Post on 16-Mar-2018
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Infectious disease module Study Guide
A Course Title INFECTIOUS DISEAESES MODULE
B Course Coordinator: Dr. Irfan Ashraf
C Course Committee Dr. Irfan Ashraf, Dr. Ali Haider, Dr. Syeda Zarreen Raza, Dr. Rubia Kashif
D Objectives of Study
Guide
1. To inform the students how students-learning program has been organized for
the course of Infectious diseases Module (1st Module of semester V). 2. To communicate about the process of implementation of redesign module. 3. To help students to organize and manage their study skills throughout the
program.
E
Introduction
This is a 5 week module to develop knowledge skills and attitudes of the students on
infections and infectious diseases and their prevention and control. Furthermore, the module will emphasize on educating the community and especially guiding them in
prevention of infectious diseases
F Context
The students of semester V having background knowledge of basic sciences will learn
to relate it with clinical problems of the infectious diseases.
G Target Students Semester V Third year MBBS
H Duration 5 WEEKS
I Rationale Infectious diseases remain a leading cause of morbidity and mortality worldwide, with HIV, tuberculosis and malaria estimated to cause 10% of all deaths each year – This part of world faces much more financial burden than rest of the world because of these
preventable diseases. The skills and knowledge imparted in this module will help the students in understanding the etiology, epidemiology of infectious diseases and will
help them in identifying and treating the patients with infectious diseases.
J Learning Outcomes
At the end of this MODULE students will be able to:
1. develop knowledge skills and attitudes on infectious diseases, their prevention and control. 2. State the dynamics of transmission of communicable diseases.
3. describe the principle routes of disease transmission. 4. discuss the epidemiology of some common communicable diseases and their control
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measures. 5. define the role of vectors and their control measures.
6. recognize the effects of immunization and programs for its delivery. 7 .identify the steps and the rationale for the investigation of disease outbreaks.
K
Teaching strategies 1. Bed Side Teaching 2. Lectures 3. Small group discussion (PBL) 4. Practical session 5. Tutorials 6. Seminar 7. Presentations 8. Skills lab
9. Self-study 10. eLearning
L Departments
Clinical Faculty
Anatomy Biochemistry
Community Medicine Physiology Pathology
Pharmacology Forensic medicine
DEPARTMENT/SUBJECT
LEARNING OBJECTIVES
At the end of the week, the students should be able to:
TOPICS/METHOD OF TEACHING
Week 1
FORENSIC MEDICINE
Describe the basic principles of Forensic Medicine in relation to medico/legal cases.
Discuss the general principles of toxicology, treatment of poisons and
antidotal therapy Describe the relevant legal/court
procedures applicable to medico/legal practice
Understand the role of forensic
medicine in crime detection and
Introduction of Forensic Medicine & its branches
(Lecture)
- Basics of Forensic Medicine and Toxicology.
- Various branches of Forensic Sciences and their importance and
utility in civilized society.
- Basics of Legal system in Pakistan
- Role of Forensic Medicine in crime
detection and other medical, legal
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ethical issues. Discuss the responsibility and power
of courts in Pakistan Define a poison.
Differentiate between poison and a medicine.
Describe the routes of administration of poisons, excretion of poisons. Identify the factors modifying action of
poisons Diagnose a case of poisoning in living &
dead. Outline the Duties of a doctor in a case of suspected poisoning. Restate the General principles of treatment
of poisoning. Explain the procedure of Gastric lavage
and the Antidote therapy
and ethical issues
- Courts in Pakistan and their Powers
Introduction of Toxicology, classification
of poisons (practical)
MEDICINE
Recognize the signs and symptoms
of different infectious diseases on the basis of history, clinical examination
Review the core infectious disease information essential for recognizing
the significant attributes of different signs and symptoms
Describe the clinical features,
differential diagnoses, management and complications of malaria
Presenting problem in infectious diseases (lecture)
Clinical examination of Infectious diseases
(lecture)
Bacterial infection
(Mumps, influenza, infectious, mononucleases, CMV)
(lecture)
Clinical Features, diagnosis, management and complication of malaria(lecture)
PEDIATRICS
Discuss the importance of integrated management of neonate and child
Fever with rash and IMNCI : EPI, MMR (lecture)
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with fever and rash State the aims and objectives of EPI
program
MICROBIOLOGY
Describe the microorganisms of common infectious diseases.
Explain the pathophysiology of inflammation
Discuss the pathogenesis, and microbiology of malaria
Perform stool DR, urine DR, culture
interpret stool DR, urine DR,
culture,PCR, serology reports
Overview of infectious disease module(lecture)
Acute & chronic inflammation(lecture)
Pathology & microbiology of
malaria(lecture)
How to perform & interpret stool DR,
urine DR, culture,PCR,
serology(practical)
PHARMACOLOGY
Explain the major action and effects of
drugs used to treat infectious diseases
Identify criteria, used to select an effective antimicrobial agent
Antimicrobials(lecture)
COMMUNITY MEDICINE
review communicable diseases of public health importance;
Introduction & Definition of
communicable and infectious disease (lecture)
Week 2 At the end of the week, the students should be able to:
PATHOLOGY
Describe the basic pathophysiology of typhoid fever with emphasis on
laboratory investigations.
Typhoid Fever(practical )
MICROBIOLOGY
Describe the microbiology of
Dengue,VHF and typhoid fever and STDs.
Typhoid & Para Typhoid(lecture
VHF & Dengue(lecture)
Micro-organisms causing STDs(lecture)
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MEDICINE
Recognize the presentation and relevant diagnostic tests of typhoid
fever and Dengue Identify the appropriate treatment
and complication of typhoid fever ,
Dengue and VHF
Clinical features diagnosis and
management and complications of Typhoid fever(lecture)
VHF & Dengue(lecture)
PBL
DERMATOLOGY
State the clinical presentation of common skin infections.
Discuss management plan of common bacterial and fungal skin infections
Describe cutaneous manifestations, diagnosis, and treatment of sexually
transmitted diseases
Skin infection (lecture
Clinical features, diagnosis, management
and complications of STDs(lecture
PHARMACOLOGY
Describe the effects, dosage ,
adverse effects of different anti malarial drugs
Discuss the drug treatment of
typhoid fever and STDs Review the effects, side effects of
medications for management of typhoid and STD
Anti-malarial Drugs(lecture)
Treatment of typhoid fever(SGD)
Drug used for typhoid Fever(lecture)
Drug management of STD’s (lecture)
COMMUNITY MEDICINE
Discuss epidemiology and prevention of infectious diseases with special emphasis on measles .
Measles and prevention(lecture) Measles and prevention (practical)
discuss the basic principles for communicable disease control
discuss simple but effective ways of preventing outbreaks of
communicable diseases
Control of infection and communicable
diseases(lecture)
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FORENSIC MEDICINE
Define the terms(summons, warrant, perjury, deposition, exhibit, offence, cognizable offence, non
cognizable offence, oath, conduct money, summons case, warrant
case, bail, FIR) Discuss the types of medical
evidence , documents prepared by
medical man, Dying declaration, Dying deposition
Explain the importance of legal
procedures related to medical man.
Discuss the types of witnesses, examination in courts.
Legal Procedures- I - Important legal terms such as
Summons, warrant, perjury,
deposition, exhibit, offence, cognizable offence, non cognizable
offence, oath, conduct money, summons case, warrant case, bail, FIR
- Medical evidence, types of evidence (oral, documentary,
hearsay, circumstantial) - Documents prepared by a medical
man(Post mortem Reports, Medico
Legal Reports, Certificates such as birth certificates, death
certificates, sickness certificates, certificates of unsoundness of mind)
- Dying declaration, - Dying deposition (lecture)
Legal Procedures – II (lecture) - Types of witnesses
- Types of examination in the court - Doctor in the witness box - Procedure of court attendance &
recording evidence - Volunteering of a statement by the
doctor in court of law - Professional secrecy - Privileged communication
Week 3 At the end of the week, the students should be able to:
MEDICINE
Discuss the presenting features, relevant investigations and
Fungal infection (lecture)
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management of fungal infections
SURGERY
Develop a diagnostic approach to
the patient with sepsis and SIRS
Clinical Features, diagnosis management
and Complications of Sepsis/ SIRS(lecture)
PATHOLOGY
interpret the investigations relevant to infectious diseases
explain the pathophysiology of sepsis and SIRS
Discuss acute and chronic
inflammation Describe the structure and
pathogenesis of HIV List the specific lab tests of HIV to
make proper diagnosis
Diagnosis of pathogens on blood culture(PRACTICAL)
Acute & Chronic inflammation (lecture) Pathophysiology of
Sepsis/ SIRS (lecture) HIV structure and pathogenesis (lecture)
Specific lab tests of HIV
MICROBIOLOGY
Discuss clostridia and its clinical
application
Describe leprosy, its types and
microorganisms
Tetanus and Clostridial
Infections(lecture)
Leprosy(lecture)
COMMUNITY MEDICINE
Describe routes of transmission of organism causing diarrhea & its prevention
prevention of acute diarrheal diseases and different worms’ infestation
Discuss epidemiology and prevention of infectious diseases
Counsel the patient and attendant
about measles and scabies
Acute Diarrheal disease & its prevention (lecture)
Worm infestation and its prevention
(lecture)
Scabies & its prevention (lecture)
PHARMACOLOGY
Discuss the effects, dosage ,
adverse effects of drugs used for leprosy
Drug used for Leprosy(lecture)
Leprosy (tutorial)
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Review the classification of Antipyretics & Anti-inflammatory
drugs Describe the drug treatment of HIV
Antipyretics & Anti-inflammatory drugs(lecture)
Drug management of HIV (lecture)
FORENSIC
MEDICINE
Recognize importance of forensic medicine, toxicology and its application
Diagnose a case of poisoning in living & dead
Restate the General principles of treatment of poisoning.
Diagnoses of poisoning in living & dead, general treatment of poisoning (practical)
Week 4
MEDICINE
Diagnose HIV and council the
patients about its management and complications
Develop a diagnostic approach and management
plan of a patient with diarrhea
Clinical features, diagnosis, management and
complications of HIV( lecture)
Acute Diarrhea in adults (lecture)
PAEDIATRICS
Classify a sick child with
Diarrhea, dysentery and worm infestation according to the protocols of IMNCI
Assess a sick child with Diarrhea, dysentery and
worm infestation according to the protocols of IMNCI
Recognize the importance of integrated management plan of a sick child with Diarrhea,
dysentery and worm infestation
Assess and Classification of the sick child and
management with Diarrhea, dysentery and worm infestation (lecture)
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PHARMACOLOGY
Restate all the steps in the treatment of diarrhea according to the protocols of IMNCI
Discuss the pharmacological effects of anti-diarrheals and anti-microbial drugs and their complications
Drugs treatment of diarrhea(TUTORIAL)
Anti-diarrheal and anti-microbial drugs (lecture)
PATHOLOGY
Emphasize the importance of specific lab tests eg. bacterial culture, PCR, Serology and stool D/R
Interpret the results of bacterial culture, PCR and stool D/R with relation to specific diseases.
Bacteriology culture techniques PCR, Serology (P-1) / Stool D/R(Practical)
FORENSIC MEDICINE
Discuss importance of legal procedures and law related to medical man
Discuss the criminal justice system in Pakistan
Discuss the duties of a doctor In a
case of suspected poisoning Apply the forensic knowledge for
diagnosis and detection of poisons
Practice the principles of treatment of poisons and their antidotal therapy
Legal Procedures III- IV (lecture)
Criminal Justice system in Pakistan, - Pakistan Penal Code - Criminal Procedure Code
- Its execution and Delivery - General presumptions of law - General exemptions of law
Duties of a doctor In a case of suspected poisoning
General Treatment of poisoning, gastric lavage, antidote therapy(practical
General Toxicology
MICROBIOLOGY
Classify the organisms causing diarrhea and dysentery
Discuss in detail classes and pathogenesis of of different worms infesting humans.
Diarrhea and dysentery: Agents causing diarrhea Bacterial Parasitic and viruses(lecture) Worm infestation (lecture)
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COMMUNITY MEDICINE
Describe routes of transmission of organism causing diarrhea
Describe zoonoses and other health risks associated with pet ownership and its prevention
Acute diarrheal diseases II
Zoonotic disease & its prevention
Week 5
MEDICINE
List the clinically important parasites that infest humans
Describe mode of transmission and pathogenesis of diseases caused by worm
Describe diagnostic lab tests relevant to worms infestation
Discuss the management plan in worm infestation
Analyze the clinical features and investigations to reach diagnosis for different worms’ infestations
Discuss the management plan of in worm infestation
Nematodes (round
worms) clinical features,
diagnosis,
investigations,
Trematodes (flukes) clinical features,
diagnosis,
investigations,
management
Cestodes (tape worms) clinical features, diagnosis, investigations, management
COMMUNITY MEDICINE
Develop ways to improve communication with patients regarding health risks from pets
Describe cholera and its routes of spread.
identify the correct course of action for treatment and referral of people with watery diarrhea.
Demonstrate cholera prevention practices.
Emerging & re-emerging disease & its prevention
Epidemiology and prevention of Diarrheal diseases (PRACTICAL)
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Cholera & its prevention
Acute Diarrheal disease
FORENSIC MEDICINE
outline the duties of doctors as advised by international code of medical ethics Identify obligations of a registered medical practitioner, professional misconduct Recognize the role of consent in medical examination and procedures, types of consent, criteria of valid consent. Express the understanding of Medical negligence, its types and punishments for medical negligence. Summarize core concept of Transplantation of Human Organs and Tissues along With euthanasia and its ethical aspects.
Law in relation to
medical man II , III & IV
PHARMACOLOGY
Explain the pharmacology of antidiarrhoeal drugs; exploring the classes of drugs used in the typical management strategies of this common condition
Diarrhea, Dysentery in Adults
PEDIATRICS
State the integrated case management of the most common childhood problems( designed for the management of sick children aged from birth up to five years)
IMNCI
MICROBIOLOGY
classify the rhabdoviruses Discuss about the structure and replication of these negative strand RNA viruses explain the pathology of rabies
Rabies
N E-Learning A wealth of learning material in the form of presentations and PDF lectures outline are
available at JSMU e-Learning website. Follow the link from JSMU website.
O WORKSHOPS: Department of medical education will offer optional workshops to improve learning
capabilities.
P
Formative assessment
Formative assessment will be available in digital lab as well as online. This will help in self-assessment of students.
Q Mode of Internal Evaluation:
(Continuous Assessment): Continuous monitoring of attendance and practical assessment in short groups.
It will be help in the form of BCQs, assignments, stages/sub-stages, projects, quiz or OSPE.
Internal evaluation carries 20% weightage in summative semester examination.
R Schedule Of ??????????????
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Examination/s:
S
Mode of terminal Examination: MCQs + EMQs and OSPE (observed + un observed).
T Course Monitoring: Through the Department of Medical Education and Quality Enhancement Cell.
U Evaluation of the course:
Through students and faculty feedback and by the analysis of the results.
V Course Summary:
Through a combination of lectures, ward visits and practical classes this five weeks module will provide a broad overview including an introduction to the global burden and distribution of infectious diseases, approaches to prevention and control of diseases with respect to our community.
W End Note
This document is prepared by professional development centre and clinical coordination cell in consultation with department of medical education. Some parts of the study guide are tentative and may be modified. Any modification will be displayed on website. We need your regular feedback. The hard copies of feedback will be available in your lecture halls. The soft copy is on website http://www.jsmu.edu.pk/feedback
X Correspondence m.irfan@jsmu.edu.pk
Y Message of Vice Chancellor ???????????
Z Published On 1-9-2015