CURRICULUM OF MEDICINE - imc.edu.pk · CURRICULUM IMC 1 CURRICULUM OF MEDICINE MBBS COURSE Contents...

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1CURRICULUM IMC

CURRICULUM OF MEDICINEMBBS COURSE

Contents

S. No. Subject Page No.

1. Introduction 02

2. Educational Hours 03

3. Learning Outcomes 04

4. Educational Strategies 05

5. Assessment 06

6. Learning Resources 07

7. Contents Modules 08

8. Implimentation 09-12

9. Programme Evaluation 13

10. Table of Specification 14-17

11. Modules 18-26

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2CURRICULUM IMC

INTRODUCTION

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3CURRICULUM IMC

MEDICINE

Year Theory Practical Total

1st year 25 hours 25 hours 50

2nd year 25 hours 25 hours 50

3rd year 25 (Medicine) 50 (Medicine Rotation 4 weeks)

75 (Specialities Rotation 6 weeks)

75 (Med)75 (Spe)

4th year 25 (Medicine)25 (Specialites)

50 (Medicine Rotation 4 weeks)


75 (Med)100 (Spe)

5th year 100 (Medicine) 75 (Specialites)

150 (Medicine Rotation 6 weeks)


250 (Med)275 (Spe)

Total 200 hours (Medicine) 100 hours (Specialities)

300 hours (Medicine)350 hours (Specialities)

500 (Med)450 (Spe)

Strategy

LecturesProblem based learningSmall group discussionCase based discussion

Clinical attachmentEvening duties in wardsClinical skills laboratoryEarly clinical exposure

EDUCATIONAL HOURS

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4CURRICULUM IMC

AT THE END OF CURRICULUM STUDENT WILL BE ABLE TO

• Take a focused history

• Perform physical examination(s) in order to identify specific problems

• Formulate a provisional diagnosis problems, Order appropriate investigations for common

surgical problems

• Formulate management plans in partnership with Using cost-effective best evidence

• Competent graduates require professional values, attitudes and behaviors that embody good

medical practice, that is, life-long learning, altruism, empathy, cultural and religious sensitivi-

ty, honesty, accountability, probity, ethics, communication skills, and working in teams

• Can demonstrate knowledge of basic medical and clinical sciences required for the practice

of surgery.

• Can display the ability to critically evaluate existing knowledge, technology and information,

and to be able to reflect on it, is necessary for solving problems.

• Perform basic procedures with the consent of the patient, ensuring infection control

• Medical and dental graduates must continually acquire new scientific knowledge and skills to

maintain competence, and incorporate it into their day-to-day medical practice.

• Graduates should be able to demonstrate Communication Skills, when dealing with patients

and their families, nurses, other health professionals, community, the general public and the

media.

LEARNING OUTCOMES

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5CURRICULUM IMC

EDUCATION STRATEGIES

The educational strategies in this curriculum are multiple and aligned with domain of learning and according to the desired outcome

Interactive lecturesOne-third of the curriculum will be delivered in a traditional didactic format including PowerPoint presentations and case discussions. Didactic education is considered to be a one-way transmis-sion of material from teacher to learner, we cannot overlook the possibility of meaningful interac-tion between experts and learners during live lectures. This type of interaction, which allows for immediate clarification of concepts and extension of knowledge, may be particularly important for novice learners who have relatively little exposure to the subject matter, such as our study population(4).

Case based DiscussionA lot of emphasis is on case based discussion during ward placement. Problem-based learning (PBL) is complex and heterogeneous. A wide variety of educational methods are referred as PBL. These include Lecture-based case, Case based lecture, Case based discussions, Problem or inquiry based and Closed loop or reiterative. Incorporation of case based discussion in teaching enhances the critical thinking and problem-solving skills. It also helps in developing a broader prospective of clinical case scenarios (5).

Small Group DiscussionSmall group discussion provides a unique environment to achieve high standards in medical edu-cation. Activation of prior knowledge, exchange of ideas, and engagement at a higher cognitive level are assumed to result in deeper learning and better academic achievements by students (6).

Clinical Skills SessionsClinical skills session are important part of curriculum to achieve psychomotor and affective outcomes. Learning manual skills is a fundamental part of health care education, and motor, sensory and cognitive learning processes are essential aspects of professional development. Simulator training has been shown to enhance factors that facilitate motor and cognitive learning. Students learned manual skills, how to perform the procedure, and professional behaviour. They learned by preparing, watching, practising and reflecting. The simulator contributed by providing opportunities for students to prepare for the skills training, to see anatomical structures, to feel resistance, and to become aware of their own performance ability (7).

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6CURRICULUM IMC

ASSESSMENT MCQ’s and SEQ’s Multiple choice question and short essay question test will be used at the end of part of curric-ulum to assess the learning of knowledge. These all assessment exercises will be formative. The written tests like Multiple-Choice Questions (MCQs) and Short-Essay Questions (SEQs) test formats are used for the assessment of cognitive domain. The MCQs are more objective and essentially select type of item response format. MCQs have a cueing effect, which promotes guessing and leads to higher scores. In addition, writing MCQs of higher cognitive level of prob-lem solving is challenging. On the contrary, the SEQs are more subjective and have a supply or construct type item response format, which does not have any cueing effect and can effectively assess problem solving skills(8).

OSCE AND SHORT CASEShort case and OSCE will be used to evaluate clinical skills and procedural skills at the ward end of placement. The OSCE is a method of clinical skill assessment, and it has been reported to be appropriate for assessing learning achievement levels in the psychomotor and emotional domains, which are difficult to evaluate with written examinations(9).

CLINICAL LOG BOOKClinical log book is meant for self directed learning (SDL) and assessment of students. The clini-cal logbook includes reflection which helps the students to set educational goals.

MINI-CEXMini-CEX is used to assess the clinical skills and problem solving skills of medical students. This is the tool used by clinical teachers. This can assess all three domains, Pyschomotor, cognitive and affective. This also used as formative assessment.

INTERNAL ASSESSMENT i. The weightage of internal assessment shall be 10% of totals marks. ii. Continuous internal assessment shall consist of evaluation at the end of each assignments,

e.g. stages/sub-stage, class tests etc., attitudinal assessment from educational supervisors. iii. Assessment of knowledge, Skills and Attitude shall contribute toward internal assessment.

Methods used to assess these domains shall include Multiple Choice Questions of one-best type, Short essay questions, Oral/Viva, and Practical/Clinical axaminations.

iv. The score of internal assessment shall contribute to the score in the final examination, Final university examination of each subject shall contribute 90 to total score, and the candidate shall pass in aggregate.

v. Proper record of continuous internal assessment shall be maintained.

Evaluation plan

Each Module Written test (MCQ and SEQ) Formative

After 12 weeks of ward placement Ward test (OSCE and short case) Formative

At end of 36 weeks Send up exam (MCQ and SEQ)Viva voce Formative

Annual University Professional exam Summative

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7CURRICULUM IMC

LEARNING RESOURCESThe department of medicine will require following resources for implementation resources:

• Human resource

• Instructors (faculty members 8)

• Curriculum coordinator curriculum secretary

• Infrastructure

• Lecture hall with AV aids

• Tutorial room with AV aids

• Clinical skills Lab with manikins

• Simulated patients and simulated manikins

• Computers

LISTS OF CONTENT RESOURCES• Practice of Medicine by Davidson.

• Clinical Medicine by Parveen J Kumar & Michaell, Clark

• Hutchison’s Clinical Methods by Michael Swash. 21st edition

• Oxford Text Book of Psychiatry

• ABC of Dermatology. Latest Edition.

• Online Journals and Reading Materials through HEC Digital Library Facility

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8CURRICULUM IMC

COURSE CONTENTS

3rd Year

1st Term History TakingGPE

2nd Term Symptoms and examination of GITSymptoms and examination of CNS

3rd Term Symptoms and examination of Respiratory systemSymptoms and examination of Cardiovascular System

4th Year

1st Term Infectious DiseasesPsychiatry

2nd Term Infectious DiseasesDermatology

3rd Term Hematology, oncologyNephrology and electrolyte

Final Year

1st Term Gastroenterology HepatologyCardiovascular System

2nd Term Diabetes MellitusEndocrinologyRheumatology

3rd Term Respiratory systemCNS

CONTENTS MODULES

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9CURRICULUM IMC

IMPLEMENTATIONThe curriculum will be spread over 5 year with 36 working weeks each year. During this period student will be exposed to various education strategies to achieve the learning objectives.

1st Year.In this year student will be exposed to do early clinical exposure to develop understanding of applied aspects of basic sciences.

Theory (Lecture, SGD and PBL) Practical (Early clinical exposure, Skills lab)

25 Hours (36 Weeks) 25 Hours

2nd Year.In this year student will be exposed to do early clinical exposure to develop understanding of applied aspects of basic sciences.

Theory (Lecture, SGD and PBL) Practical (Early clinical exposure, Skills lab)

25 Hours (36 Weeks) 25 Hours

3rd Year.In this year student will be placed on ward attachments and formative assessment of clinical skills will be started.

Theory (Lecture, SGD and PBL) Practical (Ward Placement, Skills lab)

25 Hours (36 Weeks) 125 Hours (12 Weeks)

4th Year.In this year student will be placed on ward attachments and clinical skills lab. formative assess-ment of clinical skills will be started.



Final Year.In this year student will be placed on ward attachments and clinical skilsl lab. All students will be assessed for knowledge and clinical skills during year. This year will have summative assessment as final professional at the end of year.



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10CURRICULUM IMC

THIRD YEAR WARD ROTATION IN MEDICINEDuration: 8 weeks (100 hours)Location: ward, OPD, Tutorial roomTutors: Assistant professor, associate Professor, Professor

Ward C P A % age Assessment

Week 1 History Taking C2C2

P1P1

A1A1 15

Ward testMini CEXOSPE

Week 2 GPE C2C2

P1P1

A1A1 15


Week 3 Examination of GIT C2C2

P1P1

A1A1 15


Week 4 Examination of GIT C2C2

P1P1

A1A1 15


Week 5 Examination of CVS C2C2

P1P1

A1A1 10


Week 6 Examination of CVS C2C2

P1P1

A1A1 10


Week 7 Examination of Respiratory SystemC2C2C2

P1P1P1

A1A1A1

10Ward testMini CEXOSPE

Week 8 Examination of Respiratory SystemC2C2C2

P1P1P1

A1A1A1


Week 9 Examination of cranial nerves C2 P1 A1 A1Ward testMini CEXOSPE

Week 10 Examination of Motor system and cerebellum C2 P1 A1


Week 11 & 12

Examination of sensory systemRevision and assessment.

Evaluation:• Attendance of 75% is mandatory• 15 clinical histories must be completed on history register• Every Saturday will be formative assessment for course work of that week• End of course work will be ward test • Ward test will be OSPE and 2 short cases

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11CURRICULUM IMC

FOURTH YEAR WARD ROTATION IN MEDICINEDuration: 8 weeks (100 hours)Location: Ward, OPD, Tutorial roomTutors: Assistant Professor, Associate Professor, Professor

Ward C P A % age Assessment

Week 1 History taking and Differential Diagnosis

C2C2C3

P2P2

A2A2 15


Week 2 General Physical Examination and interpretation

C2C2C3

P2P2

A2A2 15


Week 3 History and Examination of GIT

C2C2C3C3

P2P2

A2A2 15


Week 4 History and Examination of Respira-tory System

C2C2C3

P2P2

A2A2 15


Week 5 History and Examination of CVSC2C2C3

P2P2

A2A2 10


Week 6 History and Examination of CNS

C2C2C3C3

P2P2

A2A2 10


Week 7History and Examination of patients with Diabetes and Musculoskeletal System

C2C2C2

P2P2P2

A2A2A2


Week 8 Revision and Assessment C2C2

P2P2

A2A2 10



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12CURRICULUM IMC

FINAL YEAR WARD ROTATION IN MEDICINEDuration: 12 weeks (350 hours)Location: ward, OPD, Tutorial room, Operation theatreTutors: Assistant Professor, Associate Professor, Professor

Small Group Discussion ward % age Assessment

Week 1 Ethical issues General Physical Examination 8 Short case SEQ, OSPE

Week 2 GIT and Liver with introduction to abdominal ultrasound and CT

History and examination inter-pretation of patients with GI and Liver problems

8 Short case SEQ, OSPE

Week 3CVS with interpretation of ECG and introduction to Echocardi-ography

History and examination interpre-tation of patients with Cardiovas-cular problems


Week 4Respiratory System with inter-pretation of chest X ray and introduction to CT Chest

History and examination interpre-tation of patients with Respirato-ry problems


Week 5 Neurology and interpretation of CT scan Brain

History and examination interpre-tation of patients with Neurologi-cal problems


Week 6 RheumatologyHistory and examination interpre-tation of patients with Musculo-skeletal problems


Week 7 EndocrinologyHistory and examination interpre-tation of patients with Endocrine problems


Week 8 Diabetes MellitusHistory and examination interpre-tation of patients with Diabetes mellitus


Week 9 NephrologyHistory and examination inter-pretation of patients with Kidney problems


Week 10 PsychiatryHistory and examination interpre-tation of patients with Psychiatric issues


Week 11 DermatologyHistory and examination inter-pretation of patients with Skin problems


Week 12 Revision and assessment 4 Short case SEQ, OSPE


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13CURRICULUM IMC

PROGRAMME EVALUATIONPurpose of Evaluation The major goals of the evaluation are to provide information that the students can use to achieve curricular objectives and that the faculty can use to monitor quality of and improve curriculum.

Design of Evaluation The evaluation design as only posttest.

Users of evaluation: students, curriculum faculty, Principal OfficeResources: Curriculum faculty and departmental secretaries. No additional funding

Evaluation question: • What percentage of students achieved 75% mandatory attendance?• What percentage of students achieved pass marks in university exam?• What are the strengths of the curriculum? What are the weaknesses? How can the curriculum

can be improved?

Because of limited resources, the evaluation was kept simple. Data Collection was integrated into the curriculum schedule. The major goals of the evaluation are to provide information that the students can use to achieve curricular objectives and that the faculty can use to monitor quality of and improve curriculum. The evaluation design as only posttest.

End of curriculum evaluation form:This will be filled by students and faculty members for evaluation of adequacy with each content was covered, whether they would recommend the curriculum to others and written comments on curriculum strengths, weaknesses and suggestions for improvements.

Annual Report:Based on evaluation of the educational programe report will be generated annually and submitted to Medical Educational Department.

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14CURRICULUM IMC

TABLE OF SPECIFICATIONMEDICINE 1

No Subject SEQ

1 Cardiovascular System 02

2 Pulmonary System 01

3 Centraul Nervous System 01

4 Gastroitestinal System 02

5 Liver, Pancrease, Gall Bladder. 01

6 Blood 01

7 Rhematology 01

Total 09

No Subject MCQ

1 Cardiovascular System 07

2 Pulmonary System 07

3 Centraul Nervous System 07

4 Gastroitestinal System 07

5 Liver, Pancrease, Gall Bladder. 06

6 Blood 05

7 Rhematology 06

Total 45

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15CURRICULUM IMC

TABLE OF SPECIFICATIONMEDICINE 1

No Subject SEQ

1 Endocrine 02

2 Renal system, Fluid and Electrolytes 02

3 Infectious disease 02

4 Neuro-Psychiatry 02

5 Dermatology 01

Total 09

No Subject MCQ

1 EndocrineDiabetes, Thyroid, Adrenal, Others (One Each) 05

2 Renal system, Fluid and Electrolytes 10

3 Infectious disease 07

4

Neuro-Psychiatry Signs and sysptoms, Fear and panic, Presistent complainer and somotization, depres-sion, Psychosis, Conversion states, Mental handicap, Confusion, SUbstance abuse, Obsessional states.

10

5

Dermatology.Eczema, Papulosquamous dermatoses, Drug Eruptions, Bullous Dermatoses, Bacte-rial infections of skin, Cuta-neous infestations, Sexually transmitted infections, Skin Manifestations of systemic disorder.

06

6 Nutrition 02

Total 40

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16CURRICULUM IMC

TABLE OF SPECIFICATION FOR OSPE

OSPE

TOTAL MARKS 65Total Station 15 (02 Rest Station)05 Marks at Each Station 04 Minutes at Each Station

Static Stations

1109 Internal Medicine 01 of the Two sub-speciaties (Dermatology, Psychaitry)

Interactive / Observed Stations 02Internal Medicine and Trauma only

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17CURRICULUM IMC

FINAL PROFESSIONAL MARKING SCHEME

Theory

SEQ MCQ Int. Ass Sub Total

Medicine 1 45 45

25 200

Medicine 2 45 40

Clinical

Short caseX2 cases

Long caseX1 case OSPE Int. Ass Sub total

120 90 65 25 300

Total: 500

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18CURRICULUM IMC

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19CURRICULUM IMC

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ptom

atol

ogy

to re

ach

the

Diffe

rent

ial P

ain

in c

alf o

n w

alki

ng.

• Un

ders

tand

the

Sym

ptom

atol

ogy

to re

ach

the

Diffe

rent

ial U

ndue

col

dnes

s, re

dnes

s or

blu

enes

s of

ext

rem

ities

.•

Unde

rsta

nd th

e Sy

mpt

omat

olog

y to

reac

h th

e Di

ffere

ntia

l Che

st p

ain.

• Un

ders

tand

the

Sym

ptom

atol

ogy

to re

ach

the

Diffe

rent

ial C

ough

/exp

ecto

ratio

n/sp

utum

.•

Can

perf

orm

e ex

amia

ntio

n of

che

st.

• Ca

n in

terp

ret o

f rel

ated

rad

iolo

gica

l and

la

bora

tory

inve

stig

atio

ns a

nd p

ulm

onar

y fu

nctio

n te

st.

• Ca

n ex

plin

e O

2 the

rapy

, ind

icat

ions

,com

plic

atio

ns.

• Ha

s ob

serv

e pl

eura

l asp

iratio

n, E

ndot

rach

eal

suct

ion,

Ple

ural

bio

psy,

FN

A bi

opsy

, Und

er w

ater

se

as a

spira

tion,

bro

ncho

scop

y.•

Can

man

age

resp

irato

ry fa

ilure

.

C3P3

A3C3

P3A3

C3P3

A3C3 C3 C3

P3A3

C3P3

A3C3 C3

A3C3

P3A3

C3P3

A3

Beds

ide

Beds

ide

Beds

ide

SGD

SGD

Beds

ide

Skills

lab

SGD

SGD

Skills

Lab

SGD

SC/O

SPE

SC SC/O

SPE

SEQ

SEQ

OSP

EM

CQ

SEQ

OSP

ESE

Q

ww

w.im

c.ed

u.pk

20CURRICULUM IMC

Con

tent

sO

bjec

tives

Do-

mai

nSt

rate

gyAs

sess

men

t

Mod

ule-

3: D

ERM

ATO

LOG

Y

• An

atom

y, p

hysi

olog

y of

ski

n re

late

d to

clin

ical

de

rmat

olog

y•

Infe

stat

ions

: sca

bies

, ped

icul

osis

.•

Bact

eria

l and

myc

obac

teria

l inf

ectio

ns•

Fung

al a

nd v

iral d

isea

ses.

• Ac

ne v

ulga

ris, E

czem

as, P

soria

sis,

Lic

hen

plan

u, B

ullo

us d

isor

ders

, Pig

men

tary

di

sord

ers,

Dis

orde

rs o

f nai

ls, D

isor

ders

of

hairs

, Sex

ually

tran

smitt

ed d

isea

ses.

• Ca

n ta

ke a

dequ

ate

clin

ical

his

tory

in d

erm

atol

ogy.

• Ca

n pe

rfor

m c

linic

al e

xam

inat

ion

of v

ario

us s

kin

lesi

ons.

• Ca

n pe

rfor

m In

terp

reta

tion

of re

late

d ra

diol

ogic

al

and

labo

rato

ry in

vest

igat

ions

.•

Can

perf

orm

Gen

eral

med

icat

ion

and

pres

crip

tion

writ

ing

in D

erm

atol

ogy.

• W

ill ob

serv

e sc

rapi

ng fo

r fu

ngus

, Use

of

mag

nify

ing

glas

s, O

bser

ve s

kin

biop

sy, U

se o

f W

ood’

s la

mp.

Mod

ule-

4: N

euro

logy

and

Cen

tral

Ner

vous

Sys

tem

• In

fect

ions

and

infla

mm

ator

y le

sion

s,

Men

ingi

tis, B

acte

rial,

Tube

rcul

ous,

Vira

l etc

.•

Brai

n ab

sces

s, E

ncep

halit

is, H

ydro

ceph

alus

, •

Epile

psy

and

othe

r co

nvul

sive

dis

orde

rs•

Cere

brov

ascu

lar

dise

ases

(stro

ke),

Isch

emic

, Em

bolis

m, I

nfar

ctio

n, H

aem

orrh

age,

•

Intr

a-ce

rebr

al, S

ubar

achn

oid,

•

Dem

entia

and

Alz

heim

er’s

dise

ase.

• Pa

rkin

son’

s di

seas

e an

d ot

her

mov

emen

t di

sord

ers,

Mot

or n

euro

n di

seas

e, M

ultip

le

scle

rosi

s, C

rani

al n

erve

dis

orde

rs.

• Tr

ansi

ent m

ono-

ocul

ar b

lindn

ess

(am

auro

sis

fuga

x), T

rigem

inal

neu

ralg

ia, F

acia

l pal

sy

(Bel

l’s),

Vert

igo,

nys

tagm

us.

• Sp

inal

cor

d di

sord

ers,

Spi

nal c

ord

com

pres

sion

, Hem

iple

gia,

par

aple

gia,

qu

adrip

legi

a, M

yelit

is, S

pond

ylos

is,

Syrin

gom

yelia

and

syr

ingo

bulb

ia.

• Pe

riphe

ral n

erve

dis

orde

rs, P

erip

hera

l po

lyne

urop

athy

, Gul

lian

Barr

y sy

ndro

me,

M

onon

eurit

is m

ultip

lex.

• Sp

ace

occu

pyin

g le

sion

s of

bra

in a

nd s

pina

l co

rd, M

uscu

lar

dyst

roph

ies,

Myo

path

ies,

m

yast

heni

a gr

avis

.

• Ca

n ta

ke a

dequ

ate

clin

ical

his

tory

in C

NS

derm

atol

ogy.

• Ca

n pe

rfor

m c

linic

al e

xam

inat

ion

of n

ervo

us

syst

em.

• Ca

n pe

rfor

m In

terp

reta

tion

of re

late

d ra

diol

ogic

al

and

labo

rato

ry in

vest

igat

ions

.•

Can

perf

orm

Gen

eral

med

icat

ion

and

pres

crip

tion

writ

ing

in N

euro

logy

.•

Will

obse

rve

Lum

ber

punc

ture

.

ww

w.im

c.ed

u.pk

21CURRICULUM IMC

Con

tent

sO

bjec

tives

Do-

mai

nSt

rate

gyAs

sess

men

t

Mod

ule-

5: A

LIM

ENTA

RY S

YST

EM

• O

ral c

avity

, Inf

ectio

ns a

nd in

flam

mat

ory

diso

rder

s, B

enig

n an

d m

alig

nant

dis

ease

s.•

Esop

hagu

s, D

ysph

agia

with

spe

cial

refe

renc

e to

, Ca

oeso

phag

us, G

ERD,

Ach

alas

ia•

Cand

iasi

s of

ora

l cav

ity a

nd o

esop

hagu

s.•

Stom

ach,

Gas

triti

s.•

Pept

ic u

lcer

.•

Inte

stin

es, M

alab

sorp

tion

synd

rom

es.

• Tr

opic

al s

prue

.•

Coel

iac

dise

ase.

• In

flam

mat

ory

bow

el d

isea

ses.

• Ul

cera

tive

colit

is.

• Cr

ohn’

s di

seas

e.•

Irrita

ble

bow

el s

yndr

ome

(IBS)

.•

Live

r.•

Asci

tes,

Jau

ndic

e.•

Cong

enita

l hyp

erbi

lirub

inae

mia

.•

Gilb

ert s

yndr

ome.

• Du

bin

John

son

synd

rom

e.•

Roto

r sy

ndro

mes

.•

Haem

olyt

ic.

• O

bstr

uctiv

e.•

Hepa

titis

.•

Vira

l, ac

ute

and

chro

nic.

• To

xic.

• Dr

ugs.

• Au

to im

mun

e he

patit

is.

• Ci

rrho

sis

of li

ver.

• He

patic

enc

epha

lopa

thy.

• Ca

rcin

oma

liver

and

tran

spla

nt.

• Ac

ute

and

chro

nic

panc

reat

itis.

• Up

per

GI b

leed

ing.

• Lo

wer

GI b

leed

ing.

• Dr

ugs

cont

rain

dica

ted

in li

ver

dise

ases

.

• Ca

n ta

ke a

dequ

ate

clin

ical

his

tory

in v

omiti

ng,

diar

rhoe

a, p

ain

abdo

men

, con

stip

atio

n,

haem

atem

esis

, mel

ena,

dys

peps

ia, d

iste

nsio

n.•

Can

perf

orm

clin

ical

exa

min

atio

n of

GIT

.•

Can

perf

orm

Inte

rpre

tatio

n of

rela

ted

radi

olog

ical

an

d la

bora

tory

inve

stig

atio

ns.

• Ca

n pe

rfor

m G

ener

al m

edic

atio

n an

d pr

escr

iptio

n w

ritin

g in

GIT

dis

ease

s.•

Will

obse

rve

N/G

tube

pas

sing

and

feed

ing.

• W

ill ob

serv

e as

pira

tion

of p

erito

neal

flui

ds.

• W

ill ob

serv

e en

dosc

opie

s, u

pper

and

low

er G

IT.

• Ca

n pr

epar

e a

patie

nt fo

r G

I end

osco

pies

.

ww

w.im

c.ed

u.pk

22CURRICULUM IMC

Con

tent

sO

bjec

tives

Do-

mai

nSt

rate

gyAs

sess

men

t

Mod

ule-

6: K

IDN

EYS

AND

UR

INAR

Y S

YST

EM

• Ac

ute

rena

l fai

lure

, Chr

onic

rena

l fai

lure

, N

ephr

otic

syn

drom

e, N

ephr

itic

synd

rom

e,

• Ur

inar

y tr

act i

nfec

tions

, Inf

ectio

ns o

f the

ki

dney

s, In

fect

ions

of t

he lo

wer

urin

ary

trac

t.•

Infla

mm

ator

y le

sion

s of

the

kidn

eys

• In

trodu

ctio

n to

dia

lysi

s &

rena

l tra

nspl

ant

• Dr

ugs

caus

ing

rena

l dis

ease

(brie

f).•

Anal

gesi

c ne

phro

path

y, L

ead,

uric

aci

d,

hype

rcal

cem

ia, r

adia

tion

& hy

pers

ensi

tivity

, N

ephr

opat

hy, D

rugs

con

tra

indi

cate

d in

ren

al

insu

ffici

ency

, Dru

gs to

be

used

with

cau

tion

in re

nal d

isea

se, P

olyc

ystic

kid

neys

, Ren

al

vasc

ular

dis

orde

rs, R

enal

art

ery

sten

osis

,•

Rena

l vei

n th

rom

bosi

s, T

umou

rs, H

emol

ytic

ur

emic

syn

drom

e, P

rost

atic

dis

ease

s.

• Ca

n ta

ke a

dequ

ate

clin

ical

his

tory

in lu

mba

r pa

in,

anur

ia, o

ligur

ia, h

emat

uria

, dys

uria

, ur

genc

y/fre

quen

cy o

f mic

turit

ion,

pyu

ria, u

rinar

y re

tent

ion,

noc

turia

, urin

ary

inco

ntin

ence

, pel

vic

pain

.•

Can

perf

orm

clin

ical

exa

min

atio

n of

abd

omen

and

lu

mbe

r ar

ea.

• Ca

n pe

rfor

m In

terp

reta

tion

of re

late

d ra

diol

ogic

al

and

labo

rato

ry in

vest

igat

ions

.•

Can

perf

orm

Gen

eral

med

icat

ion

and

pres

crip

tion

writ

ing

in U

rinar

y tr

ace

dise

ases

.

Mod

ule-

7: E

ND

OC

RIN

OLO

GY

• An

terio

r pi

tuita

ry, G

row

th h

orm

one

diso

rder

s,

Acro

meg

aly,

Gig

antis

m, S

hort

sta

ture

, •

Infe

rtilit

y, D

isea

ses

of h

ypot

hala

mus

and

po

ster

ior

pitu

itary

, Em

pty

sella

syn

drom

e, D

i-ab

etes

insi

pidu

s, S

yndr

ome

of in

appr

opria

te

ADH

secr

etio

n (S

IADH

), Th

yroi

d gl

and,

Hyp

er-

thyr

oidi

sm (t

hyro

toxi

cosi

s), H

ypot

hyro

idis

m

(myx

edem

a, c

retin

ism

), In

flam

mat

ory

lesi

ons,

Be

nign

and

mal

igna

nt tu

mor

s, A

dren

al G

land

.•

Cush

ing

Synd

rom

e, A

ldos

tero

nism

Pr

imar

y/Se

cond

ary,

Hirs

utis

m, A

ddis

on’s

dise

ase,

Ac

ute

Addi

soni

an c

risis

, Infl

amm

ator

y le

sion

s, A

dren

ocor

tical

tum

ors

incl

udin

g Ph

eoch

rom

ocyt

oma,

End

ocrin

e Pa

ncre

as,

Diab

etes

mel

litus

and

hyp

ogly

caem

ic s

tate

s,

Oth

er a

ssoc

iate

d en

docr

ine

diso

rder

s,

• Te

stes

, Sex

ual p

reco

city

, Het

eros

exua

l pr

ecoc

ity, G

ynae

com

astia

, Infl

amm

atio

ns,

Tum

ours

, Mul

tiple

end

ocrin

e ne

opla

sia,

Typ

e I,

Type

II

• Ca

n ta

ke a

dequ

ate

clin

ical

his

tory

and

cor

rela

te

with

a s

peci

fic d

iagn

osis

.•

Can

perf

orm

clin

ical

exa

min

atio

n of

thyr

oid

glan

d,

mal

e an

d fe

mal

e ge

nita

l org

ans

etc.

• Ca

n pe

rfor

m In

terp

reta

tion

of re

late

d ra

diol

ogic

al

and

labo

rato

ry in

vest

igat

ions

.•

Can

perf

orm

Gen

eral

med

icat

ion

and

pres

crip

tion

writ

ing

in e

ndoc

rinol

ogy.

ww

w.im

c.ed

u.pk

23CURRICULUM IMC

Con

tent

sO

bjec

tives

Do-

mai

nSt

rate

gyAs

sess

men

t

Mod

ule

8: R

HEU

MAT

OLO

GY

• O

steo

arth

ritis

• O

steo

poro

sis

• Rh

eum

atoi

d ar

thiri

tis a

nd re

late

d ar

thro

path

ies

• Pa

get’s

dis

ease

of t

he b

one.

• O

steo

petro

sis

(mar

ble

bone

dis

ease

).•

Mul

tiple

mye

lom

a•

Mul

ti-Sy

stem

Imm

unol

ogic

al D

isea

ses

• Sy

stem

ic lu

pus

eryt

hem

atos

is (S

LE)

• Se

rum

sic

knes

s•

Syst

emic

scl

eros

is (s

cler

oder

ma)

.•

Mix

ed c

onne

ctiv

e tis

sue

dise

ases

(brie

f).•

Sjog

ren’

s sy

ndro

me

(brie

f).•

Anky

losi

ng s

pond

yliti

s.•

Bech

et’s

synd

rom

e (b

rief).

• Va

scul

itis

synd

rom

es (b

rief),

Ana

phyl

acto

id

purp

ura,

Pol

yart

eriti

s no

dosa

, Hpe

rsen

sitiv

ity

vasc

uliti

s, W

egne

r’s g

ranu

lom

atos

is.

• Te

mpo

ral a

rter

itis

• Ta

kaya

su’s

arte

ritis

• Th

rom

boan

gitis

obl

itera

ns (B

urge

r’s d

isea

se)

• Sa

rcoi

dosi

s (b

rief).

• Ca

n ta

ke a

dequ

ate

clin

ical

his

tory

and

cor

rela

te

with

a s

peci

fic d

iagn

osis

.•

Can

perf

orm

clin

ical

exa

min

atio

n of

bon

es, j

oint

s,

skin

and

oth

er o

rgan

s.•

Can

perf

orm

Inte

rpre

tatio

n of

rela

ted

radi

olog

ical

an

d la

bora

tory

inve

stig

atio

ns.

• Ca

n pe

rfor

m G

ener

al m

edic

atio

n an

d pr

escr

iptio

n w

ritin

g in

rhe

umat

olog

y.

Mod

ule

9: M

ETAB

OLI

C D

ISO

RD

ERS

• Hy

perli

pide

mia

, Hem

ochr

omat

osis

, Po

rphy

rias,

Wils

on’s

dise

ase,

Gou

t and

hy

perc

alce

mia

, Sto

rage

dis

ease

s, L

ipid

.•

Leuk

odys

troph

ies,

Nie

man

n pi

ck d

isea

se.

• G

auch

er’s

dise

ase,

Gly

coge

n, F

abry

’s di

seas

e, H

ered

itary

con

nect

ive

tissu

e di

sord

ers,

Ost

eoge

nesi

s im

perf

ecta

.•

Ehle

r’s d

anlo

s sy

ndro

me,

Cho

ndro

dysp

lasi

as.

• M

arfa

n sy

ndro

me,

Alp

ort s

yndr

ome.

• Di

sord

ers

of a

min

o ac

id m

etab

olis

m a

nd

stor

age,

Hom

ocys

tinur

ia, A

lkap

tonu

ria,

Hart

nup

dise

ase,

Ren

al g

lyco

suria

• Ca

n ta

ke a

dequ

ate

clin

ical

his

tory

and

cor

rela

te

with

a s

peci

fic d

iagn

osis

.•

Can

perf

orm

clin

ical

exa

min

atio

n of

bon

es, j

oint

s,

skin

and

oth

er o

rgan

s.•

Can

perf

orm

Inte

rpre

tatio

n of

rela

ted

radi

olog

ical

an

d la

bora

tory

inve

stig

atio

ns.

• Ca

n pe

rfor

m G

ener

al m

edic

atio

n an

d pr

escr

iptio

n w

ritin

g in

met

abol

ic d

isea

ses.

ww

w.im

c.ed

u.pk

24CURRICULUM IMC

Con

tent

sO

bjec

tives

Do-

mai

nSt

rate

gyAs

sess

men

t

Mod

ule-

10: I

NFE

CTI

OU

S D

ISEA

SES

• Cl

inic

al s

yndr

omes

, •

Seps

is a

nd s

eptic

sho

ck•

Men

ingo

cocc

aem

ia,

• Ac

ute

infe

ctio

us d

iarr

hoea

l dis

ease

s an

d ba

cter

ial f

ood

pois

onin

g•

Hosp

ital a

cqui

red

infe

ctio

ns.

• Co

mm

on d

isea

se s

yndr

omes

cau

sed

by th

e fo

llow

ing

bact

eria

and

thei

r dr

ug th

erap

y,

• Pn

eum

ococ

ci,

• St

aphy

loco

cci,

•

Stre

ptoc

occi

, •

Hem

ophi

lis in

fluen

zae,

•

Shig

ella

, •

Gon

ococ

ci,

• Ps

eudo

mon

as.

• Fo

llow

ing

dise

ases

in d

etai

l, •

Teta

nus,

•

Ente

ric fe

ver/

salm

onel

losi

s,

• Ch

oler

a,

• Tu

berc

ulos

is,

• Le

pros

y,

• Am

oebi

asis

/gia

rdia

sis/

tric

hom

onia

sis,

•

Mal

aria

, •

AIDS

, Rab

ies,

•

Infe

ctio

us m

onon

ucle

osis

.•

Helm

inth

ic in

fest

atio

ns,

• As

caria

sis,

•

Hook

wor

m,

• W

hipw

orm

(tric

huria

sis)

, •

Thre

adw

orm

(ent

robi

asis

), •

Taen

ia (t

apew

orm

), •

Hyda

tid d

isea

ses.

• Ca

n ta

ke a

dequ

ate

clin

ical

his

tory

and

cor

rela

te

with

a s

peci

fic d

iagn

osis

.•

Can

perf

orm

exa

min

atio

n an

d as

sess

men

t of t

he

patte

rn o

f fev

er, i

nvol

vem

ent o

f org

an s

yste

ms

and

any

posi

tive

findi

ngs.

• Ca

n pe

rfor

m In

terp

reta

tion

of re

late

d ra

diol

ogic

al

and

labo

rato

ry in

vest

igat

ions

.•

Can

perf

orm

Gen

eral

med

icat

ion

and

pres

crip

tion

writ

ing

in in

fect

ious

dis

ease

s.

ww

w.im

c.ed

u.pk

25CURRICULUM IMC

Con

tent

sO

bjec

tives

Do-

mai

nSt

rate

gyAs

sess

men

t

Mod

ule-

11: H

AEM

ATO

LOG

Y

• An

aem

ias,

Cl

assi

ficat

ion,

Iro

n de

ficie

ncy,

M

egal

obla

stic

, B-

12

defic

ienc

y,

Folic

ac

id

defic

ienc

y,

Anae

mia

of c

hron

ic d

isor

der,

• Ha

emol

ytic

an

aem

ia,

Here

dita

ry,

Acqu

ired,

In

tra-

corp

uscu

lar,

Extr

a-co

rpus

cula

r.•

Apla

stic

ane

mia

Hae

mog

lobi

nopa

thie

s.•

Sick

le c

ell s

yndr

omes

• Th

alas

saem

ias

Mye

lopr

olife

rativ

e di

seas

es.

• Ch

roni

c m

yelo

id le

ukem

ia (C

ML)

• Po

lycy

them

ia

vera

, M

yelo

fibro

sis,

Es

sent

ial t

hrom

bocy

tosi

s, L

euke

mia

s,

Acut

e,

Chro

nic,

Ly

mph

omos

, N

on-

Hodg

kin’

s, H

odgk

in’s

• Bl

ood

grou

ps a

nd b

lood

tra

nsfu

sion

. Bo

ne

mar

row

tr

ansp

lant

atio

n.

Diso

rder

s of

hae

mos

tasi

s.•

Thro

mbo

cyto

peni

a•

Idio

path

ic

thro

mbo

cyto

peni

c pu

rpur

a (IT

P)•

Von

Wille

bran

d’s

dise

ase.

• Ve

ssel

wal

l dis

orde

rs.

• Di

sord

ers

of c

oagu

latio

n.•

Haem

ophi

lia•

Vita

min

K d

efici

ency

.•

Diss

emin

ated

intr

avas

cula

r coa

gula

tion

(DIC

). An

ticoa

gula

nts

Ther

apy

• He

parin

• O

ral (

war

farin

etc

.)•

Vit.

K in

fusi

on•

Antip

late

let d

rugs

• Ca

n ta

ke a

dequ

ate

clin

ical

his

tory

and

cor

rela

te w

ith a

sp

ecifi

c di

agno

sis.

• Ca

n pe

rfor

m e

xam

inat

ion

pallo

r, cy

anos

is, j

aund

ice,

cl

ubbi

ng, k

oilo

nych

ia, l

ymph

nod

es,

edem

a, p

ulse

, cy

anos

is,

feve

r, he

adac

he, a

nore

xia,

wei

ght l

oss,

pai

n,

faci

al s

wel

ling

etc.

• Ca

n pe

rfor

m In

terp

reta

tion

of re

late

d ra

diol

ogic

al a

nd

labo

rato

ry in

vest

igat

ions

.•

Can

perf

orm

Gen

eral

med

icat

ion

and

pres

crip

tion

writ

ing

in in

fect

ious

Hae

mat

olog

y.•

Can

pefo

rm In

ject

ion

I/V,

I/M

, S/C

, int

rade

rmal

.•

Can

colle

ct s

ampl

es o

f blo

od/b

lood

film

pre

para

tion.

• Ca

n pe

rfor

m I

/V l

ines

/flui

ds/b

lood

/blo

od p

rodu

cts,

di

rect

bra

nula

, cut

dow

n, C

VP e

tc.

• W

ill ob

serv

e bo

ne m

arro

w a

spira

tion/

trep

hine

.

ww

w.im

c.ed

u.pk

26CURRICULUM IMC

Con

tent

sO

bjec

tives

Do-

mai

nSt

rate

gyAs

sess

men

t

Mod

ule-

12: P

SYC

HIA

TRY

• M

ood

diso

rder

s.•

Maj

or d

epre

ssiv

e ep

isod

es•

Unip

olar

• Bi

pola

r•

Dyst

hym

ic•

Atyp

ical

• M

ania

c ep

isod

es•

Anxi

ety

diso

rder

s.•

Acut

e an

xiet

y st

ates

• Pa

nic

diso

rder

s•

Gen

eral

ized

anx

iety

dis

orde

rs•

Psyc

hic

Trau

mat

ic d

isor

ders

• O

bses

sive

-com

puls

ive

diso

rder

s•

Phob

ic d

isor

ders

• Sc

hizo

phre

nia.

• Al

coho

lism

.•

Addi

ctio

n.•

Psyc

hose

xual

dis

orde

rs in

men

and

wom

en.

• Ca

n ta

ke a

dequ

ate

clin

ical

his

tory

and

cor

rela

te

with

a s

peci

fic d

iagn

osis

.•

Can

do c

ouns

elin

g an

d ps

ycho

anal

ysis

esp

ecia

lly

in p

atie

nts

with

sui

cida

l and

hom

icid

al a

ttitu

de.

Can

perf

orm

Inte

rpre

tatio

n of

rela

ted

radi

olog

ical

an

d la

bora

tory

inve

stig

atio

ns.

• Ca

n pe

rfor

m G

ener

al m

edic

atio

n an

d pr

escr

iptio

n w

ritin

g in

psy

chia

try.

Mod

ule-

13: M

ISC

ELLA

NEO

US

AND

EM

ERG

ENC

IES

• He

at s

troke

• Sn

ake

bite

• El

ectr

ic s

hock

• Po

ison

ing

etc.

ww

w.im

c.ed

u.pk

27CURRICULUM IMC

Domain Level

Knowledge

C1 Knowledge C2 Comprehension C3 ApplicationC4 AnalysisC5 SynthesisC6 Evaluation

Psychomotor

P1 Observe P2 Practice P3 Adjust P4 MasterP5 DevelopP6 Construct

Affect

A1 ReceivingA2 RespondingA3 ValuingA4 OrganizationA5 Characterization

CURRICULUM OF MEDICINE - imc.edu.pk · CURRICULUM IMC 1 CURRICULUM OF MEDICINE MBBS COURSE Contents...

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