its outcome with patient
and family
BEDSIDE CLINICS CLINICAL ASSESSMENT  
3  8-9 AM OG 35.5 Determine gestational age, EDD and obstetric formula BEDSIDE CLINICS CLINICAL ASSESSMENT  
 9-10 AM OG 35.6 Demonstrate ethical behavior in all aspects of medical practice. BEDSIDE CLINICS CLINICAL ASSESSMENT  
10-11 AM OG 35.7 Obtain informed consent for any examination / procedure BEDSIDE CLINICS CLINICAL ASSESSMENT  
4  8-9 AM OG 35.8 Write a complete case record with all necessary details BEDSIDE CLINICS CLINICAL ASSESSMENT  
 9-10 AM OG 35.9 Write a proper discharge summary with all relevant information BEDSIDE CLINICS CLINICAL ASSESSMENT  
10-11 AM OG 35.10 Write a proper referral note to secondary or tertiary centres or to
other physicians with all necessary details.
BEDSIDE CLINICS CLINICAL ASSESSMENT  
5 8-9 AM OG 8.7  Enumerate the indications for and types of vaccination in
pregnancy
SMALL GROUP DISCUSSION VIVA VOCE  
9-11 AM OG 35.11 Demonstrate the correct use of appropriate universal precautions
for self-protection against HIV and hepatitis and counsel patients
DOAP SESSION SKILL ASSESSMENT  
6  8-11 AM OG 8.1 Enumerate, describe and discuss the objectives of antenatal care,
assessment of period of gestation; screening for high-risk factors.
SMALL GROUP DISCUSSION VIVA VOCE  
WEEK 2 7 8-10 AM OG 8.4 Describe and demonstrate clinical monitoring of maternal and fetal
well-being
DOAP SESSION SKILL ASSESSMENT  
 10-11 AM OG 8.6 Assess and counsel a patient in a simulated environment regarding
appropriate nutrition in pregnancy
DOAP SESSION SKILL ASSESSMENT  
8 8-11 AM OG 13.1 Enumerate and discuss the physiology of normal labor, mechanism
of labor in occipito-anterior presentation; monitoring of labor
including partogram; conduct of labor, pain relief; principles of
induction and acceleration of labor; management of third stage of
labor.
SMALL GROUP DISCUSSION CLINICAL ASSESSMENT  
9  8-11 AM OG 13.4 Demonstrate the stages of normal labor in a simulated environment
/ mannequin and counsel on methods of safe abortion.
DOAP SESSION SKILL ASSESSMENT  
10  8-11 AM OG 13.5 Observe and assist the conduct of a normal vaginal delivery DOAP SESSION LOG BOOK  
11 8-9 AM OG 35.13 Demonstrate the correct technique to perform artificial rupture of
membranes in a simulated / supervised environment
DOAP SESSION SKILL ASSESSMENT  
 9-10 AM OG 35.14 Demonstrate the correct technique to perform and suture
episiotomies in a simulated/ supervised environment
DOAP SESSION SKILL ASSESSMENT  
 10-11 AM OG 35.15 Demonstrate the correct technique to insert and remove an IUD in a
simulated/ supervised environment
DOAP SESSION SKILL ASSESSMENT  
12  8-10 AM OG 35.16 Diagnose and provide emergency management of antepartum and
postpartum hemorrhage in a simulated / guided environment
DOAP SESSION SKILL ASSESSMENT  
 10-11 AM OG 35.17 Demonstrate the correct technique of urinary catheterisation in a
simulated/ supervised environment
DOAP SESSION SKILL ASSESSMENT  
WEEK 3 13  8-11 AM 0G 15.2 Observe/Assist in operative obstetrics cases
– including - CS, Forceps, vacuum extraction, and breech delivery
DOAP SESSION SKILL ASSESSMENT  
14 8-9 AM OG 17.2 Counsel in a simulated environment, care of the breast, importance
and the technique of breast feeding
DOAP SESSION SKILL ASSESSMENT  
 9-11 AM OG 18.2 Demonstrate the steps of neonatal resuscitation in a simulated
environment
DOAP SESSION SKILL ASSESSMENT  
15 8-9 AM OG 19.2 Counsel in a simulated environment, contraception and puerperal
sterilisation
DOAP SESSION SKILL ASSESSMENT  
 9-11 AM OG 19.3 Observe/ assist in the performance of tubal ligation DOAP SESSION SKILL ASSESSMENT  
16 8-9 AM OG 33.3 Describe and demonstrate the screening for cervical cancer in a
simulated environment
DOAP SESSION SKILL ASSESSMENT  
9-11 AM OG 33.4 Enumerate the methods to prevent cancer of cervix including visual
inspection with acetic acid (VIA), visual inspection of cervix with
Lugol's iodine (VILI), pap smear and colposcopy
SMALL GROUP DISCUSSION VIVA VOCE  
17  8-11 AM OG 37.1 Observe and assist in the performance of a Caesarean section BEDSIDE CLINICS LOG BOOK  
18 8-11 AM OG 37.2  Observe and assist in the performance of Laparotomy BEDSIDE CLINICS CLINICAL ASSESSMENT  
WEEK 4 19  8-11 AM OG 37.3 Observe and assist in the performance of Hysterectomy –
abdominal/vaginal
BEDSIDE CLINICS CLINICAL ASSESSMENT  
20 8-10 AM OG 37.4 Observe and assist in the performance of Dilatation & Curettage
(D&C)
BEDSIDE CLINICS CLINICAL ASSESSMENT  
 10-11 AM OG 37.5  Observe and assist in the performance of Endometrial aspiration -
endocervical curettage (EA-ECC)
BEDSIDE CLINICS VIVA VOCE  
21  8-11 AM OG 37.6 Observe and assist in the performance of outlet forceps application
of vacuum and breech delivery
BEDSIDE CLINICS LOG BOOK  
22  8-11 AM OG 37.7 Observe and assist in the performance of MTP in the first trimester
and evacuation in incomplete abortion
BEDSIDE CLINICS CLINICAL ASSESSMENT  
23  8-11 AM OG 38.1 Laparoscopy BEDSIDE CLINICS CLINICAL ASSESSMENT  
24  8-11 AM OG 38.3 Lap sterilization BEDSIDE CLINICS CLINICAL ASSESSMENT  
GENERAL SURGERY 1 DAY 1 8-11 AM surgery18/3. describe and demonstrate the clinical examination of surgical patient including swelling and order relevant investigations for diagnosis.describe and discuss appropriate treatment plan  Bed side clinic      
DAY 2 8-11 AM surgery 14.2 describe surgical approaches , incisions and the use of appropriate instruments in surgery in general Bed side clinic/DOAP      
DAY 3 8-11 AM surgery 14.4 demonstrate the techniques of asepsis and suturing in a simulated environment Bed side clinic/ DOAP       
DAY 4 8-11 AM surgery 9.3 communicate the results of surgical investigations and counsel the patient appropriately Bed side clinic      
DAY 5 8-11 AM surgery 10.4 perform basic surguicals skills such as first aid including suturing and minor surgical procedures in simulated environment Bed side clinic      
DAY 6 8-11AM surgery 10.2 describe the steps and obtain informrd consent in a simulated environment DOAP      
2 DAY 1 8-11 AM surgery 3.3 counsel patients and family/friends for blood transfusion and blood donation  Bed side clinic/DOAP      
DAY 2 8-11 AM surgery 22.3 demonstrate and document the correct clinical examination of thyroid swellings and discuss the differential diagnosis and their managementI  Bed side clinic      
DAY 3 8-11 AM surgery 25.5 demonstrate the correct technique to palpate the breast for breast swelling in a mannequin or equivalent DOAP      
DAY 4 8-11 AM surgery 28.2 demonstrate the correct technique to examine the patients with hernia and identify different types of hernias  Bed side clinic      
DAY 5 8-11 AM surgery 28.18 describe and demonstrate clinical examination of abdomen.order relevant investigations.describe and discuss appropriate treatment plan Bed side clinic      
DAY 6 8-11AM surgery 29.1  describe the causes, investigations and principles of management of hematuria Bed side clinic      
3 DAY 1 8-11 AM surgery 29.2 describe the clinical features , investigations and principles of management of congenital anomalies of genitourinary system Bed side clinic      
DAY 2 8-11 AM surgery 28.3 describe causes , clinical features , complications and principle of peritonitis Bed side clinic/DOAP      
DAY 3 8-11 AM surgery 27.8 demonstrate the correct examination of lymphatic sysytem, Bed side clinic      
DAY 4 8-11 AM surgery 27.2 demonstrate the correct examination pf the vascular system and enumerate and describe the investigations of vascular disease Bed side clinic      
DAY 5 8-11 AM surgery 28.1 describe pathophysiology, clinical features, investigations and principles of management of hernias Bed side clinic/DOAP      
DAY 6 8-11AM surgery 24.1 describe the clinical features, principles of investigations, progonosis and management of pancreatitis Bed side clinic/DOAP      
4 DAY 1 8-11 AM surgery 17.10 demonstrate airway maintenance . Recognize and manage tension pneumothorax, hemothorax and flial chest in simulated environment  Bed side clinic/ DOAP      
DAY 2 8-11 AM surgery 18.1 describe pathogenesis , clinical features and management of varoius cutaneous and subcutaneous infections  Bed side clinic/DOPA      
DAY 3 8-11 AM surgery 17.2 demonstrate the steps in basic life support . Transport of injured patient in simulated environment  Bed side clinic      
DAY 4 8-11 AM surgery13.4 counsel patients and relatives on organ donation in a simulated environment  Bed side clinic      
DAY 5 8-11 AM surgery 2.3 communicate and counsel patients and families about the treatment and prognosis of shock demostrating empathy and care Bed side clinic      
DAY 6 8-11AM surgery 1.3 describe basic concepts of perioperative care Bed side clinic/ DOAP      
PEDIATRICS WEEK 1 1 8-9 AM PE1.4 Perform Anthropometric measurements, document in growth charts and interpret Small group discussion Document in Log book  
1 9-10 AM PE1.6 Discuss the methods of assessment of development  Small group discussion Written/ Viva voce  
1 9-10AM PE1.7 Perform Developmental assessment and interpret Bedside clinics, Skills Lab Document in Log book  
1 10-11AM PE2.2 Assessment of  a child with failing to thrive including eliciting an appropriate history  and examination Bedside clinics Skills Station  
1 10-11 AM PE2.3 Counselling a parent with failing to thrive child OSPE Document in Log book  
2 8-9 AM PE7.5 Observe the correct technique of breast feeding and distinguish right from wrong techniques Bedside clinics, Skills lab Skill Assessment  
2 8-9 AM PE7.7 Perform breast examination and identify common problems during lactation such as retracted nipples, cracked nipples, breast engorgement, breast abscess Bedside clinics, Skill Lab Skill Assessment  
2 9-10 AM PE7.8 Educate mothers on  ante natal breast care and prepare mothers for lactation   DOAP session Document in Log Book  
2 10-11AM PE7.9 Educate and counsel mothers for best practices in Breast feeding DOAP session Document in Log Book  
2 10-11AM PE7.10 Respects patient privacy DOAP session Document in Log Book  
2 10-11AM PE7.11 Participate in Breast Feeding Week Celebration DOAP session Document in Log Book  
3 8-10AM PE10.3 Assessment of a patient with SAM and MAM, diagnosis, classification and planning management including hospital and community based intervention, rehabilitation and prevention   Bedside clinics, Skills lab Skill station  
3 10-11AM PE10.4 Identify children with under nutrition as per IMNCI criteria and plan referral  DOAP session Document in log book  
4 8-9 AM PE10.5 Counsel parents of children with SAM and MAM Bedside clinic, Skills Station Document in Log book  
4 9-10 AM PE10.6 Enumerate the role of locally prepared therapeutic diets and ready to use therapeutic diets  Small group discussion Written/ Viva voce  
5 8-9 AM PE12.8 Identify the clinical features of dietary deficiency of Vitamin D Bedside clinics, Skills lab Document in log book  
5 8-9AM PE12.9 Assess patients with Vitamin D deficiency, diagnose, classify and plan management Bedside clinics Document in log book  
5 9-10 AM PE13.3 Identify  the clinical features of dietary deficiency of Iron and make a diagnosis Bedside clinics, Skills lab Document in log book  
5 10-11AM PE13.4 Interpret hemogram and Iron Panel Bedside clinic, Small group discussion Skill Assessment  
5 10-11AM PE13.5 Propose a management plan for Fe deficiency anaemia Bedside clinics, Skills lab Skill Assessment  
6 8-9 AM PE19.6 Assess patient for fitness for immunization and prescribe an age appropriate immunization schedule Out Patient clinics Skills lab Skill Assessment  
6 9-10 AM PE19.7 Educate and counsel a patient for immunization DOAP session Document in Log Book  
6 9-10AM PE19.8 Demonstrate willingness to  participate in the National and sub national immunisation days  Small group discussion Document in Log Book  
6 10-11AM PE19.9 Describe the components of safe vaccine practice – Patient education/ counselling; adverse events following immunization, safe injection practices, documentation and Medico-legal implications  Small group discussion Written/ Viva voce  
WEEK 2 7 8-9AM PE19.10 Observe the handling and storing of  vaccines DOAP session Written/ Viva voce  
7 8-9AM PE19.11 Document Immunization in an immunization record Out Patient clinics, Skills lab Skill assessment  
7 9-10 AM PE19.12 Observe the administration of UIP vaccines DOAP session Document in Log Book  
7 9-10 AM PE19.13 Demonstrate the correct administration of different vaccines in a mannequin DOAP session Document in Log Book  
7 10-11AM PE19.14 Practice Infection control measures and appropriate handling of the sharps  DOAP session Document in Log Book  
8 8-9AM PE19.15 Explain the term implied consent in Immunization services Small group discussion Written/ Viva voce  
8 9-11AM PE19.16 Enumerate available newer vaccines and their indications including pentavalent pneumococcal, rotavirus, JE, typhoid IPV & HPV Small group discussion Written/ Viva voce  
9 8-9 AM PE23.7 Elicit appropriate history for a cardiac disease, analyse the symptoms e.g. breathlessness, chest pain, tachycardia, feeding difficulty, failing to thrive, reduced urinary output, swelling, syncope, cyanotic spells, Suck rest cycle, frontal swelling in infants.
Document and present
Bedside clinics, Skills lab Skill Assessment  
9 9-10 AM PE23.8 Identify external markers of a cardiac disease e.g. Cyanosis, Clubbing, dependent edema, dental caries, arthritis, erythema rash, chorea, subcutaneous nodules, Oslers node, Janeway lesions and document Bedside clinics, Skills Lab Skill Assessment  
9 10-11AM PE23.9 Record pulse, blood pressure, temperature and respiratory rate and interpret as per the age Bedside clinics, Skills lab Skill Assessment  
10 8-9AM PE24.9 Elicit, document and present history pertaining to diarrheal diseases Bedside clinics, Skills lab Skill assessment  
10 9-10AM PE24.10 Assess for signs of dehydration, document and present Bedside clinics, Skills lab Skill assessment  
10 10-11AM PE24.11 Apply the IMNCI guidelines in risk stratification of children with diarrheal dehydration and refer Bedside clinics, Skills lab Document in Log book  
11 8-9AM PE24.12 Perform and interpret stool examination including Hanging Drop Bedside clinics, Skills lab Log book  
11 9-10AM PE24.13 Interpret RFT and electrolyte report Bedside clinics, Small group discussion Document in Log Book  
11 9-10 AM PE24.14 Plan fluid management as per the WHO criteria Bedside clinics, Small group activity Skills Station  
11 10-11AM PE24.15 Perform NG tube insertion in a manikin DOAP session Document in Log book  
12 8-9AM PE24.16 Perform IV cannulation in a model DOAP session Document in Log book  
12 9-10AM PE24.17 Perform Interosseous insertion model DOAP session Document in Log book  
WEEK 3 13 8-9AM PE26.5 Elicit document and present the history related to diseases of Gastrointestinal system Bedside clinics, Skills lab Skills Station  
13 9-10 AM PE26.6 Identify external markers for GI and Liver disorders e.g.. Jaundice, Pallor, Gynaecomastia, Spider angioma, Palmar erythema, Icthyosis, Caput medusa, Clubbing, Failing to thrive, Vitamin A and D deficiency Bedside clinics, Skills lab Skill Assessment  
13 10-11AM PE26.7 Perform examination of the abdomen, demonstrate  organomegaly, ascites etc. Bedside clinics, Skills lab Skill Assessment  
14 8-10AM PE26.8 Analyse symptoms and interpret physical signs to make a provisional/ differential diagnosis Bedside clinics, Skill lab Skill Assessment  
14 8-9 AM PE28.10 Perform otoscopic examination of the ear DOAP session Skills Assessment  
14 9-10AM PE28.11 Perform throat examination using tongue depressor DOAP session Skills Assessment  
14 9-10 AM PE28.12 Perform examination of the nose DOAP session Skills Assessment  
14 10-11AM PE28.13 Analyse the clinical symptoms and interpret physical findings and make a provisional / differential diagnosis in a child with ENT symptoms Bedside clinics Skills Assessment  
15 8-10 AM PE28.14 Develop a treatment plan and document appropriately in a child with upper respiratory symptoms Bedside clinics Skills Assessment  
15 10-11AM PE28.15 Stratify risk in children with  stridor using IMNCI guidelines Bedside clinics Log book documentation  
16 8-11AM PE28.18 Describe the etio-pathogenesis, diagnosis, clinical features, management and prevention of lower respiratory infections including bronchiolitis, wheeze associated LRTI Pneumonia and empyema  Small group discussion Skill Assessment/ Written/ Viva voce  
17 8-10 AM PE28.19 Describe the etio-pathogenesis,  diagnosis, clinical features, management and prevention of asthma in children  Small group discussion Skill Assessment/ Written/ Viva voce  
17 10-11AM PE28.20 Counsel the child with asthma on the correct use of inhalers in a simulated environment Bedside clinics, Small group discussion Skills Assessment/ Written/ Viva voce  
18 8-9 AM PE29.11 Identify external markers for hematological disorders e.g.. Jaundice, Pallor, Petechiae purpura, Ecchymosis, Lymphadenopathy, bone tenderness, loss of weight, Mucosal and large joint bleed Bedside clinics, Skills lab Skill assessment  
18 9-10AM PE29.12 Perform examination of the abdomen, demonstrate organomegaly Bedside clinics, Skills lab Skill assessment  
18 10-11AM PE29.13 Analyse symptoms and interpret physical signs to make a provisional/ differential diagnosis Bedside clinics, Skill lab Skill assessment  
WEEK 4 19 8-9 AM PE34.5 Able to elicit, document and present history of contact with tuberculosis in every patient encounter Bedside clinics, Skill lab Skill Assessment  
19 9-10AM PE34.6 Identify a BCG scar Bedside clinics, Skills lab Skill Assessment  
19 10-11AM PE34.7 Interpret a Mantoux test Bedside clinics Skills lab Skill assessment  
20 8-10 AM PE35.1 Identify, discuss and defend medicolegal, socio-cultural and ethical issues  as they pertain to health care in children (including parental rights and right to refuse treatment) Small group discussion Written/ Viva voce  
20 10-11AM PE34.14 Enumerate the common causes of fever and discuss the etiopathogenesis, clinical features, complications and management of fever in children  Small group discussion Written/ Viva voce  
21 8-11AM PE34.15 Enumerate the common causes of fever and discuss the etiopathogenesis, clinical features, complications and management of child with exanthematous illnesses like Measles, Mumps, Rubella & Chicken pox Small group discussion Written/ Viva voce  
21 9-11AM PE34.16 Enumerate the common causes of fever and discuss the etiopathogenesis, clinical features, complications and management of child with Diphtheria, Pertussis, Tetanus. Small group discussion Written/ Viva voce  
22 8-10AM PE34.17 Enumerate the common causes of fever and discuss the etiopathogenesis, clinical features, complications and management of child with Typhoid  Small group discussion Written/ Viva voce  
22 11-12AM PE34.18 Enumerate the common causes of fever and discuss the etiopathogenesis, clinical features, complications and management of child with Dengue, Chikungunya and other vector born diseases Small group discussion Written/ Viva voce  
23 8-10AM PE34.16 Enumerate the common causes of fever and discuss the etiopathogenesis, clinical features, complications and management of child with Diphtheria, Pertussis, Tetanus. Small group discussion Written/ Viva voce  
23 11-12AM PE34.17 Enumerate the common causes of fever and discuss the etiopathogenesis, clinical features, complications and management of child with Typhoid  Small group discussion Written/ Viva voce  
24 8-11AM   ASSESSMENT Small group discussion Written/ Viva voce  
COMMUNITY MEDICINE WEEK 1 DAY 1 CM 1.9 Demonstrate the role of effective Communication skills in health in a simulated environment        
DAY 2 CM 1.10 Demonstrate the important aspects of the doctor patient relationship in a simulated environment        
DAY 3 CM 2.1 Describe the steps and perform clinico socio-cultural and demographic assessment of the individual, family and community        
DAY 4 CM 2.2 Describe the socio-cultural factors, family (types), its role in health and disease & demonstrate in a simulated environment the correct assessment of socio-economic status        
DAY 5 CM 2.3 Describe and demonstrate in a simulated environment the assessment of barriers to good health and health seeking behavior        
DAY 6 CM 3.2 Describe concepts of safe and wholesome water, sanitary sources of water, water purification processes, water quality standards, concepts of water conservation and rainwater harvesting        
WEEK 2 DAY 7 CM 3.3 Describe the aetiology and basis of water borne diseases /jaundice/hepatitis/ diarrheal diseases        
DAY 8 CM 3.7 Identify and describe the identifying features and life cycles of vectors of Public Health importance and their control measures        
DAY 9 CM 4.3 Demonstrate and describe the steps in evaluation of health promotion and education program        
DAY 10 CM 5.2 Describe and demonstrate the correct method of performing a nutritional assessment of individuals, families and the community by using the appropriate method        
DAY 11 CM 5.4 Plan and recommend a suitable diet for the individuals and families based on local availability of foods and economic status, etc in a simulated environment        
DAY 12 CM 6.1 Formulate a research question for a study        
WEEK 3 DAY 13 CM 6.2 Describe and discuss the principles and demonstrate the methods of collection, classification, analysis, interpretation and presentation of statistical data        
DAY 14 CM 6.3 Describe, discuss and demonstrate the application of elementary statistical methods including test of significance in various study designs        
DAY 15 CM 6.4 Enumerate, discuss and demonstrate Common sampling techniques, simple statistical methods, frequency distribution, measures of central tendency and dispersion        
DAY 16 CM 7.4 Define, calculate and interpret morbidity and mortality indicators based on given set of data        
DAY 17 CM 7.6 Enumerate and evaluate the need of screening tests        
DAY 18 CM 7.7 Describe and demonstrate the steps in the Investigation of an epidemic of communicable disease and describe the principles of control measures        
WEEK 4 DAY 19 CM 7.9 Describe and demonstrate the application of computers in epidemiology        
DAY 20 CM 8.6 Educate and train health workers in disease surveillance, control & treatment and health education        
DAY 21 CM 9.2 Define, calculate and interpret demographic indices including birth rate, death rate, fertility rates        
DAY 22 MI 8.7 Describe the principles of management of information systems        
DAY 23 IM 25.4 Elicit document and present a medical history that helps delineate the aetiology of these diseases that includes the evolution and pattern of symptoms, risk factors, exposure through occupation and travel        
DAY 24 IM 25.13 Counsel the patient and family on prevention of various infections due to environmental issues        
WEEK 5 DAY 25 OG 8.1,19.2,21.1 Enumerate describe and discuss the objectives of antenatal care, assessment of period of gestation; screening for high-risk factors e Counsel in a simulated environment, contraception and puerperal sterilisation  session  Describe and discuss the temporary and permanent methods of contraception, indications, technique and complications; selection of patients, side effects and failure rate including OC, male contraception, emergency contraception and IUCD        
DAY 26 OG 33.3 Describe and demonstrate the screening for cervical cancer in a simulated environment        
DAY 27 PE 8.4,8.5 Elicit history on the Complementary Feeding habits        
DAY 28 PE 9.4-9.7 Elicit, Document and present an appropriate nutritional history and perform a dietary recal        
DAY 29 PE 10.4 Identify children with under nutrition as per IMNCI criteria and plan referral        
DAY 30 PE 18.3,18.4,18.6,18.8 Conduct Antenatal examination of women independently and apply at-risk approach in antenatal care        
WEEK 6 DAY 31 PE 19.12 Observe the Administration the UIP vaccines        
DAY 32 CT 1.15,1.16,1.18 Prescribe an appropriate antituberculosis regimen based on the location of disease, smear positivity and negativity and comorbidities based on current national guidelines including directly observed tuberculosis therapy (DOTS)        
DAY 33 CT 2.24-2.27 Recognise the impact of OAD on patient’s quality of life, well being, work and family        
DAY 34 REVISION          
DAY 35 REVISION          
DAY 36 REVISION          
OTORHINOLARYNGOLOGY WEEK 1 Day 1 8 to 9 AM EN 2.2 1.Demonstrate the correct use of a headlamp in the examination of the
ear, nose and throat
DOAP    
9 to 10 AM EN 2.3 2. Demonstrate the correct technique of examination of the ear including Otoscopy DOAP    
10 to 11 AM EN 2.4 3. Demonstrate the correct technique of performance and interpret tuning
fork tests
DOAP    
Day 2 8 to 9 AM EN 2.5  Demonstrate the correct technique of examination of the nose &
paranasal sinuses including the use of nasal speculum
DOAP    
9 to 10 AM EN 2.6 Demonstrate the correct technique of examining the throat including the
use of a tongue depressor
DOAP    
10 to 11 AM  EN 2.7 Demonstrate the correct technique of examination of neck including
elicitation of laryngeal crepitus
DOAP    
Day 3 8 to 9 AM EN 2.8 Demonstrate the correct technique to perform and interpret pure tone
audiogram & impedance audiogram
DOAP    
9 to 10 AM EN 2.9 Choose correctly and interpret radiological, microbiological &
histological investigations relevant to the ENT disorders
Lecture, SGD    
10 to 11 AM EN 2.11 Describe and identify by clinical examination malignant & pre- malignant Lecture, SGD    
Day 4 8 to 9 AM EN 2.12 Counsel and administer informed consent to patients and their families
in a simulated environment
Lecture, SGD    
9 to 10 AM EN 2.13 Identify, resuscitate and manage ENT emergencies in a simulated
environment (including tracheostomy, anterior nasal packing, removal
of foreign bodies in ear, nose, throat and upper respiratory tract)
Lecture, SGD    
10 to 11 AM EN 3.2 Observe and describe the indications for and steps involved in the performance of diagnostic nasal Endoscopy  Lecture, SGD    
Day 5 8 to 9 AM EN 3.3 Observe and describe the indications for and steps involved in the performance of Rigid/Flexible Laryngoscopy  Lecture, SGD    
9 to 10 AM EN 3.4 Observe and describe the indications for and steps involved in the removal of foreign bodies from ear, nose & throat  Lecture, SGD    
10 to 11 AM EN 4.6 Elicit document and present a correct history, demonstrate and describe the clinical features, choose the correct investigations and describe the principles of management of Discharging ear  Lecture, SGD    
Day 6 8 to 9 AM EN 4.19 Describe the clinical features, investigations and principles of management of Vertigo (lecture Lecture, SGD    
9 to 10 AM EN 4.29 Elicit document and present a correct history demonstrate and describe the clinical features, choose the correct investigations and describe the principles of management of squamosal type of Acute & Chronic Rhinitis  Lecture, SGD    
10 to 11 AM EN 4.47 Describe the clinical features, investigations and principles of
management of Stridor
Lecture, SGD    
WEEK 2 Day 7 8 to 9 AM EN 4.53 Describe the clinical features, investigations and principles of
management of HIV manifestations of the ENT
Lecture, SGD    
9 to 10 AM EN 4.2 Elicit document and present a correct history, demonstrate and describe
the clinical features, choose the correct investigations and describe the
principles of management of diseases of the external Ear
SGD    
10 to 11 AM EN 4.3 Elicit document and present a correct history, demonstrate and describe
the clinical features, choose the correct investigations and describe the principles of management of ASOM
SGD    
Day 8 8 to 9 AM EN 4.4  Demonstrate the correct technique to hold visualize and assess the
mobility of the tympanic membrane and its mobility and interpret and
diagrammatically represent the findings
SDL    
9 to 10 AM EN 4.5 Elicit document and present a correct history, demonstrate and describe
the clinical features, choose the correct investigations and describe the principles of management of OME
SGD    
10 to 11 AM EN 4.7 Elicit document and present a correct history demonstrate and describe
the clinical features, choose the correct investigations and describe the principles of management of CSOM
DOAP    
Day 9 8 to 9 AM EN 4.8 Elicit document and present a correct history, demonstrate and describe
the clinical features, choose the correct investigations and describe the principles of management of squamosal type of CSOM
Lecture, SGD, DOAP    
9 to 10 AM EN 4.9 Demonstrate the correct technique for syringing wax from the ear in a
simulated environment
Lecture, SGD, DOAP    
10 to 11 AM EN 4.10 Observe and describe the indications for and steps involved in myringotomy and myringoplasty DOAP    
Day 10 8 to 9 AM EN 4.11 Enumerate the indications describe the steps and observe a mastoidectomy DOAP    
9 to 10 AM EN 4.12 Elicit document and present a correct history demonstrate and describe
the clinical features, choose the correct investigations and describe the principles of management of Hearing loss
Lecture, SGD, DOAP    
10 to 11 AM EN 1.2B Describe the pathophysiology of common diseases OF nose Lecture, SGD, DOAP    
Day 11 8 to 9 AM EN 4.13 Describe the clinical features, investigations and principles of
management of Otosclerosis
Lecture, SGD, DOAP    
9 to 10 AM EN 4.14 Describe the clinical features, investigations and principles of
management of Sudden Sensorineural Hearing Loss
Lecture, SGD, DOAP    
10 to 11 AM EN 4.15 Describe the clinical features, investigations and principles of
management of Noise Induced Hearing Loss
Lecture, SGD, DOAP    
Day 12 8 to 9 AM EN 1.2C Describe the pathophysiology of common diseases throat
 
Lecture, SGD, DOAP    
9 to 10 AM EN 4.16 Observe and describe the indications for and steps involved in the
performance of pure tone audiometry
DOAP    
10 to 11 AM EN 4.18 Describe the clinical features, investigations and principles of
management of Facial Nerve palsy
Lecture, SGD, Demonstration    
WEEK 3 Day 13 8 to 9 AM EN 4.20 Describe the clinical features, investigations and principles of
management of Meniere’s Disease
Lecture, SGD, Demonstration    
9 to 10 AM EN 4.21 Describe the clinical features, investigations and principles of
management of Tinnitus
Lecture, SGD, Demonstration    
10 to 11 AM EN 1.2D Describe the pathophysiology of  common diseases Head & Neck Lecture, SGD, Demonstration    
Day 14 8 to 9 AM EN 4.22 Elicit document and present a correct history demonstrate and describe
the clinical features, choose the correct investigations and describe the
principles of management of squamosal type of Nasal Obstruction
Lecture, SGD, Demonstration    
9 to 10 AM EN 4.23 Describe the clinical features, investigations and principles of
management of DNS
Lecture, SGD, Demonstration    
10 to 11 AM EN 4.24 Enumerate the indications observe and describe the steps in a
septoplasty
DOAP    
Day 15 8 to 9 AM EN 4.25 Elicit document and present a correct history, demonstrate and describe
the clinical features, choose the correct investigations and describe thE
principles of management of squamosal type of Nasal Polyps
Lecture, SGD, DOAP    
9 to 10 AM EN 4.26 Elicit document and present a correct history, demonstrate and describe
the clinical features, choose the correct investigations and describe the
principles of management of squamosal type of Adenoids
Lecture, SGD, DOAP    
10 to 11 AM EN 4.27 Elicit document and present a correct history, demonstrate and describe
the clinical features, choose the correct investigations and describe the
principles of management of squamosal type of Allergic Rhinitis
Lecture, SGD, DOAP    
Day 16 8 to 9 AM EN 4.28 Elicit document and present a correct history, demonstrate and describe
the clinical features, choose the correct investigations and describe the
principles of management of squamosal type of Vasomotor Rhinitis
Lecture, SGD, DOAP    
9 to 10 AM EN 4.30 Elicit document and present a correct history, demonstrate and describe
the clinical features, choose the correct investigations and describe the
principles of management of squamosal type of Epistaxis
Lecture, SGD, DOAP    
10 to 11 AM EN 4.31 Describe the clinical features, investigations and principles of
management of trauma to the face & neck
Lecture, SGD, Demonstration    
Day 17 8 to 9 AM EN 4.32 Describe the clinical features, investigations and principles of
management of nasopharyngeal Angiofibroma
Lecture, SGD, Demonstration   DOAP SESSION
9 to 10 AM EN 4.33 Elicit document and present a correct history demonstrate and describe the
principles of management of squamosal type of Acute & Chronic sinusitis
Lecture, SGD, Demonstration   DOAP SESSION
10 to 11 AM EN 4.34 Describe the clinical features, investigations and principles of
management of Tumors of Maxilla
Lecture, SGD, Demonstration   DOAP SESSION
Day 18 8 to 9 AM EN 4.35 Describe the clinical features, investigations and principles of
management of Tumors of Nasopharynx
Lecture, SGD, Demonstration   SGD
9 to 10 AM EN 4.36 Describe the clinical features, investigations and principles of
management of diseases of the Salivary glands
Lecture, SGD, Demonstration   SGD
10 to 11 AM EN 4.37 Describe the clinical features, investigations and principles of
management of Ludwig’s angina
Lecture, SGD, Demonstration   SGD
WEEK 4 Day 19 8 to 9 AM EN 4.38 Elicit document and present a correct history demonstrate and describe
the clinical features, choose the correct investigations and describe the
principles of management of type of dysphagia
Lecture, SGD, Demonstration   Bedside clinics
9 to 10 AM EN 4.39 Elicit document and present a correct history, demonstrate and describe
the clinical features, choose the correct investigations and describe the
principles of management of squamosal type of Acute & Chronic Tonsilitis
SGD, DOAP  
10 to 11 AM EN 4.40 Observe and describe the indications for and steps involved in a
tonsillectomy / adenoidectomy
DOAP   DOAP SESSION
Day 20 8 to 9 AM EN 4.41 Describe the clinical features, investigations and principles of
management of Acute & chronic abscesses in relation to Pharynx
Lecture, SGD, Demonstration  
9 to 10 AM EN 4.42 Elicit, document and present a correct history, demonstrate and
describe the clinical features, choose the correct investigations and Skill t
describe the principles of management of hoarseness of voice
Lecture, SGD, Demonstration   DOAP SESSION
10 to 11 AM EN 4.43 Describe the clinical features, investigations and principles of
management of Acute & Chronic Laryngitis
Lecture, SGD, Demonstration  
Day 21 8 to 9 AM EN 4.44 Describe the clinical features, investigations and principles of
management of Benign lesions of the vocal cord
Lecture, SGD, Demonstration   SGD
9 to 10 AM EN 4.45 Describe the clinical features, investigations and principles of
management of Vocal cord palsy
Lecture, SGD, Demonstration   SGD
10 to 11 AM EN 4.46 Describe the clinical features, investigations and principles of
management of Malignancy of the Larynx & Hypopharynx
Lecture, SGD, Demonstration   SGD
Day 22 8 to 9 AM EN 4.47 Describe the clinical features, investigations and principles of
management of Stridor
Lecture, SGD, Demonstration   DOAP SESSION
9 to 10 AM EN 4.48 Elicit document and present a correct history, demonstrate and describe
the clinical features, choose the correct investigations and describe the
principles of management of Airway Emergencies
Lecture, SGD, Demonstration   Bedside clinics
10 to 11 AM EN 4.49 Elicit document and present a correct history, demonstrate and describe
the clinical features, choose the correct investigations and describe the
principles of management of foreign bodies in the air & food passages
Lecture, SGD, Demonstration   Bedside clinics
Day 23 8 to 9 AM EN 4.50 Observe and describe the indications for and steps involved in
tracheostomy
DOAP   SGD
9 to 10 AM EN 4.51 Observe and describe the care of the patient with a tracheostomy DOAP   Bedside clinics
10 to 11 AM EN 4.52 Describe the Clinical features, Investigations and principles of
management of diseases of Oesophagus
Lecture, SGD, Demonstration   DOAP SESSION
Day 24 8 to 9 AM EN 36.4 Describe the anatomical basis of tonsilitis, tonsillectomy, adenoids and
peri-tonsillar abscess
Lecture, SGD, Demonstration   DOAP AND SGD
9 to 10 AM EN 36.3 Describe the boundaries and clinical significance of pyriform fossa Lecture   SGD
10 to 11 AM EN 2.10 Identify and describe the use of y common instruments used in ENT
surgery
DOAP   Bedside clinics
OPHTHOLMOLOGY WEEK 1 DAY 1 8AM-9AM OP1.3a Demonstrate the steps in performing the visual acuity assessment for distance vision and near vision, colour vision, the pinhole test and the menace and blink reflexes       
9AM-10AM OP1.3b Demonstrate the steps in performing the visual acuity assessment for distance vision and near vision, colour vision, the pinhole test and the menace and blink reflexes  SGD    
10AM-11AM OP1.3c Demonstrate the steps in performing the visual acuity assessment for distance vision and near vision, colour vision, the pinhole test and the menace and blink reflexes       
DAY 2 8AM-9.AM OP2.1a Enumerate the causes, describe and discuss the etiology, clinical presentations and diagnostic features of common conditions of the lid and adnexa including Hordeolum externum/internum, blepharitis, preseptal cellulitis, dacryocystitis, hemangioma, dermoid, ptosis, entropion, lid lag, lagophthalmos SGD    
9AM-10AM OP2.1b Enumerate the causes, describe and discuss the etiology, clinical presentations and diagnostic features of common conditions of the lid and adnexa including Hordeolum externum/internum, blepharitis, preseptal cellulitis, dacryocystitis, hemangioma, dermoid, ptosis, entropion, lid lag, lagophthalmos SGD    
10AM-11AM OP2.1c Enumerate the causes, describe and discuss the etiology, clinical presentations and diagnostic features of common conditions of the lid and adnexa including Hordeolum externum/internum, blepharitis, preseptal cellulitis, dacryocystitis, hemangioma, dermoid, ptosis, entropion, lid lag, lagophthalmos SGD    
DAY 3 8AM-9AM OP2.3a Demonstrate under supervision clinical procedures performed in the lid including: bells phenomenon, assessment of entropion/ectropion, perform the regurgitation test of lacrimal sac, massage technique in cong.dacryocystitis and trichiatic cilia removal by epilation             SGD    
SGD    
9AM-10AM OP2.3b Demonstrate under supervision clinical procedures performed in the lid including: bells phenomenon, assessment of entropion/ectropion, perform the regurgitation test of lacrimal sac, massage technique in cong.dacryocystitis and trichiatic cilia removal by epilation             SGD    
SGD    
10AM-11AM OP2.3c Demonstrate under supervision clinical procedures performed in the lid including: bells phenomenon, assessment of entropion/ectropion, perform the regurgitation test of lacrimal sac, massage technique in cong.dacryocystitis and trichiatic cilia removal by epilation              DOAP SESSION    
SGD    
DAY 4 8AM-9AM OP2.6a Enumerate the causes and describe the differentiating features and clinical features and management of proptosis         Bedside clinics    
9AM-10AM OP2.6b Enumerate the causes and describe the differentiating features and clinical features and management of proptosis         SGD    
10AM-11AM OP2.6c Enumerate the causes and describe the differentiating features and clinical features and management of proptosis         SGD    
DAY 5 8.00AM-9AM OP3.1 Elicit document and present an appropriate history in a patient presenting with a red eye including congestion, discharge, pain   SGD    
9AM-10AM OP3.2a Demostrate document and present the correct method of examination of a red eye including vision assessment, corneal lustre, pupil abnormality, ciliary tenderness  SGD    
10AM-11AM OP3.2b Demostrate document and present the correct method of examination of a red eye including vision assessment, corneal lustre, pupil abnormality, ciliary tenderness SGD    
DAY 6 8AM-9AM OP3.6a Describe the aetiology, pathophysiology, ocular features, differential diagnosis, complications and management of pterygium       Bedside clinics    
9AM-10AM OP3.6b Describe the aetiology, pathophysiology, ocular features, differential diagnosis, complications and management of pterygium   SGD    
10AM-11AM OP3.8 Demonstrate the correct technique of foreign body removal from the eye  in a simulated environment DOAP    
DAY 7 8AM-9AM OP3.9 Demonstrate the correct technique of instillation of eye drops in a simulated environment SGD    
9AM-10AM OP4.1a Enumerate, describe and discuss the types and causes of corneal ulceration  SGD    
10AM-11AM OP4.1b Enumerate, describe and discuss the types and causes of corneal ulceration  SGD    
SGD    
WEEK 2 DAY 8 8AM-9AM OP4.2a Enumerate and discuss the differential diagnosis of infective keratitis           Bedside clinics    
9AM-10AM OP4.2b Enumerate and discuss the differential diagnosis of infective keratitis           Bedside clinics    
10AM-11AM OP4.2c Enumerate and discuss the differential diagnosis of infective keratitis           Bedside clinics    
DAY 9 8AM-9AM OP4.3 Enumerate the causes of corneal edema  Bedside clinics    
9AM-10AM OP4.4a Enumerate the causes and discuss the management of dry eye     SGD    
10AM-11AM OP4.4b Enumerate the causes and discuss the management of dry eye    
DAY 10 8AM-9AM OP4.5 Enumerate the causes of corneal blindness                    SGD    
9AM-10AM OP4.6 Enumerate the indications and types of keratoplasty     
10AM-11AM OP4.7 Enumerate the indications and describe the methods of tarsorrhaphy   SGD    
DAY 11 8AM-9AM OP4.8 Demonstrate technique of removal of foreign body in the cornea in a simulated environment    
9AM-10AM OP4.9 Describe and discuss the importance and protocols involved in eye donation and eye banking                     DOAP    
10AM-11AM OP4.10 Counsel patients and family about eye donation in a simulated environment DOAP SESSION    
DAY 12 8AM-9AM OP5.1a Define, enumerate and describe the etiology, associated systemic conditions, clinical features, complications, indications for referral and management of episcleritis         
9AM-10AM OP5.1b Define, enumerate and describe the etiology, associated systemic conditions, clinical features, complications, indications for referral and management of episcleritis           
10AM-11AM OP5.2 Define, enumerate and describe the etiology, associated systemic conditions, clinical features, complications, indications for referral and management of scleritis DOAP    
WEEK 3 DAY 13 8AM-9AM OP6.1 Describe clinical signs of intraocular inflammation and enumerate the features that distinguish granulomatous from non-granulomatous inflammation. Identify acute iridocyclitis from chronic condition  DOAP    
9AM-10AM OP6.2 Identify and distinguish acute iridocyclitis from chronic iridocyclitis  DOAP    
10AM-11AM OP6.4 Describe and distinguish hyphema and hypopyon           DOAP    
DAY 14 8AM-9AM OP6.5 Describe and discuss the angle of the anterior chamber and its clinical correlates     
DOAP    
9AM-10AM OP6.6a Identify and demonstrate the clinical features and distinguish and diagnose common clinical conditions affecting the anterior chamber                  DOAP    
10AM-11AM OP6.6b Identify and demonstrate the clinical features and distinguish and diagnose common clinical conditions affecting the anterior chamber                  SGD    
DAY 15 8AM-9AM OP6.9 Choose the correct local and systemic therapy for conditions of the anterior chamber and enumerate their indications, adverse events and interactions  SGD    
9AM-10AM OP6.9 Choose the correct local and systemic therapy for conditions of the anterior chamber and enumerate their indications, adverse events and interactions  SGD    
10AM-11AM OP6.10 Counsel patients with conditions of the iris and anterior chamber about their diagnosis, therapy and prognosis in an empathetic manner in a simulated environment SGD    
DAY 16 8AM-9AM OP7.3a Demonstrate the correct technique of ocular examination in a patient with a cataract    
9AM-10AM OP7.3b Demonstrate the correct technique of ocular examination in a patient with a cataract SGD    
10AM-11AM OP7.3c Demonstrate the correct technique of ocular examination in a patient with a cataract SGD    
DAY 17 8AM-9AM OP7.4a Enumerate the types of cataract surgery and describe the steps, intraoperative and postoperative complications of extracapsular cataract extraction surgery   SGD    
DOAP SESSION    
9AM-10AM OP7.4b Enumerate the types of cataract surgery and describe the steps, intraoperative and postoperative complications of extracapsular cataract extraction surgery    SGD    
SGD    
10AM-11AM OP7.4c Enumerate the types of cataract surgery and describe the steps, intraoperative and postoperative complications of extracapsular cataract extraction surgery       
SGD    
DAY 18 8AM-9AM OP7.5 To participate in the team for cataract surgery SGD    
9AM-10AM OP7.5 To participate in the team for cataract surgery SGD    
SGD    
10AM-11AM OP7.5 To participate in the team for cataract surgery    
WEEK 4 DAY 19 8AM-9AM OP7.6 Administer informed consent and counsel patients for cataract surgery in a simulated environment SGD    
9AM-10AM OP7.5 To participate in the team for cataract surgery SGD    
10AM-11AM OP7.5 To participate in the team for cataract surgery SGD    
DY 20 8AM-9AM OP8.3a Demonstrate the correct technique of a fundus examination and describe and distinguish the fundoscopic features in a normal condition and in conditions causing an abnormal retinal exam              SGD    
SGD    
9AM-10AM OP8.3b Demonstrate the correct technique of a fundus examination and describe and distinguish the fundoscopic features in a normal condition and in conditions causing an abnormal retinal exam                   
10AM-11AM OP8.3c Demonstrate the correct technique of a fundus examination and describe and distinguish the fundoscopic features in a normal condition and in conditions causing an abnormal retinal exam                   
DAY 21 8AM-9AM OP8.1a Discuss the aetiology, pathology, clinical features and management of vascular occlusions of the retina              BEDSIDE CLINICS    
9AM-10AM OP8.1b Discuss the aetiology, pathology, clinical features and management of vascular occlusions of the retina              BEDSIDE CLINICS    
10AM-11AM OP8.2 Enumerate the indications for laser therapy in the treatment of retinal diseases (including retinal detachment, retinal degenerations, diabetic retinopathy & hypertensive retinopathy BEDSIDE CLINICS    
DAY 22 8AM-9AM OP8.4a Enumerate and discuss the treatment modalities in management of diseases of the retina              DOAP    
 DOAP    
9AM-10AM OP8.4b Enumerate and discuss the treatment modalities in management of diseases of the retina              BEDSIDE CLINICS, DOAP    
10AM-11AM OP8.5 Describe and discuss the correlative anatomy, aetiology, clinical manifestations, diagnostic tests, imaging and management of diseases of the optic nerve and visual pathway                    BEDSIDE CLINICS, DOAP    
DOAP    
DAY 23 8AM-9AM OP9.1 Demonstrate the correct technique to examine extra ocular movements (Uniocular & Binocular) BEDSIDE CLINICS, DOAP    
9AM-10AM OP9.2a Classify, enumerate the types, methods of diagnosis and indications for referral in a patient with heterotropia/strabismus BEDSIDE CLINICS    
10AM-11AM OP9.2b Classify, enumerate the types, methods of diagnosis and indications for referral in a patient with heterotropia/strabismus BEDSIDE CLINICS    
BEDSIDE CLINICS    
DAY 24 8AM-9AM OP9.3 Describe the role of refractive error correction in a patient with headache and enumerate the indications for referral       
9AM-10AM OP9.3b Describe the role of refractive error correction in a patient with headache and enumerate the indications for referral       
10AM-11AM OP9.3c Describe the role of refractive error correction in a patient with headache and enumerate the indications for referral       
DERMATOLOGY WEEK 1 DAY  1 8-11 AM  DR5.2 Identify and differentiate scabies from other lesions in adults and children        
DAY 2 8-11 AM DR1.2 Identify and grade the various common types of acne        
DAY 3 8-11 AM DR3.2 Demonstrate Grattage test         
DAY 4 8-11 AM DR7.2 Identify Candida species in fungal scrapings and KOH mount        
DAY 5 8-11 AM DR8.6 Enumerate the indications, describe the procedure and perform a  Tzanck smear        
DAY 6 8-11AM DR9.2 Demonstrate (and classify based on) the clinical features of leprosy  including an appropriate neurologic examination  DR9.3 Enumerate the indications and observe the performance of a slit  skin smear in patients with leprosy         
WEEK 2 DAY  1 8-11 AM DR10.2 Identify spirochete in a dark ground microscopy        
DAY 2 8-11 AM DR10.5 Counsel in a non-judgemental and empathetic manner patients on  prevention of sexually transmitted disease        
DAY 3 8-11 AM DR13.2 Demonstrate the nikolsky sign and bulla spread sign  DR13.3 Calculate the body surface area of involvement of vesiculobullous  lesion        
DAY 4 8-11 AM DR14.3 Demonstrate dermographism                                                          DR14.4 Identify and distinguish angioedema from other skin lesions        
DAY 5 8-11 AM DR15.1 Identify and distinguish folliculitis impetigo and carbuncle from other  skin lesions        
DAY 6 8-11AM DR12.2 Identify eczema and differentiate it from lichenification and changes  of aging        
PSYCHIATRY WEEK 1 Day-1                   8-9 1.3 Demonstrate breaking of bad news in a simulated environment DOAP Session      
9-10 2.4 Describe the principles or personality development and motivation Lecture/Small group discussion      
10-11 3.7 Enumerate and describe common organic psychiatric disorders, magnitude,  etiology and clinical features Bedside clinic      
  Day-2                8-9 3.12 Describe , dicuss and distinguish psychotic & non-psychotic (Mood, Anxiety, Stress related) disorders Lecture/Small group discussion      
9-10 4.2 Elicit, describe and document clinical features of alcohol and substance use disorders Bedside clinics      
10-11 4.4 Describe the treatment of alcohol and substance abuse disorders including behavioural and pharmacologic therapy Lecture/Small group discussion      
Day -3              8-9 4.7 Enumerate the appropriate conditions for specialist referral in patients with alcohol and substance abuse disorders DOAP Session      
9-10 12.2 Enumerate, elicit, describe and document clinical features in patients with  psychosomatic disorders DOAP Session      
10-11 12.3 Enumerate and describe the indications and iterpret laboratory and other tests of psychosomatic disorders DOAP Session      
Day-4                8-9 12.4 Describe the treatment of psychosomatic disorders including behavioural, psychosocial and pahrmacologic therapy DOAP Session      
9-10 14.2 Enumerate, elicit, describe and document clinical features in patients with psychaitric disorders occuring in childhood and adolescene DOAP Session      
10-11 14.4 Demonstrate family education in a patient with psychiatric disorders occuring in childhood and adolescence in a simulated environment  DOAP Session      
Day-5            8-9 15.2 Describe and discuss itelligence quotient and its measurement  Lecture/Small group discussion      
9-10 15.3 Elicit and document a history and clinical examination and choose appropriate investigations in a patient with mental retardation DOAP Session      
10-11 15.4 Describe the psychosocial interventions and treatment used in mental retardation Lecture/Small group discussion      
Day-6              8-9 16.1 Enumerate and describe common psychiatric disorders in the elderly including dementia, depression and psychosis Lecture/Small group discussion      
9-10 16.4 Demonstrate family education in a patient with psychiatric disorders occuring in the elderly in a simulated environment DOAP Session, Bedside clinic      
10-11 17.1 Enumerate and describe the recognition and clinical presentation of psychiatric emergencies (Suicide, Deliberate Self Harm, Violent behaviour) DOAP Session      
WEEK 2 Day-7          8-9 17.2 Describe the initial stabilisation and management of psychiatric emergencies Bedside clinics      
9-10 18.2 Enumerate the indications for modified electroconvulsive therapy Bedside clinics      
10-11 18.3 Enumerate and describe the principles and role of psychosocial interventions in psychiatric illness including psychotherapy, behavioural therapy and rehabilitation Lecture/Small group discussion      
Day-8                8-11AM 5.2 Enumerate, elicit, describe and document clinical features of various types of schizophrenia Bedside clinics      
Day-9            8-11AM 7.2 Enumerate, elicit, describe and document clinical features in patients with bipolar disorders-various episodes Bedside clinics      
Day-10              8-11AM 8.2 Enumerate, elicit, describe and document clinical features in patients with anxiety disorders-various types Bedside clinics      
Day-11             8-11AM 10.2 Enumerate, elicit, describe and document clinical features in patients with somatoform, dissociative and conversion disorders-various presentations Bedside clinics      
Day-12           8-9 18.1 Enumerate the indications and describe the pharmacology, dose and side effects of commonly used drugs in psychiatric disorders DOAP Session      
9-10 19.3 Describe and discuss the basic legal and ethical issues in psychiatry Lecture/Small group discussion      
10-11 19.5 Describe the concept and principles of preventive psychiatry and health npromotion (positive mental health) and community education Lecture/Small group discussion      
ANAETHESIA AND DENTISTRY WEEK 1 CARDIOPULMONARY RESUSCITATION ; EMERGENCY AIRWAY MANAGEMENT ; VASCULAR ACCESS AS 2.1 Enumerate the indications, describe the steps and demonstrate in a simulated environment, Basic Life Support in adults, children and neonates 2 DAYS DOAP    
AS 2.2 Enumerate the indications, describe the steps and demonstrate in a simulated environment, Advanced Life Support in adults and children    
AS 9.1 Establish intravenous access in a simulated environment    
AS 9.2 Establish central venous access in a simulated environment    
POST ANAESTHETIC CARE CLINIC   AS 3.2 Elicit, present and document an appropriate history including medication history in a patient undergoing Surgery as it pertains to a preoperative anaesthetic evaluation 2 DAYS SMALL GROUP/BED SIDE TEACHING    
AS 3.3 Demonstrate and document an appropriate clinical examination in a patient undergoing General Surgery    
AS 3.4 Choose and interpret appropriate testing for patients undergoing Surgery    
AS 3.5 Determine the readiness for General Surgery in a patient based on the preoperative evaluation    
AS 3.6 Choose and write a prescription for appropriate premedications for patients undergoing surgery    
GENERAL ANAESTHESIA  AS 4.3 Observe and describe the principles and the practical aspects of induction and maintenance of anesthesia 2 DAYS SMALL GROUP/BED SIDE TEACHING    
AS 4.4 Observe and describe the principles and the steps/ techniques in maintenance of vital organ functions in patients undergoing surgical procedures    
AS 4.5 Observe and describe the principles and the steps/ techniques in monitoring patients during anaesthesia    
AS 4.6 Observe and describe the principles and the steps/ techniques involved in day care anesthesia    
AS 4.7 Observe and describe the principles and the steps/ techniques involved in anaesthesia outside the operating room    
REGIONAL - CENTRAL NEURAXIAL BLOCKADE  AS 5.1 Enumerate the indications for and describe the principles of regional anaesthesia (including spinal, epidural and combined) 1 DAY SMALL GROUP/BED SIDE TEACHING    
WEEK 2 REGIONAL BLOCKS AS 5.2 Describe the correlative anatomy of the brachial plexus,
subarachnoid and epidural spaces
1 DAY SMALL GROUP/BED SIDE TEACHING    
AS 5.3 Observe and describe the principles and steps/ techniques involved in peripheral nerve blocks    
AS 5.6 Observe and describe the principles and steps/ techniques involved in common blocks used in surgery (including brachial plexus blocks)    
                                    REGIONAL CAUDAL AS 5.5 Observe and describe the principles and steps/ techniques involved in caudal epidural in adults and children  1 DAY SMALL GROUP/BED SIDE TEACHING    
RECOVERY  AS 6.1 Describe the principles of monitoring and resuscitation in the recovery room 2 DAYS SMALL GROUP/BED SIDE TEACHING    
AS 6.2 Observe and enumerate the contents of the crash cart and describe the equipment used in the recovery room    
AS 6.3 Describe the common complications encountered by patients in the recovery room, their recognition and principles of management    
MISCELLANEOUS, REVISION & EVALUATION      1 DAY      
ORTHOPEDICS WEEK 1 DAY 1 OR 1.1 OR1.1 Describe and discuss the Principles of pre-hospital care and Casuality management of a trauma victim including principles of triage BEDSIDE CLINICS      
DAY2  OR1.2 OR1.2 Describe and discuss the aetiopathogenesis, clinical features, investigations, and principles of management of shock BEDSIDE CLINICS      
DAY 3 OR 1.3 OR1.3 Describe and discuss the aetiopathogenesis, clinical features, investigations, and principles of management of soft tissue injuries BEDSIDE CLINICS      
DAY 4 OR 1.4 OR1.4 Describe and discuss the Principles of management of soft tissue injuries BEDSIDE CLINICS      
DAY 5 OR 1.5 OR1.5 Describe and discuss the aetiopathogenesis, clinical features, investigations, and principles of management of dislocation of major joints, shoulder, knee, hip BEDSIDE CLINICS      
DAY 6 OR 1.6 OR1.6 Participate as a member in the team for closed reduction of shoulder dislocation / hip dislocation / knee dislocation BEDSIDE CLINICS      
WEEK 2 DAY 7 OR 2.1 OR2.1 Describe and discuss the mechanism of Injury, clinical features, investigations and plan management of fracture of clavicle BEDSIDE CLINICS      
DAY 8 OR 2.2 OR2.2 Describe and discuss the mechanism of Injury, clinical features, investigations and plan management of fractures of proximal humerus BEDSIDE CLINICS      
DAY 9 OR 2.3 OR2.3 Select, prescribe and communicate appropriate medications for relief of joint pain BEDSIDE CLINICS      
DAY 10 OR 2.4 OR2.4 Describe and discuss the mechanism of injury, clinical features, investigations and principles of management of fracture of shaft of humerus and intercondylar fracture humerus with emphasis on neurovasular deficit BEDSIDE CLINICS      
DAY 11 OR 2.5 OR2.5 Describe and discuss the aetiopathogenesis, clinical features, mechanism of injury, investigation & principles of management of fractures of both bones forearm and Galeazzi and Monteggia injury BEDSIDE CLINICS      
DAY 12 OR 2.6 OR2.6 Describe and discuss the aetiopathogenesis, mechanism of injury, clinical features, investigations and principles of management of fractures of distal radius BEDSIDE CLINICS      
WEEK 3 DAY 13 OR 2.7 OR2.7 Describe and discuss the aetiopathogenesis, mechanism of injury, clinical features, investigations and principles of management of pelvic injuries with emphasis on hemodynamic instability BEDSIDE CLINICS      
DAY 14 OR 2.8 OR2.8 Describe and discuss the aetiopathogenesis, mechanism of injury, clinical features, investigations and principles of management of spine injuries with emphasis on mobilisation of the patient BEDSIDE CLINICS      
DAY 15 OR 2.9 OR2.9 Describe and discuss the mechanism of injury, Clinical features, investigations and principle of management of acetabular fracture BEDSIDE CLINICS      
DAY 16 OR 2.10 OR2.10 Describe and discuss the aetiopathogenesis, mechanism of injury, clinical features, investigations and principles of management of fractures of proximal femur BEDSIDE CLINICS      
DAY 17 OR 2.11 OR2.11 Describe and discuss the aetiopathogenesis, mechanism of injury, clinical features, investigations and principles of management of (a) Fracture patella (b) Fracture distal femur (c) Fracture proximal tibia with special focus on neurovascular injury and compartment syndrome BEDSIDE CLINICS      
DAY 18 OR 2.12 OR2.12 Describe and discuss the aetiopathogenesis, clinical features, investigations and principles of management of Fracture shaft of femur in all age groups and the recognition and management of fat embolism as a complication BEDSIDE CLINICS      
WEEK 4 DAY 19 OR 2.13 OR2.13 Describe and discuss the aetiopathogenesis, clinical features, Investigation and principles of management of: (a) Fracture both bones leg (b) Calcaneus (c) Small bones of foot BEDSIDE CLINICS      
DAY 20 OR 2.14 OR2.14 Describe and discuss the aetiopathogenesis, clinical features, Investigation and principles of management of ankle fractures BEDSIDE CLINICS      
DAY 21 OR 2.15 OR2.15 Plan and interpret the investigations to diagnose complications of fractures like malunion, non-union, infection, compartmental syndrome BEDSIDE CLINICS      
DAY 22 OR 2.16 OR2.16 Describe and discuss the mechanism of injury, clinical features, investigations and principles of management of open fractures with focus on secondary infection prevention and management BEDSIDE CLINICS      
DAY 23 OR 3.2 OR3.2 Participate as a member in team for aspiration of joints under supervision BEDSIDE CLINICS      
DAY 24 OR 3.3 OR3.3 Participate as a member in team for procedures like drainage of abscess, sequestrectomy/ saucerisation and arthrotomy BEDSIDE CLINICS      
                 

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