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c) Course Contents
Knowledge
I. Clinical methods in the practice of medicine
1. Clinical approach to the patient: The art of medicine, doctor patient
relationship, communication skill and doctor's responsibilities.
2.
Clinical Approach to disease and care of patient; Diagnostic
possibilities based on interpretation of history, physical findings
and laboratory investigations and principles of rational
management.
II. Common symptoms of disease
1. Pain: Pathophysiology, clinical types, assessment and management
2. Fever: Pathophysiology of heat regulation, its disturbances, clinical
types, clinical assessment and management.
3. Cough, expectoration and hemoptysis.
4. Dyspnoea, tachypnea, and cyanosis.
5. Common urinary symptoms including dysuria, oliguria, nocturia,
polyuria,
incontinence and enuresis.
6. Edema and Anasarca.
7. Shock and cardiovascular collapse.
8. Cardiac murmurs: functional and organic.
9. Anorexia, nausea and vomiting.
10. Constipation and diarrhoea.
11. Hematemesis, melena and hematochezia.
12. Jaundice and hepatomegaly.
13. Abdominal swelling and ascites.
14. Weight loss and weight gain.
15. Fainting, syncope and seizures; headache, dizziness and vertigo.
16. Paralysis, movement disorders and disorders of gait,
17. Coma and other disturbances of consciousness.
18. Pallor and bleeding.
19.
20.
III.
1.
bone disease.
XIV. Geriatrics
Geriatric medicine: general principles of dealings with health problems
of the elderly.
Skills
1. Obtain a proper relevant history, and perform a humane and through
clinical examination including internal examinations (per-rectal and
per-vaginal) and examinations of all organs/systems.
2. Arrive at a logical working diagnosis after clinical examination.
3. Order appropriate investigations keeping in mind their relevance
(need based) and cost effectiveness.
4. Plan and institute a line of treatment which is need based, cost
effective and appropriate for common ailments taking into
consideration:
i) Patient.
ii) Disease.
iii) Socio-economic status.
iv) Institutional/governmental guidelines.
5. Recognise situations, which call for urgent or early treatment at
secondary, and tertiary centers and make a prompt referral of such
patients after giving first aid or emergency treatment.
6. Assess and manage fluid/electrolyte and acid-base imbalance.
7. Interpret abnormal biochemical laboratory values of common
diseases.
8. Interpret skiagrams of common diseases.
9. Identify irrational prescriptions and explain their irrationality.
10. Interpret serological tests such as VDRL, ASLO, Widal, HIV,
Rheumatoid factor, Hepatitis and TORCH infections.
11.
Demonstrate empathy and humane approach towards patients,
relatives and attendants.
12. Demonstrate interpersonal and communication skills befitting a
physician in order to discuss the illness and its outcome with
patient and family.
13. Develop a proper attitude towards patients, colleagues and other
staff.