Академический Документы
Профессиональный Документы
Культура Документы
FOR
MEDICAL COURSE
2014
VOLUME 1
FACULTY OF MEDICINE
UNIVERSITY OF JAFFNA
Page 2
Table of Contents
LIST OF FIGURES ...................................................................................................................... 6
CHAPTER 1 ................................................................................................................................... 8
INTRODUCTION ......................................................................................................................... 8
CHAPTER 2 .................................................................................................................................. 10
GENERAL CONSIDERATIONS ................................................................................................. 10
CHAPTER 3 ................................................................................................................................ 11
VISION, MISSION AND OUTCOME OF THE MEDICAL COURSE ....................... 11
3.1.
Vision ...........................................................................................................................................11
3.2.
Mission .........................................................................................................................................11
3.3.
CHAPTER 4 ................................................................................................................................ 12
COURSE STRUCTURE........................................................................................................... 12
4.1. Introduction .......................................................................................................................................12
4.2. Pre-clinical Course [Terms 1 to 4] ....................................................................................................12
4.3. Para-clinical Course [Terms 5 to 10] ................................................................................................16
4.4. Clinical Course ..................................................................................................................................16
4.5. Teaching / Learning activities ...........................................................................................................17
4.6. Problem based learning .....................................................................................................................17
4.7. Student Activities. ..............................................................................................................................19
4.8. Student Attendance ...........................................................................................................................19
4.9. Contribution of Subjects to Curriculum Outcomes ..........................................................................21
Page 1
Course Structure
Page 2
General aspects
Page 3
Course Structure
6.2.
End-of-course Examination ...................................................................................................... 151
6.2.1.
Eligibility to Sit for the First Examination for Medical Degrees ............................................. 151
6.2.2.
Eligibility to Sit for the Part I of the Second Examination ...................................................... 152
6.2.3.
Eligibility to Sit for the Part II of the Second Examination ..................................................... 152
6.2.4.
Eligibility to Sit for the Final Examination for Medical Degrees ............................................ 152
6.2.5.
Attempts and Excuses .............................................................................................................. 153
6.3.
Summary of the Scheme of Evaluation .................................................................................... 154
6.3.1.
Summary of the Scheme of Evaluation at the First Attempt .................................................... 154
6.3.2.
Summary of the Scheme of Evaluation at the Subsequent Attempts ....................................... 155
6.4.
Award of Pass, Fail, Distinctions and Class ............................................................................. 156
6.4.1.
Award of Pass in a Subject ...................................................................................................... 156
6.4.2.
Award of Fail and Referred in an examination ........................................................................ 156
6.4.3.
Award of Pass and Class Honours ........................................................................................... 157
6.4.4.
Award of Distinction................................................................................................................ 157
6.5.
6.6.
Page 4
General aspects
Page 5
Course Structure
List of Figures
Academic Calendar
Page 6
General aspects
Page 7
Course Structure
Chapter 1
Introduction
The Jaffna campus of the University of Sri Lanka was established under the University of Sri
Lanka Act number 1 of 1972. It became an autonomous University when the Universities
Act No. 16 of 1978 was passed in Parliament. Faculty of Medicine was established in Jaffna on
8th of October 1978.
Curriculum Committee for the course in medicine during the early years. The curriculum
underwent ad hog changes as and when need arose.
The curriculum of the Medical study program was revised completely during the
workshops conducted in 2007 and 2009 under QEF grant of the IRQUE project of the
World Bank and in 2011 with the help of Jaffna Medical Faculty Overseas Alumni.
Synchronization of the subjects started with the revision and is being improved year after
year leading towards the target of Integrated Spiral Curriculum. It was also decided to
move towards changing the traditional teaching / learning methods to SPICES as far as
possible and to improve assessment methods to be more structured and objective. It was
decided at the 276th meeting of the Faculty Board on 29.08.2012 to reduce the number of
terms in phase III from four to three. At the workshop held on Problem Based Learning by
the Medical Education Unit in October 2012 it was decided to introduce a few PBLs in
2013 and to introduce them to the curriculum based on the outcome.
Traditional
Teaching
SPICES
Teaching/Learning
Teacher Centred
Student centred
Information gathering
Problem based
Discipline based
Integrated
Hospital based
Community based
Uniform
Electives
Apprentice based
Systematic
Page 8
General aspects
Page 9
Course Structure
Chapter 2
GENERAL CONSIDERATIONS
Degrees awarded- Bachelor of Medical Sciences [BMSc]and Bachelor of Medicine
and Bachelor of Surgery [MBBS] (Jaffna)
University awarding the degree - University of Jaffna, Sri Lanka.
Admission to Undergraduate Course - The University Grants Commission of Sri Lanka
selects students for all medical schools in Sri Lanka on the basis of their performance in
the G.C.E (A/L) examination held by the Department of Examination, Sri Lanka.
125 students are admitted each year to the Jaffna Medical Faculty.
Obligation of the Curriculum - The curriculum is guided by the Subject Benchmark Statement in
Medicine, published by the CVCD and the Prescribed Standards for Undergraduate
Medical Educationof the Sri Lanka Medical Council.
Medium of instruction - The course is conducted entirely in English.
Duration of the entire course is five years followed by one year of Internship. Each
academic year consists of three terms of ten to thirteen weeks each for activities in the
Faculty. End of each term will be determined by completion of the teaching / learning activities
allocated for that term. Clinical teaching at the Teaching Hospital is a continuous process with
short breaks only.
Lectures and Practical classes are conducted in the Faculty and in the clinical lecture hall
at the Medical Students Hostel. About 95% of the clinical course is conducted at the
Teaching Hospital, Jaffna. Base Hospital, Thellippalai which is about 16 kilometres from the
Faculty and the Chest Clinic, Jaffna are regular teaching facilities for psychiatry and chest
diseases respectively. Preventive aspects are taught in the Community Medicine Project area in
theNallur MOH area. The students are encouraged to go to wider areas for community
programs.
Senior teachers from other Medical Faculties and consultants from Government
Hospitals are invited to serve as external examiners for all end-of-course
examinations.
Page 10
General aspects
Chapter 3
Vision
3.2.
Mission
3.3.
At the end of the MBBS course the graduate should be able to:
1. Apply basic and behavioural sciences knowledge in solving individual and population
health issues.
2. Demonstrate communication, clinical and procedural skills in patient care.
3. Investigate, diagnose and manage common clinical problems and emergencies.
4. Promote individual and population health and institute preventive measures.
5. Utilise IT skills and record keeping skills necessary for medical practice.
6. Demonstrate leadership qualities, administrative skills and management skills.
7. Perform medico legal procedures and provide expertise to the court of Law.
8. Demonstrate self learning and continuous professional development.
9.
10. Educate peers and other members of the health care team.
11. Perform critical appraisal of research literature, practice evidence based medicine and
conduct research.
12. Enhance public health through promotion of peace and prevention of violence.
Page 11
Course Structure
Chapter 4
Course Structure
4.1. Introduction
The course is divided into four phases and each phase is completed with an end of course
examination. The Pre-clinical course, conducted during Phase I, provides learning of
structure and function of the human body and introduces their application to clinical and
community aspects. During Phase II, students go for clinical courses at the Teaching
Hospital in the mornings and for Para-clinical course in the afternoons at the Faculty. The
Para-clinical subjects deal with abnormal structure and function in disease states and their
application in clinical situations and prevention and control of diseases. Phase II will end
with the Part I of the Second Examination for Medical Degrees. Phase III goes on with
clinical courses in the mornings and Para-Clinical courses in the afternoons and ends with
Part II of the Second Examination for Medical Degrees. Phase IV comprises Clinical
courses exclusively. There will be a 4 week elective appointment and an OSCE on clinical
subjects before starting the Professorial appointments.
Page 13
Course Structure
Academic Calendar
Nov
Dec
Jan
Mar
Apr
May
June
july
Phase II
Term 6
Phase II
Pre-Professorial
Term7
Year 4
Phase III
Pre-Professorial
Term 10
Term 9
Year 5
Elective
OSCE
First E1
Professorial 1
E2
Phase II
Clinical Rotations
P1 E1
Sept
Phase II
Pre-Professorial clinical rotations
Term 5
Phase III
Term 8
P1 E2
Phase III
Clinical Rotations
Part 2 E1
Phase IV
Professorial 3
Professorial 2
Medico,s week
Year 3
Term 4 [10 w]
Aug
Phase I - Pre clinical
Term 3 [13 w]
Phase I ctd.
Christmus holidays
Year 2
Feb
Oct
P2 E2
Professorial 4
Professorial 5
Year 6
Final E2
Final E1
Oct
Nov
Dec
Jan
Feb
Mar
Apr
Page 14
Course structure
May
June
July
Aug
Sept
Year 2
Year 3
Phase II
Year 4
Phase III
Year 5
Phase IV
Qualifying Examination
Elective appointments
Final Examination
Professorial appointmentsMedicine, Obstetrics &
gynaecology, Paediatrics,
Psychiatry and Surgery
Page 15
Course Structure
Page 16
Introductory course
Page 17
Course Structure
Entry point
Introductory term
Phase 1 T2, Phase II T7
Phase 1 T2, Phase III T8
Phase 1 T3, Phase III T9
Phase 1 T4, Phase III T 10
Phase 1 T3, phase II T5, phase III T10
Phase II T7
Phase III T10
Phase III T 10
Time for problem based learning sessions will be taken from the relevant lecture time during the
relevant periods. Lectures for the areas covered by problem based learning will be reduced and
conducted only on a needs basis.
Designated roles
Phase coordinators
The role of phase coordinators are defined as follows: Provide broad purpose and plan for the
block/system in coordination with resource people, Monitor the development and implementation of
objectives of the block / system, Arrange and follow up production schedules of health problems and
time limits, Coordinate in implementing professional skills & community Health aspects in relation to
the health problems, Function as a liaison in student assessment involving the system and Coordinate
formative assessment for the system and provide feedback.
PBL coordinators
The role of PBL coordinators are defined as follows: Meet deadlines for preparation and completion of
problems, Agree with resource persons on scope of objectives and learning materials, Work with
Medical Education Unit for problem flow, design, agreeing on production deadlines, Conduct tutor
briefing sessions, Plan resource sessions, Coordinate review sessions, and Collect feedback from
facilitator and students.
Tutor/ Facilitator
The facilitator plays the major part and the roles are defined as follows: Attend facilitator briefing
sessions, Keep to schedules, Direct tutorials in terms of main concepts of the problem, Promote critical
thinking and problem solving, Encourage self-directed learning by identifying and giving
Page 18
Introductory course
Assessment
The learning objectives of the problem based learning will be assessed in the assessments already in
practiced along with the other syllabus.
Page 20
Introductory course
2
X
OUTCOMES
5 6 7 8
10 11 12
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X X X
X X
X
X
X
X X
X X
X X X X
X
X
X
X
X
X
X
X
X
X
X
X
X
X X
X
X
X
X X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
At the end of the MBBS course the graduate should be able to:
1. Apply basic and behavioural sciences knowledge in solving individual and population
health issues
2. Demonstrate communication, clinical and procedural skills in patient care
3. Investigate, diagnose and manage common clinical problems and emergencies
4. Promote individual and population health and institute preventive measures
5. Utilize IT skills and record keeping skills necessary for medical practice
6. Demonstrate leadership qualities, administrative skills and management skills
7. Perform medico legal procedures and provide expertise to the court of Law.
8. Demonstrate self learning and continuous professional development.
9. Apply the principles of ethical practice in personal and professional life.
10. Educate peers and other members of the health care team.
11. Perform critical appraisal of research literature, practice evidence based medicine and
conduct research
12. Enhance public health through promotion of peace and prevention of violence.
Page 21
Course Structure
Chapter 5
Course Details
5.1. Introductory Course
[Person in Charge- Pre-Clinical Coordinator]
The program consists of lectures and visits to key areas related to University and the
Medical Course during the first eight weeks. This includes a full course of first aid. The first
aid course is aimed at introducing life saving skills at layman level at the onset for them to
keep it developing through the medical curriculum.
Hr Activity
Content / Topic
Person / Department
4
Introductory- Dean
Group
work
Preclinical coordinator
Medical Curriculum
IT for education in the Faculty
Student welfare
Medical students and the community
Health Facilities in the University
Money Management
Recreation activities in the Faculty
MSU and Student activities
ITC
Sports in University
Status of an undergraduate
Student discipline
Introduction to Problem Based Learning
Examination Regulations
Carrier Prospects
University, health centre
Library
ITC, Faculty of Medicine
Teaching Hospital
First Aid
Post evaluation
Dean
IT coordinator
AR/ welfare
Dept. Community Medicine
UMO
Dept. Management
MSU
MSU
MSU
Dept. of Physical Education
Dean
Student Counsellor
Medical Education Unit
SAR Examination branch
Senior Academic
MSU
Snr. Assist. Librarian
MSU
MSU
St. John ambulance
Preclinical coordinator
1
1
1
1
1
2
2
1
1
2
1
1
1
1
2
2
2
2
3
14
2
Lecture
Lecture
Lecture
Lecture
Lecture
Lecture
Lecture
Lecture
Lecture
Visit
Lecture
Lecture
Lecture
Lecture
Lecture
Visit
Visit
Visit
Visit
Training
Page 22
Introductory course
Hours
21
11
2
14
48
Page 23
Course Structure
Page 24
IT Co Module
Page 25
IT Co Module
Term 1
Application of Statistical packages (28 Hrs)
8 Practical Use of Excel for statistical work
2 Practical Use of R (Open Source package) for statistical work
Use of Social science packages like SPSS
Reading data into SPSS data files from outer sources: excel
files & text files.
Summary
Activity
Lecture
Practical
Total
IT Co-module
Intro Term 1
10
0
22
28
32
28
Total
10
50
60
Page 27
IT Co Module
Description
This Co-Module in ESL aims to enhance the communicative competence in all the four
language skills (reading, listening, writing and speaking) of the students of the Faculty of
Medicine to follow their course in medicine and in their profession afterwards. The duration of
the course will be 90 hours. This is a co module which each student should pass before sitting
for the First Examination for Medical Degrees. Teaching learning sessions are interactive
where students must actively participate and perform. The IT laboratory at the Faculty will be
used wherever possible to provide computer based teaching and the program will be available
in the IT laboratory for self learning of the students.
It contributes to outcome no 2 of the curriculum.
At the end of the course the students are expected to achieve level 6 of the UTEL banding.
Objectives:
At the end of this portion of the Co-Module, the participants will be able to:
a) Write down the main idea and supporting details of a spoken text of low intermediate
to high intermediate level of difficulty
b) Identify the sequence of a process from an audio script
c) Identify and reflect on the speakers opinion
d) Speak about him/her, his/her background and on familiar topics such as ambitions,
leisure activities, culture etc. using simple/complex language.
e) Direct a person to a known destination
f) Gather information using yes/no and wh-questions
g) Deliver short speeches of about 2-3 minutes length on discipline related topics
h) Get the gist of a short text
i) Identify the flow of a text
j) Find answers to questions on specific and detailed information based on a text
k) Find the meaning of a word using the contextual clues
l) Differentiate the main idea from the supporting details
m) List causes and their effects from a reading passage
n) Write compound and complex sentences
o) Describe given topics like home-front. Likes and dislikes, environmental health,
common epidemics, non-communicable diseases etc.
p) Describe graphs
q) Summarise short/long texts
Page 28
English Co Module
Skill (General)
Reading
Reading
Reading
Reading
Reading
Reading
Reading
Reading
Reading
Reading
Speech
03
03
08
Speech
Speech
Speech
01
01
03
02
02
04
02
02
03
04
04
03
03
04
04
03
Listening
Listening
Listening
Listening
Listening
Listening
Listening
Writing
Writing
Writing
Writing
Writing
Writing
Writing
Writing
Writing
Skill(Specific)
Page 29
English Co Module
Intro
25
30
20
15
90
5.3.3. References
1. Mc Whorter, K.T. & Mc Whorter, S. Active Reading Skills. Pearson/Longman, 2007.
2. De Silva, J.H. & Feez, S. Developing Writing Skills, Book 1Phoenix Education, 2004.
3. Nation, I.S.P. & Newton, J. Teaching ESL/EFL Listening and Speaking. Routledge,
2009.
4. Malarcher, C. Developing Listening Skills 3. Grass Root Press, 2012
5. Bavani,G. English for Medicine. Faculty of Medicine,University of Jaffna.(2010)
30%
40%
15%
15%
A placement test will be administered at the beginning of the course and the students will
be grouped for instruction according to the marks they score in the test.
Those who score above a cut of point at this examination will be exempted from attending
the classes and the end of course examination. However, if the students wish to follow,
they will be allowed to do so. The cut-off point will be decided each year.
After the completion of the 90 hour instruction, end of course examination will be held.
The components to be evaluated will be as stated above in the syllabus.
A repeat examination will be held after six weeks from the date of the end of course
examination
Page 30
English Co Module
The examiners and the date of examination will be approved by the Faculty Board
and the Senate.
Arrangement of the Hall and appointment of Supervisors and Invigilators will be
done by the Assistant Registrar, Faculty of Medicine as for other examinations.
A Pre-Results Board shall be constituted as follows by the dean when the marks are
ready:
Dean - Chairman
Preclinical coordinator
Examiner of the co module
The results will be released to students after approval by the Faculty Board subject to
confirmation by the senate.
The candidates scoring above 50 marks will be declared as pass and others will be
failures at the examination.
Page 31
English Co Module
Be an effective leader.
Be assertive.
Discussion/group work
Discussion/group work
Discussion/group work
Discussion/group work
Discussion/group work
Discussion/group work
Discussion/group work
Discussion/group work
Discussion/group work
Discussion/group work
Discussion/group work
Discussion/group work
Discussion/group work
Discussion/group work
Discussion/group work
Discussion / Practical
Discussion/group work
Discussion/group work
Discussion/group work
Discussion/group work
Discussion / Roll play
Discussion / Roll play
Discussion / Roll play
Discussion / Roll play
Discussion/group work
2
3
2
3
2
2
3
Mass Communication
Anger & Aggression
Gender Psychology
Conflict management
Discrimination & neutrality
Cooperation
Assertiveness
Page 33
PPDS
2
2
2
2
2
2
2
2
Discussion/group work
Discussion/group work
Discussion/group work
Discussion/group work
Discussion/group work
Discussion/group work
Discussion/group work
Discussion/group work
Introduction anxiety
Moral Judgment and Behavior
Active Listening
Establishing intimate relationships
Empathy
Inner search for self
Achievement
Mixed emotions & Fickle emotions
Term 2
Summary of Phase I
Activity
Discussion/Group
work
Discussion/Role play
Total
Intro
Term
1
Term
2
Term
Total
3
46
16
70
22
68
4
12
0
16
26
96
Page 34
PPDS
Discussion/group work
Discussion/group work
Discussion/group work
Discussion/group work
Discussion/group work
Discussion/group work
Discussion/group work
Medical ethics
Emotions
Motivation
Learning and Memory
Doctor patient relationship
Stress management Before, During & Aftermath
Developing Social support systems for Stress
management
Discussion/group work
Term 6
2
2
2
2
2
Discussion/group work
Discussion/group work
Discussion/group work
Discussion/group work
Discussion/group work
Enhancing Personality
Stereotypes and prejudice
Gender equality
Enhancing Memory
Intelligence Tests, Emotional intelligence
2
2
2
Discussion/group work
Discussion/group work
Discussion/group work
Term 7
2
2
2
2
2
Discussion/group work
Discussion/group work
Discussion/group work
Discussion/group work
Discussion/group work
Time management
Dynamic of popularity
Group attraction
Love
MemoryEnhancement techniques
2
2
2
2
Discussion/group work
Discussion/group work
Discussion/group work
Discussion/group work
Group dynamic
Social ethics
Essential Personal Skills
Stress and adaptation
Term 9
2
2
2
2
2
Discussion/group work
Discussion/group work
Discussion/group work
Discussion/group work
Discussion/group work
Discussion/group work
Discussion/group work
Discussion/group work
Discussion/group work
Total
68
0
68
5.4.3. References
1. The Practice of Behavioural and cognitive Therapy.
University press.
R.Drumond, Cambridge
Page 36
PPDS
PPDS
Type of Examination
1
2
Distribution
of MarksFirst
examination
Distribution
of Markssubsequent
examinations
100
100
4 SEQ - 2 hours
100
100
4 SEQ - 2 hours
Phase I
Examination
Phase III
Examination
Details of evaluation
No. of hrs No. of
question etc.
Phase I Examination:
Releasing of Results:
The examiners and the date of examination will be approved by the Faculty Board
and the Senate.
Arrangement of the Hall and appointment of Supervisors and Invigilators will be
done by the Assistant Registrar, Faculty of Medicine as for other examinations.
A Pre-Results Board shall be constituted as follows by the dean when the marks are
ready:
Dean- Chairman
Preclinical/ Para-clinical coordinator
PPDS coordinator
The results will be released to students after approval by the Faculty Board subject to
confirmation by the senate.
The candidates scoring above 50 marks will be declared as pass and others will be
failures at the examination.
Page 37
PPDS
5.5. Anatomy
[Person in Charge- Head / Anatomy]
Term 1
General Anatomy Lectures
1
1
1
1
1
2
3x2
lecture
lecture
lecture
lecture
lecture
lecture
Tutorial
Lecture/ Discussion
6
6
3
Dissection
Dissection
Dissection
9
3
6
6
6
Dissection
Dissection
Dissection
Dissection
Dissection
6
9
9x2
Dissection
Lecture
Tutorials
Histology
1
Lecture
2x2
Practical
1
1
2x2
1
I.5x2
1
2x2
Lecture
Lecture
Practical
Lecture
Practical
Lecture
Practical
Lecture
Practical
Lecture
Practical
Lecture
Practical
Lecture
Practical
Lecture
Practical
Tutorials
6. Glandular epithelium
Glandular epithelium
7. Muscles
Muscles
8. Connective tissue
Connective tissue
9. Cartilage and bone
Cartilage and bone
10. Nervous tissue
Nervous tissue
Histology
Embryology
1
Lecture
1
1
1
Lecture
Lecture
Lecture
2
1
1
2
1
5x2
Lecture
Lecture
Lecture
Lecture
Lecture
Tutorials
Medical Genetics
2
Lecture
1
Lecture
1.5x2 Tutorial
In Course Assessment1
written
In Course Assessment1
OSPE
Page 40
Anatomy
Term 2
Gross Anatomy - Thorax
6
9
6
6
6
6
3
6
6x2
Lecture/ Discussion
Dissection
Dissection
Dissection
Dissection
Dissection
Dissection
Lecture
Tutorials
Predissection
Chest wall, osteology of the Thorax
Pleura and lungs
Superior mediastinum and its contents
Middle mediastinum
Posterior mediastinum
Joints of the thorax
Applied Anatomy
Post dissection
Lower limb
8
9
Lecture/ Discussion
Dissection
9
9
3
Dissection
Dissection
Dissection
Dissection
Dissection
Dissection
Dissection
8
8x2
Lecture
Tutorials
Histology
1
1.5x2
2
1.5x2
1
1.5x2
2x2
Lecture
Practical
Lecture
Practical
Lecture
Practical
Tutorial
1. Immune system
Immune system
2,3. Respiratory system
Respiratory system
4. Cardiovascular system
Cardiovascular system
Histology
Page 41
Anatomy
Lecture
Lecture
4
3x2
Lecture
Tutorial
Medical Genetics
1
Lecture
Term 3.
Gross Anatomy - Abdomen
7
Lecture /
Discussion
6
6
3
6
9
6
6
6
6
6
10
7x2
Dissection
Dissection
Dissection
Dissection
Dissection
Dissection
Dissection
Dissection
Dissection
Dissection
Lecture
Tutorial
Pre Dissection
Anterior abdominal wall, planes and subdivision, osteology
of the abdomen and pelvis
Inguinal canal
External genitalia
Abdominal cavity and peritoneum
Stomach, small intestine and large intestine
Liver and biliary apparatus
Duodenum, Pancreas, and spleen
Kidneys, ureters and suprarenal glands
Posterior abdominal wall, diaphragm and lumbar plexus
Vessels and nerves of abdomen
Applied Anatomy
Post Dissection
Lecture /
Discussion
Dissection
Dissection
Dissection
Dissection
Pre Dissection
Pelvic viscera
Pelvic blood vessels and nerves
Pelvic musculature
Perineum
Page 42
Anatomy
Lecture
Tutorial
Applied Anatomy
Post dissection
Histology
2
4x2
1
1.5 x2
2
2x2
1
1.5x2
1
2x2
2
4x2
5x2
Lecture
Practical
Lecture
Practical
Lecture
Practical
Lecture
Practical
Lecture
Practical
Lecture
Practical
Tutorial
Embryology
3
Lecture
Lecture
3
1
3x2
Lecture
Lecture
Tutorial
Medical Genetics
1
Lecture
2
Lecture
1.5x2 Tutorial
Page 43
Anatomy
Neuroanatomy- 1
1
1
1
1
1
1
1
2x2
1
1
1. Introduction
lecture
2. Development and Histogenesis
lecture
3. Cell elements - neurons, neuroglia
lecture
4. Peripheral and autonomic nervous sysms
lecture
5. Reflex arc
lecture
Lecture
6. Meninges and CSF
7. Spinal cord
lecture
Neuroanatomy
Tutorial
In Course Assessment- written
In Course Assessment- OSPE
Term-4
Gross Anatomy - Head and neck
10
Lecture/ Discussion
6
6
6
6
6
6
Dissection
Dissection
Dissection
Dissection
Dissection
Dissection
Dissection
Dissection
6
6
Dissection
Dissection
6
3
3
6
3
3
Dissection
Dissection
Dissection
Dissection
Dissection
Dissection
Lectures
10
10x2
6
Lecture
Tutorial
Lecture
Pre Dissection
Posterior triangle of the neck, Osteology of
Head and Neck
Anterior triangle of the neck
F ace and scalp
Cranial cavity
Orbit and lachrymal apparatus
Parotid gland
Infratemporal region and temperomandibular
joint
Submandibular region and deep structures of
the neck
Deep structures of the back of the neck and
the trunk
Muscles and fasciae of the head and neck
Nerves, blood vessels and lymphatics of head
and neck
Nasal cavity
Oral cavity
Soft palate, pharynx and larynx
Eye
Ear
Anatomy of special structures- eye, ear, nasal
cavity , oral cavity , pharynx , larynx
Applied Anatomy
Post dissection
Radiology
Page 44
Anatomy
Lecture
Practical
Lecture
Practical
Tutorial
Embryology
1
1
1
Lecture
Lecture
Lecture
2
1
1
3x2
Lecture
Lecture
Lecture
Tutorial
Medical Genetics
1
Lecture
2
Lecture
1.5x2 Tutorial
Neuroanatomy - 2
1
1
1
1
1
1
1
1
1
1
1
1
12
4x2
Lecture
Lecture
Lecture
Lecture
Lecture
Lecture
Lecture
Lecture
Lecture
Lecture
Lecture
Lecture
Dissection
Tutorial
8. Brain stem
9. Cranial nerves nuclei
10. Reticular formation of brain stem
11. Eye movements
12. Cerebellum
13. Cerebral hemisphere
14. Blood supply to brain
15. Ventricular system of brain
16. Diencephalon
17. Olfactory and optic path way
18. Limbic system
19. Basal ganglia and internal capsule
Brain
Neuroanatomy
Page 45
Anatomy
Summary
Anatomy
Activity
Lectures
General Anatomy
Gross Anatomy
Applied anatomy
Pre Dissection
Histology
Embryology
Neuroanatomy lectures
Radiology
Genetics
Total Lectures
Practical
Dissection
Neuroanatomy
Histology
Total Practical
Tutorial
Genral Anatomy
Histology
Embryology
Post Dissection
Neuroanatomy
Genetics .
Total Tutorial
In Course Assessment
Total Hours
Term I
Term II
Term III
Term IV
Total
7
0
9
9
10
11
0
0
3
49
0
0
14
14
4
6
0
0
3
41
0
0
19
13
9
8
7
0
3
59
0
6
10
10
2
7
12
6
3
56
7
6
52
46
25
32
19
6
12
205
51
0
17
68
93
0
4.5
97.5
84
0
15
99
81
12
3.5
96.5
309
12
40
361
3
5
5
9
0
1.5
23.5
2
142.5
0
2
3
14
0
1.5
20.5
4
163
0
5
3
13
2
1.5
24.5
2
181.5
0
1
3
10
4
1.5
19.5
3
175
3
13
14
46
6
6
88
11
662
Page 46
Anatomy
a: Lippincott
6. Text book of Human Neuro Anatomy. Inderber Singh, 8th edition, New Delhi: Jaypee,
2009.
7. ABC of clinical Genetics. Helen M. Kinston. 3rd Edition, UK BMJ books, 2002.
Reference Books[Latest Editions]
1. Clinically oriented anatomy.
Williams & Wilkins, 2010.
2. Basic Histology. L Carlos Junqueira, 11th Edition. New York: McGraw Hill, 2006
3. Clinical Anatomy by regions. Richard S Snell. 8th edition, Philadelphia: Lippincott
Williams & Wilkins, 2008.
4. Grays anatomy for students.
Livingstone, 2010.
5. Human Anatomy. B D Chaurasia, 5th edition, New Delhi: CBS Publishers, 2010.
Page 47
Anatomy
Anatomy
Type of Examination
Distribution
of MarksFirst
examination
Incourse
Assessment
End of course:
20
80
2.1
M.C.Q.
25
2.2
Essay
Gross Spots
25
2.3
2.4
2.5
Histology spots
Viva
10
10
10
Distribution
Details of evaluationof Marksduration, number of
subsequent
questions. ect.
examinations
5 assessments of 2 hour
duration and Spot
examination
100
40 Multiple response and
20 single response
30
questions 3 hrs
10 SEQs 3 hrs
30
Gross Anatomy- 20 x 2
10
min
Histology 20 x 2 min
10
10 min / student
20
Page 48
Anatomy
Qualifying
pass marks
(%)
40% in
Essay &
M.C.Q.
5.6. Biochemistry
[Person in Charge- Head Biochemistry]
Term 1
pH and buffers
1
1
3x2
1x2
Lecture
Lecture
Practical
Tutorial
Chemistry of carbohydrates
1
1
1
1
3x2
2x2
Lecture
Lecture
Lecture
Lecture
Practical
Tutorial
Chemistry of Lipids
1
1
1
1
3x2
2x1
Lecture
Lecture
Lecture
Lecture
Practical
Tutorial
Lecture
Lecture
Lecture
Lecture
Lecture
Biochemistry
Tutorial
Lecture
Lecture
Practical
Practical
Practical
Tutorial
Amino acids
6 Plasma proteins, their origin
7 Plasma proteins separation.
Qualitative analysis of proteins
Serum electrophoresis
Estimation of serum proteins
Proteins
Enzymes
1 Lecture 1. General properties of enzymes & mechanism of enzyme action
1 Lecture 2. Factors affecting the enzyme catalyzed reactions.
1 Lecture 3. Enzymes activators, inactivators and inhibitors
1 Lecture 4. Enzyme inhibition
1 Lecture 5. Isoenzymes, protective enzymes
3x2 Practical Determination of Serum amylase activity
1x2 Tutorial Enzymes
In Course Assessment
Lecture
Lecture
1
1
1x2
1
1
1
1
1
1x2
Lecture
Lecture
Tutorial
Lecture
Lecture
Lecture
Lecture
Lecture
Tutorial
Lecture
Page 51
Biochemistry
Term 2
Immunoglobulins
1 Lecture 1. Types of immunity
1 Lecture 2. Antibody formation polyclonal antibodies
1 Lecture 3. Structure and function of immunoglobulin
1 Lecture 4. Autoimmune diseases, immuno malignancy
1x2 Tutorial Immunoglobulins
Vitamins
1 Lecture 1. Vitamin A
1 Lecture 2. Vitamin D
1 Lecture 3. Vitamin D, E and K and Thiamine
1 Lecture 4. Riboflavin, Nicotinic acid and Pyridoxal phosphate
1 Lecture 5. Folic acid
1 Lecture 6. Vitamin B12
1 Lecture 7. Biotin, Pantothenic acid and Vitamin C
3x2 Practical Estimation of Urinary excretion of Vitamin C
Vitamins
2x2 Tutorial
Iron metabolism
1 Lecture Composition of human body micro and macro elements
1
1
Lecture
Lecture
Iron
Haemoglobin
1
1
1
1
1
1
1
1
1
4x2
2x2
Lecture
Lecture
Lecture
Lecture
Lecture
Lecture
Lecture
Lecture
Lecture
Practical
Tutorial
Biological oxido-reduction
Page 52
Biochemistry
Lecture
Lecture
Lecture
Lecture
1. Iodine
2. Thyroid hormone
3. Test for thyroid function
4. Calcium, zinc
5Copper, chromium, fluorine, selenium, manganese,
1 Lecture magnesium
3x2 Practical Estimation of serum calcium
3x2 Tutorial Mineral metabolism
Incourse Assessment
Term 3
Digestion and absorption
1
Lecture 1. Digestion in the oral cavity
1
Lecture 2. Gastric digestion, control of gastric secretion
1
Lecture 3. Intestinal digestion, hormonal control, Bile
1
Lecture 4. Carbohydrate, protein, lipid digestion and absorption
1x2 Tutorial
Carbohydrate Metabolism
1
Lecture 1. Introduction to Metabolism
1
Lecture 2. Glycolysis and energetics
1
Lecture 3. Tri carboxylic acid cycle
1
Lecture 4. Control of Glycolysis and Tri carboxylic acid cycle
1
Lecture 5. Hexose Mono phosphate pathway and significance
1
Lecture 6. Metabolism of fructose and galactose
1
Lecture 7. Glycogenolysis and glycogenesis
1
Lecture 8. Control of glycogenolysis and glycogenesis
1
Lecture 9. Gluconeogenesis, alcohol metabolism and lactic acidosis
10. Blood glucose maintenance and role of hormones in blood
1
Lecture glucose maintenance, Diabetes
11. Measurement of blood glucose, glucose tolerance test and
abnormal glucose tolerance curves
1
Lecture
3x2 Practical Estimation of blood glucose level
1
Lecture 12. Glycogen storage diseases
4x2 Tutorial
Lipid Metabolism
1
Lecture 1. Blood lipids and transport of lipids
1
Lecture 2. Metabolism of blood lipids
1
Lecture 3. Metabolism of blood lipids
1
Lecture 4. Roles of liver and adipose tissues in lipid metabolism
1
Lecture 5. Metabolism of fatty acids
Page 53
Biochemistry
1
Lecture 1. General aspects of eicosanoids
1
Lecture 2. Biochemical functions of eicosanoids
Amino acid Metabolism (6 Hours)
1
Lecture 1. Amino acid pool and essential and non-essential amino acids
2. Transamination, amino acid oxidases and deamination
1
Lecture reactions
3x2 Practical Estimation of serum urea
1
Lecture 3. Metabolism of ammonia in the body
1
Lecture 4. Biochemical importance of amino acid derivatives
1
Lecture 5. One carbon pool
1
Lecture 6. Molecular diseases in amino acid metabolism
3x2 Practical Analysis of normal constituents in urine
3x2 Practical Analysis of abnormal constituents in urine
2x2 Tutorial
Serum enzymes of diagnostic value (3 Hours)
1
Lecture 1. Plasma specific enzymes
1
Lecture 2. Plasma non-specific enzymes
3. Alteration in enzymes and proteins in myocardial infarction,
1
Lecture liver disease, bone disease and muscle diseases
3x2 Practical Estimation serum AST
3x2 Practical Estimation of ALT
Incourse Assessment
Principles of Nutrition
1
1. Principles of nutrition and nutrient requirements
Lecture
1
2. Energy requirements
Lecture
1
3. Energy requirements
Lecture
1
4. Energy requirement calculations
Lecture
1
5. Requirements of carbohydrates , fats and proteins
Lecture
1
6. Requirements of proteins and calculation, supplementary
action
Lecture
1
7. Quality of proteins
Lecture
1
8. Nutritional requirements for infants, weaning food, preschool
children and school going children
Lecture
1
Lecture
Biochemistry
Term 4
Nucleic acid metabolism
1. Biosynthesis of purines and pyrimidines
1
Lecture
2. Purine salvage pathway
1
Lecture
3. Hyperuricemia and secondary causes
1
Lecture
Nucleic Acid Metabolism
1x2
Tutorial
Molecular Techniques in Medicine (5 Hours)
1. Tools in Molecular medicine
1
Lecture
2. Cloning, stem cells, gene therapy
1
Lecture
3. Genetically engineered insulin, blotting techniques
1
Lecture
4. RFLP, DNA microarray, PCR, prenatal diagnosis and
1
Lecture
genetic counselling
1
1x2
2
1
8
20
Lecture
Tutorial
Lecture
Seminar
Seminar
Page 55
Biochemistry
Summary
Activity
Lecture
Practical
Tutorial
Seminar
Presentation
Research
In-Course
Assessment
Total
Biochemistry
Term Term Term
1
2
3
42
32
65
21
10
21
10
9
14
Term
Total
4
10
149
0
52
2
35
0
0
0
0
0
69
28
0
28
69
2
75
1
52
2
171
1
41
6
339
5.6.3.References
Textbooks[Latest Editions]
1. Harpers Illustrated Biochemistry. Robert K Muray, Daryl K. Granner and Victor W
Rodwell, 27th edition, Boston: Mc Graw Hill, 2009.
2. Biochemistry-A Case Oriented Approach. Montgomery. T. W Conway, A. A Spector and
D Chapell, 6th edition, edited by Rex Montgomery, Mosby Publishers, 1996.
3. Text Book of Biochemistry with Clinical Correlations. Delvin, T. M. 6th edition,WileyEliss Publication, 2010.
4. Marks Basic Medical Biochemistry: A Clinical Approach. Smith, C., Marks, A. and
Libeberman, M. 2nd edition, Philadelphia: Lippincott Williams & Wilkins, 2008.
5. Lippincotts Illustrated Reviews- Biochemistry. Champe, P.C., Harvey, R. A. and Ferrier,
D. R, 4th edition, Philadelphia: Lippincott Williams & Wilkins, 2007.
6. Biochemistry. Berg, T., Tymoczo, J. L. and Stryer, L.W. H., 6th edition,
Freeman and Company, 2008.
New York:
5.6.4. Evaluation
Details of
Distribution
evaluationof Marksduration,
subsequent
number of
examinations
questions. ect.
5 Assessments
each of 1Hr
duration and
Seminar
Type of Examination
Distribution
of MarksFirst
examination
In course
Assessment
20
2
3
Research Project
End of the Course
10
70
100
3.1 MCQ
25
40
3.2 Essay
25
40
3.3 Practical
3.4 Viva
10
10
10
10
60 questions
3Hrs duration
6 questions 3Hrs duration
45 minutes
10 min/student
Qualifying
pass marks
(%)
40% in
Theory
Page 57
Biochemistry
5.7. Physiology
[Person in Charge- Head Physiology]
Describe the basic principles of homeostasis, water and electrolyte balance, acid base balance,
energy balance and temperature regulation.
Describe the role of various systems of the body, how they function, the mechanisms that regulate
them and the factors that alter the functions.
Outline how pathological factors interfere with the functions of these systems and how altered
functions of these systems cause disease.
Describe the physiological basis of various tests used to assess the functions of these systems and
interpret the results obtained.
Mention the names of common chemical agents that alter the functions of these systems and
outline the mechanism of their actions.
Investigate blood for, haemoglobin concentration, red cell count, white cell count, differential
count, bleeding time and clotting time, blood groups and packed cell volume.
Feel arterial pulse and recognize rate, regularity and volume of the pulse, measure blood pressure,
identify normal heart sounds, identify waves and intervals in normal E.C.G, measure lung
volumes, pulmonary ventilation, record respiratory movements, analyze alveolar air, perform
artificial respiration and cardiac massage, measure metabolic rate, body temperature, urine flow,
specific gravity of urine, and examine basic sensory, motor functions and special sensations.
Having attained the knowledge and skills mentioned above, the student should view man as a
whole organism and not a collection of systems, apply the knowledge and skills in understanding
and managing patient problems and keep on continued study of Physiology.
The teaching learning activities include lecture discussions, practical classes, tutorials and
clinical demonstrations. Lecture discussions will be delivered by the departmental staff where students
are informed of the topics well in time and are expected to read up based on the objectives given to
them at the beginning of the course as a book. Practical classes will be conducted in the laboratory
with the aim of developing basic skills related to Physiology and to demonstrate important
physiological principles. Tutorials will be in different forms such as free oral question-answer
sessions, answer writing sessions, sessions for students to clear their doubts and so on as requested by
the students. Clinical demonstrations are conducted to illustrate clinical significance of pre-clinical
learning by bringing selected patients from the Teaching Hospital or showing relevant video clips and
demonstrating the clinical application of the basic sciences at the end of each section. All these
activities will be interactive encouraging student participation and performance instead of simple
delivery of information.
The Clinical Departments of the Faculty will be conducting the clinical
Page 58
Physiology
Term 1
BODY FLUIDS
1 Lecture
1 Lecture
3x2 Practical
Lecture
2
1
1
Lecture
Lecture
Lecture
3x2
0.5
1x3
2x2
Practical
Video
Clinical
Tutorial
Osmotic Fragility
Structure and function of cell
Clinical demonstration for body fluids-surgery, medicine
Body fluids
Lecture
Lecture
Lecture
Lecture
Lecture
Lecture
Practical
1.Membrane Potential
2. Action Potential and impulse
3.Spread of impulse and classification of nerves
4.Synaptic transmission
5.Electrical and Mechanical Properties of Skeletal Muscle
6.Muscle structure, Molecular Basis of contraction
Reaction time and EMG, nerve conduction
1
1
1
1x3
0.5
Lecture
Lecture
Lecture
Clinical
Video
3x2 Tutorials
Excitable tissue
BLOOD
Page 59
Physiology
Lecture
3x2
0.5
1
3x2
1
1
3x2
Practical
Video
Lecture
Practical
Lecture
Lecture
Practical
3x2 Practical
1
1
3x2
1
3x2
1
1
Lecture
Lecture
Practical
Lecture
Practical
Video
Lecture
5.Thrombocytes
6.Hemostasis, coagulation and anticoagulants
Bleeding time, Clotting time
7.Leucocytes
Differential count
Immune system, active barriors
9.Defense reactions- innate immunity, humeral immunity
Lecture
1
3x2
1
1x3
Lecture
Practical
Lecture
Clinical
3x2 Tutorials
2 Exam
Term 2
RESPIRATION
1
Lecture
2
3x2
1
1
3x2
Lecture
Practical
Video
Lecture
Practical
1
1
1
Lecture
Lecture
Lecture
Lecture
Lecture
Page 60
Physiology
Practical
Lecture
Practical
Lecture
Practical
Clinical
Tutorial
Lecture
1
1
1
1
3x2
1
1
3x2
1
1
3x2
3x2
1
Lecture
Lecture
Lecture
Video
Practical
Lecture
Lecture
Practical
Lecture
Lecture
Practical
Practical
Lecture
1
3x2
1
3x2
1x3
3x2
5x2
2
Lecture
Practical
Lecture
Practical
Clinical
Practical
Tutorial
Exam
Page 61
Physiology
Term 3
GASTRO INTESTINAL PHYSIOLOGY
1
2
2
Lecture
Lecture
Lecture
Lecture
Lecture
Practical
Lecture
1
1
3x2
1x3
2x2
Lecture
Lecture
Practical
Clinical
Tutorial
RENAL PHYSIOLOGY
1
2
1
Lecture
Lecture
Lecture
Physiology
Practical
Lecture
Lecture
Clinical
Tutorial
Diuresis
5. Micturition
6. Hemo Dialysis and Renal Function Test
Clinical demonstration for renal system- surgery, medicine
Renal function
REPRODUCTIVE PHYSIOLOGY
2 Clinical
Introduction to case senarios in Reproduction
1
1
1
3x2
1
1
1
1
Lecture
Lecture
Lecture
Practical
Lecture
Lecture
Lecture
Lecture
2 Clinical
3x2 Tutorial
2 Exam
1. Puberty
2. Male Gametogenesis, Endocrine functions of testis
3. Erection, ejaculation and physiology of sexual intercourse.
Sperm Count
4. Female Gametogenesis, Endocrine functions of Ovary
5. Menstrual Cycle and its control
6. Pregnancy, Parturition, Lactation
7. Fertility, Contraceptives
Demonstration of Clinical application of reproductive
physiology
Reproductive physiology
Incourse assessment
Term 4
NEUROPHYSIOLOGY
1
1
1
1
1
1
1
1
1
1
1
3x2
1
1
0.5
1
3
1
1
Lecture
Video
Lecture
Lecture
Lecture
Lecture
Lecture
Lecture
Lecture
Lecture
Lecture
Practical
Lecture
Lecture
Video
Lecture
Clinical
Lecture
Lecture
Activity
Lecture
Practical
Clinical
Tutorial
Video
In course Assessments
Total
Physiology
Term 1 Term 2
27
26
27
38
3
2
14
8
2.5
3
2
2
75.5
79
Term 3
36
12
8
14
0
2
72
Page 64
Physiology
Term 4
30
9
6
6
1.5
2
54.5
Total
119
86
19
42
7
8
281
5.7.4. Evaluation
Type of Examination
Distribution
of MarksFirst
examination
In course
Assessment:
20
80
Distribution
of Markssubsequent
examinations
Details of
evaluationduration,
number of
questions. ect.
4 Assessment
per course each
of 1Hr duration
Qualifying
pass marks
(%)
100
2.1 MCQ
30
35
2.2 Essay
30
35
2.3 Practical
10
10
2.4 Viva
10
20
50 single
response & 30
multiple
response 3hrs
10 structured
questions-3 hrs
Assessment of
skills- 4 x 15
minutes
10 min /
student
40 % in
Essay &
MCQ
Page 65
Physiology
pH and buffers
Chemistry of carbohydrates
Chemistry of Lipids
Movement of substances across
membrane
Development of skin,
muscular system and skeletal
system
Enzymes
Gene expression and the protein
synthesis
Term 2
Biochemistry
Anatomy
Dissection- lower limb
[comparative learning with
upper limb]
Histology of Lymphatic
tissue
Development of body
cavities
Dissection- Thorax
Body fluids
Blood
Physiology
Respiration
Haemoglobin
Development of Respiratory
system
Histology of Respiratory
system
Biological oxido-reduction
Development of CVS
Histology of Cardiovascular
system
Mineral Metabolism
Page 66
Synchronization Phase I
Term 3
Biochemistry
Anatomy
Development of Digestive
system
Dissection-Abdomen
Carbohydrate Metabolism
Lipid Metabolism
Development of urinary
system
Dissection- Posterior
Abdominal wall
Principles of Nutrition
Dissection-Pelvis
Development of pharyngeal
pouches, arches and clefts,
tongue, thyroid gland and
face
Dissection- Head and neck
Term 4
Biochemistry
Renal physiology
Physiology
Neurophysiology
Reproductive
physiology
Research
Anatomy
Gastrointestinal
physiology
Endocrine physiology
Eicosanoids
Physiology
Seminar
Applied Physiology
Histology of CNS
Page 67
Synchronization Phase I
Intro
8
49
90
32
68
239
280
41
Term
1
11
Term
2
12
Term Term
3
4
13
10
28
12
16
0
142.5
75
75.5
333
385
52
10
163
52
79
320
420
100
13
182.5
171
72
438.5
455
16.5
Page 68
Synchronization Phase I
Total
49
90
60
96
0
169
41
54.5
264.5
350
85.5
23
657
339
281
1595
Term 5
1 Lecture
1. Introduction to Sociology
1.1 Definitions
1.2 Fields of Sociology in the Twenty-First
1.3 Key Concepts in Sociology
1.3.1 Society
3 Lecture
1.3.2 Community
1.3.3 Culture
1.3.4 Socialization
1.3.5 Social Stratification& Social Inequality: (Race, Ethnicity, Gender,
Class& Regional Disparities)
2. Social Institutions
2.1 Family
3 Lecture
2.2 Marriage
2.3 Bureaucratic Institutions
Page 69
Sociology
Term 6
6. Health Social Psychology
6.1 Introduction to Health Social Psychology
2 Lecture 6.2 Focusing areas
6.3 The biopsychosocial model
6.4 Some good and bad health Practices
9. Social Work and Physical healthcare
9.1 Social Work in Contemporary World
9.2 The emergence of social work as a profession
2 Lecture 9.3 Volunteering: A quest for the human spirit
9.4 Social Work: A Comprehensive Helping Profession
9.5 Social Work Practice with Families: Family dynamics, Family problems;
Family Therapy
Page 70
Sociology
Term 7
12. HIV/AIDS Vulnerability
12.1 Trends and magnitude of the issue
2 Lecture
12.2 Socio-economic factors associated with HIV/AIDS
12.3 Empowerment of victims
16.1 Malaria, Dengue & Human Behavior
16.2 History
16.3 Human behavior relevant to malaria & Dengue control
2 Lecture
16.4 Human Behavior as risk factor for malaria&Dengue
16.5 Implication for control strategies
16.6 Research Issues
Term 8
7. Research Methods in Medical Sociology.
7.1 Qualitative Methods
7.2 Case Study Method
7.3 In-depth Interview
7.4 Qualitative data analysis& interpretation
7.5 Quantitative Techniques
7 Lecture
7.6 Questionnaire Method
7.7 3Content Analysis
7.8 Participatory Methods
7.9 PRA
7.10 RRA
7.11 Transect walk
Term 9
11. Suicide as public health problem
11.1 Suicide Trends in Sri Lanka
11.2 Causes of Suicide
11.3 Types of Suicide
2 Lecture
11.4 Mode of Suicide
11.5 Pockets of suicide
11.6 Gender and Suicide
11.7 Misconceptions about suicide
Page 71
Sociology
Term 10
15. Gender and Health
5. Wo e s Health
5. Me s Health
2 Lecture
15.3 Gender Roles and the Life Course
15.4 Gender Inequalities in Mortality
15.5 Gender Differences in Morbidity
14. Ageing & Health
14.1 The demography of Ageing
14.2Ageing in Sri Lanka
2 Lecture
14.3 Social gerontology and old age
14.4 Psychology of Ageing
14.5 Heath Care & long-term care
19. Health Care Reform, Policy and Disease Control Priorities in Developing
Countries
2 Lecture
19.1 Health challenges, health needs and health care practices of the world
19.2 Politics and Health Institutions
19.3 The Sri Lankan Health Care System: Issues and Challenges
+Summary
Lectures
Term Paper
Discussions
Presentation
Total
Term
5
19
0
0
0
19
Term
6
6
0
0
0
6
Term
7
4
0
0
0
4
Term
8
7
0
0
0
7
Page 72
Sociology
Term
9
7
0
0
0
7
Term
10
6
0
0
0
6
Total
49
0
0
0
49
Pence, Gregory E. (2007) Recreating Medicine: Ethical Issues at the frontiers of Medicine.
Lanham, MD: Rowman and Littlefield.
Peter Conrad. (2005) Sociology of health and illness, 7th editions. New York:Wadsworth
publishers.
Phil Brown. (2007) Perspectives in medical sociology 4th edition, Illinosis: Waveland Press.
Porter, Dorothy. (1997) Social Medicine and Medical Sociology in the Twentieth Century.
Welcome Institute for the History of Medicine: London.
Doyal, Lesley.1995.What Makes Women Sick: Gender and the Political Economy of Health.
London: Macmillan.
Page 73
Sociology
5.9.4. Evaluation
In Course assessment
Group Presentation
Term Paper
Quiz
End of course Assessment
4 SEQ - 2 hours
40%
10%
20%
10%
60%
Page 75
Sociology
5.10. Microbiology
[Person in Charge- Teacher in charge of Microbiology]
At the end of the course in mycology the students should be able to,
Describe the General properties, structure in relation to identification, growth,
antifungal drugs, and mechanisms of pathogenicity of medically important fungi
At the end of the course in clinical microbiology the students should be able to,
Describe the normal flora of human body in relation to collection of specimens,
interpretation of tests, endogenous infections and cross infections
Describe microbiological investigation of infective diseases and interpretation of
results with respect to the concepts of sensitivity, specificity, predictive value and
efficiency.
Describe the infections of CNS, RT, GIT and UR and STD in relation to epidemiology,
pathogenisis, collection of specimens, clinical presentation, diagnosis &preventive
measures
At the end of the course in virology the students should be able to,
Discuss the epidemiology (including transmission, seasonality [if applicable],
typical age group affected, etc), clinical manifestations, and laboratory diagnosis
(including specimen collection, tests commercially available, and the advantages
&disadvantages of those tests) of infection
The teaching &learning methods include lectures, practical classes, student
centered tutorials and video shows. Handouts are given to the students prior to the
lectures. The lectures are interactive with questions are asked during the lectures and
depending on the student response, topics are given to small group s of students to
prepare and deliver 5 minute presentation at the next lecture.
Students are evaluated by three different types (SEQ, MCQ, OSPE) of in course
assessments before the end course assessments.
Term 5
1
1
1
1
1
1
2
1x4
1x4
Lecture
Lecture
Lecture
Lecture
Lecture
Lecture
Lecture
Tutorial
Practical
General Microbiology
Morphology and Nature of Bacteria
Classification of Micro organisms
Growth and Nutrition of Bacteria
Mechanisms of Bacterial infection
Sterilization and disinfection
Bacterial genetics
Antimicrobial agents
General Microbiology
Microscopy
Page 77
Microbiology
Lecture
Lecture
Lecture
Lecture
Lecture
Lecture
Lecture
Lecture
Lecture
Lecture
Lecture
Lecture
Tutorial
Term 6
1
1
1
Lecture
Lecture
Lecture
Systematic Bacteriology
Staphylococcus
Streptococcus
Gram negative cocci
Lecture
Lecture
1/2
1/2
1
1x4
Lecture
Lecture
Lecture
Tutorial
Lecture
1/2
1
1
1x4
Lecture
Lecture
Lecture
Practical
Actinomycetes, Nocardia
Mycobacteria
Spirochaetes- (Treponemes, Leptospira and Borrelia)
Acid Fast staining
1/2
Lecture
Mycoplasma,Ureaplasma
Page 78
Microbiology
Lecture
1
1
1
1
1
1
Lecture
Lecture
Lecture
Lecture
Lecture
Lecture
Term 7
Clinical Microbiology
1
2
1
1x4
2
1
1
1
Lecture
Lecture
Lecture
Practical
Lecture
Lecture
Lecture
Lecture
Lecture
Lecture
Lecture
Lecture
Lecture
Lecture
Lecture
Lecture
Lecture
Tutorial
Sepsis
STD
Infections in pregnancy , fetus and neonates
Gastrointestinal infections
Skin, wound and soft tissue infections
Collection and transport of specimens
Infections in the compromised host
Zoonotic diseases
Emerging infections
Clinical Microbiology
Practical
Practical
Practical
Practical
Summary
Lecture
Tutorial
Practical
Total
Term
5
20
2
3
25
Term
6
28
3
3
34
Term
7
21
2
7
30
Total
69
7
13
89
Credits
4.6
0.5
0.4
5.5
5.10.3. References
Textbooks
1. Medical Microbiology. Greenwood, D. Slack, R.C.B. and Peutherer, J.F. 16th edition,
Edinburgh: Churchill, Livingstone, 2004.
2. Review of Medical Microbiology and Immunology. Levinson, W and Jewetz, E., 9th
edition, New York: Appleton & Lange, 2006.
3. Medical Microbiology. Mims, C., Dockrell, H.M., Goering, V.R., Roitt, I., Wakelin, D.
and Zuckerman, M., 3rd edition, Edinburgh: Elsevier, 2004.
4. Human Virology. Leslie Collier and John Oxford, 3 rd edition, New York: Oxford
University press, 2006.
5. Notes on Medical Bacteriology. Sleigh, D.J. and Timbury, M.C, 5th edition, New York:
Churchill Livingstone, 1998.
Page 80
Microbiology
5.10.4. Evaluation
Type of Examination
1
2
2.1.
2.2.
2.3.
2.4.
In course
Assessment:
End of the course
MCQ
Essay
OSPE
Viva
Distribution
of MarksFirst
examination
Distribution
of Markssubsequent
examinations
Qualifying
pass marks
(%)
3 assessments- Essay,
MCQ and OSPE
20
80
30
30
10
10
Details of evaluation
No. of hrs No. of
question etc.
100
35
35
15
15
30 questions-1hr 30 min
4 questions-2hrs
1 Hour
10 min/ student
40 in
theory
Page 81
Microbiology
5.11.Parasitology
[Person in Charge- Person in Charge of Division of Parasitology]
Identify the parasites at different stages of life cycle, their vectors and hosts by
macroscopic or microscopic examination as appropriate.
List the organs or the systems affected by the parasites and describe the pathogenesis,
signs and symptoms
Describe the sample collection methods, transport and laboratory diagnosis of parasitic
diseases.
Perform stool examination for intestinal parasites and blood smear staining for malaria
and filarial parasites.
Identify the medically important snakes and the basis of management of snake bite.
Motivated to use the knowledge and skills obtained in the subject to understand the
problems and management of their patients during clinical clerkships at the Teaching
Hospital.
The teaching / learning methods include lectures, practical classes, tutorials and modified
small group discussions. Students are encouraged to actively participate in the activities.
Handouts and copies of power point presentations are given to students as learning materials.
Students are evaluated by two in course assessments and end of course assessments.
Formative evaluations will be conducted frequently and the answers will be discussed with the
students.
Page 82
Parasitology
Term 6
Protozoa
1
1
1
1
1
1
3
Lecture
Lecture
Lecture
Practical
Practical
Practical
SGD
3
1
1
3
1
1
1
1
1
3
Lecture
Practical
Practical
Lecture
SGD
Lecture
Lecture
Lecture
Practical
Practical
SGD
Alimentary system
Amoebiasis
Amoebiasis + Balantidiasis
Giardiasis + Cryptosporidiosis
Use of microscope [4 groups 45 min each]
Amoebiasis [4 groups 45 min each]
Balantidiasis+ Giardiasis [4 groups 45 min each]
Diarrhoea - 4 groups
Blood and other organs
Malaria
Malaria (Demonstration) [4 groups 45 min each]
Malaria (staining) [4 groups 45 min each]
Malaria [4 groups]
Leishmaniasis
Trypanosomiasis
Toxoplasmosis
Leishmaniasis + Trypanosomiasis [4 x 45 min each]
Trypanosomiasis + Toxoplasmosis [4 x 45 min each]
Leismaniasis [4 groups]
Reproductive system
Trichomoniasis
Term 7
Helminthes
1
1
1
1
Lecture
Lecture
Lecture
Practical
3
1
1
1
3
1
SGD
Lecture
Lecture
Lecture
Practical
Lecture
Alimentary system
Ascariasis & Trichuriasis
Hookworm disease & Strongyloidiasis
Enterobiasis, Trichinellosis
Ascariasis & Trichuriasis + Hookworm disease+
Enterobiasis & Trichinellosis [4 groups 45 min each]
Nematodes
Adult cestodes
Hydatid disease & cysticercorsis
Larvae migrans
Adult cestodes + Hydatid disease [4 groups 45 min each]
GI tract Trematodes
Page 83
Parasitology
1
1
1
1
1
1
3
3
Lecture
Practical
Lecture
Lecture
Practical
Practical
SGD
SGD
1
1
1
1
3
1
1
1
3
Lecture
Lecture
Lecture
Practical
SGD
Lecture
Lecture
Practical
SGD
Lecture
Lecture
Practical
SGD
Snakes
Snakes classification & identification
Snake bite treatment & management
Snakes [4 groups 45 min each]
Snake bite
Lecture
SGD
Zoonosis
Parasitic Zoonosis
Parasitic Zoonosis
1
1
1
3
1
3
Summary
Term 5
Lecture
SGD
Practical
Total
Term 6
10
3
7
20
Term 7
18
7
10
35
Page 84
Parasitology
Total
28
10
17
55
Type of Examination
1
2
2.1.
2.2.
2.2.1
In course
Assessment:
Distribution
of MarksFirst
examination
Distribution
of Markssubsequent
examinations
15
85
50
100
60
4 questions-2hr
20
20
20 min/group
5
10
5
15
20 min/group
10 min/ student
Qualifying
pass marks
(%)
40%
Page 85
Parasitology
Obtain and interpret the health statistics and demographic data with emphasis on trends.
Assess evidence with respect to validity and reliability and arrive at conclusions by way
of logical deductions.
Describe the epidemiology, prevention and control of the communicable and noncommunicable diseases.
Identify illnesses that are prevalent in the community and health issues of the
community and institute appropriate remedial and control measures.
Identify social factors in the society that affect health and implement preventive,
curative and rehabilitative measures at community and social level.
Describe the interaction between people and the environment in relation to health and
diseases and improve the interaction in a way to improve the health of the people while
preserving the nature.
Describe the factors that contribute to reproductive health and implement measures to
improve it through sex education, family planning and maternity and child health.
Exhibit leadership skills and work as a leader or a member of a team depending on the
situation.
Describe health promotion methods available for individuals, families and community,
implement them and evaluate the activities.
Describe the appropriate food and nutrition for all stages of life and disease conditions
and the importance of balance diet to maintain good health.
Develop food habits that promote the quality of life and health out of locally available
and affordable food.
Describe and practice ethical and legal issues relating to doctor-patient relationship,
interactions with other health professionals and with the society as a whole.
Develop, maintain and promote personnel characteristics and attitudes for a career as a
health professional.
The teaching / learning activities include lecture-discussions, tutorials, research,
seminar, family attachment, field activities, case studies, and visits to community health
institutions and attachment to primary health care institutions and administrative offices.
Page 86
Community and Family Medicine
Continuous in course assessments are conducted during the course. Assessment of clinical
attachment includes log book, portfolio and health education. The research, family attachment
and case study are evaluated on the reports submitted by individual students at the end of the
work and a viva on the work they have done. Field activity is supervised by a staff member
and marked. The students are evaluated by MCQ after visiting various institutions.
Page 87
Community and Family Medicine
Phase 1
Term 2- Principles of Community Medicine
1
Lecture
Lecture
Lecture
Lecture
Lecture
Statistics
Appropriate summary statistics and graphical methods for
describing a data set
1
1
Lecture
Lecture
Sociology
Family, structure & Function
Relationship between patient, family and community
Lecture
10 Lectures
Lecture
Visit
Seminar
Exam
Summary of Phase I
Activity
Lecture
Field visit
Seminar
Exam
Total
Term
1
Term
2
10
10
Term
3
4
6
2
1
13
Term
4
10
20
Page 88
Community and Family Medicine
Total
30
Phase II
Term 5
1
1
1
Lecture
Lecture
Lecture
Lecture
Lecture
1
2
1
Lecture
Lecture
Lecture
4
1
1
2
2
1
2
2
2
Demography 1
Definitions
Factors affecting size and composition of the population
Sources and collection of vital statistics
Statistics 1
Appropriate summary statistics and graphical methods for
describing a data set
Normal distribution
Basic Epidemiology 1
Concepts
Measures of morbidity and mortality
Certification of Death & its importance
Term 6
1
2
1
Lecture
Lecture
Lecture
Reproductive Health1
Definition & concepts
Family health programme in Sri Lanka
Safe motherhood
Lecture
1
1
Lecture
Lecture
1
1
Lecture
Lecture
Communicable Diseases
Epidemic, endemic, and pandemic diseases
Notification
Page 89
Community and Family Medicine
Lecture
Lecture
Lecture
Lecture
Lecture
Lecture
Lecture
Lecture
Investigation of an epidemic
Control and prevention of diarrhoeal diseases
Food borne diseases
Vector borne diseases
Air borne diseases
Sexually transmitted diseases
Zoonosis
Skin diseases
Term 7
1
2
Lecture
Lecture
1
1
Lecture
Lecture
Health Economics 1
Introduction
Different models
1
1
1
Lecture
Lecture
Lecture
Health Education 1
Definition& concepts
Health belief model
Health education materials
1
2
Lecture
Lecture
Lecture
2
1
Lecture
Lecture
3
1
2
Lecture
Lecture
Lecture
1
1
1
1
Lecture
Lecture
Lecture
Lecture
Family Medicine 1
The principals of Family practice
Specific health problems related to stages in the individual
family life cycle
Concept of the doctor patient relationship in family
practice & process of consultation in primary medical care
Principles of patient management & prescribing
Patient compliance & factors that influence it
Basic Epidemiology-2
Determining factors in causation of disease
Quality of data
Concept of screening
Research 1
Types of research (qualitative and quantitative)
Stages in research project
Literature survey
Writing objectives
Page 90
Lecture
Lecture
Lecture
Lecture
Research
Writing references
Writing project proposal
Preparing questionnaire
Ethics in Research
Writing and submitting research proposal
Phase III
Term 8
Statistics-2
Confidence intervals
Sampling methods and Sample size calculation
Tests of statistical significance
2
3
4
Lecture
Lecture
Lecture
1
1
2
1
1
1
1
Lecture
Lecture
Lecture
Lecture
Lecture
Lecture
Lecture
1
1
1
60
Lecture
Lecture
Lecture
Research
1
1
1
1
Lecture
Lecture
Lecture
Lecture
Statistics-3
Presentation of data
correlation coefficient and linear regression
standardization of mortality and morbidity statistics
Standardization of mortality and morbidity statistics
Lecture
Family Medicine- 2
Caring for an ill person in the home
Lecture
Lecture
Lecture
Page 91
Community and Family Medicine
30
30
30
96
48
Term 9
2
1
1
3
2
1
2
1
1
1
1
Lecture
Lecture
Lecture
Lecture
Reproductive Health-2
Maternal and child health services
Prevention of maternal deaths
Nutrition and MCH
Family planning and fertility control
Lecture
Lecture
Lecture
Lecture
Lecture
Lecture
Lecture
2
10
1
2
Lecture
Lecture
Lecture
Panel
Discussion
Panel
Ethics and Legal implications related to patient care
Discussion
2
2
Workshop
Workshop
2
1
1
1
Lecture
Lecture
Lecture
Lecture
Term 10
Lecture
Lecture
Health Economics-2
Current health expenditure pattern in Sri Lanka
Future challenges in health financing
1
1
Lecture
Lecture
Health Education-2
Health promotion and COMBI
Health education programmes
1
1
1
1
Lecture
Lecture
Lecture
Lecture
Reproductive Health-3
Adolescent health
School health services
Gender issues
Well Woman Clinics
2
1
Lecture
Lecture
Lecture
Lecture
Lecture
Lecture
Lecture
Lecture
Lecture
Special topics
Millennium Development Goals
Accidents
International health regulations
Problems of the elders & care
War and Public health
1
1
2
2
1
2
1
2
1
2x10 Tutorial
All topics
Page 93
Community and Family Medicine
Term
5
16
Term
6
19
Term
7
35
Term
8
23
0
90
5
0
Term
9
15
0
0
60
0
Term
10
31
0
0
0
0
16
19
35
118
75
31
Term
11
Total
31
170
10
10
0
90
0
65
8
8
288
49
631
5.12.3. References:
FIELD WORK
1. Parks Textbook of preventive & social medicine. Park.K, 19th edition, Jabalpur:
Banarsidas Bhanot, 2007.
2. Practical epidemiology. Barker D J P. and Hall A J, 4th edition, Edinburgh: Churchill
Livingstone, 1991.
3. Lecture notes on epidemiology and Public health medicine. Richard Farmer and Ross
Lawrenson, 5th edition, Oxford: Blackwells publishing, 2004
4. Bradford Hills Principles of medical statistics. Austin Bradford Hill and Hill I D. New
Delhi: B I Publications, 1991
5. Statistics at square one. Swinscow T D V, London: British Medical Association, 1978.
6. Occupational Health An introductory course for Health workers. Herath H M S S D
(Ed). Sri Lanka: Ministry of Health, 1990
7. Survey methods in Community Medicine: Epidemiological studies, Programme
evaluation, clinical trials. Abrahamson J H. 4th edition, Edinburgh:
Churchill
Livingstone, 1990
8. Learning Research. Sivagnansundram C. 2nd edition. Jaffna: Published by author 2003
9. Lecture Notes in Family Medicine. Nandani de Silva, Colombo: Published by author,
2000.
Page 94
Community and Family Medicine
5.12.4. Evaluation
Type of
Examination.
Phase I
Distribution
of MarksFirst
examination
Distribution
of MarksDetsails of Evaluation.
subsequent
examinations
Clerkship
Assessment
2
3
4
5
6
7
a) Attitude and
application (AA) (2)
b) Health education. (3)
c) A paper with
Structured Essay
Questions (SEQ) (5)
d) Portfolio Assessment
(5)
Project report and viva.
Report and field
assessment
Report and field
assessment
Report and field
assessment
15
Research Project.
15
Field activity
Case studies
Family study
Qualifying
pass marks
(%)
40
70
3 hr, 6 questions.
10
100
30
100
20 min./student.
40 % for
each
component
40
Page 95
Community and Family Medicine
Describe the basic forensic procedures, supervise them and interpret the result.
Describe the ethical issues in medical practice and the bodies that govern the
adherence to the ethical practices.
Perform postmortem, describe, identify and report ante mortem and post mortem
injuries
Examine, Identify, diagnose and report victims of sexual offences/child abuse and all
kinds of abuses.
Term 5
Introduction
1
Lecture
Lecture
1
1
1
Lecture
Lecture
Lecture
Medical Ethics
1
1
Lecture
Lecture
Lecture
Lecture
Lecture
Forensic Medicine
Lecture
Lecture
Lecture
Lecture
Medical negligence
SLMC
Health care rights
Research Ethics
Lecture
2x4
Tutorial
Term 6
Death and Postmortem
1
1
2
1
Lecture
Lecture
Lecture
Lecture
Lecture
1
1
2
Lecture
Lecture
Lecture
Lecture
1
2
1
Lecture
Lecture
Lecture
Lecture
1
2
1
1
1
1
3x4
Lecture
Lecture
Lecture
Lecture
Lecture
Lecture
Tutorial
Page 97
Forensic Medicine
Term 7
Injuries
1
2
1
1
2
1
2
3
1
2
1
2
1
1
2
1
Lecture
Lecture
Lecture
Lecture
Lecture
Lecture
Lecture
Lecture
Lecture
Lecture
Lecture
Lecture
Lecture
Lecture
Lecture
Regional Injuries
Thoracic Injuries, neck injuries, abdominal injuries,
injuries to spinal cord
Forensic radiology and Forensic Photography
Wounds & Injuries
Lecture
1
Lecture
2x4 Tutorial
3x4 Museum
48
Clinical
Term 8
Asphyxia
1
1
1
1
1
1
1
1
1
1x2
Lecture
Lecture
Lecture
Lecture
Lecture
Lecture
Lecture
Lecture
Lecture
tutorial
Introduction
Drowning
Strangulation
Hanging
Throttling
Smothering
Chocking
Traumatic asphyxia
Auto-erotic asphyxia
Asphyxia
Page 98
Forensic Medicine
Term 9
3
1
1
2
2
1
1
2
1x4
Lecture
Lecture
Lecture
Lecture
Lecture
Lecture
Lecture
Lecture
tutorial
Sexual offences
Abortion
Infanticide
Child abuse
Torture and human rights violence
Mass disaster
Starvation & Neglect
Medical aspects of mental diseases
Sexual offenses and abuses
Poisoning
1
1
1
1
1
1
1
1
2
1x4
2x4
Lecture
Lecture
Lecture
Lecture
Lecture
Lecture
Lecture
Lecture
Lecture
tutorial
Museum
10
Tutorial
Introduction
Corrosive
Metallic
Agrochemical
Food
Plant
Cyanide
Irritants
Drug abuse
Poisoning
Poisoning
Revision tutorials
Summary
Lecture
Tutorial
Museum
Clinical
Total
Term
5
17
2
0
Term
6
24
3
0
Term
7
25
2
3
Term
8
9
1
0
Term
9
23
12
2
19
27
30
10
37
Total
98
20
5
48
171
Page 99
Forensic Medicine
3rd
edition, London:
Page 100
Forensic Medicine
Type of Examination
1
2
3
Distribution
of MarksFirst
examination
Distribution
of Markssubsequent
examinations
50
20
30
50
20
30
Details of
evaluation No.
of hrs No. of
question etc.
5 questions-3hr
10 spots x 3 min
10 min/ student
Qualifying
pass marks
(%)
40%
Page 101
Forensic Medicine
5.14. Pathology
[Person in Charge- Teacher in Charge of Division of Pathology]
Describe the causative agents of cell injury, acute and chronic response of cells and
tissues to injurious agents and the processes and consequences of cell death.
Describe the environmental factors that cause pathological changes in the body and the
features of such changes.
Describe the factors that cause pathological changes, identify the changes
macroscopically and microscopically and correlate the clinical features of such
changes with regard to: cardiovascular system, respiratory system, alimentary system,
musculo-skeletal system, urinary system, endocrine system, reproductive system,
nervous system and lympho-reticulo-haematological system.
Correlate and understand the symptoms, signs, investigations, diagnosis, treatment and
follow up of the patients they see in various wards during the clinical rotations.
Outline the laboratory procedures for investigation of patients and reporting by the
pathologist.
The teaching / learning activities include lectures, tutorials, museum demonstrations and
histology slide demonstrations. Students are posted to the Pathology Laboratory of the
Teaching Hospital for 2 weeks in small groups to learn the laboratory procedures. Students
are evaluated by in-course and end of course assessments.
Page 102
Pathology
Term 5
1
1
3
1x6
Lecture
Lecture
Lecture
Tutorial
1
4
1x6
3
1x6
2
1x6
2
1x6
1
1x6
1
1x6
48
Lecture
Lecture
Tutorial
Lecture
Tutorial
Lecture
Tutorial
Lecture
Tutorial
Lecture
Tutorial
Lecture
Tutorial
Clinical
1
1
1
2
1
1
2
Introduction
Introduction to pathology
Necrosis and gangrene
Cell injury, adaptation and cell death
Cell injury, adaptation and cell death
Extracellular deposition- Calcification, Pigmentation,
Amyloidosis
Acute Inflammation
Acute Inflammation
Chronic Inflammation
Chronic Inflammation
Repair, Regeneration, wound healing
Repair, Regeneration and wound healing
Thrombosis and Embolism
Thrombosis and Embolism
Shock
Shock
Oedema and Congestion
Oedema and Congestion
2 weeks clinical posting
Neoplasm
Lecture Tumours- introduction and classification
Structure and effects of common benign and malignant
Lecture neoplasms
Lecture Spread of malignant tumours
Lecture Aetiology and incidence of tumours
Lecture Immunological aspects of neoplasia
Lecture Diagnosis of cancer
Tutorial Neoplasm
Term 6
1
1
1
Lecture
Lecture
Lecture
Systemic Pathology
Term 7
1
Lecture
Tutorial
Lecture
1
1
1
1
1
1
1
1
1
1
1
1
1
1
3x2
3x2
Lecture
Lecture
Tutorial
Lecture
Lecture
Tutorial
Lecture
Tutorial
Lecture
Lecture
Lecture
Tutorial
Lecture
Lecture
Demonstration
Practical
Environmental disease
Pneumoconiosis, Tobacco smoke, Injury by chemical agents
including alcohol, Injury by physical agents, Nutritional
disease
Environmental disease
Infectious diseases- nosocomial infection, clostridial
infections, HIV
Cardiovascular System:
Hypertensive heart disease.
Cardiac Failure (Congestive cardiac failure).
Cardiac Failure (Congestive cardiac failure).
Cor-pulmonale, Diseases of the pericardium
Ischemic Heart disease
Ischemic Heart disease
Rheumatic Heart disease, Infective Endocarditis
Rheumatic Heart disease, Infective Endocarditis
Cardiomyopathy
Miscellaneous Lesions- myocarditis, Tumours.
Congenital heart diseases
Arteriosclerosis, Atherosclerosis
Syphilis, Aneurysm, Varicose veins, Arteritis
Museum
Histopathology Slides
Page 104
Pathology
Term 8
1
1
1
Lecture
Lecture
Lecture
Respiratory System:
Atelectasis
Obstructive lung disease- Asthma, Emphysema
Obstructive lung disease- Chronic bronchitis, Bronchiectasis
Lecture
Lecture
Lecture
Lecture
Lecture
1
1
1
Lecture
Lecture
Lecture
Lecture
Lecture
Lecture
Lecture
Lecture
Lecture
Lecture
Lecture
Lecture
Tutorial
Demonstration
Practical
Hepatic injury
Jaundice
Hepatic failure, Cirrhosis
Alcoholic Liver disease and Non-alcoholic fatty liver
Circulatory disorders of the liver, Tumours of the liver
Disorders of the gallbladder and the extra hepatic bile ducts
Liver function tests
Pancreatitis, Tumours of the pancreas
Museum
Histopathology Slides
Term 9
1
1
Lecture
Lecture
1
1
Lecture
Lecture
Lecture
1
4x2
3x2
3x2
2
1
1
1
1
1
1
1
Lecture
Tutorial
Demonstration Museum
Histopathology
Practical
Urinary System:
Glomerulonephritis
Lecture
Nephrotic syndrome
Lecture
Renal failure
Lecture
Kidney in systemic diseases
Lecture
Renal calculi, hydronephrosis
Lecture
Pyelonephritis
Lecture
Tumours and cystic disease of kidney.
Lecture
Pathological changes in the nephron, Renal function tests
Lecture
and Qualitative examination of urine
Lecture
Lecture
Lecture
Lecture
Lecture
1 Lecture
3x2 Practical
Histopathology Slides
Endocrine disease
Pituitary gland and its disease
Thyroid- functional disease, Thyroiditis, neoplasms
Parathyroid and calcium metabolism
Adrenal gland- Cortex, Medulla
Pancreas- Diabetes mellitus and its complications, Islet cell
tumours, Multiple endocrine neoplasia
Laboratory diagnosis of endocrine diseases
Histopathology
Term 10
1
1
1
1
1
2
1
2
Lecture
Lecture
Lecture
Lecture
Lecture
Lecture
Lecture
Lecture
Male genital system
Lecture
Penile conditions, Scrotum, testis and epididimis
Nodular hyperplasia & Carcinoma of prostate
Lecture
Sexually transmitted disease
Lecture
Male and female genital system
6x2 Tutorial
3x2 Demonstration Museum- male and female genital system
Histopathology- male and female genital system
3x2 Practical
Nervous System:
CSF Formation and auto regulation of circulation,
1 Lecture
Hydrocephalus
Infections (Meningitis, Brain abscess)
1
1
1
1
1
1
1
Lecture
Lecture
Lecture
tutorial
Intracranial haemorrhage
Tumours
Page 107
Pathology
1
1
2
1
1
1
1
1
1
1
1
1
1
2
2
1
1
10
6x2
2
Lecture
Lecture
Lecture
Lecture
Lecture
Lecture
Lecture
Lecture
Lecture
Lecture
Lecture
Lecture
Lecture
Lecture
Lecture
Lecture
Lecture
Tutorial
Practical
Lecture
Summary
Lecture
Tutorial
Histopathology
Practical
Museum
Clinical
Total
Term
5
26
9
Term
6
8
1
Term
7
12
5
Term
8
34
6
Term
9
26
14
Term
10
38
17
6
3
3
3
9
9
9
6
9
3
35
18
23
58
55
67
Page 108
Pathology
Total
144
52
36
24
48
304
6. Essential Hematology. Victor Hoffbrand, Paul Moss and John Pettit,Blackwells 5th edition,
2006.
7. Diagnostic Function tests in chemical pathology. Lascelles, P. T and Donaldson, D,
Springer, 1990.
5.14.4. Evaluation
Type of
Examination
1
2
3
4
5
Distribution
of MarksFirst
examination
Distribution
of MarksDetails of evaluation
subsequent
examinations
100
30
30
10
100
30
30
10
10
10
20
20
10 min/ student
Qualifying
pass marks
(%)
40 % in
Theory
Page 109
Pathology
5.15. Pharmacology
[Person in Charge- Head Pharmacology]
Describe how drugs act and interact in disease and how evidence of therapeutic effect is
obtained and evaluated.
Outline the symptoms, signs and therapeutics of common diseases of all systems.
Judge the benefits and risks of drugs before prescribing drugs in their carrier as a doctor.
Deliver the knowledge to peers, other members of the health care team, patients and the
public.
Page 110
Pharmacology
Phase II
Term 5
2
3
1
2
2
1
1
1
1
1
Lecture
Lecture
Lecture
BST
Lecture
Lecture
Lecture
Lecture
Lecture
SGD
1 Lecture
2
1
1
1
1
1
1
Lecture
Lecture
Tutorials
Lecture
SGD
Lecture
SGD
Pharmacology
Pharmacology
Pharmacology
Pharmacology
Pharmacology
Pharmacology
Pharmacology
Pharmacology
Pharmacology
Pharmacology
Pharmacology
Pharmacology
Pharmacology
Term 6
Immunopharmacology
2
1
1
2
2
Lecture
Lecture
Lecture
Lecture
Lecture
1 Lecture
1 Lecture
1 Lecture
Immune modulators
Drugs Acting on Autonomic Nervous System
Cholinomimetics
Anticholinergics
Sympathomimetics
Sympatholytics
Antimicrobials
Introduction to Chemotherapy
Sulphonamides
Quinolones & Urinary Antiseptics
Pharmacology
Pharmacology
Pharmacology
Pharmacology
Pharmacology
Pharmacology
Pharmacology
Page 111
Pharmacology
Lecture
Lecture
Lecture
Lecture
Lecture
Lecture
Lecture
Lecture
Lecture
BST
BST
Pharmacology
Pharmacology
Pharmacology
Pharmacology
Pharmacology
Pharmacology
Pharmacology
Pharmacology
Pharmacology
Term 7
2 Tutorial
1 Lecture
1 Lecture
Antimicrobials
Antifungal agents
Antihelminthic agents
Pharmacology
Pharmacology
Phase III
Term 8
2 Lecture
1 Lecture
Pharmacology
Pharmacology
2 Lecture
Antianginal agents
Pharmacology
2 Lecture
Antihypertensive agents
Pharmacology
2 Lecture
Pharmacology
1 Lecture
Antiarrhythmic agents
Pharmacology
1 Lecture
Antihyperlipidaemic agents
Pharmacology
1 Lecture
2 Lecture
2
1
2
2
Lecture
Lecture
Lecture
Lecture
Page 112
Pharmacology
Pharmacology
Pharmacology
Medicine & Therapeutics
Medicine & Therapeutics
Medicine & Therapeutics
Medicine & Therapeutics
Lecture
Cardiac Arrest
Lecture
Rheumatic Fever
1
1
1
1
Lecture
Tutorial
Tutorial
Tutorial
Endocarditis
Angina & Myocardial Infarction
Hypertension
Cardiac Failure
Therapeutics
(Paediatrics)
Medicine & Therapeutics
1
2
Lecture
Lecture
1
1
Lecture
BST
Lecture
1
2
1
1
Lecture
Lecture
Lecture
Tutorial
1
1
1
1
Lecture
Lecture
Lecture
Lecture
1 Lecture
1 Lecture
Hepatitis
2 Lecture
1 Lecture
Haematemesis
1 Lecture
1 Tutorials
Peptic Ulcer
Lecture
Pharmacology
Pharmacology
Pharmacology
Pharmacology
Pharmacology
Medicine &
Therapeutics
Medicine &
Therapeutics
Medicine &
Therapeutics
Medicine &
Therapeutics
Medicine &
Therapeutics
Medicine &
Therapeutics
Page 113
Pharmacology
Term 9
3 Lecture
Rheumatology
Rheumatoid arthritis, Gout, SLE
2 Lecture
Nephrology
Acute Renal Failure
2 Lecture
2 Lecture
Nephrotic Syndrome
1 Lecture
1 Lecture
1 SGD
1
1
2
2
1
Lecture
Lecture
Lecture
Lecture
Lecture
1 Lecture
1 Lecture
2 Lecture
1 BST
1 Lecture
2 Lecture
2 Lecture
Pharmacology
Medicine &
Therapeutics
Medicine &
Therapeutics
Medicine &
Therapeutics
Medicine &
Therapeutics
Medicine &
Therapeutics
Medicine &
Therapeutics
Pharmacology
Pharmacology
Pharmacology
Pharmacology
Therapeutics
(Gyn&Obs)
Therapeutics
(Gyn&Obs)
Therapeutics
(Gyn&Obs)
Pharmacology
Pharmacology
Medicine &
Therapeutics
Medicine &
Therapeutics
Medicine &
Therapeutics
2 Lecture
Medicine &
Therapeutics
Medicine &
Therapeutics
Diabetes Mellitus
Thyroid Dysfunction
Toxicology
Heavy metals poisoning and Chelating agents
Mangement of poisoning
Pharmacology
Pharmacology
1 Lecture
1 Tutorial
1 Tutorial
1 Lecture
1 Lecture
Term 10
1 Lecture
1 Lecture
Epilepsy
1 Lecture
Parkinsonism
1 Lecture
Myasthenia Gravis
2 Lecture
1 BST
1
1
1
1
1
2
1
1
1
Lecture
Lecture
Lecture
Lecture
Lecture
Lecture
Lecture
Lecture
Lecture
1 Lecture
1 Lecture
1 Lecture
Pharmacology
Pharmacology
Pharmacology
Pharmacology
Pharmacology
Pharmacology
Pharmacology
Pharmacology
Pharmacology
Pharmacology
Pharmacology
Pharmacology
Medicine &
Therapeutics
Medicine &
Therapeutics
Medicine &
Therapeutics
Medicine &
Therapeutics
Medicine &
Therapeutics
Page 115
Pharmacology
Epilepsy
Parkinsonism & Myasthenia Gravis
Prescribing in CNS disorders
Chemotherapy of Neopalstic Diseases
Drugs used in cancer chemotherapy
Miscellaneous
Therapeutic Gases
Life-Style Drugs, Drugs in Sports, Biopharmaceuticals & Gene Therapy, Stem Cell
Therapy
Pharmacology
Pharmacology
Pharmacology
Summary
Pharmacology
Lectures
Medicine
&Theraputics
Tutorial
SGD
BST
Demonstration
Seminar
Assessment
Total
Term
5
Term
6
Term
7
Term
8
Term
9
Term
10
Total
18
24
22
17
92
0
1
3
2
0
0
0
24
0
0
0
2
0
0
0
26
0
2
0
0
0
0
0
4
24
6
1
1
0
0
2
56
23
2
1
1
0
0
0
36
6
2
1
1
0
0
2
29
53
13
6
7
0
0
4
175
Page 116
Pharmacology
Page 117
Pharmacology
Pharmacology
Type of
Examination
Distribution
of MarksFirst
examination
Distribution
of Markssubsequent
examinations
In-course
1.1. assessment
10
20
20
70
15
80
15
15
15
2.2. Essay
20
30
2.3. OSCE
2.3. Viva
10
10
10
10
Page 118
Pharmacology
Details of Evaluation
2 in-course
assessments
Student has to redo
the sections scored
less than 50% in the
first attempt
Qualifying
pass marks
(%)
40%
30 questions, 1 hour
20 Questions, 1 hour
4 Questions
Pharmacology, 2
QuestionsTherapeutics,
3 hours
5 Stations
10 min / student
40% in
theory
5.16. Psychiatry
[Person in Charge- Head Psychiatry]
Page 119
Medicine
Term 5
Introductory Course
1 Lecture
1
Lecture
1 Lecture
1 Lecture
1 Lecture
Term 6
3
2
3
2
4
2
4
1
1
1
1
2
4
1
1
Lecture
Lecture
Lecture
Lecture
Lecture
Lecture
Lecture
Lecture
Lecture
Lecture
Lecture
Lecture
Lecture
Lecture
Lecture
Medicine
Term 7
2
2
2
2
2
Lecture
Lecture
Lecture
Lecture
Lecture
Lecture
Lecture
Lecture
Lecture
Lecture
Lecture
Lecture
Phase III
Term 9
2
2
2
2
1
1
1
1
2
1
Lecture
Lecture
Lecture
Lecture
Lecture
Lecture
Lecture
Lecture
Lecture
Lecture
Page 121
Medicine
Summary
Lecture
Clinical
Total
Term
5
5
Term
6
36
Term
7
0
Term
8
17
Term
9
15
Term
10
0
36
17
15
Total
73
336
409
5.16.3. References
1. Psychiatry: Oxford core texts. Michal.G.Gelder, Richard Mayou, John Geddes. 3rd edition,
Oxford: Oxford University Press, 2005.
2. Shorter Oxford Textbook of Psychiatry. Michal Gelder, Phillip Cowen, and Paul Harrison.
5th edition, Oxford: Oxford University Press, 2006.
3. Companion to psychiatric studies. 6th edition, edited by Eve C.Johnstone, C.P, L, Freeman
and A.k. Zealley, Edinburgh: Churchill Livingstone, 1998.
4. Introductory Text Book of Psychiatry. Nancy C Anderson & Donald W.Black. 4th edition,
American Psychiatric publishing, 2006.
5. Text Book of Psychiatry. Edited byLinford Rees, London: Arnold, 1997.
6. Oxford hand book of psychiatry. David Semole, [et-al], Oxford: Oxford University Press,
2005.
5.16.4. Evaluation
Type of Examination
1
2
3
3
6
7
Distribution
of MarksFirst
examination
Distribution
of MarksDetails of evaluation
subsequent
No. of hrs No. of question
examinations
etc.
25
25
25
15
10
25
25
25
15
10
100
100
Page 122
Medicine
8 questions-3hr
40 questions
1 case
2 cases
Qualifying
pass marks
(%)
45%
50%
50%
5.17. Medicine
[Person in Charge- Head Medicine]
Page 123
Medicine
Term 8
Cardiovascular system - 02
1
Lecture
Lecture
Lecture
Lecture
Lecture
1
1
1
1
1
Lecture
Lecture
Lecture
Lecture
Lecture
Ca bronchus
Occupational lung disease
Interstitial lung disease, eosinophilia
Gastroenterology - 05
Oesophagus GORD
Small intestine malabsorption
Large intestine dysenteries
IBD
Hepatitis & miscellaneous
Term 9
Nephrology - 03
3
Lecture
Term 10
Neurology - 05
1
2
1
1
Lecture
Lecture
Lecture
Lecture
Cerebrovascular disease
Extrapyramidal synd, syringomyelia, MND
Paraplegia
Peripheral neuropathy
Haematology 05
1
1
1
1
1
Lecture
Lecture
Lecture
Lecture
Lecture
Page 124
Medicine
Summary
Lecture
Clinical
Total
Term
5
Term
6
Term
7
Term
8
10
Term
9
3
Term
10
10
10
10
Total
23
968
991
5.17.3. References
1. Clinical medicine. Parveen Kumar and Michael Clark, 6th edition, Edinburgh Elsevier,
2005.
2. Davidsons principles & practice of medicine. 20th edition, Edited by Nicholas A. Boon
[et-al], Edinburgh: Churchill Livingstone, 2006.
3. Chamberlains symptoms and signs in Clinical Medicine: An Introduction to Medical
Diagnosis. Colin Ogilvie and Christopher C Evans, 12th editon, Oxford: Butterworth, 1997.
4. Hutchisons clinical Methods.22nd edition, edited by Michael Swash, Edinburgh: W B
Saunders, 2007.
5. Clinical examination. Nicholas J Talley and Simon OConnor, 5th edition,
Churchill Livingstone, 2005.
Edinburgh:
6. Oxford Text book of Medicine vol. I, II & III, 4th edition, edited by Weatherall D. J., T.M.
Cox and Warrel D. A, Oxford: Oxford University Press, 2005.
7. Harrisons principles of internal medicine Vol I & II. 16th edition, edited by Dennis
Kasper [et-al], New York: McGraw Hill, 2005.
8. Ministry of Healthcare & Nutrition National Guidelines, Sri Lanka, 2007.
Page 125
Medicine
Medicine
Type of Examination
1 In course
Assessment:
2
2.1.
2.2.
2.3.
End of course
MCQ
Essay
Clinicals
Distribution
of MarksFirst
examination
Distribution
of Markssubsequent
examinations
20
80
20
20
100
30
30
20
20
20
20
Details of evaluation
No. of hrs No. of
question etc.
a) Pre-professorial2.5x 2 = 5 marks
b) Professorial- 15
marks
Qualifying
pass marks
(%)
30 SBA questions- 10
marks 20 T/F
questions - 10 marks
10 SEQs -3hrs
45% in
theory
50% in
clinical
examination
Page 126
Medicine
Page 127
Obstetrics & Gynaecology
Summary
Term
5
Lecture
Clinical
Total
Term
6
Term
7
Term
8
Term
9
Term
10
Term
11
Total
608
608
5.19.3. References
1. Ash Monga, Stephen Dobbs. Gynaecology by Ten Teachers. Nineteenth
Edition. Hodder Arnold London 2011.
2. Philip N.Baker, Louise C Kenny. Obstetrics by Ten Teachers. Nineteenth
Edition. Hodder Arnold London 2011.
3. S.Arulkumaran, V.Sivanesaratnam, A.Chatterjee, P.Kumar. Essentials of
Obstetrics. Second edition. New Delhi 2011.
4. S.Arulkumaran, V.Sivanesaratnam, A.Chatterjee, P.Kumar. Essentials of
Gynaecology. Second edition. New Delhi 2011.
Additional references:
1. D.Keith Edmonds. Dewhursts Te t ook of O stetri s & G nae olog .
Seventh Edition. Blackwell Publishing 2007.
2. MRCOG and Beyond Series. Second Edition. RCOG Press, London.
Page 128
Obstetrics & Gynaecology
Distribution
of MarksFirst
examination
Distribution
of Markssubsequent
examinations
Details of evaluation
No. of hrs No. of
question etc.
In-course
End of course
1 Essay(3 hours)
90
20
100
20
2 MCQ
3 Viva Obs, gyn
20
10
20
20
40 Questions
10 + 10 min / student
4 Obstetric case
5 Gynaecological
case
20
20
20
20
30 min
30 min
Qualifying
pass marks
(%)
10
45 % in
theory
50%
Page 129
Obstetrics & Gynaecology
5.19. Paediatrics
[Person in Charge- Head Paediatrics]
Outline the problems of premature babies and babies at risk, investigations on such
babies and their management.
Describe the normal growth and development of children and the problems.
Describe the common illness and outline the less common diseases that affect children.
Commence immediate management and refer patients with complications for specialized
treatment / assist management of such patients.
Identify abused children and outline the different aspects of child abuse and
management.
Term 5
1
2
1
1
1
1
Lecture
Lecture
Skill lab
Lecture
Lecture
Lecture
1
2
Lecture
SGD
Paediatrics
Lecture
Lecture
Lecture
Failure to thrive
Obesity
Micronutrient deficiency
Term 6
1
1
1
1
2
1
1
1
1
2
Lecture
Lecture
Lecture
Lecture
Lecture
Lecture
Lecture
Lecture
Lecture
PBL
Cardiovascular system
Acyanotic heart disease
Cyanotic heart disease
Heart failure
Endocarditis
Acquired heart disease rheumatic fever,
Kawasaki disease
Infection/immunology
Sepsis and shock
PUO
Fever and hepatosplenomegaly
Immunodeficiency
Immunisation
Term 7
1
1
2
1
1
1
1
1
1
1
Respiratory system
Lecture
Wheezing in a child
Lecture
Bronchial asthma
PBL
Devices/modes of drug delivery in asthma
Lecture
Chronic cough
Lecture
Stridor in a child
Lecture
Infection
Hamatology/oncology
Lecture/PBL Anaemia
Lecture
Pancytopenia
Lecture
Malignancies
Lecture
Problems and emergencies in malignancies
Term 8
1
1
1
1
Lecture
Lecture
Lecture
Lecture
Neonatology
Definitions
Respiratory distress
Hypoglycaemia
Jaundice
Page 131
Paediatrics
Lecture
Lecture
Lecture
Lecture
Skill lab
Problems of prematurity
Neonatal seizures
Collapsed baby
Chromosomal abnormalities
Newborn resuscitation
Term 9
1
1
1
1
1
1
1
hour
Lecture
Lecture
Lecture
Lecture
Lecture
Lecture
Lecture
1
1
Lecture
Lecture
1
1
1
1
2
Lecture
Lecture
Lecture
SGD
SGD
JIA
Connective tissue diseases
Renal
Acute/chronic renal failure
Tubulopathy
Voiding dysfunction
UTI
Proteinuria /Haematuria
Term 10
1
1
1
1
1
1
1
Lecture
Lecture
Lecture
Lecture
Lecture
Lecture
SGD
1
1
Lecture
Lecture
Endocrine
Pituitary diseases
Hypo/hyperthyroid
Polyuria and polydipsia
Precocious puberty
Ambiguous genitalia
Calcium metabolism
Emergencies
Child psychiatry
Conduct disorder
Anxiety disorder
Page 132
Paediatrics
Lecture
Lecture
Lecture
Lecture
1
1
1
1
Lecture
Lecture
Lecture
SGD
Lecture
ADHD
Pervasive developmental problems
School problems
Eating disorders
Nervous system
Epilepsy
Floppy child
Altered conscious level
Developmental delay
Misc.
Child protection different aspects
1
1
Lecture
Lecture
Lecture
Research in children
Summary
Lecture
Skill lab
SGD/PBL
Clinical
Total
Term
5
10
1
2
Term
6
10
0
2
Term
7
9
0
2
Term
8
8
2
0
Term
9
12
0
3
Term
10
19
0
2
13
12
11
10
15
21
Total
68
3
11
632
714
5.19.3. References
1. Illustrated Textbook of Paediatrics. Tom Lissauer and Graham Clayden, 3rd edition,
Edinburgh: Mosby, 2007.
2. Nelson Textbook of Paediatrics. Richard E Behrman., Robert M Klieg man and Hal B
Jenson. 19th edition, Phildelphia: Saunders, 2007.
3. Forfar and Arnells Textbook of Paediatrics.6th edition, edited by Neil Mclntosh, Peter J
Helms., and Rosalind L Smyth, Edinburgh: Churchill Living stone, 2003.
4. Robreton, S. Textbook of Neonatology. 4th edition, Churchill Livingstone, 2005.
Page 133
Paediatrics
3rd
5.19.4. Evaluation
Type of Examination
1
2
3
4
5
In course
End of course
MCQ+SBA
Essay
OSCE
Long case
Short case
Distribution
of MarksFirst
examination
Distribution
of Markssubsequent
examinations
Qualifying
pass marks
(%)
10
90
20
20
10
20
20
100
20
20
10
25
25
Page 134
Paediatrics
Details of evaluation
eg. No. of hrs No. of
question etc.
20+30 questions-2hrs
6 questions-3hrs
15 items x 4 min
1 case
2 cases
45 % in
theory
50% in
clinical
5.20. Surgery
[Person in Charge- Head Surgery]
Page 135
Surgery
Term 5
Lecture
Lecture
Lecture
Lecture
Lecture
Lecture
Lecture
Video
3x4
3x4
Skill lab
Skills
lab
General principles
Perioperative care
Preoperative management, Assessment of Fitness for surgery,
Premedication, Consent for surgery and anaesthesia, Risk of
surgery and anaesthesia
Postoperative management critical care and pain management
Anaesthetic management postoperative monitoring, ventilation,
pain.
Nutritional support and fluid & electrolytes
Common postoperative complications- Bleeding, infections, SIRS,
MODS and ARDS
Haemorrhage and blood transfusion
Surgical techniques/technology
Surgical wounds-classification, management principles, healing,
scars, contractures
Surgical techniques - safe surgery, diathermy; Tourniquets in
operating theatre
Surgical procedures- minor procedures, day surgery, endoscopic
and laparoscopic surgery
Surgical procedures- minor procedures, day surgery
Various incisions, wound closure, sutures, basic surgical
instruments; principles of anastomosis
Emergency medicine and management of trauma
Initial assessment of the trauma patient-prehospital care, triage,
clinical assessment, resuscitation - ATLS
Lecture
Lecture
3x4
Skill lab
Lecture
Lecture
Lecture
Lecture
Surgery
TERM 6
1 Lecture
1 Lecture
1 Lecture
1 Lecture
1 Lecture
TERM 7
3x4 Skills lab
3x4 Skills lab
TERM 8
Vascular diseases
1 Lecture Investigations
2 Lecture Problem oriented lecture on Acute and chronic limb ischaemia, Chronic
ulcers of the limb
1 Lecture Lower limb swelling
Thorax
1 Lecture Thorax- lung tumours, mediastinum- mediatinitis and mediastinal
tumours, pleura, diaphragmatic hernia
Acute Thoracic emergencies in surgical patients Hydropneumothorax,
1 Lecture Cardiac tamponade, Congenital or acquired diaphragmatic hernia,
Superior mediastinal obstruction
GIT
GIT- oesophagus
1 Lecture Congenital problem of oesophagus & diaphragm
Page 137
Surgery
Page 138
Surgery
Term 9
1
1
1
1
Lecture
Lecture
Lecture
Lecture
Musculo-skeletal disorders
principles of management of Fractures and dislocations
Upper limb
Pelvis and lower limb
Infection of bone and joints
1 Lecture
TERM 10
1 Lecture
1 Lecture
Breast
The nipple and benign disease of the breast
Breast lump including malignancy & Differential diagnosis
Page 139
Surgery
1
1
1
1
Lecture
Lecture
Lecture
Lecture
1 Lecture
1 Lecture
1 Lecture
1 Lecture
1 Lecture
1 Lecture
1 Lecture
2 Lecture
Summary
Lecture
Skill lab
Video
Clinical
Total
Term
5
14
9
1
Term
6
5
0
0
Term
7
24
Term
8
31
0
0
Term
9
22
0
Term
10
27
0
31
22
27
Page 140
Surgery
Total
99
15
1
1088
1203
Baily and Loves Short Text Book of Surgery.25th edition, Edited by R.C.G. Russell.,
N .L.Williams and Christopher J.K. Bulstrode, London: Hodder and Arnold, 2008.
2.
Scott An Aid to Clinical Surgery. 6th edition edited by Robin C .N Williamson and
Bruce P. Waxman, Edinburgh: Churchill Livingstone, 1998.
3.
4.
5.
Text book of surgery. David A. Macfarlane and Lewis P. Thomas, 5th edition,
Edinburgh: Churchill Livingstone, 1985.
6.
A short text book of surgery. Selwyn Taylor and Leonard Cotton. 5th ed. London:
Hodder and Stoughton, 1982.
7.
Lecture notes on general surgery. Harold Ellis., Sir Roy Y. Calne and Christopher
J.E.Watson, 10th edition, Oxford: Blackwell Scientific, 2002.
8.
A text book of surgical pathology. Illingworth and Dick, London: ELBS, Latest Edition.
9.
Outline of fractures. John Crawford Adams and David L.Hamblen, 11th edition, London:
Churchill Livingstone, 1999.
10. Ward procedures in surgery. Gayan Ekanayake. Edited by Aloka Pathirana, Sri Lanka,
2008.
11. Ministry of Healthcare & Nutrition National Guidelines, Sri Lanka, 2007.
Page 141
Surgery
Distribution
of MarksFirst
examination
In Course Assessment
10
Details of evaluation
No. of hrs No. of
question etc.
At the end of first and
second surgical
appointments. MCQ and
OSCE. 5 marks each
examination
90
100
20
15
25
20
40 questions-2hrs
10 questions-3.5 hrs
10 min / student
Clinical
Examination
4.1. Long case
4.2. Short case
20
20
20
20
4.3. OSCE
10
10
1
2
3
End of Course
Assessment
MCQ
Essay
Viva [instruments
and procedures]
Distribution
of Markssubsequent
examinations
Qualifying
pass marks
(%)
45 % in
theory
Page 142
Surgery
50% in
clinical
Basic &
applied
immunology
13hrs
Parasitology No lectures
General
microbiology
12hrs
PPDS
Sociology
Com.
Medicine
Forensic
Medicine
Pathology
Pharmacolo
gy
Paediatrics
Surgery
Psychiatry
Lectures/
discussions
16hrs
History &
scope of
Medical
sociology
01hr
Introduction
to sociology
03hrs
Social
institutions
03hrs
Health as
social
institutions
08hrs
Theoretical
approaches
on Health
02hr5
Doctorpatient
relationship
02hs
Demography
1 -03hrs
Statistics 104hrs
Introducti
on 05hrs
General
pathology
26hrs
General
principles of
Growth &
development
06hrs
General
principles
15hrs
Introductory
psychology
05hrs
Nutrition
06hrs
Emergency
medicine &
manageme
nt of
Trauma
09hrs
Basic
epidemiolog
y1 09hrs
Child care
05hrs
Nutrition
07hrs
Medical
Ethics
14hrs
Neoplasm
09hrs
Pharmacology
25hrs
Medicine No lectures
Microbiology
Page 143
Synchronization- Phase II and Phase III
Term 6
PPDS
Sociology
Com.
Medicine
Forensic
Medicin
e
Systemic
Protozoa Lectures/ Health
Reproductive Death &
microbiology 26hrs discussions social
Health 1post
16hrs
15hrs
psychology 04hrs
mortem
02hrs
27hrs
Social
work &
Environment
Physical
al &
healthcare Occupational
02hrs
health 103hrs
Communicable
Mycology
Globalisation,
consumption diseases
8hrs
& health 19hrs
Virology
02hrs
12hrs
Page 144
Synchronization- Phase II and Phase III
Pathology
Pharmacol
ogy
Paediatrics
Disorders
of
immunity
& immune
response
07hrs
Immunopharmacolo
gy 02hrs
CVS 06
hrs
Tissue
Infection &
Surgical
Immunology
microbiology
Clinical
pathology
11hrs
Antimicrobials
Drugs
acting on
ANS
05hrs
18hrs
Medicine No Lectures
Microbiolog Parasito
y
logy
06hrs
Surgery
transplantation
- 01hr
Psychiatry
Basic
psychology
20hrs
02hrs
Management
& legal
issues
02hrs
Clinical
psychology
- 16hrs
Term 7
Microbiolo
gy
Parasitology
Forensic
Medicine
Pathology
Pharmacol
ogy
Paediatrics
Clinical
Helminthes Lectures/
HIV/AIDS Health
Injuries
26hrs
discussions vulnerability planning &
30hrs
02hrs
18hrs
management
1 03hrs
Health
economics 1
02hrs
Environme
ntal
diseases
03hrs
Anti
protozoal &
anti
helminthics
04hrs
RS - 07hrs
Arthropods
13hrs
Health
Education 103hrs
Family
medicine
08hrs
Snakes
06hrs
Zoonosis
04hrs
Com.
Medicine
Malaria,
Dengue &
human
behavior
02hrs
Epidemiology
2 06hrs
Research 1
13hrs
Cardiovascular
system
20hrs
Surgery
Surgical
procedures
06hrs
Haematology
/ oncology
04hrs
Psychiatry No lectures
28hrs
Sociology
Medicine No lectures
microbiology
PPDS
Page 145
Synchronization- Phase II and Phase III
PPDS No lectures
Sociolog
Com.
y
Medicine
Research Statistics 2
methods
09hrs
in
medical
sociology
07hrs
Forensic
Medicine
Asphyxia
10hrs
Pathology
Pharmacology
Medicine
Paediatrics
Respiratory
system 20hrs
Drugs acting on
kidneys 03hrs
Drugs acting on
blood & blood
forming organs
03hrs
Drugs acting on
CVS 08hrs
Disorders of
cardiovascular
system 10hrs
Autacoids
&related drugs
06hrs
Disorders of
respiratory
system 07hrs
Drugs acting on
GIT 04hrs
Cardiovascular
system 02hrs
Neonatology
10hrs
Noncommunicable
Diseases 08hrs
Alimentary
system 38hrs
Family Medicine
2 6hrs
Research 2 3hrs
+ (60hrs) *
Statistics 3 4hrs
Elective field
activity 90hrs*
Disorders of
GIT 09hrs
Page 146
Synchronization- Phase II and Phase III
Surgery
Psychiatry
Vascular
diseases
04hrs
Basics in
family &
social
psychology
10hrs
Thorax
02hrs
GIT &
abdomen
25hrs
Forensic
psychiatry
07hrs
Respiratory
system 03hrs
Gastroenterology
05hrs
Term 9
PPDS
Sociology
Com.
Medicine
Lectures/
Suicide &
discussions public
10hrs
health
problem
02hrs
Reproductive
Alcoholism
Environmental
02hrs
Sociology
of
Violence
& conflict
management
02hrs
health 2
07hrs
&
occupational
health 209hrs
Family
medicine 3
21hrs
Health
planning &
management
2 05hrs
Forensic
Medicine
Sexual
offenses
14hrs
Pathology
Musculoskeletal
system
16hrs
Urinary
system
26hrs
Poisoning
13hrs
Endocrine
diseases
13hrs
Pharmacolog
y
Rheumatology
03hrs
Medicine
Nephrology
09hrs
Nephrology
03hrs
Hormones &
related drugs
14hrs
Endocrine
disorders
11rs
Toxicology
02hrs
Paediatrics
Surgery
Psychiatry
Musculoskeletal 9hrs
Adult
psychiatry
15hrs
Musculoskelet
al system
02hrs
Principles of
oncology
08hrs
Renal -06hrs
Endocrine
05hrs
Page 147
Synchronization- Phase II and Phase III
Term 10
Lectures/
discussions
08hrs
Gender &
Health - 02hrs
Com.
Medicine
Health economics 2
02hrs
Healthcare
reform, Policy
& disease
control
priorities in
developing
countries
02hrs
Reproductive health 3
04hrs
Environmental &
occupational health
3- 03hrs
Health planning &
management 3
04hrs
Special topics 07hrs
Tutorials 10hrs
Pathology
Pharmacology
Female genital
system 10hrs
Drugs acting on
CNS & Psychopharmacology
12hrs
Disorders of CNS
09hrs
Endocrine
07hrs
Psychiatry
06hrs
Male genital
system 15hrs
Nervous system
05hrs
Cancer
chemotherapy
02hrs
Lymphoreticular tissues
&haematologic
al disorders
38hrs
Miscellaneous
03hrs
Page 148
Synchronization- Phase II and Phase III
Medicine
Neurology
05hrs
Paediatrics
Nervous
system
04hrs
Miscellaneous
Haematology 04hrs
05hrs
Surgery
Breast
02hrs
Genitourinary
system
10hrs
Head &
neck
03hrs
Eye 04hrs
ENT
08hrs
Psychiatry No lectures
Sociology
PPDS
Term
6
Term
7
Term
8
Term
9
Sociology
PPDS
Microbiology
Parasitology
Community Medicine
Com Med Field, Res
Forensic Medicine
Pharmacology
Pathology
Psychiatry
Medicine
Obstetrics &
Gynaecology
19
16
25
0
28
6
16
35
20
26
7
0
7
10
6
8
32
27
26
18
36
0
30
150
10
56
58
17
10
42
19
24
35
5
0
4
18
28
49
30
5
30
4
23
0
0
37
36
55
15
3
29
67
0
10
49
68
88
69
188
155
123
175
256
73
23
Paediatrics
Surgery
Total
Available [12x5x4 Hr]
13
24
208
240
12
5
227
240
11
6
203
240
10
31
229
240
15
22
242
240
21
27
200
240
82
115
1464
Subject
Term
10
Total
Page 149
Synchronization- Phase II and Phase III
576
12.8
714
1203
192
7306
19.5
31.8
4.3
257.3
Page 150
Synchronization- Phase II and Phase III
Chapter 6
In-course
reasons, they will be given zero mark for that examination. A portion of the final marks of
the first attempt will be obtained from the in-course assessment marks.
The
components may vary according to the nature of the subject. Attempts will be made to
make the evaluation objective by giving structured questions for theory and converting
conventional clinical and practical examinations into Objective Structured Clinical
Examinations and Objective Structured Practical Examinations.
6.2.1. Eligibility to Sit for the First Examination for Medical Degrees
section 6.1.3.3).
The student must have passed the Information Technology examination (see
The student must have passed the English examination (see section 6.1.4.2).
The student must have passed PPDS examination for Phase I (see section
5.4.4.).
Page 151
Evaluation
The student must have at least 80% attendance practical and tutorial classes of
all the subjects.
The student must have completed the course in all subjects and should have
obtained the signature of each Head of each Department in the student record
book and the application form.
The student must have at least 80% attendance in practical and tutorial
The student must have completed the course in the two subjects and should
have obtained the signature of the Head of the Department in the student
record book and the application form.
The
subjects
are
Community
Medicine,
Forensic
Medicine,
PathologyandPharmacology.
5.4.4.).
The student must have passed PPDS examination for Phase III (see section
The student must have at least 80% attendance in practical and tutorial
The student must have completed the course in the subjects and should have
obtained the signature of each Head of each Department in the student
record book and the application form.
Page 152
Evaluation
The examination
scheduled immediately after the completion of the course shall be deemed to be the
first attempt. Students will be allowed to sit 4 scheduled attempts at the first
examination and 6 scheduled attempts at the other examinations. If any student
misses the scheduled examination for not fulfilling the above mentioned criteria or
for any other reason, the student will be deemed to have failed that
examinationunless the absence at the examination is excused by the Faculty and the
Senate. If any student happens to be unable to appear at the examination due to ill
health, the student should get examined by the UMO or a Consultant at the
Teaching Hospital or a Government Medical Officer if the student is in a faraway
place. The medical certificate should be duly certified by the UMO and submitted
to the Faculty within Two weeks. Medical certificates or any appeal of excuses
will not be accepted after releasing the results of the examination.
An additional grace chance may be granted under exceptional circumstances for
students who have not completed any examination within the stipulated number of
attempts if the appeal of the student is well supported by authenticated documents
and accepted by the Faculty Board and approved by the Senate.
Page 153
Evaluation
Subject
1
2
3
4
5
6
7
8
9
10
11
12
13
14
Anatomy
Biochemistry
Physiology
Forensic Medicine
Microbiology
Parasitology
Community Medicine
Pathology
Pharmacology
Psychiatry
Medicine
Obstetrics &
Gynaecology
Paediatrics
Surgery
10
20
20
10
10
20
15
20
20
10
10
Page 154
Evaluation
20
20
20
20
20
20
10
100
100
100
6.3.2.
Clinical
Practical/
OSPE/ Practical/
Spot 1/
OSCE / Short
Research Viva Total
Long case/
Essay MCQ
Study
Spot 2 case/
Gynaecology
Obstetrics
guide
Theory
Subject
1
2
3
4
5
6
7
8
9
10
11
12
13
14
Anatomy
Biochemistry
Physiology
Forensic Medicine
Microbiology
Parasitology
Community Medicine
Pathology
Pharmacology
Psychiatry
Medicine
Obstetrics &
Gynaecology
Paediatrics
Surgery
30
40
35
50
35
60
70
30
30
25
30
30
40
35
20
20
20
20
20
25
35
30
30
25
30
10
10
10
20
15
20
10
10
20
10
10
10
10
25
20
25
20
20
20
25
20
25
20
20
10
20
30
15
15
30
20
10
100
100
100
100
100
100
100
100
100
100
100
20
100
100
100
Page 155
Evaluation
The students should obtain the marks of 50% or above and obtain the qualifying
marks in the specified components to pass any subject.
Qualifying markis 40% in the theory component [MCQ and Essay] in each of the
pre-clinical and para-clinical subjects. Qualifying mark for the clinical subjects is,
45% in theory [MCQ and Essay] and 50% in clinical component [short case and
long case in Medicine, Surgery, Paediatrics and Psychiatry and Obstetric &
Gynaecological cases in Obstetrics & Gynaecology].
Any student who fails to appear at any scheduled examination will be deemed to
have failed that examination [First and Final Examinations for medical degrees] or
part of the examination [Part I or Part II of the Second Examination for medical
degrees] unless an excuse is accepted by the Faculty Board and approved by the
Senate.
the examination.
If any student obtains less than 25% in any one subject, the student will be failing
If any student obtains less than 50% in all subjects, the student will have failed in
If any student fails to obtain the qualifying marks, the student will fail in that
If the student passes one or more subjects and fails to pass in other subjects, the
student will be deemed to have referred in the unsuccessful subjects.
Page 156
Evaluation
Award
50-59
Pass
60-64
65-69
70 or above
First Class
Page 157
Evaluation