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AIMCs
Curriculum MBBS -2017-2022
PMDC/UHS Approved Curriculum
Academic Planner, Evaluation and Assessment calendar
Approved ---------------- Compiled-------------------
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CURRICULUM DIVISION AIMCs
PRINCIPAL ACADEMIC AFFAIRS
Prof. Dr. Zafar Ali Chaudhry (Principal –AIMCs)
CURRICULUM COORDINATION COMMITTEE
Prof. DR Tariq Bhatti Chairperson
Prof. Dr Qaiser Member
Prof. Dr. Irfan Qadir Member
Assist.Prof.Dr.Sohail Anjum Member
DR. Sadia Sharif Member
SYLLABUS–COMMITTEE
1. Head of the Department of Physiology Prof. Dr. Zafar Ali Chaudhry
2. Head of the Department of Biochemistry Prof. Dr. Syed Saleem ul Haq
3. Head of the Department of Anatomy Prof. Dr. Mamoona Waseem
4. Head of the Department of Pathology Prof. Dr. Ghulam Mujtaba Siddiqi
5. Head of the Department of Forensic Medicine Prof. Dr. Saeed Ahmad
6. Head of the Department of Pharmacology Prof. Dr. Zahid Qamar
7. Head of the Department of Community Medicine Prof. Dr. Faiz Ur Rehman
8. Head of the Department of Medicine Prof. Dr. M. Shoaib Randhawa
9. Head of the Department of Pediatrics Prof. Dr. Tariq Bhatti
10.Head of the Department of Medical Education Assist.Prof.Dr.Sohail Anjum
11. Head of the Department of Surgery Prof. Dr. Sikandar Hayat Gondal
12. Head of the Department of Obst. & Gynae. Prof. Dr. Farkhanda Shoaib
13. Head of the Department of Psychiatry Dr. Ghazala Musa
14. Head of the Department of Dermatology Dr. Riffat Naseem
15. Head of the Department of Orthopedics Prof. Dr. Reshad Ahmad Khan
16. Head of the Department of ENT Prof. Dr. Azhar Hameed
17. Head of the Department of Ophthalmology Prof. Dr. Abdul Rasheed Qamar
18. Head of the Department of Anesthesiology Dr. Usman
19. Head of the Department of Radiology Prof. Dr. Mahfooz –Ur-Rehman
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FOCAL PERSONS OF EACH DEPARTMENT
Sr
No.
Department HoD Focal Person
01 Anatomy Prof. Dr. Mamoona Nasim Prof. Dr. Irfan Qadir
02 Physiology Prof. Dr. Zafar Ali Chaudhry Dr. Javeria Latif
03 Biochemistry Prof. Dr. Syed Saleem ul Haq Dr. Talmeez Zaib
04 Pathology Prof. Dr. Ghulam Mujtaba Siddiqi Dr. M. Jawad Anwar
05 Medical Education Assist.Prof.Dr.Sohail Anjum Dr.Sohail Anjum
06 Community Medicine Prof. Dr. Faiz ur Rehman Dr. Faiz ur Rehman
07 Forensic Medicine Prof. Dr. Saeed Ahmad Dr. Sobia Parveen Aamir
08 Pharmacology Prof. Dr. Zahid Qamar Dr. Aisha Aziz
09 Surgery Prof. Dr. Sikandar Hayat Gondal Assistant Prof. M. Tariq Saeed
10 Medicine Prof. Dr. M. Shoaib Randhawa Dr. Muhammad Aleem ud Din
11 Gynaecology Prof. Dr. Farkhanda Shoaib Dr. Nazia Sajjad
12 Pediatrics Prof. Dr. Tariq Bhatti Dr. Khalid Mahmood
13 B.S / Psychiatry Dr. Ghazala Musa Dr. Imran Nazir
14 Anesthesia Dr. Tariq Pervez Dr. Usman Zeeshan
CONTINUOUS QUALITY IMPROVEMENT OF MBBS PROGRAM:
i. Self-Monitoring by the head of each subject and annual monitoring report
ii. Self Assessment by the Institution by inviting the Peers to review/evaluate the AIMCs
curriculum programs
iii. External review (Accreditation) every 5 years by PMDC
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Table of Contents
Sr.
NO
SECTIONS NO
1 Introduction 05
2 Framework of curriculum 08
3 Integrated Curriculum Design of MBBS Program 10 4 Allocation of Hours and Credits in the MBBS Curriculum 11
5 MBBS Subjects with Allocated hours in 5 Years 11 6 Subject base Curriculum with Allocated Hours per 5 Years 12 7 Theoretical and Practical Learning ratio in Subjects 13 8 Duration and Scheme of the MBBS Program 14 9 Learners Level in Accordance with Bloom’s Taxonomy 15 10 Assessment &Evaluation 19 11 Professional MBBS Examinations 21 12 PMDC & UHS MBBS Curriculum 27 13 Departmental Profiles and Academic Planner 27 13.1 Anatomy 27
13.2 Physiology 98
13.3 Biochemistry 150
13.4 Forensic Medicine 175
13.5 Behavioral Sciences 206
13.6 Pharmacology 224
13.7 Pathology 252
13.8 Medical Education
13.9 Community Medicine 354
13.10 Otolaryngology 383
13.11 Ophthalmology 396
13.12 Medicine and Allied specialties 415
13.13 Surgery and Allied Specialties 519
13.14 Pediatric Medicine 612
13.15 Gynecology and Obstetrics 651
13.16 Islamiyat and Pakistan Studies (as per HEC Guidelines)
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1-INTRODUCTION
Amna Innayat Medical and Educational Complex(AIMEC) is one of the largest educational
and healthcare Institutes of Sheikupura. AIMEC currently comprises of PMDC recognized
Medical & Dental College and the Punjab University affiliated law, business and IT colleges.
We also have a 510 bed tertiary care hospital with professional doctors visiting from Lahore
and with state of art equipment. Its vision and mission is alligned with the PMDC which
further is alligned to the national health needs.
1.1 VISION STATEMENT:
“The most prestigious and leading medical college in Pakistan”
VALUES
The core values of this institute are:
Promoting innovation and lifelong learning.
Acting with professionalism and uprightness.
Demonstrating leadership, team work and collaboration
Showing empathy.
1.2 MISSION STATEMENT:
“The mission of our college is to prepare the competent, inspiring and empathetic health
professionals and researchers who can contribute cost-effective health care to community
and are ready to adapt change along with effective collaboration within interdisciplinary
teams.”
In brief supplying our nation “the seven stars doctors”.
1- Life-long self-directed learner
2- Altruistic and empathetic
3- Ethical
4- Collaborator
5- Communicator
6- Researcher
7- Leader and role model
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1.3 STRATEGIC PLANNING PROCESS – APPROACH:
For planning the strategy for AIMC, a Joint Committee was established under whom
worked the Subcommittee to create a strategic plan for the next five years from Oct 2017
to Oct 2022. The subcommittee members represented the faculty and staff. An open
invitation to all faculty members to join the subcommittee was given. Through iteractive
process the subcommittee utilized the consensus approach outlined below and
constructed the strategic plan. For this matter SWOT analysis was done by thoroughly
looking into strengths and weaknesses (internal) and also opportunities and threats
(external).
Finally a strategic plan was designed so that it can help determine the future plans for a
specified period of time, also by setting the priorities and necessary steps to be taken.
Medical education
Provide excellent learner centered education for medical degree curriculum,
postgraduate education, continuing education, external/international education
and also for faculty members. Resources for education will be allocated.
Clinical care
Health care facilities operated by the school and affiliated hospital will deliver
excellent patient and community focused care while in keeping in mind the
community health problems.
Research
Up to date knowlede through innovation and discovery, would be on prime agenda
of faculty members and biomedical team .With provision of best research
resources, facilities and services.
Community Service
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Improve the health and prosperity of the demographic population, affiliated health
regions. The collaboration in area of knowledge and skills in community of
practices.
Economic Stewardship
Institutional growth by ensuring economic and operational
effectiveness.
Culture
Create an inspiring environment for teaching and learning, giving and receiving
feedback ,attitude for research work with outcome publications and most of all
community oriented health care facilities.
Lastly proposed strategies were checked for completeness, accuracy and whether they
contribute to the vision, mission of the college.
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2-Framework of curriculum
Curricular model
Grounded in educational theory and adult learning
principles
Competencies of Medical Graduate
required by PM&DC
Demonstrating competencies of a seven star doctor.
Duration and Scheme of the MBBS
Program
Six (6) Years: five (5) years of the basic MBBS Program
and
one (1) year of House Job/Internship
Integrated Curriculum Design of
MBBS Program
Subject Based (Allowed) must be synchronized with at
least temporal integration.
Learning Objectives According to SMART; Specific, Measurable, Achievable,
Relevant to the desired competencies of PMDC
(Outcomes) ,Time bound
Learning Strategies Problem Based Learning
Case-based Learning
Community Oriented Medical Education.
Learning Sites 1.Clinical Skills Laboratory
2.Experimental Laboratories
3. Wards, Labor Wards, Maternity wards, Postnatal
wards
4. Out Patient Departments
5. Accident and Emergency/Casualty departments
6. Community Settings
7. Electives in own and other Institutions.
Accident and Emergency/Casualty departments
Method of Information Transfer (MIT)
1.Large Class Learning
2.Small Group Learning
3. Logbook
5. Photographs, Slides and Software
6. Practical exercises.
7. Self-Learning:
8. Student Assignments and Projects
Conferences/Seminars/Workshops/Webinars
9. Student Presentations
10. Videos
11. Others.
12. On-line courses
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Theoretical and Practical Learning Approximate allocation of time for Theoretical and
Practical Learning is based on the ratio of contact
hours (theory: practice):
1. Basis Sciences 50:50
2. Clinical Sciences 30:70
3. House Job (year 6) 15-20: 80
Allocation of Hours and Credits in the
MBBS Curriculum
One Academic Year = 9 months = 36 weeks
Academic Week = 423 hours/week (= 1512 hours/year
= 7560 hours in 5 years.
Assessments and Examinations
Formative and Summative Assessment:
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3. Integrated Curriculum Design of MBBS Program
Two designs of the MBBS curriculum are acceptable.
i. System Based (Preferred) with horizontal and vertical
integration.
ii. Subject Based (Allowed) must be synchronized with at
Least temporal integration.
We are practicing here the subject based curriculum in the form of parallel teaching as allowed by
PMDC. In this concurrent (Parallel) teaching, each subject remains responsible for it's own
teaching programme. The timing of the teaching of topics within a subject, however, is done in
consultation with other disciplines. The timetable is adjusted so that topics within the subjects or
disciplines which are related, are scheduled at the same time. Similar topics are taught on the same
day or week while remaining part of a subject-based teaching program. Students study the
concepts of the different subjects separately, and are left themselves to uncover the relationships.
This approach has been described also as `parallel' or `concurrent' teaching. In a basic medical
science program with temporal co-ordination, physiologists address the subject of the function of
the heart at the same time as the anatomists look at the structure of the heart. Students are left to
make the links between the two subjects but this is facilitated by the timetabling, with the heart
being examined from the two perspectives in the same time-frame Programs described as
`integrated teaching programs are often, in practice, programs which are temporally co-ordinate.
The implementation of a temporally co-ordinate program introduces some of the advantages of
integrated teaching and is a good stepping off point for a more integrated curriculum.
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4- Allocation of Hours and Credits in the MBBS Curriculum
One Academic Year = 9 months
= 36 weeks Academic Week
= 42 * hours/week
= 1512 hours/year
= 7560 hours / 5 years
*- 36 hours of week + at least one hour of student study per day = 42 hours/week. In the ECTS (European
Credit Transfer System),
student learning at home is also counted.
5- MBBS Subjects with Allocated hours in 5 Years
Sr.
No
Subject Allocated
Hours/5 yrs
1 Medical subjects 5500
2 General Subjects 980
3 *Self Directed Learning 1000
Grand Total 7480
*Minimal student self-learning of 1 hour/day
=over 36 weeks every year
= over 5 years equals1000 hours.
Therefore, 5500 and 980 and 1000 equals 7480 hours.
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6-Subject base Curriculum with Allocated Hours per 5 Years
Year Medical Subjects Total
Hours
General Subjects Total
Hours
Year
1 & 2
Anatomy
Physiology
Biochemistry
Clinical sciences
Surgery 125
Medicine 125
Gynecology 50
Pediatrics 50
Pharmacology 50
Pathology 50
Community Health 50
600
600
300
500
Islamyat
Pak studies
Communication skills
Behavioral Sciences
Medical Ethics
Professionalism
25
25
50
40
50
100
Year
3
Pharmacology
Forensic Medicine
Community medicine
Pathology & Microbiology
Medicine
Surgery
Gynecology
250
100
100
250
100
100
100
Clinical Method
Research method
100
50
Year
4& 5
Community Medicine
Medicine
Pediatrics
Surgery
Pathology
Gynecology & Obstetrics
ENT
EYE
Co curriculum
100
625
100
625
200
150
100
100
200
Community Health
100
TOTAL 5500 5500 TOTAL 980
Clinical Methods, nutrition, medical ethics, professionalism,
Communication skills, radiology, behavioral sciences and evidence based
practice should be re-enforced in all clinical rotations / clerkships.
* Additional 2 weeks in Community Psychiatry, where
Possible. 2 weeks per year can be utilized by the institutions for other curricular, co curricular or remediation
activities.
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7.1 -Theoretical and Practical Learning ratio in Subjects
Approximate allocation of time for Theoretical and Practical Learning is based on the ratio
of contact hours (theory: practice).
Subjects Theory: Practical
1. Basis Sciences 50:50
2. Clinical Sciences 30:70
3. House Job (year 6) 15-20: 80
7.2 Ratio of contact hours Theory : Practical
Sr No. Subject Theory Hours Practical
Hours
Total Hours
MEDICAL BASIC SCIENCES
1 Anatomy 250 250 500
2 Physiology 250 250 500
3 Biochemistry 100 100 200
4 Islamic/Pak Studies 50 50
5 Behavioral sciences 13 12 25
6 General Pathology
and Microbiology
125 125 250
7 Pharmacology 150 150 300
8 Forensic Sciences 50 50 100
9 Community medicine 125 125 250
10 Special Pathology 125 125 250
MEDICAL CLINICAL SCIENCES
11 Opthalmology 30 70 100
ENT 30 70 100
Medicine & allied
nuclear medicine
{emergency
274 546 820
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medicine,
medicine elective,
*** Psychiatry,
Dermatology
&general practice}
12 Pediatric Medicine
50 100 150
13 Surgery & Allied 267 533 800
14 Obstrectics &
Gynecology
100 200 300
15 ClinicoPathalogical
Conferences
60 60
Total
4795
8-Duration and Scheme of the MBBS Program
Six (6) Years; five (5) years of the basic MBBS Program and one (1) year of House Job
One Academic Week = 36 hours; One Academic Year =36 Weeks
Years 1 and 2: Divided into four (4) Semesters, with two semesters in each
Years 3, 4 and 5: Annual Blocks with subjects
Year 6: Apprenticeship Training during House job.
ob Study Block Annual
Examination
1 Semester-1 Semester-2 1
2 Semester-3 Semester-4 2
3 Annual 3
4 Annual 4
5 Annual 5
HouseJob/Internship
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9- Level of the Learner:
The level of the learner would be in accordance with the Learning domains of Bloom’s Taxonomy.
Learning Domains or Bloom's Taxonomy
There are three types of Learning Domains or categories. Learners often refer to these three
domains KSA (Knowledge, Skills, and Attitude). This taxonomy of learning behaviors can be thought
of as the goals of the training process. That is, after the teaching session, the learner should have
acquires new skills, knowledge, and/or attitudes.
• Cognition Domain (Knowledge)
C1 Recognition and Recall
C2 Interpretation and application
C3 Problem-solving (analysis, synthesis and judgment)
• Psychomotor Domain (Skills)
P1 Observe
P2 Assist in the procedure
P3 Perform under supervision
P4 Perform independently
• Affective Domain (Attitudes, Values, Behaviors)
-Receiving
-Responding
-Valuing
-Organizing behaviour
-Value concept
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Cognitive Domain: (Learning outcomes related to knowledge)
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Psychomotor Domain
Learning Outcomes Related To Skills
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Affective Domain
Learning Outcomes Related To Attitudes, Behaviors, and Values
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10. Assessments and Evaluation
Both Formative and Summative assessment method will be used for learner’s evaluation.
Formative assessment would be done monthly with constructive feedback to individual
student.
Summative assessments would be done by the end of each semester.
Internal Assessment
Internal assessment will be conducted throughout the year performance. It will be based on the
written tests (60%), OSPE and Viva (30%) and small group assessments (10%).
Written Assessments
It will be done as summative Assessment .There will be total of 3 end semester assessment and
one send up assessment by the end of year. It will comprise of MCQs and SEQs according to
UHS examination pattern.
Practical:
These will comprise of OSPE (observed and unobserved) .Marks and grading for OSPE will be
done according to checklists and rubrics. Role play, Slide examination, Specimen grossing and
labeling
Oral viva:
There will be 4 viva voce assessments. These would be structured viva to reduce the bias. Oral
viva will be taken as summative assessment by the end of each semester and one for sendup
exam.
Small group assessments
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Small group assessments would be used for formative purpose. Individual Constructive
feedback would be given to each student by the end of Tutorial, PBL session, Slide seminars.
Course Requirement:
Each Student will complete the total of 250 teaching and learning contact hours as per
requirement of PMDC.
75% attendance of Lectures and practical is mandatory for the student for being eligible to
appear for annual professional exam .
Internal examination:
1. Sendup exam: each subject=50% Theory +50%practical
2. Credit of marks in semester=50%
Each semester assessment= total marks 100(50% theory+50% practical)
Credit of three semesters=S1+S2+S3=total of 300
Credit of three semesters=100+100+100(50% theory+50% practical)
Sendup examination= 300(50% theory+50% practical)
Final internal assessment=sendup +total semesters assessments = /2
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11. PROFESSIONAL MBBS EXAMINATIONS
1. First Professional MBBS Part-I Examination:
To be held at the end of the 1st year in the following subjects in course work
completed in the first year:
PART-II
(a) Anatomy and Histology
One Paper: 90 Marks
Internal Evaluation 10 Marks
Oral & Practical 90 Marks
Internal Evaluation 10 Marks
Total 200 Marks
PART-I
(a) Anatomy and Histology
One Paper: 90 Marks
Internal Evaluation 10 Marks
Oral & Practical 90 Marks
Internal Evaluation 10 Marks
Total 200 Marks
(b) Physiology
One Paper: 90 Marks
Internal Evaluation 10 Marks
Practical & Oral Exam: 90 Marks
Internal Evaluation 10 Marks
Total 200 Marks
(c) Biochemistry
One Paper: 45 Marks
Internal Evaluation 5 Marks Oral & Practical 45 Marks
Internal Evaluation 5 Marks
Total 100 Marks
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(b) Physiology
One Paper: 90 Marks
Internal Evaluation 10 Marks
Practical & Oral Exam: 90 Marks
Internal Evaluation 10 Marks
Total 200 Marks
(c) Biochemistry
One Paper 45 Marks
Internal Evaluation 5 Marks
Oral & Practical 45 Marks
Internal Evaluation 5 Marks
Total 100 Marks
Note: Any students who fails to clear the first professional MBBS Part-1, & Part-11
examination separately in three chances availed or un-availed after becoming eligible for
each examination shall cease to become eligible for further medical education in Pakistan.
2. 2nd professional MBBS Examination
To be held at the end of the 3rd year in the following subjects:
(a) Pharmacology & Therapeutics
Theory 135 Marks
Internal Evaluation 15 Marks
Oral & Practical 100 Marks
Animal experiment 35 Marks
Internal evaluation 15 Marks
Total 300 Marks
(b) Pathology General & Microbiology
Theory 135 Marks
Internal Evaluation 15 Marks
Practical & Oral Exam 135 Marks
Internal Evaluation 15 Marks
Total 300 Marks
(c) Forensic Medicine
Theory 90 Marks
Internal Evaluation 10 Marks
Viva Voce 90 Marks
Internal Evaluation 200 Marks
Total 200 Marks
3. 3rd Professional Examination
To be held at the end of the 4th year in the following subjects:
(a) Community Medicine
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Theory 135 Marks
Internal Evaluation 15 Marks
Oral & Practical 110 Marks
Internal evaluation 15 Marks
Project 25 Marks
Total 300 Mark
(b) Special Pathology
Theory 135 Marks
Internal Evaluation 15 Marks
Practical & Oral Exam 110 Marks
Internal evaluation 15 Marks
Total 300 Mark
(c) Otorhinolaryngology (ENT)
Theory 90 Marks
Internal Evaluation 10 Marks
Oral & Practical 90 Marks
Internal evaluation 10 Marks
Total 200 Marks
(d) Ophthalmology
Theory 90 Marks
Internal Evaluation 10 Marks
Oral & Practical 90 Marks
Internal evaluation 10 Marks
Total 200 Marks
4. Final Professional MBBS Examination
To be held at the end of the 5th year in the following subjects:
(a) Medicine Including Psychiatry & Dermatology
Theory
- Paper I 135 Marks
- Internal Evaluation 15 Marks
- Paper II 135 Marks
- Internal Evaluation 15 Marks
- Total 300 Marks
Clinical/Practical Exam
- Clinical 240 Marks
- OSCE 30 Marks
- Internal Evaluation 30 Marks
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- Total 300 Marks
(b) Surgery Including Orthopaedic & Anaesthesia
Theory
- Paper I 135 Marks
- Internal Evaluation 15 Marks
- Paper II 135 Marks
- Internal Evaluation 15 Marks
Total 300 Marks
Clinical/Practical Exam
- Clinical 240 Marks
- OSCE 30 Marks
- Internal Evaluation 30 Marks
- Total 300 Marks
(c) Obstetrics and Gynaecology
Paper I 90 Marks
Internal Evaluation 10 Marks
Paper II 90 Marks
Internal Evaluation 10 Marks
Oral & Practical 180 Marks
Internal Evaluation 20 Marks
Total 400 Marks
(d) Paediatrics
Theory 90 Marks
Internal Evaluation 10 Marks
Oral & Practical 90 Marks
Internal Evaluation 10 Marks
Total 200 Marks
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SELF EVALUATION FOR QUALITY ASSURANCE
Self evaluation is the most important component of the QA. It deals with the planning
implementing, and monitoring of all teaching and learning activities including assessment.
A quality management unit is established in each basic sciences and clinical sciences
subjects under the supervision of the academic Dean. Quality management unit is
comprised of the Head of Department of each discipline, the focal person, and the other
faculty members of the relevant department. Dean academics has established this QA
system with the assistance of Medical education collaborator team chairman, who act as
coordinator amongst all the departments.
Basic and Quality development standards in AIMC
Basic Standard: The departmental curriculum committee
has given the responsibility and authority
for planning and implementing the
curriculum to secure the objectives of the
medical school.
Quality Development: The curriculum committee has provide with
the resources for planning an implementing
the methods of teaching and learning,
student assessment, course evaluation and
for innovation in the curriculum.
The Academic council should be responsible for planning of the course schedule, course
appraisal and preparation of annual reports in collaborations with the course committee
An MBBS course committee would be comprise of representatives from each departments,
and departmental committee under the chair of Head of Department.
Phase wise comities are formed to focus on preclinical , paraclinical ,and clinical disciplines.
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Organizational Structure:
Governing Body
Academic Council
Course Committee
Academic Coordinator
Departmental committees
Operational Aspects and Function for Self Evaluation:
Course Appraisal
Student progression, Analysis, departmental reports
Student feedback, survey, staff feedback
Key performance indicators
Weekly departmental report will be submitted to the concerned department and to the
Academic council Office.
Phase coordination groups
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AMNA INAYAT MEDICAL COLLEGE
AIMC-MBBS,
ANATOMY CURRICULUM
(PMDC/UHS)
&
ACADEMIC PLANNER
2017-2022
DEPARTMENT OF ANATOMY,
AMNA INAYAT MEDICAL COLLEGE
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Contents
1. Introduction Department of Anatomy
2. Introduction Faculty, Department of Anatomy
3. PMDC Curriculum of Anatomy
4. UHS Curriculum of Anatomy
5. Time Table (1st & 2ND year MBBS)
6. Planner with learning objectives & list of assigned Teachers
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Introduction Department of Anatomy
Amna Inayat Medical College, Sheikhupura
The primary purpose of this Department is to fulfill the teaching mandate of Amna Inayat
Medical College Sheikhupura affiliated with University of Health Sciences Lahore, Punjab,
Pakistan. Anatomy is the cornerstone of medical education. Sound understanding of the
human structure forms the basis of clinical sciences. Apart from Gross Anatomy the
Department is also responsible for the teaching of Neuroanatomy, Histology and
Embryology. Every year, 100 medical students arrive here for their preclinical training and
education in Anatomy.
The Department is unique in its teaching of cadaver-based Gross Anatomy along with
modern software based learning resources to stimulate a better insight appreciation of the
human structure from the clinical perspective.
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Introduction of faculty
Department of Anatomy
Name Qualification
Designation
Professor Dr.Mamoona Nasim MBBS
M.Phil
Head of Department
Professor Dr.Mammoona
Naheed
MBBS
M.Phil
Professor of Anatomy
Dr. Noreen Kashif MBBS
Sr. Demonstrator
Dr. Sadia MBBS
Sr. Demonstrator
Dr. Khadija MBBS
Demonstrator
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SYLLABUS OF
FIRST PROFESSIONAL
PART-I (1st year)MBBS
M.B.B.S.
ANATOMY AND HISTOLOGY
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PM&DC CURRICULUM ANATOMY
IA-: Introduction to
History and disciplines of Anatomy
o Radiological, clinical and applied anatomy
Terms and planes of Gross anatomy
Developmental anatomy / embryology
Anatomical positions
IB- Overview of the Skeletal system
Axial and appendicular skeleton
Definition and Classification of bones o
Functions of bones
o Parts of a young and adult bone o Ossification of bones
o Blood supply of bones
Characteristics and classification of joints
o Characteristics features of a synovial joint o
Classification of synovial joints
o Movements at different joints
IC- Introduction to the Muscular system
Classification of muscles
Structure of skeletal muscles
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Parts of a typical skeletal muscle
Aponeurosis, tendons, bursae, ligaments and sheaths
Blood supply and nerve supply of muscles
ID- Introduction to the Nervous system
Classification of nervous system
II. GENERAL HISTOLOGY
Different types of microscopes o
Parts of a light microscope
Structure of an animal cell
o Different organelles and surface projections of a cell
Basic tissues
o Epithelium, its classification with examples
o Muscle tissue, its classification with examples
o Connective tissue, and structure of various general connective tissues
o Nervous tissue
How to prepare a histology slide
How to perform Gram staining
Applied anatomy
Commonest clinical conditions related to each histological practical
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III. GENERAL EMBRYOLOGY AND ASPECTS OF GENETICS Cell division and structure of DNA
Principles of cytogenetics
Structure of genes and relation to DNA
Terms used in embryology
Gametogenesis
Fertilization, cleavage and implantation of embryo
Molecular mechanisms involved in embryology
Development in 2nd and 3rd week of intrauterine life
Changes in embryo between 4th to 8th week
Derivatives of germinal layers
Overview of organogenesis from 3-9th month
Twinning and teratology
Applied Embryology
Genetic disorders, infertility, ectopic pregnancy, twinning, placental
abnormalities, abortion, anomalies of organogesis and foetal period,
artificial insemination, IVF, Common genetic malformations
REGIONAL/SYSTEMIC ANATOMY
IV Neuroanatomy and Head and Neck
A. Neuroanatomy
Gross and surface anatomy of the skull and cervical vertebrae
Parts of brain and spinal cord o
Limbic system
o Cranial nerve nuclei and peripheral distribution o
Ascending and descending tracts
o Spinal nerves
Sensory, motor and autonomic nervous system
Nerve lesions of cranial and somatic nerves
Membranes or meninges of brain and spinal cord and dura venous
sinuses
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Blood supply of nervous system and clinical manifestations related to
blockage and rupture of blood vessels supplying the nervous system
Cerebrospinal fluid (CSF) and ventricles
Development of nervous system (normal and abnormal)
Microscopic anatomy of CNS (nervous tissue, nerve, ganglion and
different parts of brain spinal cord
Radiological anatomy (CT scan , MRI)
Applied anatomy
4 Genetics should be taught by a multi-disciplinary team with Biochemistry and Pathology
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Meningitis, paralysis, peripheral nerve lesions
Development of the Nervous system
1. Development of brain and spinal cord
2. Development of peripheral and autonomic nerves
3. Development of meninges and ventricles.
Applied anatomy
Congenital anomalies of brain and spinal cord
Genes, transcription factors, growth factors and signaling molecules
involved in the development of all above mentioned organs and
congenital anomalies related to mutations in genes and abnormal
expression of the genetic factors
B. Head and Neck
Surface anatomy of head and neck
Skull, cervical vertebrae and their joints
Muscles and fasciae of scalp, face and neck with emphasis on
organs of special senses (eye, ear, nose and tongue)
o Microscopic structure of cornea, sclera and retina o
Microscopic structure of internal ear (Cochlea)
o Emphasis must be given to applied histology related to clinical
medicine and surgery
Blood supply of head and neck (superficial and deep)
Lymphatic drainage
Oral cavity, pharynx, larynx, trachea and oesophagus, thyroid gland,
triangles of neck
Nerve supply (sensory and motor)
Radiological anatomy
Development of branchial apparatus including face, lips, nose, palate,
tongue, skull and facial skeleton.
37
Applied Anatomy
Cleft lip and palate
Fontanelle
Tracheo-esophageal fistula
Thyroglossal cyst
Genes, transcription factors, growth factors and signaling molecules
involved in the development of all above mentioned organs and
congenital anomalies related to mutations in genes and abnormal
expression of the genetic factors5.
peripheral nerve lesions of head and neck
5 With Biochemistry and Pathology
38
V Limbs: Upper limbs
o Surface anatomy o Bones and joints
o Joint movements and related muscles o Muscle compartments
o Muscles, aponeuroses, sheaths, ligaments , retinacula o Blood supply
o Lymphatic drainage
o Nerve supply (sensory and motor) and nerve plexuses o Histological features of skeletal muscles
o Microscopic structure of tendon, ligament and loose areolar
tissue, and osseous tissue
o Histological structure of various types of cartilages
Applied anatomy
Fractures of clavicle and other long bones, Colle‟s fracture, frozen
shoulder, rheumatoid arthritis and osteoarthiritis, dislocation of
shoulder joint, and brachial plexus injuries
Lower limbs
o Surface anatomy o
Bones and joints
o Joint movements and related muscles o Muscle compartments
o Muscles, aponeuroses, sheaths, ligaments , retinacula o
Blood supply
o Lymphatic drainage
Nerve supply (sensory and motor) and nerve plexuses
39
Applied anatomy
Inguinal and femoral hernias, varicose veins, fracture of lower limb bones
and dislocations of joints, motor and sensory loss, paralysis of muscles.
Sprain, atrophy, dystrophy and muscle spasms, Common fractures,
osteomyelitis and osteoporosis, dislocation, subluxation, frozen joints,
arthritis and injuries.
Development of the Musculoskeletal system
1. Development of axial and appendicular skeleton
2. Development of skeletal, smooth and cardiac muscles
Applied anatomy
Common developmental anomalies of muscles and bones
Genes, transcription factors, growth factors and signaling molecules
involved in the development of all above mentioned organs and
congenital anomalies related to mutations in genes and abnormal
expression of the genetic factors
40
VI Thorax
o Surface anatomy
o Ribs, thoracic vertebrae, sternum and their joints
o Muscles of thoracic cage and extrathoracic muscles attached to
thorax
o Mechanism of respiration in context to chest wall muscles and
diaphragm
o Blood supply
o Lymphatic drainage o Mediastinum
o Thoraco-abdominal diaphragm
o Nerve supply (sensory and motor)
Applied anatomy
Fractures of ribs and vertebrae, Paralysis of diaphragm and intercostal muscles,
pleurisy, hydrothorax, pneumothorax, ishaemic heart disease, myocardial
infarction, atrial and ventricular conduction defects.
VI-A Respiratory system (gross and microscopic anatomy)
Nasal and respiratory mucosa
Larynx (vocal folds)
Pharynx
Trachea
Bronchi
Lungs and pleural cavities
Development of upper (nose, pharynx, larynx and trachea) and lower
(lungs and bronchi) respiratory organs.
41
Applied anatomy
Developmental abnormalities of nasal passage, trachea and lungs
Genes, transcription factors, growth factors and signaling molecules
involved in the development of all above mentioned organs and
congenital anomalies related to mutations in genes and abnormal
expression of the genetic factors
VI-B Cardiovascular system (gross and microscopic anatomy)
Pulmonary and systemic blood circulatory systems
Arterial, venous and Portal blood circulatory systems
Histological features of cardiac muscles, arterial and venous blood
vessels
Heart and Pericardium
Applied anatomy
Atherosclerosis, varicose veins, aneurysms, angiography,
anastomoses
42
Development of heart and pericardium, major veins and arteries.
Development of the Foetal circulation and its changes at birth.
Applied anatomy
Congenital anomalies of heart and vessels
Genes, transcription factors, growth factors and signaling molecules
involved in the development of all above mentioned organs and
congenital anomalies related to mutations in genes and abnormal
expression of the genetic factors
VII Abdomen
VII-A Digestive Systems (gross and microscopic anatomy)
Surface anatomy of the abdomen
Lumbar vertebrae
Abdominal Wall: Anterolateral and posterior abdominal wall
Abdominal and pelvic peritoneum
Oral mucosa
Gums
Tongue
Hard and soft palate
Teeth
Lips and oropharynx
Salivary glands
Abdominal viscera - oesophagus, stomach, duodenum, jejunum, ilium,
colon, vermiform appendix, rectum, anal canal, liver and gall bladder,
pancreas
Blood supply of abdominal wall and viscera
Lymphatic drainage of all abdominal
Sensory, motor and autonomic nerve supply of abdomen
Posterior abdominal wall and related structures
Histological features of smooth muscles
Radiological anatomy (with ultrasound U/S, computerized
tomography CT scan, Barium studies
43
Development of the Digestive System
1. Development of diaphragm, body cavities and mesenteries
2. Development of oesophagus, stomach, small and large intestines and
anal canal
3. Development of liver, pancreas and gall bladder
4. Development of spleen
Applied anatomy
Developmental defects of diaphragm
Developmental defects of esophagus, intestines and other
abdominal viscera
Genes, transcription factors, growth factors and signaling molecules
involved in the development of all above mentioned organs and
44
congenital anomalies related to mutations in genes and abnormal
expression of the genetic factors.
VII-B Pelvis and Perineum
Surface anatomy
Bony pelvis (male and female)
Muscles and fascia of pelvis and perineum
Pelvic viscera
Perineal regions and fossae
Applied Anatomy
Rectal Prolapse, Uterine prolapse and Abscesses
VII-C Urinary system (gross and microscopic anatomy)
Kidney
Ureter
Urinary bladder and urethra
Development of the Urinary system: kidneys, urinary bladder and
urethra
Applied anatomy
Developmental abnormalities of kidneys, urinary bladder and
urethra
Genes, transcription factors, growth factors and signaling molecules
involved in the development of all above mentioned organs and
congenital anomalies related to mutations in genes and abnormal
expression of the genetic factors
45
VIII - Reproductive System:
VIII-A: Male (gross and microscopic anatomy)
Scrotum
Testes
Genital ducts
Seminal vesicles, prostate and bulbourethral glands, penis
Development of the Male reproductive system: testes and genital ducts
Applied anatomy
Undescended testicles
Anomalies of testes and genital ducts
Anomalies of external genitalia
Genes, transcription factors, growth factors and signaling molecules
involved in the development of all above mentioned organs and
congenital anomalies related to mutations in genes and abnormal
expression of the genetic factors
46
VIII-B: Female (gross and microscopic anatomy)
Ovaries
Uterus and fallopian tubes
Vagina
Mammary gland
Foetal membranes
Placenta, umbilical cord and their anomalies
Development of the Female Reproductive System
1. Development of ovaries
2. Development of uterus and fallopian tubes
3. Development of vagina
4. Development of external genitalia
Applied anatomy
Congenital anomalies of uterus, vagina
Anomalies of external genitalia
Undescended ovaries
Genes, transcription factors, growth factors and signaling molecules
involved in the development of all above mentioned organs and
congenital anomalies related to mutations in genes and abnormal
expression of the genetic factors
IX Endocrine system (gross and microscopic anatomy)
Pituitary gland
Thyroid and parathyroid glands
Suprarenal glands
Endocrine part of pancreas
Enteroendocrine system
Development of organs/ tissue of endocrine system
47
X Immune system (gross and microscopic anatomy)
Organization and components of lymphatic system
Features of lymphatic vessels, Lymph node, Tonsils, Thymus,
Spleen, GALT and MALT
Development of lymphatic vessels, Lymph node, Tonsils, Thymus and
Spleen
Applied anatomy
Oedema, ascites, lymphangitis and lymphadenopathy
XI Integumentary system
Structure and types of skin, nails and hair.
Histological structure of thin and thick skin
Receptors, cutaneous blood and nerve supply
48
Superficial and deep fasciae
Applied anatomy
Acute and chronic skin diseases, congenital disorders of integument
Materials and aids for Learning:
Charts
Clinical skills sessions
Cross sectional anatomy
Digital atlas
Dissection of available human cadavers
Models
Plastinated Bodies
Prosected specimens
Radiological images (Computerized tomography, Magnetic
Resonance Images, Ultrasonography and others)
Skeletons
Video tapes, other software including ADAM
Emphasis must be given to applied anatomy related to clinical medicine and
surgery.
RECOMMENDED BOOKS:
1. Gray‟s Anatomy by Prof. Susan Standring, 39th edition (as reference
book).
2. Clinical anatomy for medical students by Richard Snell.
3. Clinically oriented anatomy by Keith Moore.
4. Clinical anatomy by R. J. Last (latest edition).
5. Cunningham‟s Manual of Practical Anatomy by G J Romanes. Latest
edition Vol. I, II and III.
6. The developing human, Clinically Oriented Embryology by Keith Moore.
(Latest edition).
7. Embryology by Langmann (Latest edition).
8. Wheaters, Functional Histology by Young and Heath (Latest edition)
9. Histology. A Text and Atlas by Ross & Romrell (Latest edition).
10. Medical histology by Prof. Laiq Hussain.
11. Histology by Janquero (Latest edition)
12. Barr‟s the Human Nervous system: anatomical view point (Latest
edition).
13. Neuroanatomy by Richard S. Snell (Latest edition).
49
14. Netter‟s Atlas of Gross anatomy (Latest edition).
15. Mariano De Flore atlas of Histology (Latest edition).
16. Digital atlas of microscopic anatomy by Khalid Khan
50
UHS CURRICULUM
ANATOMY AND HISTOLOGY
The course outline is as follows :-
1. History of anatomy and the different disciplines of the subject 2. Explain anatomical nomenclature
GENERAL ANATOMY
Skeletal System
1. Axial skeleton 2. Different bones of human body 3. Axial and appendicular skeleton 4. Functions of bone 5. Classification on the basis of development, region and function 6. General concepts of ossification of bones 7. Parts of young bone 8. Blood supply of long bones 9. Anatomical factors in bone injury (clinical).
Joints
1. Structural , regional and functional classification of joints 2. Characteristics of synovial joints 3. Classification of synovial joints 4. Movements of synovial joints 5. Anatomy of joints with reference to dislocation and injury (clinical).
Muscle
1. Parts of a muscle 2. Classification of muscle 3. Blood supply and nerve supply of muscle 4. Anatomy of the neuromuscular junction 5. Anatomy of muscle with reference to sprain, spasm and injury
Cardiovascular System
1. The cardiovascular system 2. Arterial and venous system
Lymphatic System
1. Anatomy of lymph node 2. Anatomy of lymph vessels 3. Function of lymphatic system
51
Nervous System
1. Nervous system in general 2. Different parts of nervous system and their functions
3. Anatomical arrangements of the cranial and spinal nerves in general
4. Autonomic nervous system
Skin and Fascia
1. Brief anatomy of the skin, superficial and deep fascia
GENERAL HISTOLOGY
1. Cell as a whole 2. Different components of a cell and description of its functions 3. Anatomy of cell membrane 4. Different parts of a microscope and their function 5. Types of epithelium and their anatomical location 6. Connective tissues and its function 7. Histological appearance of cartilage 8. Histological appearance of bone 9. Cartilage and bone 10. Identification of connective tissue, cartilage and bone under microscope 11. Histological features of muscle 12. Identification of muscle tissues under microscope 13. Histological features of central venous system 14. Histological features of peripheral nerve and spinal cord 15. Identification of nerve under microscope 16. Histology of lymphoid tissue 17. Identification of lymphoid tissue under microscope 18. Histology of blood vessel 19. Identification of blood vessel under microscope 20. Histology of skin 21. Identification of skin under microscope
GENERAL EMBRYOLOGY
1. Male and female reproductive organs 2. Cell division and gametogenesis 3. Fertilization, cleavage, blastocyst formation and implantation of the embryo 4. Stages of early embryonic development in second and third week of intrauterine life
5. Development of embryo and foetus 6. Foetal membrane (amniotic cavity, yolk sac, allantois, umbilical cord and placenta)
52
GENETICS
1. Basic principles of genetics 2. Structure and function of genes and DNA 3. Relationship of genes and DNA 4. Teratogenesis
GROSS ANATOMY
The study of gross anatomy must lay emphasis on applied anatomy as related to clinical
medicine and surgery, radiological anatomy, surface anatomy and cross sectional anatomy
Dissection, dissected specimens, models, and computer aided programs, x-rays and CT scans can be used.
Upper Limb
Duration 11 weeks
Lower Limb
Duration 11 weeks
Thorax
Duration 7 weeks
Clinical Module
1. Common developmental anomalies 2. Clinical effects of nerve injuries of the upper limb 3. Clinical effects of nerve injuries of the lower limb 4. Clinical importance of coronary circulation
RECOMMENDED BOOKS
1. Gray’s Anatomy by Prof. Susan Standring 39th
Ed., Elsevier.
2. Clinical Anatomy for Medical Students by Richard S.Snell.
3. Clinically Oriented Anatomy by Keith Moore.
4. Clinical Anatomy by R.J. Last, Latest Ed.
5. Cunningham’s Manual of Practical Anatomy by G.J. Romanes, 15th
Ed., Vol-I, II and
III.
6. The Developing Human. Clinically Oriented Embryology by Keith L. Moore, 6th
Ed.
7. Wheater’s Functional Histology by Young and Heath, Latest Ed.
8. Medical Histology by Prof. Laiq Hussain.
9. Neuroanatomy by Richard S.Snell.
53
PART-II
SYSTEMIC HISTOLOGY
Digestive System
3. Oral cavity, tongue, gums, hard palate, soft palate, pharynx and lips. 4. Oesophagus, stomach, duodenum, small intestine, large intestine, appendix.
5. Salivary gland.
6. Liver.
7. Pancreas and the difference between the endocrine and exocrine pancreas.
8. Gallbladder.
Respiratory System
10. Nasal cavity, paranasal sinuses. Larynx and trachea. 11. Bronchi and lungs.
Male Reproductive System
6. Testis, genital ducts and accessory genital glands.
Female Reproductive System
6. Ovaries, fallopian tube and uterus. 7. Vagina. 8. Mammary gland.
Urinary System
3. Kidney. 4. Ureter and urinary bladder. 5. Urethra.
Endocrine System
4. Pituitary gland. 5. Thyroid and parathyroid gland. 6. Adrenal gland and differences between the cortex and medulla.
Eye and Ear 5. Histological structure of the Eye. 6. Histological structure of the Ear.
54
SYSTEMIC EMBRYOLOGY
Head Neck and Branchial Apparatus
22. Development of the branchial apparatus and the structures which develop from each
arch.
23. Development of the tongue. 24. Development of the thyroid and parathyroid.
55
Clinical Module 5. Tracheo – oesophageal fistula. 6. Cleft lip and palate.
Digestive System 5. Development of the body cavities, mesenteries and diaphragm. 6. Development of the liver, pancreas and gallbladder. 7. Development of the spleen.
Clinical Module 10. Developmental defects of the diaphragm. 11. Developmental defects of the intestine and viscera.
Respiratory System 1. Development of the respiratory system
Cardiovascular System 1. Development of the heart and great vessels. 2. Foetal circulation and changes at birth.
Clinical Module 1. Common congenital anomalies of the heart.
Urinary System 1. Development of the kidneys, urinary bladder and urethra.
Male Reproductive System 1. Development of the testis and genital duct. 2. Causes undescended testis.
Female Genital System 1. Development of the ovaries, uterus and vagina.
Musculoskeletal System 1. Development of the musculoskeletal system.
Nervous System 1. Development of the nervous system.
56
GROSS ANATOMY
The study of gross anatomy must lay emphasis on applied anatomy as related to
clinical medicine and surgery, radiological anatomy, surface anatomy and cross-
sectional anatomy.
Dissection, dissected specimens models, computer aided programs, x-rays and CT scans
can be used.
Head and Neck 12 weeks Abdomen and Pelvis 12 weeks Brain 8 weeks
RECOMMENDED BOOKS
1. Gray’s Anatomy by Prof. Susan Standring 39th
Ed., Elsevier.
2. Clinical Anatomy for Medical Students by Richard S.Snell.
3. Clinically Oriented Anatomy by Keith Moore.
4. Clinical Anatomy by R.J. Last, Latest Ed.
5. Cunningham’s Manual of Practical Anatomy by G.J. Romanes, 15th
Ed., Vol-I, II and
III.
6. The Developing Human. Clinically Oriented Embryology by Keith L. Moore, 6th
Ed.
7. Wheater’s Functional Histology by Young and Heath, Latest Ed.
8. Medical Histology by Prof. Laiq Hussain.
9. Neuroanatomy by Richard S.Snell.
57
Anatomy Department
1st year MBBS teaching Schedules
Facilitators: Professor Dr. Mamoona Naheed
Recommended books:
1. Langman’s Medical Embryology
2. Developing human By KL Moore
1 Molecular regulation and cell
signaling
Overview of
Induction and organ formation
Cell signaling
Genomic imprinting
2 Basic principles of genetics The Laws and principals governing genetics
3 Oogenesis Prenatal and postnatal maturation of oocyte
Significance of arrested development of oocyte
Hormonal control of oocyte maturation
4 Spermatogenesis Process of spermatogenesis and spermeiogeneis
Abnormal gametes
5 Ovarian cycle and ovulation Cyclic changes taking place in the uterus
Hormonal control of the cyclic changes and ovulation
6 Fertilization Conditioning of the male gamete in the female genital tract
Phases of fertilization
Results of fertilization
7 Contraception and infertility Brief overview of
Methods of contraception
Male and female infertility
In-vitro fertilization
8 Clevage and blastocyst formation Compaction
Formation of morula (division into inner and outer cell mass)
Blastocyst formation
9 Implantation Uterus at the time of implantation (decidua reaction)
Establishment of uteroplacental circulation
Differentiation of inner and outer cell mass
Abnormal implantation
Molar pregnancy
10 Gastrulation Formation of primitive streak
Invagination
Transformation of bilaminar germ disc into trilaminar germ disc
11 Formation of notochord Invagination and movement of prenotochordal cells
Notochordal plate formation
Neurenteric canal formation
Establishment of body axis
Fate map establishment
12 Derivatives of ectoderm Formation of neural tube from neural plate.
Derivatives of neural tube
Abnormalities in development of neural tube
Migration of neural crest cells
Derivatives of neural crest cells
13 Germ layer derivatives 1 Differentiation of mesoderm into its constituting components
58
(Differentiation of mesoderm and
derivatives of paraxial mesoderm)
Somite formation
Estimation of age by somites
Differentiation of somites
14 Germ layer derivatives 2
(derivatives of mesoderm and
endoderm)
Derivatives of intermediate and lateral plate mesoderm
Process of development of blood and blood vessels
Capillary hemangiomas
Derivatives of endoderm
15 Folding of embryo Cephalocaudal folding
Lateral folding
16 Monthly changes in the
development of fetus
Overview of the
Monthly changes in External appearance
Growth in length and weight
IUGR
Estimation of age of fetus
17 Fetal membranes and placenta 1 Changes in the trophoblast
Structure of placenta
Functions of placenta
Placental circulation
Placental barrier
18 Fetal membranes and placenta 2 Umbilical cord
Cord abnormalities
Amniotic fluid
Polyhrhramnios and oligohydramnios
19 Twin pregnancy Didygotic twins
Monozygotic twins
Twin defects
20 Birth defects Types of abnormalities
Principals of teratology
Teratogens associated with human malformation
21 Prenatal diagnosis and fetal
therapy
Various methods of pre-natal diagnosis
Fetal therapy
59
Histology Schedule with Learning Objectives
1st Year MBBS (2017-2018)
Week 1
Cell membrane & Organelle
Week 2
Cytoskeleton & cell junctions
Week 3
Nucleus
At the end of session the
student will be able to
Give structural details of
cell membrane & co-relate
it with function.
Enumerate membrane
bound & non membranous
organelles of cell.
Elaborate each organelle.
Use microscope efficiently.
Identify different types of
artifacts.
Understand preparation of
tissues with H & E staining
Techniques.
At the end of session the
student will be able to
Provide an ample account
of cytoskeletal elements.
Enumerate cell junctions.
Give structure of each
junction.
Clinically co-relate
abnormality of any
cytoskeletal component as
well as junction.
Identify different cell
shapes (Squamous,
cuboidal, columnar, round,
polyhedral, fusiform,
pyramidal & multipolar)
under light microscope.
At the end of session the
student will be able to
Enumerate components of
cell nucleus.
Provide structural detail of
chromosomes.
Give an account of cell
division (mitosis &
mieosis).
Identify different cell
shapes (Squamous,
cuboidal, columnar,
round, polyhedral,
fusiform, pyramidal &
multipolar) under light
microscope.
Week 4
Epithelium
Week 5
Epithelium
Week 6
Connective Tissue
60
At the end of session the
student will be able to
Classify surface epithelia
e.g. simple (Squamous,
cuboidal, columnar &
pseudostratified) and
stratified (st. Squamous, st.
cuboidal, st. columnar &
transitional) as well as
glandular epithelia with
examples of their locations
in human body.
Give structural & functional
characteristics of epithelial
tissue.
Identify different types of
epithelia under light
microscope and will draw
simple epithelia.
At the end of session the
student will be able to
Explain structural polarity
of epithelial cells with its
surface modifications and
their participation in their
functioning.
Identify clinical problems
related to epithelia and
their associated structures.
Identify different types of
epithelia under light
microscope and will draw
stratified epithelia.
At the end of session the
student will be able to
Reproduce the structural
components & functional
characteristics of
connective tissue.
Classify various types of
connective tissue
(embryonic and adult)
with examples of their
location in our body.
Identify connective tissue
under light microscope
and will differentiate from
one another and will draw
them.
Week 7
Connective Tissue
Week 8
Cartilage (Special C. T.)
Week 9
Bone (Special C. T.)
At the end of session the
student will be able to
Give the biochemical
composition of extracellular
matrix components.
Co-relate the clinical
problems faced in case of
change in any of the
components of connective
tissue.
Identify connective tissue
components under light
microscope stained with
special stains and can draw
them correctly.
At the end of session the
student will be able to
Define & classify cartilage
as special connective
tissue with locations of
different types in our body.
Give structural
composition of different
types of cartilage.
Reproduce the structural
similarities and differences
among three types of
cartilage.
Identify under light
microscope and draw
different cartilages
(hyaline, articular, elastic &
fibrous).
At the end of session the
student will be able to
Define the bone as
specialized connective
tissue and enlist its
components (cells, fibers
& ground substance).
Classify different bone
types with examples of
their location in human
body.
Give general arrangement
of component parts in
both types of bone
(periosteum, haversian
system etc.).
Identify all of the above
mentioned components in
slides of compact bone
under light microscope.
Draw microscopic
structure of compact bone
Week 10
Bone (Special C. T.)
Week 11
Week 12
Muscle Tissue
61
At the end of session the
student will be able to
Reproduce the steps of
process of two types of
ossification.
Give the changes in bone
structure during growth &
remodeling.
Co-relate the clinical
conditions related to bone
formation & its
mineralization.
Identify all of the above
mentioned components in
slides of compact bone
under light microscope.
Draw microscopic structure
of compact bone
Test 1 At the end of session the
student will be able to
Enlist three types of
muscle tissue with their
locations in our body.
Reproduce structure of
skeletal muscles in detail
& the role of T-tubules
and sarcoplasmic
reticulum in functioning of
striated muscles.
Identify longitudinal &
horizontal sections of
skeletal muscles under
light microscope.
Draw L.S. & C. S. of
skeletal muscles.
Week 13
Muscle Tissue
Week 14
Nervous Tissue
Week 15
Nervous system
At the end of session the
student will be able to
Give structural details of
cardiac muscles with
important features that
take part in their
functioning.
Reproduce important
features of smooth muscle
fibers.
Compare & contrast these
three types in their
structure, function &
location.
Identify & differentiate all
three types under light
microscope and can draw
their L.S. & C.S.
At the end of session the
student will be able to
Enlist the structural
components of nervous
tissue.
Classify neurons &
neuroglia (central &
peripheral nervous
system).
Elaborate the structure of
peripheral nerve.
Identify L. S. & C. S. of
peripheral nerve under
light microscope.
Draw section of peripheral
nerve with component
details.
At the end of session the
student will be able to
Give the histological
structure of spinal cord
with components of grey
and white matter.
Identify section of spinal
cord under light
microscope & draw its
microscopic picture.
Week 16
Nervous system
Week 17
Vascular System
Week 18
Vascular System
62
At the end of session the
student will be able to
Tell the histological
structure of cerebellum &
cerebrum.
Elaborate components of
grey and white matter.
Draw three layers of
cerebellum & six layers of
cerebral cortex.
Identify under light
microscope.
At the end of session the
student will be able to
Classify different
components of circulatory
system structurally &
functionally.
Provide structural
components of three
layers (tunics) that form
the walls of blood vessels.
Give changes in
architecture of elastic,
muscular arteries,
arterioles and capillaries.
Identify different types of
arteries under light
microscope, & draw
histologic picture of these
vessels.
At the end of session the
student will be able to
Elaborate structure of
large sized, medium sized
veins, muscular venules
and postcapillary venules.
Compare & contrast
arteries, veins &
capillaries.
Give different types of
anastomosis.
To clinically predict the
defect in any of the tunics.
Clinical basis of
atherosclerosis.
Identify these veins under
light microscope & draw
histologic picture of these
veins.
Week 19
Lymphoid System(Introduction
& Thymus)
Week 20
Lymphoid System (Lymph
node)
Week 21
Lymphoid System (Tonsil &
Spleen)
At the end of session the
student will be able to
Enumerate the names,
locations & function of
cells, tissues & organs
constitute the lymphoid
system.
Give the distinguishing
criteria of lymphoid organs
& the differences between
central & peripheral
lymphoid organs.
Elaborate the central
nature & significance of
thymus.
Give the structural
differences of thymus from
other peripheral lymphoid
organs.
Identify thymus under light
microscope & draw its
histological picture.
At the end of session the
student will be able to
Elaborate structural details
of lymph node.
Co-relate Clinical
involvement of lymph
node in immune response.
Identify lymph node under
light microscope & draw its
histological picture.
At the end of session the
student will be able to
Give structural details and
the arrangement of
lymphoid follicles in tonsil
& spleen.
To compare & contrast
different lymphoid organs.
Identify palatine tonsil and
spleen under light
microscope & draw their
histological picture.
Week 22
Integumentory System(thick
skin)
Week 23
Integumentory System (thin
skin)
Week 24
63
At the end of session the
student will be able to
Enumerate cells and cll
layers present in both types
of skin (thick & thin).
Provide a comprehensive
account of skin layers
(epidermis, dermis and
hypodermis).
Identify thick skin under
light microscope & draw its
histological picture.
At the end of session the
student will be able to
Give structural details of
thin skin, with its
appendages(hair, nail &
glands).
Co-relate various clinical
conditions (psoriasis,
albinism, vitiligo, blistering
disorders and carcinoma)
with structure
Identify thin skin under
light microscope & draw its
histological picture.
Test 2
Anatomy Department
Thorax
Learning objectives
After the completion of the region the students will be able to
1. Identify and draw different parts of thoracic vertebrae, sternum and ribs with their
attachments and relations.
2. Distinguish between typical and atypical thoracic vertebrae, ribs. Highlight the
characteristic features differencing between thoracic, cervical and lumbar vertebrae
3. Demonstrate, identify and explain the structures contributing to the formation of
thoracic wall.
4. Enlist the various joints of thoracic wall with their types, ligaments and role in
movement of the thoracic wall.
5. Explain and identify the course, relations, branches and distribution of nerves and
vessels of thoracic wall.
6. Enlist the various clinico-pathological conditions of thoracic wall with their
presentations and anatomical justifications
7. Demonstrate and discuss attachments, nerve supply, blood supply and role in
respiratory movements of diaphragm and thoracic wall musculature.
8. Explain the movements of the thoracic wall (bucket-handle & pump handle)
9. Discuss the boundaries and contents of thoracic inlet and outlet
10. Explain and identify the boundaries, divisions and contents of mediastinum with
related clinical conditions
11. Identify and explain the relations, characteristic features, surface anatomy and clinical
conditions of the structures/ contents of the mediastinum
12. Discuss and identify the features, relations, surface anatomy and neurovascular supply
of pleura and lungs.
13. Explain the anatomy of broncho-pulmonary segments with their clinical significance.
64
14. Discuss and identify the features, relations, surface anatomy and neurovascular supply
of pericardium
15. Demonstrate and explain the formation and clinical significance of Pericardial sinuses.
16. Discuss and identify Heart with the internal and external features, chambers, valves,
conducting system, nerve supply, blood supply and surface anatomy
17. Justify anatomically the presenting complaints encountered in important clinical
conditions such as hydropneumothorax, pleurisy, foreign body inhalation,
hemidiaphragm, flail chest, referred pain etc
18. Explain procedures such as thoracocentesis, chest tube intubation, intercostals nerve
block anatomically.
19. Explain the lymph drainage of thoracic wall and viscera in order to find sites of
metastasis
20. Discuss and draw the dermatomes, venous drainage of thorax
21. Differentiate the and identify the various structures seen in radiographs
65
Anatomy Department
Upper Limb
Learning objectives
After the completion of the region the students will be able to
1. Identify, draw, demonstrate and discuss the characteristic features, attachments,
relations, ossification of the bones of the upper limb (clavicle, scapula, humerus,
radius, ulna, and bones of hand).
2. Discuss and anatomically justify the presentation of various upper limb fractures
encountered.
3. Discuss and identify the structure, relations, nerve supply, blood supply lymphatic
drainage of Breast with special emphasis on the anatomical justification of
presentation and metastasis of carcinoma breast.
4. Discuss and identify the attachments, relations, nerve supply, blood supply and actions
of the muscles of pectoral, and scapular regions.
5. Identify and discuss the course, relation and distribution of the nerves and vessels in
the pectoral and scapular region to detect the effects of injury.
6. Discuss the movements of the scapula with the role of muscles contributing to these
movements
7. Identify and explain the relations, characteristic features, surface anatomy and clinical
conditions of the structures/ contents of the Axilla
8. Identify and discuss the various groups of lymph nodes of upper limb with their
afferent and efferent vessels
9. Identify and discuss the course, relation and distribution of the vessels in the axilla
10. Discuss the Course, relation, branches, distribution and areas for pulsations of the
major arteries of upper limb (axillary, profunda brachii, brachial, radial and ulnar)
11. Discuss, draw and identify the formation, relations branches and distribution of
brachial plexus.
12. Justify anatomically the presenting complaints encountered in brachial plexus injuries
and nerve lesions of upper limb
13. Discuss and identify the attachments, relations, nerve supply, blood supply and actions
of the muscles of anterior and posterior compartments of the arm.
14. Discuss and identify the attachments, relations, nerve supply, blood supply and actions
of the muscles of flexor and extensor muscles of the hand and fingers with their
attachment and arterial and nerve supply.
15. Identify and discuss the course, relation and distribution of the nerves and vessels in
the arm, forearm and hand to detect the effects of nerve injury.
16. Discuss the formation, relations, branches and distribution of superficial and deep
palmar arches
17. Draw and explain the Cutaneous innervations of the hand
18. Identify, discuss and demonstrate the structure, mechanics, principals and movement
of the joints of the upper limb.
19. Identify and discuss the sites of arterial anastomosis and the clinical significance of
these anastomosis.
20. Discuss the mechanism of gripping
21. Differentiate and identify the various structures seen in radiographs.
66
Anatomy Department
Lower Limb
Learning objectives
After the completion of the region the students will be able to
1. Identify, draw, demonstrate and discuss the characteristic features, attachments,
relations, ossification of the bones of the lower limb (Hip bone, femur, tibia, fibula and
bones of foot).
2. Discuss and anatomically justify the presentation of various lower limb fractures
3. Demonstrate and explain the attachments and clinical significance of the deep fascia of
thigh
4. Identify and discuss the various groups of lymph nodes of lower limb with their
afferent and efferent vessels
5. Identify and discuss the surface anatomy, course, relations, tributaries and
communications of the superficial and deep veins of the lower limb
6. Anatomically justify the clinco-pathological conditions associated with the superficial
and deep veins of lower limb
7. Discuss and identify the attachments, relations, nerve supply, blood supply and actions
of the muscles of anterior, posterior and medial compartments of the thigh.
8. Identify and describe the boundaries and contents of the femoral triangle, adductor
canal and popliteal fossa
9. Identify and explain the relations, characteristic features, surface anatomy and clinical
conditions of the structures/ contents of the femoral triangle, adductor canal and
popliteal fossa
10. Discuss the Course, relation, branches, distribution and areas for pulsations of the
major arteries of lower limb (femoral, popliteal, anterior& posterior tibial, dorsalis)
11. Discuss and identify the attachments, relations, nerve supply, blood supply and actions
of the muscles of gluteal region.
12. Identify and discuss the course, relation and distribution of the nerves and vessels in
the gluteal region.
13. Discuss and identify the attachments, relations, nerve supply, blood supply and actions
of the muscles of flexor and extensor compartment of the leg
14. Identify and discuss the course, relation and distribution of the nerves and vessels in
the thigh, leg and foot to detect the effects of nerve injury.
15. Anatomically justify the presenting complaints seen in various nerve (superior and
inferior gluteal, femoral, obturator, sciatic, superficial and deep peroneal, tibial, medial
and lateral planter) lesions of lower limb
16. Discuss the formation, relations, branches and distribution of planter arterial arch
17. Discuss the formation, relations, and mechanics of the arches (longitudinal and
transverse) of foot
18. Discuss the mechanics and principals of walking.
19. Discuss and identify the attachments, relations, nerve supply, blood supply and actions
of the muscles of sole of feet
20. Draw and explain the Cutaneous innervations and dermatomes of the lower limb
67
21. Identify, discuss and demonstrate the structure, mechanics, principals and movement
of the joints of the lower limb.
22. Identify and discuss the sites of arterial anastomosis and the clinical significance of
these anastomosis.
23. Differentiate and identify the various structures seen in radiographs.
68
THORAX
Week 1 Learning Objectives Week 2 Learning Objectives Week 3 Learning Objectives At the end of the week, the student
will be able to demonstrate.
Parts of Sternum, joints
formed with their type,
attachments, important
relations and ossifications.
Sternal puncture and shapes
of chest.
Parts of Ribs, joints
formed with their
type,attachments,important
relations and ossifications.
Flail chest and Thoracatomy.
At the end of the week, the student
will be able to demonstrate/ write
Demonstrate parts of
Thoracic vertebrae, joints
formed with their type,
attachments, important
relations and ossifications.
Intervertebral disc and
herniation.Differences
between thoracic, cervical
and lumber vertebrae
Muscles of intercostals
space, proximal and distal
attachments, innervation and
actions.Supra pleural
membrane
At the end of the week, the student will
be able to demonstrate/ write
Course, relations, branches and
distribution of typical and
atypical intercostals nerve.
Course, relations, branches and
distribution of typical and
atypical intercostals artery.
Course, relations, branches and
distribution of internal thoracic
artery.
Diaphragm with attachments,
sensory & motor innervation,
blood supply and lymphatic
drainage.
Structure traversing and
actions of diaphragm.
Diaphragmatic hernia and
referred pain.
Teaching methodologies
SGD/ PBL/Presentation
Teaching methodologies
SGD/ PBL/Presentation Teaching methodologies
SGD/ PBL/Presentation Substage 1- Assessment (Formative)
Viva/ OSPE/ SEQ/ MCQ
Week 4 Learning Objectives Week 5 Learning Objectives Week 6 Learning Objectives At the end of the week, the student
will be able to demonstrate/ write
Types of respiration, muscles
responsible.
Changes in various diameters
of thoracic cavity during
inspiration and expiration
Division of mediastinum.
Boundaries and contents of
superior mediastinum
(Trachea, esophagus, Phrenic
and vagus nerves, Thymus,
Subclavian brachiocephalic
and common carotid vessels
Trachea, structure blood
supply, nerve supply and
lymphatics.Tracheotomy.
Phrenic and vagus nerve,
their course relations and
branches.
Thymus, structure, blood supply and
lymphatics.
At the end of the week, the student
will be able to demonstrate/ write
Boundaries and contents of
middle mediastinum
Types of pericardium with its
blood supply and nerve
supply.Pericarditis,
pericardial drainage.
Topography of Heart.
Gross features of heart
Fibrous skeleton.
Characteristic features of the
four chambers of heart.
Characteristic features of the
valves with their surface
marking.
Nerve supply, blood supply
and lymphatics of heart.
Myocardial
infarction.andAngina.
At the end of the week, the student will
be able to demonstrate/ write
Boundaries and contents of
posterior mediastinum
Esophagus course, relations,
constrictions, blood, nerve
supply and lymphatics.
Thoracic duct. Formation
course relations, area of
drainage and its termination
Azygous, hemizygous,
accessory hemizygous veins
with their course, formation
and tributaries.
Sympathetic chain. Course,
relations and branches.
Sypathectomy.
Raynaunds syndrome.
69
Teaching methodologies
SGD/ PBL/Presentation
Teaching methodologies
SGD/ PBL/Presentation Teaching methodologies
SGD/ PBL/Presentation Substage 2- Assessment (Formative)
Viva/ OSPE/ SEQ/ MCQ
Week 7 Learning Objectives Week 8 At the end of the week, the student
will be able to demonstrate/ write
Structure, blood supply,
nerve supply and lymphatics
of pleura.
Dead space.and Pleurisy
Pleural aspiration
Structure of Lung and
broncho-plumonary
segments.Blood supply,
nerve supply and lymphatics.
Demonstrate radiology of
thorax
Demostrate surface marking
of thorax
Final Stage
Modes of Assesssment
(Summative)
SEQs/ MCQs/ OSPE/ VIVA
Teaching methodologies
SGD/ PBL/Presentation
70
UPPER LIMB
Week 1 (2–1–2018 to 6–1–2018 )
Learning Objectives
Week 2 (9–1–2018 to 13–1–2018 )
Learning Objectives Week 3 (16–1–2018 to 20–1–2018
) Learning Objectives
At the end of the week, the student will
be able to demonstrate
Parts of the clavicle, with its
attachments, important relations,
joints formed with it, ossification,
side determination, fractures and
sex differences.
Parts of scapula with its
attachments, important relations,
and joints formed with it,
ossification, side determination,
fractures and sex differences.
Parts of humerus with its
attachments, important relation,
joints formed with it, ossification,
side determination, fractures and
sex differences.
At the end of the week, the student will
be able to demonstrate/ write
Muscles of pectoral girdle, their
proximal & distal attachments,
nerve supply and actions.
Clavipectoral fascia, attachments
and structure traversing.
Joints of pectoral girdle with their
type, stability, movements.
Muscles of scapular region,
proximal & distal attachments,
innervation and actions.
Draw Scapular anastomosis and
its importance.
Shoulder joint with its type,
articulations, important relations,
Stability, movements and
muscles responsible (rotator
cuff), neurovascular supply and
Dislocation.
At the end of the week, the student
will be able to demonstrate/ write
Boundaries and contents of
Axilla.
Axillary vessels, their
course, relations and
branches.
Draw brachial plexus, its
formation, relations,
branches and injuries (Erb’s
paralysis, Klumpke’s
paralysis)
Lymph nodes of Axilla and
their area of drainage
Breast with its Location,
structure, blood supply,
nerve supply and lymphatic
drainage.
Applied aspects (CA breast,
mastitis and mastectomy
Teaching methodologies
SGD/ PBL/Presentation
Teaching methodologies
SGD/ PBL/Presentation
Teaching methodologies
SGD/ PBL/Presentation
Substage 1- Assessment (Formative)
Viva/ OSPE/ SEQ/ MCQ
Week 4
(23–1–2018 to27–1–2018 )
Learning Objectives
Week 5
(30–1–2018 to3–2–2018 )
Learning Objectives
Week 6
(6–2–2018 to10–2–2018 )
Learning Objectives
At the end of the week, the student will
be able to demonstrate/ write
Anterior compartment of arm
with Inter-muscular septum and
muscles with their proximal and
distal attachments, innervation
and actions.
Course, relations and branches of
brachial artery.
At the end of the week, the student will
be able to demonstrate/ write.
Elbow joint with its type , its
articular surfaces and important
relations.
Stability, movements and
muscles responsible.
Draw Blood supply of elbow joint
, write nerve supply.and Carrying
At the end of the week, the student
will be able to demonstrate/ write.
Anterior compartment of
forearm with its muscles,
their proximal and distal
attachments, innervation
and actions.
Course, relations, branches
of radial and ulnar artery.
71
Course, relations and branches of
musculocutaneous nerve.
Draw boundaries and contents
of cubital fossa. Posterior compartment of arm
with its muscles along with their
proximal and distal attachments,
innervation and actions.
Course, relations and branches of
profunda brachii artery.
Course, relations and branches of
radial nerve.
angle
Parts of Radius and Ulna, joints
formed with their type
attachments.Important relations.
Ossifications and fractures
Radioulnar joints with their type
, articular surfaces and important
relations.Stability, movements
and muscles responsible
Course, relations, branches
of median and ulnar nerve.
Type of wrist joint, its
articular surfaces and
important relations.
Stability, movements and
muscles responsible.
Blood supply and nerve
supply.
Bones participating and
joints formed in articulated
hand
Teaching methodologies
SGD/ PBL/Presentation
Teaching methodologies
SGD/ PBL/Presentation
Teaching methodologies
SGD/ PBL/Presentation
Substage 2- Assessment (Formative)
Viva/ OSPE/ SEQ/ MCQ
Week 7
(13–2–2018 to 17–2–2018 )
Learning Objectives
Week 8
(20–2–2018 to 24–2–2018 )
Learning Objectives
Week 9
(27–2–2018 to 3–3–2018 ) Learning
Objectives
At the end of the week, the student will
be able to demonstrate/ write
Palmer aponeurosis.
Flexor retinaculum, its
attachments and relations.
Carpal tunnel formation.
Carpal tunnel syndrome
Draw course, relations, branches
of Superficial and deep palmar
arches.
Course, relations, branches of
digital nerves.
At the end of the week, the student will
be able to demonstrate/ write
Muscles (Lumbrical, interossei,
thenar and hypothenar) with
their proximal and distal
attachments, innervation and
actions.
Gripping mechanism of hand
1st carpometacarpal joint, its
articular surfaces and important
relations.Stability, movements
and muscles responsible
Palmer and web spaces along
with their clinical importance.
At the end of the week, the student
will be able to demonstrate/ write
Extensor compartment of
forearm Muscles with their
proximal and distal
attachments, innervation
and actions.
Course, relations, branches
of posterior interosseous
artery.
Course, relations, branches
of radial nerve.
Dorsal digital expansion its
formation and importance.
Extensor retinaculum, its
attachments and structure
passing through it.
Teaching methodologies
SGD/ PBL/Presentation
Teaching methodologies
SGD/ PBL/Presentation
Teaching methodologies
SGD/ PBL/Presentation
Sub stage 3- Assessment (Formative)
72
Viva/ OSPE/ SEQ/ MCQ
Week 10
(6–3–2018 to10–3–2018 )
Learning Objectives
Week 11
(13–3–2018 to17–3–2018 )
Learning Objectives
Week 12
(20–3–2018 to24–3–2018 )
At the end of the week, the student will be able
to Draw/ demonstrate/ write
Course, relations, tributaries of
cephalic, basilac and median cubital
veins.
Cutaneous Innervation and
dermatomes of upper limb.
At the end of the week, the student
will be able to demonstrate
Radiology of upper limb
Surface marking of upper
limb
Final Stage
Modes of Assessment
(Summative)
SEQs/ Macs/ OSPE/ VIVA
Teaching methodologies
SGD/ PBL/Presentation
Teaching methodologies
SGD/ PBL/Presentation
73
Learning Objectives
Histology
2nd year MBBS
Facilitators; Professor Dr. Mamoona Naheed
Recommended Books:
Basic Histology Junqueira 12th edition
Functional Histology Wheater’s
diFlore’s Atlas of Histology
Date Lecture objectives Practicals
21−11−17
22−11−17
Respiratory
system
Nasal cavity,
paranasal air
sinuses,
nasopharynx,
larynx &
epiglottis.
Introduction to respiratory system,
including conduction respiratory
parts.
Microscopic structure of walls of
nasal cavity & nasopharynx.
Structure of olfactory epithelium.
Ultra-microscopic structure & types
of cells forming respiratory
epithelium.
Components & layers forming wall
of larynx.
Transition of epithelium with its
functional correlation.
Larynx & Epiglottis
28−11−17
Trachea Microscopic structure of wall of
trachea with components forming
mucosa, submucosa, cartilage and
adventitia.
Changes in microscopic structure of
bronchial tree as we go down the
conducting passages, till alveoli of
respiratory passages.
Trachea
29−11−17
Lung Microscopic structure of lung with
different cell types present.
Blood air barrier.
Clinical conditions e.g. immotile
cilia syndrome, histological basis of
asthma, cancer.
Lung
74
5−12−17
6−12−17
GIT &
Associated
Glands
Lip,
vestibule,
Oral cavity,
palate.
Introduction to various parts of
gastrointestinal tube.
Elaboration of components forming
different layers of lip structure,
including mucosa covering internal
part, red zone & cutaneous surface
covered by skin. Central layer of
skeletal muscle.
Lip
12−12−17
Monthly test − 1
12−12−17
Tongue &
structure of
taste buds.
Structure of tongue, various types
of papillae with their structure &
location.
Microscopic anatomy of taste buds
with their location & functional
correlation.
Tongue
13−12−17
Pharynx &
oesophagus
General constitution of
gastrointestinal tube, with
components of four layers.
Structure of pharynx.
Histological structure of
oesophagus with differences in
upper, middle & lower parts.
Oesophagus
19−12−17
Stomach Microscopic structure of four layers
of stomach.
Regional differences between
different regions including cardia,
fundus & body and pylorus.
Parts & Ultramicroscopic structure
of gastric glands
Structure of Cardioesophageal &
gastrodoudenal junctions.
Clinical condition reflux
esophagitis.
Stomach
20−12−17
Small
intestine
Histological structure of different
layers of small intestine.
Regional differences between three
parts.
Structure of peyer’s patch with
their clinical significance.
Duodenum
Jejunum & Ileum.
2−1−18
Lar8ge
intestine
Histological structure of different
layers of large intestine.
Microscopic structure of appendix.
Colon & appendix
3−1−18 Rectum Special features of all four layers of
rectum.
Distinguishing features from
pylorus of stomach.
Rectum
75
9−1−18 Monthly test –2
9−1−18 Anal canal Changes of epithelium at junctions.
Specialized features that
differentiate anal canal from
esophagus.
Anal canal
10−1−18 Salivary
glands
Histological structure of serous &
mucous acini.
Structure of parotid, sub-
mandibular & sub-lingual salivary
glands.
Salient features that compare &
contrast them.
Parotid, submandibular
& sublingual glands
16−1−18 Liver &
gallbladder
Division of liver parenchyma into
different lobules with their clinical
significance.
Histological structure of liver.
Microscopic anatomy of gall
bladder.
Liver & gall bladder
17−1−18 Pancreas Microscopic structure of exocrine
pancreas.
Distinguishing features of exocrine
pancreas from salivary glands.
Histology of endocrine pancreas.
Exocrine & endocrine
pancreas
23−1−18 Pituitary
gland
Microscopic anatomy of pituitary
gland with its embryological
background.
Pituitary gland
24−1−18 Thyroid &
parathyroid
gland
Histological structure of thyroid
gland with its functional
correlation.
Microscopic picture of parathyroid
gland.
Thyroid & parathyroid
gland.
30−1−18 Adrenal
gland
Histological structure of adrenal
gland with specifying three layers
of cortex.
Distinguishing features of cortex
from medulla.
Adrenal gland
31−1−18 Urinary
system
Kidney
Microscopic anatomy of kidney.
Arrangement of different parts of
nephron & collecting ducts in
cortex & medulla.
Components of filteration barrier.
Parts of juxtaglomerular apparatus
with their functional correlation &
clinical significance.
Kidney
6−2−18 Ureter &
urinary
bladder
Microscopic & ultramicroscopic
structure of urothelium.
Histology of ureteric wall.
Microanatomy of urinary bladder.
Ureter & urinary bladder
76
7−2−18 Urethra Epithelial linning of male & female
urethra.
Histological structure of male
urethra. Its differences from female
urethra.
Male urethra
13−2−18 Term test −1
13−2−18 Male
Reproductive
System
Testis
Structure of testis.
Ultra-structure of germinal
epithelium.
Blood testis barrier.
Testis
14−2−18 Epididymus
& vas
deferens
Histological structure of
Epididymus & vas deferens.
Ultra-microscopic structure of
lining epithelium.
Epididymus & vas
deferens
20−2−18 Seminal
vesicles
Microscopic anatomy of seminal
vesicles with functional correlation.
Seminal vesicles
21−2−18 Prostate
gland
Histology of prostate gland.
Age estimation under microscope.
Prostate gland
27−2−18 Female
reproductive
system
Ovary
Structure of ovary.
Microscopic structure of different
ovarian follicles.
Ovary
28−2−18 Fallopian
tube
Histological structure of wall of
fallopian tube (oviduct).
Ultra-microscopic picture of lining
epithelium.
Fallopian tube
6−3−18 Uterus Microscopic picture of uterus.
Menstrual cycle related changes in
histology of endometrium.
Uterus three phases
(menstrual, Proliferative
& secretory).
7−3−18 Cervix &
vagina
Structure of cervix & vagina.
Change of epithelium at internal os.
Cervix & vagina
13−3−18 Monthly test –3
77
13−3−18 Mammary
gland
Microscopic picture of mammary
gland.
Age related changes in histology of
gland.
Microscopic differences in
parenchyma & stroma in active &
inactive glands.
Anatomical basis of clinical
conditions like cancer.
Mammary gland
(Active & inactive)
14−3−18 Special
senses
Eye lid,
conjunctiva,
cornea,
sclera and
choroids
coat.
Structure of eyelid, conjunctiva,
cornea & sclera.
Functional correlation of each part
with its histology.
Special senses
Eye lid, conjunctiva,
cornea, sclera and
choroid.
20−3−18 Retina Two layers of retina, ultra structure
of retinal layers.
Clinical anatomy of detachment of
retina.
Retina
21−3−18 Internal ear Microscopic structure of organ of
corti, with different types of cells.
Internal ear
Test 2
78
Learning Objectives
Gross Anatomy
Region: Special Embryology
2nd year MBBS
Facilitators; Professor Dr. Mamoona Naheed, Dr. Sadia
Recommended Books:
The developing Human clinically oriented Embryology Keith. L. Moore
Langman’s Medical Embryology T.W. Sadler 10th edition
S.No. Date Topic Learning objectives
At the end of each Lecture the student will
be able to Draw/ demonstrate/ write
23−11−17
24−11−17
30−11−17
Development of the skull
Development of vertebral
column, ribs and sternum
Factors contributing in the
development of skeletal system
Overview of methods of ossification
Formation of neurocranium and
viscerocranium and their derivatives
Cranio-facial defects and skeletal
dysplasias
Development of vertebral column
and vertebrae
Overview of the defects of vertebral
column
Development of ribs and sternum
1−12−17
Development of pharyngeal
arches
Factors contributing in the
formation of pharyngeal arches
Formation and fate of the
Pharyngeal Arches
7−12−17
8−12−17
Development of pharyngeal
pouches & clefts
Formation and fate of the
Pharyngeal Pouches,
Development of tympanic
membrane, middle ear cavity,
tonsils.
Development of Parathyroid glands
14−12−17
15−12−17
Development of thyroid and
tongue
Development of thyroid and tongue
Embryological basis for the nerve
supply of tongue
21−12−17 Development of face Factors contributing in formation of
facial prominences
79
Formation and fate of prominences
22−12−17
Development of face Formation and fate of the nasal
placodes
Development of the nasolacrimal
duct and lacrimal sac
Development of the salivary glands
4−1−18
Development of palate and
palatal defects
Formation and fate of primary
palate
Formation and fate of secondary
palate
Clinical presentation and
embryological basis for the palatal
defects
5−1−18 Development of eye Formation and fate of optic vesicle
Formation and fate of lens vesicle
Congenital Anomalies
11−1−18 Development of ear Formation and fate of otic vesicle,
Development of middle ear and
External Ear
12−1−18
18−1−18
19−1−18
Development of larynx, trachea
and lungs
Phases of lung maturation
Development of larynx and trachea
Development and phases of
maturation of lungs
Respiratory system defects
25−1−18
26−1−18
Development of esophagus,
stomach
Esophageal atresias
Formation and fate of dorsal and
ventral mesenteries
Enumeration of derivatives of the
Gut tube
Development of esophagus
Clinical presentation and
embryological basis for esophageal
atresias
Formation of the gastric dilatation
Rotation of the gastric dilatation
Embryological basis for the
peritoneal relations of stomach
Embryological basis for the nerve
supply of stomach
Congenital anomalies associated
1−2−18 Development of liver and gall
bladder
Foramtion and fate of hepatic
diverticulum
Histogenesis of liver and gall bladder
Development of the extra-hepatic
biliary system
Congenital anomalies associated
2−2−18 Development of pancreas Formation and fate of dorsal and
ventral pancreatic buds
Histogenesis of pancreas
Formation of the pancreatic ducts
Congenital anomalies associated
80
8−2−18 Development of midgut Formation and fate of primary
intestinal loop
Physiological herniation of the
midgut
Malrotation and Non-rotation
syndromes
9−2−18 Development of hind gut Formation and partitioning of cloaca
Development of the anal canal
Embryological basis for the variation
in blood supply and lymphatic
drainage of anal canal
Congenital anomalies associated
15−2−17 Development of kidneys Formation and fate of pronephros
Formation and fate of mesonephros
Formation and fate of metanephros
Differentiation of nephron and
collecting tubules from metanephric
blastima and ureteric bud
Positional changes of kidneys
Associated congenital anomalies
16−2−18 Development of urinary system
2
Development of the urinary bladder
Development of the ureters
Development of the supra-renal
glands
Histogenesis of the supra-renal
glands
Associated congenital anomalies
22−2−18 Development of gonads Indifferent gonads
Factors influencing the
differentiation of gonads
Sex determination and
differentiation
Development of testis
Development of ovaries
Descent of ovaries
Associated congenital anomalies
23−2−18
1−3−18
2−3−18
Development of male genital
system (ducts)
Development of female genital
system (ducts)
Formation and fate of the Mullarian
ducts
Formation and fate of the Wolffian
ducts
Factors effecting the development
of genital ducts
Associated congenital anomalies
8−3−18 Development of external
genitalia
Development of male external
genitalia
Development of female external
genitalia
Associated congenital anomalies
9−3−18 Development of heart I Factors contributing in the
development of heart
Establishment of cardiogenic field
Formation of the heart tube
81
Formation of the cardiac loop
Abnormalities of the cardiac looping
15−3−18 Development of heart II Sepatum formation in the common
atria
Septum formation in the atrio-
ventricular canal
Atrial septal defects
16−3−18 Development of heart III Septum formation in the truncus
arteriosus and conus cordis
Development of semilunar valves
22−3−18 Development of heart IV Septum formation in the common
ventricle
Ventricular septal defects
Formation of conducting system
29−3−18 Heart defects Overview and clinical presentation
of
o Tetrology of Fallot
o Persistant ductus arteriosus
o Transposition of great
vessels
o Valvular stenosis
30−3−18 Development of arterial system Formation and fate of aortic arches
Formation and fate of vitelline,
dorsal aortae and umbilical veins
5−4−18 Development of arterial system
II
Arterial system defects
Fetal circulation
12−4−18 Development of venous system Formation and fate of vitelline,
umbilical and cardinal veins
Venous system defects
13−4−18 Development and pattering of
the smooth, skeletal and cardiac
muscle
Formation and patterning of the
smooth, skeletal and cardiac
muscles
19−4−18 Development and growth of the
limbs
Formation and fate of limb bud
Formation and fate of hand plate
and foot plate
Rotation of limbs
Development of joints
Overview of primary and secondary
centers of ossification
Appositional growth
Congenital malformations
20−4−18
26−4−18
Development of body cavities
and diaphragm
Overview of the formation of intra-
embryonic cavity
Division of the intra-embryonic
cavity into pleural, pericardial and
peritoneal cavities
Sources contributing in the
development of diaphragm
Descent of diaphragm
Embryological basis for the nerve
82
supply of diaphragm
Congenital hernias
27−4−18
3−5−18
Development of nervous system Overview of the formation of
neural tube
Fate of the neural tube
Differentiation of the glial and
neurons
4−5−18
10−5−18
Development of nervous system
and pituitary
Development of the spinal cord
Formation and fate of basal plates
and alar plates
Congenital anomalies associated
with the developmental process
83
Learning Objectives
Gross Anatomy
Region: Head and Neck
2nd year MBBS
Facilitators; Dr. Mamoona Naheed, Dr. Sadia
Recommended Books:
Clinically Oriented Anatomy Keith. L. Moore 6th edition
Clinical Anatomy by Regions Richard S. Snell 8th edition
Last’s Anatomy 11th edition
Date Days Topics Learning objectives
At the end of each Lecture the student will be
able to Draw/ demonstrate/ write
21−11−2017 Monday Skull
Norma Frontalis
Bony features and attachments.
Boundaries of orbit and contents.
Structures passing through various
foramina.
22−11−2017 Tuesday Norma Verticalis &
Occipitalis
Bony features and attachments.
Sutures , fontanelle and clinical
aspects.
23−11−2017 Wednesday Norma Lateralis Bony features, sutures and clinical
aspects.
Boundaris of Temporal and
Infratemporal fossae.
24−11−2017 Thursday Norma Basalis Bony features, relations,attachments
and various foramina with structures
passing through.
25−11−2017 Friday Cranial fossae Bony features, contents, relations,
attachments and various foramina with
structures passing through.
28−11−2017 Monday Meninges & Dural
venous sinuses
Various types, attachments, special
features, spaces between meninges
and clinical aspects.
Names, locations, tributaries and
clinical aspects.
29−11−2017 Tuesday Scalp Different layers, blood supply, nerve
supply and clinical aspects.
84
30−11−2017 Wednesday Mandible Parts,bony features, joints formed with
their type,attachments, important
relations, changes with age and
ossification.
1−12−2017 Thursday Face Cutaneus innervation with clinical
aspects.
Blood supply and Lymphatic drainage
of face.
Areas of anastomosis with clinical
aspects.
2−12−2017 Friday Parotid region & 7th
Cranial nerve
Masseter muscle with its attachments,
nerve supply and blood supply.
Parotid gland with its surfaces,
relations, contents, blood supply,
nerve supply and clinical aspects.
5−12−2017 Monday Hyoid bone Parts, relations,
attachments,ossification and clinical
aspects.
6−12−2017 Tuesday Cervical vertebrae &
joints
Parts, features, muscles and ligaments
attachments, relations and ossification
of cervical vertebrae.
Type, ligaments, movements, muscles
producing movements , blood supply ,
nerve supply and clinical aspects of
cervical joints.
7−12−2017 Wednesday SUBSTAGE I
8−12−2017 Thursday Deep cervical fascia &
introduction to
triangles of neck
Layers, attachments, relations, extent,
different contents of deep cervical
fascia and various spaces formed with
their clinical importance.
Introduction to triangles of neck,
attachments, nerve supply and blood
supply of sternocleidomastoid and
trapezius with clinical aspects.
9−12−2017 Friday Anterior triangle of
neck
Suprahyoid and infrahyoid muscles
with their attachments, nerve supply
and ansacervicalis.
Thyroid and submandibular glands
with their type, relations, blood supply,
nerve supply and clinical aspects.
12−12−2017
13−12−2017
Monday
Tuesday
Anterior triangle of
neck
Cervical parts of trachea and
esophagus with their nerve supply and
blood supply.
Jugular venous system with different
tributaries, drainage and clinical
aspects.
Carotid system with different
branches, distribution and various
clinical aspects.
Deep cervical lymph nodes.
85
14−12−2017 Wednesday Posterior triangle of
neck
Boundaries, contents and clinical
aspects of posterior triangle.
15−12−2017 Thursday Cervical plexus & 11th
cranial nerve
Location, formation, branches and
distribution with clinical aspects of
cervical plexus.
Extracranial course, relations and
distribution with clinical aspects of 11th
cranial nerve.
16−12−2017 Friday Prevertebral region &
Sympathetic chain
Prevertebral muscles with their
attachments, relations, nerve supply,
actions and clinical aspects.
Location, formation, relations,
branches, distribution and clinical
aspects of cervical sympathetic chain.
19−12−2017 Monday SUBSTAGE II
20−12−2017 Tuesday Temporal &
Infratemporal fossae
Boundaries, contents, communications
of fossae.
Muscles of mastication with their
attachments, nerve supply actions and
clinical aspects.
Maxillary artery with its parts,
branches & distribution.
21−12−2017 Wednesday Infratemporal Fossa Mandibular nerve with its course,
branches, distribution & clinical
aspects.
Otic ganglion with its location, roots,
branches and clinical aspects.
22−12−2017 Thursday Temporomandibular
joint
Temporomandibular joint with its type,
ligaments, blood supply, nerve supply,
muscles producing movements,
stability and clinical aspects.
23−12−2017 Friday Trigeminal nerve Trigeminal ganglion with its branches,
distribution and clinical aspects.
2−1−2018 Monday Pterygopalatine fossa Boundaries, contents and
communications of fossa.
Pterygopalatine ganglion and maxillary
nerve with their distribution and
clinical aspects.
3−1−2018 Tuesday Nose & Olfactory
nerve
Medial wall with its structure, blood
supply, nerve supply and clinical
aspects.
Lateral wall with its structure, blood
supply, nerve supply and clinical
aspects.
Olfactory pathway and clinical aspects.
4−1−2018 Wednesday Paranasal sinuses Names, location ,boundaries, nerve
supply, blood supply and clinical
aspects.
86
5−1−2018 Thursday Oral Cavity & hard
palate
Extent, lips, vestibule, mouth, blood
supply and nerve supply.
Skeletal framework, blood supply and
nerve supply of hard palate.
6−1−2018 Friday Soft palate Palatine aponeurosis, Palatal muscles,
blood supply, nerve supply and clinical.
9−1−2018 Monday Tongue & 12th cranial
nerve
Papillae, Muscles,bloodsupply, nerve
supply , lymphatic drainage and clinical
of tongue.
Extracranial course, relations,
distribution and clinical aspects.
10−1−2018 Tuesday Pharynx & 9th cranial
nerve
Constrictor muscles and extrinsic
muscles with their attachments, nerve
supply, relations, gaps present
between them and structures passing
through.
Internal features of different parts of
pharynx with blood supply, nerve
supply and clinical importance.
Extracranial course, relations,
distribution and clinical aspects.
11−1−2018 Wednesday SUBSTAGE III
12−1−2018 Thursday Larynx Structural frame work ( cartilages,
joints and membranes).
Muscles of larynx with their nerve
supply, actions on vocal cords and
laryngeal inlet.
13−1−2018 Friday Larynx & 10th Cranial
nerve
Interior of larynx, blood supply and
nerve supply with the clinical spects.
Extracranial course, relations,
distribution and clinical aspects.
16−1−2018 Monday Orbit, extraocular
muscles &Lacrimal
apparatus
Boundaries and contents.
Attachments, nerve supply, actions
and clinical aspects of extraocular
muscles.
Parts, relations, nerve supply, blood
supply and clinical aspects of lacrimal
apparatus.
17−1−2018 Tuesday Coats of eye ball &
2nd, 3rd,4th,6th Cranial
nerves
Features of different layers of eye ball
with clinical aspects.
Course, relations, distribution and
clinical aspects of cranial nerves.
18−1−2018 Wednesday External ear & Middle
ear
Features, nerve supply and blood
supply of external ear.
Boundaries, contents, blood
supply,nerve supply and clinical
aspects of middle ear.
19−1−2018 Thursday Internal ear & 8th
Cranial nerve
Different parts, their structure and
location of receptors.
Course, relations and distribution of
vestibulocochlear nerve with clinical
aspects.
87
20−1−2018 Friday Surface marking &
Radiology
23−1−2018
25−1−2018
Monday
Tuesday
Wednesday
FINAL STAGE HEAD & NECK
88
Learning Objectives
Gross Anatomy
Region: Neuro-anatomy
2nd year MBBS
Recommended Books:
Clinically Oriented Anatomy Keith. L. Moore 6th edition
Clinical Anatomy by Regions Richard S. Snell 8th edition
Last’s Anatomy 11th edition
Date Day Topic Learning objectives
At the end of each Lecture the student will be
able to Draw/ demonstrate/ write
26−1−2018 Thursday Introduction to
nervous system
Classification of neurons.
Types of neuroglial cells and their
functions.
27−1−2018 Friday Receptors,
Definitions and Blood
supply of brain
Types of various receptors, their
location and type of sensation carried
by them.
Peripheral and cranial nerve
components.
Circle of Willis with formation,
branches their distribution & clinical
aspects.
30−1−2018 Monday Autonomic nervous
system
Sympathetic and parasympathetic
(afferents, efferent, ganglia and
destinations)
Differences between sympathetic and
parasympathetic systems.
31−1−2018 Tuesday Gross features of
spinal cord and blood
supply
Meninges, extent, and other external
features of spinal cord with its blood
supply
1−2−2018 Wednesday Gray matter of spinal
cord
Various gray horns, commissures,
different nuclei present in the gray
matter at different segments of spinal
cord with their functions.
2−2−2018 Thursday White matter of Different white colums, commissures,
different tracts present in white
89
spinal cord matter with their functions.
3−2−2018 Friday Gross features of
brain stem
External features of midbrain, pons
and medulla with their blood supply.
6−2−2018 Monday Fourth ventricle Boundaries, features of the floor and
clinical aspects.
7−2−2018 Tuesday Internal features of
medulla
Sections of medulla at the level of
pyramidal decussation and medial
leminiscus formation.
Clinical aspects.
8−2−2018 Wednesday Internal features of
medulla
Sections of medulla at the level of
olives and just near to the pons.
Clinical aspects.
9−2−2018 Thursday Internal features of
pons
Sections at the level of caudal and
cranial pons.
Clinical aspects.
10−2−2018 Friday Internal features of
midbrain
Sections at the level of superior and
inferior colliculi. Clinical aspects.
13−2−2018 Monday Cerebellum Parts, topography (lobes and lobules),
blood supply and functional division.
14−2−2018 Tuesday Cerebellum Gray matter structure, white matter
structure (afferents, efferents and
cerebellar peduncles), nuclei
embedded and functions with clinical
aspects.
15−2−2018 Wednesday SUBSTAGE I
16−2−2018 Thursday Introductio to
Diencephalon
&Thalamus
Various parts of diencephalon with
their location, relations, constituting
parts and functions.
Nuclei, their functions, afferents and
effernts with clinical aspects.
17−2−2018 Friday Hypothalamus Nuclei, their functions, afferents and
efferents with clinical aspects.
20−2−2018 Monday Third Ventricle Boundaries and clinical aspects
21−2−2018 Tuesday Sulci & Gyri of
cerebrum
Location, extent and names of various
sulci and gyri of cerebrum dividing it
into different lobes.
22−2−2018 Wednesday Functional areas of
cerebrum
Various motor and sensory areas with
their location, function and specific
Broadman’s number with clinical
aspects.
23−2−2018 Thursday White matter of
cerebrum
Commissural, Association and
projection fibers with their definitions,
types, functions and clinical aspects.
24−2−2018 Friday Lateral ventricle Different horns and their boundaries
with clinical aspects.
27−2−2018 Monday Basal nuclei Classification,names with their
afferents, efferents and clinical
aspects.
90
28−2−2018 Tuesday CSF Circulation Formation, circulation and absorption
of CSF.
Blood brain barrier and blood CSF
barrier.
28−2−2018 Wednesday Ascending tracts Receptors, 1st order, 2nd order and 3rd
order neurons and function of each
ascending tract with clinical.
1−3−2018 Ascending tracts Receptors, 1st order, 2nd order and 3rd
order neurons and function of each
ascending tract with clinical.
2−3−2018 Descending tracts 1st, 2nd and 3rd order neurons,
termination and function of each
descending tract with clinical aspects.
3−3−2018 Descending tracts 1st, 2nd and 3rd order neurons,
termination and function of each
descending tract with clinical aspects.
6−3−2018 Reticular formation Various nuclear groups with their
afferents, efferents, their role and
clinical.
7−3−2018 Limbic system Various parts of limbic system, their
afferents, efferents and their functions
with clinical aspects.
8−3−2018 FINAL STAGE NEUROANATOMY
9,10−3−2018
91
Learning Objectives
Gross Anatomy
Region: Abdomen and Pelvis
2nd year MBBS
Facilitators; Professor Dr. Mamoona Naheed, Dr. Noreen Kashif, Dr. Sadia
Recommended Books:
Clinically Oriented Anatomy Keith. L. Moore 6th edition
Clinical Anatomy by Regions Richard S. Snell 8th edition
Last’s Anatomy 11th edition
Date Topic Learning objectives
At the end of each Lecture the student will be able to
Draw/ demonstrate/ write
13−3−2018 Anterior abdominal
wall
Surface land marks, superficial fascia, cutaneus
innervation,blood supply, nerve supply,
lymphatic drainage and clinical aspects.
Abdominal planes, quadrants, and different
incisions.
14−3−2018 Anterior abdominal
wall
Attachments,nerve supply and actions of
abdominal muscles.
Inguinal ligament, conjoint tendon and linea
alba formation.
Deep arteries of anterior abdoinal wall.
Lumbar triangle.
15−3−2018 Rectus Sheath Formation, contents and clinical aspects.
16−3−2018 Scrotum & testis Scrotal layers, testicular coverings, blood
supply, nerve supply and lymphatic drainage
with clinical aspects.
17−3−2018 Inguinal Canal &
hernia
Boundaries, structures passing through,
spermatic cord and its constituents, coverings
and clinical.
Types, causes, coverings and differntiation
between varoius types of inguinal hernias.
20−3−2018 Peritoneum Layers, vertical disposition, lesser sac, lesser
omentum, greater omentum and epiploic
foramen with clinical aspects.
21−3−2018 Peritoneum Horizontal disposition in abdomen and pelvis.
92
Compartments, Spaces and gutters in
peritoneal cavity with clinical aspects.
22−3−2018 Stomach & Celiac
trunk
Stomach with its location, parts, curvatures,
stomach bed, blood supply, nerve supply,
lymphatic drainage and clinical aspects.
Celiac trunk with its location, branches and
their distribution.
24−3−2018 Liver Location, lobes, visceral & peritoneal relations,
blood supply, nerve supply, lymphatic drainage,
surface markig & applied.
27−3−2018 Extrahepatic biliary
apparatus
Gall bladder and bile duct with their parts,
blood supply, nerve supply and clinical aspects.
28−3−2018 SUBSTAGE I
29−3−2018 Pancreas Parts, relations, blood supply, nerve supply,
lymphatics, surface marking and applied.
30−3−2018 Spleen Position, relations, features blood supply, nerve
supply & lymphatic drainage.
31−3−2018 Duodenum &
recesses
Parts, relations, blood supply, nerve supply and
lymphatics with applied aspects.
3−4−2018 Jejunum & Ileum Differences between the two with their blood
supply, nerve supply, lymphatics and applied.
4−4−2018 Colon & Blood supply
large intestine
Caecum, appendix, ascending, descending,
transverse and sigmoid colon with their blood
supply, nerve supply, lymphatics and clinical.
Superior & Inferior mesenteric vessels with
trheir branhes and distribution.
5−4−2018 SPRING BREAK
6−4−2018 Portal vein &
Portocaval
anastomosis
Formation, branches, relations & clinical
significance.
Different sites of anastomosis and clinical
correlation.
7−4−2018 Lumbar vertebrae Features, attachments,differences with other
vertebrae and ossification.
10−4−2018 Posterior abdominal
wall
Attachments of muscles with nerve supply and
actions.
Thoracolumbar fascia with its various layers.
11−4−2018 Posterior abdominal
wall
Blood supply includes, Aorta with its branches
and distribution, Inferior vena cava with its
tributaries.
Lymphatics and lymph nodes of posterior
abdominl wall.
12−4−2018 Kidneys Location, features, relations, coverings, blood
supply, nerve supply, lymphatics and applied.
13−4−2018 SUBSTAGE II
14−4−2018 Ureters and
Suprarenals
Abdominal course, relations of ureters with
their blood supply & nerve supply.
Shape, relations blood supply & nerve supply
and clinical aspects of suprarenal.
93
17−4−2018 Bony pelvis Sacrum, Pelvic walls, pelvic outlet, inlet and
structures passing through.
Sex differences and position of pelvis.
18−4−2018 Pelvic floor Pelvic diaphragm, pelvic fascia, pelvic vessels
and nerves
19−4−2018 Rectum Visceral & peritoneal relations, blood supply,
nerve supply and lymphatic drainage with
clinical aspects.
20−4−2018 Urinary bladder Features, relations, surfaces, peritoneal
relations,blood supply, nerve supply, lymphatic
drainage and clinical.
21−4−20178 Male reproductive
organs
Ductus deferens, seminal vesicles, prostate and
urethra with their location, function, blood
supply, nerve supply and clinical aspects.
24−4−2018 Female reproductive
organs(ovary &
Uterine tubes)
Ovaries and fallopian tubes with their relations,
blood supply, nerve supply, lymphatic drainage
and clinical.
25−4−2018 Uterus Position, parts, peritoneal ligaments, blood
supply, nerve supply & lymphatics & clinical
aspects.
26−4−2018 Nerves and blood
vessels of pelvis
Sacral plexus and inferior hypogastric plexus
with their formation and distribution.
Internal iliac artery with its branches and
distribution.
27−4−2018 SUBSTAGE III
28−4−2018 Introduction to
perineum &
urogenital region
Boudaries & division of perineum.
Contents of anal & urogenital trangle, nerve
supply, superficial fascia, perineal body,
perineal membrane and perineal muscles.
1−5−2018 Urogenital region Perineal pouches with their boundaries,
contents & clinical.
2−5−2018 Anal canal Features, blood supply, nerve supply ,
lymphatic drainage,& applied aspects
Pelvic sympathetic chain with its distribution.
3−5−2018 Ischiorectal fossa Boundaries, contents,spaces, clinical aspects of
ischiorectal fossa and pudendal canal with
boundaries and contents
4−5−2018 Radiology & Surface
marking
5−5−2018 FINAL STAGE ABDOMEN & PELVIS
94
Learning Objectives
Histology
2nd year MBBS
Facilitators; Professor Dr. Mamoona Naheed
Recommended Books:
Basic Histology Junqueira 12th edition
Functional Histology Wheater’s
diFiore’s Atlas of Histology
Date Lecture Objectives Practicals
21−11−17
22−11−17
Respiratory
system
Nasal cavity,
paranasal air
sinuses,
nasopharynx,
larynx &
epiglottis.
Introduction to respiratory system,
including conduction respiratory
parts.
Microscopic structure of walls of
nasal cavity & nasopharynx.
Structure of olfactory epithelium.
Ultra-microscopic structure & types
of cells forming respiratory
epithelium.
Components & layers forming wall
of larynx.
Transition of epithelium with its
functional correlation.
Larynx & Epiglottis
28−11−17
Trachea Microscopic structure of wall of
trachea with components forming
mucosa, submucosa, cartilage and
adventitia.
Changes in microscopic structure of
bronchial tree as we go down the
conducting passages, till alveoli of
respiratory passages.
Trachea
29−11−17
Lung Microscopic structure of lung with
different cell types present.
Blood air barrier.
Clinical conditions e.g. immotile
cilia syndrome, histological basis of
asthma, cancer.
Lung
95
5−12−17
6−12−17
GIT &
Associated
Glands
Lip,
vestibule,
Oral cavity,
palate.
Introduction to various parts of
gastrointestinal tube.
Elaboration of components forming
different layers of lip structure,
including mucosa covering internal
part, red zone & cutaneous surface
covered by skin. Central layer of
skeletal muscle.
Lip
12−12−17
Monthly test − 1
12−12−17
Tongue &
structure7 of
taste buds.
Structure of tongue, various types
of papillae with their structure &
location.
Microscopic anatomy of taste buds
with their location & functional
correlation.
Tongue
13−12−17
Pharynx &
oesophagus
General constitution of
gastrointestinal tube, with
components of four layers.
Structure of pharynx.
Histological structure of
oesophagus with differences in
upper, middle & lower parts.
Oesophagus
19−12−17
Stomach Microscopic structure of four layers
of stomach.
Regional differences between
different regions including cardia,
fundus & body and pylorus.
Parts & Ultramicroscopic structure
of gastric glands
Structure of Cardioesophageal &
gastrodoudenal junctions.
Clinical condition reflux
esophagitis.
Stomach
20−12−17
Small
intestine
Histological structure of different
layers of small intestine.
Regional differences between three
parts.
Structure of peyer’s patch with
their clinical significance.
Duodenum
Jejunum & Ileum.
2−1−18
Large
intestine
Histological structure of different
layers of large intestine.
Microscopic structure of appendix.
Colon & appendix
3−1−18 Rectum Special features of all four layers of
rectum.
Distinguishing features from
pylorus of stomach.
Rectum
96
9−1−18 Monthly test –2
9−1−18 Anal canal Changes of epithelium at junctions.
Specialized features that
differentiate anal canal from
esophagus.
Anal canal
10−1−18 Salivary
glands
Histological structure of serous &
mucous acini.
Structure of parotid, sub-
mandibular & sub-lingual salivary
glands.
Salient features that compare &
contrast them.
Parotid, submandibular
& sublingual glands
16−1−18 Liver &
gallbladder
Division of liver parenchyma into
different lobules with their clinical
significance.
Histological structure of liver.
Microscopic anatomy of gall
bladder.
Liver & gall bladder
17−1−18 Pancreas Microscopic structure of exocrine
pancreas.
Distinguishing features of exocrine
pancreas from salivary glands.
Histology of endocrine pancreas.
Exocrine & endocrine
pancreas
23−1−18 Pituitary
gland
Microscopic anatomy of pituitary
gland with its embryological
background.
Pituitary gland
24−1−18 Thyroid &
parathyroid
gland
Histological structure of thyroid
gland with its functional
correlation.
Microscopic picture of parathyroid
gland.
Thyroid & parathyroid
gland.
30−1−18 Adrenal
gland
Histological structure of adrenal
gland with specifying three layers
of cortex.
Distinguishing features of cortex
from medulla.
Adrenal gland
31−1−18 Urinary
system
Kidney
Microscopic anatomy of kidney.
Arrangement of different parts of
nephron & collecting ducts in
cortex & medulla.
Components of filteration barrier.
Parts of juxtaglomerular apparatus
with their functional correlation &
clinical significance.
Kidney
6−2−18 Ureter &
urinary
bladder
Microscopic & ultramicroscopic
structure of urothelium.
Histology of ureteric wall.
Microanatomy of urinary bladder.
Ureter & urinary bladder
97
7−2−18 Urethra Epithelial linning of male & female
urethra.
Histological structure of male
urethra. Its differences from female
urethra.
Male urethra
13−2−18 Term test −1
13−2−18 Male
Reproductive
System
Testis
Structure of testis.
Ultra-structure of germinal
epithelium.
Blood testis barrier.
Testis
14−2−18 Epididymus
& vas
deferens
Histological structure of
Epididymus & vas deferens.
Ultra-microscopic structure of
lining epithelium.
Epididymus & vas
deferens
20−2−18 Seminal
vesicles
Microscopic anatomy of seminal
vesicles with functional correlation.
Seminal vesicles
21−2−18 Prostate
gland
Histology of prostate gland.
Age estimation under microscope.
Prostate gland
27−2−18 Female
reproductive
system
Ovary
Structure of ovary.
Microscopic structure of different
ovarian follicles.
Ovary
28−2−18 Fallopian
tube
Histological structure of wall of
fallopian tube (oviduct).
Ultra-microscopic picture of lining
epithelium.
Fallopian tube
6−3−18 Uterus Microscopic picture of uterus.
Menstrual cycle related changes in
histology of endometrium.
Uterus three phases
(menstrual, Proliferative
& secretory).
7−3−18 Cervix &
vagina
Structure of cervix & vagina.
Change of epithelium at internal os.
Cervix & vagina
13−3−18 Monthly test –3
98
13−3−18 Mammary
gland
Microscopic picture of mammary
gland.
Age related changes in histology of
gland.
Microscopic differences in
parenchyma & stroma in active &
inactive glands.
Anatomical basis of clinical
conditions like cancer.
Mammary gland
(Active & inactive)
14−3−18 Special
senses
Eye lid,
conjunctiva,
cornea,
sclera and
choroids
coat.
Structure of eyelid, conjunctiva,
cornea & sclera.
Functional correlation of each part
with its histology.
Special senses
Eye lid, conjunctiva,
cornea, sclera and
choroid.
20−3−18 Retina Two layers of retina, ultra structure
of retinal layers.
Clinical anatomy of detachment of
retina.
Retina
21−3−18 Internal ear Microscopic structure of organ of
corti, with different types of cells.
Internal ear
Test 2
99
AMNA INAYAT MEDICAL
COLLEGE
AIMC-MBBS,
PHYSIOLOGY CURRICULUM
(PMDC/UHS)
&
ACADEMIC PLANNER
2017-2022
Department of Physiology, Amna Inayat Medical College
Prepared by: Dr. Javaria Latif
Supervised by: Dr. Sadia
Zafar
Focal person: Dr. Sadia
Zafar
Departmental Committee: Dr. Sadia Zafar, Associate Professor Physiology
Dr. Rukhsana Mirza, Associate Professor Physiology
Dr. Javaria Latif, Assistant Professor Physiology
100
Contents
1.0. INTRODUCTION
1.1. Department of Physiology, Faculty and staff
1.2. PMDC Table of Subjects, spacing and allocated hours of MBBS
Program
1.3. Allocated contact hours (Theory, Practical, Total) of Physiology
Subject,
in year 1 & 2 of MBBS Program
1.4. Semester planner of contact hours (Theory, Practical, Total) of
Physiology
Subject, in year 1 & 2 of MBBS Program.
1.5. Assessments/Evaluations/Examinations-Planner
1.6. Scheme of Semesters and Send up Assessments/Evaluations and
University Examinations of year MBBS Program.
1.7. Blooms Taxonomy
1.8. Learning Strategies
2.0. CURRICULUM OF PYSIOLOGY SUBJECT
2.1 PMDC Curriculum
2.1. UHS Curriculum
3.0. LESSON PLANERS AND TIME TABLE
3.1 Time Table of Lectures/Demonstrations/Practical of Year 1 and 2.
3.2 Lesson planner with titles and learning objectives of “Theory and
Practical” of
year-1.
3.3 Lesson planner with titles and learning objectives of “Theory and
Practical” of
Year-2.
4.0 ASSESSMENTS/EVALUATIONS/EXAMINATIONS
4.1 Continuous Assessments
4.2 Evaluations at End of Semester
4.3 Evaluations at end of year (Send Up)
4.4 University Examinations (Professional 1.a & 1.b)
4.5 Student Feedback Form (Student will fill and submit his/her feedback
form) at end of each year regarding, quality of teaching, quality of
learning resources and any recommendations to improve effectiveness
of teaching and assessments/evaluations)
5.0 Recommended books, Journals, websites
101
Department of Physiology: Faculty and Staff
1 Professor& HOD Dr. Zafar Ali Chaudhry MBBS, MPhil, PhD
2 Associate Professor Dr. Sadia Zafar MBBS, MPhil
3 Associate Professor Dr. Rukhsana Mirza MBBS, MPhil
4 Assistant Professor Dr. Javaria Latif MBBS, MPhil
5 Senior Demonstrator Dr. shumailaDogar MBBS, MPhil-I
6 Senior Demonstrator Dr. Maria Usman MBBS, MPhil-I
7 Senior Demonstrator Dr. HinaPervaiz MBBS, MPhil-I
8 Demonstrator Dr. Imran Hussain MBBS
9 Demonstrator Dr. Rabia Islam MBBS
Lab Staff:
1. Sabir Lab Technician
2. MobeenComputer Operator
102
PMDC TABLE OF SPACING AND HOURS OF SUBJECTS IN MBBS COURSE
SUBJECT 1ST YEAR 2ND YEAR 3RD YEAR 4RTH YEAR 5THYEAR TOTAL
HOURS
BEHAVIOURAL SCIENCES 5HRS 5HRS 5HRS 5HRS 5HRS 25HRS
ISLAMIC PAKISTAN AND
STUDIES
15HRS 15HRS 10HRS 10HRS - 50HRS
ANATOMY 250HRS 250HRS - - - 500HRS
PHYSIOLOGY 250HRS 250HRS - - - 500HRS
BIOCHEMISTRY 100HRS 100HRS - - - 200HRS
PHARMACOLOGY - - 300HRS - - 300HRS
PATHOLOGY 15HRS 25HRS 260HRS 200HRS - 500HRS
FORENSIC MEDICINE - - 100HRS - - 100HRS
COMMUNITY MEDICINE 25HRS 25HRS 50HRS 150HRS - 250HRS
MEDICINE AND Allied
NUCLEAR MEDICINE
EMERGENCY MEDICINE
MEDICINE ELECTIVE
PSYCHIATRY
DERMATOLOGY AND
GENERAL PRACTICE
25HRS 30HRS
10HRS
120HRS
-
265HRS
10HRS
360HRS
-
800HRS
20HRS
PAEDIATRIC MEDICINE 5HRS 10HRS 15HRS 50HRS 70HRS 450HRS
SURGERY AND ALLIED
RADILOGY
ORTHOPEDICS
PAEDS SURGERY
NEUROSURGERY
SURGERY ELECTIVE
EMERGENCY SURGERY
& ANAESTHESIA
25HRS
5HRS
30HRS
10HRS
120HRS
-
265HRS
10HRS
360HRS
15HRS
800HRS
40HRS
OBSTETRICS AND
GYNAECOLOGY
10HRS 10HRS 50HRS 100HRS 130HRS 300HRS
OPHTHALMOLOGY 5HRS 10HRS 15HRS 70HRS - 100HRS
OTORHINOLARYNGOLOGY(ENT) 5HRS 10HRS 15HRS 70HRS - 100HRS
CLINICOPATHOLOGICAL
CONFERENCE
- - - 60HRS - 60HRS
TOTAL 740 HRS 790HRS 1060HRS 1265HRS 940HRS 4795HRS
103
TOTAL NUMBER OF CONTACT HOURS
SUBJECT: Physiology, 20117-2018
Total number of Contact hours for 1st Year MBBS
MITs Total number Total contact hours
Lectures 103 103
Practicals 24 48
Small group
discussions
36 72
Assessments 10 21
CMEs 3 6
Total contact hours=250 hours
Duration of lecture = one hour
Duration of practical= 2 hours
Duration of SGD = 2 hours
Duration of assessments= Variable (monthly test, term test, send up)
Duration of CME = 2 hours
Each semester test = 2+1= 3hours
Sendup examination= 3+3= 6hours
104
Allocated hours divided into Theory and practical
Subject: Physiology 1st year MBBS, 2017-2018
Semester Theory
(hrs)
Practical
(hrs)
Small
group
discussion
(hrs)
CME
(hrs)
Assessment
(hrs)
Total
hrs
Semester1 35 16 24 2 5 82
Semester 2 31 16 24 2 5 78
Semester 3 37 16 24 2 5 84
Send up
exam
3 3 6
Grand Total
250
105
Semester planner for First year MBBS, 2017-2018
Subject Physiology
Semesters Semester 1 Semester 2 Semester 3
To
pic
s
1. Homeostasis
1. Nerve &
muscle
Physiology
1. Circulatory
system
2. Cell & Membrane
transport
2. Heart
Physiology
2.Respiration
3.Genetics
3. Skin &
Temperature
regulation
4.Blood Physiology
Total duration of session =9 months
Total semesters=3
Each semester duration = 3 months
Academic session from =
106
Assessment and Examination Planner
For 1st and 2nd Year MBBS, 2017-2018
Year
Semester
1
(3months)
Asse
ssme
nt 1
Semester
2
(3months)
Asse
ssme
nt 2
Semester
3
(3months)
Asse
ssme
nt 3
Asse
ssme
nt
Asse
ssme
nt
Semester
S1
Monthly
test= 2
Term
test=1
S2
Monthly
test= 2
Term
test=1
S3
Monthly
test= 2
Term
test=1
Send-up
UHS
Prof
Exam
Monthly test marks= Total Marks=50
MCQs+ SEQ marks division of monthly test= 25 + 25= 50
End semester term test= Total Marks 200
a. Theory marks= Total Marks 90= 45MCQs + 45SEQs
b. Practical Marks= Total Marks 90 (further division according to UHS format)
c. Attendance criteria= 75%= 10 marks
d. General attitude of student= 5 marks
e. Extracurricular activities = 5 marks
Send-up Marks= Total Marks 200
a. Theory marks= Total Marks 90= 45MCQs + 45SEQs
b. Practical Marks= Total Marks 90 (further division according to UHS format)
c. Attendance criteria= 75%= 10 marks
d. General attitude of student= 5 marks
e. Extracurricular activities = 5 marks
Internal Evaluation= a. Assessment 1+Assessment 2 +Assessment 3= 50% score
b. Send-up=50% score
107
TOTAL NUMBER OF CONTACT HOURS
SUBJECT: Physiology, 2017-2018
Total number of Contact hours for 2nd Year MBBS
MITs Total number Total contact hours
Lectures 103 103
Practicals 33 48
Small group
discussions
36 72
Assessments 10 21
CMEs 3 6
Total contact hours=250 hours
Duration of lecture = one hour
Duration of practical= one & half hour
Duration of SGD = 2 hours
Duration of CME= 2 hours
Duration of assessments= Variable (monthly test, term test, send up)
Each semester test = 2+1= 3 hours
Sendup examination= 3+3= 6 hours
108
Allocated hours divided into Theory and practical
Subject: Physiology 2nd year MBBS, 2017-2018
Semester Theory
(hrs)
Practical
(hrs)
Small
group
discussion
(hrs)
CME
(hrs)
Assessment
(hrs)
Total
hrs
Semester1 33 16 24 2 5 80
Semester 2 41 16 24 2 5 88
Semester 3 29 16 24 2 5 76
Send up
exam
3 3 6
Grand Total 250
109
Semester planner Second Year MBBS, 2017-2018
Subject Physiology
Semesters Semester 1 Semester 2 Semester 3
To
pic
s
1. Autonomic
Nervous system
1.CNS
(sensory+motor)
1. Renal Physiology
2. Gastrointestinal
tract
2. Special senses
2. Reproductive
Physiology
(male+female)
3.Endocrine Physiology
Total duration of session =9 months
Total semesters=3
Each semester duration = 3 months
Academic session from = 3-11-2016 to
110
Assessment and Examination Planner
For 1st and 2nd Year MBBS, 2017-2018
Year
Semester
1
(3months)
Asse
ssme
nt 1
Semester
2
(3months)
Asse
ssme
nt 2
Semester
3
(3months)
Asse
ssme
nt 3
Asse
ssme
nt
Asse
ssme
nt
Semester
S1
Monthly
test= 2
Term
test=1
S2
Monthly
test= 2
Term
test=1
S3
Monthly
test= 2
Term
test=1
Send-up UHS Prof
Exam
Monthly test marks= Total Marks=50
MCQs+ SEQ marks division of monthly test= 25 + 25= 50
End semester term test= Total Marks 200
a. Theory marks= Total Marks 90= 45MCQs + 45SEQs
b. Practical Marks= Total Marks 90 (further division according to UHS format)
c. Attendance criteria= 75%= 10 marks
d. General attitude of student= 5 marks
e. Extracurricular activities = 5 marks
Send-up Marks= Total Marks 200
a. Theory marks= Total Marks 90= 45MCQs + 45SEQs
b. Practical Marks= Total Marks 90 (further division according to UHS format)
c. Attendance criteria= 75%= 10 marks
d. General attitude of student= 5 marks
e. Extracurricular activities = 5 marks
Internal Evaluation= a. Assessment 1+Assessment 2 +Assessment 3= 50% score
b. Send-up= 50% score
111
Introduction to teaching strategies
Physiology department of Amna Inayat Medical College teaches First
Professional M.B.B.S. (part I & II) and B.D.S. first professional under supervision
of Dr. Sadia Zafar. Our basic aim is to improve basic knowledge of physiology by
teaching them physiological skills and improving their professional attitude.
SCOPE AND VISION
We contribute to nation building process by providing our students unlimited
opportunities. We train our young medical professionals in an academically
conductive environment. Our vision is to promote passion of research in
medical students by assigning projects. Our aim is to employ latest techniques
like flipped classroom method that encourage our students to prepare for the
lesson before class, thus the class becomes a dynamic environment in which
students elaborate on what they have already studied and this makes students
to think critically during interactive session at the end of each class.
Course Objectives:
To provide our students the basic physiologic concepts regarding human body
with special emphasis on brain storming (PBL & SDL) and integration of basic
knowledge with practical skills.
112
PMDC Curriculum of MBBS first professional Part I & II
SCHEME OF STUDIES
1. First Professional MBBS Part-I Examination
To be held at the end of the 1st
year in the following subjects in course work
completed in the first year:
PART-I
(a) Anatomy and Histology
One Paper: 90 Marks
Internal Evaluation 10 Marks
Oral & Practical 90 Marks
Internal Evaluation 10 Marks
Total 200 Marks
(b) Physiology
One Paper: 90 Marks
Internal Evaluation 10 Marks
Practical & Oral Exam: 90 Marks
Internal Evaluation 10 Marks
Total 200 Marks
(c) Biochemistry
One Paper: 45 Marks
Internal Evaluation 5 Marks
Oral & Practical 45 Marks
Internal Evaluation 5 Marks
Total 100 Marks
PART-II
(a) Anatomy and Histology
One Paper: 90 Marks
Internal Evaluation 10 Marks
Oral & Practical 90 Marks
Internal Evaluation 10 Marks
Total 200 Marks
(b) Physiology
One Paper: 90 Marks
Internal Evaluation 10 Marks
Practical & Oral Exam: 90 Marks
Internal Evaluation 10 Marks
Total 200 Marks
113
(c) Biochemistry
One Paper: 45 Marks
Internal Evaluation 5 Marks
Oral & Practical 45 Marks
Internal Evaluation 5 Marks
Total 100 Marks
*Note: Any students who fails to clear the first Professional MBBS Part-I & Part-II
examination separately in three chances availed or un-availed after becoming
eligible for each examination shall cease to become eligible for further medical
education in Pakistan.
PART-I
PHYSIOLOGY Basic Concepts Clinical/Applied Concepts
General Physiology/Cell
Functional organization of human body Abnormalities of the cell and its
organelles
Homeostasis
Control systems in the body
Cell membrane and its functions
Intercellular Connections
Cell organelles
Transport through cell membrane
Genetics
Blood
Composition and General Functions
Plasma Proteins
Red Blood Cell (Erythropoiesis) Anaemia
Haemoglobin& Blood Indices, Iron
metabolism, Fate of Hb.
Blood indices in various disorders
White Blood Cells,
Leucopoiesis,functions
Leucopaenia, Leucocytosis
Platelets Thrombocytopaenia
Haemostasis Clotting disorders (Haemophilia etc.)
Blood Groups,
Blood Transfusion & complications
Reticuloendothelial System – Spleen
Blood grouping/cross matching &
significance
Immunity
Nerve and muscle
The neuron-structure & functions
Properties of Nerve Fibres Nerve conduction studies
Physiology of action Potential including
compound action potentials
EMG
Conduction of Nerve Impulse, Nerve
Degeneration and regeneration
Synapses
Nerve Injury
Structure of the Muscle
114
Skeletal muscle contraction Rigor Mortis & Contractures
Isometric and isotonic contraction
Smooth muscle contraction
Neuromuscular Transmission Myasthenia Gravis
Excitation — contraction coupling Myopathies/Neuropathies
Motor Unit
Conduction of Nerve Impulse, Nerve
Degeneration and regeneration
Synapses
Nerve Injury
Structure of the Muscle
Skeletal muscle contraction Rigor Mortis & Contractures
Isometric and isotonic contraction
Smooth muscle contraction
Neuromuscular Transmission Myasthenia Gravis
Excitation — contraction coupling Myopathies/Neuropathies
Motor Unit
Neuromuscular Blockers
Gastrointestinal Tract
Structure and General Functions
Enteric nervous system (Gut Brain)
Mastication, Swallowing and their control Dysphagia, achlasia of esophagus
Functions and movements of stomach Examination of abdomen, peptic Ulcer,
Pancreatitis
Functions and movements of small
intestine
Gastric function tests
Functions and movements of large intestine
Hormones of GIT
Vomiting and its pathway Vomiting and effects
Defecation and its pathway Diarrhoea, Constipation
Functions of Liver Jaundice, Liver functions tests
Cardiovascular system
Introduction to heart & circulation Correlation of cardiac cycle with ECG &
heart sounds
Physiology of cardiac muscle
Action potential in atrial & ventricular muscle and pace-maker potential
Regulation of cardiac functions
Cardiac impulse-origin & propagation
Cardiac cycle – various events
Significance of Apex beat/abnormalities
ECG-Recording & interpretation ECG interpretation in cardiac muscle
abnormalities and cardiac arrhythmias
Arrhythmias- mechanism of development Flutter, Fibrillation-Ectopics
Functional types of blood vessels
Haemodynamics of blood flow
Local control of blood flow Conduction defects
Systemic circulation, characteristics & control
Regulation of peripheral resistance
Arterial pulse Jugular venous pulse
Arterial blood pressure (short/long term
regulation)
Radial/other pulses
115
Cardiac output (regulation/measurement) Hypertension, types & effects
Heart Sounds/murmurs
Venous return & its regulation Clinical evaluation of heart sounds and
murmurs
Coronary circulation Ischemic Heart Disease
Splanchnic circulation Heart Failure
Pulmonary circulation Echocardiogram
Cerebral circulation
Cutaneous circulation- Triple response Types of shock
Fetal circulation and readjustments at birth
Cardiovascular changes during exercise
Respiratory System
Organization/functions of Respiratory
Tract
Examination of Chest
Functions of Lungs ( respiratory & non
respiratory)
Types of respiration (Intrapleural pressure,
pneumothorax, effusion)
Mechanics of Breathing Atelactasis
Surfactant and Compliance Lung function tests (Spirometry)
Protective reflexes
Lung volumes and capacities Obstructive/Restrictive lung disease
(FEV1/FVC)
Dead space
Diffusion of Gases (gas laws, composition)
Ventilation/perfusion Abnormal Ventilation/Perfusion
Transport of O2 in blood
Transport of CO2 in blood
Regulation of respiration
(Nervous/Chemical)
Respiratory failure
Abnormal breathing Asphyxia
Hypoxia-types and effects Hypoxia, cyanosis, dyspnoea
Physiology of Cyanosis Artificial respiration
Physiology of high altitude, space, deep
sea diving
Oxygen therapy
Oxygen debt Caisson’s disease
Respiratory changes during exercise
PART-II
PHYSIOLOGY Body fluids and Kidneys
Compartments of body fluids &
measurement
Renal function tests
Tissue and lymph fluids
Fluid Excess/depletion
Structure of Kidney/Nephron
General functions of kidney
GFR-factors regulating
Formation of urine, filtration, reabsorption, secretion
Plasma Clearance
Concentration & Dilution of urine Renal failure/uraemia
Electrolyte Balance
Water Balance
116
Regulation of blood pressure by kidneys Nephrotic syndrome
Hormones of kidneys
Acidification of urine Artificial kidney/Hemodialysis
Acid Base balance Metabolic acidosis/alkalosis
Micturition Abnormalities of micturition including
incontinence
Nervous system
Organization of Nervous system Significance of Dermatomes
Classification of nerve fibres
Properties of Synaptic transmission
Neurotransmitters and neuropeptides
Types and function of sensory receptors Receptors & Neurotransmitters (applied
aspect)
Functions of spinal cord, ascending tracts
Reflex action/ reflexes Interpretation of Reflexes
Muscle spindle / muscle tone UMN/LMN Lesion-features and
localisation
Tactile, temperature and pain sensations
Structure of cerebral cortex
Injuries and diseases of spinal cord,
Analgesia system
Sensory Cortex Disorders of cranial nerves
Motor Cortex
Motor pathways, (Pyramidal & extra
pyramidal)
Hemiplegia/Paraplegia
Basal Ganglia, connections and functions Parkinsonism & other lesions of basal
ganglia
Cerebellum, connections and functions Cerebellar Disorders
Vestibular Apparatus/Regulation of
Posture & Equilibrium
Sleep Disorders
Reticular formation
Physiology of sleep/EEG
Physiology of memory Higher mental function assessment
Physiology of speech Abnormalities of speech
Thalamus-Nuclei & functions Thalamic syndrome
Hypothalamus & limbic System Lesion of Hypothalamus
Cerebrospinal fluid
Regulation of body temperature
Functions of skin Hydrocephalus
Autonomic Nervous System
Physiology of aging
Special senses
Structure & functions of eye-ball Intraocular pressure & Glaucoma
Optical Principles
Accommodation of eye
Errors of refraction Visual acuity
Photochemistry of vision
Colour vision/night blindness Colour blindness, fundoscopy
Dark and light adaptation
Neural function of Retina
Visual pathway, light reflex and pathway
Visual cortex
Field of vision and lesions of visual
pathway
117
Intraocular fluids
Eye movements and control
Visual evoked potentials and
electroretinogram
Physiological anatomy of cochlea
Functions of external & middle Ear
Functions of inner Ear-Organ of Corti
Auditory pathway Hearing test audiometry
Physiology of smell- receptors and
pathway
Types of deafness
Physiology of taste Auditory evoked potentials
Olfaction/taste abnormalities
Endocrinology
General principles(classification,
mechanism of action, feed back control)
Acromegaly, Giantism
Biosynthesis, transport, metabolism,
actions and control of secretion of
hormones of:
Hormonal assay
Hypthalamus
Anterior Pituitary Dwarfism
Posterior Pituitary Panhypopituitarism
Thyroid gland Sheehan’s syndrome
Parathyroid, calcitonin Diabetes insipidus
Adrenal Medulla Syndrome of inappropriate ADH secretion
Andrenal Cortex Myxoedema, Cretinism, thyrotoxicosis
Pancreas
GIT Pheochromocytoma
Pineal gland Cushing’s syndrome, Conn’s syndrome
Thymus Addision’s disease, Adrenogenital
syndrome
Kidney Diabetes Mellitus &Hypoglycemia
Physiology of growth Zollinger Ellison’s
Reproduction
Functional anatomy of Male reproductive system Chromosomal abnormalities
Spermatogenesis
Semen analysis Male infertility
Erection and ejaculation
Testosterone
Male puberty
Oogenesis and functional anatomy of female gonads
Oestrogen& Progesterone Female infertility
Menstrual cycle Contraception
Puberty and Menopause Pregnancy Tests
Pregnancy — Physiological changes in mother during pregnancy
Placenta
Parturition
Lactation
Neonatal Physiology
118
EXPERIMENTAL PHYSIOLOGY
Haematology
Study of the microscope
Determination of:
Haemoglobin (Hb%)
Erythrocyte sedimentation Rate (ESR)
Packed cell volume (PCV)/Haematocrit
Bleeding Time (BT)
Clotting Time (CT)
Blood Groups
Study of Neubauer chamber
RBCs Count
Red cell indices
WBCs Count
Differential leucocyte Count (DLC)
Osmotic fragility of RBCs
Demontration of prothrombin time and thrombin time
Respiratory System
Clinical examination of chest
Measurement of Pulmonary volumes and capacities (Spirometry)
Nervous System
Examination of superficial reflexes
Examination of deep reflexes
Examination of sensory, motor system
Clinical examination of cranial nerves
Cardiovascular System
Frog’s Heart
Recording of normal cardiogram and affect of temperature
Effect of drugs on cardiac contractility
Effect of Ions on cardiac contractility
Properties of cardiac muscle in frog’s heart (Demonstration)
Study of sheep’s heart
Cardiopulmonary resuscitation
Cold pressor test
Triple response
Examination of arterial pulse
ECG recording/interpretation
Measurement of arterial blood pressure
Effect of exercise & posture on BP
Examination of Apex Beat
Heart Sounds- auscultation of normal sounds/murmurs
Special Senses
Field of vision by confrontation method
Field of vision by Perimetry
Light reflex
Ophthalmoscopy
Visual acuity
Colour Vision
Hearing tests
Audiometry
119
Taste Sensation
Olfaction sensation
Frog’s Nerve & Muscle
Simple muscle twitch (SMT) in frog and effect of temperature
Effect of fatigue on muscle contraction
Tatanization in frog’s muscle (Demonstration)
Effect of two successive stimuli on SMT (Demonstration)
Effect of preload and after load on SMT (Demonstration)
Determination of velocity of conduction in
sciatic nerve (Demonstration)
Use of Physiograph (polygraph)
Elicit fatigue in human index finger
Miscellaneous
Recording of body temperature
Pregnancy tests
Introduction to biostatistics e.g. data collection and analysis
- Vitalograph
- Nerve conduction studies
- Muscle conduction
120
UHS Curriculum of MBBS first professional part I &
II
121
122
123
124
125
126
127
128
129
130
131
132
133
134
135
136
137
138
139
140
141
142
143
144
145
146
Assessment and Examination Scheme
For 1st and 2nd Year MBBS (2017-2018)
Year
Semester
1
(3months)
Asse
ssme
nt 1
Semester
2
(3months)
Asse
ssme
nt 2
Semester
3
(3months)
Asse
ssme
nt 3
Asse
ssme
nt
Asse
ssme
nt
Semester
S1
Monthly
test= 2
Term
test=1
S2
Monthly
test= 2
Term
test=1
S3
Monthly
test= 2
Term
test=1
Send-up
UHS
Prof
Exam
Monthly test marks= Total Marks=50
MCQs+ SEQ marks division of monthly test= 25 + 25= 50
End semester term test= Total Marks 200
a. Theory marks= Total Marks 90= 45MCQs + 45SEQs
b. Practical Marks= Total Marks 90 (further division according to UHS format)
c. Attendance criteria= 75%= 10 marks
d. General attitude of student= 5 marks
e. Extracurricular activities = 5 marks
Send-up Marks= Total Marks 200
a. Theory marks= Total Marks 90= 45MCQs + 45SEQs
b. Practical Marks= Total Marks 90 (further division according to UHS format)
c. Attendance criteria= 75%= 10 marks
d. General attitude of student= 5 marks
e. Extracurricular activities = 5 marks
Internal Evaluation= a. Assessment 1+Assessment 2 +Assessment 3= 50% score
b. Send-up=50% score
147
University Examinations
First Professional MBBS, Part-I& Part-II
Theory:
9 SEQs= 9×5= 45 marks
45 MCQs= 45×1= 45 marks
Total= 45+45= 90 marks
Practical + OSPE + Viva voce= 90 marks
Viva voce= 35 marks
a. Internal= 15 marks
b. External= 20 marks
Ospe= 25 marks
a. Non observed stations 10×1= 10 marks
b. Observed stations 3×5= 15 marks
Ospe (C1=30%, C2= 40%, C3= 30%)
Practical= 30 marks
a. Practical= 20 marks
b. Procedure writing= 5 marks
c. Yearly work book assessment= 5 marks
Theory+Practical+Internal evaluation (total marks)
Total marks= 90+90= 180 marks
Internal Evaluation= 20 marks
148
Evaluation form for assessment of sessions of small group discussions
Physiology department of Amna Inayat Medical College
Name of class:
Date:
For overall rating of each of following items, circle the appropriate number.
No. 1= Least effective and No. 5= Outstanding
1. Physical arrangement and comfort 1 2 3 4 5
2. Choice of methods tutor used 1 2 3 4 5
3. Participation level 1 2 3 4 5
4. Group atmosphere 1 2 3 4 5
5. Interest of participants 1 2 3 4 5
6. Was the session focused 1 2 3 4 5
7. To what extent learning objectives were fulfilled 1 2 3 4 5
The three most important things we talked about today were
A.
B.
C.
Here is what I learned today:
A new idea for me was:
I am confused about:
Here’s what I do not understand:
149
Evaluation form for course assessment
Physiology Department of Amna Inayat Medical College
Course Title:
Date:
(Circle the appropriate number)
1= Standards not met, 5= Standards fully met
1. Objectives were met 1 2 3 4 5
2. Topics were logically organized 1 2 3 4 5
3. Used time appropriately 1 2 3 4 5
4. Assignments were useful 1 2 3 4 5
5. Required reading was useful 1 2 3 4 5
6. Used student’s experiences well 1 2 3 4 5
7. Grading standards were clear 1 2 3 4 5
8. Required an appropriate amount of work 1 2 3 4 5
9. Responded to ethnic and cultural diversity 1 2 3 4 5
10. Evaluation activities were appropriate 1 2 3 4 5
11. Used appropriate teaching method 1 2 3 4 5
12. Communicated ideas and concepts fairly 1 2 3 4 5
13. Provided timely and thoughtful feedback 1 2 3 4 5
14. Tutor available outside of class if needed 1 2 3 4 5
15. Tutor sensitive to students background and needs 1 2 3 4 5
16. Tutor demonstrated thorough and up-to-date knowledge 1 2 3 4 5
17. Topic was useful in my professional development 1 2 3 4 5
18. Topic was stimulating and thought provoking 1 2 3 4 5
Additional comments about likes, dislikes, strengths and weaknesses:
150
Recommended Books Physiology
1. Textbook of Physiology by Guyton and Hall (Latest edition)
2. Review of Medical Physiology by William F. Ganong (Latest edition)
Reference Books:
1. Human Physiology by Laurali Sherwood
2. Essentials of Medical physiology by Prof. Dr. Mushtaq Ahmed
3. Physiology by Berne and Levy
4. Physiology by Linda and Costanzo
151
AMNA INAYAT MEDICAL
COLLEGE
AIMC-MBBS,
Biochemistry CURRICULUM
(PMDC/UHS)
&
ACADEMIC PLANNER
2017-2022
Department of Biochemistry, Amna Inayat Medical College
152
Department of Biochemistry
Existing Faculty Members
Name Designation
1 Dr.Syed Saleem-ul Haque Professor & HoD
2
3
Dr.Hamid
Dr.Talmeez Zeb
Professor
Assistant Professor
4 Dr.Samra Hafiz Assistant Professor
5 Dr.Shameem Assistant Professor
6
7
Dr.Ayesha
Miss Saadya
Demos
Non Teaching Staff/ Supporting staff
1 Fayyaz LAB attendant
153
ALLOCATION OF HOURS
154
155
Learning Sites and Strategies Department ensured student-centered active learning in the
context of real problems. It may take different forms, for example,
Basic clinical oriented learning“ Problem Based Learning”, and
“Community Oriented Medical Education.”
1. Large Class Learning (Lectures|)
2. Tutorials
3. LAB Practical exercises
4. Small Group Learning.
5. Self-Learning
6. Student Assignments and Projects
7. Student Presentations
8. Videos
9. Conferences/Seminars/Workshops
156
PMDC CURRICULUM
PMDC CURRICULUM BIOCHEMISTRY For MBBS Part-1
Cell Biochemistry
Introduction to biochemistry
Biochemical composition and functions of the cell
Biochemistry of eukaryotes, prokaryotes and archaea
Cell membranes and their chemical composition
Importance of lipids and proteins in cell membranes
Signaling pathways and receptors
Methods to study cell biochemistry (microscopy, centrifugation,
spectrophotometry, chromatography, electrophoresis and thermal cycler)
Body fluids and pH regulation
Ionization of water, weak acids and bases
pH and pH scale
pK values, dissociation constant and titration curve of weak acids
Body buffers and their mechanism of action
Henderson – Hasselbach‟s equation
Acid base regulation in human body
Biochemical mechanisms for control of water and electrolyte
balance..
Carbohydrates
Definition, biochemical function and classification
Structure and functions of monosaccharides and their derivatives
Disaccharides and their important examples
Oligosaccharides and their combination with other macromolecules
Polysaccharides and their important examples and biochemical role
Biochemical importance of carbohydrates
Proteins
Definitions, biochemical importance and classification of proteins
based on physiochemical properties
Amino acids and their structure, properties and functions
157
Classification and nutritional significance of amino acids
Dissociation, titration and importance of amino acids
Structure of proteins and their significance in pH maintenance
Separation of proteins e.g. salting out, electrophoresis,
chromatography, centrifugation
Immunoglobulins and their biomedical significance
Plasma proteins and their clinical significance
Nucleotides and Nucleic Acids
Chemistry of purines and pyrimidines, their types, structure and function
Chemistry and structure of nucleoside and nucleotide and their
biochemical role
Derivatives of purines and pyrimidines, their role in health and disease
Nucleic acids, their types, structure and functions (gout)
Lipids and Fatty Acids
Classification of lipids and their biochemical functions
Structure and biochemical function of phospholipids, glycolipids and
sphingolipids
Classification of fatty acids and their biochemical functions
Functions of essential fatty acids
Identification of fats and oils (saponification, acid number)
Eicosanoides and their function in health and disease (overview)
Steroids and their biochemical role
Cholesterol, its structure, chemistry and functions
Lipid peroxidation and its significance
Enzymes
Classification/nomenclature
Properties of enzymes and catalysts
Functions of enzymes and catalysts
Co-enzymes and co-factors
Isozymes and their clinical importance
Factors affecting enzyme activity (Michaelis – Menten and Lineweaver burk
equations)
Classification of enzyme inhibitors and their biochemical importance
Therapeutic use and application of enzymes in clinical diagnosis
Porphyrins and Haemoglobin
Chemistry and biosynthesis of porphyrins and related disorders
Structures, functions and types of haemoglobin
Oxygen binding capacity of haemoglobin, factors affecting and regulating
the
oxygen binding capacity of haemoglobin
Degradation of haeme, formation of bile pigments, its types, transport and
158
excretion
Hyperbilirubinimia, biochemical causes and differentiation
Haemoglobinopathies (Hb-S, Thalassaemia etc.) and their
biochemical causes
Vitamins and minerals
Vitamins and their different types
Classification of vitamins, their chemical structure and biochemical function
Absorption of vitamins and minerals
Daily requirements, sources of water and fat soluble vitamins
Effects of vitamin deficiency
Role of vitamins as co-enzymes
Hypo- and hyper-vitaminosis
Minerals in human nutrition, sources, biochemical actions and
recommended daily allowance (RDA).
Sodium, potassium, chloride, calcium, phosphorus, magnesium,
sulfur, iodine, fluoride
Trace elements (Fe, Zn, Se, I, Cu, Cr, Cd and Mn)
Nutrition
Caloric requirements of the body
Balanced diet
Nutritional requirements in:
pregnancy
lactation
newborn, youth and old age
Nutritional disorders and protein energy malnutrition (Marasmus,
Kwashiorkor and Marasmic-Kwashiorkor)
159
UHS CURRICULUM BIOCHEMISTRY FOR MBBS PART 1
160
161
162
163
164
LABORTARY EXPERIMENT
165
DEPARTMENTAL LESSON PLANNER
TIME TABLE FOR 1ST YEAR MBBS( 2017-18)
BIOCHEMISTRY DEPARTMENT
8:AM to
10:AM
10:20A.M
to 11:20
A.M
11:20A.M to
12:20A.M
12 .20 to
1.20
1.30:PM
to 3:PM
MONDAY
PRACTICAL
BATCH C
TEST MONTHLY
(Theory Paper)
TUESDAY
PRACTICAL
BATCH B
LECTURE 1
WEDNESDA
Y
PRACTICAL
BATCH A
LECTURE 2
TUTORIAL
Thursday
LECTURE 3
FRIDAY
LECTURE 4
166
YEARLY LESSON PLANNER FOR M.B.B.S 1st Year (2017-18)
LECTURE
No.
Date
Title/Topic
Topic to be covered (in detail)
Lect. by 1 1st week
1-12-17
Thursday
C
E
L
L
B
I
O
C
H
E
M
Biochemical composition and functions of the cell
Dr. Saleem
2 2-12-17
Friday
Cell membranes and their chemical composition
3 2nd week
6-12-17
Tuesday
Importance of lipids and proteins in cell membranes
4 7-12-17
Wednesday
Chemistry of signals and receptors
5 8-10-17
Thursday
Signal transduction
6 9-12-17
Friday
Membrane transport including active transport, passive
transport
7 3rd week
13-12-17
Tuesday
Membrane transport including simple and
facilitated diffusion
8 14-12-17
Wednesday
Methods to study cell biochemistry
9 15-12-17
Thursday
Acid Base
Balance and
Body Fluids
Ionization of water, week acids and bases, pH and pH
scale
Dr.Saleem
10 16-12-17
Friday
pK values, dissociation constant and titration curve of
week acids
11 4th week
20-12-17
Tuesday
Body buffers and their mechanism of action
12 21-12-17
Wednesday
Henderson – Hesselbach equation
13 22-12-17
Thursday
Acid base regulation in human body
14 23-12-17
Friday
Biochemical mechanisms for control of water and
electrolyte balance
15 5th week
3-1-18
Tuesday
Types of particles in solution(Colloids/Crystaloids)
Classification of Particals
167
16 4-1-18
Wednesday
Importance of selectively permeable membranes,
osmosis and osmotic
pressure Gibbs-Donnan’sEquilibrium
17 5-1-18
Thursday
CARBOHYDRA
TES
CHEMISTRY
, surface tension, Emulsions, viscosity also in relation to
body fluids
Dr.Shamim
18 6-1-18
Friday
Carbohydrates definition, their biochemical function
and classification
19 6th week
10-1-18
Tuesday
Monasaccharides-Nomenclature
20 11-1-18
Wednesday
Monosacharides-Isomarism
21 12-1-18
Thursday
Chemical properties of Monosacharides
22 13-1-18
Friday
Structure, functions and derivatives of
imp.monosaccharides
23 7th week
17-1-18
Tuesday
Structure and function of oligosaccharides and
disaccharides
24 18-1-18
Wednesday
Polysaccharides and their biochemical role-
Homopolysacharides
25 19-1-18
Thursday
Heteropolysacharides-GAG’S
26 20-1-18
Friday
Glycoconjugates(proteoglycans/Glycoproteins
27 8th week
24-1-18
Tuesday
Mucopolysacaridesis
28 25-1-18
Wednesday
Amino Acids
and Proteins
Proteins and their biochemical importance Dr.Samra
29 26-1-18
Thursday
Classification of Aminoacids:
standard/Non-standard
Essential/Non-Essential
30 27-1-18
Friday
Classification of Aminoacids:
Polar /Non-Polar, α/β Amino acids
Peptide bond
31 31-1-18
Tuesday
Classification of Proteins-Structural
(Simple/compound/Derived Proteins)
32 9th week
1-2-18
Wednesday
Classification of Proteins-Functional
33 2-2-18
Thursday
Compound/Conjugated Proteins
34 3-2-18
Friday
Derived Proteins-(Primary/Secondary derived
35 10th week
7-2-18
Tuesday
Three dimensional structure of Proteins Primary and
secondary
36 8-2-18
Wednesday
Tertiary and Quaternary structure of Proteins and bonding
forces
37 9-2-18 Amphoteric properties of A.A.&proteins
168
Thursday
38 10-1-18
Friday
Haemoglobin structure
39 11th week
14-2-18
Tuesday
Haemoglobinopathies
40 15-2-18
Wednesday
Collagenopathies(Scurvey,Marfansyndrome,osteogenesis
imperfect ),abnormal intracellular deposits of proteins)
41 16-2-18
Thursday
Immunoglobulins structure and functions
42 17-2-18
Friday
Plasma proteins
43 12th week
21-2-18
Tuesday
Protein separation techniques (Electrophoresis/Isoelectrc
Focusing/Chromatography)
Amino acid titration
43 22-2-18
Wednesday
Nucleotide
and Nucleic
Acids
Nucleotides and their biochemical role.
Dr.Shamim
44 23-2-18
Thursday
. Structure, function and biochemical role of nucleotides
45 24-2-18
Friday
Synthesis of purines and pyramidines and their clinical
role
46 13th week
28-2-18
Tuesday
. Structure, function and types of nucleic acids
47 1st week
1-3-18
Wednesday
DNA
2-3-18
Thursday
RNA
48 3-3-18
Friday
Lipids Classification of lipids and their biochemical functions Dr.Talmez
49 14th week
7-3-18
Tuesday
Structure and biochemical function of phospholipids,
glycolpids, and
sphingolipids
50 8-3-18
Wednesday
Classification of fatty acids and their biochemical
functions
51 9-3-18
Thursday
Functions of essential fatty acids
52 10-3-18
Friday
Eicosanoides and their function in health and disease
53 15th week
14-3-18
Tuesday
Steroids and their biochemical role
54 15-3-18
Wednesday
Cholesterol, its structure chemistry and function
55 16-3-18
Thursday
Lipid peroxidation and its significance
56 17-3-18
Friday
Lipoprotein Structure
57 16th week
21-3-18
Tuesday
Fatty Liver
58 22-3-18 Enzymes Enzyme-Nomenclature Dr.Talmez
169
Wednesday
59 24-3-18
Friday
Classification of Enzymes
60 17th week
28-3-18
Tuesday
Classification
61 29-3-18
Wednesday
Properties of Enzymes
62 30-3-18
Thursday
Enzymes and catalysts
63 31-3-18
Friday
Function of enzymes and catalysts
64 18th week
04-4-18
Tuesday
Co-enzymes and co-factors
65 05-04-18
Wednesday
Iso-enzymes and their clinical importance
66 06-04-18
Thursday
Factors affecting enzyme activity (Michaelis – Menten
and Lineweaverbuk
67 07-04-18
Friday
Regulation of enzyme Activity
68 19th Week
11-04-18
Tuesday
Classification of enzyme inhibitors and their biochemical
importance
69 12-04-18
Wednesday
Therapeutic use and application of enzymes in clinical
diagnosis
0 13-04-18
Thursday
Enzyme Deficiency Diseases
66 14-04-18
Friday
Haemoglobin
Metabolism
Porphyrins Dr.Saleem
71 18-04-18 Metabolism of haem
72 20th Week
19-04-18
Wednesday
Synthesis and structure of haemoglobin
73 20-04-18
Thursday
Types and function of haemoglobin
74 21-04-18
Friday
O2 binding capacity of haemoglobin and factors
regulating & affecting it
75 21 Week
25-04-18
Tuesday
Breakdown of haemoglobin, formation of bile pigments
their transport and
excretion
76 26-04-18
Wednesday
Biochemical causes of hyper-bilirubinaemia and
differentiation between
different types of jaundice
77 27-04-18
Thursday
Causes and types of haemoglobinopathies
78 28-04-18
Friday
Porphyrias
79 22 Week
02-05-18
Tuesday
Porphyrias
170
80 03-05-18
Wednesday
Vitamins
Classification of vitamins, their chemical structure &
biochemical function
Dr.Saleem
81 04-05-18
Thursday
Daily requirements, sources,functions and deficiency
effects of fatr soluble vitamins-Vitamin A
82 05-05-18
Friday
Vitamin A
83 23rd Week
09-05-18
Tuesday
Vitamin D
84 10-05-18
Wednesday
Vitamin E and Vitamin k
85 11-05-18
Thursday
Water soluble Vitamins-Vitamin C & B1(Thiamine)
86 12-05-18
Friday
Vitamin B2(Riboflavin),B3(Niacin)
87 24th Week
16-05-18
Tuesday
Pantothenic acid and Biotin Dr.Talmez
88 17-05-18
Wednesday
Folic acid and Cobalamin(B12)
89 18-05-18
Thursday
Role of vitamins as co-enzymes
90 19-05-18
Friday
Hypervitaminosi
25th Week
23-05-18
Tuesday
Minerals (1) Minerals in human nutrition, sources, biochemical
actions and recommended
daily allowance (RDA)-Iron
Dr.Samra
91 24-05-18
Wednesday
Calcium and Phosphorus
92 25-05-18
Thursday
Iron metabolism
93 26-05-18
Friday
Zinc & Copper ,Selinium
94 26th Week
30-05-18
Tuesday
Nutrition Caloric requirements of the body.
Dr.Shamim
95 31-05-18
Wednesday
Balanced diet
96 27th Week
01-06-18
Thursday
Protein energy malnutrition
97 02-06-18
Friday
. Marasmus
98 28th Week
06-07-18
Tuesday
Kwashiorkor
99 07-07-18
Wednesday
Marasmic-kwashiorkor
100 08-07-18
Thursday
Nutritional requirements in:
Pregnancy
171
Department of Biochemistry
AMNA INAYAT MEDICAL COLLEGE
DEPARTMENT OF BIOCHEMISTRY
Practical Schedule of 1st Year MBBS 2017-2018
Date Day Batch Practical Responsibility
Instrumentation
1st
week
Monday
Tuesday
Wednesday
C
A
B
pH Metery, centrifuge, spectrophotometer,
water bath, hot air oven, water distillation
unit, glass wares
Demos
2nd
Week
Monday
Tuesday
Wednesday
C
A
B
Solutions Demos
Molar, Molal, Normal & percentage
solutions
3rd
Week
Monday
Tuesday
Wednesday
C
A
B
Solutions Demos
Molar, Molal, Normal & percentage
solutions
4th
week
Monday
Tuesday
C
A
Test/ ospe
101 09-07-18
Friday
Lactation
102 29 Week
13-07-18
Tuesday
Extracellular
Matrix
MINERALS(11
)
Types of Collagen ,structure , biosynthesis,degradation of
collagen, Collagenopathies
Dr.Samra
103 14- 07-18
Wednesday
ELASTIN ,Characteristics of Elastin,Role of alpha 1antitrypsin
in elastic degradation,genetic disorder of elastin
104 15-07-18
Thursday
Fibrilin 1 as a protein of Myofibrils,Marfan syndrome,
Fibronectin & role in cell adhesion
105 16-07-18
Friday
Glycoaminoglycans structure, Classification ,functions &
disorders
106 30th Week
20-07-18
Tuesday
Structure & functions of Glycoprotein
107 07-06-18
Wednesday
Na & K Dr.Samra
108 08-06-18
Thursday
Sulphur, magnesium, flouride
172
Wednesday B
5th
week
Monday
Tuesday
Wednesday
C
A
B
Carboydrates Demos
Molisch’s test & Iodine test
6th
week
Monday
Tuesday
Wednesday
C
A
B
Benedicts test ,& Barfoeds test
7th
week
Monday
Tuesday
Wednesday
C
A
B
Tollen’s Test & Salivenoff’s Test
8th
week
Monday
Tuesday
Wednesday
C
A
B
Osazone test
9th
week
Monday
Tuesday
Wednesday
C
A
B
Hyrolysis of Sucrose
10th
week
Monday
Tuesday
Wednesday
C
A
B
Hydrolysis of Starch
11th
week
Monday
Tuesday
Wednesday
C
A
B
Test/ospe
12th
week
Monday
Tuesday
Wednesday
C
A
B
LIPIDS Demos
Spot test Solubility of Lipids
13th
week
Monday
Tuesday
Wednesday
C
A
B
Emulsification
14th
week
Monday
Tuesday
Wednesday
C
A
B
Saponification
15th
week
Monday
Tuesday
Wednesday
C
A
B
Test/ospe
16th
week
Monday
Tuesday
Wednesday
C
A
B
PROTEINS
Ninhydrin Test &Biuret test
Demos
17th
week
Monday
Tuesday
C
A
Xanthoprotiec test &Hopkins cole test
173
Wednesday B
18 th
week
Monday
Tuesday
Wednesday
C
A
B
Heat coagulation test
19th
week
Monday
Tuesday
Wednesday
C
A
B
Salt saturation test
20th
week
Monday
Tuesday
Wdnesday
C
A
B
Ice cold test
21
week
Monday
Tuesday
wednesday
C
A
B
Test/ospe
22th
week
Monday
Tuesday
Wednesday
C
A
B
URINE
Normal urine
Demos
23th
week
Monday
Tuesday
wednesday
C
A
B
Abnormal urine
24th
week
Monday
Tuesday
wednesday
C
A
B
Tests for proteins
25th
week
Monday
Tuesday
Wednesday
Bile salts &blood
26th
week
Monday
Tuesday
Wednesday
Carbohydrates &ketone bodies
27th
week
Monday
Tuesday
Wednesday
Tests for organic constituents
28th
week
Monday
Tuesday
Wednesday
Tests for inorganic constituents!1
29th
week
Monday
Tuesday
Wednesday
Test/ospe
174
DEPARTMENTAL ASSESSMENT /
EVALUATION & EXAMINATIONS
FOR M.B.B.S PART 1
Assessments and Examinations: 1. Minimum attendance 80%.
2. Summative Assessment:
Summative Assessment consists of the sum of the Continuous Assessment score
(Internal assessment based on assessment of student performance during monthly
tests &Term exams) and end of year University Examination.
SHEDULE OF MONTHLY TEST TERM ,SEND –UP & ANNUAL EXAM (UHS)
DEC
Test 1
100
Marks
JAN
Test
2
(100)
FEB
Test3
(100)
MAR
1st
Term
(150)
April
Test 4
(100)
MAY
Test5
(100)
June
2nd
Term
(150)
July
Pre
Send-
up
Exam
(100)
August
Send-up
Exam
(180)
Annual
University
Exam
(200)
DESCRIPTION OF MONTHLY TEST (100 marks)
Examination Components
Theory
MCQs Based (35 Marks)
SEQs Based (35 Marks)
Viva Voce (30 Marks)
For TERM EXAM (150 marks)
Theory
MCQs Based (50 Marks)
SEQs Based (50 Marks)
Viva Voce (50 Marks)
UNIVERSITY EXAMINATION (200 Marks)
Theory paper (90 MARKS)
MCQ : 45
SEQ: 45
Total Marks for VIVA, OSPE,Practicals+Inteternal Assessment = 100 Marks
175
RECOMMENDED BOOKS
176
AMNA INAYAT MEDICAL
COLLEGE
AIMC-MBBS,
FORENSIC MEDICINE & TOXICOLOGY CURRICULUM
(PMDC/UHS)
&
ACADEMIC PLANNER
2017-2022
DEPARTMENT OF FORENSIC MEDICINE & TOXICOLOGY,
AMNA INAYAT MEDICAL COLLEGE
177
CONTENTS
1.9. INTRODUCTION
1.10. Department of Forensic Medicine, Faculty and staff
1.11. PMDC Table of Subjects, spacing and allocated hours of MBBS
Program
1.12. Allocated contact hours (Theory, Practical, Total) of Forensic
medicine Subject, in year 3rd of MBBS Program
1.13. Semester planner of contact hours (Theory, Practical, Total) of
Forensic medicine Subject, in year 3rd of MBBS Program.
1.14. Assessments/Evaluations/Examinations-Planner
1.15. Scheme of Semesters and Send up Assessments/Evaluations and
University Examinations of3rd year MBBS Program.
1.16. Teaching Strategies
2.0. CURRICULUM OF FORENSIC MEDICINE SUBJECT.
2.1 PMDC Curriculum
4.0. LESSON PLANERS AND TIME TABLE
3.4 Time Table of Lectures/Demonstrations/Practical of 3rd year.
3.5 Lesson planner with titles and learning objectives of “Theory and
Practical” of 3rd year
4.0 ASSESSMENTS/EVALUATIONS/EXAMINATIONS
4.1 Continuous Internal Assessments
4.2 Assessment at End of Semester
4.3 Assessment at end of year (Send Up)
4.6 University Examinations (Professional 1.a & 1.b)
4.7 Student Feedback Form (Student will fill and submit his/her feedback
form) at end of each year regarding, quality of teaching, quality of
learning resources and any recommendations to improve effectiveness
of teaching and assessments/evaluations)
Recommended books, Journals, websites
178
Introduction to Forensic Medicine
FORENSIC MEDICINE is a state medicine which deals with the application of
principles of medical to the purpose of law and to furthering of justice.
Forensic medical examination is a highly responsible and difficult task requiring
trained staff and purpose built and well equipped examination centers for examination
of the living and dead. The subject spreads into almost every branch of medicine. It
covers the responsibilities of doctors towards the State, patients and towards each
others.
At the completion of Forensic Medicine plan of study student should :-
Know the rights & duties of a doctor when he / she comes in contact with the
courts.
Know the principles of Forensic Medicine including the recognition, collection,
identification, preservation & documentation of physical evidence with in the
criminal justice system.
Be able to document & orally describe crime scenes, physical evidence &
scientific processes.
Be able to perform medicolegal autopsies & medicolegal examination of living
victims of physical & sexual assault.
Have an understanding of certain provisions of law falling under Pakistan Penal
Code (PPC) & Criminal procedure Code (Cr.PC)
179
DEPARTMENT OF FORENSIC MEDICINE STAFF MEMBERS
DESIGNATION NAME QUALIFICATION
HEAD OF DEPARTMENT
PROFESSOR OF
FORENSIC MEDICINE DR. Saeed Ahmed M.B.B.S, DMJ
ASSISTANT PROFESSOR DR. Sobia Aamir M.B.B.S, DMJ
DEMONSTRATOR DR. Imtiaz Ahmed M.B.B.S
LAB. ASSISTANT Naik Muhammad
180
TABLE OF SPACING AND HOURS OF SUBJECTS IN MBBS COURSE
SUBJECT 1ST
YEAR
2ND
YEAR
3RD YEAR 4RTH
YEAR
5THYEAR TOTAL
HOURS
BEHAVIOURAL SCIENCES 5HRS 5HRS 5HRS 5HRS 5HRS 25HRS
ISLAMIC PAKISTAN AND
STUDIES
15HRS 15HRS 10HRS 10HRS - 50HRS
ANATOMY 250HRS 250HRS - - - 500HRS
PHYSIOLOGY 250HRS 250HRS - - - 500HRS
BIOCHEMISTRY 100HRS 100HRS - - - 200HRS
PHARMACOLOGY - - 300HRS - - 300HRS
PATHOLOGY 15HRS 25HRS 260HRS 200HRS - 500HRS
FORENSIC MEDICINE - - 100HRS - - 100HRS
COMMUNITY MEDICINE 25HRS 25HRS 50HRS 150HRS - 250HRS
MEDICINE AND Allied
NUCLEAR MEDICINE
EMERGENCY MEDICINE
MEDICINE ELECTIVE
PSYCHIATRY
DERMATOLOGY AND
GENERAL PRACTICE
25HRS 30HRS
10HRS
120HRS
-
265HRS
10HRS
360HRS
-
800HRS
20HRS
PAEDIATRIC MEDICINE 5HRS 10HRS 15HRS 50HRS 70HRS 450HRS
SURGERY AND ALLIED
RADILOGY
ORTHOPEDICS
PAEDS SURGERY
NEUROSURGERY
SURGERY ELECTIVE
EMERGENCY SURGERY
& ANAESTHESIA
25HRS
5HRS
30HRS
10HRS
120HRS
-
265HRS
10HRS
360HRS
15HRS
800HRS
40HRS
OBSTETRICS AND
GYNAECOLOGY
10HRS 10HRS 50HRS 100HRS 130HRS 300HRS
OPHTHALMOLOGY 5HRS 10HRS 15HRS 70HRS - 100HRS
OTORHINOLARYNGOLOGY(ENT) 5HRS 10HRS 15HRS 70HRS - 100HRS
CLINICOPATHOLOGICAL
CONFERENCE
- - - 60HRS - 60HRS
TOTAL 740
HRS
790HRS 1060HRS 1265HRS 940HRS 4795HRS
181
Distribution of subjects
Instructional contents into
Theory and Practical learning.
Type of subject
Theory Content Practical Skills Content
All Basic Sciences 50% 50%
Pre-Clinical Sciences
(Pharmacology and
Therapeutics, Forensic
Medicine, Community
Medicine, Pathology)
40% 60%
Clinical Sciences 30% 70%
Internship/House Job 0% 100%
182
ALLOCATED HOURS IN FORENSIC MEDICINE SUBJECT IN
3RD YEAR MBBS PROGRAME
Total number of Contact hours for Third Year MBBS
MITs Total number Total contact hrs
Lectures 85 63
Practical’s 18 27
Grand tutorials 6 9
Assessments 3 3
Total contact hours= 100 hours
Duration of lecture= 45min
Duration of practical= 90min
Duration of Grand tutorial= 90min
Duration of assessments= 1 Hour
183
SEMESTER/TERM PLANNER FOR 3RD YEAR MBBS
SUBJECT FORENSIC MEDICINE
Sr.
NO. SEMESTER/TERM – I SEMESTER/TERM - 2 SEMESTER/TERM - 3
TOPICS TOPICS TOPICS
1.
2.
3.
4.
5.
Autopsy & Exhumation
Thanatology
Personal identity
General aspects of
Toxicology
Laws relating to drugs and
poisons
Traumatology
Asphyxial Deaths
Accidents in Home &
Environment
Corrosives, Irritants,
Asphyxiates.
Medicolegal aspects of Sex
Legal procedures
Law relating to medical
man
Medicolegal aspect of
insanity
Insecticides, Poisons
effecting Nervous system,
Analgesics
Total duration of session =9 months
Total semesters = 3
Each semester duration = 3 months
Academic session 3rd Year MBBS from 5-12-16 to 30-9-17
184
ASSESSMENT AND EXAMINATION PLANNER
FOR 3RD YEAR MBBS
Third Year MBBS
Year
Semester
1
3 months
Assessment
Semester
2
3 months
Assessment
Semester
3
3 months
Assessment
Assessment
Assessment
Semester
S1
Monthly test=
2
Term test=1
S2
Monthly test=
2
Term test=1
S3
Assessment
for semester
3
Send-up
UHS second
Prof Exam
Monthly test marks = Total Marks=50
MCQs+ SEQ marks division of monthly test= 25 + 25= 50
End semester term test= Total Marks 100
f. Theory marks= Total Marks 40
g. Practical /viva Marks= Total Marks 40
h. Attendance criteria= 75%= 10 marks
i. General attitude of student= 5 marks
j. Extracurricular activities = 5 marks
Send-up Marks= Total Marks 100
f. Theory marks= Total Marks 40
g. Practical/viva Marks= Total Marks 40 (further division according to UHS format)
h. Attendance criteria= 75%= 10 marks
i. General attitude of student= 5 marks
j. Extracurricular activities = 5 marks
Internal Evaluation= a. Assessment 1+Assessment 2 +Assessment 3= 50% score
b. Send-up= 50% score
Credit of three semesters=100+100+100 (50% theory+50% practical)
Sendup examination= 100 (50% theory+50% practical)
Final internal assessment= sendup +total semesters assessments = /2
185
YEARLY PLANNER ACCORDING TO SEMESTER
TITILE DESCRIPTIONN Interactive
Lectures
(IL)
PRACTICALS Tutorial/Grand
Tutorial
Assessments
(Summative,
Formative)
Semester 1 15 DEC to 15
March
28 6 2 1
WINTER BREAK 25.12.2017 to 01.1.2018
TITILE DESCRIPTIONN THEORY PRACTICALS Tutorial/Grand
Tutorial
Summative
Assessment
Semester 2 16 March to 15
June
28 6 2 1
SPRING BREAK 01.4.2018 to 8.4.2018
TITILE DESCRIPTIONN THEORY PRACTICALS Tutorial/Grand
Tutorial
Summative
Assessment
Semester 3 16 June to 15
Sep
28 6 2 1
SUMMER BREAK 15.6.2018 to 14.7.2018
TITILE DESCRIPTIONN Observed
stations
Unobserved
stations
Feed back Formative
Assessment
OSPE
revision
1st week of Oct 02 8 One to one 1
TITILE DESCRIPTIONN Theory
Marks
Practical
Marks
Viva
Marks
Summative
Assessment
Send Up
exam
2nd week of
October
50 % 25% 25% 1
186
TEACHING STRATEGIES
Our aim is to employ latest techniques like flipped classroom method that encourage our
students to prepare for the lesson before class, thus the class becomes a dynamic
environment in which students elaborate on what they have already studied and this
makes students to think critically during interactive session at the end of each class.
Special emphasis will be given on brain storming (PBL & SDL) and integration of basic
knowledge with practical skills.
MITs (Method of Information Transfer)
Subject information will be delivered to the learners through Interactive Lectures, small group
teaching , Practical through out the academic year
Lectures
Lectures/week Small Group Teaching
/Month
Tutorilas/week Grand
Tutorial
/Month
3 2 3 1
Interactive Lecture:
There would be 3 Lectures a week. These would be interactive lectures through power point
presentations and hand outs where needed.
Small Group Teaching:
There will be 2 contact sessions. It will comprise of PBL or TBL, Small Group Discussions twice a
month. In 1st contact students will be given tasks and then next session would be for the group
discussion and evaluation.
Tutorials:
There will be 3 Tutorials/week and 1 Grand tutorial in a month. It will comprise of
Interactive session (Questions &Answers)
Student presentations (Power points ,role play)
Online Assignments Review
187
CURRICULUM PRESCRIBED BY
P.M.D.C. / U.H.S
FORENSIC MEDICINE & TOXICOLOGY
COURSES OF STUDY
1. FORENSIC MEDICINE
a) PAKISTAN’S LEGAL SYSTEM
Students should be able to:
Describe the powers and jurisdiction of courts, procedures for
inquest, and legal Procedures.
Define important Legal terms.
Debate the application of relevant Legal sections of the penal code.
Define the role of a medical doctor in the medico-legal system.
Give medical evidence in courts.
Document information to be prepared by a medical doctor for legal
procedures.
Describe Procedure of Court attendance and recording of evidence.
b) FORENSIC SCIENCES
The student will:
Describe the role of Forensic Sciences in Crime detection.
188
c) LAW IN RELATION TO MEDICAL MEN
The student will:
Understand and act according to and within the framework of
Privileges and obligations of Registered medical practitioner.
Maintain a Doctor-patient relationship in the context of he highest
ethical standards.
Understand and refrain from any temptations to professional
misconduct.
Guard Professional secrets and privileged communication. Maintain
highest ethical principles in medical examination and when obtaining
consent.
Define what constitutes medical negligence.
Debate the pros and cons of organ transplantation in each individual
case.
Develop and defend a personal moral view on Artificial insemination,
Therapeutic abortions, Euthanasia, Biomedical research etc. in
keeping with the norms of society and highest ethical principles.
d) PERSONAL IDENTITY
Students should be able to describe:
- Parameters of personal identity, methods of identifying living, dead,
decomposed, mutilated and burnt bodies, and skeletal and
fragmentary remains, using special techniques (Dentistry:
Radiology, Neutron Activation Analysis etc.), and objective
methods of identification (Osteomtery, Dactylo-scopy, DNA
Technique, Super imposition photography etc.).
- Methods of determination of age, sex and race by various methods
with their medico-legal aspects.
- Methods to trace evidence, Locard’s Principle of exchange and its
medico-legal significance.
189
e) THANATOLOGY
The student should be able:
To describe:
- Scientific concepts regarding death, medico-legal aspect of Brain
death, Indicators of Death, medico-legal aspects of Sudden and
unexpected deaths, causes, manner, mode and mechanisms of
death.
- Physicochemical changes subsequent to death occurring in various
body tissues and organs under various environmental conditions.
To write:
- A Certification of death according to WHO guidelines.
f) TRAUMATOLOGY
i) MECHANICAL INJURIES:
The student should be able to describe mechanisms of wound
production, classification of wounds, wounds produced by
conventional weapons and their medico-legal aspects. Firearms,
Ammunition, Classification, Nomenclature, wound Ballistics and
medico-legal aspects
ii) MECHANICAL INJURIES — MEDICO-LEGAL CONSIDERATION
The student should be able to:
- List and debate laws in relation to causing Bodily harm,
Wounding and Homicide.
- Examine an injured person, certify nature, manner of cause,
causative agent and dating of wounds.
- Link Sequelae of trauma to its original cause; and search for the
relationship of sequelae to pre-existing disease.
- Identify the causes of death from wounds.
- Distinguish between ante-mortem and post-mortem wounds.
- Diagnose whether death is suicidal, homicidal and accidental.
190
iii) The student should also have a knowledge of and be able to
describe methods of treatment and possible etiologies of
REGIONAL INJURIES, and should be able to suture simple
superficial wounds of:
Head (Scalp, Skull, Brain ) and Face. Vertebral column and its
contents, Neck, Chest, Abdomen, Limbs, Bones and Joints.
And Special truma such as: Transportation injuries, Police torture, and
Deaths in Custody.
And Should be able to determine the medicolegal aspects of Heat,
Cold, Electrical injuries.
g) VIOLENT DEATHS DUE TO ASPHYXIA.
Students should be able to:
Define, Classify, causes of; and detect the Anatomical, Physiological,
Biochemical and Pathological signs of violent death; and of
Mechanical, chemical and environmental asphyxial death and their
medicolegal implications.
h) AUTOPSY
Students should be able to list:
- Types, objectives, rules, and techniques and describe procedure for
post-mortem;
Describe:
- Methods for Assessment of Fatal period and post-mortem interval.
Post-mortem artefacts. Risks and Hazards of autopsy, and Autopsy
Protocol.
- Procedure for selection and reservation, labelling and despatch of
Biological and non-Biological materials for laboratory examination;
and should be able to collect relevant samples.
- Exhumation procedures, and debate its value and limitations.
191
i) FORENSIC SEXOLOGY
Students should be able to:
Describe the approach to Impotence, determination of Virginity,
Pregnancy and criminal processes during delivery, their medico-legal
aspects, examination procedure and reporting.
j) SEXUAL OFFENCES AND RELEVANT SECTIONS OF LAW
(ZINA AND HUDOOD ORDINANCE)
Students should be able to:
Differentiate between Natural and unnatural sexual offences and
know how to perform a Medical examination of victim and assailant,
collect specific specimens and write a required certification.
Students should be able to list:
Common sexual perversions and address their cause.
k) MISCARRIAGE
Students should be able to:
- Determine the relevant sections of law, Medico-legal aspects
applicable to miscarriage; and
Be able to:
- Examine mother and aborted material; and send aborted material in
proper preservative for examination.
l) CRIME AGAINST NEW-BORN, INFANTS AND CHILD
Students should be able to identify infanticide, and criminal and non-
accidental violence or abuse to a newborn, infant or child.
m) FORSENIC PSYCHIATRY
Students should be able to:
- Diagnose mental illness.
- Distinguish between true and feigned insanity.
- Advise on procedure of restraint of the mentally ill.
192
- List limitations to civil and criminal responsibilities of mentally ill.
n) EXAMINATION OF BIOLOGICAL SPECIMENS
Students should be able to describe:
- Forensic importance of Biological specimens (Blood, Semen, Salvia,
Vomitus, Breath, Urine, Hair).
- The method of their collection, preservation, despatch and the
common laboratory tests performed.
2. TOXICOLOGY
a) GENERAL PRINCIPLES OF TOXICOLOGY
The student should be able to describe:
- The scope of toxicology.
- Where to access the laws regulating drugs and noxious products.
- Describe common Toxicants in our environments and their abuse.
- Describe to cause of drug dependence, the fate and detoxification of
poisons in the biological tissues,
Be able to:
- Diagnose toxicological cases in acute and chronic exposure in living
and dead.
- Utilize general principles of treatment with anti-dotal therapy and
management.
- Handle specimens.
- Work within the framework of duties of Doctor in cases of poisoning.
- Prepare and interpret chemical examiners reports.
b) THE STUDENT WILL BE ABLE TO DESCRIBE
- Autopsy techniques with collection, preservation and dispatch of
Biological material to analytical laboratory.
c) SPECIFIC POISONS
193
Study of Poisons/drugs of abuse prevailing in our society along with
medico-legal aspects is recommended. Emphasis must be given to the
following poisons/drugs:
i) Alcohol
ii) Opiates, Opioids and other narcotics
iii) Salicylates and paracetamol
iv) Hypnotics and Sedatives
v) Stimulants (Cocaine), cannabis
vi) Poisonous Plants (Aconite, Belladonna, Hyoscyamus, Stramonium,
Digitalis, Ergot, Mushrooms, Nux Vomica, Oleander, Tobacco)
vii) Venomous insects (Snakes)
viii) Inorganic elements, Antimony, Arsenic, lead, Mercury,
Phosphorus
ix) Volatile Poisons and corrosives (Carbon monoxide, Hydro carbons,
Cyanides, Sulphuric Acid, Oxalic Acid, Carbolic Acid and Alkalis)
x) Pesticides, Herbicides and Insecticides
Practical work will include:
1. In FORENSIC MEDICINE
_ Autopsies — 10 with log book.
_ Medico-legal Examination of injured.
_ Estimation of age and Forensic Radiology.
_ Sexual assaults and sex related cases
(impotence, pregnancy etc.)
• Procedure of preservation, dispatch of Biological and other
evidentiary material.
_ Practical in Biological Laboratory
(Identification of Blood, Semen, Saliva, etc.).
• Procedure of Consent taking and Medical certification.
194
2. IN TOXICOLOGY, students should have an understanding of and be able to
describe:
_ Diagnostic and management process.
(Alcohol, Narcotics and Insecticide poisons).
_ Collection, preservation and despatch
of biological materials.
_ Visual, olfactory and tactile identification
of common poisons found in communities and country.
3. VISITS
For proper orientation and practical demonstration, visits are also
suggested to a:
_ Court.
_ Forensic Science Laboratory.
_ Psychiatric unit or Jail.
_ Site during conduction of exhumation.
*Note: All autopsies and Medico-legal work has to be done by forensic
medicine department.
195
DEPARTMENT OF FORENSIC MEDICINE & TOXICOLOGY
AMNA INNAYAT MEDICAL COLLEGE & EDUCATIONAL COMPLEX
LESSON PLANNER OF 3RD YR MBBS CLASS SESSION -------------
Sr,
No
TOPICS Learning
Objective
Lectures Lecturer
1. AUTOPSY & EXHUMATION
Objective, rules & techniques
Preparation of autopsy
protocol. Dispatch of viscera &
other material to F. S. Lab.
Autopsy on fragmentary
remains, decomposed &
mutilated bodies. Hazards of
autopsy, negative autopsy,
autopsy artifacts, Autopsy Lab.
Essentials. Exhumation
procedure / limitation
Students
should be
able to list:
Types,
objectives,
rules, and
techniques
and describe
procedure
for post-
mortem
6
Prof saeed
ahmed
2. PERSONAL IDENTITY &
CONTACT TRACE EVIDENCE:
Parameters / methods for
establishing identity.
Identification of living /dead.
Methods of establishing age /
sex from skeletal remains. Role
of Forensic odontology,
Anthropology & Radiology in
identification. Trace evidence &
their collection
Students
should be
able to
describe:
Parameters
of personal
identity,
methods of
identifying
living, dead,
Methods to
trace
evidence
8
Prof saeed
ahmed
Sr, TOPICS Learning Lectures Lecturer
196
No Objective
3. THANATOLOGY:
Definition & diagnosis of
death. Medico-legal aspects
of sudden &
un expected death. Changes
after death & determination
of postmortem Interval.
Scientific
concepts
regarding
death,
medico-
legal aspect
of
unexpected
deaths, A
Certificatio
n of death
according
to WHO
guidelines
8
Dr sobia
aamir
4. TRAUMATOLOGY :
Law relating to offences
against human body,
Mechanical injuries – their
classifications, mechanics &
establishment of cause
effect relationship. Firearm,
regional injuries & their
interpretation.
Transportation accidents.
Evaluation of disability.
mechanism
s of wound
production,
classificatio
n of
wounds,
wounds
produced
by
convention
al weapons
and their
medico-
legal
aspects
16
Prof saeed
ahmed
197
Sr,
No
TOPICS Learning
Objective
Lectures Lecturer
5. VIOLENT ASPHYXIAL DEATHS
Definition, classification &
general aspects. Mechanical
asphyxia deaths & their
medico-legal aspects.
should be able
to: detect the
Anatomical,
Physiological
Biochemical
and
Pathological
signs of violent
asphyxial death
and their
medicolegal
implications
5
Dr sobia
aamir
6. ACCIDENTS IN HOME &
ENVIRONMENT:
Death due to drowning,
Burns, Electrocution, Heat,
Cold, Starvation & their
medico-legal aspects
Should be able
to determine
the medicolegal
aspects of Heat,
Cold, Electrical
injuries.
5
Prof saeed
ahmed
7. MEDICO-LEGAL ASPECTS OF
SEX:
Impotence, sterility,
virginity, pregnancy &
delivery, Abortion, sexual
offences, Medical
examination , specimens
collection & certification.
Related Laws & medico-legal
aspects.
Be able to
perform
medicolegal
autopsies of
dead &
medicolegal
examination of
living victims of
sexual assault.
4
Dr sobia
aamir
198
Sr,
No
TOPICS Learning
Objective
Lectures Lecturer
8. LEGAL PROCEDURES:
Law & legal procedures. Law
courts & attendance at the
courts. Medical evidence.
Important Forensic
definitions
Have an
understanding
of certain
provisions of
law falling
under
Pakistan Penal
Code (PPC) &
Criminal
procedure
Code (Cr.PC)
3
Prof saeed
ahmed
9. LAW RELATING TO MEDICAL
MAN:
Consent in medical
treatment. Responsibilities
of Doctors. Professional
secrecy. Privileged
communication Medical
negligence P.M.D.C. Medical
Ethics
Know the
rights & duties
of a doctor
when he / she
comes in
contact with
the courts.
4
Prof saeed
ahmed
10. MEDICO-LEGAL ASPECTS OF
INSANITY/ Psychiatry.
Determination of criminal
responsibilities of insane.
Procedure for admission in
Mental Hospital. Important
Psychiatric definitions
Diagnose
mental illness.
List
limitations to
civil and
criminal
responsibilitie
s of mentally
ill.
2
Prof saeed
ahmed
199
Sr,
No
TOPICS Learning
Objective
Lectures Lecturer
11. GENERAL TOXICOLOGY:
General & medico-legal
aspects of poison. Diagnosis
of poisoning in living & dead.
Management of poisoning
cases, analytical techniques
& interpretation of results.
Self poisoning, over dosage &
drug dependence.
laws
regulating
drugs,
cause of
drug
dependenc
e, general
principles
of
treatment
& duties of
Doctor in
cases of
poisoning.
6
Dr sobia
aamir
12. SPECIAL TOXICOLOGY:
Specific poisons like
Corrosives, Irritants,
Asphyxiates, Insecticides &
poisons effecting Nervous
system. Laws relating to
drugs & poisons.
Study of
Poisons/dru
gs of abuse
prevailing
in our
society
along with
medico-
legal
aspects
18
Dr sobia
Aamir
200
SECOND PROFESSIONAL MBBS EXAMINATION
FORENSIC MEDICINE & TOXICOLOGY
TABLE OF SPECIFICATIONS
SR No. TOPIC SEQ’S MCQ’S
1. a) Pakistan’s Legal System 1 5
b) Law In Relation To Medical Man
c) Forensic Psychiatry
2. THANATOLOGY 1 3
3. TRAUMATOLOGY a) General Traumatology
1 9
b) Special Traumatology
c) Firearm Injuries,
d) Transportation Injuries e) Thermal Injuries
f) Electrical Injuries
g) Violent Deaths Due Asphyxia
h) Drowning etc.
4. PERSONAL IDENTITY AND 1 5
EXAMINATION OF
BIOLOGICAL SPECIMEN
(TRACE EVIDENCE)
5. AUTOPSY, EXHUMATION & 1 4
FORENSIC SCIENCES
6. FORENSIC SEXOLOGY 1 4
Sexual offenses,
relevant section of
law (Zina and Hudood
and named
miscarriage /
abortion, Pregnancy,
delivery, New born
, Child Trauma Etc.
201
7. TOXICOLOGY
a) GENERAL TOXICOLOGY
1
3
b) SPECIAL TOXICOLOGY 2 12
i. Alcohol 2
ii. Opiates, Opioids and other 1
Narcotics iii. Salicylates and Paracetamol 1
iv. Hypnotics Secatives 2
v. Stimulants (eocaine) cannabis 1
vi. Poisonous Plants (Aconite , 1
Belladonna, Hyscyamus, Stramonium , Digitals, Ergot , Mushrooms , Nux, Vomica, Oleander Tobacco)
vii. Venomous Insects (Snakes) 1
viii. Inorganic Elements, Antimony, 1
Arsenic Lead, Mercury, Phosphorus.
ix. Volatile Poisons and corrosives 1
(Carbon Monoxide, Carbolic Acid and Alkalis)
x. Pesticides, Herbicides and 1
Insecticides.
202
FORMAT (PRACTICAL EXAMINATION AND OSPE)
Forensic Medicine & Toxicology (2nd Professional MBBS)
SR. NO
COMMENTS
MARKS
1.
OSPE
8 NONOBSERVED STATIONS RELATED TO PRACTICALS
(EACH OF 4MARKS)
32
2.
OBSERVED PRACTICAL
2 STATIONS
4 MARKS EACH
8
3.
STRUCTURED VIVA VOCE RELATED TO CURRICULUM
40
20 + 20
(INTERNAL+EXTERNAL)
4. ANNUAL WORK BOOK
10
5. CONTINUOUS INTERNAL ASSESSMENT
10
TOTAL
100
203
ASSESSMENT AND EXAMINATION SCHEME
FOR 3RD YEAR MBBS 2017 - 2022
Third Year MBBS
Year
Semester
1
3 months
Assessment
Semester
2
3 months
Assessment
Semester
3
3 months
Assessment
Assessment
Assessment
Semester
S1
Monthly test=
2
Term test=1
S2
Monthly test=
2
Term test=1
S3
Assessment
for semester
3
Send-up
UHS second
Prof Exam
Monthly test marks = Total Marks=50
MCQs+ SEQ marks division of monthly test= 25 + 25= 50
End semester term test= Total Marks 100
k. Theory marks= Total Marks 40
l. Practical /viva Marks= Total Marks 40
m. Attendance criteria= 75%= 10 marks
n. General attitude of student= 5 marks
o. Extracurricular activities = 5 marks
Send-up Marks= Total Marks 100
k. Theory marks= Total Marks 40
l. Practical/viva Marks= Total Marks 40 (further division according to UHS format)
m. Attendance criteria= 75%= 10 marks
n. General attitude of student= 5 marks
o. Extracurricular activities = 5 marks
Internal Evaluation= a. Assessment 1+Assessment 2 +Assessment 3= 50% score
b. Send-up= 50% score
Credit of three semesters=100+100+100 (50% theory+50% practical)
Sendup examination= 100 (50% theory+50% practical)
Final internal assessment= sendup +total semesters assessments = /2
204
UNIVERSITY EXAMINATIONS
2ND PROFESSIONAL EXAMINATION
Forensic Medicine & Toxicology (2nd Professional MBBS)
EVALUATION FORMS
EVALUATION FORM FOR COURSE ASSESSMENT
FORENSIC MEDICINE DEPARTMENT OF AMNAINAYAT MEDICAL COLLEGE
Course Title:
Date:
(Circle the appropriate number)
1= Standards not met, 5= Standards fully met
19. Objectives were met 1 2 3 4 5
20. Topics were logically organized 1 2 3 4 5
205
21. Used time appropriately 1 2 3 4 5
22. Assignments were useful 1 2 3 4 5
23. Required reading was useful 1 2 3 4 5
24. Used student’s experiences well 1 2 3 4 5
25. Grading standards were clear 1 2 3 4 5
26. Required an appropriate amount of work 1 2 3 4 5
27. Responded to ethnic and cultural diversity 1 2 3 4 5
28. Evaluation activities were appropriate 1 2 3 4 5
29. Used appropriate teaching method 1 2 3 4 5
30. Communicated ideas and concepts fairly 1 2 3 4 5
31. Provided timely and thoughtful feedback 1 2 3 4 5
32. Tutor available outside of class if needed 1 2 3 4 5
33. Tutor sensitive to students background and needs 1 2 3 4 5
34. Tutor demonstrated thorough and up-to-date knowledge 1 2 3 4 5
35. Topic was useful in my professional development 1 2 3 4 5
36. Topic was stimulating and thought provoking 1 2 3 4 5
Additional comments about likes, dislikes, strengths and weaknesses:
EVALUATION FORM FOR ASSESSMENT OF SESSIONS OF SMALL GROUP DISCUSSIONS
FORENSIC MEDICINE DEPARTMENT OF AMNAINAYAT MEDICAL COLLEGE
Name of class:
Date:
For overall rating of each of following items, circle the appropriate number.
No. 1= Least effective and No. 5= Outstanding
8. Physical arrangement and comfort 1 2 3 4 5
9. Choice of methods tutor used 1 2 3 4 5
10. Participation level 1 2 3 4 5
11. Group atmosphere 1 2 3 4 5
12. Interest of participants 1 2 3 4 5
13. Was the session focused 1 2 3 4 5
14. To what extent learning objectives were fulfilled 1 2 3 4 5
The three most important things we talked about today were
A.
B.
C.
206
Here is what I learned today:
A new idea for me was:
I am confused about:
Here’s what I do not understand:
RECOMMENDED BOOKS
Subject: Forensic Medicine & Toxicology
1. FORENSIC MEDICINE & TOXICOLOGY BY SIDDIQ HUSSAIN 22ND EDITTION
2. PAREKHS FORENSIC MEDICINE
3. PRINCIPLES AND PRACTICE OF FORENSIC MEDICINE BY DR. NASIM R AWAN
207
AMNA INAYAT MEDICAL COLLEGE
CURRICULUM 2017-2022
AIMC- 3rd YEAR MBBS, BEHAVIOURAL SCIENCES
CURRICULUM
&
ACADEMIC PLANNER
208
Contents
1.17. Faculty and staff
1.18. Table of spacing and hours of subjects in MBBS course
1.19. Allocated contact hours of 3RD year MBBS
1.20. Semester planner of 3RD year MBBS
1.21. Assessment planner of 3rd year MBBS
1.22. Allocated contact hours of 3rd year MBBS
1.23. Semester planner of 3rd year MBBS
5.0. Time table
6.0. Recommended books
209
Faculty and Staff:
1
Assistant Prof & HOD Dr. Ghazala Musa
MBBS, Diplomat
American board of
Psychiatry
2 Senior Medical officer/
registrar Dr. Nasir Nazir
MBBS/ FCPS psychiatry
part ii
3 Demo/clinical psychologist Ali Bhatti
Ms/M.phil in clinical
psychology
4
5
6
7
8
9
210
TABLE OF SPACING AND HOURS OF SUBJECTS IN MBBS COURSE
SUBJECT 1ST YEAR 2ND YEAR 3RD YEAR 4RTH YEAR 5THYEAR TOTAL
HOURS
BEHAVIOURAL SCIENCES 5HRS 5HRS 5HRS 5HRS 5HRS 25HRS
ISLAMIC PAKISTAN AND
STUDIES
15HRS 15HRS 10HRS 10HRS - 50HRS
ANATOMY 250HRS 250HRS - - - 500HRS
PHYSIOLOGY 250HRS 250HRS - - - 500HRS
BIOCHEMISTRY 100HRS 100HRS - - - 200HRS
PHARMACOLOGY - - 300HRS - - 300HRS
PATHOLOGY 15HRS 25HRS 260HRS 200HRS - 500HRS
FORENSIC MEDICINE - - 100HRS - - 100HRS
COMMUNITY MEDICINE 25HRS 25HRS 50HRS 150HRS - 250HRS
MEDICINE AND Allied
NUCLEAR MEDICINE
EMERGENCY MEDICINE
MEDICINE ELECTIVE
PSYCHIATRY
DERMATOLOGY AND
GENERAL PRACTICE
25HRS 30HRS
10HRS
120HRS
-
265HRS
10HRS
360HRS
-
800HRS
20HRS
PAEDIATRIC MEDICINE 5HRS 10HRS 15HRS 50HRS 70HRS 450HRS
SURGERY AND ALLIED
RADILOGY
ORTHOPEDICS
PAEDS SURGERY
NEUROSURGERY
SURGERY ELECTIVE
EMERGENCY SURGERY
& ANAESTHESIA
25HRS
5HRS
30HRS
10HRS
120HRS
-
265HRS
10HRS
360HRS
15HRS
800HRS
40HRS
OBSTETRICS AND
GYNAECOLOGY
10HRS 10HRS 50HRS 100HRS 130HRS 300HRS
OPHTHALMOLOGY 5HRS 10HRS 15HRS 70HRS - 100HRS
OTORHINOLARYNGOLOGY(ENT) 5HRS 10HRS 15HRS 70HRS - 100HRS
CLINICOPATHOLOGICAL
CONFERENCE
- - - 60HRS - 60HRS
TOTAL 740 HRS 790HRS 1060HRS 1265HRS 940HRS 4795HRS
211
TOTAL NUMBER OF CONTACT HOURS
SUBJECT: Behavioural sciences , 2017-2022
Total number of Contact hours for 3 rd Year MBBS
MITs Total number Total contact hours
Lectures 62 62
Practicals 24 72
Assessments 10 21
CMEs 3 6
Total contact hours=62 hours
Duration of lecture = one hour
Duration of practical= 2 hours
Duration of ospes = 2 hours
Duration of assessments= Variable (monthly test, term test, send up)
Each semester test = 2+1= 3hours
Sendup examination= 3+3= 6hours
212
Allocated hours divided into Theory and practical
Subject: Behavioural sciences MBBS, 2017-2022
Semester Theory
(hrs)
Practical
(hrs)
Small
group
discussion
(hrs)
CME
(hrs)
Assessment
(hrs)
Total
hrs
Semester1 35 16 24 2 5 82
Semester 2 31 16 24 2 5 78
Semester 3 37 16 24 2 5 84
Send up
exam
3 3 6
Grand Total
250
213
Semester planner for 3rd year MBBS, 2017-2022
Subject Behavioural sciences
Semesters Semester 1 Semester 2 Semester 3
To
pic
s
4. INTRODUCTION TO
BEHAVIOURAL
SCIENCES
1. MEDICAL
ETHICS,
1. SOCIOLOGY
AND
ANTHROPOLO
GY IN HEALTH
AND DISEASE
5. Bio-Psycho-Social
(BPS) Model of
Health Care..
2. Relevance of
Ethics in the Life of a
Doctor, Scope and
Meaning of Medical
Ethics......... Four
Pillars of Medical
3. Use of Non-
pharmacological
Interventions in Clinical
Practice . Communication
Skills
3. Medical Practice.
Informed Consent and
4 Crisis Intervention /
Disaster Management
Conflict Resolution,
Breaking Bad News.....
Total duration of session =9 months
Total semesters=3
Each semester duration = 3 month
214
Assessment and Examination Calendar
For 3rd year MBBS, 2017-2022
Year
Semester
1
(3months)
Asse
ssme
nt 1
Semester
2
(3months)
Asse
ssme
nt 2
Semester
3
(3months)
Asse
ssme
nt 3
Asse
ssme
nt
Asse
ssme
nt
Semester
S1
Monthly
test= 2
Term
test=1
S2
Monthly
test= 2
Term
test=1
S3
Monthly
test= 2
Term
test=1
Send-up
UHS
Prof
Exam
Monthly test marks= Total Marks=50
MCQs+ SEQ marks division of monthly test= 25 + 25= 50
End semester term test= Total Marks 200
p. Theory marks= Total Marks 90= 45MCQs + 45SEQs
q. Practical Marks= Total Marks 90 (further division according to UHS format)
r. Attendance criteria= 75%= 10 marks
s. General attitude of student= 5 marks
t. Extracurricular activities = 5 marks
Send-up Marks= Total Marks 200
p. Theory marks= Total Marks 90= 45MCQs + 45SEQs
q. Practical Marks= Total Marks 90 (further division according to UHS format)
r. Attendance criteria= 75%= 10 marks
s. General attitude of student= 5 marks
t. Extracurricular activities = 5 marks
Internal Evaluation= a. Assessment 1+Assessment 2 +Assessment 3= 50% score
b. Send-up=50% score
215
Introduction of Department of Psychiatry/ Behavioural sciences
Department of Behavioural sciences teaches to MBBS 3rd year and 2nd year BDS
from 2011, the main objective of teaching Behavioural sciences to future doctors
to enable them understand the behavioural issues of society and mental disorder
of the patients , so they can become competent doctor and understand bio-
psycho-social problems of their patients
Department also offers student counseling and career counseling and
psychotherapies. Department of Psychiatry consist of Indoor and out door facilities
for mentally ill patients. All main neurotic and psychotic like Depression Bipolar
affective disorder and schizophrenia.
216
Aims of Behavioural sciences
To ensure the training of medical/ Dental students in BIO – Psycholo- Social model
of health care.
To equip the medical/ dental student in the use of behavioural sciences principle
to enhance his learning skills and help him become an active learner
To train the medical/ Dental student in the art and sciences of effective
communication with patients and their families
To create a sensitivity and understanding of the psychosocial aspects of health
To inculcate highest standers of medical/ dental ethics and character building drawing
from the rich medical/ dental, cultural and religious heritage.
217
Learning Objectives
Define what theory is and identify two key types of social and behavioral science theory
that are relevant to public health interventions.
Describe the key constructs of four theories that are often used in public health
interventions: the Health Belief Model, The Transtheoretical Model and Stages of Change,
Social Cognitive Theory, and the Social Ecological Model.
Understand the nature of evidence about the relative effectiveness of theory-based
interventions.
Identify the most important considerations in choosing the right theory to address a health
behavior problem in a particular population and contex
218
Academic planner for 3rd year MBBS for year 2017-2018
LECTURE
NUMBR
DATE TITLE/ TOPIC Topic to covered(Details) Teacher
1 12/12/17 INTRODUCTION TO
BEHAVIOURAL
SCIENCES
1. Traditional vs Holistic Medicine
2. What are Behavioral Sciences?
Dr.Ghazala
2 14/12/17 3. Bio-Psycho-Social (BPS) Model of
Health Care..
Dr.Nasir
3 19/12/17 4. Use of Non-pharmacological
Interventions in Clinical Practice
5. Communication Skills
Dr. Nasir
4 21/12/17 6. Counselling
7. Informational Care
Dr. Nasir
5 26/12/17 8. Crisis Intervention /
9. Disaster Management
10.Conflict Resolution
11. Breaking Bad News.....
Dr. Nasir
6 TEST
7 28/12/17 SECTION
B
MEDICAL ETHICS,
1. Relevance of Ethics in the Life of a
Doctor
2. Scope and Meaning of Medical
Ethics........
3. Four Pillars of Medical
Dr. nasir
8 02/01/18 Ethics.....................
4. Common Ethical Omissions in
Dr. Ghazala
04/01/18
Medical Practice:
5. Informed Consent and
Dr. Nasir
10 09/01/18
Confidentiality:
6. b. Medical Students and the
Ali abbas
11 11/01/18 Issues of Consent and
Confidentiality:
Dr. Nasir
12 16/01/18 Ethical Dilemmas in a Doctor's Life.
a. The Patient who Brings Gifts.
Dr. Ghazala
13 18/01/18 b. Sexual Boundaries Violation:
Sexual Relationships in Medical
Dr. Nasir
14 23/01/18 Settings
c. Charges and Fee: Patients,
Dr. Ghazla
15 25/01/18 Colleagues, Teachers, Dr. Nasir
16 30/01/18 Medical Student
d. E-Consultations.
e. Relationship with Media
Dr. Ghazala
17 01/02/18 f. Relationship with Pharmaceutical
Industry
Dr. Nasir
18 06/02/18 6. Rights and Responsibilities of
Patients.....................................
Dr. Nasir
219
19 08/02/18 7. Doctor-Patient
Relationship.......................................
.....................................
Dr. Nasir
20 13/02/18 8. Psychological Reactions in
Doctor-Patient Relationship.
Dr. Nasir
21 15/02/18 9. Transference, Counter-
transference and Resistance
Dr. Ghazala
22 20/02/18 10. Professionalism in Health Care:
How to Assess Attitudes?
Dr. Ghazala
23 Test 24 27/02/18 SECTION C
USE OF PRINCIPLES OF
PSYCHOLOGY IN
MEDICAL PRACTICE
1. Learning................ Dr. Ghazala
25 01/03/18 ......................
a. Uses of Classical Conditioning in
Clinical
Settings..............................................
Ali Bhatti
26 06/03/18 .........................
b. Operant Conditioning............
c. Shaping and
Modelling..........................
27 08/03/18 Metacognition......... Ali abbas
28 13/03/18 Memory:
a. Stages...........
b. Types............
c. Anatomy and Biochemistry of
Memory.............................................
Ali abbas
29 15/03/18 ................................................
d. Methods to improve
Memory.............................................
................................................
e. Pathological Changes...
Dr. Nasir
30 20/03/18 Perception:........................................
.......
a. Motivation and
Perception..............
b. Attention and
Perception................
Ali abbas
31 22/03/18 c. Basic Perceptual Abilities...............
d. Abnormalities of
Perception...........
e. Extrasensory Perception (ESP).......
Dr. Ghazala
32 27/03/18 5.
Thinking.............................................
Dr. Nasir
33 29/03/18 6.
Emotions............................................
.
Dr. Nasir
220
34 03/04/18 7.
Motivation.........................................
.
Ali abbas
35 05/04/18 8.
Intelligence........................................
.
Dr. nasir
36 10/04/18 Personality
Development.....................................
..........................
Personality Types and their
Relevance to Clinical Conditions........
Dr. Nasir
37 TEST
38 17/04/18 SECTION D
SOCIOLOGY AND
ANTHROPOLOGY IN
HEALTH AND DISEASE
Culture.Beliefs, Values and Norms.. Dr. Ghazala
39 19/04/18 Social Structure...................
Roles....................................
Family..................................
Dr. Nasir
40 24/04/18 Child Rearing Practices.......
Death and Dying..................
Ali abbas
41
26/04/18 Health Belief
Models...............................................
..................
Social
Support..............................................
.............................
Dr. Nasir
42 01/05/18 Treatment
Adherance.........................................
.......................
Stigma................................................
........................................
Dr. Nasir
43 03/05/18 Sick
Role....................................................
...............................Delivery of
Culturally Relevant Care and Cultural
Sensitivity.
Dr. Nasir
44 TEST
45 08/05/18 SECTION E
PSYCHOSOCIAL
ASPECTS OF HEALTH
AND DISEASE
1. Psychosocial Aspects of
Health...
Dr. Nasir
46 10/05/18 Dr. Ghazala
47 15/05/18 2. Psychosocial Aspects of
Disease....
Dr. Nasir
48 17/05/18 3. Reactions of the Patient to
Illness and Hospitalisation.
Dr. nazneen
49 22/05/18 4. Psychosocial Issues in Special
Hospital Settings ‘Chambers of
Horror’
Dr.Ghazala
50 24/05/18 a. Coronary Care Unit................ Dr. Nasir
221
51 29/05/18 b. Intensive Care Unit................ Dr. Nasir
52 31/05/18 c. The Emergency Department.. Dr. Nasir
53 03/7/18 d. The Dialysis Unit................... Dr. Nasir
54 05/07/18 e. Reproductive Health.............. Dr. Ghazala
55 19/07/18 f. Paediatrics Ward.......... Dr. Nasir
56 24/07/18 g. Cancer Ward.......................... Dr. Ghazala
57 26/07/18 h. Operating Theatre.... Dr. Nasir
58 31/07/18 Common Psychiatric Disorders
in General Health Settings
Dr. Ghazala
59 02/08/18 Stress and its Management.. Dr. Ghazala
60 07/08/18 Psychosocial Aspects of
Pain......................
Dr. Nasir
61 09/08/18 8. Psychosocial Aspects of
Sleep and Awareness.
Dr. Nasir
62 14/08/18 Psychosocial Aspects of
Aging...............
Psychosocial Peculiarities of
Dentistry...
Dr. Ghazala
Revision
Revision
Revision
Revision
Pre term paper
Term paper
Sendup
222
AMNA INAYAT MEDICAL COLLEGE
AIMC-MBBS
PHARMACOLOGY CURRICULUM
(PMDC/UHS)
&
ACADEMIC PLANNER
2017-2022
Department Of Pharmacology, Amna Inayat Medical
College
223
Contents
1.0 INTRODUCTION
1.1 Department Of Pharmacology, Faculty And Staff
1.2 PMDC Table Of Subjects And Allocated Hours Of MBBS Program
1.3 Semester Planner Of Contact Hours(Theory, Practical, Total) Of
Pharmacology subject
1.4 Scheme Ofsemesters And Send Up Assessment/Evaluation And
University Examinations Of Year MBBS Program
1.5 Teaching strategies
2.0 CURRICULUM OF PHARMACOLOGY SUBJECT
2.1 PMDC curriculum
2.2 UHS curriculum
3.0 LESSON PLANERS AND TIME TABLES
3.1 Lesson planner with titles and learning objectives of Theory and
Practical
3.2 Time table of lectures/Demonstrations/Practical
4.0 ASSESSMENTS/EVALUATIONS/EXAMINATIONS
4.1 Continuous assessment
4.2 Evaluation at end of semester
4.3 Evaluation at end of year
4.4 University examination
4.5 Student feedback form (student will fill and submit his/her feedback
form) at end of each year regarding quality of teaching, quality of of
learning resources and any recommendations to improve effectiveness
of teaching and assessments/evaluations)
5.0 RECOMMENDED BOOKS, JOURNALS,WEBSITES
1.1 Department Of Pharmacology
224
Introduction
VISION
The Department of Pharmacology has always placed great emphasis on the quality of
academic teaching and assisting students in studying pharmacology and its relation to
clinical fields.
MISSION
The department of Pharmacology and Therapeutics is responsible for teaching the science
of Drugs to the medical students (3rd year) as it is a basic material in studying medicine.
The department starts with an introduction of the pharmacokinetics and
pharmacodynamic, passing through drugs discovery process then provides the basic
knowledge on the functions of the different drugs clinically. Through their study courses at
the department of Pharmacology and Therapeutics, the students continue learning the
essentials of the human pathophysiology in relation to therapeutics. Moreover, the
department shares in developing students skills of mind via different up-to-date teaching
methods of academic and practical material, experiencing variable examination tools, and
applying such information in practice.
OBJECTIVES
1. Define the functions of different drug's groups.
2. Describe the mechanism of action of different drug's groups and the sequence of
events that accompany these actions.
3. Estimate the normal values with regard to different biological conditions.
4. Illustrate the degree of deviation in the normal functions of different body systems
in some clinical disorders.
5. Provide scientific explanations for different physiological changes accompany some
clinical disorders during treatment course.
TEACHING AND LEARNING METHODS
The curriculum has been designed as PMDC and UHS recommendations. The material of
the course will be presented through lectures and seminars. The program of the seminars
shall focus on the program covered in the lectures. During the seminars students must be
prepared to discuss corresponding topics covered during the lecture.
The theory classes would comprise of 120 hours of didactic teaching. The practical/tutorial
classes would comprise of 180 hours.. This will include seminars assignments.
225
Department faculty
Supporting staff
Serial No Name Designation
1 Abdul Ghafoor Lab Technician
2 Noor UlAin Lab Technician
3 Arsalan Office Boy
Serial.No Name Qualification Designation
1 Prof ZahidQamar MBBS,MCPS,MPhil Professor And HOD
2 Dr Aisha Aziz MBBS, FCPS Assistant Professor
3 DrZareen Ashraf MBBS Senior Demonstrator
4 DrJohar Ahmed MBBS Senior Demonstrator
5 DrSohaib Ashraf MBBS Demonstrator
6 DrRababMiraj MBBS Demonstrator
226
.2 PMDC Table Of Subjects And Allocated Hours Of MBBS Program
SUBJECT 1ST YEAR 2ND YEAR 3RD YEAR 4RTH YEAR 5TH YEAR TOTAL
HOURS
BEHAVIOURAL SCIENCES 5HRS 5HRS 5HRS 5HRS 5HRS 25HRS
ISLAMIC PAKISTAN AND
STUDIES
15HRS 15HRS 10HRS 10HRS - 50HRS
ANATOMY 250HRS 250HRS - - - 500HRS
PHYSIOLOGY 250HRS 250HRS - - - 500HRS
BIOCHEMISTRY 100HRS 100HRS - - - 200HRS
PHARMACOLOGY - - 300HRS - - 300HRS
PATHOLOGY 15HRS 25HRS 260HRS 200HRS - 500HRS
FORENSIC MEDICINE - - 100HRS - - 100HRS
COMMUNITY MEDICINE 25HRS 25HRS 50HRS 150HRS - 250HRS
MEDICINE AND Allied
NUCLEAR MEDICINE
EMERGENCY MEDICINE
MEDICINE ELECTIVE
PSYCHIATRY
DERMATOLOGY AND
GENERAL PRACTICE
25HRS 30HRS
10HRS
120HRS
-
265HRS
10HRS
360HRS
-
800HRS
20HRS
PAEDIATRIC MEDICINE 5HRS 10HRS 15HRS 50HRS 70HRS 450HRS
SURGERY AND ALLIED
RADILOGY
ORTHOPEDICS
PAEDS SURGERY
NEUROSURGERY
SURGERY ELECTIVE
EMERGENCY SURGERY
& ANAESTHESIA
25HRS
5HRS
30HRS
10HRS
120HRS
-
265HRS
10HRS
360HRS
15HRS
800HRS
40HRS
OBSTETRICS AND
GYNAECOLOGY
10HRS 10HRS 50HRS 100HRS 130HRS 300HRS
OPHTHALMOLOGY 5HRS 10HRS 15HRS 70HRS - 100HRS
OTORHINOLARYNGOLOGY(ENT) 5HRS 10HRS 15HRS 70HRS - 100HRS
CLINICOPATHOLOGICAL - - - 60HRS - 60HRS
227
CONFERENCE
TOTAL 740 HRS 790HRS 1060HRS 1265HRS 940HRS 4795HRS
228
1.3 Semester Planner of Contact Hours (Theory, Practical, Total) Of Pharmacology
subject
Allocated hours divided into Theory and practical
Subject: Pharmacology 3rd year MBBS, 2017-2018
Semester Theory
(hrs)
Practical
(hrs)
Tutorials/discussion
(hrs)
Grand
tutorials
(hrs)
Assessment
(hrs)
Total
hrs
Semester1 37 35 20 2 4 98
Semester 2 37 35 20 2 4 98
Semester 3 37 35 20 2 4 98
Send up
exam
6
Grand
Total
300hrs
229
1.4 Scheme Of semesters And Send Up Assessment/Evaluation And University
Examinations Of Year MBBS Program
Assessment schedule
Name of exam Theory Topics Practical
S3.1 Assessment General pharma /ANS/Respiratory Introduction to
pharmacy, lab
instruments
S3.2Assessment CVS/ blood/CNS/GIT Pharmacy practical,
bio stat
S3.3Assessment Autacoids/Chemotherapy/Endo Experimental pharma,
prescription writing
Send up All topics All practicals
University exams All topics All practicals
Total duration of session =9 months
Total semesters=3
Each semester duration = 3 months
Academic session 3rd Year MBBS from 5-12-17 to 30-9-18
230
Assessment/ Evaluation scheme
Serial. No S3.1 S3.2 S3.3 Send Up
Theory 35 35 35 35%
Practical 45 45 45 45%
Attendance 10 10 10 10%
Behavior 5 5 5 5%
Extra-Curricular 5 5 5 55
Total 100 marks 100 marks 100 marks 300 marks
Internal
assessment
15% 15% 15% 55%
Internal Evaluation= a. Assessment 1+Assessment 2 +Assessment 3= 45% score
b. Send-up= 55% score
Credit of three semesters=100+100+100 (15% each)
Sendup examination= 300 (55%)
Final internal assessment= sendup(55%) +total semesters assessments (45%)
231
SCHEME OF STUDIES
PROFESSIONAL MBBS EXAMINATIONS
2nd Professional MBBS Examination:
To be held at the end of the 3rd.
year in the following subjects:
(a) Pharmacology & Therapeutics
Theory 135 Marks
Internal Evaluation15 Marks
Oral & Practical 100 Marks
Animal experiment 35 Marks
Internal evaluation 15 Marks
Total 300 Marks
232
1.6 TEACHING STRATEGIES
Our aim is to employ latest techniques like flipped classroom method that encourage our
students to prepare for the lesson before class, thus the class becomes a dynamic
environment in which students elaborate on what they have already studied and this
makes students to think critically during interactive session at the end of each class.
Special emphasis will be given on brain storming (PBL & SDL) and integration of basic
knowledge with practical skills.
MITs (Method of Information Transfer)
Subject information will be delivered to the learners through Interactive Lectures, small
group teaching, Practical trough out the academic year
Lectures
Lectures/week practical/Month Tutorials/months Grand
Tutorial
/Month
5 2x6=12 days 2x6=12days 1
Interactive Lecture:
There would be 5 Lectures a week. These would be interactive lectures through power
point presentations and handouts where needed.
Tutorials:
There will be 2 sessions of Tutorials divided in small groups and 1 Grand tutorial in a
month. It will comprise of
Interactive session (Questions &Answers)
Student presentations (Power points ,role play)
Online Assignments Review
Practical:
There will be 2 practical every month. Students will be divided into 3 batches.
233
2.0 CURRICULUM OF PHARMACOLOGY SUBJECT
2.1 PMDC CURRICULUM
PHARMACOLOGY
The details of the syllabus are as under:
Theory
1. General Pharmacology:
• Definition of Pharmacology, Objectives of learning Pharmacology, definition of
drug and drug nomenclature.
• Standard sources of drug information, pharmacopoeias, and formularies.
• Branches/Divisions of Pharmacology.
• Sources of drugs.
• Active principles of drugs and Pharmacopoeias.
• Dosage forms and doses of drugs.
• Drug administration.
• Absorption of drugs and processes involved in drug absorption ( transport of
drugs across cell-membrane)
• Factors modifying absorption of drugs.
• Bioavailability, its clinical significance and factors affecting bioavailability.
• Drugs reservoirs, distribution and redistribution of drugs, plasma protein binding.
• Pro-drug, Biotransformation of drugs, enzyme induction, enzyme inhibition and
entero-hepatic circulation.
• Plasma half-life of drugs, steady state concentration, its clinical importance and
factors affecting it.
• Excretion of drugs.
• Mechanism of drug action.
• Dose response curves, structure-activity relationship.
• Factors modifying action and doses of drugs.
• Drug-drug interactions.
2. Locally Acting Drugs
• Demulcents, Emollients, Irritants, Counter irritants, Astringents, anti-
seborrhoeics, Locally acting enzymes.
• Antiseptics and Disinfectants
• Ectoparasiticides
3. Drugs Acting on Gastrointestinal Tract
• Anti Emetics
• Drugs affecting motility of GIT
• Ulcer Healing drugs
• Purgatives/Laxatives
4. Cardiovascular Drugs
• Anti-arrhythmic Drugs
• Inotropic Drugs/Drugs used in cardiac failure.
• Anti-hypertensive Drugs
234
• Anti-anginal Drugs
• Thrombolytics/Anti-coagulants/Anti-platelets
• Anti-hyperlipidemic Drugs
5. Diuretics
6. Autocoids
7. Drugs Acting on Autonomic Nervous System
Cholinergic Drugs
• Choline Esters.
• Anticholine-esterases,.
• Cholinomimetic Alkaloids
Anti-cholinergic Drugs
• Anti-Muscarinic
• Anti-Nicotinic
Sympathomimetics/Adrenergic Drugs
• Catecholamine
• Non-Catecholamine
Sympatholytics/Antiadrenergics
• Alpha Adrenergic receptor Blockers.
• Beta Adrenergic receptor Blockers
Adrenergic Neurone Blockers
Autonomic Ganglionic Blockers
Skeletal Muscle Relaxants
a) Neuromuscular Blocking Agents.
b) Central Muscle Relaxants.
c) Directly acting skeletal muscle and relaxants.
8. Central Nervous System 3
a. Sedative-Hypnotics
b. Antiepileptics
c. General Anaesthetics
d. Local Anaesthetics
e. Drugs For Movement Disorders/ Anti Parkinsonism Drugs
f. Alcohol
g. Drugs For Migraine
h. Psychopharmacology
• Anti-psychotics
• Anxiolytics
• Anti-Depressants/Anti-mania
9. Analgesics
a) Opioids
235
b) Non-Steroidal Anti-Inflamatory Drugs (NSAID)
c) Anti-gout Drugs
d) DMARDs
10. Drugs Acting on Respiratory System
a. Drugs used in treatment of Bronchial Asthma
b. Expectorants
c. Mucolytics
d. Anti-tussives
11. Drugs Acting on Endocrine System:
a. Pituitary-Hypothalamic Drugs
b. Adrenocorticoids
c. Sex Hormones/Hormonal contraception
d. Thyroid/ Parathyroid Drugs
e. Pancreatic Hormones and Oral Antidiabetic Agents
f. Drugs used in infertility
12. Drugs Acting on Uterus
Ergometrine, Terbutaline, Dinoprostone, Carboprost, Ritodrine, Oxytocin.
13. Antimicrobial Drugs
a) Sulfonamides
b) Penicillins
c) Cephalosporins
d) Aminoglycosides
e) Tetracyclines
f) Macrolides
g) Quinolones
h) Anti-tuberculous drugs
i) Antileprotic drugs
j) Anti-fungal drugs
k) Anti-viral drugs
l) Anti-protozoal drugs
• Anti-malarial drugs
• Anti-amoebic drugs
m) Urinary tract anti-septics
n) Anti cancer drugs
o) Immunosuppressive agents
p) Miscellaneous
q) Antihelmintics
40
CLINICAL PHARMACOLOGY/THERAPEUTICS
The teaching of clinical Pharmacology should be designed to meet the daily needs
of medical graduates. It should consist of lectures and demonstrations.
• Drug treatment of peptic ulcer
• Drug treatment of bronchial asthma
• Drug treatment of epilepsy
• Treatment of Parkinsonism syndrome
236
• Drug treatment of rheumatic diseases
• Drug treatment of ischaemic heart disease.
• Drug treatment of hypertension
• Treatment of congestive heart failure
• Drug treatment of hyperlipidemia
• Drug treatment of heavy metal poisoning
• Drug treatment of oedema
• Drug treatment of different types of shock
PRACTICALS
A. EXPERIMENTAL PHARMACOLOGY
Experiments designed to observe the action of drugs on animals and isolated
tissue.
Experiments on the actions of selected drugs to be demonstrated to students on
suitable animal/tissue models.
1. Effects of drugs on reflex time.
2. Effects of drugs on CNS.
3. Effects of drugs on heart.
4. Effects of drugs on blood vessels.
5. Effects of drugs on eye.
6. Effects of acetylcholine and atropine on isolated ileum.
7. Effects of histamine and antihistamines on isolated ileum.
8. Schemes to find out unknown drug having stimulatory or inhibitory effect on
isolated ileum
B. PRESCRIPTION WRITING
General principles
• Guideline for rationale use of drugs
• Prescription writing for common ailments:
• drug concept
• Acute watery diarrhoea
• Bacillary dysentery
• Amoebic dysentery
• Ascariasis
• Tape-worm infestation
• Acute streptococcal pharyngitis
• Iron deficiency anaemia
• Allergic rhinitis
• Scabies
• Acute malarial fever
• Cerebral malaria
• Typhoid fever
• Bronchial asthma
• Hypertension
• Migraine
• Cardiac failure
• Shock
Clinicopharmacological Seminars on Rational Drug Therapy and Drug Interaction
should be conducted
237
Antibiotics, vitamins, analgesics etc.
Antibiotics
1) Frequency, distribution of antibiotic prescribed in different clinical settings/units.
2) Rational prescribing pattern of antibiotics
Parameters:
Provisional Diagnosis, Investigation, Empirical Therapy, prescribing after culture
and sensitivity.
Vitamins
Parameters:
a) Groups of vitamins prescribed.
b) Vitamins prescribed on basis of therapeutic indication or empirical.
c) Single/multiple vitamins prescribing.
d) Frequency of prescribing and rational use of vitamins/otherwise.
Analgesics
Parameters:
a) Frequency distribution of various groups of analgesics prescribed.
b) Single/multiple adverse drug prescription.
c) Non specific indications of analgesics prescribed.
Adverse Drug Reactions
a) Anti-microbials, Cytotoxic drugs, Steroids etc.
General Objectives:
It is expected that at the end of medical training, the students will be able to:
1. Prescribe drugs rationally
2. Monitor the drug therapy.
3. Observe drug interactions and adverse drug reactions (ADR).
4. Manage drug over dosage and poisoning.
238
UHS CURRICULUM
PHARMACOLOGY AND THERAPEUTICS
The course outline is as follows:
1) General Pharmacology:
1. Definition of pharmacology, objectives of learning pharmacology,
definition of drug and drug nomenclature.
2. Branches/divisions of pharmacology.
3. Sources of drugs.
4. Active principles of drugs and pharmacopoeias.
5. Dosage forms and doses of drugs.
6. Route of drug administration.
7. Absorption of drugs and processes involved in drug absorption.
8. Factors modifying absorption of drugs.
9. Transport of drugs across cell-membrane.
10. Bio-availability, its clinical significance and factors affecting bioavailability.
11. Drug reservoirs, distribution and redistribution of drugs, plasma protein
binding.
12. Pro-drug, bio-transformation of drugs, enzyme induction, enzyme
inhibition and entero-hepatic circulation.
13. Plasma half-life of drugs, steady state concentration, its clinical
importance and factors affecting it.
14. Excretion of drugs.
15. Mechanism of drug action.
16. Dose response curves, structure-activity relationship.
17. Factors modifying action and doses of drugs.
18. Pharmacokinetics, pharmacodynamics and receptors.
19. Pharmacogenetics.
2) Dermatological and topical drugs (Locally Acting Drugs)
_ Demulcents, emollients, irritants, counter irritants, astringents.
Antiseborrhoeics, locally acting enzymes.
_ Antiseptics and disinfectants.
_ Ectoparasiticides.
3) Drugs Acting on Gastrointestinal Tract:
_ Emetics and anti emetics.
_ Drugs affecting motility of GIT.
_ Ulcer healing drugs.
_ Purgatives/ laxatives.
_ Antidiarrhoeals.
4) Cardiovascular Drugs
239
_ Antiarrhythmic drugs.
_ Inotropic drugs.
_ Antihypertensive drugs.
_ Thrombolytics/ anticoagulants/ antiplatelets.
_ Antihyperlipidemic drugs.
_ Anti-anginal drugs.
_ Drug management of CCF.
5) Diuretics
6) Autocoids
7) Drugs Acting on Autonomic Nervous System Cholinergic Drugs.
_ Choline esters.
_ Anticholine-esterasescholinomimetic alkaloids.
Anti-cholinergic drugs
- Anti muscarinic
- Anti nicotinic
Sympathomimetics / adrenergic drugs:
- Catecholamine
- Non catecholamine
Sympatholytics/antiadrenergics
- Alpha adrenergic receptor blockers.
- Beta adrenergic receptor blockers
Adrenergic neuron blockers
Autonomic ganglionic blockers
Skeletal muscle relaxants
A) neuromuscular blocking agents - d-tubocurarine, suxamethonium, etc.
B) central muscle relaxants , meprobamate, mephenesin, diazepam, etc.
8) Central Nervous System
a. Sedative-hypnotics.
b. Anti-epileptics.
c. General anaesthetics.
d. Local anesthetics.
e. Drugs for movement disorder/ muscle relaxant.
f. Alcohol.
g. Drugs for migraine.
h. Stimulants of the central nervous system:
- Caffeine, theophyline, theobromine
- Brain stem stimulants: picrotoxin, nikethamide.
- Ethamivan, doxapram.
- Spinal cord stimulants: strychnine.
i. Psychopharmacology:
- Anti-psychotics.
- Anxiolytics.
- Anti-depressant / anti mania drugs.
- Alcohol and drugs of abuse.
- Anti-parkinson drugs.
- Anti epileptic drugs
9) Analgesics
a. Opioids and narcotics analgesics.
b. Nonsteroidal anti inflamatory drugs (nsaid).
c. Antigout drugs.
240
10) Drugs Acting on Respiratory System
a. Drugs used in treatment of bronchial asthma.
b. Expectorants.
c. Mucolytics.
d. Antitussives.
11) Drugs Acting on Endocrine System
a. Pituitary-hypothalamic drugs.
b. Adrenocorticoids.
c. Sex hormones
d. Thyroid/ parathyroid drugs.
e. Pancreatic hormones and oral anti diabetic drugs.
f. Oral contraceptives and anabolic steroids.
12) Drugs Acting on Uterus
a. Ergometrine.
b. Terbutaline.
c. Dinoprostone. c. Dinoprostone.
d. Carboprost.
e. Ritodrine.
f. Oxytocin.
Antimicrobial Drugs
a. Sulfonamides.
b. Penicillins.
c. Cephalosporins.
d. Aminoglycosides.
e. Tetracyclines.
f. Macrolides:
Chloramphenicol.
g. Quinolones.
h. Anti- tuberculous drugs.
i. Antileprosy drugs.
j. Anti fungal drugs.
k. Antiviral drugs.
l. Anti-protozoal drugs:
- Anti- malarial drugs.
- Anti-amoebic drugs.
m. Urinary tract antiseptics.
n. Anti cancer drugs.
o. Immunosuppressive agents.
p. Miscellaneous.
q. Vaccines and immunoglobulin drug interaction
P R A C T I C A L S
A - EXPERIMENTAL PHARMACOLOGY
Experiments designed to observe the action of drugs on animals and
isolated tissue.
Experiments on the actions of selected drugs to be demonstrated to the
students.
1. Effects of drugs on reflex time.
2. Effects of drugs on frog's heart in situ.
241
3. Effects of drugs on rabbit's eye.
4. Effects of Acetylcholine and Atropine on isolated rabbit's ileum.
5. Effects of histamine and antihistamines on isolated rabbit's ileum.
6. Schemes to find out unknown drug having stimulatory or inhibitory
effect on isolated rabbit's ileum.
7. Effects of neuromuscular blocking agents on frogs rectus abdominus
muscle.
8. Methodology of clinical trials.
9. Introduction to Biostatistics.
B. PRESCRIPTION WRITING
General principles
_ General principles
_ Guideline for rational use of drugs
_ Prescription writing for common ailments
_ Acute watery diarrhea
_ Bacillary dysentery
_ Amoebic dysentery
_ Ascariasis
_ Tape-worm infestation
_ Acute streptococcal pharyngitis
_ Iron deficiency anemia
_ Allergic rhinitis
_ Scabies
_ Acute malarial fever
_ Cerebralmalaira
_ Typhoid fever
_ Bronchial asthma
_ Hypertension
_ Migraine
_ Cardiac failure
_ Shock
Clinico-Pharmacological Seminars on Rational Drug Therapy and
Drug Interaction should be conducted
Antibiotics:
Frequency distribution of antibiotic prescribed in different clinical settings/units.
Rational prescribing pattern of antibiotics.
Parameters: provisional diagnosis, investigation, empirical therapy. Prescribing
after culture and sensitivity.
Vitamins:
Parameters
Groups of vitamin prescribed.
Vitamins prescribed on basis of therapeutic indication or empirical.
Single / multiple vitamins
Frequency of prescribing and rational use of vitamins/ otherwise.
Analgesics
Parameters
a. Frequency distribution of various groups of analgesic prescribed.
b. Single / multiple drug prescription.
c. Non specific indications of analgesic prescription.
Adverse Drug Reactions
242
a. Anti-microbials, Cytotoxic drugs , Steroids etc.
243
3.0 LESSON PLANERS AND TIME TABLES TIME TABLE 3RD YEAR M.B.B.S
Serial
No
Topic No of
lectures
Total No
Of
Lectures
Learning Objectives Facilitator
S3.1 General pharmacology 20 At the end of this
unit Students should
understand basic
principles of
pharmacology.
Should identify basic
mechanisms, sources
of drugs, action of
drugs on body in
detail, body reaction
with the drug along
with their
interactions and
adverse effects and
practical applications
as well.
1 Introduction To
Pharmacology 2
2 Teacher A
2 Routes Of Drug
Administration 2
2 Teacher B
3 Absorption Of Drugs 2 2 Teacher C
4 First pass effects,
Bio availability ,Half life 1
1 Teacher B
5 Distribution of drugs 1 1 Teacher C
6 Biotransformation 2 2 Teacher A
7 Execration & Elimination of
drug 1
1 Teacher B
8 Receptor family 2 2 Teacher A
9 Signal transduction 2 2 Teacher A
10 Dosage regimen 1 1 Teacher B
11 Agonist and antagonist 1 1 Teacher A
12 Dose response curve 1 1 Teacher C
13 Tolerance/tachyphylaxis 1 1 Teacher C
14 Pharmacogenetics 1 1 Teacher B
Autonomic nervous system 18 Students should
understand about
autonomic system
and its functions &
drugs acting on ANS
with their
classification,
receptors and
neurotransmitters.
Special focus will be
on clinical
application of these
drugs.
15 Introduction To ANS 2 2 Teacher A
16 Cholinomimetics 3 3 Teacher B
17 Parasympatholytics 2 2 Teacher A
18 Sympathomimetics 4 4 Teacher C
19 Alpha-blockers 1 1 Teacher B
20 Beta blockers 2 2 Teacher A
21 Neuromuscular blockers 2 2 Teacher C
22 Ergot alkaloids 1 1 Teacher A
23 Adrenergic & ganglionic
blockers 1
1 Teacher A
Respiratory system 2 Student will be able
to correlate rationale
use of drug therapy
in asthma
24 Treatment of asthma 2 Teacher B
S3.2 Cardiovascular system 15 Student should
evaluate the actions
of cardio active drugs
with electro
physiological
properties of heart
and should
understand the basis
of actions of these
drugs in common
cardiovascular
disorders.
25 Diuretics 3 3 Teacher A
26 Alpha /beta blockers in HTN
1
1 Teacher C
27 Vasodilators 1 1 Teacher C
28 ACE inhibitors 1 1 Teacher A
29 Ca channel blocker 1 1 Teacher C
30 Hypertensive emergency and
urgency 1
1 Teacher B
31 Anti angina drugs 2 2 Teacher A
32 Management of heart failure
2
3 Teacher A
33 Anti –arrhythmic drugs 3 3 Teacher B
244
Blood 8 They should able to
apply basic & applied
aspects of anti
coagulantdrgs ,
thrombolytics and
anti hyperlipidemic
agents
34 Anti –coagulants drugs 2 2 Teacher A
35 Thrombolytics drugs 1 1 Teacher B
36 Anti platelets drugs 2 2 Teacher A
37 Anti hyperlipidemic drugs 2 2 Teacher A
38 Treatment of anaemia 1 1 Teacher C
Gastro intestinal tract
system drugs
9 Student should be
able to recognize
rationale use of anti
diarrhoeal as well as
GI motility agents &
Treatment of peptic
ulcer disease.
39 Anti-diarrheal drugs 1 1 Teacher B
40 Laxative/purgatives 1 1 Teacher A
41 Anti-emetic drugs 2 2 Teacher C
42 Treatment of peptic ulcer 4 4 Teacher A
43 IBD/IBS 1 1 Teacher B
Central nervous system
drugs
21 Should recognize
receptors, neurotran
smitters, and drugs
thatRegulate activity
of CNS
Along with their
interactions, adverse
effects and clinical
application in
different CNS
disorders.
44 Introduction to CNS 2 2 Teacher A
45 Sedative & hypnotic drugs 3 3 Teacher B
46 Anti-epileptic drugs 3 3 Teacher A
47 Local anesthetics 1 1 Teacher A
48 General anesthetics 3 3 Teacher C
49 Anti-parkinsons drugs 2 2 Teacher A
50 Anti-psychotic drugs 2 2 Teacher B
51 Anti-depressants 2 2 Teacher B
52 Opioid analgesics 1 1 Teacher A
53 Alcohol/drug of abuse 2 2
S3.3 Autocoids 10 Students should
understand basic and
applied aspects of
these drugs and
rationale use of
these agents for the
Treatment of various
pain
Disorders.
54 Anti-histamine 2 2 Teacher B
55 Eicosanoids 2 2 Teacher C
56 Treatment of migraine 1 1 Teacher B
57 Treatment of Gout 1 1 Teacher A
58 DMARDs 1 1 Teacher B
58 NSAIDS 3 3 Teacher A
Chemotherapy 32 Student should
recognize the MOA ,
classification,
Spectrum of activity,
clinical Uses
&adverse effects of
Chemotherapeutic
agents along with
their rationale uses
in different kinds of
infections.
59 Introduction To
Chemotherapy 2
2 Teacher A
60 Penicillins 1 1 Teacher B
61 Cephalosporins 2 2 Teacher A
62 Monobactum/Carbapenems
1
1 Teacher B
63 Tetracycline/Tigecycline 1 1 Teacher C
64 Stretpgramiin&lincosamides
1
1 Teacher C
65 Macrolides 1 1 Teacher A
66 Chloramphenicol & linezolid
1
1 Teacher A
67 Aminoglycosides 1 1 Teacher A
68 Quniolones/Uti antiseptics 1 1 Teacher B
69 Sulfonamides/Co-
trimoxazole 1
1 Teacher A
70 ATT drugs 2 1 Teacher B
245
71 Anti-leprosy drugs 1 1 Teacher B
72 Anti-Malarial drugs 3 3 Teacher A
73 Anti-Ameobiasis 1 1 Teacher C
74 Anti-Helmintic drugs 1 1 Teacher C
75 Anti viral drugs 3 3 Teacher A
76 Anti fungal drugs 2 2 Teacher B
77 Cancer chemotherapy 3 3 Teacher A
78 Immunosuppressant drugs 2 2 Teacher B
79 Corticosteroids 1 1 Teacher C
Endocrinology 15 Student should be
able to identify use
of various hormones
as replacement
therapy.
Basic and applied
aspects Of drugs in
common endocrine
disorders. Should
discriminate types of
diabetes and its
management.
80 DM classification 1 1 Teacher A
81 Oral hypoglycemic Agents 3 3 Teacher A
82 Types of Insulin 2 2 Teacher A
83 Management of DM 1 1 Teacher A
84 Thyroxine 1 1 Teacher B
85 Anti- Thyroid Drugs 1 1 Teacher B
86 OCP’s 3 3 Teacher B
87 Treatment of Osteoporosis 1 1 Teacher B
88 Pituitary hormones 1 1 Teacher C
89 Adrenal hormones 1 1 Teacher C
150
90 Fridays Grand tutorials 8 Teacher
A+B+C
Total Hours
120 hrs
Teacher A: Professor
Teacher B: Associate/Assistant
Professor
Teacher C: Senior
Demonstrator/demonstrotor
246
Practical planner
S.no Practical Total No
of
practical
Learning
objectives
Facilitator
S3.1 It is expected
that at the
end of
medical
training, the
students will
be able to:
1. Prescribe
drugs
rationally
2. Monitor the
drug therapy.
3. Observe
drug
interactions
and adverse
drug reactions
(ADR).
4. Manage
drug over
dosage and
poisoning.
1 Introduction to pharmacy 1 4 Teacher C
2 Weight and measure 2 8 Teacher C
3 Labeling and wrapping of drugs 2 8 Teacher C
4 Dosage forms 2 8 Teacher C
5 Tutorials & group discussion 15 Teacher C
S3.2
6 How to prepare solutions 2 8 Teacher C
7 How to prepare mixtures 2 8 Teacher C
8 How to prepare lotion from stock
solution 2
8 Teacher C
9 How to prepare powders 2 8 Teacher C
10 How to prepare ointments 2 8 Teacher C
11 Dose calculation 1 4 Teacher C
12 Practice of p drug 1 4 Teacher C
13 Introduction to biostatistics 2 8 Teacher C
14 Tutorials & group discussion 15 Teacher C
S3.3
15 Experimental pharmacy
introduction 1
4 Teacher C
16 Effects of drugs on frog heart 2 8 Teacher C
17 Dose response curve 2 8 Teacher C
18 Drug antagonism 2 8 Teacher C
19 Effect of drugs on rabbit eye 2 8 Teacher C
20 Prescription writing 2 8 Teacher C
21 Tutorials & group discussion 14
Total practical 64 x 100 106 hrs
247
min
19 Total Tutorials & group
discussion
44 x 100
min
74 hrs
248
3.2 TIME TABLE
Day 08:45 A.M
TO 08:45 AM
08:45 A.M TO
09:30A.M
09:30 A.M TO
10:15 A.M
10:15
A.M
TO
10:35
A.M
10:35 A.M
TO 11:20
A.M
11:20
P.M TO
01:20p.
M
01:20
P.M TO
03:00P.
M
Monday Behavioral
Sciences
Pathology Pharmacology Break E.N.T Clinical
Wards
Practical
Batch C
Tuesday Forensic
Medicine
Pharmacology Pharmacology Gynaecology Clinical
Wards
Practical
Batch D
Wednesda
y
Behavioral
Sciences
Pharmacology Pharmacology Medicine Clinical
Wards
Practical
Batch A
Thursday Pathology Pharmacology Forensic
Medicine
Surgery Clinical
Wards
Practical
Batch B
Friday Pharmacolog
y
Forensic
Medicine
Pathology Eye Clinical
Wards
Grand
Tutorial
249
4.0 Assessment/Evaluation/Examination
4.1 Continuous assessment
1. Attendance
2. Punctuality
3. Class behavior
4. Interactive session participation
5. Extra-curricular activities participation
4.2 Evaluation at the end of semester
Student will be judged on following parameters
Theory:35 marks
1. MCQs
2. SEQs
Practical/ viva :45 marks
Attendance 10
Overall behavior 5
Extra-curricular 5
4.3 Evaluation at the end of the year (send up)
Student will be judged on following parameters
Theory:35 marks
1. MCQs
2. SEQs
Practical/ viva: 45 marks
Attendance
Overall behavior
Extra-curricular
250
4.4 University examination
Serial
no
THEORY SUB
TOTAL
ORAL
&PRACTICAL
INTERNAL
ASSESSMENT
SUB
TOTAL
GRAND
TOTAL
1 SEQs MCQs INT
ASSESSMENT
150
MARKS
135 MARKS 15 MARKS 150
MARKS
300
MARKS
70
MARKS
65
MARKS
15 MARKS
SEQs
10 SEQs each having 7 marks
Allocated time 2 hrs
MCQs
65 MCQs each having 1 marks
Allocated time 1 hr
251
252
4.5Student feedback form
Name of student (optional):
Year:
KEY:
1= unsatisfactory
2=fair
3=good
4=very good
5=excellent
1 2 3 4 5
Quality of teaching
Quality of learning resources
Learning environment
Quality of CME/workshops
Practical / tutorials content
Extra –curricular activities
Department cooperation
Comments:
253
5.0 Recommended Books, Journals, Web Sites
Recommended books
1. Basic and Clinical Pharmacology by Katzung, 13th Ed., McGraw-Hill.
2. Pharmacology by Champe and Harvey, 6th Ed., Lippincott Williams &
Wilkins.
3. Good man and Gilman Manual of pharmacology
4.katzung& Trevor’s pharmacology examination board review 11th edition by McGraw-
Hill.
Journals of pharmacology
1. British Journal Of Pharmacology
2. European Journal Of Pharmacology
3. Journal of Pharmacological Sciences.
254
AMNA INAYAT MEDICAL COLLEGE
AIMC-MBBS,
PATHOLOGY CURRICULUM
(PMDC/UHS)
&
ACADEMIC PLANNER
2017-2022
DEPARTMENT OF PATHOLOGY, AMNA INAYAT MEDICAL COLLEGE
255
Contents
1.24. INTRODUCTION
1.25. Department of Pathology, Faculty and staff
1.26. PMDC Table of Subjects, spacing and allocated hours of MBBS
Program
1.27. Allocated contact hours (Theory, Practical, Total) of Pathology
Subject,
in year 3rd& 4th of MBBS Program
1.28. Semester planner of contact hours (Theory, Practical, Total) of
Pathology
Subject, in year 3rd& 4th of MBBS Program.
1.29. Assessments/Evaluations/Examinations-Planner
1.30. Scheme of Semesters and Send up Assessments/Evaluations and
University Examinations of3rd and 4th year MBBS Program.
1.31. Blooms Taxonomy
1.32. Learning Strategies
2.0. CURRICULUM OF PYSIOLOGY SUBJECT.
2.1 PMDC Curriculum
2.2. UHS Curriculum
7.0. LESSON PLANERS AND TIME TABLE
3.6 Time Table of Lectures/Demonstrations/Practical of Year3rd and 4th.
3.7 Lesson planner with titles and learning objectives of “Theory and
Practical” of 3rd year
3.8 Lesson planner with titles and learning objectives of “Theory and
Practical” of
3rd and 4th year.
4.0 ASSESSMENTS/EVALUATIONS/EXAMINATIONS
4.1 Continuous Assessments
4.2 Evaluations at End of Semester
4.3 Evaluations at end of year (Send Up)
4.8 University Examinations (Professional 1.a & 1.b)
4.9 Student Feedback Form (Student will fill and submit his/her feedback
form) at end of each year regarding, quality of teaching, quality of
learning resources and any recommendations to improve effectiveness
of teaching and assessments/evaluations)
6.0 Recommended books, Journals, websites
256
DEPARTMENT OF PATHOLOGY STAFF MEMBERS
DESIGNATION NAME QUALIFICATION EXPERIENCE
HEAD OF
DEPARTMENT
PROFESSOR OF
MICROBIOLOGY
DR. GHULAM MUJTABA
SIDDIQI
M.B.B.S,M.C.P.S
M.PHIL
(MICROBIOLOGY) 30YEARS
PROFESSOR
HISTOPATHOLOGY DR.TARIQ MAHMOOD
M.B.B.S,M.C.P.S
F.C.P.S M.PHIL
(HISTOPATHOLOGY) 25 YEARS
PROFESSOR
(CHEMICAL
PATHOLOGY ) DR.NAEEM KOUSAR
M.B.B.S,D.C.P
M.PHIL
(CHEMICAL PATHOLOGY ) 30 YEARS
PROFESSOR
(HEMATOLOGY) DR QAISER HASNAIN
MBBS,D.PATH(AF-PGMI),
MRCP,FCPS(HEMATOLOGY) 24 YEARS
ASSISTANT
PROFESSOR
(HEMATOLOGY) DR.RABIYA JAMIL
M.B.B.S
M.PHIL (HEMATOLOGY 5 YEARS
ASSISTANT
PROFESSOR
(CHEMICAL
PATHOLOGY )
DR.MUHAMMAD JAWAD
M.B.B.S M.PHIL
(CHEMICAL PATHOLOGY ) 12 YEARS
ASSISTANT
PROFESSOR
HISTOPATHOLOGY DR. SADIA SHARIF B.D.S MPHIL (HISTOPATHOLOGY) 7 YEARS
SENIOR
DEMONSTRATOR DR.AYESHA SAJJAD
M.B.B.S
M.PHIL part I 4 YEARS
DEMONSTRATOR
DR. JAVARIA JAMIL
M.B.B.S
6 MONTHS
DEMONSTRATOR
DR.QURAT-UL-AIN
M.B.B.S
1 YEAR
PARAMEDICAL STAFF
NAME DESIGNATION QUALIFICATION EXPERIENCE
FAIZAN RASOOL LAB TECHNOLOGIST B.SC M.L.T 10YEARS
AFFAN LAB TECHNICIAN LAB. TECH 5 YEARS
M WAQAR LAB TECHNICIAN LAB. TECH 10 YEARS
M SHAREEF LAB TECHNICIAN LAB. TECH 16 YEARS
257
TABLE OF SPACING AND HOURS OF SUBJECTS IN MBBS COURSE
SUBJECT 1ST
YEAR
2ND
YEAR
3RD YEAR 4RTH
YEAR
5THYEAR TOTAL
HOURS
BEHAVIOURAL SCIENCES 5HRS 5HRS 5HRS 5HRS 5HRS 25HRS
ISLAMIC PAKISTAN AND
STUDIES
15HRS 15HRS 10HRS 10HRS - 50HRS
ANATOMY 250HRS 250HRS - - - 500HRS
PHYSIOLOGY 250HRS 250HRS - - - 500HRS
BIOCHEMISTRY 100HRS 100HRS - - - 200HRS
PHARMACOLOGY - - 300HRS - - 300HRS
PATHOLOGY 15HRS 25HRS 260HRS 200HRS - 500HRS
FORENSIC MEDICINE - - 100HRS - - 100HRS
COMMUNITY MEDICINE 25HRS 25HRS 50HRS 150HRS - 250HRS
MEDICINE AND Allied
NUCLEAR MEDICINE
EMERGENCY MEDICINE
MEDICINE ELECTIVE
PSYCHIATRY
DERMATOLOGY AND
GENERAL PRACTICE
25HRS 30HRS
10HRS
120HRS
-
265HRS
10HRS
360HRS
-
800HRS
20HRS
PAEDIATRIC MEDICINE 5HRS 10HRS 15HRS 50HRS 70HRS 450HRS
SURGERY AND ALLIED
RADILOGY
ORTHOPEDICS
PAEDS SURGERY
NEUROSURGERY
SURGERY ELECTIVE
EMERGENCY SURGERY
& ANAESTHESIA
25HRS
5HRS
30HRS
10HRS
120HRS
-
265HRS
10HRS
360HRS
15HRS
800HRS
40HRS
OBSTETRICS AND
GYNAECOLOGY
10HRS 10HRS 50HRS 100HRS 130HRS 300HRS
OPHTHALMOLOGY 5HRS 10HRS 15HRS 70HRS - 100HRS
OTORHINOLARYNGOLOGY(ENT) 5HRS 10HRS 15HRS 70HRS - 100HRS
CLINICOPATHOLOGICAL
CONFERENCE
- - - 60HRS - 60HRS
TOTAL 740
HRS
790HRS 1060HRS 1265HRS 940HRS 4795HRS
258
ALLOCATED HOURS IN PATHOLOGY SUBJECT IN
3RD AND 4TH YEARMBBS PROGRAM
Total number of Contact hours for Third Year MBBS
MITs Total number Total contact hrs
Lectures 167 125
Practicals 40 60
Grand tutorials 14 23
Assessments 3 15
CMEs 9 27
Total contact hours= 250 hours
Total number of Contact hours for Fourth Year MBBS
Lectures 167 125
Practicals 30 45
Grand tutorials 9 14
Tutorials 18 27
Assessments 3 12
CMEs 9 27
Total contact hours= 250 hours
Total contact hours= 500 hours
Duration of lecture= 45min
Duration of practical= 100min
Duration of tutorial=90 min
Duration of Grand tutorial= 100min
Duration Of CME= 180 min
Duration of assessments= 180min
Semester test theory = 180 min
Semester practical +OSPE= 1 hour
Semester Viva=1 hour
259
SEMESTER PLANNER OF ALLOCATED HOURS OF
SUBJECT PATHOLOGY IN 3RD AND 4TH YEAR MBBS
General pathology and Microbiology
Semester Theory
(hrs)
Practical
(hrs)
Tutorial
(hrs)
CME
(hrs)
Assessment
(hrs)
Total
hrs
Semester1 45 20 9 11 5 90
Semester 2 45 20 9 11 5 90
Semester 3 35 20 5 5 5 70
Grand Total
250
Special Pathology
Semester1 42 15 13.5 9 4 83.5
Semester 2 42 15 13.5 9 4 83.5
Semester 3 42 15 13 9 4 80
Grand Total
250
Total contact hours
500 hrs
260
SEMESTER PLANNER FOR 3RD AND 4TH YEAR MBBS
SUBJECT PATHOLOGY
Semesters Semester 1 Semester 2 Semester 3
To
pic
s
Fo
r g
en
era
l p
ath
olo
gy
An
d m
icro
bio
log
y
Parasitology
Special bacteriology
Neoplasia
General bacteriology
Wound healing
regeneration and
repair
Virology
Cell injury adaptation
and cell death
Hemodynamic
disorders
Mycology
Acute and chronic
inflammation
Immunology
Genetics
Sp
eci
al
Pa
tho
log
y
GIT
Respiratory system
Male genital
system
CVS
Female Genital
system
Breast
Urinary system
Musculoskeleton
system
Endocrine system
Respiratory 2
Hepatobiliary system
Hematopoietic
system
Total duration of session =9 months
Total semesters=3
Each semester duration = 3 months
Academic session 3rd Year MBBS from 5-12-16 to 30-9-17
261
ASSESSMENT AND EXAMINATION PLANNER
FOR 3RD AND 4TH YEAR MBBS
Third Year MBBS
Year
Semester
1
3 months
Assessment
Semester
2
3 months
Assessment
Semester
3
3 months
Assessment
Assessment
Assessment
Semester
S1
Monthly test=
2
Term test=1
S2
Monthly test=
2
Term test=1
S3
Assessment
for semester
3
Send-up
UHS second
Prof Exam
Fourth year MBBS
Semester
S1 Monthly test=
2
Term test=1
S2
Monthly test=
2
Term test=1
S3
Monthly test=
2
Term test=1
Send-up
UHS Third
Prof Exam
Monthly test marks= Total Marks=50
MCQs+ SEQ marks division of monthly test= 25 + 25= 50
End semester term test= Total Marks 100
u. Theory marks= Total Marks 40
v. Practical /viva Marks= Total Marks 40
w. Attendance criteria= 75%= 10 marks
x. General attitude of student= 5 marks
y. Extracurricular activities = 5 marks
Send-up Marks= Total Marks 300
u. Theory marks= Total Marks 135
v. Practical/viva Marks= Total Marks 135 (further division according to UHS format)
w. Attendance criteria= 75%= 20 marks
x. General attitude of student= 5 marks
y. Extracurricular activities = 5 marks
Internal Evaluation= a. Assessment 1+Assessment 2 +Assessment 3= 50% score
b. Send-up= 50% score
Credit of three semesters=100+100+100 (50% theory+50% practical)
Sendup examination= 300 (50% theory+50% practical)
Final internal assessment= sendup +total semesters assessments = /2
262
YEARLY PLANNER ACCORDING TO SEMESTER
TITILE DESCRIPTIONN Interactive
Lectures
(IL)
PRACTICALS Tutorial/Grand
Tutorial
Assessments
(Summative,
Formative)
Semester 1 15 DEC to 15
March
55 10 9 1
WINTER BREAK Last week of DECEMBER
TITILE DESCRIPTIONN THEORY PRACTICALS Tutorial/Grand
Tutorial
Summative
Assessment
Semester 1 16 March to 15
June
55 10 9 1
SPRING BREAK 1st Week of April
TITILE DESCRIPTIONN THEORY PRACTICALS Tutorial/Grand
Tutorial
Summative
Assessment
Semester 1 16 June to 15
Sep
55 10 9 1
SUMMER BREAK 1st July to 31 July
TITILE DESCRIPTIONN Observed
stations
Unobserved
stations
Feed back Formative
Assessment
OSPE
revision
1st week of Oct 02 18 One to one 1
TITILE DESCRIPTIONN Theory
Marks
Practical
Marks
Viva
Marks
Summative
Assessment
Send Up
exam
2nd week of
October
50 % 25% 25% 1
263
TEACHING STRATEGIES
Our aim is to employ latest techniques like flipped classroom method that encourage our
students to prepare for the lesson before class, thus the class becomes a dynamic
environment in which students elaborate on what they have already studied and this
makes students to think critically during interactive session at the end of each class.
Special emphasis will be given on brain storming (PBL & SDL) and integration of basic
knowledge with practical skills.
264
PMDC SYLLABUS
SUBJECT : GENERAL PATHOLOGY AND MICROBIOLOGY
(A) GENERAL PATHOLOGY
CELL INJURY
1. Necrosis, Ischemia, Hypoxia, Infarction and Gangrene Oncosis and Autolysis.
2. Sequence of the ultrastructural and biochemical changes which occur in the cell in
response to the following:
Ischemia
Immunological injury, e.g., Asthma / SLE / Anaphylactic reaction
Physical agents, e.g., Radiation
Genetic defects, e.g., Thalassemia / Hemophilia
Nutritional deficiency, e.g., Kwashiorkor
Infectious agents
Viruses, e.g., Hepatitis
Bacteria, e.g., Staphylococcus aureus
Fungi, e.g., Candida
Parasites, e.g., Malaria
Nutritional deficiency
3. Irreversible and reversible injury
4. Apoptosis and its significance.
5. Necrosis and its types
6. Exogenous and endogenous pigmentation.
7. Dystrophic and metastatic calcification along with clinical significance.
8. Metabolic disorders
• Lipid disorders, Steatosis of liver, Hyperlipidemia
• Protein disorders
• Carbohydrate disorders
265
INFLAMMATION, MEDIATORS OF INFLAMMATION
1. Role of inflammation in the defense mechanisms of the body.
2. Vascular changes of acute inflammation and their relation to morphological and tissue
effects.
3. Process of Chemotaxis, Opsonization and Phagocytosis.
4. Role of cellular components in inflammatory exudate.
5. Exudates and transudate.
6. Important chemical mediators of inflammation.
7. Pathway of Arachidonic Acid metabolism.
8. Role of products of Arachidonic acid metabolism in inflammation.
9. Mechanism for development of fever, exogenous and endogenous pyrogens.
10. Chronic inflammation including Granulomas.
11. Granuloma and its types along with causes.
12. Systemic effects of acute and chronic inflammation and their possible outcomes.
13. Significance of ESR.
14. Induced hypothermia in medicine.
15. Healing in specialized tissue.
WOUND HEALING
1. Repair and regeneration.
2. Wound healing by first and second intention.
3. Factors that influence the inflammatory reparative response.
4. Wound contraction and cicatrisation.
5. Formation of granulation tissue.
6. Complications of wound healing.
DISORDERS OF CIRCULATION
a. Thrombo-embolic disorders and their modalities
1. Etiology and pathogenesis of thrombosis.
2. Possible consequences of thrombosis
266
3. Difference between thrombi and clots
4. Classification of emboli according to their composition.
5. Difference between arterial and venous emboli.
b. Hemorrhage, Hyperemia and Congestion
1. Definitions of common types of Hemorrhage
2. Types of hyperemia
3. Difference between hyperemia and congestion
c. Infarction
1. Types of infarction
2. Difference between anemic and hemorrhagic infarct
3. Morphological picture of infraction in different organ systems
d. Disorders of the circulation and shock
1. Edema, ascites, hydrothorax and anasarca.
2. Pathophysiology of edema with special emphasis on CHF.
3. Pathogenesis of four major types of shock (Hypovolemic,
cardiogenic, vasovagal & septic) and their causes.
4. Compensatory mechanisms involved in shock.
GROWTH DISORERS/NEOPLASIA
1. Atrophy and Hypertrophy, Agenesis, Dysgensis, Aplasia, Hypoplasia,
Hyperplasia, Metaplasia, Dysplasia, Neoplasia, Anaplasia,.
2. Cell cycle and cell types (stable, labile, permanent)
3. Mechanisms controlling cell growth
4. Classification systems of tumors.
5. Characteristics of benign and malignant tumors
6. Difference between Carcinoma and Sarcoma.
7. Grading and staging system of tumors.
8. Biology of tumor growth
9. Process of carcinogenesis
10. Host defense against tumors.
11. Mechanism of local and distant spread.
12. Local and systemic effects of tumors.
267
13. Tumor markers used in the diagnosis and management of cancers.
14. Common chemical, physical agents and viruses related to human cancer.
15. Epidemiology of common cancers in Pakistan.
16. Radiation and its effects on tissues.
17. Cancer screening.
IMMUNOLOGY
1. Antigen, antibody, epitope, hapten and adhesion molecules.
2. Difference between innate and acquired immunity.
3. Structure and function of major histocompatibility complex (MHC).
4. Cytokines.
5. Mechanism of humoral and cell medicated immunity.
6. Hypersensitivity reactions, Type I, Type II, Type III and Type IV.
7. Autograft, homograft, allograft and xenograft.
8. Immunotolerance and immunoparalysis.
9. Mechanism involved in allograft rejection and steps that can be taken
to combat rejection.
10. Classification of Immunodeficiency disorders
11. Basis of autoimmunity.
12. Tissue transplantation.
13. Pathology and pathogenesis of AIDS.
14. Lab diagnosis of immunological diseases.
GENETICS
1. Common sex linked, autosomal recessive and autosomal dominant disorders.
2. Common genetic mutations.
3. Diseases associated with consanguineous marriages.
4. Molecular biology techniques.
(B) MICROBIOLOGY
1. Defence mechanisms of the body.
2. Microbial mechanisms of invasion and virulence.
3. Difference between sterilization and disinfection.
4. Methods of disinfection and sterilization of the following:
268
a. Facility where the doctor practices,
b. Examination table,
c. Any spillage e.g. sputum, vomitus, stool, urine, blood,
d. Examination tools, e.g., thermometer, nasal and ear specula and spatula,
5. Principles of aseptic techniques such as Venepuncture, urinary
catheterization, bandaging, suturing and lumber puncture.
6. Universal precautions for infection control.
7. General principles of the following serological tests:
a. ELISA – Hepatitis (A,B,C,D,E,G) Rubella, CMV and HIV
b. PCR
c. Haemagglutination – TPHA
d. Western Blot –HIV Malaria.
8. Interpretation of :
a. Culture reports
b. Serological reports and
c. Microscopic reports of gram stain and ZN stain.
9. Principles of proper collection and submission of specimens for laboratory investigations
9. General characteristics and taxonomy of Bacteria, Rickettsia,Chlamydia, Viruses and
Fungi.
11. Communicable, Endemic, Epidemic, and Pandemic Diseases, Carriers,Pathogens,
Opportunists, Commensals and Colonizers.
12. Microorganisms responsible for infection of the following organ systems:
_ Central Nervous System
_ Respiratory System
_ Gastrointestinal System
_ Genital System
_ Urinary System
_ Infections of Bones and Joints
_ Zoonosis
_ Infection of the Skin
_ Hepatic Infections
13 Pathogenesis, Treatment, Epidemiology, Prevention and Control of the
following organisms:
269
(i) Bacteria
Staphylococcus aureus
Streptococcus pneumoniae
Beta hemolytic streptococcus group a & b
Diphtheria sp.
Bordetella sp.
Bacillus anthracis
Clostridium perfrignes
Clostridium botulinum,
Clostridium difficile
Clostridium tetani
Actinomyciesisraelli
Nocardiaasteroides
Neisseria meningitis
Neisseria gonorrhoeae
Gardenella vaginalis
Haemophilusinfluenzae
Mycobacterium tuberculosis
Mycobacterium leprae
E.coli
Klebsiella
Proteus
Salmonella
Shigella
Yersinia pestis
Pseudomonas
Vibrio cholera
Vibrio parahemolyticus
Campylobacter jejuni
Helicobacter pylori
Legionella
270
Mycoplasma pneumoniae
Chlamydia
Treponema pallidium
Leptospira
Rickettsia sp.
(ii) Viruses
Mumps
Herpes
Measles
Influenza,
Para influenza
RSV
Hepatitis A, B, C, D, E
Rota
CMV
EBV
Rubella
Chicken Pox
HIV
Rabies
(iii) Fungus
Cryptococcus neoformans
Candida albicans
Tinea species
(iv) Protozoa
Plasmodium species
Giardia lamblia
Entamoeba histolytica
Cryptosporidium
Leishmania species
Trichomonas vaginalis
Toxoplasma gondii
271
Pneumocyctiscarinii
(v) Helminths
Ascarislumbricoides
Ancylostomaduodenale
Trichuristrichuria
Enterobiusvermicularis
Filaria species
Strongyloidesstercoralis
Schistosoma species
Echinococcus species
Taeniasolium
Taeniasaginata
Hymenolepis nana
.
UHS SYLLABUS
Subject: General Bacteriology and microbiology
GENERAL PATHOLOGY
CELL INJURY
1. Necrosis, Ischemia, Hypoxia, Infarction and Gangrene
Oncosis and Autolysis.
2. Sequence of the ultrastructural and biochemical changes
which occur in the cell in response to the following:
_ Ischemia
_ Immunological injury, e.g., Asthma / SLE / Anaphylactic
reaction
_ Physical agents, e.g., Radiation
_ Genetic defects, e.g., Thalassemia / Hemophilia
_ Nutritional deficiency, e.g., Kwashiorkor
_ Infectious agents
272
_ Viruses, e.g., Hepatitis
_ Bacteria, e.g., Staphylococcus aureus
_ Fungi, e.g., Candida
_ Parasites, e.g., Malaria
_ Nutritional deficiency
3. Irreversible and reversible injury
4. Apoptosis and its significance.
5. Necrosis and its types
6. Exogenous and endogenous pigmentation.
7. Dystrophic and metastatic calcification along with clinical
significance.
8. Metabolic disorders
• Lipid disorders, Steatosis of liver, Hyperlipidemia
• Protein disorders
• Carbohydrate disorders
INFLAMMATION, MEDIATORS OF INFLAMMATION
1. Role of inflammation in the defense mechanisms of the body.
2. Vascular changes of acute inflammation and their relation to
morphological and tissue effects.
3. Process of Chemotaxis, Opsonization and Phagocytosis.
4. Role of cellular components in inflammatory exudate.
5. Exudates and transudate.
6. Important chemical mediators of inflammation.
7. Pathway of Arachidonic Acid metabolism.
8. Role of products of Arachidonic acid metabolism in inflammation.
9. Mechanism for development of fever, with reference to exogenous and
endogenous pyrogens.
10. Chronic inflammation including Granulomas.
11. Granuloma and its types along with causes.
12. Systemic effects of acute and chronic inflammation and their possible
outcomes.
13. Significance of ESR.
273
14. Induced hypothermia in medicine.
15. Healing in specialized tissue.
WOUND HEALING
1. Repair and regeneration.
2. Wound healing by first and second intention.
3. Factors that influence the inflammatory reparative response.
4. Wound contraction and cicatrisation.
5. Formation of granulation tissue.
6. Complications of wound healing.
DISORDERS OF CIRCULATION
a. Thrombo-embolic disorders and their modalities
1. Etiology and pathogenesis of thrombosis.
2. Possible consequences of thrombosis
3. Difference between thrombi and clots
4. Classification of emboli according to their composition.
5. Difference between arterial and venous emboli.
b. Hemorrhage, Hyperemia and Congestion
1. Definitions of common types of Hemorrhage
2. Types of hyperemia
3. Difference between hyperemia and congestion
c. Infarction
1. Types of infarction
2. Difference between anemic and hemorrhagic infarct
3. Morphological picture of infraction in different organ systems
d. Disorders of the circulation and shock
1. Edema, ascites, hydrothorax and anasarca.
2. Pathophysiology of edema with special emphasis on CHF.
3. Pathogenesis of four major types of shock (Hypovolemic,
cardiogenic, vasovagal & septic) and their causes.
4. Compensatory mechanisms involved in shock.
MICROBIOLOGY
1. Defence mechanisms of the body.
2. Microbial mechanisms of invasion and virulence.
274
3. Difference between sterilization and disinfection.
4. Methods of disinfection and sterilization of the following:
a. Facility where the doctor practices,
b. Examination table,
c. Any spillage e.g. sputum, vomitus, stool, urine, blood,
d. Examination tools, e.g., thermometer, nasal and ear specula and
spatula,
5. Principles of aseptic techniques such as Venepuncture, urinary
catheterization, bandaging, suturing and lumber puncture.
6. Universal precautions for infection control.
7. General principles of the following serological tests:
a. ELISA – Hepatitis (A,B,C,D,E,G) Rubella, CMV and HIV
b. PCR
c. Haemagglutination – TPHA
d. Western Blot –HIV
Malaria.
8. Interpretation of :
a. Culture reports
b. Serological reports and
c. Microscopic reports of gram stain and ZN stain.
9. Principles of proper collection and submission of specimens for
laboratory investigations
9. General characteristics and taxonomy of Bacteria, Rickettsia,
Chlamydia, Viruses and Fungi.
11. Communicable, Endemic, Epidemic, and Pandemic Diseases, Carriers
Pathogens, Opportunists, Commensals and Colonizers.
12. Microorganisms responsible for infection of the following organ
systems:
_ Central Nervous System
_ Respiratory System
_ Gastrointestinal System
_ Genital System
_ Urinary System
275
_ Infections of Bones and Joints
_ Zoonosis
_ Infection of the Skin
_ Hepatic Infections
13 Pathogenesis, Treatment, Epidemiology, Prevention and Control of the
following organisms:
(i) Bacteria
Staphylococcus aureus
Streptococcus pneumoniae
Beta hemolytic streptococcus group a & b
Diphtheria sp.
Bordetella sp.
Bacillus anthracis
Clostridium perfrignes
Clostridium botulinum,
Clostridium difficile
Clostridium tetani
Actinomyciesisraelli
Nocardiaasteroides
Neisseria meningitis
Neisseria gonorrhoeae
Gardenella vaginalis
Haemophilusinfluenzae
Mycobacterium tuberculosis
Mycobacterium leprae
E.coli
Klebsiella
Proteus
Salmonella
Shigella
Yersinia pestis
Pseudomonas
Vibrio cholera
276
Vibrio parahemolyticus
Campylobacter jejuni
Helicobacter pylori
Legionella
Mycoplasma pneumoniae
Chlamydia
Treponema pallidium
Leptospira
Rickettsia sp.
(ii) Viruses
Mumps
Herpes
Measles
Influenza,
Para influenza
RSV
Hepatitis A, B, C, D, E
Rota
CMV
EBV
Rubella
Chicken Pox
HIV
Rabies
(iii) Fungus
Cryptococcus neoformans
Candida albicans
Tinea species
(iv) Protozoa
Plasmodium species
Giardia lamblia
Entamoeba histolytica
Cryptosporidium
277
Leishmania species
Trichomonas vaginalis
Toxoplasma gondii
Pneumocyctiscarinii
(v) Helminths
Ascarislumbricoides
Ancylostomaduodenale
Trichuristrichuria
Enterobiusvermicularis
Filaria species
Strongyloidesstercoralis
Schistosoma species
Echinococcus species
Taeniasolium
Taeniasaginata
Hymenolepis nana
PRINCIPLES OF ANTI MICROBIAL ACTION.
1. Antibiotics, selective toxicity, bacteriostatic and bactericidal.
2. Host determinants in relation to selection of an antimicrobial drug for
therapy.
3. Minimum inhibitory concentration (MIC) and minimum bactericidal concentration (MBC)
4. Bacterial resistance and the mechanisms involved in acquiring bacterialresistance
5. Mechanisms involved in transfer of drug resistance to bacterial resistance.
6. Mode of action of various antimicrobial drug groups.
7. Superinfection and cross sensitivity.
GENETICS
1. Common sex linked, autosomal recessive and autosomal dominant
disorders.
2. Common genetic mutations.
3. Diseases associated with consanguineous marriages.
4. Molecular biology techniques.
GROWTH DISORERS/NEOPLASIA
1. Atrophy and Hypertrophy, Agenesis, Dysgensis, Aplasia, Hypoplasia,
278
Hyperplasia, Metaplasia, Dysplasia, Neoplasia, Anaplasia,.
2. Cell cycle and cell types (stable, labile, permanent)
3. Mechanisms controlling cell growth
4. Classification systems of tumors.
5. Characteristics of benign and malignant tumors
6. Difference between Carcinoma and Sarcoma.
7. Grading and staging system of tumors.
8. Biology of tumor growth
9. Process of carcinogenesis
10. Host defense against tumors.
11. Mechanism of local and distant spread.
12. Local and systemic effects of tumors.
13. Tumor markers used in the diagnosis and management of cancers.
14. Common chemical, physical agents and viruses related to human
cancer.
15. Epidemiology of common cancers in Pakistan.
16. Radiation and its effects on tissues.
17. Cancer screening.
IMMUNOLOGY
1. Antigen, antibody, epitope, hapten and adhesion molecules.
2. Difference between innate and acquired immunity.
3. Structure and function of major histocompatibility complex (MHC).
4. Cytokines.
5. Mechanism of humoral and cell medicated immunity.
6. Hypersensitivity reactions, Type I, Type II, Type III and Type IV.
7. Autograft, homograft, allograft and xenograft.
8. Immunotolerance and immunoparalysis.
9. Mechanism involved in allograft rejection and steps that can be taken
to combat rejection.
10. Classification of Immunodeficiency disorders
11. Basis of autoimmunity.
12. Tissue transplantation.
13. Pathology and pathogenesis of AIDS.
279
14. Lab diagnosis of immunological diseases.
PMDC SYLLABUS OF SPECIAL PATHOLOGY
3RD PROFESSIONAL MBBS
1. BLOOD VESSELS & HEART
• Differentiate among atherosclerosis, Monkeberg's medial calcific sclerosis
and arteriolosclerosis.
• Describe atherosclerosis with respect to the following factors
• Etiology and pathogenesis
• Early lesion
• Late and complicated lesion
• Vessels affected
• Complications
• Classify hypertension.
• List the causes of secondary hypertension
• Describe the vascular changes in hypertension.
• Discuss the common pathogenetic mechanisms of vasculitis.
• .Classify aneurysm according to the etiology.
• Describe atherosclerotic aneurysm with respect to
• Pathogenesis.
• Type of vessel involved.
• Morphological & clinical features.
• Describe varicose veins with respect to
• Common sites
• Predisposing factors
• Clinical features.
• List the benign and malignant tumours of blood vessels.
• Describe the pathogenesis of ischemic heart disease.
• Describe myocardial infarction with respect to the following
• Sequence of changes in myocardial infarction (MI)
• Pattern of elevation of biochemical markers used in the evaluation of
M.I
• Complications
• List the causes of sudden cardiac death
• Describe cor-pulmonale and list the predisposing disorders
• Describe rheumatic fever with respect to
• Etiology
• Pathogenesis
• Morphological & clinical features
• List the causes of myocarditis
• Describe morphological and clinical features of myocarditis
280
• Describe the three major clinico-pathological groups of cardiomyopathy
(dilated, hypertrophic and restrictive)
• List the causes of pericarditis
• Describe the clinical and morphological feature of pericarditis
• List the primary & secondary cardiac tumours
• Describe the main features of Fallot's tetralogy and coarctation of aorta
2. HAEMATOPOIETIC AND LYMPHOID SYSTEMS
• Outline the stages in the formation of red blood cell and white blood cells.
• List the normal values of red cell count, haemoglobin level, packed cell
volume, MCH, MCV, MCHC, WBC count and platelet count.
• Classify anaemia on the basis of mechanism of RBC production.
• Describe the causes of iron deficiency.
• Describe the morphological and clinical features of iron deficiency
anaemia.
• List the types of megaloblastic anaemia.
• List the conditions which predispose to folate deficiency.
• Describe vit. B12 deficiency with respect to
• The conditions which producBlood picture and clinical features
• Differentiate between anaemia of chronic disease and nutritional
deficiency anaemia.
• Describe hereditary spherocytosis with respect to
• The incidence
• Etiology
• Pathogenesis
• Morphological and clinical features
• Discuss the pathogenesis of thalassaemia.
• Classify thalassaemia on the basis of clinical and genetic features.
• Differentiate between the blood picture and clinical feature of Beta-
thalassaemia minor and major.
• Discuss the mechanism of haemolyticanaemia due to glucose-6-phosphate
dehyrogenase deficiency.
• Classify immunohemolyticanaemia.
• Differentiate between warm and cold antibodies
immunohemolyticanaemia.
• Describe aplastic anaemia with respect to the
• Etiology and pathogenesis
• Clinical features and Lab. Diagnosis
• Describe the mechanisms which can cause neutropenia/ agranulocytosis.
• Describe the causes of leukocytosis.
• Describe the epidemiological, morphological and clinical features of
infectious mononucleosis.
• Differentiate between acute and chronic non-specific lymphadenitis.
• Describe the different classifications (REAL and working formulations) of
non-Hodgkin's lymphoma.
281
• Describe Hodgkin's disease with respect to
• The classification
• The clinical stages
• Etiology and pathogenesis
• Classify leukemia
• Discuss the prognostic factors of acute lymphoblastic and acute
myeloblasticleukemias.
• Describe the pathophysiology of chronic myeloid and chronic lymphocytic
leukemias
• Describe multiple myeloma with respect to
• Etiology
• Pathogenesis
• Morphology
• Clinical features
• Describe disseminated intravascular coagulation with respect to
• Etiology and pathogenesis
• Clinical features and laboratory diagnosis
• List the causes of decreased production and decreased survival of platelets.
• Describe the pathogenesis of idiopathic & thrombotic thrombocytopenic
purpura
• Indicate the value of following tests in the assessment of bleeding
disorders
• Bleeding time
• Clothing time
• Platelets count
• Platelet function test
• Partial thromboplastin time
• Prothrombin time
• Mixing test studies
• Describe polycythemia with respect to
• Etiology
• Pathogenesis
• Clinical significance
• Lab. Diagnosis
• Describe the ABO and Rhesus blood groups and outline the way in which a
sample of blood is typed.
• List the hazards of blood transfusion and how these can be prevented.
3. RESPIRATORY SYSTEM
• List micro-organisms causing upper respiratory tract infection.
• Describe the etiology and clinical features of rhinitis and nasal polyps.
• List malignant & benign tumours of nasopharynx and larynx.
• Discuss pleural effusion, hemothorax, hydrothorax, pleuretis,
pneumothorax and chylothorax.
• Discuss acute pharyngitis, acute bacterial epiglottis and acute laryngitis.
• Classification of atelactasis on the basis of underlying mechanism.
282
• Differentiate between restrictive & obstructive lung disease on the basis of
pulmonary function tests.
• Describe the etiology pathogenesis, morphology & clinical features of
asthma.
• Describe various types of emphysema, its pathogenesis, morphology and
clinical features.
• Describe pathogenesis and clinical features of chronic bronchitis.
• Describe the predisposing factors, pathogenesis, morphology & clinical
features of bronchiectasis.
• List the clinical conditions associated with restrictive lung diseases. 57
Describe the pathogenesis, morphology & clinical features of adult respiratory
distress syndrome.
• Describe the pathogenesis, morphology & clinical features of sarcoidosis
and hypersensitivity pneumonitis.
• Describe the pathogenesis, morphology and clinical features of idiopathic
pulmonary fibrosis.
• Describe clinical features of Goodpasture's syndrome.
• List the pathogenesis, morphology & clinical features of thromboemboli.
• Describe the morphology & clinical features of pulmonary infarction.
• List the causes of pulmonary hypertension and vascular sclerosis.
• Describe the etiology, pathogenesis, morphology & clinical features of
acute bacterial pneumonia.
• List the micro-organisms causing atypical pneumonia.
• Discuss the etiology, pathogenesis & clinical features of tuberculosis of the
lung.
• List the Fungi (candida, pneumocystis carinii) causing lung infections.
• Describe the classification, etiology, pathogenesis and clinical features of
bronchogenic carcinoma.
• Describe etiology & pathogenesis of mesothelioma.
• Describe pneumoconioses with respect to etiology, pathogenesis and
clinical features.
4. THE ORAL CAVITY AND GASTROINTESTINAL TRACT
4.1 Oral cavity
• Define the term leukoplakia.
• List the possible predisposing factors (pipe smoking, ill-fitting denture,
alcohol abuse, irritant foods) of leukoplakia.
• Discuss the risk factors of oral cancer.
• Describe the clinical and morphological feature of oral cancer.
• List the benign and malignant tumours of salivary glands.
• Describe the clinical and morphological features of pleomorphic adenoma.
4.2 Esophagus
• Describe the predisposing factors of esophagitis.
• Carcinoma of the esophagus.
283
4.3 Stomach
• List the predisposing factors associated with acute gastritis.
• Describe the pathogenesis and clinical features of acute gastritis.
• Describe the pathogenesis, morphological and clinical features of chronic
gastritis.
• Describe the pathogenesis, morphological and clinical features of peptic
ulcer
Describe the gastric carcinoma with respect to
• Risk factors
• Pathogenesis
• Clinical and morphological features
• Prognosis
4.4 Intestine
• Describe the clinical and morphological features of Hirschsprung's disease.
• Describe the pathogenesis, morphological and clinical features of
• Celiac sprue
• Tropical sprue
• Describe the predisposing conditions for ischemic bowel disease.
• Describe the clinical and morphological features of ischemic bowel disease.
• Differentiate between Crohn's disease and ulcerative colitis.
• List the major causes of intestinal obstruction.
• Describe the clinico-pathological features of following diseases of intestine
• Amebiasis
• Tuberculosis
• Typhoid
• List the non-neoplastic polyps of intestine.
• Classify adenomas on the basis of epithelial architecture.
• Describe the clinical and morphological features of adenomas.
• Discuss the pathogenesis of colorectal carcinoma.
• Describe the morphological and clinical features of colorectal carcinoma.
• Describe the Aster-Collar classifications of carcinoma of the colon and
rectum.
• Describe carcinoid tumour with respect to the
• Peak incidence
• Most prevalent sites in the gut
• Morphological features.
• Describe the clinical features of carcinoid syndrome.
• Describe the etiology, pathogenesis, morphological and clinical features of
acute appendicitis.
• List the tumours of appendix.
5. LIVER & BILIARY TRACT
5.1 Liver
• Describe the pathway of bilirubin metabolism and its elimination from the
body.
284
• Describe the types of jaundice with respect to the following:
• Causes
Clinical features
• Lab diagnosis
• Differentiate between intrahepatic and extrahepatic biliary obstruction.
• List the causes of hepatic failure.
• Describe the morphological and clinical features of hepatic failure.
• Describe the important complication of liver failure (hepatic
encephalopathy, hepatorenal syndrome).
• List the common causes of cirrhosis (viral hepatitis, cryptogenic, alcohol,
biliary disease, genetic hemochromatosis, Wilson's disease, alpha-1 anti-
trypsin deficiency).
• Discuss the pathogenesis of cirrhosis.
• Describe the complications of cirrhosis (progressive liver failure, portal
hypertension, hepatocellular carcinoma).
• Differentiate among viral hepatitis A, B, C, D and E with respect to
• Route of transmission
• Incubation period
• Clinical features.
• Potential outcome of acute infection.
• Define carrier state and differentiate between acute and chronic hepatitis.
• List the common causes of liver abscess (amebic, echinococcal, bacterial,
fungal).
• Describe clinical and morphological features of liver abscess.
• List the drugs and toxins which cause hepatic injury along with their
specific effects.
• Discuss the pathogenesis of alcohol liver disease.
• Describe the morphological and clinical features of alcoholic hepatitis and
cirrhosis.
• List the causes of secondary hemochromatosis.
• Describe the pathogenesis, morphological and clinical features of
hemochromatosis.
• Discuss the clinico-morphological features of Wilson's disease.
• Describe the clinico-morphological features of alpha-1 anti-trypsin
deficiency.
• List the causes of neonatal hepatitis.
• Differentiate between primary and secondary biliary cirrhosis.
• Discuss the epidemiology, pathogenesis, morphological and clinical
features of hepatocellular carcinoma.
5.2 Biliary tract
• Describe the pathogenesis and risk factors of cholelithiasis.
• Describe the morphological and clinical features of acute and chronic
cholecystitis.
• Describe clinical and morphological features of gall bladder cancer.
6. THE URINARY SYSTEM
285
• Define the terms:
• Azotemia
• Uremia
• Acute renal failure
• Chronic renal failure
• Discuss the types, genesis, basis, clinical features and complications of
polycystic kidney disease.
• Describe different types and pathogenesis mechanisms of
glomerulonephritis.
• Differentiate between nephrotic and nephritic syndrome. List the
diseases included in these categories, their etiology and pathogenesis
mechanisms (membranous, minimal change, membranoproliferative&
acute poststreptococcalglomeruloneph-ritis).
• Discuss the etiology, clinical course, pathogenesis and complications of
acute pyelonephritis.
• Discuss pathogenesis mechanism, morphology clinical features and
complications of chronic pyelonephritis.
• Define acute tubular necrosis, its pathogenesis and clinical course.
• Differentiate between benign and malignant nephrosclerosis. (on the
basis of clinical date). Discuss the pathogenetic mechanism,
morphology and clinical course (Gross & microscope picture).
• Discuss the pathogenesis, clinical features and lab diagnosis of
nephrolithiasis. List the various types of renal stones.
• Define hydronephrosis, what are its causes, clinical features and
complications.
• Discuss the epidemiology, morphology and clinical features
(paraneoplastic syndrome) of renal cell carcinoma.
• Describe the clinical features, morphology and prognosis of
Wilm'stumour.
• Describe the etiology, morphology & clinical features of cyctitis.
• Describe the clinical features, etiology and morphology of transitional
cell carcinoma of the urinary bladder.
MALE GENITAL SYSTEM
• Discuss the following congenital conditions
• Hypospadias
• Undescended testis
• Describe the etiology, route of infection, pathogenesis and methods of
diagnosing urethritis.
• Gonococcal
• Non gonococcal
• Discuss the etiology, pathogenesis and natural history of
• Prostatitis
• Prostatic hyperplasia
286
• Prostatic carcinoma
• Discuss the causes, pathogenesis and clinical features of scrotal swelling.
• Testicular adnexae
• Varicocele
• Hydrocele
• Spermatocele
• Testis and epididymis
• Inflammation (Orchitis)
• Epididymitis
• Tumour
• Discuss the causes, pathogenesis and relevant investigations of male
infertility.
• Classify the tumours of the male genital tract.
• Prostate
• Testis
8. FEMALE GENITAL SYSTEM
• List the causes, routes of infection & methods of diagnosis of sexually
transmitted diseases. List the micro-organisms involved, route of
infection, pathogenesis and methods of diagnosing the following:
• Gonorrhea, syphilis, chlamydia, HPV, herpes simplex and trichomonas
vaginalis.
• Classify the neoplasms of cervix with special reference to cervical
intraepithelial neoplasia.
• Describe the clinical features and pathogenesis of adenomyosis and
endometriosis.
• Describe the causes, pathogenesis and clinical features of dysfuctional
uterine bleeding with special reference to endometrial hyperplasia,
endometrial polyp and carcinoma.
• Classify tumours of the uterus.
• Classify tumours of the ovary.
Describe the etiology, clinical features and pathogenesis of ectopic pregnancy and
toxemia of pregnancy.
• Classify gestational trophoblastic tumours with special reference to their
clinical features.
BREAST
• List the causes of lump in the breast and discuss etiology, pathogenesis,
morphology, clinical features and natural history of
• Mastitis
• Fibrocystic disease of the breast
• Benign tumours of the breast (Fibroadenoma and Phyllodestumour)
• Carcinomas of the breast (Ductal and Lobular)
• List the causes of nipple discharge with special reference to intraductal
papilloma.
287
• Describe gynaecomastia, and list its causes.
10. MUSCULOSKELETAL SYSTEM
• Describe the pathogenesis and clinical features of each of the following
• Achondroplasia.
• Osteogenesis imperfecta.
• List the causes of osteoporosis.
• Describe the pathogenesis, morphological and clinical features of
osteoporosis.
• Describe osteomyelitis with respect to
• Common causative micro-organism (Staphylococcus aureus,
Pseudomonas, Escherichia coli, group-B Streptococci, Salmonella,
Mycobacterium tuberculosis).
• Common routes of spread (hematogenous, direct extension from the
focus of infection, traumatic implantation).
• Complications.
• Differentiate between acute and chronic osteomyelitis.
• List the common sites involved in tuberculosis osteomyelitis (vertebral
bodies, long bones).
• Describe the pathogenesis, morphological and clinical features of Paget's
disease (osteitis deformans).
• List the benign and malignant bone forming tumours.
• List the common sites (lower end of femur, upper end of tibia, upper end
of humerus) of osteogenic sarcoma.
• Describe the morphological and clinical features of osteogenic sarcoma.
• List the benign and malignant cartilaginous tumours.
• Describe chondrosarcoma with respect Peak incidence (sixth decade)
• Common sites of origin (shoulder, pelvis, proximal femur, and ribs)
• Morphological and clinical features.
• List the most frequent sites (distal femur, proximal tibia, proximal humerus
and distal radius) of giant cell tumours of bone.
• Describe the clinical and morphological features of giant cell tumours of
bone.
• Describe the Ewing's sarcoma with respect to
• Peak incidence (second decade)
• Common sites of origin (femur, tibia, pelvis)
• Chromosomal abnormality t(11:22) (q24; q12).
• Morphological and clinical features.
• Describe the pathogenesis, morphological and clinical features of
osteoarthritis
• Describe rheumatoid arthritis with respect to
• Pathogenesis
• Morphological and clinical features
• Classify gout.
• Describe the pathogenesis, morphological and clinical features of gout.
288
• Describe the pathogenesis, morphological and clinical features of
• Duchenne muscular dystrophy
• Myotonic dystrophy
• List congenital myopathies (central core disease, nemaline myopathy and
centronuclear myopathy).
• List inflammatory myopathies (dermatomyositis, polymyositis and inclusion
body myositis).
• Describe the clino-pathological features of myasthenia gravis.
• Differentiate between lipoma and lipasarcoma.
• Describe rhabdomyosarcoma with respect to
• Peak incidence (1st
decade of life).
• Histological variants (embryonal, alveolar, sarcoma botryiodes,
pleomorphic).
• Frequent sites (head & neck region, genitourinary, retroperitonium).
11. ENDOCRINE SYSTEM
Pituitary
• List the causes of hyperpituitarism.
• Describe the morphology and clinical features of pituitary adenomas.
• Describe the clinical features of acromegaly and giantism.
• List the causes of hypopituitarism.
• Describe the etiology, pathogenesis and clinical features of
• Sheehan’s syndrome
• Dwarfism
• Describe the etiology factors, clinical features, pathogenesis and lab
findings in inappropriate secretion of ADH.
11.1 Adrenal Cortex and Medulla
• List the causes of adrenal cortical hyperfunction.
• Describe the etiology, pathogenesis clinical features and lab diagnosis
of
• Conn’s syndrome
• Adrenogenital syndrome.
• List the causes of hypofunction of adrenal cortex.
• Describe the etiology, pathogenesis, and clinical features of Addison’s
disease.
• List the tumours of adrenal medulla and cortex.
• Describe the clinical features and diagnosis of pheochromocytoma.
11.2 Thyroid
• List the etiology and clinical features of hyperthroidism.
• List the etiology and clinical features of hypothyroidism including
• Cretinism
• Myxedema.
289
• Discuss the investigation/lab tests for diagnosis of thyroid dysfunction.
• Define goiter and list its types (diffuse and multinodular).
• Describe the etiology, pathogenesis and clinical features of diffuse and
multinodular goiter.
• List the causes of solitary thyroid nodule and discuss the diagnostic
approach.
• Describe the types, with pathogenesis, morphology and clinical features
of thyroiditis with special reference to auto-immune thyroiditis
(Hashimoto’s thyroiditis and Grave’s disease).
• Classify the etiology, pathogenesis, morphology and clinical features of
• Follicular adenoma
• Papillary carcinoma
• Follicular carcinoma
• Medullary carcinoma.
• List the types of MEN syndromes.
11.3 Paratyroid
• List the etiologic factors and clinical features of hyperparathyroidism.
• List the etiologic factors and clinical features of hypoparathyroidism
• Differentiate between primary, secondary and tertiary hyperpara-
thyroidism.
• Discuss calcium haemostasis and causes of hyper and hypocalcemia.
Define the following macroscopic and microscope terms:
Macule, papule, nodule, plaque, vesicle, bulla, blister, putsule, scale,
lichenification, excoriation, hyperkeratosis, parakeratosis, acanthosis,
dyskeratosis, acantholysis, papillomatosis, lentiginous spongiosis.
• Describe the morphological and clinical features of urticaria.
• Classify eczematous dermatitis.
• Describe the etiology and pathogenesis of
• Contact dermatitis
• Atopic dermatitis
• Drug related eczematous dermatitis
• Photoeczematus eruptions
• Primary irritant dermatitis
• Describe the morphological and clinical features of acute eczematous
dermatitis.
• List the conditions which are associated with erythema multiforme.
• Describe the clinical features of erythema multiforme.
• Describe the pathogenesis, morphological and clinical features of
psoriasis.
• Describe the variants of pemphigus with respect to frequent site of
involvement and clinical features.
• Discuss the pathogenesis of pemphigus.
• Describe the clinical and morphological features of bullous pemphigoid.
• List the pre-malignant epithelial lesions.
290
• List the types of warts and their most frequent locations.
• List the predisposing factors of squamous cell carcinoma of skin.
• Describe the clinical and morphological features of basal cell carcinoma.
• List the types of Nevocellular Nevi (congenital nevus, blue nevus, spitz’s
nevus, halo nevus, dysplastic nevus) along with their clinical
significance.
• Describe the clinical and morphological features of dysplastic nevi.
• Describe malignant melanoma with respect to frequent site of origin,
clinical and morphological features.
13. NERVOUS SYSTEM
• Describe clinico-pathological features of hydrocephalus.
• Describe the categories of cerebral edema (vasogenic& cytotoxic).
• List the types of herniation of brain alongwith clinical significance.
• Describe the clinical and morphological features of intra-cranial
haemorrhage.
• Differentiate between acute purulent meningitis and acute lymphocytic
meningitis.
List the etiologic agents of chronic meningitis (mycobacterium
tuberculosis, Cryptococcus neoformas, Treponema pallidum).
• Describe clinical and morphological features of chronic meningitis.
• List the route of infecting agents causing brains abscess
• Describe the clinical and morphological features of brain abscess.
• Describe the clinical and morphological features of tuberculosis
meningitis.
• List the causative organisms of viral encephalitis (herpes simples virus,
cytomegalovirus, HIV, JC virus, arbovirus).
• Describe clinico-pathological features of Guillain Barre syndrome.
• List the infectious agents associated with polyneuropathies (leprosy, C.
diphtheria, Varicella-zoster virus).
• List the organic and inorganic compounds which can produce toxic
neuropathy (organophosphorous esters, vincristine, acrylamide,
hexame, ethanol, arsenic and lead).
• List the important types of intracranial tumours (astrocytoma,
oligodendrogliomas, ependymoma, medulloblastoma and
meningioma) along with clinical significance of glial tumours.
• List the frequent metastatic tumours to the brain (carcinoma of the
lung, breast, malignant melanoma, leukemia and lymphoma).
• List common primary peripheral nerve sheath neoplasms along with
their clinical significance.
14. CHEMICAL PATHOLOGY
1. Introduction to chemical pathology, reference/ranges conventional
and SI units.
291
2. Renal functions.
3. Causes of proteinuria and its lab diagnosis.
4. Lab diagnosis of acid base disorders.
5. Lab diagnosis of diabetese mellitus.
6. Liver function tests.
7. Lab diagnosis of hyperlipidaemia and its clinical interpretation.
8. Role of enzymes in diagnosis of pancreatitis.
9. Lab diagnosis of inborn errors of metabolism.
10.Lab diagnosis/investigations of endocrinic disorders:-
i. Thyroid function tests.
ii. Adrenal function test.
iii. Lab diagnosis of hyper and hypoparathyroidism.
iv. Role of hormone estimation in diagnosis of infertility.
v. Role of hormone estimation in diagnosis of growth disorder
UHS SYLLABUS
SUBJECT :SPECIAL PATHOLOGY
The course outline is as follows :-
1. BLOOD VESSELS & HEART
_ Atherosclerosis
_ Etiology and pathogenesis
292
_ Early lesion
_ Late and complicated lesion
_ Vessels affected
_ Complications
_ Monkeberg's medial calcific sclerosis
_ Arteriolosclerosis.
_ Hypertension
_ Classification
_ Causes of secondary hypertension
_ Vascular changes in hypertension.
_ Common pathogenetic mechanisms of vasculitis.
_ Aneurysm
_ Classification
_ Etiology.
_ Atherosclerotic aneurysm
_ Pathogenesis.
_ Type of vessel involved.
_ Morphological & clinical features.
_ Varicose veins
_ Common sites
_ Predisposing factors
_ Clinical features.
_ Benign and malignant tumours of blood vessels.
_ Pathogenesis of ischemic heart disease.
_ Myocardial infarction
_ Sequence of changes in myocardial infarction (M.I)
_ Pattern of elevation of biochemical markers used in the evaluation
of M.I
_ Complications.
_ Causes of sudden cardiac death.
_ Cor-pulmonale
_ Predisposing disorders.
_ Rheumatic Endocarditis
293
_ Bacterial Endocarditis
_ Etiology
_ Pathogenesis
_ Morphological & clinical features.
_ Complications
_ Myocarditis.
_ Morphological and clinical features of myocarditis.
_ Cardiomyopathy
_ Dilated
_ Hypertrophic
_ Restrictive.
_ Pericarditis.
_ Clinical and morphological feature of pericarditis.
_ Primary & secondary cardiac tumours.
_ Fallot's tetralogy
_ Coarctation of aorta
2. HEMATOPOIETIC AND LYMPHOID SYSTEMS
_ Stages in the formation of red blood cell and white blood cells.
_ Normal values of red cell count
_ Hemoglobin level
_ Packed cell volume
_ MCH
_ MCV
_ MCHC
_ WBC Count
_ Platelet count.
_ Anemia
_ Classification
_ Causes
_ Etiology, Blood picture, clinical features and Lab Diagnosis of;
_ Iron deficiency anemia
_ Megaloblastic anemia.
_ Folate deficiency anemia.
294
_ Vit.B12 deficiency anemia.
_ Anemia of chronic disease
_ Nutritional deficiency anemia.
_ Hereditary spherocytosis
_ Incidence
_ Etiology
_ Pathogenesis
_ Morphological and Clinical features
_ Thalassemia.
_ Classification
_ Pathogenesis
_ Blood picture
_ Clinical and genetic features.
_ Hemolytic anemia
_ Glucose-6-phosphate dehyrogenase deficiency.
_ Immunohemolytic anemia.
_ Warm and cold antibodies immunohemolytic anemias.
_ Aplastic anemia
_ Etiology
_ Pathogenesis
_ Clinical features
_ Lab. Diagnosis
_ Neutropenia
_ Agranulocytosis.
_ Leukocytosis.
_ Infectious mononucleosis
_ Epidemiology
_ Morphology
_ Clinical features
_ Acute and chronic nonspecific lymphadenitis.
_ Non-hodgkin's lymphoma
_ Classification (real and working formulations)
_ Hodgkin's disease
295
_ Classification
_ Clinical stages
_ Etiology and pathogenesis
_ Leukemia
_ Prognostic factors of acute lymphoblastic and acute myeloblasticleukemias.
_ Pathophysiology of chronic myeloid and chronic lymphocytic leukemias
_ Multiple myeloma
_ Etiology
_ Pathogenesis
_ Morphology
_ Clinical features
_ Disseminated intravascular coagulation
_ Etiology
_ Pathogenesis
_ Clinical features
_ Laboratory diagnosis
_ Causes of decreased production and decreased survival of platelets.
_ Idiopathic & thrombotic thrombocytopenic purpura
_ Value of following tests in the assessment of bleeding disorders
_ Bleeding time
_ Clotting time
_ Platelets count
_ Platelet function test
_ Partial thromboplastin time
_ Prothrombin time
_ Mixing test studies
_ Polycythemia
_ Etiology
_ Pathogenesis
_ Clinical significance
_ Lab. Diagnosis
_ ABO and Rhesus blood groups
_ Screening of Donors
296
_ Hazards of blood transfusion and their prevention.
3. RESPIRATORY SYSTEM
_ Micro-organisms causing upper respiratory tract infection.
_ Etiology and clinical features of;
_ Rhinitis
_ Nasal polyps
_ Acute pharyngitis
_ Acute tonsillitis
_ Acute bacterial epiglottis
_ Acute laryngitis
_ Pleural effusion
_ Hemothorax,
_ Hydrothorax
_ Pleuritis,
_ Pneumothorax
_ Chylothorax
_ Malignant & benign tumours of nasopharynx and larynx.
_ Atelectasis
_ Classification
_ Pathogenesis
_ Restrictive & obstructive lung disease
_ Etiology pathogenesis, morphology & clinical features of;
_ Asthma.
_ Various types of emphysema
_ Chronic bronchitis.
_ Bronchiectasis.
_ Adult respiratory distress syndrome.
_ Restrictive lung diseases.
_ Sarcoidosis
_ Hypersensitivity pneumonitis.
_ Idiopathic pulmonary fibrosis.
_ Goodpasture's syndrome.
_ Thromboemboli.
297
_ Pulmonary infarction.
_ Pulmonary hypertension and vascular sclerosis.
_ Acute bacterial pneumonia.
_ Micro-organisms causing atypical pneumonia.
_ Etiology, pathogenesis & clinical features of;
_ Tuberculosis of the lung.
_ Pneumoconiosis
_ Fungi (candida, pneumocystis carinii) causing lung infections.
_ Bronchogenic carcinoma and mesothelioma
_ Classification
_ Etiology
_ Pathogenesis
_ Clinical features
4. THE ORAL CAVITY AND GASTROINTESTINAL TRACT
_ Oral cavity
_ Leukoplakia.
_ Oral cancer
_ Risk factors
_ Morphology
_ Clinical feature
_ Benign and malignant tumours of salivary glands.
_ Pleomorphic adenoma.
_ Clinical features
_ Morphology
_ Esophagus
_ Predisposing factors of esophagitis.
_ Carcinoma of the esophagus
_ Stomach
_ Etiology, pathogenesis, morphological and clinical features of ;
_ Acute gastritis
_ Chronic gastritis.
_ Peptic ulcer.
_ Gastric carcinoma
298
_ Risk factors
_ Pathogenesis
_ Morphology
_ Clinical features and diagnosis
_ Prognosis
_ Intestine
_ Etiology, pathogenesis, morphological and clinical features of;
_ Hirschsprung's disease
_ Celiac sprue
_ Tropical sprue
_ Ischemic bowel disease.
_ Crohn's disease
_ Ulcerative colitis.
_ Acute appendicitis
_ Major causes of intestinal obstruction.
_ Clinico-pathological features of following diseases of intestine
_ Amebiasis
_ Tuberculosis
_ Typhoid
_ Non-neoplastic polyps of intestine.
_ Adenomas
_ Classification on the basis of epithelial architecture.
_ Clinical and morphological features
_ Colorectal carcinoma.
_ Classification
_ Etiology
_ Pathogenesis
_ Morphological and clinical features
_ Aster-Coller classifications of carcinoma of the colon and rectum.
_ Carcinoid tumour
_ Peak incidence
_ Most prevalent sites in the gut
_ Morphological features
299
_ Clinical features of carcinoid syndrome.
_ Etiology, pathogenesis, morphological and clinical features of tumours of
appendix.
_ Liver and Biliary Tract
_ Liver
_ Pathway of bilirubin metabolism and its elimination from the body
_ Jaundice
_ Classification
_ Causes
_ Clinical features
_ Lab diagnosis
_ Intrahepatic and extrahepatic biliary obstruction.
_ Etiology, pathogenesis, morphology, clinical features and complication of;
_ Hepatic failure
_ Cirrhosis
_ Viral hepatitis A,B,C,D and E
_ Route of transmission
_ Incubation period
_ Clinical features.
_ Potential outcome of acute infection.
_ Carrier state
_ Acute and chronic hepatitis.
_ Etiology, morphological and clinical features of liver abscess.
_ Drugs and toxins causing hepatic injury
_ Pathogenesis of alcohol liver disease.
_ Morphological and clinical features of alcoholic hepatitis and cirrhosis.
_ Classification, etiology, pathogenesis, morphological and clinical features of;
_ Hemochromatosis.
_ Secondary hemochromatosis.
_ Wilson's disease.
_ Alpha-1 antitrypsin deficiency.
_ Neonatal hepatitis.
300
_ Primary and secondary biliary cirrhosis.
_ Hepatocellular carcinoma
_ Epidemiology
_ Pathogenesis
_ Morphology
_ Clinical features
_ Biliary tract
_ Pathogenesis and risk factors of cholelithiasis.
_ Morphological and clinical features of acute and chronic cholecystitis.
_ Clinical and morphological features of gall bladder cancer.
_ Pancreas.
_ Acute and chronic pancreatitis
_ Etiology
_ Pathogenesis
_ Morphology
_ Clinical features.
_ Clinical and morphological features of carcinoma of pancreas.
5. THE URINARY SYSTEM
_ Etiology, pathogenesis, clinical features and complications of;
_ Azotemia
_ Uremia
_ Acute renal failure
_ Chronic renal failure
_ Polycystic kidney disease (its Classification)
_ Glomerulonephritis (its Classification)
_ Nephrotic and nephritic syndrome
_ Acute pyelonephritis.
_ Chronic pyelonephritis.
_ Hydronephrosis
_ Pathogenesis and clinical course of acute tubular necrosis.
_ Benign and malignant nephrosclerosis
_ Characteristics of various types of renal stones
_ Pathogenesis, clinical features and lab diagnosis of nephrolithiasis
301
_ Epidemiology, morphology, clinical features and prognosis of Wilm'stumour
_ Classification, Epidemiology, morphology, clinical features and prognosis of renal cell
carcinoma
_ Etiology, morphology & clinical features of cystitis.
_ Clinical features, etiology and morphology of transitional cell carcinoma of the urinary
bladder.
6. MALE GENITAL SYSTEM
_ Hypospadias
_ Undescended testis
_ Urethritis (Gonococcal, Non gonococcal)
_ Etiology
_ Route of infection
_ Pathogenesis
_ Diagnosis
_ Etiology, pathogenesis and natural history of;
_ Prostatitis
_ Prostatic hyperplasia
_ Causes, pathogenesis and clinical features of scrotal swelling.
_ Testicular adnexa
_ Varicocele
_ Hydrocele
_ Spermatocele
_ Testis and epididymis
_ Inflammation (Orchitis)
_ Epididymitis
_ Causes, pathogenesis and relevant investigations of male inferitlity.
_ Classification, pathogenesis, morphology, clinical features and prognosis of the
tumours of the male genital tract (Prostate,Testis)
7. FEMALE GENITAL SYSTEM
_ Causes, routes of infection & methods of diagnosis of sexually transmitted diseases.
_ Route of infection, pathogenesis and Lab diagnosis of;
_ Gonorrhea
_ Syphilis
302
_ Chlamydia
_ HPV
_ Herpes simplex
_ Trichomonas vaginalis.
_ Cervical intraepithelial neoplasia
_ Neoplasms of cervix
_ Causes, pathogenesis and clinical features of dysfunctional uterine bleeding with
special reference to endometrial hyperplasia,endometrial polyp and carcinoma.
_ Etiology, clinical features and pathogenesis of;
_ Adenomyosis
_ Endometriosis
_ Ectopic pregnancy
_ Toxemia of pregnancy.
_ Classification, pathogenesis, morphology, clinical features and prognosis of the tumours
of
the female genital tract (uterus, ovary and Gestational trophoblastic tumours).
8. BREAST
_ Etiology and causes of lump in the breast
_ Etiology, Pathogenesis, Morphology and clinical features;
_ Mastitis
_ Fibrocystic disease of the breast
_ Intraductal papilloma
_ Benigntumours of the breast (Fibroadenoma and Phyllodestumour)
_ Gynaecomastia
_ Carcinomas of the breast (Ductal and Lobular)
9. MUSCULOSKELETAL SYSTEM
_ Pathogenesis and clinical features of ;
_ Achondroplasia.
_ Osteogenesis imperfecta.
_ Osteoporosis.
_ Acute and chronic osteomyelitis
_ Common causative micro-organism
_ Common routes of spread
303
_ Complications.
_ Common sites involved in tuberculous osteomyelitis
_ Pathogenesis, morphological and clinical features of Paget's disease (osteitis
deformans).
_ Benign and malignant bone forming tumours.
_ Common sites, morphological and clinical features of osteogenic sarcoma.
_ Benign and malignant cartilaginous tumours.
_ Chondrosarcoma
_ Peak incidence
_ Common sites of origin
_ Morphological and clinical features.
_ Most frequent sites, clinical and morphological features of giant cell tumours of bone.
_ Ewing's sarcoma
_ Peak incidence
_ Common sites of origin
_ Chromosomal abnormality
_ Morphological and clinical features.
_ Pathogenesis, morphological and clinical features of osteoarthritis
_ Rheumatoid arthritis
_ Pathogenesis
_ Morphological and clinical features
_ Lab Diagnosis
_ Gout.
_ Classification
_ Pathogenesis
_ Morphological and clinical features
_ Lab Diagnosis
_ Pathogenesis, morphological and clinical features of;
_ Duchenne muscular dystrophy
_ Myotonic dystrophy
_ Congenital myopathies
_ Inflammatory myopathies
_ Myasthenia gravis.
304
_ Lipoma and lipasarcoma.
_ Rhabdomyosarcoma
_ Peak incidence
_ Histological variants
_ Frequent sites
10. ENDOCRINE SYSTEM
_ Pituitary.
_ Causes of hyperpituitarism.
_ Morphology and clinical features of;
_ Pituitary adenomas.
_ Acromegaly
_ Gigantism.
_ Causes of hypopituitarism.
_ Etiology, pathogenesis and clinical features of;
_ Sheehan’s syndrome
_ Dwarfism
_ Etiology, clinical features, pathogenesis and lab findings in inappropriate secretion of
ADH.
_ Adrenal Cortex and Medulla
_ Adrenal cortical hyperfunction. (CUSHNG’S SYNDROME)
_ Etiology, pathogenesis clinical features and lab diagnosis of;
_ Conn’s syndrome
_ Adrenogenital syndrome.
_ Causes of hypofunction of adrenal cortex.
_ Etiology, pathogenesis and clinical features of Addison’s disease.
_ Tumours of adrenal medulla and cortex.
_ Clinical features and diagnosis of pheochromocytoma.
_ Thyroid
_ Etiology and clinical features of hyperthyroidism.
_ Etiology and clinical features of hypothyroidism including Cretinism and Myxedema.
_ Investigation / lab tests for diagnosis of thyroid dysfunction.
_ Goiter and its types
_ Etiology, pathogenesis and clinical features of diffuse and multinodular goiter.
305
_ Causes of solitary thyroid nodule and its diagnostic approach.
_ Thyroiditis
_ Types
_ Pathogenesis
_ Morphology
_ Clinical features
_ Etiology, pathogenesis, morphology and clinical features of;
_ Follicular adenoma
_ Papillary carcinoma
_ Follicular carcinoma
_ Medullary carcinoma.
_ Undifferentiated.
_ Types of MEN syndromes.
_ Parathyroid
_ Etiology and clinical features of hyperparathyroidism and hypoparathyroidism.
_ Primary, secondary and tertiary hyperparathyroidism.
_ Calcium homeostasis
_ Causes of hyper and hypocalcemia.
_ SKIN
_ Macule, papule, nodule, plaque, vesicle, bulla, blister, putsule, scale,lichenification,
excoriation,
hyperkeratosis, parakeratosis, acanthosis,dyskeratosis, acantholysis, papillomatosis,
lentiginous
spongiosis.
_ Morphological and clinical features of urticaria.
_ Etiology, pathogenesis morphological and clinical features of;
_ Eczematous dermatitis.
_ Contact dermatitis
_ Atopic dermatitis
_ Photoeczematus eruptions
_ Primary irritant dermatitis
_ Erythema multiforme..
_ Psoriasis.
306
_ Pemphigus
_ Bullous pemphigoid.
_ Premalignant epithelial lesions.
_ Types of warts and their most frequent locations.
_ Predisposing factors, morphology, clinical features and prognosis of;
_ Squamous cell carcinoma
_ Basal cell carcinoma.
_ Types, clinical and morphological features of;
_ Nevocellular Nevi
_ Dysplastic nevi.
_ Malignant melanoma
_ Classification
_ Frequent site of origin
_ Clinical and morphological features.
11. NERVOUS SYSTEM
_ Clinico-pathological features of hydrocephalus.
_ Cerebral edema (vasogenic& cytotoxic).
_ Types of herniation of brain and their clinical significance.
_ Intra-cranial hemorrhage.
_ Etiologic agents, clinical and morphological features of;
_ Acute purulent meningitis
_ Acute lymphocytic meningitis
_ Chronic meningitis
_ Brain abscess
_ Tuberculosis meningitis.
_ Viral encephalitis
_ Clinico-pathological features of Guillain Barre syndrome.
_ Polyneuropathies
_ Toxic neuropathy
_ Important intracranial tumours (astrocytoma,oligodendrogliomas, ependymoma,
medulloblastoma and meningioma)
_ Clinical significance of glial tumours.
_ Frequent metastatic tumours to the brain
307
PATHOLOGY ACADEMIC PLANNER 3RD YEAR MBBS, 2017-2018LESSON
PLANNER
Semester 1
Subject information will be delivered to the learners through Interactive Lectures, Practical,
Tutorials, Grand Tutorial, CMEs
1st Semester MITs and Assessment with Allocated hours:
MITs Total
Number/Semester
Allocated contact
Hours/Semester
Lectures 60 45
Practical 12 20
Tutorials 5 9
CME 3 11
Assessment 1 5
Total contact hrs 90 hrs
308
SEMESTER 1: LESSON PLANNER LECTURES
SUBJECT: GENERAL PATHOLOGY AND MICROBIOLOGY
Unit
name
Chapter
Topic
Learning objectives (At the end of
lecture students should be able
to understand)
Lecture
no
Facilita
-tor
Mic
rob
iolo
gy
Ge
ne
ral
Ba
cte
rio
log
y
Introduction to
bacteriology
Introduction and structure of bacteria,
growth ,.genetics and classification.
1
Pro
f. G
hu
lam
Mu
jta
ba
Physiology of bacteria
Introduction, growth and metabolism 1
Bacterial growth
Growth cycle, Aerobic and anaerobic
growth.
1
Genetics of bacteria Introduction, Mutations 1
Classification of bacteria
Principles of classification and
classification of important bacteria
1
Normal flora
Concept of normal flora, members
&their anatomical locations
1
Pathogenesis of bacteria
Principles and stages and determinants
of pathogenesis, types of bacterial
infections
1
Host defences Principles of host defenses, innate
immunity ,acquired immunity,
1
Labortary diagnosis of
bacteria
Approaches to labortarydiagnosis
,different bacteriological methods.
2
Antimicrobial drugs Principles of antimicrobial therapy,
Bactericidal and bacteriostatic activities
1
Sterlization Principles of sterilization ,chemical
agents and physical agents .
1
Disinfection Principles of disinfection ,chemical
agents and physical agents.
1
common serological
techniques
Introduction,types of serological
techniques
1
Principles of aseptic
techniques
Care of sterile items, keeping
microorganisms free environment.
1
Mic
rob
iolo
gy
Pa
rasi
tolo
gy
Introduction General introduction, definitions 1
DrR
ab
iya
Ja
mil
Giardia lambli Introduction,life cycle & diagnosis 1
Entamoeba Introduction,life cycle & diagnosis 1
Cryptosporidium
&Trichomonas
Introduction,life cycle & diagnosis 1
Trypanosoma Introduction,life cycle & diagnosis 2
Leishmania Introduction,types, life cycle &diagnosis 1
Plasmodium Introduction,types, life cycle &
diagnosis
1
Minor protozoa Enlist the names life cycles &diagnosis
of minor protozoa.
1
309
T.solium& T. saginata Introduction,types, life cycle,teniasis,
cystecercosis& diagnosis
1
Diphyllobothrium&Ec
hinococcus
Introduction,life cycle & diagnosis 1
Schistosoma Introduction,life cycle & diagnosis 2
Chlonorchis ,
paragonimus
Introduction & diagnosis 1
Ascaris Introduction,life cycle & diagnosis 1
Entrobius Introduction,life cycle & diagnosis 1
Hookworm Introduction,life cycle & diagnosis 1
Oncocerca, wucheriria Introduction & diagnosis 1
Toxocara Introduction & diagnosis 1
cell injury and cell
death
Causes, morphology &types 1
Ge
ne
ral
Pa
tho
log
y
Ce
ll i
nju
ry ,
ad
ap
tati
on
s a
nd
ce
ll d
ea
th
Necrosis Types & morphological features of
different types.
2
DrN
ae
em
Ka
use
r
Ischemic reperfusion
injury
Main steps of mechanism 2
Chemical and free
radical cell injury
Main steps of mechanism 2
Apoptosis Causes,mechanism, morphological
changes
2
Intracellular
accumulations
Major types, mechanism,
morphological changes.
2
Cellular adaptations Major types, mechanism. 2
Autophagy and
cellular aging
Mechanism &Factors 2
General introduction
to inflammation
Definition, types, causes,
Cardinal signs
1
Ge
ne
ral
Pa
tho
log
y
Acu
te &
ch
ron
ic I
nfl
am
ma
tio
n
Acute inflammation Steps of vascular &cellular changes 1
DrR
ab
iya
Ja
mil
Chemical mediators Cellular and plasma mediators
sources &functions.
2
Systemic effects of
inflammation
Main symptoms and signs of
inflammation, fever mechanism.
2
Morphological
patterns of
inflammation
Different types with examples. 1
Chronic inflammation Causes, types, features. granuloma
and its types
1
Repair and
regeneration,
Definitions, Difference between
repair ,regeneration.
2
Ge
ne
ral
Pa
tho
log
y
Tis
sue
He
ali
ng
,Re
ge
ne
rati
on
&
Re
pa
ir
Cell cycle,
classification of body
tissues
Steps of cell cycle, different types of
tissues according to proliferative
capacity with examples.
1
DrR
ab
iya
Ja
mil
Stem cells Definition, types, clinical
importance.
2
Healing by connective First and second intention healing 2
310
tissue and the difference between them.
Factors affecting
&complications
List of local & systemic factors,
major complications
2
Primary and
secondary intention
healing
List the steps of primary and
seconadary healing and the
difference between them
1
SEMESTER 1:LESSON PLANNER PRACTICALS
SUBJECT: GENERAL PATHOLOGY AND MICROBIOLOGY
Practical
No. Topics Batch
Learning objectives
Facilitator
1. Study of microscope A-B-C parts microscope , function of
microscope
2. Gram staining A-B-C Purpose,principle,Procedure,
Results
3. ZN staining A-B-C Purpose,principle,Procedure,
Results
4. Urine examination A-B-C Procedure, Physical examination,
microscopic examination
5. Stool examination A-B-C procedure,microscopic examination of
different parasites
6. Culture media A-B-C Uses of culture media,types
,classification
8. Study of bacterial
motility A-B-C
Methods to check motility
9. Study of biochemical
reactions A-B-C
Purpose,procedure and interpretation
of results
10. Sterilization
techniques A-B-C
physical methods,chemical methods
11. Acute inflammation A-B-C Draw &label histological features of
acute appendicitis.
12 Chronic inflammation A-B-C Draw &label histological features
ochroniccholecystitisf
311
LESSON PLANNER TUTORIALS
Tutorial
NO. Topic
Learning objectives( At the end of
lecture students should be able to
understand)
Facilitator
1. Parasitology Life cycles, properties lab diagnosis of
protozoa and cestodes
2. Parasitology Life cycles, properties lab diagnosis of
protozoa and cestodes
3. General Bacteriology Bacterias and their structure, growth ,
physiology ,types and pathogenesis
4. Cell injury adaptation and
cell death
Cell injury types mechanism, cellular
adaptations, intracellular accumulations
5. Inflammation
Acute inflammation events, granuloma &
its types, morphological patterns &
outcomes
Semester 2:
Subject information will be delivered to the learners through Interactive Lectures, Practical,
Tutorials, Grand Tutorial, CMEs
2nd Semester MITs and Assessment with Allocated hours:
MITs Total
Number/Semester
Allocated contact
Hours/Semester
Lectures 60 45
Practical 12 20
Tutorials 5 9
CME 3 11
Assessment 1 5
Total contact hrs 90 hrs
SEMESTER 2:
LESSON PLANNER (LECTURES)
312
GENERAL PATHOLOGY AND MICROBIOLOGY
Unit Chapter Topic Learning objectives Np. Of
lecture
Facilita
tor
Ge
ne
ral
Pa
tho
log
y
He
mo
dy
na
mic
Dis
ord
ers
Edema, pathophysiology, types &clinical
significance
1
DrR
ab
iya
Ja
mil
Hemorrhage,
Hypermia
Congestion
Types. Definitions ,clinical examples
and differences between them.
1
Thrombosis Causes, pathogenesis, types & 1
Embolism Types , difference between
different types of emboli
1
Infarction types, morphological pictures in
different organs
1
Hemostasis Steps of primary &secondary
hemostasis
1
Shock Types with clinical examples
pathogenesis of major types, stages
of shock.
3
Ge
ne
ral
Pa
tho
log
y
Imm
un
olo
gy
Introduction to
immunology
Innate and adaptive immunity, cells
& tissues of immune system.
1
Pro
f.N
ae
em
Ka
use
r
Antigens &antibodies antigens, antibodies, epitope
Different types of antibodies
2
cell mediated and
humoral immunity
Basic mechanism 2
Celllular basis of
immune response
Basic mechanism 2
Complement system Pathways, stimuli &products of
complement system
1
MHC Structure &function of MHC 1
Hypersensitivity
reactions
Causes, types and examples of
Hypersensitivity reactions.
4
Autoimmunity Mechanism, causes major diseases. 1
Tissue Transplantation Different types of grafts 1
Immunodeficiency
diseases.
Main features of Congenital
&acquired immunodeficiency
diseases.
2
Amyloidosis
Pathogenesis, types & morphology
1
Ge
ne
ral
Pa
tho
log
y
Ge
ne
tics
Introduction to
Genetics
Important definitions, basics of
genetics
2
Dr
Sa
dia
Sh
ari
f
Mutations
autosomal dominant
autosomal recessive
disorders
Important genetic mutations and
genetic basis of diseases.
2
Single gene defects,
Trisomies
Basics of Single gene defects,
Trisomies
1
Mic
rob
i
olo
Sp
e
cia
l
Ba
c
teri Introduction Overview of the major pathogens. 1
Pro f.
Gh
Staphylococci Properties ,transmission, 1
313
pathogenesis,clinical findings, lab
diagnosis,treatment
Streptococci Properties ,transmission,
pathogenesis,clinical findings, lab
diagnosis,treatment
2
Neisseria meningitides Properties ,transmission,
pathogenesis,clinical findings, lab
diagnosis,treatment
1
Nisseriagonorrheae Properties ,transmission,
pathogenesis,clinical findings, lab
diagnosis,treatment
1
Gram positive rods
Properties ,transmission,
pathogenesis,clinical findings, lab
diagnosis.
3
Anaerobic bacteria Properties ,transmission, ,clinical
findings, lab diagnosis.
1
Enterobactericae Properties ,transmission,
pathogenesis,clinical findings, lab
diagnosis.
2
Vibriocholera Properties ,transmission,
pathogenesis,clinical findings, lab
diagnosis.
1
Pseudomonas Properties ,transmission,
pathogenesis,clinical findings, lab
diagnosis.
1
Compylobacter and
Helicobacter
Properties, pathogenesis,clinical
findings
1
Haemophilus and
Legionella
Properties, pathogenesis,clinical
findings
1
Mycobacteria Introduction, types of
mycobacteria,transmission & their
pathogenesis & labs.
2
Mycoplasma Introduction, major features of
Mycoplasma pneumonia
1
Ricketssiae Diseases, properties,
pathogenesis,clinical findings, labs
2
Chlamydiae Introduction ,types, diseases and
pathogenesis
1
Spirochetes Introduction, types, diseases,
clinical findings, labs.
1
Actinomycetes Introduction, types, diseases,
clinical findings, labs
1
Zoonotic organisms Diseases, properties,
pathogenesis,clinical findings, labs
2
314
SEMESTER 2:LESSON PLANNER PRACTICALS
SUBJECT: GENERAL PATHOLOGY AND MICROBIOLOGY
Practical
no. Topic Batch
Learning objectives Facilitator
1 Endometrial
hyperplasia A-B-C
Draw &label histological
features of endometrial
hyperplasia
2 Benign Prostatic
hyperplasia A-B-C
Draw &label histological features
of BPH
3. Necrosis A-B-C Morphology of necrosis
4. Fibroadenoma A-B-C Draw &label histological features
of fibroadenoma
5. Thrombosis A-B-C Draw &label histological features
of thrombosis
6. Leiomyoma A-B-C Draw &label histological features
of leiomyoma
7. Lipoma A-B-C Draw &label histological features
of Lipoma
8. Hemangioma A-B-C Draw & label Morphological
features of Hemangioma
9. Steatosis A-B-C Draw & label Morphological
features of steatosis
10 Hyperemia A-B-C Draw & label Morphological
features of hyperemia
11; Squamous cell CA A-B-C Draw &label histological features
315
of Squamous cell CA
12. Basal Cell CA A-B-C Draw &label histological features
of Basal Cell CA
LESSON PLANNER TUTORIALS
Tutorial
No. Topic
Learning objectives Fcailitator
1. Wound healing and
repair
Primary & secondary healing, factors
affecting & complications.
2. Special Bacteriology Overview of major pathogens,properties,
transmission ,pathogenesis
3. Special Bacteriology Clinical findings, labortary diagnosis,
4. Immunology Antigen antibodies, cells of immune
system.
5. Immunology Hypersensitivity reactions, MHC
Semester 3
Subject information will be delivered to the learners through Interactive Lectures, Practical,
Tutorials, Grand Tutorial, CMEs
3rd Semester MITs and Assessment with Allocated hours:
MITs Total
Number/Semester
Allocated contact
Hours/Semester
Lectures 47 35
Practical 12 20
Tutorials 4 5
CME 2 5
Assessment 1 5
Total contact hrs 70 hrs
316
SEMESTER 3:LESSON PLANNER LECTURES
GENERAL PATHOLOGY AND MICROBIOLOGY
Unit Chapter Topic Learning objectives No. of
Lectures
Facilita
tor
Ge
ne
ral
Pa
tho
log
y
Ne
op
lasi
a
General introduction Nomenclature, definitions 1
Pro
f. T
ari
q M
ah
mo
od
Cell cycle Steps, control, types of tissues in
different phases of cell cycle
1
Important
terminologies
Definitions of Dysgenesis, agenesis,
aplasia, metaplasia
1
Classification system
of tumors
Learn how to classify tumors. 1
Benign & malignant
tumors
Main features and differences
between them.
1
Carcinoma & sarcoma Difference between carcinoma &
sarcoma
1
Grading and staging of
tumors
How to grade and stage a tumor
and clinical significance.
1
Carcinogenesis Mechanism, factors involved &
molecular basis of carcinogenesis.
3
Tumor markers Clinical significance of tumor
markers.
1
Host defense against
tumors.
Tumor antigens, Anti tumor
mechanisms
3
317
Effects of tumors Local & systemic effects of tumors
on host.
1
Spread of tumors Mechanisms of local &distant
spread of tumors.
2
Tumor immunity Immunological aspects of tumors 1
Etiology of tumors Common chemical physical
&biological causative agents.
1
Epidemiology of
tumors
Common cancers in Pakistan 1
Clinical aspects of
neoplasia
Main effects of tumors on host 1
Cancer screening Clinical aspects of cancer screening 1
Radiation and tumors Effects of radiations on tissues. 1
Mic
rob
iolo
gy
Vir
olo
gy
Introduction
,structure, origin, and
replication
Size ,shape ,anatomy & stages of
viral growth cycle
1
Dr
Jaw
ad
An
wa
r
Classification, types
,and modes of
transmission
Principles of classification,DNA ,RNA
viruses
1
Pathogenesis and
treatment
Introduction, pathogenesis and
mode of transmission
1
Lab disgnosis of
viruses
Introduction, microscopic
identification,
1
Adenoviruses,and
Herpes viruses
Properties, diseases,
transmission,labs ,treatment
1
Enteroviruses,
Hepatitis,A,B,C and D.
Properties , types, clinical findings,
replicative cycle,pathogenesis, labs
2
Polio viruses
Diseases, properties, replicative
cycle, pathogenesis, clinical findings
& labs.
1
Retroviruses Diseases, properties, replicative
cycle, pathogenesis, clinical findings
& labs.
1
Measles, Mumps, and
Rubella
Diseases, properties, replicative
cycle, pathogenesis, clinical findings
& labs.
2
Dengue virus Introduction , transmission, clinical
findings,labs
1
Parainfluenza,
Rhinovirus, RSV
Diseases, properties, replicative
cycle, pathogenesis, clinical findings
& labs.
2
Mic
rob
iolo
gy
My
colo
gy
Introduction to
mycology
Introduction, structure and
growth,pathogenesis,
1
Dr
Jaw
ad
An
wa
ar
Introduction Types ,Clinical findings, labs 1
Classification of Fungi Cutaneous, subcutaneous systemic
and opportunistic fungi and their
properties.
1
318
Superficial mycosis
Types ,properties, clinical findings
&pathogenesis
1
Deep mycosis Types ,properties, clinical findings
&pathogenesis
2
Oppurtunistic mycosis Introduction, types, diseases,
properties, pathogenesis, labs &
treatment
1
Systemic mycosis Introduction, types, diseases,
properties, pathogenesis, labs &
treatment
2
Laboratory diagnosis
of fungi
Laboratory diagnosis of important
fungi.
1
SEMESTER 3:LESSON PLANNER PRACTICALS
SUBJECT: GENERAL PATHOLOGY AND MICROBIOLOGY
Practical
No. Topics Batch
Learning objectives
Facilitator
1. Features of
malignancy A-B-C
Enlist features of malignancy.
2. Adenocarcinoma
A-B-C
Draw &label histological features of
adenocarcinoma
3. Revision Gram
staining A-B-C
Purpose,principle,Procedure,
Results
4. Revision ZN staining A-B-C Procedure, Physical examination,
microscopic examination
5. Revision Stool
examination A-B-C
procedure,microscopic examination of
different parasites
6. RevisioCulture media A-B-C Uses of culture media,types
,classification
8. Revision Study of
bacterial motility A-B-C
Methods to check motility
9.
Revision
biochemical
reactions
A-B-C
Purpose,procedure and interpretation
of results
10. Revision Sterilization
techniques A-B-C
physical methods,chemical methods
11. Revision Acute
inflammation A-B-C
Draw &label histological features of
acute appendicitis.
12 Revision Chronic
inflammation A-B-C
Draw &label histological features
ochroniccholecystitisf
LESSON PLANNER TUTORIALS
Tutorial
number Topic
Learning objectives Facilitator
1. Neoplasia Carcinogenesis, mechanism of spread,
nomenclature.
2. Hemodynamics Thromboembolism ,edema, shock, hemostasis.
319
3. Virology Introduction, types, diseases, properties,
pathogenesis, labs & treatment
4. Mycology Introduction, types, diseases, properties,
pathogenesis, labs & treatment
LESSON PLANNER
SUBJECT: SPECIAL PATHOLOGY
1st SEMESTER ACADEMIC PLANNER 4th YEAR MBBS
The 1st semester will start from 15th Dec and will end by 15 March.
MITs (Method of Information Transfer):
Subject information will be delivered to the learners through Interactive Lectures, Practical,
Tutorials, Grand Tutorial, CMEs
Assessment:
Summative
Formative
There will be 1 summative assessment by the end of this semester. There would be three
Formative assessments after every 4 weeks. The constructive feedback on these formative
assessments will be given to each student individually.
1st Semester MITs and Assessment with Allocated hours:
MITs Total
Number/Semester
Allocated contact
Hours/Semester
1 MIt
time
Lectures 55 42 45 min
Practical 10 15 90 min
Tutorials 6 9 90 min
Grand
Tutorials
3 4.5 90 min
CME 3 9 180 min
Summative
Assessment
1 4 240 min
TOTAL number of contact hours = 83.5 Hrs
320
Lesson Planner of Theory for 1st semester with the Units, Topics, Leaning Objectives of the Unit
and Tutor name:
SUBJECT: SPECIAL PATHOLOGY:
SYSTE
M TOPICS
Learning Objectives
Lectu
re#
Tutor/Faci
litator
CV
S
ATHEROSCLEROSI
S
By the end of this Unit students would
be able to understand , identify
,differentiate ,describe and explain the
types pathogenesis, clinical feature
morphology , diagnosis of different
pathologies of cardiovascular system.
14
Prof. Tariq
Mehmood
-12
Lectures
DR
Jawwad-2
lectures
HYPERTENSION
VASCULITIS
ANEURYSM
TUMORS OF
BLOOD VESSELS
IHD
MI/ CAUSES OF
CARDIAC DEATH
LAB
INVESTIGATIONS
OF MI
MYOCARDITIS/
PERICARDITIS
RHEUMATIC
HEART DISEASE
CARDIAC TUMORS
GIT
/ OR
AL C
AV
ITY
GIT
INTRODUCTION
By the end of this Unit students
would be able to understand ,identify
,differentiate ,describe and explain the
types pathogenesis, clinical feature
morphology(gross and microscopic) ,
diagnosis of different pathologies of
oral cavity and Gastrointestinal tract
system.
20
Dr. Sadia
Sharif
PRE MALIGNANT
ORAL LESIONS
ORAL CANCER
SALIVARY GLAND
TUMORS
ESOPHAGITIS/
BARRETS
ESOPHAGUS
CA ESOPHAGUS
GASTRITIS{
ACUTE, CHRONIC}
PEPTIC ULCER
CA STOMACH
INTESTINAL
OBSTRUCTION
INTESTINAL
INFECTIONS
CELIAC SPRUE
321
POLYPS/
ADENOMA
INTESINE
COLORECTAL
CARCINOMA
CARCINOID
TUMOR
GIST/LYMPHOMA
APPENDIX
TUMOR/
INFECTIONS
Ischemic bowel
disease
IBD
UR
INA
RY
SY
ST
EM
KIDNEY
INTRODUCTION
By the end of this Unit students
would be able to understand ,identify
,differentiate ,describe and explain the
types of terminologies pathogenesis,
clinical feature morphology(gross and
microscopic) , diagnosis (Lab, clinical)
of different pathologies of Urinary
system
16
Prof.
DR.Tariq
Mahmood
ACUTE RENAL
FAILURE
CHRONIC RENAL
FAILURE
GLOMERULONEPH
ROTIS
CHRONIC
PYELONEPHRITIS
ACUTE
PYLONEPHRITIS
POLYCYSTIC
KIDNEY DISEASE
TUMORS OF
KIDNEY
BLADDER CA
RENAL FUNCTION
TESTS
Nephrolithiasis
CYSTITIS/ ACUTE
TUBULONECROSIS
RE
SP
IRA
TO
RY
SY
ST
EM
INTRODUCTION
By the end of this Unit students
would be able to understand ,identify
,differentiate ,describe and explain the
types of terminologies pathogenesis,
clinical feature morphology(gross and
microscopic) , diagnosis (Lab, clinical)
of different pathologies of Respiratory
system
5
(out
of
Dr. Sadia
Sharif
URT INFECTIONS
TUMORS OF
NASOPHARYNX
PLEURAL
EFFUSIONS/
ATELACTASIS
322
COPD
17)
Lesson Planner of Practical for 1st semester with the Units, Topic, Leaning
Objectives of the Unit and Tutor name.
Unit TOPICS Learning Objectives: Practic
al # Batch
Tutor
Staining of peripheral
blood smear
By the end of the practicals learners
should be able to perform , analyze
,and interpret the methods,
diagnosis.
A-B
Hemoglobin estimation A-B
DLC A-B
TLC A-B
Bleeding time A-B
Clotting time A-B
Erythrocyte
sedimentation rate A-B
Blood smear of malaria
parasite A-B
Total number of Practical =10
323
Lesson Planner of Tutorial for 1st semester with the Units, Topic, Leaning
Objectives of the Unit and Tutor name.
TOPICS
Learning Objectives: Students should
be able to describe ,enlist
,understand ,differentiate
Tutorial
number
Facilitator
CVS
Pathological conditions,with their
pathogenesis, morphological features
,clinical features ,diagnosis
9 Tutorial
CVS Grand
Tutorial
GIT Tutorial
GIT Grand
Tutorial
2ND SEMESTER ACADEMIC PLANNER 4th YEAR MBBS
The 2nd semester will start from 16th March and will end by 15 June.
MITs (Method of Information Transfer):
Subject information will be delivered to the learners through Interactive Lectures, Practical,
Tutorials, Grand Tutorial, CMEs
Assessment:
Summative
Formative
There will be 1 summative assessment by the end of this semester. There would be three
Formative assessments after every 4 weeks. The constructive feedback on these formative
assessments will be given to each student individually.
2nd Semester MITs and Assessment with Allocated hours:
324
MITs Total
Number/Semester
Allocated contact
Hours/Semester
1 MIt
time
Lectures 55 42 45 min
Practical 10 15 90 min
Tutorials 6 9 90 min
Grand
Tutorials
3 4.5 90 min
CME 3 9 180 min
Summative
Assessment
1 4 240 min
TOTAL number of contact hours = 83.5 Hrs
Lesson Planner of Theory for 2nd semester with the Units, Topics, Leaning Objectives of
the Unit and Tutor name:
SUBJECT: SPECIAL PATHOLOGY:
Name
of unit Topics
Learning objectives
students should be able to understand the:
Lecture
No.-
Facilitator
RE
SP
IRA
TO
RY
SY
ST
EM
COPD
By the end of this Unit students would be able
to understand ,identify ,differentiate ,describe
and explain the types of terminologies
pathogenesis, clinical feature
morphology(gross and microscopic) , diagnosis
(Lab, clinical) of different pathologies of
Respiratory system
12 (out
of 17) Dr Sadia Sharif
ASTHMA/
BRONCHIECTASIS
RESTRICTIVE LUNG
DISEASES
GRANULOMATOUS
LUNG DISEASES/ T.B
PNEUMOCONIOSIS
PNEUMONIA
LUNG TUMORS
VASCULAR DISEASES
OF LUNGS
FE
MA
LE
GE
NIT
AL
SY
ST
EM
INTRODUCTION/ STD
Prof. Tariq
Mehmood
CERVICAL CA
ENDOMETRIRTIS/
ADENOMYOSIS
325
DUB/ ENDOMETRIAL
HYPERPLASIAS
By the end of this Unit students would be able
to understand ,identify ,differentiate ,describe
and explain the types of terminologies
pathogenesis, clinical feature
morphology(gross and microscopic) , diagnosis
(Lab, clinical) of different pathologies of
female genital system
10
ENDOMETRIAL
POLYPS
ENDOMETRIAL CA
UTERINE POLYPS/
TUMORS
OVARIAN TUMORS
GTDS/Tumors/PIDs
MU
SC
ULO
SK
ELE
TA
L SY
ST
EM
INTRODUCTION
By the end of this Unit students would be able
to understand ,identify ,differentiate ,describe
and explain the types of terminologies
pathogenesis, clinical feature
morphology(gross and microscopic) , diagnosis
(Lab, clinical) of different pathologies of
Musculoskeletal system.
16
Dr. Sadia Sharif
ACHONDROPLASIA/
OI/ RICKETTS
PAGETTS DISEASE/
OSTEOPOROSIS
Osteomyelitis
BONE TUMORS
CARTILAGE TUMORS
OSTEOARTHRITIS /
RHEUMATOID
ARTHRITIS
GOUT/ MUSCULAR
DYSTROPHIES
MYOPATHIES
RHABDOMYOSARCO
MA
LIPOMA/
LIPOSARCOMA
MYESTHENIA GRAVIS
HE
PA
TO
BILLIA
RY
SY
ST
EM
JAUNDICE
By the end of this Unit students would be able
to understand ,identify ,differentiate ,describe
and explain the types of terminologies
pathogenesis, clinical feature
morphology(gross and microscopic) , diagnosis
(Lab, clinical) of different pathologies
ofHepatobilliary system.
15 Dr. Jawad
HEREDITARY
DISORDERS AND
SYNDROMES
Hepatic failure
LFTS
ACUTE HEPATITIS
CHRONIC
HEPATITIS/Alcohol
liver disease.
CIRRHOSIS
Hepatocellular
carcinoma
GALL STONES
CHRONIC
CHOLECYSTITIS
GB TUMOR
ANOMALIES OF
BILIARY TREE CN
S
Encephlitis/
326
Polyneuropathies
By the end of this Unit students would be able
to understand ,identify ,differentiate ,describe
and explain the types of terminologies
pathogenesis, clinical feature
morphology(gross and microscopic) , diagnosis
(Lab, clinical) of different pathologies of
Musculoskeletal system.
2(out of
7)
Dr. Sadia Sharif
HYDROCEPHALUS/
CEREBRAL EDEMA
Lesson Planner of Practical for 2nd semester with the Units, Topic, Leaning
Objectives of the Unit and Tutor name.
Unit TOPICS Learning Objectives Prac
tical Batch
Facilita
tor
Hematology
Leukemic blood smear
examination
By the end of the practicals learners
should be able to perform , analyze
,and interpret the methods, diagnosis.
10
A-B
Chronic leukemia A-B
Blood grouping A-B
Blood smear
examination in anemia A-B
Special
Pathology
Atherosclerosis A-B
Monkebergs
arteriosclerosis A-B
Infarction A-B
Chronic gastritis A-B
Adenocarcinoma
stomach A-B
Anthracosis A-B
327
Total practical = 10
Lesson Planner of Tutorial for 2nd semester with the Units, Topic, Leaning
Objectives of the Unit and Tutor name.
TOPICS
Learning Objectives: Students should
be able to describe ,enlist
,understand ,differentiate
Tutorial
number
Facilitator
Respiratory
system
Pathological conditions,with their
pathogenesis, morphological features
,clinical features ,diagnosis
9
Tutorial
Respiratory
system
Grand
Tutorial
Urinary system Tutorial
Female genital
system
Grand
Tutorial
Musculoskeletal
system Tutorial
Liver Tutorial
3rd SEMESTER ACADEMIC PLANNER 4th YEAR MBBS
The 3rd semester will start from 16 June and will end by 15 Sep
MITs (Method of Information Transfer):
Subject information will be delivered to the learners through Interactive Lectures, Practical,
Tutorials, Grand Tutorial, CMEs
Assessment:
Summative
Formative
There will be 1 summative assessment by the end of this semester. There would be three
Formative assessments after every 4 weeks. The constructive feedback on these formative
assessments will be given to each student individually.
3rd Semester MITs and Assessment with Allocated hours:
MITs Total
Number/Semester
Allocated contact
Hours/Semester
1 MIt
time
Lectures 55 42 45 min
practical 10 15 90 min
Tutorials 6 9 90 min
Grand
Tutorials
3 4 90 min
328
CME 3 9 180 min
Summative
Assessment
1 4 240 min
TOTAL number of contact hours = 83 Hrs
Lesson Planner of Theory for 3rd semester with the Units, Topics, Leaning Objectives of
the Unit and Tutor name:
SUBJECT: SPECIAL PATHOLOGY:
Name
of unit Topics
Learning objectives
Lecture
No.- Facilitator
CN
S
Encephlitis/
Polyneuropathies
By the end of this Unit students would be able
to understand ,identify ,differentiate ,describe
and explain the types of terminologies
pathogenesis, clinical feature morphology(gross
and microscopic) , diagnosis (Lab, clinical) of
different pathologies of central nervous
system.
5 (out
of 7) Dr. Sadia Sharif
HYDROCEPHALUS/
CEREBRAL EDEMA
HEMORRAHAGE/
HERNIAS/
POLYNEUROPATHIE
S
INFECTIONS
MENINGITIS },BRAIN
ABSCESS
INTRACRANIAL
TUMORS/peripheral
nerve tumor
BR
EA
ST
INTRODUCTION/
CAUSES OF BREAST
LUMP
By the end of this Unit students would be able
to understand ,identify ,differentiate ,describe
and explain the types of terminologies
pathogenesis, clinical feature morphology(gross
and microscopic) , diagnosis (Lab, clinical) of
different pathologies of Beast
6 Prof. Tariq
Mehmood
MASTITIS
FIBROCYSTIC
DISEASES
Benign TUMORS
MALIGNANT
TUMORS
GYENACOMASTIA
Causes of Nipple
discharge
HE
MA
TO
PO
ET
IC A
ND
LYM
PH
OID
INTRODUCTION
By the end of this Unit students would be able
to understand ,identify ,differentiate ,describe
and explain the types of terminologies
pathogenesis, clinical feature morphology(gross
and microscopic) , diagnosis (Lab, clinical) of
different pathologies of Hematopoietic system.
18
Prof.
QaisarHussnain
Dr. RabiyaJameel
NORMAL VALUES
ANEMIAS
THALASEMIA
LEUKOCYTOSIS/
INFECTIUOS
MONONUCLEOSIS
LEUKEMIAS
LYMPHADENITIS /
LYMPHOMA
329
BLEEDING
DISORDERS
PURPURAS/DIC
BLOOD GROUPS/
POLYCYTHEMIA
EN
DO
CR
INE
Introduction
By the end of this Unit students would be able
to understand ,identify ,differentiate ,describe
and explain the types of terminologies
pathogenesis, clinical feature morphology(gross
and microscopic) , diagnosis (Lab, clinical) of
different pathologies of Endocrine system.
18
Prof,
NaeemKauser
Dr. Tariq
Mahmood
Pituitary Tumors
Hypopituitarism/
Hyperpituatarism
Post pituitary
syndrome
Hypothyroidism
Hyperthyroidism
MNG/Thyroiditis
Thyroid tumor/MEN
syndrome
Hyperparathyroidis
m/Hypoparathyroidi
sm
Hypoadrenalism/Hy
peradrenalism
Adrenal medulla
Pheochromocytoma
Diabetes
330
SK
IN
Introduction
By the end of this Unit students would be able
to understand ,identify ,differentiate ,describe
and explain the types of terminologies
pathogenesis, clinical feature morphology(gross
and microscopic) , diagnosis (Lab, clinical) of
different pathologies of skin system.
6
Dr Sadia Sharif
DERMATITIS/
DERMATOSIS
Erythema
Multiforms/BULLOU
S DISEASES
PREMLAIGNANT
DISEASES
SEC/ BASAL CELL
NEVUS/
MELANOMA MA
LE G
EN
ITA
L SY
ST
EM
CONGENITAL
ANOMALIES
By the end of this Unit students would be able
to understand ,identify ,differentiate ,describe
and explain the types of terminologies
pathogenesis, clinical feature morphology(gross
and microscopic) , diagnosis (Lab, clinical) of
different pathologies of MGS system.
4 Prof. Tariq
Mehmood
INFECTIONS/BPH
SWELLINGS/CA
prostate
Lesson Planner of Practical for 3rd semester with the Units, Topic, Learning
Objectives of the Unit and Tutor name.
Unit TOPICS
Learning Objectives: students should
be able to perform ,understand and
recognize the:
Prac
tical Batch
Facilita
tor
Special
Pathology
Pneumonia
Slide examination and recognition
Gross of the Specimens, microscopic
features on pathological slide
10 A-B
Pul T.B A-B
Papillary carcinoma
thyroid A-B
Chronic pyelonephritis A-B
Transitional cell CA A-B
Chronic cervicitis A-B
Endometrial CA A-B
Invasive ductal
carcinoma breast A-B
Osteosarcoma A-B
Astrocytoma A-B
331
Introduction to
chemical pathology+
sample collection
A-B
Lesson Planner of Tutorial for 3rd semester with the Units, Topic, Learning
Objectives of the Unit and Tutor name
TOPICS
Learning Objectives: Students should
be able to describe ,enlist
,understand ,differentiate
Tutorial
number
Facilitator
Liver
Pathological conditions,with their
pathogenesis, morphological features
,clinical features ,diagnosis
9
Grand
Tutorial
CNS Tutorial
Breast Grand
Tutorial
Endocrine system Tutorial
Endocrine system Grand
Tutorial
Hematology Tutorial
Hematology Grand
Tutorial
Male genital
system
Grand
Tutorial
Skin Tutorial
LESSON PLANNER (LECTURES)
SUBJECT: SPECIAL PATHOLOGY
CLASS: 4th YEAR MBBS
Name
of unit Topics
Learning objectives
students should be able to understand the:
Lecture
No.- Facilitator
CV
S
ATHEROSCLEROSIS
Etiology ,Pathogenesis, early lesion, Late and
complicated lesion,vessel affected,
complications
2 Prof. Tariq
Mehmood
HYPERTENSION Classification, causes of secondary
hypertension, vascular changes
1 Prof. Tariq
Mehmood
VASCULITIS Pathogenic mechanism ,classifications, Types of
vasculitis ,complications
2 Prof. Tariq
Mehmood
ANEURYSM Classification , etiology, clinical features,
Morphology, Types of vessel involved
1 Prof. Tariq
Mehmood
332
,pathogenesis
TUMORS OF BLOOD
VESSELS
Types ,pathogenesis, enlist benign and
malignant
1 Prof. Tariq
Mehmood
IHD Pathogenesis 1 Prof. Tariq
Mehmood
MI/ CAUSES OF
CARDIAC DEATH
Causes,sequence of changes in MI,
complications
1 Prof. Tariq
Mehmood
LAB
INVESTIGATIONS OF
MI
Patteren of elevation of biochemical markers 2
Dr. Jawad
MYOCARDITIS/
PERICARDITIS
Causes, pathogenesis, complications 1 Prof. Tariq
Mehmood
RHEUMATIC HEART
DISEASE
Causes, pathogenesis, complications 1 Prof. Tariq
Mehmood
CARDIAC TUMORS Types , investigations 1 Prof. Tariq
Mehmood
GIT
/ OR
AL C
AV
ITY
GIT INTRODUCTION Anatomy ,normal physiology , Histology 1 Dr. Sadia Sharif
PRE MALIGNANT
ORAL LESIONS
Leukoplakia , predisposing factors 1 Dr. Sadia Sharif
ORAL CANCER
risk factors, the clinical and morphological
feature
1
Dr. Sadia Sharif
SALIVARY GLAND
TUMORS
List the benign and malignant tumors,
clinical and morphological features of
pleomorphic adenoma.
1
Dr. Sadia Sharif
ESOPHAGITIS/
BARRETS
ESOPHAGUS
predisposing factors of esophagitis,
morphology
1
Dr. Sadia Sharif
CA ESOPHAGUS Morphology ,causes , 1 Dr. Sadia Sharif
GASTRITIS{ ACUTE,
CHRONIC}
predisposing factors associated with acute
gastritis.
Describe the pathogenesis and clinical features
of acute gastritis.
Describe the pathogenesis, morphological and
clinical features of chronic gastritis.
1
Dr. Sadia Sharif
PEPTIC ULCER
Pathogenesis, morphological and clinical
features of peptic ulcer.
1
Dr. Sadia Sharif
CA STOMACH
Risk factors , Pathogenesis, Clinical and
morphological features , Prognosis
1
Dr. Sadia Sharif
INTESTINAL
OBSTRUCTION
clinical and morphological features of
Hirschsprung's disease.
1
Dr. Sadia Sharif
INTESTINAL
INFECTIONS
clinico-pathological features of following
diseases of intestine Amebiasis , Tuberculosis,
Typhoid
2
Dr. Sadia Sharif
333
CELIAC SPRUE
pathogenesis, morphological and clinical
features of Celiac sprue ,Tropical sprue
1
Dr. Sadia Sharif
POLYPS/ ADENOMA
INTESINE
Classify adenomas on the basis of epithelial
architecture.Describe the clinical and
morphological features of adenomas
1
Dr. Sadia Sharif
COLORECTAL
CARCINOMA
Discuss the pathogenesis of colorectal
carcinoma,morphological and clinical features
of colorectal carcinoma. Describe the Aster-
Collar classifications of carcinoma of the colon
and rectum
1
Dr. Sadia Sharif
CARCINOID TUMOR
Most prevalent sites in the gut ,Morphological
features, Describe the clinical features of
carcinoid syndrome
1
Dr. Sadia Sharif
GIST/LYMPHOMA
Morphology ,pathogenesis, types
,prognosis,clinical features
1 Dr. Sadia Sharif
APPENDIX TUMOR/
INFECTIONS
Morphology ,pathogenesis, types
,prognosis,clinical features
1 Dr. Sadia Sharif
Ischemic bowel
disease
predisposing conditions for ischemic bowel
disease.Describe the clinical and morphological
features of ischemic bowel disease
1 Dr. Sadia Sharif
IBD Differentiate between Crohn's disease and
ulcerative colitis.
1 Dr. Sadia Sharif
UR
INA
RY
SY
ST
EM
KIDNEY
INTRODUCTION
Define the terms: Azotemia Uremia
Acute renal failure , Chronic renal failure
1 Prof. Tariq
Mehmood
ACUTE RENAL
FAILURE
Types, genesis, basis, clinical features and
complications
1 Prof. Tariq
Mehmood
CHRONIC RENAL
FAILURE
Types, genesis, basis, clinical features and
complications
1 Prof. Tariq
Mehmood
GLOMERULONEPHR
OTIS
different types and pathogenesis, mechanisms
of glumerulonephritis, nephrotic and nephritic
syndrome. List the diseases included in these
categories, their etiology and pathogenesis
mechanisms (membranous, minimal change,
membranoproliferative& acute post
streptococcal glumerulonephritis).
3
Prof. Tariq
Mehmood
CHRONIC
PYELONEPHRITIS
Discuss pathogenesis mechanism, morphology
clinical features and complications of chronic
pyelonephritis
1 Prof. Tariq
Mehmood
ACUTE
PYLONEPHRITIS
Etiology, clinical course, pathogenesis and
complications of acute pyelonephritis
1 Prof. Tariq
Mehmood
POLYCYSTIC KIDNEY
DISEASE
Discuss the types, genesis, basis, clinical
features and complications of polycystic kidney
acute tubular necrosis, its pathogenesis and
clinical course.
1
Prof. Tariq
Mehmood
TUMORS OF KIDNEY
epidemiology, morphology and clinical features
(paraneoplastic syndrome) of renal cell
carcinoma.
Describe the clinical features, morphology and
prognosis of Wilm'stumour.
2
Prof. Tariq
Mehmood
334
BLADDER CA
Describe the clinical features, etiology and
morphology of transitional cell carcinoma of
the urinary bladder.
1
Prof. Tariq
Mehmood
RENAL FUNCTION
TESTS
Tests ,normal value ,pathological values
,significance,
2 Dr. Jawad
Nephrolithiasis
Discuss the pathogenesis, clinical features and
lab diagnosis of nephrolithiasis. List the various
types of renal stones.
1
CYSTITIS/ ACUTE
TUBULONECROSIS
Benign and malignant nephrosclerosis. (on the
basis of clinical date). Discuss the pathogenetic
mechanism, morphology and clinical course
(Gross & microscope picture).
1
Prof. Tariq
Mehmood
RE
SP
IRA
TO
RY
SY
ST
EM
INTROD
UCTION
Differentiate between restrictive & obstructive
lung disease on the basis of pulmonary function
tests.
1
Dr. Sadia Sharif
URT INFECTIONS
List micro-organisms causing upper respiratory
tract infection
Discuss acute pharyngitis, acute bacterial
epiglottis and acute laryngitis.
1
Dr. Sadia Sharif
TUMORS OF
NASOPHARYNX
Describe the etiology and clinical features of
rhinitis and nasal polyps
List malignant & benign tumours of
nasopharynx and larynx
1
Dr. Sadia Sharif
PLEURAL
EFFUSIONS/
ATELACTASIS
Discuss pleural effusion, hemothorax,
hydrothorax, pleuretis, pneumothorax and
chylothorax Classification of atelactasis on the
basis of underlying mechanism
1
Dr. Sadia Sharif
COPD
Describe various types of emphysema, its
pathogenesis, morphology and clinical features.
Describe pathogenesis and clinical features of
chronic bronchitis
2
Dr. Sadia Sharif
ASTHMA/
BRONCHIECTASIS
Describe the etiology pathogenesis,
morphology & clinical features of asthma
Describe the predisposing factors,
pathogenesis, morphology & clinical features of
bronchiectasis.
1
Dr. Sadia Sharif
RESTRICTIVE LUNG
DISEASES
List the clinical conditions associated with
restrictive lung diseases.
2 Dr. Sadia Sharif
GRANULOMATOUS
LUNG DISEASES/ T.B
pathogenesis, morphology & clinical features of
sarcoidosis and hypersensitivity pneumonitis
etiology, pathogenesis & clinical features of
tuberculosis of the lung.
List the Fungi (candida, pneumocystis carinii)
causing lung infections
2
Dr. Sadia Sharif
PNEUMOCONIOSIS pneumoconioses with respect to etiology,
pathogenesis and clinical features.
1 Dr. Sadia Sharif
335
PNEUMONIA
Etiology, pathogenesis, morphology & clinical
features of acute bacterial pneumonia.
List the micro-organisms causing atypical
pneumonia.
1
Dr. Sadia Sharif
LUNG TUMORS
classification, etiology, pathogenesis and
clinical features of bronchogenic carcinoma.
Describe etiology & pathogenesis of
mesothelioma
2
Dr. Sadia Sharif
VASCULAR DISEASES
OF LUNGS
clinical features of Goodpasture's syndrome.
List the pathogenesis, morphology & clinical
features of thromboemboli.
Describe the morphology & clinical features of
pulmonary infarction.
List the causes of pulmonary hypertension and
vascular sclerosis.
2
Dr. Sadia Sharif
FE
MA
LE G
EN
ITA
L SY
ST
EM
INTRODUCTION/
STD
List the causes, routes of infection & methods
of diagnosis of sexually transmitted diseases.
List the micro-organisms involved, route of
infection, pathogenesis and methods of
diagnosing the following:
Gonorrhea, syphilis, chlamydia, HPV, herpes
simplex and trichomonas vaginalis.
1
Prof. Tariq
Mehmood
CERVICAL CA Classify the neoplasms of cervix with special
reference to cervical intraepithelial neoplasia
1 Prof. Tariq
Mehmood
ENDOMETRIRTIS/
ADENOMYOSIS
Describe the clinical features and pathogenesis
of adenomyosis and endometriosis.
1 Prof. Tariq
Mehmood
DUB/
ENDOMETRIAL
HYPERPLASIAS
Describe the causes, pathogenesis and clinical
features of dysfuctional uterine bleeding with
special reference to endometrial hyperplasia,
1 Prof. Tariq
Mehmood
ENDOMETRIAL
POLYPS
Describe the causes, pathogenesis and clinical
features of dysfuctional uterine bleeding with
special reference to endometrial hyperplasia,
endometrial polyp and carcinoma.
1
Prof. Tariq
Mehmood
ENDOMETRIAL CA Classify tumours of the uterus.
1 Prof. Tariq
Mehmood
UTERINE POLYPS/
TUMORS
Types ,classification ,morphology 1 Prof. Tariq
Mehmood
OVARIAN TUMORS Classify tumours of the ovary.
2 Prof. Tariq
Mehmood
GTDS/Tumors/PIDs
Describe the etiology, clinical features and
pathogenesis of ectopic pregnancy and toxemia
of pregnancy.
Classify gestational trophoblastic tumours with
special reference to their clinical features.
1
Prof. Tariq
Mehmood
MU
SC
ULO
SK
EL
ET
AL S
YS
TE
M
INTRODUCTION
List the benign and malignant cartilaginous
tumours. Describe chondrosarcoma with
respect to
1
Dr. Sadia Sharif
ACHONDROPLASIA/
OI/ RICKETTS
Describe the pathogenesis and clinical features
of Achondroplasia, Osteogenesis imperfecta.
1 Dr. Sadia Sharif
336
PAGETTS DISEASE/
OSTEOPOROSIS
List the causes of osteoporosis. Describe the
pathogenesis, morphological and clinical
features of osteoporosis
Describe the pathogenesis, morphological and
clinical features of Paget's disease (osteitis
deformans).
1
Dr. Sadia Sharif
Osteomyelitis
Describe osteomyelitis with respect to
Common causative micro-organism
(Staphylococcus aureus, Pseudomonas,
Escherichia coli, group-B Streptococci,
Salmonella, Mycobacterium tuberculosis).
Common routes of spread (hematogenous,
direct extension from the focus of infection,
traumatic implantation). Complications.
Differentiate between acute and chronic
osteomyelitis.
List the common sites involved in tuberculosis
osteomyelitis (vertebral bodies, long bones
2
Dr. Sadia Sharif
BONE TUMORS
List the benign and malignant bone forming
tumours.
List the common sites (lower end of femur,
upper end of tibia, upper end of humerus) of
osteogenic sarcoma.
Describe the morphological and clinical
features of osteogenic sarcoma.
List the most frequent sites (distal femur,
proximal tibia, proximal humerus and distal
radius) of giant cell tumours of bone.
Describe the clinical and morphological
features of giant cell tumours of bone.
Describe the Ewing's sarcoma with respect to
Peak incidence (second decade)
Common sites of origin (femur, tibia, pelvis)
Chromosomal abnormality t(11:22) (q24; q12).
Morphological and clinical features.
3
Dr. Sadia Sharif
CARTILAGE TUMORS
List the benign and malignant cartilaginous
tumours.
Describe chondrosarcoma with respect to Peak
incidence (sixth decade)
Common sites of origin (shoulder, pelvis,
proximal femur, and ribs)
Morphological and clinical features.
1
Dr. Sadia Sharif
OSTEOARTHRITIS /
RHEUMATOID
ARTHRITIS
Describe the pathogenesis, morphological and
clinical features of osteoarthritis
Describe rheumatoid arthritis with respect to
Pathogenesis,Morphological and clinical
features
2
Dr. Sadia Sharif
GOUT/ MUSCULAR
DYSTROPHIES
Classify gout. Describe the pathogenesis,
morphological and clinical features of gout.
1
Dr. Sadia Sharif
MYOPATHIES Describe the pathogenesis, morphological and 2 Dr. Sadia Sharif
337
clinical features of
Duchenne muscular dystrophy Myotonic
dystrophy
congenital myopathies (central core disease,
nemaline myopathy and centronuclear
myopathy).
List inflammatory myopathies
(dermatomyositis, polymyositis and inclusion
body myositis).
RHABDOMYOSARCO
MA
Describe rhabdomyosarcoma with respect to
Peak incidence (1st
decade of life).
Histological variants (embryonal, alveolar,
sarcoma botryiodes, pleomorphic).
Frequent sites (head & neck region,
genitourinary, retroperitonium).
1
Dr. Sadia Sharif
LIPOMA/
LIPOSARCOMA
Differentiate between lipoma and lipasarcoma. 1 Dr. Sadia Sharif
MYESTHENIA
GRAVIS
Describe the clino-pathological features of
myasthenia gravis.
1 Dr. Sadia Sharif
HE
PA
TO
BILLIA
RY
SY
ST
EM
JAUNDICE
Describe the pathway of bilirubin metabolism
and its elimination from the body.
Describe the types of jaundice with respect to
the following: Causes ,Clinical features, Lab
diagnosis Differentiate between intrahepatic
and extrahepatic biliary obstruction.
2
Dr. Jawad
HEREDITARY
DISORDERS AND
SYNDROMES
Genetic hemochromatosis, Wilson's disease,
alpha-1 anti-trypsin deficiency).
1
Dr. Jawad
Hepatic failure
List the causes of hepatic failure. Describe the
morphological and clinical features of hepatic
failure. Describe the important complication of
liver failure (hepatic encephalopathy,
hepatorenal syndrome).
1
LFTS Normal values, abnormal valure ,interpratatins 1 Dr. Jawad
ACUTE HEPATITIS
Define carrier state and differentiate between
acute and chronic hepatitis. among viral
hepatitis A, B, C, D and E with respect to Route
of transmission , Incubation period ,Clinical
features.
• Potential outcome of acute infection
1
Dr. Jawad
CHRONIC
HEPATITIS/Alcohol
liver disease.
List the drugs and toxins which cause hepatic
injury along with their specific effects.
Discuss the pathogenesis of alcohol liver
disease. Describe the morphological and clinical
features of alcoholic hepatitis and cirrhosis.
1
Dr. Jawad
CIRRHOSIS
List the common causes of cirrhosis (viral
hepatitis, cryptogenic, alcohol, biliary disease,
genetic hemochromatosis, Wilson's disease,
2
Dr. Jawad
338
alpha-1 anti-trypsin deficiency).
Hepatocellular
carcinoma
Discuss the epidemiology, pathogenesis,
morphological and clinical features of
hepatocellular carcinoma.
1
Dr. Tariq
GALL STONES 1 Dr. Jawad
CHRONIC
CHOLECYSTITIS
Morphology ,causes, pahtogensis 1 Dr. Jawad
GB TUMOR Morphology ,pathogenesis, 1 Dr. Jawad
ANOMALIES OF
BILIARY TREE
Morphology ,causes 1 Dr. Jawad
CN
S
Encephlitis/
Polyneuropathies
List the causative organisms of viral
encephalitis (herpes simples virus,
cytomegalovirus, HIV, JC virus, arbovirus).
Describe clinico-pathological features of
Guillain Barre syndrome.
List the infectious agents associated with
polyneuropathies (leprosy, C. diphtheria,
Varicella-zoster virus).
List the organic and inorganic compounds
which can produce toxic neuropathy
(organophosphorous esters, vincristine,
acrylamide, hexame, ethanol, arsenic and lead).
1
Dr. Sadia Sharif
HYDROCEPHALUS/
CEREBRAL EDEMA
Describe clinico-pathological features of
hydrocephalus.
Describe the categories of cerebral edema
(vasogenic& cytotoxic).
Differentiate between acute purulent
meningitis and acute lymphocytic meningitis.
1
Dr. Sadia Sharif
HEMORRAHAGE/
HERNIAS/
POLYNEUROPATHIE
S
List the types of herniation of brain alongwith
clinical significance.
Describe the clinical and morphological
features of intra-cranial haemorrhage.
1
Dr. Sadia Sharif
INFECTIONS
MENINGITIS },BRAIN
ABSCESS
Differentiate between acute purulent
meningitis and acute lymphocytic meningitis
List the etiologic agents of chronic meningitis
(mycobacterium tuberculosis, Cryptococcus
neoformas, Treponema pallidum).
Describe clinical and morphological features of
chronic meningitis.
List the route of infecting agents causing brains
abscess
Describe the clinical and morphological
features of brain abscess. Describe the clinical
and morphological features of tuberculosis
meningitis
2
Dr. Sadia Sharif
INTRACRANIAL
TUMORS/peripheral
nerve tumor
List the important types of intracranial tumours
(astrocytoma, oligodendrogliomas,
ependymoma, medulloblastoma and
meningioma) along with clinical significance of
glial tumours.
List the frequent metastatic tumours to the
brain (carcinoma of the lung, breast, malignant
2
Dr. Sadia Sharif
339
melanoma, leukemia and lymphoma).
List common primary peripheral nerve sheath
neoplasms along with their clinical significance.
BR
EA
ST
INTRODUCTION/
CAUSES OF BREAST
LUMP
List the causes of lump in the breast 1 Prof. Tariq
Mehmood
MASTITIS
discuss etiology, pathogenesis, morphology,
clinical features and natural history of
Mastitis
1 Prof. Tariq
Mehmood
FIBROCYSTIC
DISEASES
Fibrocystic disease of the breast 1 Prof. Tariq
Mehmood
Benign TUMORS Benign tumours of the breast (Fibroadenoma
and Phyllodestumour)
1 Prof. Tariq
Mehmood
MALIGNANT
TUMORS
Carcinomas of the breast (Ductal and Lobular)
1 Prof. Tariq
Mehmood
GYENACOMASTIA Describe gynaecomastia, and list its causes. 1 Prof. Tariq
Mehmood
Causes of Nipple
discharge
Carcinomas of the breast (Ductal and Lobular)
List the causes of nipple discharge with special
reference to intraductal papilloma.
1
Prof. Tariq
Mehmood
HE
MA
TO
PO
ET
IC A
ND
LYM
PH
OID
INTRODUCTION
Outline the stages in the formation of red blood
cell and white blood cells.
1 Prof.
QaisarHussnain
NORMAL VALUES
List the normal values of red cell count,
haemoglobin level, packed cell volume, MCH,
MCV, MCHC, WBC count and platelet count.
deficiencyanaemia.
1
Prof.
QaisarHussnain
ANEMIAS
Classify anaemia on the basis of mechanism of
RBC production.
Describe the causes of iron deficiency. Describe
the morphological and clinical features of iron
deficiency anaemia.
List the types of megaloblastic anaemia.
List the conditions which predispose to folate
deficiency.
Describe vit. B12 deficiency with respect to
The conditions which produce it
Blood picture and clinical features
Differentiate between anaemia of chronic
disease and nutritional.
Describe hereditary spherocytosis with respect
to the incidence ,Etiology,Pathogenesis
Morphological and clinical features
Differentiate between the blood picture and
clinical feature of Beta-thalassaemia minor and
major.
Discuss the mechanism of haemolyticanaemia
due to glucose-6-phosphate dehyrogenase
deficiency.
Classify immunohemolyticanaemia.
Differentiate between warm and cold
5
Dr.Rabiya Jamil
340
antibodies immunohemolyticanaemia.
Describe aplastic anaemia with respect to the
Etiology and pathogenesis Clinical features and
Lab. Diagnosis
THALASEMIA
Discuss the pathogenesis of thalassaemia.
Classify thalassaemia on the basis of clinical and
genetic feature
Differentiate between the blood picture and
clinical feature of Beta-thalassaemia minor and
major.
1
Prof.
QaisarHussnain
LEUKOCYTOSIS/
INFECTIUOS
MONONUCLEOSIS
Describe the mechanisms which can cause
neutropenia/ agranulocytosis. Describe the
causes of leukocytosis. Describe the
epidemiological, morphological and clinical
features of infectious mononucleosis.
1
Prof.
QaisarHussnain
LEUKEMIAS
Classify leukemia
Discuss the prognostic factors of acute
lymphoblastic and acute
myeloblasticleukemias.
Describe the pathophysiology of chronic
myeloid and chronic lymphocytic leukemias
1
Prof.
QaisarHussnain
LYMPHADENITIS /
LYMPHOMA
Differentiate between acute and chronic non-
specific lymphadenitis
1 Prof.
QaisarHussnain
LYMPHOMAS
Describe the different classifications (REAL and
working formulations) of non-Hodgkin's
lymphoma.
Describe Hodgkin's disease with respect to
The classification The clinical stages, Etiology
and pathogenesis
2
Prof.
QaisarHussnain
MULTIPLE
MYELOMA
Describe multiple myeloma with respect to
Etiology Pathogenesis Morphology and Clinical
features
1 Prof.
QaisarHussnain
BLEEDING
DISORDERS
listt the causes of decreased production and
decreased survival of platelets.
Describe the pathogenesis of idiopathic &
thrombotic thrombocytopenicIndicate the
value of following tests Indicate the value of
following tests in the assessment of bleeding
disorders
Bleeding time , Clothing time ,Platelets count ,
Platelet function test ,Partial thromboplastin
time ,Prothrombin time ,Mixing test studies
1
Dr. RabiaJameel
PURPURAS/DIC
Describe the pathogenesis of idiopathic &
thrombotic thrombocytopenic purpura.
Describe disseminated intravascular
coagulation with respect to
1
Dr. Rabiya Jamil
341
BLOOD GROUPS/
POLYCYTHEMIA
Describe polycythemia with respect to
Etiology, Pathogenesis , Clinical significance
,Lab. Diagnosis
Describe the ABO and Rhesus blood groups and
outline the way in which a sample of blood is
typed.
List the hazards of blood transfusion and how
these can be prevented.
2
Dr. Rabiya Jamil
EN
DO
CR
INE
Introduction
Gross Anatomy ,,Physiology , Morphology
1
Prof,
NaeemKauser
Pituitary Tumors
Describe the morphology and clinical features of
pituitary adenomas
1
Prof,
NaeemKauser
Hypopituitarism/H
yperpituatarism
List the causes of hyperpituitarism
Describe the clinical features of acromegaly and
giantism. List the causes of hypopituitarism.
1
Prof,
NaeemKauser
Post pituitary
syndrome
Describe the etiology, pathogenesis and clinical
features of Sheehan’s syndrome Dwarfism
Describe the etiology factors, clinical features,
pathogenesis and lab findings in inappropriate
secretion of ADH.
1
Prof,
NaeemKauser
Hypothyroidism
List the etiology and clinical features of
hypothyroidism including
Cretinism , Myxedema.
Discuss the investigation/lab tests for diagnosis
of thyroid dysfunction.
Define goiter and list its types (diffuse and
multinodular).
1
Prof,
NaeemKauser
Hyperthyroidism
List the etiology and clinical features of
hyperthyroidism
1
Prof,
NaeemKauser
MNG/Thyroiditis
Describe the etiology, pathogenesis and clinical
features of diffuse and multinodular goiter.
List the causes of solitary thyroid nodule and
discuss the diagnostic approach.
Describe the types, with pathogenesis,
morphology and clinical features of thyroiditis
with special reference to auto-immune thyroiditis
2
Prof,
NaeemKauser
342
(Hashimoto’s thyroiditis and Grave’s disease).
Thyroid
tumor/MEN
syndrome
Classify the etiology, pathogenesis, morphology
and clinical features of
Follicular adenoma Papillary carcinoma
Follicular carcinoma Medullary carcinoma.
List the types of MEN syndromes.
2
Prof,
NaeemKauser
Hyperparathyroidi
sm/Hypoparathyr
oidism
List the etiologic factors and clinical features of
hyperparathyroidism.
List the etiologic factors and clinical features of
hypoparathyroidism
Differentiate between primary, secondary and
tertiary hyperpara-thyroidism.
Discuss calcium haemostasis and causes of hyper
and hypocalcemia.
1
Prof,
NaeemKauser
Hypoadrenalism/
Hyperadrenalism
List the causes of adrenal cortical hyperfunction.
Describe the etiology, pathogenesis clinical
features and lab diagnosis of Conn’s syndrome
Adrenogenital syndrome.
List the causes of hypofunction of adrenal cortex.
2
Prof,
NaeemKauser
Adrenall medulla
Describe the etiology, pathogenesis, and clinical
features of Addison’s disease.
1
Prof,
NaeemKauser
Pheochromocyto
ma
List the tumours of adrenal medulla and cortex.
Describe the clinical features and diagnosis of
pheochromocytoma.
1
Prof,
NaeemKauser
Diabetes
Types, causes , cinical features , pathogenesis 5 Prof,
NaeemKauser S
KIN
Introduction
Define the following macroscopic and microscope
terms:
Macule, papule, nodule, plaque, vesicle, bulla, blister,
putsule, scale, lichenification, excoriation,
hyperkeratosis, parakeratosis, acanthosis,
dyskeratosis, acantholysis, papillomatosis, lentiginou
spongiosis.
1
Dr Sadia Sharif
DERMATITIS/
DERMATOSIS
Describe the morphological and clinical features
of urticaria.
Classify eczematous dermatitis.
Describe the etiology and pathogenesis of
Contact dermatitis Atopic dermatitis
Drug related eczematous dermatitis
Photoeczematus eruptions Primary irritant
dermatitis
Describe the morphological and clinical features
1
Dr. Sadia Sharif
343
of acute eczematous dermatitis
Erythema
Multiforms/BULL
OUS DISEASES
List the conditions which are associated with
erythema multiforme.
Describe the clinical features of erythema
multiforme.
Describe the pathogenesis, morphological and
clinical features of psoriasis.
Describe the variants of pemphigus with respect
to frequent site of involvement and clinical
features. Discuss the pathogenesis of pemphigus.
Describe the clinical and morphological features
of bullous pemphigoid.
1
Dr. Sadia Sharif
PREMLAIGNANT
DISEASES
List the pre-malignant epithelial lesions.
List the types of warts and their most frequent
locations
1
Dr. Sadia Sharif
SEC/ BASAL CELL
List the predisposing factors of squamous cell
carcinoma of skin.
Describe the clinical and morphological features
of basal cell carcinoma
1
Dr. Sadia Sharif
NEVUS/
MELANOMA
Describe the clinical and morphological features
of dysplastic nevi.
Describe malignant melanoma with respect to
frequent site of origin, clinical and morphological
features.
1
Dr. Sadia Sharif
MA
LE G
EN
ITA
L SY
ST
EM
CONGENITAL
ANOMALIES
Discuss the following congenital conditions
Hypospadias, Undescended testis Spermatocele
1 Prof. Tariq
Mehmood
INFECTIONS/BPH
Testis and epididymis Inflammation (Orchitis)
Describe the etiology, route of infection,
pathogenesis and methods of diagnosing
urethritis. Gonococcal ,Non gonococcal
Discuss the etiology, pathogenesis and natural
history of Prostatitis ,Prostatic hyperplasia
1
Prof. Tariq
Mehmood
SWELLINGS/CA
prostate
Discuss the causes, pathogenesis and clinical
features of scrotal swelling.
Testicular adnexae ,Varicocele
Hydrocele Spermatocele Testis and epididymis
Discuss the causes, pathogenesis and relevant
investigations of male infertility.
Classify the tumours of the male genital tract.
Prostate . Testis
2
Prof. Tariq
Mehmood
LESSON PLANNER (PRACTICALS)
SUBJECT: SPECIAL PATHOLOGY
344
Unit TOPICS
Learning Objectives: students should
be able to perform ,understand and
recognize the:
Prac
tical Batch
Facilita
tor
Hematology
Collection of blood
sample Sample collection Method ,procedure,
2 A-B
Staining of peripheral
blood smear
Method ,different stains ,slide
preparation,
2 A-B
Heamoglobin
estimation Values,Procedure , interpretation,
2 A-B
DLC Values,Procedure , interpretation, 2 A-B
TLC Values,Procedure , interpretation, 2 A-B
Bleeding time OSPE, Values,Procedure ,
interpretation,
2 A-B
Clotting time Values,Procedure , interpretation, 2 A-B
Erythrocyte
sedimentation rate Values,Procedure , interpretation,
2 A-B
Blood smear of malarial
parasite Values, Procedure , interpretation,
2 A-B
Leukemic blood smear
examination OSPE,Slide examination, interpretation
2 A-B
Chronic leukemia Slide examination, interpretation 2
A-B
Blood grouping Procedure, method , interpretation 2
A-B
Blood smear
examination in anemia Procedure, method , interpretation
2 A-B
Special
Pathology
Atherosclerosis Slide recognition , pathogensis, 2
A-B
Monkebergs
arteriosclerosis Slide recognition , pathogensis,
2 A-B
Infarction Slide recognition ,understanding of
pathogenesis
2 A-B
Chronic gastritis Slide examination with H pylori 2 A-B
Adenocarcinoma
stomach
Gross of the Specimens, microscopic
features on pathological slide
2 A-B
Anthracosis OSPE , slide examiamiton 2
A-B
Pneumonia Causes , pathogenesis ,types 2
A-B
Pul T.B Slide examination and recognition
2 A-B
Papillary carcinoma
thyroid
Gross of the Specimens, microscopic
features on pathological slide
2 A-B
Chronic pyelonephritis Gross of the Specimens, microscopic
features on pathological slide
2 A
Transitional cell CA Gross of the Specimens, microscopic
features on pathological slide
2 A
Chronic cervicitis Gross of the Specimens, microscopic
features on pathological slide
2 A-B
Endometrial CA Gross of the Specimens, microscopic
features on pathological slide
2 A-B
345
Invasive ductal
carcinoma breast
Gross of the Specimens, microscopic
features on pathological slide
2 A-B
Osteosarcoma Gross of the Specimens, microscopic
features on pathological slide
2 A-B
Astrocytoma Gross of the Specimens, microscopic
features on pathological slide
2 A-B
Introduction to
chemical pathology+
sample collection
Sample collection , methods , values
normal and abnormal .interpretations
2
A-B
LESSON PLANNER (TUTORIALS)
CLASS: 4TH YEAR
SUBJECT: SPECIAL PATHOLOGY
TOPICS
Learning Objectives: Students should
be able to describe ,enlist
,understand ,differentiate
Tutorial
number
Facilitator
CVS
Pathological conditions,with their
pathogenesis, morphological features
,clinical features ,diagnosis
2
Tutorial
CVS Pathological conditions,with their 1 Grand
346
pathogenesis, morphological features
,clinical features ,diagnosis
Tutorial
GIT
Pathological conditions,with their
pathogenesis, morphological features
,clinical features ,diagnosis
2
Tutorial
GIT
Pathological conditions,with their
pathogenesis, morphological features
,clinical features ,diagnosis
1 Grand
Tutorial
Respiratory
system
Pathological conditions,with their
pathogenesis, morphological features
,clinical features ,diagnosis
2
Tutorial
Respiratory
system
Pathological conditions,with their
pathogenesis, morphological features
,clinical features ,diagnosis
1 Grand
Tutorial
Urinary system
Pathological conditions,with their
pathogenesis, morphological features
,clinical features ,diagnosis
1
Tutorial
Female genital
system
Pathological conditions,with their
pathogenesis, morphological features
,clinical features ,diagnosis
1 Grand
Tutorial
Musculoskeletal
system
Pathological conditions,with their
pathogenesis, morphological features
,clinical features ,diagnosis
2
Tutorial
Liver
Pathological conditions,with their
pathogenesis, morphological features
,clinical features ,diagnosis
2
Tutorial
Liver
Pathological conditions,with their
pathogenesis, morphological features
,clinical features ,diagnosis
1 Grand
Tutorial
CNS
Pathological conditions,with their
pathogenesis, morphological features
,clinical features ,diagnosis
1
Tutorial
Breast
Pathological conditions,with their
pathogenesis, morphological features
,clinical features ,diagnosis
1 Grand
Tutorial
Endocrine system
Pathological conditions,with their
pathogenesis, morphological features
,clinical features ,diagnosis
2
Tutorial
Endocrine system
Pathological conditions,with their
pathogenesis, morphological features
,clinical features ,diagnosis
1 Grand
Tutorial
Hematology
Pathological conditions,with their
pathogenesis, morphological features
,clinical features ,diagnosis
1
Tutorial
Hematology
Pathological conditions,with their
pathogenesis, morphological features
,clinical features ,diagnosis
1 Grand
Tutorial
Male genital
system
Pathological conditions,with their
pathogenesis, morphological features
,clinical features ,diagnosis
1 Grand
Tutorial
Skin
Pathological conditions,with their
pathogenesis, morphological features
,clinical features ,diagnosis
1
Tutorial
347
MBBS SECOND PROFESSIONAL EXAMINATION
TABLE OF SPECIFICATIONS
(MCQS)
SR.NO
TOPICS
MCQS
1 CELL INJURY 4
2 INFLAMMATION AND MEDIATORS OF INFLAMMATION 6
3 HEALING AND REPAIR 2
4 DISORDERS OF CIRCULATION 4
5 PARASITOLOGY 5
6 VIROLOGY 6
7 GENERAL BACTERIOLOGY 4
8 SPECIAL BACTERIOLOGY 14
348
9 MYCOLOGY 4
10 GENETICS 2
11 DISORDERS OF GROWTH 9
12 IMMUNOLOGY 5
TOTAL 65
MBBS SECOND PROFESSIONAL EXAMINATION
GENERAL PATHOLOGY AND MICROBIOLOGY
TABLE OF SPECIFICATIONS
(SEQS)
SR.NO
TOPICS
MCQS
1 CELL INJURY 1
2 INFLAMMATION AND MEDIATORS OF INFLAMMATION 1
3 HEALING AND REPAIR 1
4 DISORDERS OF CIRCULATION 1
5 PARASITOLOGY 1
6 VIROLOGY 1
349
7 BACTERIOLOGY 4
8 MYCOLOGY 1
9 GENETICS 1
10 DISORDERS OF GROWTH 1
11 IMMUNOLOGY 1
TOTAL 14
MBBS THIRD PROFESSIONAL EXAMINATION
SPECIAL PATHOLOGY
TABLE OF SPECIFICATIONS
(MCQS)
SR.NO
TOPICS
MCQS
1 CVS 5
2 HEMATOPOIETIC AND LYMPHOID SYSTEM 5
3 GIT 9
350
4 HEPATOBILIARY SYSTEM 5
5 URINARY SYSTEM 5
6 MALE GENITAL SYSTEM 5
7 FEMALE GENITAL SYSTEM 5
8 BREAST 5
9 RESPIRATORY SYSTEM 5
10 MUSCULOSKELETON SYSTEM 5
11 CNS 2
12 CLINICAL CHEMISTRY 3
13 SKIN 1
14 ENDOCRINOLOGY 5
TOTAL 65
MBBS THIRD PROFESSIONAL EXAMINATION
SPECIAL PATHOLOGY
TABLE OF SPECIFICATIONS
(SEQS)
SR.NO
TOPICS
SEQS
1 CVS 1
2 HEMATOPOIETIC AND LYMPHOID SYSTEM 1
351
3 GIT 2
4 HEPATOBILIARY SYSTEM 1
5 URINARY SYSTEM 1
6 MALE GENITAL SYSTEM 1
7 FEMALE GENITAL SYSTEM 1
8 BREAST 1
9 RESPIRATORY SYSTEM 1
10 MUSCULOSKELETON SYSTEM 1
11 CNS 1
12 CLINICAL CHEMISTRY 1
14 ENDOCRINOLOGY 1
TOTAL 14
FORMAT (PRACTICAL EXAMINATION AND OSPE)
General Pathology and Microbiology (2nd Professional MBBS)
SR .NO
COMMENTS
MARKS
1.
OSPE
12 UNOBSERVED STATIONS RELATED TO PRACTICALS
(EACH OF 4MARKS)
48
2.
OBSERVED PRACTICAL (MICROBIOLOGY)
4 STATIONS
6 MARKS EACH
24
3.
STRUCTURED VIVA VOCE RELATED TO CURRICULUM
58
28+30
(INTERNAL+EXTERNAL)
4. ANNUAL WORK BOOK
05
352
5. CONTINUOUS INTERNAL ASSESSMENT
15
TOTAL
150
Special Pathology (3rd professional examination)
SR .NO
COMMENTS
MARKS
1.
OSPE
18 UNOBSERVED STATIONS RELATED TO PRACTICALS
(EACH OF 3.5 MARKS)
63
2.
OBSERVED PRACTICAL (MICROBIOLOGY)
2 STATIONS (3.5 MARKS EACH)
7
3.
STRUCTURED VIVA VOCE RELATED TO CURRICULUM
60
30+30
(INTERNAL+EXTERNAL)
4. ANNUAL WORK BOOK
05
5. CONTINUOUS INTERNAL ASSESSMENT
15
TOTAL
150
ASSESSMENT AND EXAMINATION SCHEME
FOR 3RD AND 4TH YAER MBBS 2017-2018
Third Year MBBS
Year
Semester
1
3 months
Assessment
Semester
2
3 months
Assessment
Semester
3
3 months
Assessment
Assessment
Assessment
Semester
S1
Monthly test=
2
Term test=1
S2
Monthly test=
2
Term test=1
S3
Assessment
for semester
3
Send-up
UHS second
Prof Exam
Fourth year MBBS
Semester
S1 Monthly test=
2
S2
Monthly test=
S3
Monthly test=
Send-up
UHS Third
353
Term test=1
2
Term test=1
2
Term test=1
Prof Exam
Monthly test marks= Total Marks=50
MCQs+ SEQ marks division of monthly test= 25 + 25= 50
End semester term test= Total Marks 100
z. Theory marks= Total Marks 40
aa. Practical /viva Marks= Total Marks 40
bb. Attendance criteria= 75%= 10 marks
cc. General attitude of student= 5 marks
dd. Extracurricular activities = 5 marks
Send-up Marks= Total Marks 300
z. Theory marks= Total Marks 135= 45MCQs + 45SEQs
aa. Practical Marks= Total Marks 135 (further division according to UHS format)
bb. Attendance criteria= 75%= 20 marks
cc. General attitude of student= 5 marks
dd. Extracurricular activities = 5 marks
Internal Evaluation= a. Assessment 1+Assessment 2 +Assessment 3= 50% score
b. Send-up= 50% score
Credit of three semesters=100+100+100 (50% theory+50% practical)
Sendup examination= 300 (50% theory+50% practical)
Final internal assessment= sendup +total semesters assessments = /2
UNIVERSITY EXAMINATIONS
2NDAND 3RD PROFESSIONAL EXAMINATION
General Pathology and Microbiology (2nd Professional MBBS)
354
Special Pathology (3rd professional examination)
EVALUATION FORMS
Evaluation form for course assessment
Pathology Department of AmnaInayat Medical College
355
Course Title:
Date:
(Circle the appropriate number)
1= Standards not met, 5= Standards fully met
37. Objectives were met 1 2 3 4 5
38. Topics were logically organized 1 2 3 4 5
39. Used time appropriately 1 2 3 4 5
40. Assignments were useful 1 2 3 4 5
41. Required reading was useful 1 2 3 4 5
42. Used student’s experiences well 1 2 3 4 5
43. Grading standards were clear 1 2 3 4 5
44. Required an appropriate amount of work 1 2 3 4 5
45. Responded to ethnic and cultural diversity 1 2 3 4 5
46. Evaluation activities were appropriate 1 2 3 4 5
47. Used appropriate teaching method 1 2 3 4 5
48. Communicated ideas and concepts fairly 1 2 3 4 5
49. Provided timely and thoughtful feedback 1 2 3 4 5
50. Tutor available outside of class if needed 1 2 3 4 5
51. Tutor sensitive to students background and needs 1 2 3 4 5
52. Tutor demonstrated thorough and up-to-date knowledge 1 2 3 4 5
53. Topic was useful in my professional development 1 2 3 4 5
54. Topic was stimulating and thought provoking 1 2 3 4 5
Additional comments about likes, dislikes, strengths and weaknesses:
Evaluation form for assessment of sessions of small group discussions
356
Pathology department of AmnaInayat Medical College
Name of class:
Date:
For overall rating of each of following items, circle the appropriate number.
No. 1= Least effective and No. 5= Outstanding
15. Physical arrangement and comfort 1 2 3 4 5
16. Choice of methods tutor used 1 2 3 4 5
17. Participation level 1 2 3 4 5
18. Group atmosphere 1 2 3 4 5
19. Interest of participants 1 2 3 4 5
20. Was the session focused 1 2 3 4 5
21. To what extent learning objectives were fulfilled 1 2 3 4 5
The three most important things we talked about today were
A.
B.
C.
Here is what I learned today:
A new idea for me was:
I am confused about:
Here’s what I do not understand:
RECOMMENDED BOOKS
Subject: General Pathology and Microbiology
357
1. Pathological Basis of Disease by Kumar, Cortan and Robbins, 7thEd., W.B. Saunders.
2. Medical Microbiology and Immunology by Levinson and Jawetz, 9th Ed., Mc Graw-Hill.
3. Medical Genetics by Jorde, 3rd Ed., Mosby.
4. Clinical Pathology Interpretations by A. H. Nagi
Subject : Special pathology
1. Pathological Basis of Disease by Kumar, Cotran, Robbins. 7th. Ed.
2. Ackerman’s Surgical Pathology
3. Clinical Pathology Interpretations by A.H. Nagi
4. Theory and Practice OfHistololgical Techniques by John D Bancroft
5. District Laboratory Practice in Tropical Countries by Monica Cheesburgh,
2nd Ed. Part I & II
6. Online Journals and Reading Materials through HEC Digital Library
Facility.
AMNA INAYAT MEDICAL COLLEGE
358
AIMC-MBBS,
COMMUNITY MEDICINE CURRICULUM
(PMDC/UHS)
&
ACADEMIC PLANNER
2017-2022
Department of Community Medicine, Amna Inayat Medical College
Focal Person: Dr. Faiz ur Rehman
Author: Dr. Faiz ur Rehman
Approved By: Prof. Dr. Tariq Bhatti
Faculty: Dr. Faiz ur Rehman Assistant Professor Community Medicine
Dr. Munir Ahmad Senior Demonstrator Community Medicine
Dr. Umara Munir Demonstrator Community Medicine
359
CONTENTS
1.33. INTRODUCTION
1.34. Department of Community Medicine, Faculty and staff
1.35. PMDC Table of Subjects, spacing and allocated hours of MBBS
Program
1.36. Allocated contact hours (Theory, Practical, Total) of Community
Medicine Subject in 4th year of MBBS Program
1.37. Semester planner of contact hours (Theory, Practical, Total) of
Community Medicine Subject, in 4th year of MBBS Program.
1.38. Assessments/Evaluations/Examinations-Planner
1.39. Scheme of Semesters and Send up Assessments/Evaluations and
University Examinations of year MBBS Program.
1.40. Blooms Taxonomy
1.41. Learning Strategies
2.0. CURRICULUM OF COMMUNITY MEDICINE SUBJECT
2.1 PMDC Curriculum
2.3. UHS Curriculum
8.0. LESSON PLANERS AND TIME TABLE
3.9 Time Table of Lectures/Demonstrations/Practical of 4th Year.
3.10 Lesson planner with titles and learning objectives of “Theory and
Practical” of 4th year.
4.0 ASSESSMENTS/EVALUATIONS/EXAMINATIONS
4.1 Continuous Assessments
4.2 Evaluations at End of Semester
4.3 Evaluations at end of year (Send Up)
4.10 University Examinations (Professional 3.a & 3.b)
4.11 Student Feedback Form (Student will fill and submit his/her
feedback form) at end of each year regarding, quality of teaching,
quality of learning resources and any recommendations to improve
effectiveness of teaching and assessments/evaluations)
360
1.0. INTRODUCTION OF DEPARTMNET: Community Medicine is graduate program in basic sciences, integrated with the
curriculum of 4th year MBBS. It comprises theory & practical.
COMMUNITY MEDICINE
The course is designed to familiarize medical students with some basic
Health promotion concepts and practices. The general learning
Objectives of the course to be achieved at the end of 4th year medical
Training will be:
Define and explain health in a holistic manner
Develop an understanding of local health care delivery system
Identify important determinants of health, risk factors of disease and
Epidemiological characteristics of indigenous population.
Seek, facilitate and promote community participation in provision of
healthcare (i.e. encourage patients and public to take interest in
their health)
Create awareness and disseminate through available and
appropriate means information to individuals and community
regarding development/adaptation of healthy life style
behaviours/healthy social environment
Identify, develop and support local partnership with workforce from
allied sectors and with relevant stakeholders to broaden the local
response to health inequalities.
Create awareness and demand for services like immunization,
prenatal and postnatal care, family planning, good hygienic
practices and health education regarding communicable and non-communicable
361
diseases.
Create awareness and sensitivity to provide health care to
underserved populations.
Know the steps of basic Research Methodology and importance of
dissemination of evidence based knowledge
362
1.1. INTRODUCTION OF FACULTY
DEPARTMENT OF COMMUNITY MEDICINE
Subject Preventive, Social & Community Medicine
Department Community Medicine
HOD
NAME QUALIFICATION DESIGNATION ROLE
Dr. Faiz ur Rehman MBBS,DCP,DPH Assistant Professor Lectures
Course coordinator
Student supervision
Dr. Munir Ahmad MBBS,MPH Senior Demonstrator Demonstrations
Practicals
Dr. Umara Munir MBBS Demonstrator Demonstrations
Practicals
1.3. HOURS OF COMMUNITY MEDICINE IN MBBS COURSE
363
TOTAL NUMBER OF CONTACT HOURS
SUBJECT: Community medicine, 2017-2018
Total number of Contact hours for 4th Year MBBS
MITs Total number Total contact hours
Lectures 103 103
Practicals 24 48
Small group
discussions
36 72
Assessments 10 21
CMEs 3 6
Total contact hours=250 hours
Duration of lecture = one hour
Duration of practical= 2 hours
Duration of SGD = 2 hours
Duration of assessments= Variable (monthly test, term test, send up)
Duration of CME = 2 hours
Each semester test = 2+1= 3hours
Sendup examination= 3+3= 6hours
364
1.4. SEMESTER PLANNER OF CONTACT HOURS OF COMMUNITY
MEDICINE IN 4TH YEAR MBBS
Allocated hours divided into Theory and practical
Subject: Community Medicine 4th year MBBS, 2017-2018
Semester Theory
(hrs)
Practical
(hrs)
Small
group
discussion
(hrs)
CME
(hrs)
Assessment
(hrs)
Total
hrs
Semester1 35 16 24 2 5 82
Semester 2 31 16 24 2 5 78
Semester 3 37 16 24 2 5 84
Send up
exam
3 3 6
Grand Total
250
365
1.5. ASSESSMENTS/EVALUATIONS/EXAMINATIONS-PLANNER
Assessment and Examination Planner
For 4th Year MBBS, 2017-2018
Year
Semester
1
(3months)
Asse
ssme
nt 1
Semester
2
(3months)
Asse
ssme
nt 2
Semester
3
(3months)
Asse
ssme
nt 3
Asse
ssme
nt
Asse
ssme
nt
Semester
S1
Monthly
test= 2
Term
test=1
S2
Monthly
test= 2
Term
test=1
S3
Monthly
test= 2
Term
test=1
Send-up
UHS
Prof
Exam
Monthly test marks= Total Marks=50
MCQs+ SEQ marks division of monthly test= 25 + 25= 50
End semester term test= Total Marks 200
ee. Theory marks= Total Marks 90= 45MCQs + 45SEQs
ff. Practical Marks= Total Marks 90 (further division according to UHS format)
gg. Attendance criteria= 75%= 10 marks
hh. General attitude of student= 5 marks
ii. Extracurricular activities = 5 marks
Send-up Marks= Total Marks 200
ee. Theory marks= Total Marks 90= 45MCQs + 45SEQs
ff. Practical Marks= Total Marks 90 (further division according to UHS format)
gg. Attendance criteria= 75%= 10 marks
hh. General attitude of student= 5 marks
ii. Extracurricular activities = 5 marks
Internal Evaluation= a. Assessment 1+Assessment 2 +Assessment 3= 50% score
b. Send-up=50% score
366
1.6. SCHEME OF SEMESTERS AND SEND-UP
ASSESSMENTS/EVALUATIONS AND UNIVERSITY EXAMINATION OF
4TH YEAR MBBS
Allocated hours divided into Theory and practical
Subject: Community Medicine 4th year MBBS, 2017-2018
Semester Theory
(hrs)
Practical
(hrs)
Small
group
discussion
(hrs)
CME
(hrs)
Assessment
(hrs)
Total
hrs
Semester1 33 16 24 2 5 80
Semester 2 41 16 24 2 5 88
Semester 3 29 16 24 2 5 76
Send up
exam
3 3 6
Grand Total 250
367
1.8. INTRODUCTION TO TEACHING STRATEGIES
The aim of this department is to educate students in modern scientific approaches
to community medicine. The mission of this department is to provide an
encouraging environment to develop the intellectual capacity, critical thinking,
creativities, and problem solving ability of its students, so that they may become
honorable, contributing, and forward – thinking members of the science and
medical community; to foster a conducive environment for scholarly and creative
and activities so that new knowledge or solutions to problems are discovered or
created: and to provide education to all students in the Amna Inayat Medical
College so that they may be equipped to succeed in the modern world.
368
2.0. CURRICULUM OF COMMUNITY MEDICINE SUBJECT
COURSE ORGANIZATION
Subject information will be delivered to student through lectures interactive
section, continue medical education sessions, tutorials and practicals throughout
the year. These are the components of course organization
Class lecture
Practical
Tutorial
2.1. PMDC CURRICULUM
COURSE CONTENT
1. Concept of Health and Disease
Concept of health, Definition of health. Dimensions, physical, mental, social and
spiritual. Spectrum of health, Determinants of health. Responsibility for health.
Indicators of health. Health promotion. Concept of disease, concept of causation
(all theories including ecological triad, agent, host and environmental factors),
spectrum of disease. Natural history of disease. Levels of prevention. Disease
elimination and eradication. Disease surveillance and disease prevention.
2. Introduction to Public Health
Historical background. Evolution of Public health. Definition of Public health.
Branches of Public health. Preventive medicine, social medicine, population
medicine, community medicine. International Health. Health for all.
3. Health Systems in Pakistan
Development of Public Health in Pakistan. Economics and Health. Health Policy and
planning in Pakistan. “Health for all”, background, concepts and progress. “Primary
369
Health Care”: Concepts and progress. The National Disease Control programmes;
policies, strategies and operations. Health System in Pakistan: The role of Federal
and Provincial Governments in Health Care. The District Health System, in the
context of devolution. The Physician as a manager: Functions of
manager, management of material, human and financial resources. Leadership and
motivation. Partners in Health: The public and private sector. Non-governmental
Organizations and International Agencies. Resources for health.
Community Mobilization.
4. General Epidemiology and Research Methodology
Background and concepts, uses, basic measurements in epidemiology (morbidity,
mortality, disability and fatality). Epidemiological methods (descriptive, analytic and
experimental). Epidemiological transition. Association and causation. Investigation
of an outbreak or an epidemic. Screening for disease. Community diagnosis.
Research and survey methodology. Introduction to
qualitative research methodology.
5. Biostatistics
Concepts and uses
Data and its types
Rates, ratios and proportions
Crude, specific and standardized rates.
Collection and registration of vital events in Pakistan
Sources of health related statistics
Measures of central tendency, (Mean, Median, Mode),
Measures of dispersion (Range, Standard deviation, Standard error)
Normal curve.
Methods of data presentation (tables, graphs & diagrams)
Interpretation of data (t-test and Chi-square test)
Sampling and its various techniques.
370
Health Management Information System
6. Demography and Population dynamics
Concept, demographic principles and demographic processes
Census, definition, methodology, types
Determinants of fertility, mortality
Population Pyramid and its interpretation
Demographic Transition, Demographic Trap and its public health importance
Demographic and social implication of high population growth
Social Mobilization
Urbanization
7. Nutrition and Health (Integrated)
Concepts (Nutrition, Nutrient, Food, Diet). Food groups and their Functions. Role
of fiber in diet. Balanced Diet
Malnutrition at all stages of life, its types causes and prevention. Common
nutritional problems of public health importance and their Prevention and control
Dietary requirements of normal human being at different stages of life
Food hygiene, pasteurization, fortification, additives and adulteration and
preservation
Nutritional diseases and Programmes.
Assessment of nutritional status of a Community
8. Reproductive and Child Health (Integrated)
Safe motherhood and its components. (Ante-natal, Post-natal, Family Planning
and Emergency Obstetric Care)
Maternal mortality and its causes and prevention
371
Infant care: Growth and development. Breast feeding, common causes of
morbidity and mortality, their prevention and control
Child Care: Child health surveillance. Health promotion strategies. Common
ailments, home accidents, child mortality prevention. Strategic approaches of
Integrated Management of Childhood Illness (IMCI)
Adolescent health
Reproductive tract infections: guidelines for management of sexually transmitted
diseases
9. Health of school age children (Integration)
Role of teachers and role of doctor in maintenance of health
Procedures for determining health status of school age children
Common health problems of school children
10. Environmental Health Sciences
Air: Composition of air. Causes of Air pollution. Purification of Air. Diseases
caused by impurities in air and their prevention (Acute Respiratory Illnesses)
Water: Sources of Water. Daily water requirement. Water pollution its causes
and prevention. Purification of Water. Water quality standards. Diseases due to
polluted water
Waste disposal: Contents, hazards and safety measures for solid and liquid;
Domestic, Industrial and Hospital waste (Global and Marine problems)
Climate: Climate and weather. Global environmental concerns (Greenhouse
effect, depletion of Ozone layer, Acid rains). Effect of extremes of temperature,
humidity, atmospheric pressure on human health and their prevention
Radiation: Sources, types, causes, hazards and prevention
Healthful housing. Urban and rural slums. Refugee camps and hostels
Noise: Definition, causes, acceptance level, hazards and control
11. Occupational Health
372
Concepts, of occupational health, occupational medicine and occupational
hygiene. Ergonomics and its importance
Occupational hazards. Principles of control
General principles of occupational disease prevention
Organization of occupational health services
Health Insurance and Social Security Schemes, Labour Laws
12. Prevention and control of Infectious diseases: (Integration)
Definitions to differentiate between
Infection, contamination, pollution, infestation
Infectious disease, communicable disease, contagious disease
Host, Immune and susceptible persons
Sporadic, Endemic, Epidemic, Pandemic
Epizootic, Exotic, Zoonotic
Contact, fomites, Carriers, Insect Vectors, Reservoir of infection
Incubation period, Infective period, Generation time
Cross infection, Nosocomial infection, Opportunistic infections,
Iatrogenic (Physician induced) disorders
Surveillance control, Eradication, Elimination
Dynamics of infections, disease transmission:
Reservoir and source of infection, Escape of organism, Mode of transmission,
Entry into the body, susceptible host, Immunity (different types of immunity and
immunization).
Control of infection:
Controlling the reservoir-notification, early diagnosis treatment, isolation,
quarantine, disinfections.
373
Interruption of transmission.
The susceptible host (active and passive immunization, Combined.
Chemoprophylaxis, Non-specific measures).
Health advice to travelers.
National case management guidelines.
Epidemiology, control and prevention of infectious diseases of
Public Health importance.
Diseases transmitted through inhalation.
Diseases transmitted through faeco-oral route.
Diseases of animals conveyed to man.
Diseases due to direct contact.
13. Control and prevention of non-infectious diseases of Public
Health importance (Integration)
Hypertension.
Coronary heart disease.
Cancers.
Injuries.
Diabetes mellitus.
Obesity.
Acute Rheumatic fever and heart diseases.
14. Arthropods and their public health importance
Common arthropod borne diseases
Control of arthropods of medical importance
Insecticides and their public health importance
15. Prevention and control of parasitic diseases of public health
Importance
374
Common parasitic infections of Public Health importance.
16. Snake Bites: Identification, personal protection and management
17. Mental Health and Behavioural Sciences (integrated with other departments
like behavioural sciences/psychiatry)
Concept. Common mental health problems, their causes, prevention and control
Juvenile delinquency
Drug abuse, addiction, alcholism and smoking
Child abuse and child labour
Self medication
18. Information, Education and Communication (IEC)
Concept. Aims and objectives
Approaches used in public health
Contents, principles and stages of health education
Communication methods, barriers and skills in health education
Planning, organizing and evaluating a health education programme
Social Marketing
19. Disaster and accidents
Definition, Classification (Natural disasters like earthquake, floods. Epidemic of
communicable diseases, Man Made Disasters. Thermo nuclear warfare.
Magnitude and effects of disaster and Public Health consequences.
Disaster: preparedness and management.
Accidents: Definition, classification, prevention.
20. Health Planning and Management (to be included)
Health Planning. Planning cycle,
Management and administration.
375
Management methods and techniques.
Planning-programming-budgeting system
PRACTICAL AND COMMUNITY BASED TRAINING
I. Student should have practical experience in questionnaire
development, data collection, compilation, presentation, analysis
and report writing.
II. Field visits
Visit to Basic Health Unit (BHU) and Rural Health Center (RHC)
Visit to a Non-Government Organization (NGO)
Visit to a primary school to assess the nutritional status of school children (school
health, comparison in different socio economical strata)
Visit to Maternal and Child Health/Reproductive Health Centre to observe the
organization and function of the centre, and to demonstrate counseling skills in the
following
o Nutritional counseling for children, pregnant and lactating women
o Antenatal Care
o Family planning services
o Immunization, others
Visit to a hospital to see the hospital waste disposal
Visit to an industry
Visit to a physical/mental/social rehabilitation centers
Visit to Management/Administration/Medical Superintendent offices
Visit to meteorological centre/ weather centre.
III. Skills Development Laboratory
Water purification at domestic level
Contraceptives
Vaccination including the cold chain
376
Oral Rehydration Solution
Growth monitoring
Diet Chart
Communication Skills
Reference writing style (End note)
Insecticides and disinfection
Practicals on SPSS (Statistical Package for Social Scientists)
2.1. UHS CURRICULUM
Same as PMDC
LEARNING COURSE OBJECTIVES
Define and explain health in a holistic manner
Develop an understanding of local health care delivery system
Identify important determinants of health, risk factors of disease and
epidemiological characteristics of indigenous population.
Seek, facilitate and promote community participation in provision of healthcare
(i.e. encourage patients and public to take interest in their health)
377
Create awareness and disseminate through available and appropriate means
information to individuals and community regarding development/adaptation of
healthy life style behaviours/healthy social environment
Identify, develop and support local partnership with workforce from allied sectors
and with relevant stakeholders to broaden the local response to health inequalities
Create awareness and demand for services like immunization, prenatal and
postnatal care, family planning, good hygienic practices and health education
regarding communicable and non-communicable diseases
Create awareness and sensitivity to provide health care to underserved populations
Know the steps of basic Research Methodology and importance of dissemination of
evidence knowledge.
3.0. LESSON PLANNERS AND TIME TABLE
DA
YS
8:00
8:45AM
8: 45
09:30AM
09:30
10:15AM
10:15
11:00AM 11
:00
11
:20
AM
11
:20
AM
1:3
0P
M
1:30 2:15PM 2:15 3:00PM
378
3.1. Time table of lectures/Demonstrations/practical of 4th year.
MO
ND
AY
Community
Medicine
Lecture
Surgery
Batch A: Pathology
Practical
Batch B :Community
Medicine
Bre
ak
CLI
NIC
ALR
OT
AT
ION
Lecture
Pathology
Lecture
ENT
TU
ES
DA
Y
Lecture
Surgery
Lecture
Pathology
Batch A : C. Medicine
Practical
Batch B : Pathology
Practical
Lecture
Eye
Lecture
COM.MED
WE
DN
ES
DA
Y
Lecture
Medicine
Lecture
Pathology
Batch A: Tutorial
Path/C.Med
Batch B: Tutorial C. Med/
Path
Grand Tutorial/Test/Weekly
Program
TH
UR
SD
AY
Lecture
GYNAE / OBS
Lecture
PATHOLOGY
Lecture
EYE
Lecture
MEDICINE
Lecture
Paeds
Lecture
Com. Medline
FR
IDA
Y Lecture
Pathology
Lecture
E.N.T
Lecture
COM.
MEDICINE
Lecture
EYE
JUMMA
PRAYERS
Lecture
Medicine
379
3.2. Lesson planner with titles and learning objectives of
theory and practical of 4th year.
AMNA INNAYAT MEDICAL COLLEGE YEARLY PLANNER OF LECTURES:
2017-2018
CLASS: 4th YEAR MBBS
SUBJECT: COMMUNITY MEDICINE
Sr. No DATE Title / Topic
Objectives which the students should
understand, define & Reproduce LECTURE BY
1. 22-12-17
Concept of Health
& Disease
Concept & Defin of Health & Its Dimension Dr. Faiz-ur-
Rehman AP
2. 23-12-17 Spectrum & Determinants of Health
3. 02-01-18 Indicators of Health & Health Promotion
4. 03-01-18 Concept of Disease & Causation
5. 04-01-18 Spectrum & natural history of disease
6. 05-01-18 Levels of Prevention & Disease Elimination
7. 06-01-18 Disease Surveillance & Prevention
8. 09-01-18
Introduction to
Public Health
Historical background & evolution of public health
9. 10-01-18
Definition & branches of public health Preventive &
social medicine
10. 11-01-18
Community Medicine, International Health, Health for
all
11. 12-01-18
Health Systems in
Pakistan
Development of public health in Pakistan. Economics &
Health.
12. 13-01-18
Health Policy & Planning in Pakistan, Health for all,
background concepts & progress.
13. 16-01-18 Primary health care concepts & progress
14. 17-01-18
National Disease control programs, policies, strategies
& operations.
15. 18-02-18
Health system in Pakistan, Role of federal &
provincial Governments in health care.
16. 19-01-18 District health system, in the context of devolution.
17. 20-01-18
The physician as a manager & its functions.
Management of material, Human & financial resources.
18. 23-01-18
Leadership & motivation, partners in health (Public &
Private, NGO’s & International Agencies)
19. 24-01-18 Resources for health. Community mobilization
20. 25-01-18 General
Epidemiology &
Research
Methodology
Back ground & concepts, uses basic requirements in
epidemiology
21. 26-01-18 Morbidity, Mortality, Disability, & Fatality
22. 27-01-18
Epidemiological Methods( Descriptive, Analytical,
Experimental, )
23. 30-01-18 Epidemiological Transition, Association & Causation
24. 31-01-18 Investigation of an outbreak or an epidemic.
25. 01-02-18 Screening for disease, community diagnosis,
26. 02-02-18
Research & survey mythology, Qualitative research
methodology
27. 03-02-18 Biostatistics Concepts & uses, data & its types Dr. Faiz-ur-
380
Rehman AP
28. 06-02-18
Rates, Ratios, & proportions, Crude, Specific &
standardize Rates,
29. 07-02-18
Collection & registration of vital events in Pakistan,
Sources of health related statistics
30. 08-02-18 Measures of central tendency (mean, Median, Mode)
31. 09-02-18
Measures of desperation (Range, standard deviation,
standard error), Normal curve
32. 10-02-18
Methods of data presentation( tables, Graphs &
Diagrams)
33. 13-02-18 Interpretation of data (t-test & chi-square test)
34. 14-02-18
Sampling & its various techniques, health management
in information system.
35. 15-02-18 Demography &
Population Dynamics
Concept, Demographic principles & Processes
36. 16-02-18
Census, Definition, Methodology types. Determinants
of fertility & Mortality
37.
17-02-18
Population Pyramid & its interpretation, Demographic
Transition, Demographic Trap & its public health
importance
38. 20-02-18
Demographic & social implication of high population
growth, social mobilization, Urbanization,
39. 21-2-18 Nutrition & Health
(Integrated)
Concepts ( nutrition, nutrient, food, diet, ) Food groups
& their functions
40. 22-02-18 Role of fiber in diet, balance diet
41. 23-02-18
Malnutrition at all stages of life, its types, causes &
prevention.
42. 24-02-18
Common nutritional problems of public health
importance & their prevention & control
43.
27-02-18
Dietary requirements of normal human being at
different stages of life. Food hygiene, pasteurization ,
fortification, additives & adulteration & Preservation.
44. 28-02-18 Nutritional diseases & programs.
45. 01-03-18 Assessment of nutritional status of a community
46. 02-03-18 Reproductive & Child
Health (
Integrated)
Safe Motherhood & its components( Ante-natal, Post-
natal, Family Planning & emergency obstetric care)
47. 03-03-18
Maternal Mortality & its causes & prevention. Infant
care, growth & development, Breast Feeding.
48. 06-03-18
Common causes of infant morbidity & mortality, their
prevention & control.
49.
07-03-18
Child Health Surveillance. Health promotion strategies.
Common ailments, Home accidents, Child mortality
prevention.
50. 08-03-18
Strategic approaches of integrated management of
childhood illness( IMCI), Adolescent health
51. 09-03-18
Reproductive track infections, Guidelines for
management of sexually transmitted diseases.
52.
10-03-18 Health of school age
children
(Integration)
Role of teachers & role of doctor in maintenance of
health, Procedures for determining health status of
school age children.
Dr. Faiz-ur-
Rehman AP
53. 13-03-18 Common health problems of school children.
54. 14-03-18 Environmental Composition of air, Causes of air pollution, purification
381
Health Sciences
of air.
55. 15-03-18
Diseases caused by impurities in air & their prevention
(acute respiratory illnesses)
56.
16-03-18 Sources of water, daily water requirement, water
pollution its causes & prevention.
57.
17-03-18 Purification of water, water Quality Standards, Diseases
due to polluted
58.
20-03-18 Waste disposal, contents, hazards & safety Measures
for solid & liquid waste.
59.
21-03-18 Domestic, Industrial & hospital waste (Global & Marine
Problems)
60.
22-03-18 Climate & weather, Global environmental concerns(
Green house effect, Depletion of ozone layer, acid
rains)
61.
24-03-18 Effect of extremes of temperature, humidity,
atmospheric pressure on human health & their
prevention
62.
27-03-18 Radiation: sources, types, causes, hazards &
prevention
63.
28-03-18 Healthful housing, urban & rural slumps, refugee camps
& hostels
64.
29-03-18 Noise: Definition, causes, acceptance level, hazards &
control.
65.
30-03-18 Occupational Health Concepts of occupation health, occupational medicine
& occupational hygiene.
66.
31-03-18 Ergonomics & its importance. Occupational hazards &
Control Principles.
67. 03-04-18 General principles of occupational disease prevention
68.
04-04-18 Organizational of occupational health services. Health
insurance & social security schemes, labour laws.
69.
05-04-18 Prevention & Control
of infectious
Diseases
(Integration)
Definition to differentiate between infection,
contamination, pollution, infestation.
70.
06-04-18 Infectious disease, communicable disease, contagious
disease. Host, immune & susceptible persons
71.
07-04-18 Sporadic, Endemic, Epidemic, Pandemic, Epizootic,
Exotic, Zoonotic. Contact, Fomites, Carriers, Insect
Vectors, Reservoir of infection, Incubation period,
infective period,
72.
10-04-18
generation time, Cross Infection, Nosocomial Infection,
Opportunistic Infections, Iatrogenic (Physician Induced )
Disorders. Surveillance control, eradication,
Elimination.
Dr. Faiz-ur-
Rehman AP
73.
11-04-18 Dynamics of
Infections, Disease
Transmission
Reservoir & source of infection, Escape of organism,
mode of transmission,
74.
12-04-18 Entry of organism into the body, Susceptible host,
immunity (different types of immunity & immunization)
75.
17-04-18
Control of Infection
Controlling the reservoir, Notification, early diagnosis,
Treatment, Isolation,, Quarantine, Disinfections
76.
18-04-18 Interruption of transmission, Susceptible host(active &
Passive Immunization, Combined, Chemoprophylaxis,
Non-Specific Measures
77.
19-04-18 Health advice to travels, national case management
guidelines,
382
78.
24-04-18 Epidemiology
Control &
Prevention of
Infectious Diseases
of public health
importance
Diseases Transmitted through inhalation.
79.
25-04-18 Diseases Transmitted through i faeco-oral route
80.
26-04-18 Diseases of animals conyed to man
81.
02-05-18 Diseases due to direct contact.
82. 03-05-18 Control &
Prevention of Non-
Infectious Diseases
of Public Health
Importance
(Integration)
Hypertension
83. 04-05-18 Coronary Heat Disease
84. 11-05-18 Cancers
85. 12-05-18 Injuries
86. 18-05-18 Diabetes mellitus
87. 19-05-18 Obesity
88. 25-05-18 Acute Rheumatic fever & heat Diseases
89. 26-05-18 Arthropods & their
public health
importance
Common arthropod borne diseases
90. 03-06-18 Control of arthropods of medical importance
91.
04-06-18 Insecticides & their public health importance
92.
05-06-18 Prevention &
control of Parasitic
Diseases of public
health importance
Common Parasitic infections of public health
importance
Dr. Faiz-ur-
Rehman AP
93. 08-06-18 -DO-
94. 09-06-18 -DO-
95. 10-06-18 -DO-
96. 11-06-18 -DO-
97.
12-06-18 Snake Bites: Identification Personal Protection &
management
98.
15-06-18 Mental Health &
Bahavioural Sciences
(integrated with
other departments
like Behavioural
Sciences /
Psychiatry)
Common Mental Health problems, their causes,
Prevention & control.
99.
16-06-18
Juvenile delinquency, Drug abuse addiction, Alcoholism
& smoking,
100.
17-06-18 Child abuse & child labour
101.
18-06-18 Self Medication
102.
19-06-18
Information,
Education &
Communication
Concept aims & objectives. Approaches used in public
health
103. 22-06-18 Contents, Principles & Stages of health education.
104.
23-06-18 Communication Methods, Barriers & skills in health
education
105.
26-06-18 Planning, Organizing & evaluating a health education
program.
106. 27-06-18 Social marketing
107.
28-06-18 Disaster & Accidents Definition, Classification (Natural Disaster like
Earthquake, floods)
108. 01-08-18 Epidemic of communicable diseases, man made
383
disasters, thermo nuclear warfare.
109.
02-08-18 Magnitude & effects of disaster & public health
consciousness, Disaster preparedness & management
110. 03-08-18 Accidents: Definition, Classification, Prevention.
111. 04-08-18 Health Planning &
Management
Health Planning Cycle, Management & administration
112. 07-08-18 Management methods & techniques
113. 08-08-18 Planning-Programming-budgeting system
114. 09-08-18 Revision
115. 11-08-18
116. 15-08-18
117. 16-08-18
118. 17-08-18
119. 18-08-18
120. 21-08-18
121.
22-08-18 Revision Dr. Faiz-ur-
Rehman AP
122. 23-08-18
123. 24-08-18
124. 25-08-18
125. 28-08-18
126. 29-08-18
127. 30-08-18
128. 31-08-18 Revision
129. 01-09-18
130. 04-09-18
131. 05-09-18
132. 06-09-18
133. 07-09-18
134. 08-09-18
135. 11-09-18 Revision
136 12-09-18
384
SOP FOR PRACTICAL AND COMMUNITY BASED TRAINING:
Student should have practical experience in questioner development, Data
collection, Compilation, Presentation, Analysis & Report Writing
AMNA INNAYAT MEDICAL COLLEGE YEARLY PLANNER OF TUTORIAL: 2017-2018
CLASS: 4th YEAR MBBS
SUBJECT: COMMUNITY MEDICINE
Tutorial
NO. Date
TOPICS TO BE COVERED
(IN DETAIL)
Demonstrator
1 4-01-18 Water Purification at Domestic
level
Dr. Umara Munir
2 4-01-18 -DO- Grand Dr. Munir Ahmad
3 18-01-
18
Orientation of Community
Medicine Practical Copy
Dr. Faiz ur Rehman
4 1-02-18 Contraceptives Dr. Umara Munir
5 1-02-17 Contraceptives Grand Dr. Umara Munir
6 15-02-
18 Oral Rehydration Solution
Dr. Munir Ahmad
7 01-03-
18
Vaccination Including the cold
chain
Dr. Faiz ur Rehman
8 1-03-18 Vaccination Including the cold
chain Grand
Dr. Faiz ur Rehman
9 15-03-
18
Growth Monitoring
Dr. Munir Ahmad
10 29-03-
18 Diet chart
Dr. Umara Munir
11 5-03-18 Communication Skills Dr. Munir Ahmad
12 5-04-18 Communication Skills Grand Dr. Munir Ahmad
13 19-04-
18 Reference Writing Style
Dr. Munir Ahmad
14 3-04-18 Insecticides Dr. Umara Munir
15 3-05-18 Insecticides Grand Dr. Umara Munir
16 17-05-
18 Disinfection
Dr. Munir Ahmad
17 31-05-
18
Practical on Statistical Package
for Social Scientist
Dr. Munir Ahmad
18 07-06-
18 Field Visit
Dr. Faiz ur Rehman
19 14-06-
18 -DO- Grand
Dr. Faiz ur Rehman
20 21-06-
18 -DO-
Dr. Faiz ur Rehman
21 28-06-
18 -DO-
Dr. Faiz ur Rehman
22 05-07- -DO- Grand Dr. Faiz ur Rehman
385
18
23 02-08-
18 -DO-
Dr. Faiz ur Rehman
24 09-08-
18 -DO-
Dr. Faiz ur Rehman
25 16-08-
18 -DO-
Dr. Faiz ur Rehman
26 Revision Dr. Munir Ahmad
27 Revision
28 Revision
29 Revision
30 Revision
31 Revision
4. ASSESSMENTS/EVALUATIONS/EXAMIONATIONS 1. Internal Assessment
2. External Assessment
COURSE REQUIREMENTS
Each student will spend a total 36 weeks in the department of community
medicine.
Each student will be required to
1. Attend a minimum of 75 % Lectures and Practicals
2. Attend the practical demonstrations, Tutorials and complete the
assignments
4.1. Continuous assessment
4.2. Evaluation at end of semester
4.3. Evaluation at end of year (send up)
4.4. University examination professional 3.a. & 3. b
4.5. student feedback form (student will fill and submit his/her
feedback form) at end of each year regarding quality of teaching,
quality of learning recourses and any recommendation to improve
effectiveness of teaching and assessments/evaluations)
386
5. BOOKS RECOMMENDED: 1: Park’s text book of preventive and social medicine
2: A synopsis of epidemiology and basic statistics (Ali Muhammad Mir)
3: Statistics at square one (TDVS winscow)
4: Essentials of research design and methodology. (Geoferry Marczyk)
5. Text book by Illyas Ansari.
6. The essentials of clinical epidemiology (Robert H)
387
AMNA INAYAT MEDICAL COLLEGE
AIMC-MBBS,
ENT CURRICULUM
(PMDC/UHS)
&
ACADEMIC PLANNER
2017-2022
DEPARTMENT OF ENT,
AMNA INAYAT MEDICAL COLLEGE
388
DEPARTMENT OF ENT
INTRODUCTION:
Department of ENT at AIMC’S is an established unit since the college started. It trains
MBBS undergraduates’ students and delivers health care services to patients reporting to
attached teaching hospitals.
The department has teaching faculty of a professor and assistant professors. The faculty is
involved in training of 3rd year and 4th year MBBS students in the subject of ENT according
to college timetable. The teaching schedule and timetable is in accordance with PMDC and
UHS regulations.
The ENT Unit consists of 20 bedded, 10 each fixed for male and female patients and is
equipped with outpatient facilities. A well equipped operation theater is available for
delivering surgical facilities. The ENT department delivers health care facilities to patients
round the clock.
The unit is recognized by PMDC and UHS in the subject of ENT.
389
CONTENTS
INTRODUCTION
AIMS AND OBJECTIVES
LESSON PLANNER AND BLOOM’S TAXONOMY
DETAILS OF SYLLABUS
TEACHING METHODOLOGY
EVALUATION METHODOLOGY
ASSESSMENT & EVALUATION
UNIVERSITY EXAMINATION
STUDENTS FEEDBACK
390
AIMS AND OBJECTIVES
Curriculum for teaching and training program is designed to make a student aware of
common ENT diseases. At the end of Calendar Year students should be able to pickup and
manage common ENT diseases and treat them.
He should identify complicated cases and refer them to concern departments.
The student is trained to develop medical ethics in spirit for team work and develop
doctor-patient relationship. The students are also trained in history taking and
communicating with the patient in larger interest of framing the treatment policy.
The students are disciplined to maintain the dignity of the profession and the ability to
compete the others students at national & international level.
391
BLOOM’s TAXNOMY
(FOR LEARNING & ASSESSMENT)
A. COGNITIVE DOMAIN 1. Knowledge
2. Comprehenssion
3. Application
4. Analysis
5. Evaluation
B. EFFECTIVE DOMAIN 1. Receiving
2. Response
3. Valuing
4. Organization
5. Characterization
C. PSYCHOMOTOR DOMAIN 1. Skills
2. Attitudes
3. Perceptual Abilities
4. Fundamental Movements
5. Flex Movements
392
SEMESTER PLANNER
CLASS TITLE LECTURE HOURS TEACHER
3rd Year Otology 24 18 Assistant
Professor/Professor
3rd Year Otology Clinical
Training OPD
240 Assistant
Professor/Professor
4th Year Nose &
Paranasal
Sinuses
Pharynx
Laryngology
Oesophagology
64
Clinical
Training OPD
48
300
Professor/Assistant
Professor
Total Teaching
Hours
600
Grand Total 600 Professor/Assistant
Professor
393
ASSESSMENT & EVALUATION
FIRST TERM
A. Theory
B. Clinical
The assessment of under the end of each term.
SECOND TERM
A. Theory
B. Clinical
The assessment of under the end of each term.
THIRD TERM
A. Theory
B. Clinical
The assessment of under the end of each term
SEND UP
At the close of the session .
394
INTERNAL EVALUATION
TERM MARKS TOTAL SCORE PERCENTAGE
First Term 100 100 10%
Second Term 100 100 10%
Third Term 100 100 10%
Send UP 100 100 10%
Note: 10% of theoretical & Clinical assessment along with attendance is submitted as
internal assessment
395
TEACHING METHODOLOGY/LEARNING STRATEGIES
1. LECTURES
2. GROUP DISCUSSION/SEMINARS
3. OUT PATIENTS CLINICAL TRAINING
4. CLINIC PATHOLOGICAL MEETINGS
5. DISTANT LEARNING
6. JOURNALS AND LIBRARY MATERIALS
7. INFORMATION TECHNOLOGY
396
CURRICULUM
The college and the department follow the curriculum adopted and notified by UHS and
PMDC. The curriculum is subject to changes as made by PMDC and UHS from time to time
397
UNIVERSITY EXAMINATION
University examination will be held at the end of the session as scheduled in the UHS
calendar.
ELIGIBILITY
A student who fulfills the requirement laid by the university will be sent for examination to
UHS.
FORMAT Marks
Theory and written examinations
SEQ’s 45
MCQ’s 45
TOTAL 90
CLINICAL EXAMINATION
The clinical examination will be conducted in OSCE format
Marks
90
THE ORAL EXAMINATION WILL BE PART OF OSCE Marks
Grand Total 180
398
Internal Evaluation 20
Grand Total 200
NOTE: the students who attain 50% of the mark in each component will be declared
successful. Each component has to be passed separately by scoring 50% of the Marks
399
STUDENTS FEEDBACK
The students can submit their feedback on the prescribed form as provided by the
University of Health Sciences or by PMDC in order to improve further the continuous
process of medical education and evaluation
Professor AZHAR Hameed Dr. Jawad Ahmad Dr. Khuda Buksh
Malkera
DEPARTMENT OF ENT AIMC
400
AMNA INAYAT MEDICAL COLLEGE
AIMC-MBBS,
OPHTHALMOLOGY CURRICULUM
(PMDC/UHS)
&
ACADEMIC PLANNER
2017-2022
DEPARTMENT OF OPHTHALMOLOGY,
AMNA INAYAT MEDICAL COLLEGE
401
PM&DC
OPHTHALMOLOGY
NEED ASSESSMENT
The prevalent ophthalmic disease patterns in our national and local contexts form
the basis of the curriculum, with cataract, glaucoma, diabetic retinopathy,
trachoma and vitamin A deficiency as leading causes of blindness. International
best practices in medical education should be followed with emphasis on active
learning, and constructivist, contextual and collaborative learning and teaching
strategies.
GOALS
To equip medical students with essential knowledge, skills and attitudes to
enable them to:
Identify ophthalmic diseases including ocular emergencies, provide
primary eye care and refer when needed.
Communicate effectively with the patients, their families and the
community regarding eye diseases and its related issues.
Understand medical ethics and its application pertaining to
ophthalmology and maintain patient confidentiality.
Understand the prevalence and prevention of common public health
problems related to ophthalmology.
402
Understand the relationship between eye and systemic diseases.…
LEARNING OUTCOMES
Directed Ophthalmic History (PI)
Defects in visual acuity, colour vision and field of vision
Pain in and around the eye
Discharge from the eye
Abnormal appearance of the eye and orbit
Diplopia
Ophthalmic examination for
Visual acuity for distance and near vision (PI)
Use pinhole during vision acuity checkup (PI)
Check colour vision (PI)
Confrontation test for field of vision (PI)
Inspection and palpation of adnexa and anterior segment (PI)
Evert the upper eye lid and assess the lacrimal system (PI)
Regurgitation test (PI)
Detect the deviated eye (PI)
Ocular movements and the cover / uncover test (PI)
Pupillary reflexes for afferant pupillary defects (PI)
Measure the intra-ocular pressure by palpation (PI)
Differentiate between Goldmann applanation, Schiotz and tonopen tonometer (O)
Red glow test by distant direct ophthalmoscopy, to detect the defects in the ocular media (PS)
Direct ophthalmoscopy to recognize disc and its abnormalities like normal disc, swollen disc, large cup disc ratio, pale disc and retinal lesion (PS)
403
Retinoscopy (plain mirror or streak) (PS) to familiarize with indirect ophthalmoscopy and use of lasers and ultra sound in ophthalmology (O)
Diagnosing common eye conditions e.g. blepharitis, chalazion, stye, dacryocystitis, conjunctivitis, trachoma, ocular allergies (PI)
Initiate first aid treatment for ocular trauma (corneal foreign body/ abrasion), corneal ulcer, red eye, painful eye, acute congestive glaucoma (PI)
Diagnose other eye conditions and refer them to secondary or tertiary eye care centres for further management for e.g., open or closed globe injuries, cataract, squint, amblyopia, refractive errors, tumours, leucocoria (white pupil), acute and chronic painful or painless loss of vision (PI)
Prevention and early diagnosis of glaucoma, diabetic retinopathy and
deficiency diseases (vitamin A) (PS)
404
Perform essential procedures
Irrigation of eye (PI)
Instillation of eye drops (PI)
Staining for corneal ulcer (PI)
Removal of superficial foreign bodies (PI)
Experience community-based eye camps for eye problems (PS)
Ocular Instrumentation
Ophthalmoscope (Direct and Indirect)
Retinoscope
Slit Lamp
Tonometer
o Applanation (contact and non contact) o Indentation (Schiotz)
Gonioscope
Refractometer
Lensometer
Keratometer
Perimeter
A B Scan
Laser (Yag and Argon)
Fundus and anterior segment camera (Angiography)
Level of Learning: Observer status (O), Assistant status (A), Perform under supervision
(PS), Perform Independently (PI)
CONTENTS
Basic anatomy, physiology, biochemistry, pharmacology and pathology of
eyeball, adnexa and orbit.
405
Orbit: Orbital cellulitis, proptosis, thyroid ophthalmopathy,
enophthalmos, tumours, trauma.
Lids: Blepharitis, stye, chalazion, trichiasis, entropion, ectropion,
ptosis, and common tumours.
Conjunctiva: Infective and allergic conjunctivitis, pterygium, pingecula.
Cornea: Corneal transparency, corneal edema, corneal vascularization,
Keratitis, corneal ulcers, corneal opacity, dry eye, corneal dystrophy
and keratoplasty.
Sclera: Episcleritis, scleritis, scleral discoloration.
Lacrimal Apparatus: Epiphora, lacrimation, dry eye, dacryocystitis (acute
& chronic), lacrimal gland tumours.
Uveal Tract: Uveitis, and its differential diagnosis from other causes of the
red eye.
Lens: Cataract classification, aetiology, management including visual
rehabilitation and biometry.
Glaucoma: Aetiology, classification, diagnosis and general principles of
medical and surgical management.
406
Vitreo-Retina: Primary retinal detachment, vitreous detachment and
haemorrhage, diabetic retinopathy, hypertensive retinopathy, retinal
artery and vein occlusion, retinitis pigmentonsa, retinoblastoma, age
related macular degeneration.
Neurophthalmology
Optic Nerve: Papilloedema, optic neuritis and optic atrophy.
Visual Pathway:Visual field defects in the lesions of optic nerve, optic
chiasma, visual pathway and visual cortex.
Cranial Nerve: Oculomotor, Trochlear, Abducent, Trigeminal and Facial
cranial nerve paresis and palsies.
Pupil: Pupillary pathways and reflexes with their common
abnormalities.
Injuries: Blunt and perforating, Intra and extra ocular foreign bodies,
chemical injuries and burns and sympathetic ophthalmitis.
Squint: Amblyopia, phoria and tropia, paralytic and non paralytic.
Systemic Diseases: Diabetes, thyroid ophthalmopathy, hypertension,
collagen vascular disorders, ocular manifestations of vitamin A deficiency.
Common causes, definition, standards of blindness and low vision aids.
Errors of refraction: Introduction to optical system of normal eye,
emmetropia, myopia, hypermetropia, anisometropia, astigmatism,
presbyopia, aphakia, pseudophakia, and refractive surgery.
Ophthalmic therapeutics: Antibiotics, anti viral, anti fungal, steroids, local
anesthetics, anti glaucoma, fluorescein dye, mydriatic-cycloplegic.
Ocular emergencies
Chemical burns, corneal ulcer, corneal foreign body, corneal exposure,
inadvertent use of medicines like Atropine and Steroids, acute congestive
glaucoma, perforated globe, leucocoria in children, retinal artery and vein
occlusion, acute vitreous haemorrhage, rhegmatogenous retinal
detachment and papillitis
Ocular pharmacology
407
Antibiotics
Aminoglycosides e.g. Tobramycin eye drops
Quinolones e.g. Ciprofloxacin eye drops
Glaucoma medications
Pilocarpine eye drops
Beta blockers eye drops
Prostaglandin analogue eye drops
Acetazolamide tablets
Mannitol 20% intravenous
Steroids: Dexamethasone eye drops
408
Antivirals: Acyclovir 3% eye ointment
Antifungal: Miconazole eye drops
Mydriatic-cycloplegics
Atropine 1% eye drops
Cyclopentolate 1% eye drops
Tropicamide 1% eye drops
Suggested Reading List:
1. Parson diseases of Eye. Butterworth-Heinemann; 2002.
2. Vaughan, Asbury. General Ophthalmology. McGraw-Hill Medical; 2007.
3. Akhtar M. Saleem. Clinical Ophthalmology. National Book Foundation 2007.
4. Shah, Syed Imtiaz Ali. Clinical Ophthalmology. Azam Sons, Karachi.
5. Jatoi, M. S. Clinical Ophthalmology. Farooq Kitab Ghar, Urdu Bazar,
Karachi.
409
UHS
OPHTHALMOLOGY
The course outline is as follows :
General Learning Objectives of the Ophthalmology Course:
To equip doctors with essential knowledge, skill and attitude in order to enable them
to:
1. Identify ophthalmic diseases including emergencies, provide primary eye care,
refer to the appropriate center and provide follow up to the patients.
2. Perform essential minor surgical procedures
3. Communicate effectively with the patient, the family and the community
regarding eye diseases and its related issues
4. Understand medical ethics and its application pertaining to ophthalmology and
maintaining confidentiality of the patient.
5. To understand the prevalence and prevention of the common public health
problems related to ophthalmology.
6. Understand the principles of Medical Research including fundamentals of
information technology.
410
INSTRUCTIONAL STRATEGY
ƒ METHODOLOGY
- Problem-based Learning
- Tutorials/ Practical sessions/Skills Lab practice
- Clinical rotations and ward visits
- Lectures/Seminars/CPC’s – using modern audio visual techniques,
ƒ Distant learning using electronic devices and current Information ƒ
Technology facilities.
411
COURSE CONTENTS
Basic Anatomy and the functions of the Eyeball and Orbit
Orbit: Orbital Cellulitis, Proptosis
Lids: Blepharitis, Stye, Chalazion, Trichiasis, Entropion, Ectropion, Ptosis, and Common
Tumors.
Conjunctiva: Infective and Allergic Conjunctivitis, Pterygium.
Cornea: Corneal Ulcers, risk factors, complications and its management.
Sclera: Episcleritis and Scleritis
Pupil: Pupillary reflexes and their common abnormalities
Lacrimal Apparatus: Composition and function of Tear film, Dry Eye
Excessive watering (Epiphora), Dacryocystitis (Acute & chronic).
Therapeutics: Drugs used in common ophthalmic conditions
Vitamin “A”: Ocular manifestation of vitamin A deficiency and its management.
Uveal Tract: Uveitis, and its differential diagnosis from other causes of the Red Eye.
Lens: Classification of cataract,
Congenital Cataract (lamellar, signs and symptoms and management), Rubella syndrome,
Acquired Cataract (senile, traumatic, drug induced), cataract due to systemic diseases (clinical
picture and management including visual rehabilitation).
Glaucoma: Physiology of Aqueous humor formation and its circulation.
Measurement of IOP
412
Definition & classification of glaucoma
Primary open angle and closed angle glaucoma
Secondary glaucoma due to hyper-mature cataract and uveitis. Principles of
medical and surgical management of glaucoma.
Vitro-Retina: Posterior vitreous detachment, primary retinal detachment
(common presentation and principle of management)
Diabetic Retinopathy, Hypertensive Retinopathy,
Retinitis Pigmentonsa, Retinoblastoma.
Optic Nerve: Papilloedema, Optic Neuritis (Papillitis and Retrobulbar Neuritis), Optic
Atrophy
413
Visual Pathway: Introduction to Visual Field defects in the lesions of Chiasma and
visual Pathway.
Injuries: Extraocular Foreign Bodies, Closed globe injuries,Open globe injuries with or
without retained Intra ocular foreign bodies
Burns and Chemical Injuries
Sympathetic Ophthalmitis.
Squint and Amblyopia: Definition, Classification and Principle of
Management.
Errors of Refraction: Introduction to Optical System of Normal Eye
Emetropia, Myopia, Hypermetropia, Astigmatism, Presbyopia, Aphakia,
Pseudophakia, Anisometropia and Amblyopia.
Details of Clinical and Practical Competence:
• Level of Learning:
• Level-1 Observer status
• Level-2 Assistant status
• Level-3 Perform under supervision
• Level-4 Perform Independently
• LEVEL 4
History Taking
• Defects in Vision
• Pain in and around the Eye
414
• Discharging Eye
• Abnormal appearance of the Eye and Orbit
Examination
• Visual Acuity, for distance and near
• Use of a pinhole
• Examination of Adnexa and anterior segment of the eye.
• Eversion of the upper Eye Lid and Lacrimal regurgitation Test
• Detection of the Deviated Eye
415
• Ocular Movement
• Pupillary Reflexes (Afferant Pupillary defects)
• Measurement of Intra ocular pressure.
• Palpation Assessment
• Schiotz Tonometer 1
• Distant Direct Ophthalmascopy for Identification of defects in Ocular Media
• Direct Ophthalmascopy with emphasis on disc and its abnormalities
• Swollen disc, cup disc and pale disc.
• Confrontation test for field of vision
• Familiarization with Retinoscopy
• Indirect Ophthalmascopy,
• Slit Lamp and its Uses
• Visual Fields and Use of Laser in Ophthalmology
Procedures
• Irrigation of eye
• Instillation of eye drops
• Staining for corneal ulcer
• Removal of superficial foreign bodies
• Rational use of topical anaesthesia
• Preparation for operation and post operative management
416
• Understand medical ethics and maintain the confidentiality of the patient
Assessment of Level of Competence:
• To Diagnose, treat and prevent certain common eye conditions e.g.
Blepheritis
Sty and Chalazion
Dacryocystitis
Conjunctivitis
Trachoma
Ocular Trauma (Corneal Foreign Body / Abrasion)
Ocular Allergies
417
To diagnose certain eye disease, initiate first aid treatment and refer them in
time e.g.
Corneal Ulcer
Uveitis
Acute Congestive Glaucoma
Open or closed globe injuries
Red Eye
To enable them to diagnose other eye conditions and refer them to
secondary or tertiary eye care centers for further management(Medical /
Surgical) e.g.
Cataract
Squint and Amblyopia
Refractive Errors
Tumours (Leucocoria-white Pupil)
Serious Ocular Trauma
Painful or painless loss of vision.
To understand the importance of prevention in Ocular Diseases
Deficiency Diseases resulting in ocular problems(Thyroid, Vit“A”)
Early Detection of Glaucoma
Diabetic Retinopathy
418
RECOMMENDED BOOKS
1. Parson’s Diseases of the Eye by Ramanjit Sihala and Radhika Tandor. 3rd
Ed
2. Ophthalmology by Renu Jogi
3. Clinical Textbook of Ophthalmology by Dr. Saleem Akhter
4. Kanski’s Ophthalmology
5. Ophthalmology Principles and Concepts Newill F. W.
6. Online Journals and Reading Materials through HEC Digital Library
Facility.
419
AMNA INAYAT MEDICAL COLLEGE
AIMC-MBBS,
MEDICINE & Allied Specialties
SYLLABUS (PMDC/UHS)
&
ACADEMIC PLANNER
2017-2018
DEPARTMENT OF MEDICINE & ALLIED – AIMC
Focal Person: Dr. Muhammad Aleem ud Din
Author: Dr. Muhammad Aleem ud Din & Dr. Shamshad Rasul Awan
Approved By: Prof. Dr. Shoaib Randhawa
Faculty: Prof. Dr. Muhammad Shoaib Randhawa HOD Medicine
Prof. Shamshad Rasul Awan Prof -Medicine
Dr. Muhammad Aleem ud Din Assistant Prof- Cardiology
Dr. Muhammad Afzal Bhatti Associate Prof- Medicine
420
CONTENTS
1.0. INTRODUCTION
1.1. Department of Medicine & Allied, Faculty and staff
1.2. PMDC Table of Subjects, spacing and allocated hours of MBBS
Program
1.3. Allocated contact hours (Theory, Practical, Total) of Medicine &
Allied Subject in year 3rd& 4th of MBBS Program
1.4. Semester planner of contact hours (Theory, Practical, Total) of
Medicine & Allied
Subject, in year 3rd& 4th & Final Yearof MBBS Program.
1.5. Assessments/Evaluations/Examinations-Planner
1.6. Scheme of Semesters and Send up Assessments/Evaluations
and
University Examinations of3rd and 4th year MBBS Program.
1.7. Blooms Taxonomy
1.8. Learning Strategies
2.0. CURRICULUM OF MEDICINE & ALLIED SUBJECT.
2.1 PMDC Curriculum
2.1. UHS Curriculum
3.0. LESSON PLANERS AND TIME TABLE
3.1 Time Table of Lectures/Demonstrations/Practical of Year3rd and 4th
& Final Year
3.2 Lesson planner with titles and learning objectives of “Theory and
Practical” of 3rd and 4th & Final Year
3.3 Lesson planner with titles and learning objectives of “Theory and
Practical” of
3rd and 4th & final year.
4.0 ASSESSMENTS/EVALUATIONS/EXAMINATIONS4.1 Continuous
Assessments
4.2 Evaluations at End of Semester
4.3 Evaluations at end of year (Send Up)
4.4 University Examinations (Professional 1.a & 1.b)
4.5 Student Feedback Form (Student will fill and submit his/her
feedback form) at end of each year regarding, quality of teaching,
quality of learning resources and any recommendations to improve
effectiveness of teaching and assessments/evaluations)
421
5.0 Recommended books, Journals, websites
MISSION STATEMENT
Department Of Medicine
Department Of Medicine is the backbone of any teaching hospital. Department has
more than 100 beds and consists of two independent units.
Our mission is to produce quality doctors by imparting quality medical education to
them so that they can serve the ailing humanity in the best way.
We also offer the best services to the patients who are admitted in the inpatients
department and also to those who visit our outpatient department. Students are
thought in OPD and on the bed sides on admitted pati8ents. The department of
medicine has different sections like cardiology, pulmonology and gestronology.
Cardiology section we offer echocardiography, ETT, cardiac monitoring, defibrillation
and other related services.
Pulmonology section offers critical care, pulmonary functions test, and
broncchocopy. Arterial blood gasses are none in the pathology department and
facilities of CT scan, MRI, X-Ray’s thorough the sister department of radiology.
In the gastroenterology section, gestoscopy and colonoscopy are performed along
with other associated procedures.
We really intend to serve the mankind in a much better way. Almost all patients are
offered free services in the coming days department of medicine is going to be the
center of excellence in Sheikhupura district. Development of department of medicine
and Kishwar Fazal teaching hospital is really a blessing for the patients in the
catchment area of this hospital because they are socially economy deprived people.
Resource Person
Prof. Dr. Shamshad Rasul Awan
422
DEPARTMENT OF MEDICINE FACULTY AND STAFF
1 Professor& HOD
Prof. Muhammad Shoaib
Randhawa MBBS, FCPS
2 Professor Prof. Shamshad Rasul Awan MBBS, MCPS, FCPS,
3 Associate Professor Dr. Muhammad Afzal Bhatti
MBBS, FCPS(Medicine),
FCPS, Gastroenterology
4 Associate Professor Dr. Ashfaq Ahmad MBBS, MD
5 Associate Professor Dr. Mushtaq Ahmad MBBS, FCPS,
6 Assistant Professor Dr. Muhammad Aleem ud Din MBBS,FCPS
7 Assistant Professor Dr. Ahmad Asghar MBBS, FCPS
8 Post Graduate Resident Dr. Hassan Shoaib MBBS
9 Post Graduate Resident Dr. Habiba MBBS
423
PMDC TABLE OF SPACING AND HOURS OF SUBJECTS IN MBBS COURSE
SUBJECT 1ST YEAR 2ND YEAR 3RD YEAR 4RTH YEAR 5THYEAR TOTAL
HOURS
BEHAVIOURAL SCIENCES 5HRS 5HRS 5HRS 5HRS 5HRS 25HRS
ISLAMIC PAKISTAN AND
STUDIES
15HRS 15HRS 10HRS 10HRS - 50HRS
ANATOMY 250HRS 250HRS - - - 500HRS
PHYSIOLOGY 250HRS 250HRS - - - 500HRS
BIOCHEMISTRY 100HRS 100HRS - - - 200HRS
PHARMACOLOGY - - 300HRS - - 300HRS
PATHOLOGY 15HRS 25HRS 260HRS 200HRS - 500HRS
FORENSIC MEDICINE - - 100HRS - - 100HRS
COMMUNITY MEDICINE 25HRS 25HRS 50HRS 150HRS - 250HRS
MEDICINE AND Allied
NUCLEAR MEDICINE
EMERGENCY MEDICINE
MEDICINE ELECTIVE
PSYCHIATRY
DERMATOLOGY AND
GENERAL PRACTICE
25HRS 30HRS
10HRS
120HRS
-
265HRS
10HRS
360HRS
-
800HRS
20HRS
PAEDIATRIC MEDICINE 5HRS 10HRS 15HRS 50HRS 70HRS 450HRS
SURGERY AND ALLIED
RADILOGY
ORTHOPEDICS
PAEDS SURGERY
NEUROSURGERY
SURGERY ELECTIVE
EMERGENCY SURGERY
& ANAESTHESIA
25HRS
5HRS
30HRS
10HRS
120HRS
-
265HRS
10HRS
360HRS
15HRS
800HRS
40HRS
OBSTETRICS AND
GYNAECOLOGY
10HRS 10HRS 50HRS 100HRS 130HRS 300HRS
OPHTHALMOLOGY 5HRS 10HRS 15HRS 70HRS - 100HRS
OTORHINOLARYNGOLOGY(ENT) 5HRS 10HRS 15HRS 70HRS - 100HRS
CLINICOPATHOLOGICAL
CONFERENCE
- - - 60HRS - 60HRS
TOTAL 740 HRS 790HRS 1060HRS 1265HRS 940HRS 4795HRS
424
PMDC CURRICULUM
MEDICINE
GENERAL MEDICINE
By the end of five years, medical students should be able to identify and discuss
the common causes of common clinical presentations. Causes in detail can be
discussed under various other headings.
Fever
Edema
Headache
Drowsiness and unconsciousness
Clubbing
Cough
Sputum and haemoptysis
Chest pain.
Dyspnea
Shock
Painful and difficult swallowing
Anorexia, nausea and vomiting
Abdominal pain
Diarrhea and constipation
Urination abnormalities
High colored urine
425
Cachexia
o Involuntary movements o Seizures
o Paresis and paralysis
o Numbness and paresthesias
Weakness and lassitude o
Dizziness and vertigo o
Joint pains
Nutrition (re-enforcement)
Geriatrics
End-of-Life Care
Preventive aspects
Ethical problems
Communication Skills
GASTROENTEROLOGY
Oral Cavity Presentations:
o Aphthous Ulcers*6, Pigmentation (Addison‟s), Gingivitis, Glossitis* (Candida, Plummer-Winson Syndrome, Vitamin B2 and folate deficiency).
Nausea/Vomiting
o Hepatitis**, Gastro-enteritis**, Bacterial food poisoning, Acid peptic disease**
Indigestion/Flatulence
o Diet, Irritable Bowel Syndrome and Gastroparesis
Dysphagia**
o Of Solids: Carcinoma Esophagus (with cachexia)* and Achalasia*.
o Of Liquids: Psychogenic and Neuro-Muscular Disorders (Dementia, Bulbar Palsy and Scleroderma)
426
Heartburn and/or Epigastric pain
o Gastro Esophageal Reflux Disease**, Peptic ulcer and Gastritis**.
Diarrhea
o Acute Diarrhea due to Acute Gastro-enteritis: Viral**, Shigellosis**, Salmonellosis**, Traveler‟s diarrhea**
o Chronic Diarrhea: Amebiasis**, Giardiasis*, Malabsorption
syndromes like Celiac Disease* and Tropical Sprue
Some areas are more important for medical students to know as compared to others and have been identified by the number of asterisks (No asterisk= nice to know, * = Important, ** and *** = Essential).
427
o With Haematochezia Inflammatory bowel diseases: Ulcerative
colitis* and Crohn‟s Disease*
o Irritable bowel syndrome*.
Constipation*.
o Irritable Bowel Syndrome, Diet and sedentary life style,
Hypothyroidism, Carcinoma descending colon
Ascites**.
o Chronic Liver Disease**, Malignancy*, Abdominal tuberculosis**.
Jaundice**.
o Congenital hyperbilirubinemia (Gilbert Syndrome and Dubin
Johnson Syndrome)
o Wilson‟s Disease
o Haemolytic: Malaria, Auto-immune, Hypersplenism
o Differentiate from Obstructive (Re-enforcement) *: Gall Stones,
Carcinoma Pancreas, Cholangitis, Obstructive phase of Hepatitis
o Hepatitic**: Viral** (acute and chronic), Toxic and Drugs).
Haematemesis and / or Melena**.
o Esophageal varices*, Mallory Weiss Syndrome, Carcinoma
Stomach, Cirrhosis of Liver** and Bleeding peptic ulcer**.
Bleeding per rectum*.
o Bacillary dysentery, Inflammatory Bowel Disease, Hemorrhoids*, and
Amoebic dysentery**.
Abdominal Pain
o Acid peptic Disease**, Irritable Bowel Syndrome*, Carcinoma
stomach, Pancreatitis* and Porphyria
Abdominal Mass: Visceromegaly
o Liver: Hepatitis**, Liver abscess*, Hydatid Cyst, Congested Liver*,
and Carcinoma (Primary and Secondary)
o Spleen: Portal Hypertension, Chronic Malaria, Chronic Myeloid
Leukemia, and Myelofibrosis
o Splenomegaly with fever**: Malaria**, Typhoid**, Infective*
endocarditis and Miliary tuberculosis*, Visceral Leishmaniasis,
o Kidney (see below)
o Abdominal Aneurysm
Altered Mentation: Hepatic Encephalopathy** and other causes of
altered mentation.
o Drugs Contraindicated in Liver Diseases*.
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KIDNEY AND GENITOURINARY SYSTEM
Lumbar pain**.
o Acute pyelonephritis**, Acute papillary necrosis, Renal Infarction, Perinephric abscess (Surgery) * and Urolithiasis (Surgery).
Oliguria/Anuria: Acute Kidney Injury**:
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Nephritides**, Acute Tubular Necrosis**, Drug-induced* (analgesic),
Hypersensitivity nephropathy*, Contrast Induced* and (brief) Haemolytic-
uremic syndrome
Polyuria / nocturia
o Diabetes mellitus**, Diabetes insipidus, Hypercalcaemia**,
o Chronic Kidney Disease: Glomerulopathies**, Nephrotic Syndrome**,
Hyperuricemia, Drug-induced and Hemolytic uremic syndrome (brief)
o Psychogenic*.
Dysuria*: With and without frequency of Micturition (Urinary Tract
infection) **
Hematuria with Dysuria*.
o Cystic infection of the bladder**, Urethritis and Urolithiasis
o Painless Hematuria*: Renal Tuberculosis*, Renal Cell
Carcinoma* and Bladder carcinoma
Urinary incontinence
o Urge Incontinence (Urinary infection* and Bladder neck
problems) and Stress
Urinary retention
o Prostatic Enlargement* and Neurogenic bladder
Impotence
o Diabetes mellitus and Psychogenic
Renal glycosuria*.
Should know the commonly prescribed (analgesics and antibiotics) drugs contra-
indicated and drugs to be used with caution in renal insufficiency**.
RESPIRATORY SYSTEM
Shortness of Breath
o Episodic: Bronchial Asthma**
o Acute: Pneumothorax**, Pulmonary Thrombo-embolism** / Acute Cor
Pulmnale, Adult respiratory distress syndrome, Acute respiratory
failure* (Type I and II) and Mechanical ventilation
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o Chronic: Chronic obstructive airway diseases**, Pleural Effusion**,
Environmental and Occupational lung diseases (in brief: Asbestosis,
Silicosis, Bagassosis, Byssinosis and Pneumoconiosis),
Hypersensitivity pneumonitis and Interstitial lung disease.
Fever with Cough
o Upper respiratory tract infection**
o Lower respiratory tract infection: Acute and chronic Bronchitis**
o Pneumonias**: Community acquired, Nosocomial, Lobar and Bronchopneumonia.
Cough with Sputum: Bronchiectasis* Hemoptysis:
Carcinoma lung* and Tuberculosis**
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Respiratory Distress
o Type-I Respiratory Failure: Pneumonia**, Pulmonary Edema** and Pulmonary Embolism **
o Type-II Respiratory Failure: Chronic Obstructive Pulmonary Disease (COPD) **
Should be able to debate and select appropriate drugs and treatment for
Tuberculosis, Asthma, COPD, and Pneumonia, based on their indications, drug
interactions, contra-indications and complications.
Should know the drugs contra-indicated and those to be used with caution in
pulmonary disease.
CARDIOVASCULAR SYSTEM
Fever with Murmur*
Rheumatic fever** and Infective endocarditis**
Shortness o f br eat h wit h Mu rmur
Mitral, Aortic and Pulmonary valve diseases
Palpitations
Sinus tachycardia*, Paroxysmal Supraventricular Tachycardia**, Acute
atrial Fibrillation and atrial flutter**, and Premature atrial and
ventricular contractions**
Chest P a i n**
Angina**, Myocardial infarction**, Constrictive pericarditis, and
Pericardial effusion
Shortness of breath*
Orthopnea and/or Paroxysmal Nocturnal Dyspnea**, Left Ventricular
Failure**, Congestive Cardiac Failure**, Corpulmonale and
Cardiomyopathies (brief).
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Congenital heart diseases (brief): atrial septal defect, patent ductus
arteriosus and ventricular septal defect
Hypertension**
Atherosclerosis/Arteriosclerosis** and Lipid Disorders**
Secondary Hypertension*: Renal Causes* (Polycystic Kidney, Renal Artery
Stenosis, Renal Parenchymal Diseases) and Endocrine Disorders**
(Gigantism, Acromegaly, Cushing‟s*, Hyperthyroidism and
Pheochromocytoma)
Postural Hypotension*.
Autonomic neuropathy (Diabetes mellitus) and Drug-induced (Anti-
hypertensives, Loop diuretics* and Nitrates)
Claudication: Peripheral vascular disease and Ischemia
Shock**: Arrhythmias (ventricular tachycardia, fibrillation) and asystole.
Syncope*: Arrhythmias, Vasovagal attack and Heat syncope
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CENTRAL NERVOUS SYSTEM
Headache**.
o Acute Severe: Sinusitis** and Subarachnoid and Intra-cerebral Hemorrhage**.
o Periodic: Refractive errors, Migraine* and Tension Headaches*
o Progressive: Space-occupying lesion
o With Fever**: Meningitis** (Bacterial, Tuberculosis and Viral),
Encephalitis** and Brain abscess.
o Nuchal headaches/Neck pain: Muscle spasm (Tension, Postural) and
Cervical spondylosis*.
Facial Pain: Trigeminal neuralgia
Squint: Cranial nerves III, IV and VI (Cavernous sinus thrombosis)
Intellectual Impairment
Impaired Memory and Dementia*
Confusional states/Delirium/Encephalopathy**: Substance abuse,
Toxins and Poisons
Paralysis*.
Hemiplegia/hemiparesis/monoplegia/quadriplegia**: Thrombotic,
Hemorrhagic and Embolic
Paraplegia/paraparesis/quadriplegia*: Spinal cord compression,
Secondaries in the spine, Transverse Myelitis*, Tuberculous spine*,
Syringomyelia and Syringobulbia
Focal Neurological Deficit: Multiple sclerosis, Space occupying lesion and
Mononeuritis multiplex
Facial Weakness: Bell‟s Palsy**
o Ptosis: Myasthenia Gravis, Horner‟s Syndrome and III nerve palsy
o Transient Ischemic Attack**
Speech disturbances
Hypertonia: Myotonia Dystrophica and Parkinsonism *
Hypotonia and muscle wasting: Lower motor neuron disease,*
Muscle cramps: Metabolic, Overexertion and Idiopathic
Movement Disorders:
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o Hyperkinesia: Tremors* (Hyperthyroidism**, Anxiety*, Drug-
induced, Parkinsonism, Cerebellar*)
o Fasciculations: Motor neuron disease and Myokymia,
o Others: Athetosis, Chorea, Hemiballismus, Ballismus, Myoclonus and
Carpopedal Spasm (tetany)*
o Hypokinesia: Parkinson‟s Disease and Drug induced
o Gait abnormalities: Ataxic: Cerebellar disorder*
Shuffling gait: Parkinsonism*
Scissor Gait: Cerebral palsy
Lurching gait: Post Cerebro-vascular accidents
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Waddling gait: Proximal myopathy (Thyroid disease,
Cushing‟s disease, Vitamin deficiency, steroids
Convulsions/Fits**: Tetanus, Epilepsy*, Space-occupying lesion, Head
injury and Cerebro-vascular accidents
Coma/ Stupor / drowsiness**: Metabolic**, Trauma, Infection**
(Meningitis and Encephalitis), Poisoning, Substance abuse (alcohol),
Toxins and Cerebrovascular accidents
Dizziness: Malignant Hypertension and Anxiety
Vertigo: Benign Positional Vertigo*, Meniere‟s disease, Labyrinthitis,
Upper Respiratory Tract Infections and Vertebro-basilar insufficiency
Congenital Deafness (ENT)
Blindness / Blurring of Vision:
Occipital Infarction /Hemorrhage, Head injury / Traumatic, Visual Field
Defects (pituitary lesions), Malignant hypertension, Transient mono-
ocular blindness (Amaurosis fugax), Multiple sclerosis (associated with
more deficits), Snake-bite (neurotoxins) and Drug-induced
Paraesthesias: Polyneuropathy / Peripheral neuropathies
o Hypoesthesia: Diabetes mellitus**, Vitamin deficiencies (B6 and B12) *, Mono neuritis multiplex*, and Drug induced (INH) *
o Hyperesthesia: Diabetic Burning feet syndrome and Restless leg
syndrome
Muscular Weakness:
o Acute: Periodic Paralysis and Guillain Barre Syndrome*
o Chronic: Toxic/ Drug Induced, Hypothyroidism and Hyperthyroidism, Vitamin D deficiency*, Motor-neuron disease
o Myasthenia Gravis.
MUSCULOSKELETAL SYSTEM
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Joint pain and/or Joint swelling:
o Monoarthritis* or Polyarthritis*
o Large Joint involvement: Osteoarthritis, Septic arthritis*,
Haemarthrosis and polyarthritis migricans* (Rheumatic fever)
o Small joint involvement (Inflammatory): Rheumatoid Arthritis*,
Systemic Lupus Erythematosus* and Gout*
Easy Fractures: Osteoporosis*
Bone Pain:
Osteomalacia*, Osteomyelitis, Hyperparathyroidism, Malignancy
(Multiple Myeloma, Osteosarcoma, Secondaries in the bone and
Leukemias)
Neck Pain: Cervical spondylosis* and Tension
Dorsal Pain: Tuberculosis*
Low back pain: Sciatica (Herniated disc) *, Inflammatory (Ankylosing
spondylitis and Sacro-iliitis), Secondaries, Lumbar spondylosis,
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Mechanical/postural, Vertebral Collapse (Tuberculosis and
Osteoporosis)
Claudication: Spinal stenosis**
Increased skin elasticity and hypermobility of joints: Ehler‟s Danlos syndrome
and Marfan's Syndrome
Muscle stiffness and pain: Depression, Anti-psychotic drugs and Fibromyalgia
BLOOD
Pallor: Anaemias.
Microcytic Hypochromic (Iron deficiency)**: Increased Loss and
Decreased uptake (Malabsorption, Tuberculous and Hookworms)
Macrocytic Megaloblastic** (B-12 deficiency and Folic acid
deficiency),
Normocytic normochromic*: Anemia of chronic inflammation,
Malignancies and Renal failure
Hemolytic anemia*: Hereditary (Thalassemia*, Sickle cell anemia,
Hereditary spherocytosis), Acquired (Blood Transfusion incompatibility,
Autoimmune and Valve replacement)
Intra-corpuscular: G6P Deficiency, Malaria, Sickle cell syndromes (brief)
and Thalassaemias
Extra-corpuscular Intravascular
o Aplastic anemia: Myelofibrosis and Drug-induced
Hepatosplenomegaly (Myeloproliferative diseases).
With pallor: Chronic myeloid leukemia and Kala Azar
Without pallor: Polycythemia rubra vera, Essential thrombocytosis
Pallor with Lymphadenopathy and/or lassitude
Leukemias**: Acute and Chronic and
Lymphomas**: Non-Hodgkin‟s and Hodgkin‟s.
Blood groups and blood transfusion**.
Fever with lymphadenopathy: Infectious mononucleosis
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Bleeding and / purpura
Clotting Disorders: Decreased production and increased destruction o
Von Willebrand‟s disease,
o Disseminated intravascular coagulation (DIC) **, o Hemophilia
o Vitamin K deficiency
o Anticoagulant Therapy*: Injectable and oral including anti-platelet
agents
Bleeding Disorders: Epistaxis (Hypertension), Thrombocytopenia
(Immune/ Idiopathic* and Acquired Thrombocytopenic purpura), Vessel
wall disorders, Thrombocytic Dysfunction and Drug-induced bleeding
(Polypharmacy).
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METABOLIC AND ENDOCRINAL DISORDERS
Generalized Pigmentation
Endocrinal:Addison‟sDisease,withDiabetesMellitus
(Haemochromatosis in brief)
Drug-induced: Chloroquine, Heavy Metals and Chemotherapy
Polyuria and Polydipsia: Diabetes mellitus*** and hyperglycemic states**.
Growth Abnormalities:
Tall stature: Gigantism and Acromegaly
Short Stature: Hypothyroidism**, Obesity: Cushing‟s syndrome and
Hypothyroidism**
Infertility: Hypogonadism, Primary Ovarian failure and Sheehan‟s
Syndrome
INFECTIOUS DISEASES
Common infections in the organ-systems listed above,
With emphasis on those common in Pakistan: Tuberculosis, Malaria,
Typhoid, Dengue, Pneumonias, Meningitides and encephalitides,
Infectious mononucleosis and
Those of global importance
By the end of 5 years, medical graduates should be able to perform and/or
provide:
1. Basic Life Support (MANDATORY).
2. Inject I/V, I/M, S/C, intradermal injections
440
3. Insert and maintain I/V lines.
4. Administer Blood transfusion (Know the indications, contra-indications
and complications of blood transfusions).
5. Treatment for Acute Pulmonary Edema and anti-platelet therapy
6. Oxygen therapy
o Should know the indications, complications, different modes of
Oxygen delivery
7. Peak expiratory flowmetry.
8. Nebulisation
9. Educate the patient regarding correct inhaler technique
10. Should be able to take an Electrocardiogram
o Should be able differentiate normal electrocardiograms from common
abnormalities of ischemia, left ventricular hypertrophy and
arrhythmias (acute myocardial infarction/ischemia, complete heart
block, atrial premature contractions, ventricular premature
contractions, supraventricular tachycardia, ventricular tachycardia,
left bundle branch block and hyperkalemia)
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11. Prepare a slide for examination of Malarial Parasite and its examination.
12. Urinary catheterization and collect urine samples
13. Urinalysis by dipstick or other method.
14. Large bowel enema.
Interpret and/or identify:
The common radiological findings of bone and joint diseases (Rheumatoid
arthritis, Osteoarthritis, Vertebral collapse, Caries spine, Cervical rib, etc.)
Should know the indications, contra-indications to order tests
appropriately and should be able to interpret reports of
Order and interpret results: urinalysis, culture and sensitivity, serum
creatinine, blood urea, protein estimation, creatinine clearance,
ultrasound etc.
Echocardiography, Stress testing, Angiography, and the conclusions of
Thallium Scan
Pulmonary function tests.
Arterial blood gas estimations
Thyroid function tests
Understand the conclusion of HR CT of the lungs.
Should know the indications, contra-indications and complications for
Holter monitoring, Nitrate Infusion, and Digitalization.
PROCEDURES TO BE OBSERVED/ASSISTED: Preferably on patients but Videos
can be an alternative (including the indications, contra indications, steps of the
procedure and complications)
Passing the N/G Tube, and feeding, suction and stomach wash.
442
Preparing a patient for endoscopy, upper and lower GIT and to observe
the procedures.
Placing airway and its maintenance.
Endotracheal tube placement
Endotracheal suction/maintenance of airway/nursing on side etc.
Bronchoscopy.
Should observe, learn and even may assist electroversion therapy, (AED)
with indications, complications etc.
Aspiration of fluids (Pleural, Peritoneal, Pericardial and Knee)
Under water seal aspiration
Lumbar puncture
Fine needle aspiration
Bone marrow aspiration/Trephine.
Peritoneal and Hemodialysis
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UHS CURRICULUM
MEDICINE
Distribution of subjects
Paper-I All except Paper-II
Paper-II will include:
1.Infectious Diseases 7.Endocrinology including Diabetes
2.Metabolic Diseases 8.Genitourinary System
3.Immunology 9. Genetics
4.Oncology 10.Water and Electrolyte Balance
5. Acid and Base Balance 11.Psychiatry
6. Dermatology
1. CARDIOLOGY
The course outline is as follows :
• Rheumatic fever and infective endocarditis.
• Valvular heart diseases.
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• Mitral valve
• Aortic valve
• Ischaemic heart disease.
• Angina
• Myocardial infarction
• Cardiac arrhythmias
• Atrial fibrillation
• Ventricular tachycardia
• Premature atrial and ventricular beats.
• Heart failure.
• Left ventricular failure.
• Congestive cardiac failure.
• Cor pulmonale.
• Congenital heart diseases (brief).
• Cyanotic/acyanotic heart diseases.
• Fallot’s tetralogy
• Atrial septal defect
• Ventricular septal defect
• Patent ductus arteriosus
• Cardiomyopathies
• Pericardial diseases.
• Constrictive pericarditis
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• Pericardial diseases
• Pericardial effusion
• Atherosclerosis/arteriosclerosis.
• Hypertension.
• Peripheral vascular disease.
• Symptoms and signs
• Arteriosclerosis
• Acute & chronic ischaemia of the leg
• Aneurysms
• Buerger's disease
• Raynaud's disease
• variocose veins
• Venous thrombosis
• Investigations.
• Electrocardiography, Xray chest, Echocardiography, Thallium Scan, Stress
Testing, Holter And Angiography Etc.
CLINICAL TRAINING:
Important Topics To Be Discussed:
Case discussion for diagnosis and management of common cardiovascular diseases.
• Systemic hypertension
• Ischaemic heart diseases
• Congestive cardiac failure
• Valvular diseases and infective endocarditis
446
Understand the Symptomatology to reach the Differential Diagnosis:
Palpitation, breathlessness, chest pain, raised JVP, jaundice etc.
Skills To Be Learnt:
• History taking in CVS.
• GPE in CVS – clubbing, koilonychia, osler’s nodes, splinter
haemorrhages, cyanosis.
• Pulse, JVP, blood pressure.
• Inspection, palpation of precordium.
• Percussion, auscultation of precordium – mitral, tricuspid, aortic,
pulmonary areas.
• Interpretation of related radiological and laboratory
investigations
• General medication and prescription writing in CVS diseases.
Procedures (Observe/ Assist):
• ECG taking and basic reading i.e. Normal, Acute MI, Ischemia,
complete heart block, APC, VPC, SVT, VT etc.
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• X-ray chest interpretation – (Cardiology).
• Should observe, learn and even may assist electroversion therapy (DC
shock) with indications, complications etc.
• Observe Echo and should recognize chambers and valves on echo print.
• Observe pericardial effusion aspiration.
• Should learn thrombolytic therapy,
heparinisation/anticoagulation therapy and control, anti-platelet therapy,
nitrates infusion, digitalization, treatment of acute pulmonary edema, o2
therapy.
• Cardiac monitoring.
• Basics of ETT.
2. PULMONOLOGY
COURSE OUTLINES:
• Asthma.
• Environmental lung diseases/occupational.
• Asbestosis
• Silicosis
• Bagassosis
• Pneumoconiosis
• Byssinosis
• Farmer’s lung
• Pneumonia
• Community acquired
• Nosocomial
• Lobar and bronchopneumonia
448
• Adult respiratory distress syndrome
• Acute respiratory failure
• Mechanical ventilation.
• Bronchiectasis.
• Chronic obstructive airway diseases.
• Chronic bronchitis
• Emphysema
• Interstitial lung diseases.
• Pulmonary thromboembolism
• Acute corpulmonale.
• Type-I and type-II respiratory failure
• Pleural effusion.
• Pneumothorax.
• Tuberculosis
• Tumors of the lung
• Disorders of chest wall and pleura
• Chest trauma
• Deformities of the rib cage
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• Dry pleurisy, pleural effusion, empyema, pneumothorax.
• Basics of pulmonary function tests.
• Imaging in pulmonary diseases/investigations
CLINICAL TRAINING:
Important Topics To Be Discussed:
Case discussion for diagnosis and management of common pulmonary diseases.
• Bronchial asthma
• Pleural effusion
• Pneumonia
• Hemoptysis
• Pulmonary tuberculosis
• Chronic obstructive airway disease
• Type-I and type-II respiratory failure
• Bronchogenic carcinoma
Understand the Symptomatology to reach the Differential Diagnosis:
• Breathlessness
• Wheezing
• Haemoptysis
• Orthopnoea
• Paroxysmal nocturnal dyspnoea (PND)
• Pain in calf on walking
• Undue coldness, redness or blueness of extremities
• Chest pain
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• Cough/expectoration/sputum
Skills To Be Learnt:
• History taking in respiratory system – dyspnoea, cough,
expectoration, haemoptysis.
• Chest pain, wheezing.
• Inspection, palpation, percussion, auscultation front of chest.
• Inspection, palpation, percussion, auscultation back of chest.
• Interpretation of related radiological and laboratory
investigations.
• Interpretation of pulmonary function tests.
• General medication and prescription writing in pulmonology
• Any deficient program.
Procedures (Observe/ Assist):
• How to start O2 therapy, indications, complications.
• Learn pleural aspiration and assist
• Endotracheal suction, assist
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• Pleural biopsy, observe
• FNA biopsy, observe
• Under water seas aspiration, observe/assist
• Management of respiratory failure
• Observe bronchoscopy
3. DERMATOLOGY
COURSE OUTLINES:
• Anatomy, physiology of skin related to clinical dermatology
• Infestations: scabies, pediculosis.
• Bacterial and mycobacterial infections
• Fungal and viral diseases.
• Acne vulgaris
• Eczemas.
• Psoriasis
• Lichen planus
• Bullous disorders.
• Pigmentary disorders
• Disorders of nails.
• Disorders of hairs.
• Sexually transmitted diseases.
CLINICAL TRAINING:
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Important Topics To Be Discussed:
Case discussion for diagnosis and management of common dermatological diseases.
Should recognize lesions of:
• Leprosy
• Syphilitic lesions (chancre, secondary syphilis, gumma)
• Tinea (corporis, capitis, inguinale, unguam)
• Candida (oral, skin)
• Scabies
• Lice
• Mosquito bite
• Acute & chronic eczema
• Lesions of small pox, chicken pox, herpes simplex, herpes zoster
• SLE.
• Psoriasis
• Lichen planus
• Impetigo contagiosum
• Moluscum contagiosum
• Acne vulgaris
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• Seborhoea
• Exfoliative dermatitis
• Skin neoplasm like squamous cell cacinoma, basal cell carcinoma
and melanoma
• Leukoderma
• Pityriasis versicolor
• Alopecia and hirsutism
• Sexually transmitted diseases
• Furnculosis, cellulitis
• Drug eruption
Understand the Symptomatology to reach the Differential Diagnosis:
• Alopecia
• Eruption and rashes
• Itching
• Pigmentation and depigmentation
Skills To Be Learnt:
• History taking in Dermatology
• Clinical examination of various skin lesions
• Interpretation of related radiological and laboratory investigations
• General medication and prescription writing in Dermatology
Procedures (Observe/ Assist):
• Scraping for fungus
• Use of magnifying glass
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• Observe skin biopsy
• Use of Wood’s lamp
4. Neurology and Central Nervous System
COURSE OUTLINES:
o Infections and inflammatory lesions
Meningitis
• Bacterial.
• Tuberculous.
• Viral etc.
Brain abscess
Encephalitis
Hydrocephalus
o Epilepsy and other convulsive disorders
o Cerebrovascular diseases (stroke).
• Ischemic
• Embolism
• Infarction
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• Haemorrhage
• Intra-cerebral
• Subarachnoid
o Dementia and Alzheimer’s disease.
o Parkinson’s disease and other movement disorders. o Motor
neuron disease.
o Multiple sclerosis.
o Cranial nerve disorders.
• Transient mono-ocular blindness
(amaurosis fugax).
• Trigeminal neuralgia.
• Facial palsy (Bell’s).
• Vertigo, nystagmus
o Spinal cord disorders.
• Spinal cord compression
• Hemiplegia, paraplegia, quadriplegia
• Myelitis.
• Spondylosis.
• Syringomyelia and syringobulbia.
o Peripheral nerve disorders.
• Peripheral polyneuropathy
• Gullian Barry syndrome
• Mononeuritis multiplex.
o Space occupying lesions of brain and spinal cord. o Muscular
dystrophies
o Myopathies, myasthenia gravis
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CLINICAL TRAINING:
Important Topics To Be Discussed:
Case discussion for diagnosis and management of common CNS disorders:
• Cerebrovascular accident
• Paraplegia
• Polyneuropathy
• Muscular dystrophies and Motor neuron disease
• Parkinsonism
• Meningitis
• Tetanus
• Hemiplegia
• Facial Palsy
Understand the Symptomatology to reach the Differential Diagnosis:
• Behaviour
• I.Q
• Speech disturbances
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• Memory
• Confusional states
• Dementia
• Tremor
• Fasciculations
• Athetosis
• Chorea
• Gait abnormalities
• Convulsions/fits
• Coma
• Syncope/dizziness
• Vertigo
• Deafness
• Blindness
• Numbness, tingling, sensory loss
• Rigidity / paralysis.
• Movement disorders
Skills To Be Learnt:
• History taking in CNS.
• Higher mental functions – level of consciousness, behaviour, speech,
memory.
• Examination of cranial nerves.
• Examination of motor system.
• Examination of sensory system – crude touch, pain, temperature.
• Fine touch, pressure, vibration, joint position.
458
• Cortical sensations
• Two point localization, two point discrimination.
• Reflexes
• Examination of cerebellar system
• Examination of nystagmus
• Examination of rigidity
• Assessment of movement disorders
• Interpretation of related radiological and laboratory investigations
• General medication and prescription writing in Neurology
Procedures (Observe/ Assist):
ƒ Observe and learn lumbar puncture
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5. ALIMENTARY SYSTEM
COURSE OUTLINES:
o Oral cavity
Infections and inflammatory disorders
Benign and malignant diseases
o Esophagus.
Dysphagia with special reference to
Ca oesophagus
GERD
Achalasia
Candiasis of oral cavity and oesophagus o
Stomach
Gastritis.
Peptic ulcer
o Intestines
o Malabsorption syndromes.
o Tropical sprue
o Coeliac disease
o Inflammatory bowel diseases.
• Ulcerative colitis
Crohn’s disease
o Irritable bowel syndrome (IBS). o Liver
o Ascites.
o Jaundice.
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o Congenital hyperbilirubinaemia o
Gilbert syndrome
o Dubin Johnson syndrome
o Rotor syndromes o
Haemolytic
o Obstructive o
Hepatitis
o Viral, acute and chronic o
Toxic
o Drugs
o Auto immune hepatitis. o
Cirrhosis of liver.
o Hepatic encephalopathy.
o Carcinoma liver and transplant. o Acute
and chronic pancreatitis.
o Upper GI bleeding, lower GI bleeding o Drugs
contraindicated in liver diseases
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CLINICAL TRAINING:
Important Topics To Be Discussed:
Case discussion for diagnosis and management of common gastrointestinal and
hepatobiliary diseases.
• Acid peptic disease
• Tender hepatomegaly
• Hepatosplenomegaly
• Jaundice
• Chronic liver disease
• Acute and chronic diarrhoea
• Variceal bleeding and peptic ulcer bleeding.
• Abdominal Koch’s infection
Understand the Symptomatology to reach the Differential Diagnosis:
• Oral ulceration
• Dysphagia
• Heart burn
• Nausea/vomiting
• Indigestion/flatulence
• Diarrhoea and constipation
• Melena, hematemesis, bleeding per rectum
• Jaundice
• Hepatomegaly
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• Abdominal distension/ascites
Skills To Be Learnt:
• History taking in GIT – vomiting, diarrhoea, pain abdomen, constipation,
haematemesis, melena, dyspepsia, distension.
• Examination of GIT –
• Inspection, palpation.
• Percussion, auscultation.
• Interpretation of related radiological and laboratory
investigations
• General medication and prescription writing in GIT diseases.
• Any deficient programme.
Procedures (Observe/ Assist):
• Learn N/G tube passing and feeding
• Learn and observe aspiration of peritoneal fluids
• Learn and observe endoscopies, upper and lower GIT
• Preparing a patient for GI endoscopies
463
6. KIDNEYS AND URINARY SYSTEM
COURSE OUTLINES:
• Acute renal failure.
• Chronic renal failure
• Nephrotic syndrome.
• Nephritic syndrome.
• Urinary tract infections
Infections of the kidneys
Infections of the lower urinary tract
• Inflammatory lesions of the kidneys
• Introduction to dialysis & renal transplant
• Drugs causing renal disease (brief).
Analgesic nephropathy.
Lead, uric acid, hypercalcemia, radiation & hypersensitivity
Nephropathy.
Drugs contra indicated in renal insufficiency
Drugs to be used with caution in renal disease.
• Polycystic kidneys.
• Renal vascular disorders
Renal artery stenosis
Renal vein thrombosis
Tumours
• Hemolytic uremic syndrome.
464
• Prostatic diseases
CLINICAL TRAINING:
Important Topics To Be Discussed:
Case discussion for diagnosis and management of common Renal & Urinary system diseases
• Nephrotic syndrome
• Nephritic syndrome
• Acute renal failure
• Chronic renal failure
Understand the Symptomatology to reach the Differential Diagnosis:
• Lumbar /pelvic pain
• Anuria, oliguria
• Hematuria
• Dysuria, pyuria
• Urgency / frequency of micturation
465
• Urinary retention
• Urinary incontinence
• Nocturia
Skills To Be Learnt:
• History taking – lumbar pain, anuria, oliguria, hematuria, dysuria,
urgency/frequency of micturition, pyuria, urinary retention, nocturia, urinary
incontinence, pelvic pain.
• Examination of abdominopelvic and lumbar area
• Inspection, palpation, percussion, auscultation.
• Interpretation of related radiological and laboratory
investigations
• General medication and prescription writing in upper & lower urinary tract
diseases.
Procedures (Observe/ Assist):
• Observe and assist insertion of Foley’s catheter/Red rubber catheter
• Learn and observe peritoneal and hemodialysis
• Indications and outcomes of renal transplant
• Observe I/V urograms
7. ENDOCRINOLOGY
COURSE OUTLINES:
o Anterior pituitary.
Growth hormone disorders o
Acromegaly
o Gigantism.
466
o Short stature
Infertility
o Diseases of hypothalamus and posterior pituitary.
Empty sella syndrome
Diabetes insipidus
Syndrome of inappropriate ADH secretion (SIADH). o Thyroid
gland.
Hyperthyroidism (thyrotoxicosis)
Hypothyroidism (myxedema, cretinism)
Inflammatory lesions
Benign and malignant tumors
o Adrenal Gland.
Cushing Syndrome
Aldosteronism Primary/Secondary.
Hirsutism.
Addison’s disease
Acute Addisonian crisis
467
ƒ Inflammatory lesions
Adrenocortical tumors including Pheochromocytoma o
Endocrine Pancreas
Diabetes mellitus and hypoglycaemic states
Other associated endocrine disorders
o Testes
Sexual precocity
Heterosexual precocity
Gynaecomastia
Inflammations
Tumours
o Multiple endocrine neoplasia
Type I
Type II
CLINICAL TRAINING:
Important Topics To Be Discussed:
Case discussion for diagnosis and management of common endocrine disorders
• Diabetes mellitus
• Thyroid diseases
• Cushing’s disease
• Infertility and common reproductive disorders
Skills To Be Learnt:
468
• History taking and correlate with a specific diagnosis.
• Examination of thyroid gland, male and female genital organs etc.
• Interpretation of related radiological and laboratory investigations
• General medication and prescription writing in endocrinology
8. RHEUMATOLOGY
COURSE OUTLINES:
o Osteoarthritis
o Osteoporosis
o Rheumatoid arthiritis and related arthropathies
o Paget’s disease of the bone.
o Osteopetrosis (marble bone disease). o
Multiple myeloma
o Multi-System Immunological Diseases o Systemic
lupus erythematosis (SLE)
o Serum sickness
469
o Systemic sclerosis (scleroderma).
o Mixed connective tissue diseases (brief). o
Sjogren’s syndrome (brief).
o Ankylosing spondylitis.
o Bechet’s syndrome (brief).
o Vasculitis syndromes (brief). o
Anaphylactoid purpura
o Polyarteritis nodosa
o Hpersensitivity vasculitis o
Wegner’s granulomatosis o
Temporal arteritis
o Takayasu’s arteritis
o Thromboangitis obliterans (Burger’s disease) o
Sarcoidosis (brief).
CLINICAL TRAINING:
Important Topics To Be Discussed:
Case discussion for diagnosis and management of common rheumatological diseases.
• Rheumatoid arthritis
• Osteoarthritis
• Multiple Myeloma
• SLE etc.
Understand the Symptomatology to reach the Differential Diagnosis:
470
• Joint pain and joint swelling
• Joint deformities
• Muscle cramps
• Muscle weakness
• Muscular wasting
• Other related systemic signs and symptoms
Skills To Be Learnt:
• History taking and correlate with a specific diagnosis.
• Examination and assessment of the pattern of involvement of bones,
joints, skin and other organs
• Interpretation of related radiological and laboratory investigations
• General medication and prescription writing in rheumatology.
Procedures (Observe/ Assist):
• Observe aspiration of fluids from joints (knee)
• Observe bone marrow aspiration/terphine
471
9. METABOLIC DISORDERS
COURSE OUTLINES:
Hyperlipidemia
Hemochromatosis
Porphyrias
Wilson’s disease
Gout and hypercalcemia
Storage diseases.
Lipid.
• Leukodystrophies
• Niemann pick disease.
• Gaucher’s disease.
Glycogen.
• Fabry’s disease.
Hereditary connective tissue disorders
Osteogenesis imperfecta.
Ehler’s danlos syndrome.
Chondrodysplasias.
Marfan syndrome.
Alport syndrome.
Disorders of amino acid metabolism and storage
Homocystinuria.
Alkaptonuria.
Hartnup disease.
Renal glycosuria
472
10. INFECTIOUS DISEASES
COURSE OUTLINES:
o Clinical syndromes.
Sepsis and septic shock, meningococcaemia
Acute infectious diarrhoeal diseases and bacterial food poisoning.
Hospital acquired infections.
o Common disease syndromes caused by the following bacteria and their drug
therapy.
Pneumococci
Staphylococci.
Streptococci.
Hemophilis influenzae.
Shigella.
Gonococci.
473
ƒ Pseudomonas.
o Following diseases in detail.
Tetanus.
Enteric fever/salmonellosis.
Cholera.
Tuberculosis.
Leprosy.
Amoebiasis/giardiasis/trichomoniasis.
Malaria.
AIDS.
Rabies.
Infectious mononucleosis.
o Helminthic infestations
Ascariasis
Hookworm
Whipworm (trichuriasis)
Threadworm (entrobiasis)
Taenia (tapeworm)
Hydatid diseases
CLINICAL TRAINING:
Important Topics To Be Discussed:
Case discussion for diagnosis and management of common infectious diseases in
Pakistan
• Malaria
474
• Typhoid fever
• Acute diarrhoeal diseases
• Acute / chronic respiratory tract infections
• Generalized septicemia etc.
Understand the Symptomatology to reach the Differential Diagnosis:
o Fever
o Headache, pain
o Anorexia/ weight loss
o Haemoptysis/ chest pain/ epigastric o
Cough/expectoration/sputum
o Dysuria, pyuria
o Diarrhoea / vomiting o
Melena, hematemesis
o Jaundice/hepatomegaly o
Eruption and rashes
o Itching
o Joint pain and joint swelling etc.
475
Skills to Be Learnt:
• History taking and correlate with a specific diagnosis.
• Examination and assessment of the pattern of fever, involvement of organ
systems and any positive findings.
• Interpretation of related radiological and laboratory investigations
• Symptomatic treatment and prescription writing in infectious diseases.
Procedures:
Perform:
• Injection I/V, I/M, S/C, intradermal
• Oxygen therapy
• Urinary catheterisation – collection of samples
• Collection of blood samples/ blood film preparation
Observe:
• Observe I/V lines/Fluids/Blood/Blood products, direct, branula,
cutdown, CVP
• N/G tube passing and feeding
• Foley’s catheter/Red rubber catheter
• IOP record maintenance
• Aspiration of fluids (Pleural, Pericardial, Peritoneal, Knee)
• Lumbar Puncture
• O2 therapy
• Nebulisation etc.
476
11. HAEMATOLOGY
COURSE OUTLINES:
Anaemias.
• Classification
• Iron deficiency
• Megaloblastic
o B-12 deficiency
o Folic acid deficiency
• Anaemia of chronic disorder
• Haemolytic anaemia
o Hereditary o
Acquired
o Intra-corpuscular
o Extra-corpuscular
• Aplastic anemia
Haemoglobinopathies.
• Sickle cell syndromes
477
• Thalassaemias
Myeloproliferative diseases.
• Chronic myeloid leukemia (CML)
• Polycythemia vera
• Myelofibrosis
• Essential thrombocytosis
• Leukemias.
• Acute
• Chronic
• Lymphomos
• Non-Hodgkin’s
• Hodgkin’s
Blood groups and blood transfusion.
Bone marrow transplantation.
Disorders of haemostasis.
• Thrombocytopenia
• Idiopathic thrombocytopenic purpura (ITP)
• Von Willebrand’s disease.
• Vessel wall disorders.
• Disorders of coagulation.
• Haemophilia
• Vitamin K deficiency.
• Disseminated intravascular coagulation (DIC).
Anticoagulants Therapy
• Heparin
478
• Oral (warfarin etc.)
• Vit. K infusion
• Antiplatelet drugs
CLINICAL TRAINING:
Important Topics To Be Discussed:
Case discussion for diagnosis and management of common haematological disorders
• Anaemias
• Bleeding disorders
• Myeloproliferative or lymphoproliferative diseases
Understand the Symptomatology to reach the Differential Diagnosis:
• Lassitude
• Dyspnoea
• Infections
• Edema
• Gum hypertrophy
479
• Bleeding tendency
• Bruising purpura
• Lymph node enlargement
• Weight loss
• Facial swelling
• Bone pain
• Jaundice
• Hepatosplenomegaly
• Hypersensitivity/ allergic reactions etc.
Skills To Be Learnt:
• History taking in general
• General physical examination, pallor, cyanosis, jaundice, clubbing, koilonychia,
lymph nodes, edema, pulse, cyanosis, fever, headache, anorexia, weight loss,
pain, facial swelling etc.
• Examination and assessment of the extent of the disease
• Interpretation of related radiological and laboratory
investigations
• General medication and prescription writing in Haematology.
Procedures (Observe/ Assist):
• Injection I/V, I/M, S/C, intradermal
• Collection of samples of blood/blood film preparation
• Perform I/V lines/fluids/blood/blood products, direct branula,
cutdown, CVP etc.
• Observe bone marrow aspiration/ trephine
480
12. PSYCHIATRY
COURSE OUTLINES:
• Mood disorders.
• Major depressive episodes
• Unipolar
• Bipolar
• Dysthymic
• Atypical
• Maniac episodes
• Anxiety disorders.
• Acute anxiety states
• Panic disorders
• Generalized anxiety disorders
• Psychic Traumatic disorders
• Obsessive-compulsive disorders
• Phobic disorders
481
• Schizophrenia.
• Alcoholism.
• Addiction.
• Psychosexual disorders in men and women.
CLINICAL TRAINING:
Important Topics To Be Discussed:
Case discussion for diagnosis and management of common Psychiatric disorders like-
• Anxiety
• Depression
• Schizophrenia
• Manic depressive psychosis
• Phobias
• Eating disorders
Understand the Symptomatology to reach the Differential Diagnosis:
Skills To Be Learnt:
• History taking in psychiatry
• Clinical examination of patients
• Counseling and psychoanalysis especially in patients with suicidal and
homicidal attitude.
• Interpretation of related radiological and laboratory investigations
• General medication and prescription writing in psychiatry
Procedures:
482
• Psychotherapy
• Electroconvulsive Therapy (ECT)
• Electroencephalogram (EEG)
13. MISCELLANEOUS AND EMERGENCIES
• Heat stroke
• Snake bite
• Electric shock
• Poisoning etc.
Procedures To Be Performed/Observed/Assisted:
Perform:
• Injection I/V, I/M, S/C, intradermal
• Oxygen therapy
• Urinary catheterisation – collection and samples of blood
483
Observe:
• Observe I/V lines/fluids/blood/blood products, direct, branula,
cutdown, CVP
• N/G tube passing and feeding
• Foley’s catheter/Red rubber catheter, IOP record
maintenance
• Endotracheal tube placement
• Endotracheal suction/maintenance of airway/nursing on side etc.
• Aspiration of fluids (Pleural, Pericardial, Peritoneal, Knee)
• Lumbar puncture
• O2 therapy
• Nebulisation
• ECG taking/reading
• X-ray chest reading
• Barium series
• I/V urograms
• Bone and joint X-ray reading for medical problems (Rheumatoid
arthritis, osteoarthritis, collapse vertebra, caries spine, multiple
myeloma, cervical rib etc.)
• Preparing a patient for endoscopies, upper and lower GIT
THE LOG BOOK/CLINICAL CARD RECORD
The student is expected to make a record of his/her achievements in the log book. The log
book is a collection of evidence that learning has taken place, it is a reflective record of
achievements. The log book shall also contain a record of the procedures which student
would have performed in 3rd, 4th & 5th year.
484
RECOMMENDED BOOKS:
1. Practice of Medicine by Davidson.
2. Clinical Medicine by Parveen J Kumar & Michaell, Clark
3. Hutchison's Clinical Methods by Michael Swash. 21st edition
4. Basic psychiatry by Myre Sim, e. B. Gordon
5. Oxford Text Book of Psychiatry
6. ABC of Dermatology. Latest Edition.
7. Smith's General Urology by Emil A. Tanagho and Jack W. McAninch 15th edition. 2007
8. Online Journals and Reading Materials through HEC Digital Library Facility
DEPARTMENT OF MEDICINE & ALLIED
485
PLANNER 3rd YEAR MBBS TEACHING
PLANNER 3RD YEAR TEACHING AMNA INAYAT MEDICAL COLLEGE
CVS
LECT.
No
TOPIC TO BE TAUGHT OBJECTIVES TEACHER NAME
1 Palpitation, Breathlessness Students must be
able to understand
what is Palpitation
& Breathlessness,
and the causes of
Palpitation,
Breathlessness,
Dr. Naeem Aslam
2 Chest Pain, Raised JVP Students must be
able to understand
differential
Diagnosis &
Different
Characters of Chest
Pain and
particularly
Ischaemic Chest
pain & causes of
raised JVP, how to
appreciate raised
JVP.
Dr. Naeem Aslam
RESPIRATORY SYSTEM
486
3 Orthopnoea/Paroxysmal nocturnal
dyspnoea(PND)
Students must be
able to understand
different causes of
Orthopnoea/
Paroxysmal
nocturnal
dyspnoea(PND)
Dr. Naeem Aslam
4 Cough, expectoration, Sputum,
Brethlessness.
Students must be
able to understand
the diagnosis on
the basis of Cough,
expectoration,
Sputum,
Brethlessness.
Dr. Naeem Aslam
5 Wheezing, Haemoptysis, Chest Pain Students must be
able to understand
the casus of
Wheezing,
Haemoptysis, Chest
Pain
Dr. Naeem Aslam
NEUROLOGY AND CNS
6 Behaviour, IQ Students must be
able to understand
different types of
behaviors and how
to assess IQ.
Dr. Naeem Aslam
7 Speech disturbances, Memory. Students must be
able to understand
different types of
Speech
disturbances &
Memory.
Dr. Naeem Aslam
8 Confusional states, Dementia, Tremors.
Students must be
able to understand
causes of
Confusional states,
Dementia,
Tremors.
Dr. Naeem Aslam
487
9 Fasiculations, Athetosis, Chorea. Students must be
able to understand
what is
Fasiculations,
Athetosis, Chorea.
And their causes.
Dr. Naeem Aslam
10 Gait abnormalities, Convulsions, Fits. Students must be
able to understand
what are Gait
abnormalities,
Convulsions, Fits
and their causes.
Dr. Naeem Aslam
11 Coma, Syncope/Dizziness, Vertigo
Deafness, Blindness.
Students must be
able to understand
what is Coma,
Syncope/Dizziness,
Vertigo Deafness,
Blindness and their
causes.
Dr. Naeem Aslam
12 Numbness, tingling, sensory loss. Students must be
able to understand
what is Numbness,
tingling, sensory
loss and their
causes.
Dr. Naeem Aslam
13 Rigidity/Paralysis. Students must be
able to understand
what is
Rigidity/Paralysis
and their causes.
Dr. Naeem Aslam
14 Movement disorders. Students must be
able to understand
different types of
Movement
disorders and their
causes.
Dr. Naeem Aslam
ALIMENTRY SYSTEM
488
15 Oral ulceration, Dysphagia, Heart burn. Students must be
able to understand
what is Oral
ulceration,
Dysphagia, Heart
burn and their
causes.
Dr. Naeem Aslam
16 Nausea, Vomiting, Indigestion, Flatulence. Students must be
able to understand
what is Nausea,
Vomiting,
Indigestion,
Flatulence and
their causes.
Dr. Naeem Aslam
17 Diarrhoea and constipation. Students must be
able to understand
what is Diarrhoea
and constipation
and their causes.
Dr. Naeem Aslam
18 Melena, hematemesis, Bleeding per
rectum.
Students must be
able to understand
what is Melena,
hematemesis,
Bleeding per
rectum and their
causes.
Dr. Naeem Aslam
19 Jaundice, Hepatomegaly. Students must be
able to understand
different types of
Jaundice, their
causes and causes
of Hepatomegaly
Dr. Naeem Aslam
20 Abdominal distension, Ascites. Students must be
able to understand
what is Abdominal
distension, Ascites
and their causes.
Dr. Naeem Aslam
KIDNEY AND URINARY SYSTEM
489
21 History taking: Lumber pain, Anuria. Students must be
able to understand
how to take the
History in a patient
with Lumber pain
and Anuria
Dr. Naeem Aslam
22 Oliguria, hematuria, dysuria. Students must be
able to understand
what is Oliguria,
hematuria, dysuria
and their causes.
Dr. Naeem Aslam
23 Urgency, Frequency of micturition. Students must be
able to understand
what is Urgency,
Frequency of
micturition and
their causs.
Dr. Naeem Aslam
24 Pyuria, Urinary retention Students must be
able to understand
what is Pyuria,
Urinary retention
and their causs.
Dr. Naeem Aslam
25 Nocturia, urinary incontinence, pelvic pain. Students must be
able to understand
what is Nocturia,
urinary
incontinence,
pelvic pain and
their causes.
Dr. Naeem Aslam
INFECTION DISEASES
490
26 Malaria Students must be
able to understand
signs and
symptoms of
Malaria, its
differential
diagnosis and
treatment and
prevention.
Dr. Naeem Aslam
27 Dengue fever Students must be
able to understand
signs and
symptoms of
Dengue fever, its
differential
diagnosis and
treatment and
prevention.
Dr. Naeem Aslam
28 Hepatitis Students must be
able to understand
signs and
symptoms of
Hepatitis, its
differential
diagnosis and
treatment and
prevention.
Dr. Naeem Aslam
29 Sepsis and septic shock Students must be
able to understand
signs and
symptoms of Sepsis
and septic shock,
its differential
diagnosis and
treatment and
prevention.
Dr. Naeem Aslam
30 Acute infectious diarrhea/food poisoning Students must be
able to understand
signs and
symptoms of Acute
infectious
diarrhea/food
Dr. Naeem Aslam
491
poisoning, its
differential
diagnosis and
treatment and
prevention.
31 Hospital acquired infections Students must be
able to understand
signs and
symptoms of
Hospital acquired
infections, its
differential
diagnosis and
treatment and
prevention.
Dr. Naeem Aslam
32 Diseases caused by pneumococci,
staphylococci, H influenz
Students must be
able to understand
signs and
symptoms of
Diseases caused by
pneumococci,
staphylococci, H
influenz, , its
differential
diagnosis and
treatment and
prevention.
Dr. Naeem Aslam
33 Diseases caused by Shigella/Salmonela/
Cholera.
Students must be
able to understand
signs and
symptoms of
Diseases caused by
Shigella/Salmonela/
Cholera, its
differential
diagnosis and
treatment and
prevention.
Dr. Naeem Aslam
34 Sexually transmitted diseases/ AIDS,
Gonoria.
Students must be
able to understand
signs and
symptoms of
Dr. Naeem Aslam
492
Sexually
transmitted
diseases/ AIDS,
Gonoria, its
differential
diagnosis and
treatment and
prevention.
35 Tetanus. Rabies Students must be
able to understand
signs and
symptoms of
Tetanus. Rabies, ,
its differential
diagnosis and
treatment and
prevention.
Dr. Naeem Aslam
36 Amoebiasis/ Giadisis / Trichomonisis. Students must be
able to understand
signs and
symptoms of
Amoebiasis/
Giadisis /
Trichomonisis, its
differential
diagnosis and
treatment and
prevention.
Dr. Naeem Aslam
37 Infectious Mononucleosis. Students must be
able to understand
signs and
symptoms of
Infectious
Mononucleosis, , its
differential
diagnosis and
treatment and
prevention.
Dr. Naeem Aslam
38 Worm infestation/ Hook worm / Ascariasis Students must be
able to understand
signs and
symptoms of Worm
Dr. Naeem Aslam
493
infestation/ Hook
worm / Ascariasis, ,
its differential
diagnosis and
treatment and
prevention.
39 Thread worm / Tinea. Students must be
able to understand
signs and
symptoms of
Thread worm /
Tinea, its
differential
diagnosis and
treatment and
prevention
Dr. Naeem Aslam
494
PLANNER 4TH YEAR TEACHING AMNA INAYAT MEDICAL COLLEGE
GASTRO INTESTINAL AND HEPATO BILIARY SYSTEM
LECT.
No
TOPIC TO BE TAUGHT OBJECTIVES TEACHER NAME
1 Symtomtology in GI. Disorders Students must be able
to understand different
Symptoms in GI.
Disorders and their
application in different
diseases.
Asst. Prof. Dr. Aleem
ud Din
2 Investigations in GI. Disorders Students must be able
to understand different
Investigations in GI.
Disorders and their
application in different
diseases.
Asst. Prof. Dr. Aleem
ud Din
3 Esophageal disorders Students must be able
to understand signs
and symptoms of
Esophageal disorders,
its differential
diagnosis and
treatment and
prevention
Asst. Prof. Dr. Aleem
ud Din
4 Peptic ulcer and gastritis / GERD Students must be able
to understand signs
and symptoms of
Esophageal disorders,
its differential
diagnosis and
treatment and
prevention
Asst. Prof. Dr. Aleem
ud Din
5 Malabsorption syndrome Students must be able
to understand signs
and symptoms of
Malabsorption
syndrome, its
Asst. Prof. Dr. Aleem
ud Din
495
differential diagnosis
and treatment and
prevention
6 Ch. IBD/Ulcerative colitis, crohns
disease.
Students must be able
to understand signs
and symptoms of Ch.
IBD/Ulcerative colitis,
crohns disease., its
differential diagnosis
and treatment and
prevention
Asst. Prof. Dr. Aleem
ud Din
7 IBS. Students must be able
to understand signs
and symptoms IBS, its
differential diagnosis
and treatment and
prevention
Asst. Prof. Dr. Aleem
ud Din
8 Ascites Students must be able
to understand signs
and symptoms Ascites
its differential
diagnosis and
treatment and
prevention
Asst. Prof. Dr. Aleem
ud Din
9 Jaundice, types and classification. Students must be able
to understand causes
of Jaundice, types and
classification.
Asst. Prof. Dr. Aleem
ud Din
10 Chronic hepatitis Students must be able
to understand signs
and symptoms Chronic
hepatitis, its
differential diagnosis
and treatment and
prevention
Asst. Prof. Dr. Aleem
ud Din
11 Cirrhosis of Liver Students must be able
to understand signs
and symptoms
Cirrhosis of Liver, its
differential diagnosis
and treatment and
prevention
Asst. Prof. Dr. Aleem
ud Din
496
12 Hepatic encephalopathly Students must be able
to understand signs
and symptoms Hepatic
encephalopathly, its
differential diagnosis
and treatment and
prevention
Asst. Prof. Dr. Aleem
ud Din
13 Liver Abscess. Students must be able
to understand signs
and symptoms Liver
Abscess., its differential
diagnosis and
treatment and
prevention
Asst. Prof. Dr. Aleem
ud Din
14 Ca liver and liver transplantation. Students must be able
to understand signs
and symptoms Liver
Abscess., its differential
diagnosis and
treatment.
Asst. Prof. Dr. Aleem
ud Din
15 Acute/chronic pancreatitis. Students must be able
to understand signs
and symptoms
Acute/chronic
pancreatitis. its
differential diagnosis
and treatment and
prevention
Asst. Prof. Dr. Aleem
ud Din
16 Upper and lower GI bleeds..Managing GI
bleed
Students must be able
to understand signs
and symptoms Upper
and lower GI
bleeds.Managing GI
bleed. its differential
diagnosis and
treatment and
prevention
Asst. Prof. Dr. Aleem
ud Din
497
NEPHROLOGY
LECT.
No
TOPIC TO BE TAUGHT OBJECTIVES TEACHER NAME
17 Signs and symptoms in renal disease Students must be able to
know different symptoms and
signs in Renal Diseases.
Asst. Prof. Dr.
Aleem ud Din
18 Investigations in renal disease. Students must be able to
know different investigation
in Renal Diseases and their
significance to diagnose
different renal diseases.
Asst. Prof. Dr.
Aleem ud Din
19 Urinary tract
infections/Glomerulonephritis : acute
/ chronic
Students must be able to
understand signs and
symptoms Urinary tract
infections/Glomerulonephritis
: acute / chronic. its
differential diagnosis and
treatment and prevention
Asst. Prof. Dr.
Aleem ud Din
20 Acute and chronic / pyelonephritis.
Cystitis.
Students must be able to
understand signs and
symptoms Acute and chronic
/ pyelonephritis. Cystitis.. its
differential diagnosis and
treatment and prevention
Asst. Prof. Dr.
Aleem ud Din
21 Nephrotic syndrome: Renal artery
stenosis: renal vein thrombosis
Students must be able to
understand signs and
symptoms Nephrotic
syndrome: Renal artery
stenosis: renal vein
thrombosis its differential
diagnosis and treatment and
prevention
Asst. Prof. Dr.
Aleem ud Din
22 Polycystic Kidneys Students must be able to
understand signs and
symptoms Polycystic Kidneys
its differential diagnosis and
treatment.
Asst. Prof. Dr.
Aleem ud Din
23 Acute / chronic renal failure Students must be able to
understand signs and
symptoms Acute / chronic
Asst. Prof. Dr.
Aleem ud Din
498
renal failure its differential
diagnosis and treatment and
prevention
24 Hemolytic uremic syndrome Students must be able to
understand signs and
symptoms Hemolytic uremic
syndrome its differential
diagnosis and treatment and
prevention
Asst. Prof. Dr.
Aleem ud Din
25 Renal tubular acidosis. Students must be able to
understand signs and
symptoms Renal tubular
acidosis. its differential
diagnosis and treatment and
prevention
Asst. Prof. Dr.
Aleem ud Din
26 Drugs and Kidney (brief): drugs contra
indicated in renal disease
Students must be able to
understand effects of Drugs
on Kidney (brief): and drugs
contra indicated in renal
disease.
Asst. Prof. Dr.
Aleem ud Din
27 Renal malignancy Students must be able to
understand signs and
symptoms Renal malignancy.
its differential diagnosis and
treatment and prevention
Asst. Prof. Dr.
Aleem ud Din
28 Introduction to dialysis/Renal
transplant.
Students must be able to
understand what is dialysis its
types and indications of renal
transplant.
Asst. Prof. Dr.
Aleem ud Din
499
CENTRAL AND PERIPHERAL NERVOUS SYSTEM----CNS AND PNS
LECT.
No
TOPIC TO BE TAUGHT OBJECTIVES TEACHER NAME
29 Symptomtology and investigations in
CNS and PNS
Students must be able
to know different
symptoms and
investigations in CNS &
PNS.
Asst. Prof. Dr. Aleem
ud Din
30 Epilepsy Students must be able
to know causes of
Epilepsy, its types
diagnosis and
treatment.
Asst. Prof. Dr. Aleem
ud Din
31 CVA/Ischemic/hemorrhagic/embolic
strokes. Hemiplegia
Students must be able
to know causes of
CVA/Ischemic
/hemorrhagic/embolic
strokes. Hemiplegia
diagnosis and
treatment
Asst. Prof. Dr. Aleem
ud Din
32 Sub arachnoid hge Cavernus sinus
thrombosis.
Students must be able
to know causes of Sub
arachnoid hge
Cavernus sinus
thrombosis. diagnosis
and treatment
Asst. Prof. Dr. Aleem
ud Din
33 Menigitis….Pyogenic, tubercular, others Students must be able
to know causes
Menigitis….Pyogenic,
tubercular, others
diagnosis and
treatment
Asst. Prof. Dr. Aleem
ud Din
34 Encephalitis, Brain abscess. Students must be able
to know causes of
Encephalitis, Brain
abscess. diagnosis and
Asst. Prof. Dr. Aleem
ud Din
500
treatment
35 Parkinson’s disease and movement
disorders.
Students must be able
to know causes of
Parkinson’s disease and
movement disorders.
diagnosis and
treatment
Asst. Prof. Dr. Aleem
ud Din
36 Cerebeller disease. Students must be able
to know causes of
Cerebeller disease.
diagnosis and
treatment
Asst. Prof. Dr. Aleem
ud Din
37 Cranial Nerves disorders, Bell’s palsy Students must be able
to know causes of
Cranial Nerves
disorders, Bell’s palsy
disease. diagnosis and
treatment
Asst. Prof. Dr. Aleem
ud Din
38 Multiple Sclerosis Students must be able
to know causes of
Multiple Sclerosis
diagnosis and
treatment
Asst. Prof. Dr. Aleem
ud Din
39 Dementia and Alsheimer’s disease Students must be able
to know causes of
Dementia and
Alsheimer’s disease,
diagnosis and
treatment
Asst. Prof. Dr. Aleem
ud Din
40 Motor neuron disease. Students must be able
to know causes of
Motor neuron disease.
diagnosis and
treatment
Asst. Prof. Dr. Aleem
ud Din
41 Diseases of spinal cord, cord
compression.
Students must be able
to know causes of
Diseases of spinal cord,
cord compression.
diagnosis and
treatment
Asst. Prof. Dr. Aleem
ud Din
42 Paraplegia, Quadruplegia Students must be able
to know causes of
Asst. Prof. Dr. Aleem
ud Din
501
Paraplegia,
Quadruplegia,
diagnosis and
treatment
43 Myelitis, spondylitis. Students must be able
to know causes of
Myelitis, spondylitis.
diagnosis and
treatment
Asst. Prof. Dr. Aleem
ud Din
44 Syringomyelia and syringobulbia. Students must be able
to know causes of
Syringomyelia and
syringobulbia.
diagnosis and
treatment
Asst. Prof. Dr. Aleem
ud Din
45 Peripheral & disorders, Peripheral
neuropathy.
Students must be able
to know causes of
Peripheral & disorders,
Peripheral neuropathy.
diagnosis and
treatment
Asst. Prof. Dr. Aleem
ud Din
46 GB syndrome. Students must be able
to know causes of GB
syndrome. diagnosis
and treatmen
Asst. Prof. Dr. Aleem
ud Din
47 Mononeuritis multiplex. Students must be able
to know causes of
Mononeuritis
multiplex. diagnosis
and treatment
Asst. Prof. Dr. Aleem
ud Din
48 Space occupying lesions of the Brain. Students must be able
to know causes of
Space occupying
lesions of the Brain.
diagnosis and
treatment
Asst. Prof. Dr. Aleem
ud Din
49 Space occupying lesions of the spinal
cord.
Students must be able
to know causes of
Space occupying
lesions of the spinal
cord. diagnosis and
treatment
Asst. Prof. Dr. Aleem
ud Din
502
50 Myopathies, and muscular dystrophies, Students must be able
to know causes of
Myopathies, and
muscular dystrophies, .
diagnosis and
treatment
Asst. Prof. Dr. Aleem
ud Din
51 Myasthenia gravis. Students must be able
to know causes of
Myasthenia gravis.
diagnosis and
treatment
Asst. Prof. Dr. Aleem
ud Din
503
DEPARTMENT OF MEDICINE & ALLIED
PLANNER FINAL YEAR MBBS TEACHING
CARDIOVASCULAR SYSTEM
LECT.
No
TOPIC TO BE TAUGHT OBJECTIVES TEACHER NAME
1 Symptoms in CVS diseases Students must be
able to understand
symptoms of CVS &
their interpretation
to make the correct
diagnose
Prof. Shoaib Randhawa
2 Investigations in CVS diseases Students must be
able to understand
investigations of
CVS & their
interpretation to
make the correct
diagnose
Prof. Shoaib Randhawa
3 Valvular heat diseases Students must be
able to understand
etiology,
pathogenesis,
diagnosis and
treatment of the
disease
Prof. Shoaib Randhawa
4 Rheumatic fever/infective endocarditic Students must be
able to understand
etiology,
pathogenesis,
diagnosis and
treatment of the
disease
Prof. Shoaib Randhawa
5 heart diseases. Cyanotic and acynotic. Students must be
able to understand
Prof. Shoaib Randhawa
504
ASD, VSD, etiology,
pathogenesis,
diagnosis and
treatment of the
disease
6 PDA, Fallot'Stetrologyetc Students must be
able to understand
etiology
Prof. Shoaib Randhawa
7 Ischemic heart diseases, angina infarction. Students must be
able to understand
etiology
Prof. Shoaib Randhawa
8 LVF, CCF • Corpulmonale Students must be
able to understand
etiology
Prof. Shoaib Randhawa
9 Cardiomyopathies Students must be
able to understand
etiology
Prof. Shoaib Randhawa
10 Pericardial disease. Acute pericarditis/
effusion
Students must be
able to understand
etiology
Prof. Shoaib Randhawa
11 Constrictive pericarditis, cardiac
temponade
Students must be
able to understand
etiology
Prof. Shoaib Randhawa
12 Hypertensive heart disease Students must be
able to understand
etiology
Prof. Shoaib Randhawa
13 Atherosclerosis! Arteriosclerosis Students must be
able to understand
etiology
Prof. Shoaib Randhawa
14 Hypertension Students must be
able to understand
etiology
Prof. Shoaib Randhawa
15 Peripheral vascular disease(PVD) Students must be
able to understand
etiology
Prof. Shoaib Randhawa
16 ECG, Echocardiography Students must be
able to understand
interpret ECG’s &
Echocardiography
Findings
Prof. Shoaib Randhawa
505
17 ETT.Thalliumscan. Holter, Angio Students must be
able to understand
and investigations
ETT.Thalliumscan.
Holter, Angio
Prof. Shoaib Randhawa
ENDOCRINOLOGY
LECT.
No
TOPIC TO BE TAUGHT OBJECTIVES TEACHER NAME
18 Endocrinology.signs and symptoms Students must be
able to understand
symptoms and
Signs of Endocrine
Disorders.
Prof. Shoaib Randhawa
19 Diseases of hypothalamus and pituitary Students must be
able to understand
etiology,
pathogenesis,
diagnosis and
treatment of the
disease
Prof. Shoaib Randhawa
20 Panhypopituitarim/Sheehan's syndrome Students must be
able to understand
etiology,
pathogenesis,
diagnosis and
treatment of the
disease
Prof. Shoaib Randhawa
21 Growth hormone disorders.Acromegaly,
Gigantism
Students must be
able to understand
etiology,
pathogenesis,
diagnosis and
treatment of the
disease
Prof. Shoaib Randhawa
22 Empty sella syndrome, Diabetes incipidus Students must be
able to understand
etiology,
Prof. Shoaib Randhawa
506
pathogenesis,
diagnosis and
treatment of the
disease
23 SIADH, Hyperthyroidism, Graves's disease Students must be
able to understand
etiology,
pathogenesis,
diagnosis and
treatment of the
disease
Prof. Shoaib Randhawa
24 Hypothyroidism, Thyroid function tests Students must be
able to understand
etiology,
pathogenesis,
diagnosis and
treatment of the
disease
Prof. Shoaib Randhawa
25 Parathyroid diseases Students must be
able to understand
etiology,
pathogenesis,
diagnosis and
treatment of the
disease
Prof. Shoaib Randhawa
26 Cushing syndrome. Adrenal hyperplasia Students must be
able to understand
etiology,
pathogenesis,
diagnosis and
treatment of the
disease
Prof. Shoaib Randhawa
27 Addison's disease. Con's disease Students must be
able to understand
etiology,
pathogenesis,
diagnosis and
treatment of the
disease
Prof. Shoaib Randhawa
28 Pheochromocytome Students must be
able to understand
etiology,
Prof. Shoaib Randhawa
507
pathogenesis,
diagnosis and
treatment of the
disease
29 Diabteses mellitus / types Students must be able to understand
etiology, pathogenesis, diagnosis and
treatment of the disease
Prof. Shoaib
Randhawa
30 Treatment and management of DM Students must be able to understand
etiology, pathogenesis, diagnosis and
treatment of the disease
Prof. Shoaib
Randhawa
31 Management of diabetic
ketoacodosis
Students must be able to understand
etiology, pathogenesis, diagnosis and
treatment of the disease
Prof. Shoaib
Randhawa
32 Hypoglycemic and hyperosmolar
non ketotic coma
Students must be able to understand
etiology, pathogenesis, diagnosis and
treatment of the disease
Prof. Shoaib
Randhawa
33 Hemochromatosis Students must be able to understand
etiology, pathogenesis, diagnosis and
treatment of the disease
Prof. Shoaib
Randhawa
34 Wilson’s diseases Students must be able to understand
etiology, pathogenesis, diagnosis and
treatment of the disease
Prof. Shoaib
Randhawa
35 Metabolic disorders: Gout,
hypercalcemia.
Students must be able to understand
etiology, pathogenesis, diagnosis and
treatment of the disease
Prof. Shoaib
Randhawa
36 Hyperlipedemias Students must be able to understand
etiology, pathogenesis, diagnosis and
treatment of the disease
Prof. Shoaib
Randhawa
37 Storage diseases, Lipid sorage
diseases
Students must be able to understand
etiology, pathogenesis, diagnosis and
treatment of the disease
Prof. Shoaib
Randhawa
38 Glycogen
storage
Students must
be able to
understand
etiology,
Prof. Shoaib
Randhawa
508
diseases pathogenesis,
diagnosis and
treatment of
the disease
39 Disorders of amino acid
metabolism.
Students must be able to understand
etiology, pathogenesis, diagnosis and
treatment of the disease
Prof. Shoaib
Randhawa
40 Homocystinuria, Alcaptonuria Students must be able to understand
etiology, pathogenesis, diagnosis and
treatment of the disease
Prof. Shoaib
Randhawa
41 Diseases of bone and joints; OA,
Pagets disease Of bone,
osteoporosis
Students must be able to understand
etiology, pathogenesis, diagnosis and
treatment of the disease
Prof. Shoaib
Randhawa
42 Anemias; classification, Iron
deficiency
Students must be able to understand
etiology, pathogenesis, diagnosis and
treatment of the disease
Prof. Shoaib
Randhawa
43 Megaloblastic, Bl, Folic acid
deficiency
Students must be able to understand
etiology, pathogenesis, diagnosis and
treatment of the disease
Prof. Shoaib
Randhawa
44 Anemia of chronic disease,
Hemolytic –hereditary and acquired
Hemoglobinopathies
Students must be able to understand
etiology, pathogenesis, diagnosis and
treatment of the disease
Prof. Shoaib
Randhawa
45 Thallassaemia, sickle cell anemia Students must be able to understand
etiology, pathogenesis, diagnosis and
treatment of the disease
Prof. Shoaib
Randhawa
46 Aplastic anemia Students must be able to understand
etiology, pathogenesis, diagnosis and
treatment of the disease
Prof. Shoaib
Randhawa
47 Leukemias, Acute and Chronic
myeloid
Students must be able to understand
etiology, pathogenesis, diagnosis and
treatment of the disease
Prof. Shoaib
Randhawa
509
leukemia
48 Lymphocytic leukemias Students must be able to understand
etiology, pathogenesis, diagnosis and
treatment of the disease
Prof. Shoaib
50Randhawa
49 Polycythemia,
polycythemiarubra/vera
Students must be able to understand
etiology, pathogenesis, diagnosis and
treatment of the disease
Prof. Shoaib
Randhawa
50 Thrmbocytopenia and
thrombocytosis
Students must be able to understand
etiology, pathogenesis, diagnosis and
treatment of the disease
Prof. Shoaib
Randhawa
51 Myelofibrosis Students must be able to understand
etiology, pathogenesis, diagnosis and
treatment of the disease
Prof. Shoaib
Randhawa
52 Lymphoma- Hodgkin and non
Hodgkin.
Students must be able to understand
etiology, pathogenesis, diagnosis and
treatment of the disease
Prof. Shoaib
Randhawa
RESPERATORY SYSTEM
Lecture
no
TOPIC TO BE TAUGHT OBJECTIVES TEACHER
NAME
53 Symptoms of Respiratory system, Students must be able to
understand symptoms of
Respiratory & their
interpretation to make the
correct diagnose
Prof. Dr.
Shamshad
Rasool Awan
54 Pulmonary function tests &investigations in
resp, system
Students must be able to
understand investigations of
Respiratory & their
interpretation to make the
correct diagnose
Prof. Dr.
Shamshad
Rasool Awan
510
55 Bronchial asthma Students must be able to
understand etiology,
pathogenesis, diagnosis and
treatment of the disease
Prof. Dr.
Shamshad
Rasool Awan
56 Pneumo
nias
Students must be able to
understand etiology,
pathogenesis, diagnosis and
treatment of the disease
Prof. Dr.
Shamshad
Rasool Awan
57 Bronchiectasis Students must be able to
understand etiology,
pathogenesis, diagnosis and
treatment of the disease
Prof. Dr.
Shamshad
Rasool Awan
58 COPD Students must be able to
understand etiology,
pathogenesis, diagnosis and
treatment of the disease
Prof. Dr.
Shamshad
Rasool Awan
59 Cystic Fibrosis Students must be able to
understand etiology,
pathogenesis, diagnosis and
treatment of the disease
Prof. Dr.
Shamshad
Rasool Awan
60 Pneumothorax. empyema Students must be able to
understand etiology,
pathogenesis, diagnosis and
treatment of the disease
Prof. Dr.
Shamshad
Rasool Awan
61 Interstitial lung disease/ lung diseases Students must be able to
understand etiology,
pathogenesis, diagnosis and
treatment of the disease
Prof. Dr.
Shamshad
Rasool Awan
62 Pulmonary thrombo embolism/acute
corpulmonale
Students must be able to
understand etiology,
pathogenesis, diagnosis and
treatment of the disease
Prof. Dr.
Shamshad
Rasool Awan
63 Pulmonary tuberculosis and pleural effusion
ARDS/Acute respiratory
Students must be able to
understand etiology,
pathogenesis, diagnosis and
treatment of the disease
Prof. Dr.
Shamshad
Rasool Awan
64 Failure/Mechanical ventilation. Students must be able to
understand etiology,
pathogenesis, diagnosis and
treatment of the disease
Prof. Dr.
Shamshad
Rasool Awan
511
65 CA. Lung. Students must be able to
understand etiology,
pathogenesis, diagnosis and
treatment of the disease
Prof. Dr.
Shamshad
Rasool Awan
66 Multisystem, immunological diseases. SLE Students must be able to
understand etiology,
pathogenesis, diagnosis and
treatment of the disease
Prof. Dr.
Shamshad
Rasool Awan
67 RA Students must be able to
understand etiology,
pathogenesis, diagnosis and
treatment of the disease
Prof. Dr.
Shamshad
Rasool Awan
68 Systemic sclerosis, scleroderma Students must be able to
understand etiology,
pathogenesis, diagnosis and
treatment of the disease
Prof. Dr.
Shamshad
Rasool Awan
69 Mixed connective tissue disease, Sjogren
syndrome
Students must be able to
understand etiology,
pathogenesis, diagnosis and
treatment of the disease
Prof. Dr.
Shamshad
Rasool Awan
70 Ankylosing spondylitis Students must be able to
understand etiology,
pathogenesis, diagnosis and
treatment of the disease
Prof. Dr.
Shamshad
Rasool Awan
71 Bahcet syndrome, Vasculitic syndrome Students must be able to
understand etiology,
pathogenesis, diagnosis and
treatment of the disease
Prof. Dr.
Shamshad
Rasool Awan
72 Anaphylactoidpurpura, polyartritisnodosa Students must be able to
understand etiology,
pathogenesis, diagnosis and
treatment of the disease
Prof. Dr.
Shamshad
Rasool Awan
73 Hypersensitivity vasculitis, Wegener
granulomatosis Temporal arteritis. Takayasu
arteritis
Students must be able to
understand etiology,
pathogenesis, diagnosis and
treatment of the disease
Prof. Dr.
Shamshad
Rasool Awan
74 Sarcoidosis Students must be able to
understand etiology,
pathogenesis, diagnosis and
treatment of the disease
Prof. Dr.
Shamshad
Rasool Awan
512
75 Abnormalities of Acid- base balance Students must be able to
understand etiology,
pathogenesis, diagnosis and
treatment of the disease
Prof. Dr.
Shamshad
Rasool Awan
76 Abnormalities of Acid- base balance Students must be able to
understand etiology,
pathogenesis, diagnosis and
treatment of the disease
Prof. Dr.
Shamshad
Rasool Awan
77 Abnormalities of Acid- base balance Students must be able to
understand etiology,
pathogenesis, diagnosis and
treatment of the disease
Prof. Dr.
Shamshad
Rasool Awan
78 Introduction to dermatology Students must be able to
understand etiology,
pathogenesis, diagnosis and
treatment of the disease
Prof. Dr.
Shamshad
Rasool Awan
79 Basic structure of skin Students must be able to
understand etiology,
pathogenesis, diagnosis and
treatment of the disease
Prof. Dr.
Shamshad
Rasool Awan
80 Basic and secondary skin lesions. Students must be able to
understand etiology,
pathogenesis, diagnosis and
treatment of the disease
Prof. Dr.
Shamshad
Rasool Awan
81 Papulo-squamous disorders(psoriasis,
ecema,lichen -planus
Students must be able to
understand etiology,
pathogenesis, diagnosis and
treatment of the disease
Prof. Dr.
Shamshad
Rasool Awan
82 Skin infections( viral, Fungal, Bacterial,
mycobacterial, Leprosy
Students must be able to
understand etiology,
pathogenesis, diagnosis and
treatment of the disease
Prof. Dr.
Shamshad
Rasool Awan
83 Skin infestations Students must be able to
understand etiology,
pathogenesis, diagnosis and
treatment of the disease
Prof. Dr.
Shamshad
Rasool Awan
84 Sexually transmitted diseases Students must be able to
understand etiology,
pathogenesis, diagnosis and
treatment of the disease
Prof. Dr.
Shamshad
Rasool Awan
85 Acne Vulgaris. Students must be able to
understand etiology,
Prof. Dr.
Shamshad
513
pathogenesis, diagnosis and
treatment of the disease
Rasool Awan
86 Disorders of pigmentation Students must be able to
understand etiology,
pathogenesis, diagnosis and
treatment of the disease
Prof. Dr.
Shamshad
Rasool Awan
87 Disorders of hair Students must be able to
understand etiology,
pathogenesis, diagnosis and
treatment of the disease
Prof. Dr.
Shamshad
Rasool Awan
88 Disorders of
nails.
Students must be able to
understand etiology,
pathogenesis, diagnosis and
treatment of the disease
Prof. Dr.
Shamshad
Rasool Awan
89 Disorders of abnormal keratinization Students must be able to
understand etiology,
pathogenesis, diagnosis and
treatment of the disease
Prof. Dr.
Shamshad
Rasool Awan
90 Bullous skin Disorders Students must be able to
understand etiology,
pathogenesis, diagnosis and
treatment of the disease
Prof. Dr.
Shamshad
Rasool Awan
91 Vasculitic Disorders Students must be able to
understand etiology,
pathogenesis, diagnosis and
treatment of the disease
Prof. Dr.
Shamshad
Rasool Awan
92 Skin cancer and Neavi Students must be able to
understand etiology,
pathogenesis, diagnosis and
treatment of the disease
Prof. Dr.
Shamshad
Rasool Awan
93 Drug Reactions Students must be able to
understand etiology,
pathogenesis, diagnosis and
treatment of the disease
Prof. Dr.
Shamshad
Rasool Awan
94 Introduction to psychiatry Students must be able to
understand etiology,
pathogenesis, diagnosis and
treatment of the disease
Prof. Dr.
Shamshad
Rasool Awan
95 Major Depressive episodes Students must be able to
understand etiology,
pathogenesis, diagnosis and
treatment of the disease
Prof. Dr.
Shamshad
Rasool Awan
514
96 Unipolar, Bipolar, Dysthymic, Atypical Students must be able to
understand etiology,
pathogenesis, diagnosis and
treatment of the disease
Prof. Dr.
Shamshad
Rasool Awan
97 Bipolar Affective Disorders. Students must be able to
understand etiology,
pathogenesis, diagnosis and
treatment of the disease
Prof. Dr.
Shamshad
Rasool Awan
98 Panic Disorders Students must be able to
understand etiology,
pathogenesis, diagnosis and
treatment of the disease
Prof. Dr.
Shamshad
Rasool Awan
99 Generalized Anxiety Disorders Students must be able to
understand etiology,
pathogenesis, diagnosis and
treatment of the disease
Prof. Dr.
Shamshad
Rasool Awan
100 Post traumatic stress Disorders Students must be able to
understand etiology,
pathogenesis, diagnosis and
treatment of the disease
Prof. Dr.
Shamshad
Rasool Awan
101 Obsessive Compulsive Disorders Students must be able to
understand etiology,
pathogenesis, diagnosis and
treatment of the disease
Prof. Dr.
Shamshad
Rasool Awan
102 Phobic Disorders Students must be able to
understand etiology,
pathogenesis, diagnosis and
treatment of the disease
Prof. Dr.
Shamshad
Rasool Awan
103 Schizophrenia. Students must be able to
understand etiology,
pathogenesis, diagnosis and
treatment of the disease
Prof. Dr.
Shamshad
Rasool Awan
104 Substance abuse Addiction Students must be able to
understand etiology,
pathogenesis, diagnosis and
treatment of the disease
Prof. Dr.
Shamshad
Rasool Awan
105 Alcoholism Students must be able to
understand etiology,
pathogenesis, diagnosis and
treatment of the disease
Prof. Dr.
Shamshad
Rasool Awan
106 Psychosexual Disorders in men and women Students must be able to
understand etiology,
Prof. Dr.
Shamshad
515
pathogenesis, diagnosis and
treatment of the disease
Rasool Awan
KIDNEY
Lecture
No
TOPIC TO BE TAUGHT OBJECTIVES TEACHER
NAME
107 Acute pyelonephritis, urinary Tract Infections Students must be
able to understand
etiology,
pathogenesis,
diagnosis and
treatment of the
disease
Prof. Dr.
Shamshad
Rasool Awan
108 Acute Kidney Injury, Acute Tubular Necrosis Students must be
able to understand
etiology,
pathogenesis,
diagnosis and
treatment of the
disease
Prof. Dr.
Shamshad
Rasool Awan
109 Chronic Kidney Disease Students must be
able to understand
etiology,
pathogenesis,
diagnosis and
treatment of the
disease
Prof. Dr.
Shamshad
Rasool Awan
110 Nephrotic Syndrome Students must be
able to understand
etiology,
pathogenesis,
diagnosis and
treatment of the
disease
Prof. Dr.
Shamshad
Rasool Awan
111 Impotence Students must be
able to understand
etiology,
Prof. Dr.
Shamshad
Rasool Awan
516
pathogenesis,
diagnosis and
treatment of the
disease
DERMATOLOGY
Lecture
no
TOPIC TO BE TAUGHT OBJECTIVES TEACHER
NAME
112 Introduction to
Dermatology
Students must
be able to
understand
different skin
lesions
113 Basic structure of Skin Students must
be able to
understand
basic structure
of the skin
114 Basic & secondary skin
lesions
Students must
be able to
understand
Basic &
secondary skin
lesions
115 Papulo-squamous
disorders(psoriasis, eczema,
lichen planus)
Students must
be able to
understand
etiology,
pathogenesis,
diagnosis and
treatment of
the disease
116 Skin Infections, (Viral,
fungal, Bacterial, Micro
Bacterial)
Students must
be able to
understand
etiology,
pathogenesis,
diagnosis and
517
treatment of
the disease
117 Leprosy Students must
be able to
understand
etiology,
pathogenesis,
diagnosis and
treatment of
the disease
118 Skin Infestations Students must
be able to
understand
etiology,
pathogenesis,
diagnosis and
treatment of
the disease
119 Sexually Transmitted
diseases
Students must
be able to
understand
etiology,
pathogenesis,
diagnosis and
treatment of
the disease
120 Acne Vulgaris Students must
be able to
understand
etiology,
pathogenesis,
diagnosis and
treatment of
the disease
121 Disorders of pigmentation Students must
be able to
understand
etiology,
pathogenesis,
diagnosis and
treatment of
the disease
518
122 Disorders of Hair Students must
be able to
understand
etiology,
pathogenesis,
diagnosis and
treatment of
the disease
123 Disorders of Nails Students must
be able to
understand
etiology,
pathogenesis,
diagnosis and
treatment of
the disease
124 Disorders of Abnormal
keratinization
Students must
be able to
understand
etiology,
pathogenesis,
diagnosis and
treatment of
the disease
125 Bullous Skin Disorders Students must
be able to
understand
etiology,
pathogenesis,
diagnosis and
treatment of
the disease
126 Vasculitic Disorders Students must
be able to
understand
etiology,
pathogenesis,
diagnosis and
treatment of
the disease
127 Skin Cancer and Naevi Students must
be able to
519
understand
etiology,
pathogenesis,
diagnosis and
treatment of
the disease
128 Drug Reactions Students must
be able to
understand
etiology,
pathogenesis,
diagnosis and
treatment of
the disease
PSYCHIATRY
Lecture
no
TOPIC TO BE TAUGHT OBJECTIVES TEACHER NAME
129 Introduction to psychiatry Students
must be able
to
understand
Basics of
psychiatry
Prof. Dr. Ghazala
Musa
130 Major Depressive
Disorders
Students
must be able
to
understand
etiology,
pathogenesis,
diagnosis and
treatment of
the disease
Prof. Dr. Ghazala
Musa
131 Unipolar, Bipolar,
Dysthymic, Atypical
Students
must be able
to
understand
Prof. Dr. Ghazala
Musa
520
etiology,
pathogenesis,
diagnosis and
treatment of
the disease
132 Bipolar Affective Disorders Students
must be able
to
understand
etiology,
pathogenesis,
diagnosis and
treatment of
the disease
Prof. Dr. Ghazala
Musa
133 Panic Disorders Students
must be able
to
understand
etiology,
pathogenesis,
diagnosis and
treatment of
the disease
Prof. Dr. Ghazala
Musa
134 generalized anxiety
Disorders
Students
must be able
to
understand
etiology,
pathogenesis,
diagnosis and
treatment of
the disease
Prof. Dr. Ghazala
Musa
135 Post traumatic Stress
Disorders
Students
must be able
to
understand
etiology,
pathogenesis,
diagnosis and
treatment of
the disease
Prof. Dr. Ghazala
Musa
521
136 Obsessive Compulsive
Disorders
Students
must be able
to
understand
etiology,
pathogenesis,
diagnosis and
treatment of
the disease
Prof. Dr. Ghazala
Musa
137 phobic Disorders Students
must be able
to
understand
etiology,
pathogenesis,
diagnosis and
treatment of
the disease
Prof. Dr. Ghazala
Musa
138 Schizophrenia Students
must be able
to
understand
etiology,
pathogenesis,
diagnosis and
treatment of
the disease
Prof. Dr. Ghazala
Musa
139 Substance abuse
Addiction
Students
must be able
to
understand
etiology,
pathogenesis,
diagnosis and
treatment of
the disease
Prof. Dr. Ghazala
Musa
140 Alcoholism Students
must be able
to
understand
etiology,
pathogenesis,
Prof. Dr. Ghazala
Musa
522
diagnosis and
treatment of
the disease
141 Psychosexual Disorders in
men & women
Students
must be able
to
understand
etiology,
pathogenesis,
diagnosis and
treatment of
the disease
Prof. Dr. Ghazala
Musa
523
AMNA INAYAT MEDICAL COLLEGE
AIMC-MBBS
SURGERY & ALLIED SPECIALITIES CURRICULUM
(PMDC/UHS)
&
ACADEMIC PLANNER
2017-2022
Amna Inayat Medical College
524
FACULTY IN GENERAL SURGERY
HOD. Professor Dr. Sikandar Hayat Gondal
Professor Dr. Hasan Askri
Professor Dr. Syed Qarib Abbas
Associate Professor Faisal Hanif
Assistant Professor: Dr.M. Tariq Saeed
COMPOSITION OF SURGERY & ALLIED
(PMDC, Credit hours. 800 Hours)
GENERAL SURGERY.
PRINCIPES OF SURGERY (PAPER I)
SYSTEMIC SURGERY. (PAPER II)
525
ALLIED DEPATMENTS
ORTHOPAEDIC SURGERY
UROLOGY
NEUROSURGERY
ANAESTHESIA
RADIOLOGY.
526
PMDC
Table of spacing and Hours of Subjects in MBBS Course
Subject 1st year 2nd year 3rd year 4th year 5th year Total
Behavioural Science 5Hrs 5Hrs 5Hrs 5Hrs 5Hrs 25Hrs
Islamic and Pakistan 15Hrs 15Hrs 10Hrs 10Hrs - 50Hrs
Anatomy 250Hrs 250Hrs - - - 500Hrs
Physiology 250Hrs 250Hrs - - - 500Hrs
Biochemistry 100Hrs 100Hrs - - - 200Hrs
Pharmacology - - 300Hrs - - 300Hrs
Pathology 15Hrs 25Hrs 260Hrs 200Hrs - 500Hrs
Forensic Medicine - - 100Hrs - - 100Hrs
Community Medicine 25Hrs 25Hrs 50Hrs 150Hrs - 250Hrs
Medicine and Allied
Nuclear Medicine Emergency
Medicine Medicine Elective
Dermatology
General Practice
25Hrs 30Hrs 120Hrs
-
360Hrs
-
360Hrs
-
800Hrs
20Hrs
Paradiatric Medicine 5Hrs 10Hrs 15Hrs 50Hrs 70Hrs 450Hrs
Surgery and Allied
Orthopedics
Paeds Surgery
Neuro Surgery
Elective Surgery
Emergency Surgery
Anaesthesia
25Hrs 30Hrs 120Hrs 265Hrs 360Hrs
15Hrs
800Hrs
40Hrs
Obestetrics and 10Hrs 10Hrs 50Hrs 100Hrs 130Hrs 300Hrs
Ophthamology 5Hrs 10Hrs 15Hrs 70Hrs - 100Hrs
Ent 5Hrs 10Hrs 15Hrs 70Hrs - 100Hrs
Histopathology - - - 60Hrs - 60Hrs
Total 740Hrs 790Hrs 1060Hrs 1265Hrs 940Hrs 4795Hrs
527
UHS
SYLLABS IN
SURGERY & ALLIED
528
(A) SURGERY
Distribution of Subjects:
Paper I: General Surgery, Surgical Anatomy, Principles of Anaesthesia,
Principles of Radiology, Principles of Radiotherapy and Chemotherapy.
Paper II: Systematic and Operative Surgery: Musculoskeletal system, GIT,
Renal System, Male and female reproductive system, Head and Neck, Thorax,
Breast, Nervous system, cardiovascular system, Orthopaedics and Traumatology.
The Course outline is as follows:
Systems and the Diseases:
Head, Face and Neck
1. Development abnormalities of face, palate, lips.
2. Principles of management of head injuries and its complications.
3. Oral cavity including tongue.
4. Diseases of salivary glands (Inflammation, Calculus,
Tumours)
5. Neck lumps including lymph nodes, thyroid, and parathyroid
Breast
1. Diseases of the breast, nipple and areola
2. Benign and malignant tumours.
Chest Wall & Thorax
1. Blunt & penetrating injuries and their complication
2. Lung abscess and empyement thoracis.
3. Tumors and cysts in the lungs.
Gastro Intestinal Tract
529
1. Diseases causing oesophageal obstruction.
2. Peptic ulcer disease & its complications.
3. Tumors of stomach.
4. Conditions causing chronic abdomen including malignant lesions of small
and large bowel.
5. Ano-rectal and peri-anal conditions requiring surgery.
Abdominal, Pelvic and Genital Trauma and Herina.
1. Principle in management of abdominal pelvic and urogenital trauma.
2. Inguinal/ Inguinoscrotal and femsoral hernia.
3. Epigastric hernia/umbilical/para-umbilical hernia.
4. Incisional hernia.
Liver
1. Trauma.
2. Obstructive jaundance.
3. Liver absecs.
4. Hydatid cyst.
5. Maligancy (Hepatoma & secondaries).
Gall bladder
1. Acute and chronic cholecystics.
2. Cholelithiasis and its complications.
3. Tumors.
Pancreas
1. Acute, relapsing and chronic pancreatitis.
2. Pancreatic masses including cysts
530
3. Benign and maligant neoplasia.
Spleen
1. Trauma
2. Surgical aspects of spleen
Urinary Tract
1. Common congential anomalies.
2. Infection & its sequelae.
3. Calculus disease and its sequelae.
4. Bladder lesions.
5. Enlarged prostate.
6. Urogential trauma.
7. Neoplasmas of kidney and urinary tract.
External Genitalia, Male and Female
1. Developmental abnormalities.
2. Common pelvic conditions.
Scrotal and testicular lesions
1. Scrotal swelling.
2. Testicular swelling.
Skin & Soft tissues
1. Common benign and maligant skin lessions.
2. Wounds/ulcers/abscesses/sinuses/fistulae.
3. Soft tissue lumps.
Orthopaedics and Trauma
531
1. Common congential malformations of locomotive system
2. Bone fractures and their complications.
3. Sports injuries and afflictions of tendons and bursae.
4. Bone and joint infections.
5. Arthritis.
6. Bone and cartilage tumors.
7. Spinal trauma.
8. Spinal tumors.
9. Common spinal deformities and other surgically correctable lesions.
Vascular and nerve Disorders
1. Vascular afflictions and limb ischamea.
2. Varicosities
3. Deep venous thrombosis.
4. Peripheral nerve injuries
Essential Skills to be acquired
1. Provide First Aid: resuscitation (ABC) of polytrauma, CPR.
2. Collect samples of blood, urine, stool, sputum, pus swab etc.
3. Insert Naso-gastric tube, have obeserved chest intubation and paracentesis.
4. Do IV cannulation, have observed CV-line insertion and cut-down of veins.
5. Cathetrize male and female patients.
6. Prepare the patient for and know the procedure of doing X-rays chest, abdomen,
KUB, bones, IVU, barium studies, ultrasound and other imaging investigations.
7. Principles of pre-operative preparations, sterilizaton/disinfectin tchniques.
8. Have observed common surgical procedures, treatment of fracture/dislocation
and methods of ggeneral / local anaesthesia.
9. Apply bandage and splint/pop cast to the patient’s limbs.
532
10. Have observed instillation of chemotherapy and principles of radiotherapy.
1) ORTHOPAEDIC SURGERY & TRAUMATOLOGY
The course outline is as follows:
a. Necessary Applied Basic sciences With Reference To Orthopaedics:
Pathophysiology of trauma and shock.
Mechanical properties of bone & soft tissue.
Biomechanics of fracture.
Healing & repair (bone & soft tissues).
Healing principles of fracture.
Principles of physiotherapy
Orthotics – orthopaedic appliances to support and correct deformities.
Prosthesis – artificial substitute for missing body parts.
b. Systems and Diseases
1. Congential & Development Diseases; Congential talipes equino varus (CTEV)
and talipes valgus; congential dislocation of hip (CDH); flat foot; Prth’s
disease; Slipped Capital Femoral Epiphysis.
Specific required skills
Clinical examination and x ray interpretation of above mentioned diseases.
Observe the manipulation/application of POP cast for CTEV, pelvic harness, Von
Rosen splint, hip spica.
2. Bone dysplasia (defect intrinsic bone)
Dwarf-Achondroplasia
3. Bone and joint infections
Acute osteomyelitis and septic arthritis.
Chronic osteomyelitis.
533
Tuberculous arthritis/Caries spine.
Osteolysis/bone cyst, sequestrum, periosteal reaction
Specific required skills
Clinical examination for above mentioned diseases.
Interpratation of related X-ray and laboratory reports.
Observe or assist in joint aspiration, currettage and sequestrectomy, drainge of
abscess etc.
4. Metabolic bone diseases
Rickets; osteomalacia; osteoporosis; hyperparathroidism; diabetes.
Specific required skills
Interpretation of related X-rays.
Interpretation of laboratory reports of serum Ca, PO4, Alk. Phosphatase,
parathormone.
Management of diabetes with relation to injury /Surgical procedure and
infections.
5. Neuromuscular disorders
Muscular dystrophies e.g. duchenne type and Backer’s type; spina bifida;
cerebral palsy.
Post – polio paralysis (PPP); neurofibromatosis
Specific required skills
Clinical examination of sensations, deep tendon jerks, muscle power and tone
clonus.
Management suggesting and explaining of orhtosis, walking aids (walking stick,
crutches, walkers), wheel chairs.
6. Bone Tumours
a. Benign
Exostosis / multiple hereditary exostosis / enchodroma, fibroma, lipoma, neuroma,
osteoid osteoma, giant cell tumour.
b. Malignant
534
Osteogenic sarcoma , Ewings sarcoma, chondrosarcoma, multiple myeloma,
metastatic bone tumors from thyroid, lungs, kidney , breast and prostate.
c. Principles, indications, techniques and orthotics related to amputation.
Specific Required Skills
Observe biopsy _needle and open.
Observe amputation/ limb salvage surgery _
7. Neck pain, Low Back Pain and Sciatica
Deformities of scoliosis , Kyphosis.
Spinal injury , soft tissue injuries (sprains, strains etc)
Fractures (stable ,unstable), neurological damage
Specific Required Skills
Examination and basic mangmant.
Application of cervical collar , cervical traction, lumbosacral corest.
Observe internal fixation of spinal fracture
Log rolling, prevention of bad sores, bladder care/ catheter care and
rehabilitation.
8. Arthritis and Musculoskeletal Painful Disorders
Rheumatoid arthritis, ankylosing spondylitis osteoarthritis.
Gout: frozen shoulder; tennis elbow , planter fasciitis, trigger finger , de
Quervains disease.
Specific Required Skills
Clinical examination of patients with arthritis (differentiate on x-ray)
Interpretation of related investigations ; x-rays and laboratory.
Management; prescription writing for arthritis and painful muscle
disorders.
9. Soft Tissue Injuries
Sprains / ruptures of muscles, ligaments, tendons; nerve injuries.
Arterial injuries Clean/ contaminated wounds.
535
10. Fractures
Basic and advanced trauma life support
Triage of injured patients in emergency room,
Principals of fracture treatment in children.
Principals of fracture fixation
Management of common orthopaedic emergencies.
Mal-united fractures; non- unions.
Specific Required Skills
Examination; clinical examination of injuried patient; record BP, pulse rate respiratory
rate peripheral pulses and capillary filling; recognition of associated
injuries/complications e.g Vascular compartment syndrome etc.
Investigations; request and interpret urine and blood examination in trauma patient
(CBC, ESR, blood urea and sugar etc; interpret x-ray of limbs with fractures and
dislocations;
Catheterize male and female patients.
Serving patients with bed pan and urine bottle.
Prepare patients for surgeries and post operatively care.
Dressing of surgical wounds post operatively.Pass nasogastric tube.
Injections I/V and I/M .
Interpret and explain the urine stooland blood findings with relevance to orthopaedic
diseases.
Request and interpret X-rays, ultrasound, CT, MRI scans
Management; provide first aid to a person with bone injury like common sprains,
fractures and dislocation.
(immobilization of body part, resuscitation of injured patient.
Apply dressings, splints, plasters and other immobilization techniques in fracture
patients in emergency; maintain clear air way of patient; reductions and fixations;
internal and external fixation of fractures (plates, nails others); manipulation and
536
application of plasters of paris cast/back slab; use of external fixations in treatment of
open fractures; application of traction skin/skeletal.
RECOMMENDED BOOKS Short practice of surgery By Bailey And Love’s
Text book of surgery By Ijaz Ahsan
General Surgery (Lecture notes Series) by Harold Ellis, Roy Calne, Chris Watson
An Introduction to the Symptoms and Signs of Surgical Disease by Norman
Browse
Current Surgical Practice: by Norman L. Browse, Alan G. Johnson, and Tom Vol.6
Schwartz’s principles of Surgery: by F. Charles Brunicardi, Dana K. Anderson,
Timothy R. Billiar, and David L. Dunn 8th addition. 2004
Online Journals and Reading Materials through HEC Digital Library Facility.
II. ANAESTHESIOLOGY The course outline is as follows:
Pre-operative assessment of patients and pre-medication
Local anaesthesia
o Local anaesthesia agents (pharmacology)
o Regional anaesthesia (spinal and epidural)
Intravenous anaesthesia agents
Muscle relaxants
Inhalational anaesthesia agents
Anaesthesia and associated diseases
Complications of anaesthesia
Perioperative management
Cardiopulmonary Resuscitation. CPR.
Recovery from anaesthesia. Pain management and postoperative care.
LOG BOOKS
537
The sublimation of a complete logbook duly signed by Head of
Department Should be compulsory to appear in final
professional examination.
PROCEDURES
1. Pre-operative assessment of the patient.
2. I/V cannulation and Intra-operative fluid management.
3. Demonstration of induction of general anaesthesia and tracheal intubation.
4. Demonstration of spinal block.
5. Demonstration of epidural block.
6. Demonstration of local blocks in Eye, ENT and General Surgery.
7. Demonstration of CPR.
8. Post-operative care/pain management.
9. Introduction to ICU.
10. Demonstration of anaesthesia machine and other instruments
11. Demonstration of sterilization procedures in O.T and ICU.
12. Demonstration of vital sign monitors and their application.
RECCOMENDED BOOKS: 1. Textbook of Anaesthesia by G. smith and A.R Aitkenhead
2. Short practice of Anaesthesia by M. Morgan, G. Hall. Latest edition
3. A Synopsis of Anaesthesia by J. Alfred Lee
4. Online Journals and Reading Materials through HEC Digital Library Facility.
III. RADIOLOGY The student will be able to:
Select/advice the required radiological examinations correctly
Identify gross abnormalities in the films
List indications and advantages of modern techniques
538
Recognize major abdominal viscera and their imaging characters
Required Radiological Examinations and Abnormalities
Plain Radiography
Chest
Normal anatomy and projections
Pneumothorax
Pneumonia
Effusion
Cardiomagely
Pulmonary oedema
Fractures
Surgical emphysema
Neoplastic Diseases
Chronic inflammatory disease
Skull
Normal anatomy and projections
Fracture
Lytic and sclerotic lesion
Calcifications
Pituitary fossa
Paranasal sinsuses
Abdomen
Normal anatomy and projections
Renal & urinary tract stones, gall stones and other calcifications
Free gas under diaphragm, (perforation)
Enlarged liver and spleen
539
Spine
Normal anatomy and projections
Disc space reduction
Vertebral collapse
Barium Meal and with double contrast (where applicable)
Normal anatomy and various projections
Gastric outlet obstruction
Stomach mass/filling defect
Oesophageal outline/varices/strictures
Intussusceptions
Colonic defects
Malabsorption pattern
Stricture
Any filling defect
Ulcerative colitis
Intravenous Urogram
Hydronephrosis and renal masses
Micturating Cystourethrogram
Reflux
Choleecystogram
Gall bladder diseases and stones
Echocardiogram
Be able to interpret the report
CT Scanning
Be able to interpret the report
MRI
Basic principle
540
RECOMMENDED BOOKS:
1. Aids to Radiological Differential Diagnosis by Chapman S. and
Nakiently R.4th ed. Elsevier Science Limited; 2003.
2. Online Journals and Reading Materials through HEC Digital Library
Facillity.
541
THEORY PAPER - SURGIAL UNIT-1
1. WOUNDS
Definition
Classification
Clinical Features
2. WOUNDS HEALING.
Pathophysiology
Types of wound healing
Factors promoting wound healing
Factors delaying wound healing
Complications of wound healing
3. PRINCIPLEES OF MANAGEMENT OF WOUNDS ACCORDING
TO
THE TYPE.
4. HAEMORRHAGE
Definition
Classification
Clinical Features.
Management
5. PRINCIPLES OF MANAGEMENT OF POLYTRAUMA
Principles of first aid.
Concept of ATLS.
ABC of resuscitation
6. NUTRITION
Definition
Significance
Clinical assessment of nutritional status.
Clinical Features of malnutrition
542
Management of malnutrition.
Methods of administration.
Indications for nutritional support.
Nutritional products available.
Oral feeding.
Tube feeding, method,monitoring and Complications.
Parenteral nutrition and its Complications.
Total parenteral nutrition (TPN) method ,monitoring
and
Complications.
Refeeding syndrome
7. BLOOD TRANSFUSION AND BLOOD PRODUCTSTT
8. BURNS
Assessment of the burn area.
Assessment of the burn depth.
Pathophysiology of burn shock.
Classifications of burn.
Effects of burn injury.
Management of burn patient. (Primary, Secondary &
Tertiary
Care.)
9. SURGICAL INFECTIONS
Defination.(infection, bacteremia, toxaemia, septicaemia& septic shock)
Pus
Abscess
Erysipelas.
Cellulities
Carbuncle
Surgical infections (Specific)
Clostridial infection
543
Mycobacterial infectin.
Actinomycosis.
Syphilis.
10. NEOPLASIA
Definition
Classification
Mode of spread
Differences between benign & malignant neoplasm.
Staging & Grading of neoplasm.
11. CYST
Definition
Classification
Clinical Features
12. ULCERS
Definition
Classification
Pathology
Features of special ulcers
13. SINUSES
Definition.
Classifications.
Clinical Features.
14. FISTULAE
Definition
Classifications
Clinical features.
15. VENOUS DISORDERS.
Varicose veins.
Definitions
Pathophysiology.
Clinical Features.
Special investigations.
Management.
Deep Venous thrombosis.(DVT)
544
Definitions
Pathophysiology.
Clinical Features.
Special Features.
Special investigation.
Management.
16. LYMPHATIC SYSTEM
Lymphoedema
Definition.
Classifition.
Clinical Features.
Investigations.
Management.
Lymphangiomas
Pathology
Classification
Clinical features.
Management.
545
SURGICAL COURSRE IN LECTURES FOR 3rd YEAR MBBS
SURGICAL UNIT I& II
I. Wound infections
Physiology &manifestation
Types of infection
Treatment
Prophylaxis
Classifications of wounds
Principals of antimicrobial treatment
II. Critical care;Fluid, Electrolytes & acid base balance, Blood transfusion
Fluids
Electrolytebalance
Acid base balance
Heamorrhage
Blood transfusion & blood products
Shock
Parenteral fluid therapy
Therapeutic intervention aimed at preventingorgan failure
III. Nutritoinal support & rehabilitation
Surgical nutrition
Rehablitation
IV. Sterilization & disinfection
Definition of sterilization
Definition of disinfection
Methods of sterilization with principals, merits & demerits
Precautions & methods for theater staff
Hospital waste management
V. Pain &anaelgesia
VI. Skin lesions
Skin infection
Cysts
Benign growths
Vascular anomalies
Benign pigmented lesions
Malignant lesions
546
Other malignancies
VII. Arterial stenosis occlusion , acute arterial occlusion (acute limb ischemia)
Gangrene
Amputations
Arterial dilatation (aneurysms)
Abdominal aortic aneurysms
Aeteritis
Vasospastic condition
VIII. Accident & emergency ( civil & warfare injuries)
Epidemiology
Mechanism of injury
The advance trauma life support approach (ATLS)
Pre hospital retrieval & management
Management in hospital, Emerging concepts & techniques
Multipla & mass causalities
Wound ballistics & mechanism of injuries
Management of missile injuries
Blast injuries
Audit &quality insurance
IX.Acquire immune deficiency syndrome (AIDS)
Anal disease
The acute abdomen in AIDS
Cholangitis
Lymphoma
Spleenectomy
Risk of transmissionof HIV disease from patient of surgeon
Infection of the patient by the surgeon
Prophylaxis & management of established cases
X.Viral infection
Hepatitis B & C
Prophylaxis & management of established cases
XI.Immunology & organ transplantation
XII.Peri operative managment
547
548
CLINICAL COURSE FOR 3RD YEAR MBBS
HISTORY TAKING AND COMMUNICATIONS SKILL
Process of surgical diagnosis.
Meaning of clinical features of the disease.
Difference between symptoms and signs of disease.
Method of history taking.
Parts of clinical history of the patient.
1. Presentinh complaint.
2. History of present illness.
3. History of past illness.
4. History of familial disease.
5. Personal History(Sleeping, eating ,bowel, habits, postural
Habits that can effect patient’s health, addicition)
6. Socioeconomic history.
7. History of drugs medicines(name of the drug, dose and
Duration for which patient is using that medicines.)
8. History of allergies.
9. Menstural history.
10. History based diagnosis.
1. PHYSICAL EXAMINATION.
1. General physical examination.
2. Systemic examination.
3. Local examination.
4. Clinical diagnosis.
5. Investigations.
6. Final diagnosis
2. Examination of swelling.
Inspection.
Palpation.
Purcution.
Auscultation.
3. Examination of wound.
4. Examination of ulcer.
549
5. Examination of sinus.
6. Examination of fistulae.
7. Examination of cysts.
8. Examination of burns.
9. Examination of abdomen.
Inspection.
Palpation.
Purcution.
Auscultation.
10. Basic surgical instruments.
Identification.
Uses.
Method of sterilization.
11. Imaging.
Introduction to all types of imaging used in surgical deagnosis.
(X-rays, CT –scan, MRI, Scintgraphy and Ultrasonography)
12. SKILLS
1. Introduction to principles of first aid.(ABC of resuscitation).
2. Introduction and method of cardiopulmonary resuscitation.
3. Collection of samples of laboratory investigations.
Blood.
Urine.
Stool.
Sputum.
Pus.
Use of Nasogasteic tube.
4. Intravenous (I/V) canulation.
550
THEORY COURSE FOR 4TH YEAR MBBS. 1. THE CRANIUM.
Trauma
Pathophysiology of headinjury.
Classification o f head injury.
Clinical features of head injury.
Principles of management of head injury and
Its complications
i. Infections.
ii. Tumours.
2. The Face
i. Congenital anomalies of face, palate and lips.
ii. Trauma.
Maxillofacial injuries.
Classification.
Principles of management of fascial injury.
Oral cavity.
Inflammatory lesion.
Burns, ulcers and cysts.
Tumors of the cheek and the floor of the mouth.
The Tongue.
Developmental anaomalies.
Inflammatory lesion.
Being and malignant lesion.
3. The pharynx
4. The Larynx.
Foregion body.
Acute edema of the glottis.
Laryngeal paralysis, clinical features and
Management.
Tumors.
5. The Neek.
The branchial apparatus and its abnormalities.
Cervical rib and the scalene syndroment.
551
Inflammatory conditions.
Cervical lymphadenitis.
Being and malignant tumors.
6. THE THYROID
Surgical anatomy.
Diseases of the thyroid.(hypo and hyperthyroidism)
Neoplasm.
7. THE PARATHYROID
Diseases of parathyroid(hypo and hyperparathyroidism)
8. THE ADRENALS.
Disorders of adrenocortical functions.
Tumors of adrenal medulla.
9. THR BREAST
Diseases of breast.
Being and malignant lumps.
10. THE ESOPHAGUS.
Surgical anatomy.
Gastroesophageal reflux.(GERD)
Dysphagia and its causes.
Hiatal hernia.
Bening and malignant tumors.
11. THE STOMACH & DUODENUM.
Peptic ulcers
Being and malignant tumors.
12. THE GALLBLADDER & BILIARY TRACT.
Srgical anatomy.
Acute and chonic cholycystitis.
Cholilithiasis.
Cholidhocolithiasis.
Tumors.
552
13. ARTERIAL DISORDERS.
Acute and chronic limb ischemia.
Gangrene.
Aneurysm.
14. VENOUS DISORDERS.
15. Diseases of the lymphatic & lymph nodes
553
CLINICAL COURSE FOR 4th YEAR MBBS
1. Examination head injured patient.
2. Examination of cranial nerves.
3. Examination of neck.
4. Examination of thyroid and parathyroid.
5. Examination of thorax.
6. Examination of breast.
7. Examination of liver and gall bladder.
8. Examination of spleen.
9. Examination of kidneys.
10. Digital rectal examination.
11. Examination of genitourinary system.
12. Examination of upper limb.(bone, joints, nerves and vessals).
13. Examination of lower limb.( bone, joints, nerves and vessals).
14. SURGICAL INSTRUMENT SETS.
Laparotomy set.
Cholecystectomy set.
Herniorrapahy set.
Thyroidectomy set.
Treaccheostomy set.
15. TUBES.
Oropharyngeal air way.
Endotrachea tube.
Nasogastric tube.
16. Skills
History Taking
Communication Skills
Consent & Counseling
Technique of Securing IB Lines
Technique of Poly-catheterization
Technique of Nasogastric Intubation
Technique of Securing oro-pharyngeal airway
Technique of Tracheostomy
554
Course Distribution
Final year MBBS
Surgical Unit – I
1. Abdominal pain arising from the alimentary tract.
2. Surgica Anatomy
3. Congenital malformation & Functional anomalies.
4. Mega-colon and non mega-colon constipation.
5. Hirschsprung disease (primary mega-colon)
6. Acquired or secondary mega-colon and mega return.
7. Vascular malformation(Angiodysplasia)
8. Traumatic rupture of intestine.
9. Blid loop syndrome.
10. Diverticulae of small intestine a-jejunal diverticulae b- Meckles diverticulae
11. Diverticulae of colon
a. Diverticulosis
b. Diverticulitis
12. Ulcerative colitis
13. Crohn’s disease.
14. Intestinal amaebiasis
15. Surgical complication of Typhoid and paratyphoid fever.
16. Tuberculosis of intestine.
17. Actinomycosis of RIF
18. Pnaematosis cytoides intestinalis.
19. Intestinal stomas
1- lleostomy 2-Colostomy
20. Tumors of small intestine
21. Tumors of large intesting 1- ployps 2- FAP 3- malignant tumors
22. Entero-cutaneous fistulae
555
Intestinal Obstruction
Dynamic, Non Dynamic
1. Acute intestinal obstruction
2. Chronic intestinal obstruction
3. Acute intestinal obstruction of new born congenital atresia and Stenosis
-Arrested rotation
-Vulvulous
4. Acute intussusceptions
5. Vulvulous
6. Obstruction by adhesion and bands.
7. Obstruction by due to internal hernia.
8. Obstruction from stricture of small intestine.
9. Obstruction by obturation of small bowel.
10. Embolism thrombosis of mesenteric vessels.
11. Pseudo obstruction.
12. Paralytic ileus.
Vermiform Appendix
1. Surgical anatomy
2. Acute appendicitis
3. Differential diagnosis
4. Appendicular mass
5. Appendicular abscess
6. Perforation / Gangrene of appendix, Peritonitis
7. Neoplasms of appendix
Techniques of Anastomoses
A- Gastro-intestinal anastomoses
-Open end to end –Close end to end
-End to side anastomoses –side to side anastomoses
-Stapling technique
B- Urological anastomoses
C- Vascular anastomoses
D- Sutures material
E- Complication of anatomoses
The Rectum
1. Surgical anatomy
556
2. Symptoms of rectal disease
3. Injuries
4. Foreign bodies in rectum
5. Prolapse of rectupl.
6. Proctitis
7. Solitary rectal ulcer
8. Benign tumors of rectum
a. Polyps
b. FAP
9. Carcinoma of rectum
Anus & Anal Canal
1- Surgical anatomy
2- Surgical Physiology of anal muscles of pelivic floor.
3- Examination of anus
4- Congenital anomalies
a. Imperforate anus
b. Sarcocollygeal
5- Pilonidal sinus
6- Anal incontinence
7- Anal Fissure.
8- Haemorrhoids
9- Pruritis ani
10- Anorectal abscess
11- Fistula in ano
12- Non malignant strictures
13- Malignant tumor of anus & anal canal
14- Post and dermoid
557
Surgical Unit-11
1. Cardiothoracic Surgery
Thoracic Trauma
Airay obstruction
Pulmonary Neoplasms
The mediastinum
Pleural conditions
The chest wall
Other thoracic disorders
Appendix1: Anatomy and development o the lungs
Appendix2: Investigation of the respiratory system
Heart Surgery
Valvular heart disease
Congenital heart disease
Ischaemic heart disease
The thoracic aorta
The pericardium
Heart Transplantation
Myocardial management during aortic occlusion
Investigation in cardiac surgery
Postoperative complications in cadiac surgery
Cardiopulmonary resuscitation
2. Breast
Comparative and surgical anatomy
Investigation of the breast
The nipple
Bening breast disease
Congential Bnormalities
Carcinoma of the breast
Treatment cancer of he breast
Screening for breast cancer
Familial replacement therapy
Hormone replacement therapy
Treatment of advanced breast cancer
The male breast
Other tumos of the breast
558
3. Liver & Pancrease
Anatomy of the liver
Signs and tests of acute and chronic liver disease
Imaging the liver
Liver trauma
Portal hypertension
Chronic liver conditions
Liver infections
Liver tumors
Anatomy and physiology
Investigations
Congenital abnormalities
Injuries to the pancreas
Pancreatitis
Cracinoma of the pancreas
Endocrine tumor of the pancreas
4. Gall bladder & Bile Duct
Surgical anatomy and physiology
Investigation of the biliary tract
Congenital abnormalities of the gall bladder and bile
duct
Gallstones(choleithiasis)
Cholecystitis
Cholecystectomy
Management of bile duct
Obstruction
Stone in the bile duct
Stricuture of bile duct
Tumors of the bile duct
5. Laparoscopic Surgery
Definition
Extent of minimal access Surgery
Surgical trauma in open and laparoscopic surgery
Limitations of minimal access surgery
559
Preoperative evaluation
General intraoperative principles
Postoperative care
Principles common laparoscopic procedures
The future
6. Testis & Scrotum
Imperfect descent of the testis
Torsion of the testis
Varicocele
Hydrocele
Cysts connected with epididymis
Epididymo-orchitis
Tumors of the testis
The scrotum
Male infertility
560
Clinical course distribution
Final year MBBS Examination Session 2018 -2019
History Taking
Physical Examination (General, Systemic, Local )
Examination of a swelling
Examination of an ulcer
Examination of sinus and fistula
Examination of Cysts
Examination of Gangrene (Dry , Wet)
Burns
Examination of thyroid
Examination of lymph nodes in the neck
Examination of the parotid gland
Examination of submendibular gland
Examination of oral cavity
Examination of tongue
Examination of tempromendibular joint
Examination of cranial & peripheral nerves
Examination of abdomen
Examination of Ischemic limb
Examination of varicose veins
Examination of knee joint
Examination of hip joint
Examination of shoulder joint
Examination of hand
Examination of breast
Examination genitor urinary system
Examination of respiratory system
Examination of gastro-intestinal system
Examination of cardiovascular system
Endoscope examination
Study of relevant syllabus
561
X-rays, Instruments, Specimen
Operative surgery & Sterilization
Surface Anatomy
Clinic-Pathological Conferences
562
AMNA INAYAT MEDICAL COLLEGE
DEPARTMENT OF SURGERY
Curriculum for 4th year M.B.B.S.
Session 2018-2019
S/No. Topics No. of lectures
required
1. Sterilization & disinfection*
2. The Skin*
3. Burns*
4. Trauma*
5. Tumors*
6. Cysts*
7. Ulcers*
8. Sinuses & fistulae*
9. Surgical Infections*
10. Viral infections*
11. Immunology & organ transplantation*
12. Peri-operative management*
13. The Cranium
I. Trauma
II. Infections
III. Tumors
14. The face
I. Congenital anomalies
II. Trauma
15. The Oral Cavity
I. The tongue
16. The Pharynx
17. The Larynx
18. The Neck
19. The Salivary Glands
20. The Thyroid
21. The parathyroid
2
3
2
4
3
1
1
1
6
2
4
3
1
1
1
1
1
1
1
1
2
2
3
2
563
22. The Adrenals
23. Breast
24. Esophagus
25. Stomach & duodenum
26. Gallbladder & Biliary tract
27. Arterial disorders
28. Venous disorders
29. Lymphatics disorders
TOTAL LECTURES
2
2
3
3
3
2
2
2
68
Prof. Sikandar Hayat Gondal
Head department of surgery
Amna Inayat Medical College Sheikhupura
564
AMNA INAYAT MEDICAL COLLEGE
DEPARTMENT OF SURGERY
Clinical course for 3rd year M.B.B.S.
Session 2018-2019
S/No. Topics No. of demonstrations
Required
1. History Taking 2
2. Physical Examination (General, Systemic, Local) 3
3. Swelling 1
4. Ulcer 1
5. Wounds 1
6. Silnus and fistulae 1
7. Cysts 1
8. Gangrene 1
9. Burns 1
10. The Neck 1
11. The Oral Cavity 1
12. Salivary glands 1
13. Thorax 1
14. Abdomen 1
15. Surgical instruments, drains & tubes 4
16. Imaging 4
17. Skills 6
I. Technique of securing iv line
II. Technique of Folley’s catheterization
III. Technique of Naso gastric intubation
IV. Technique of Endotracheal intubation
V. Technique of securing oropharyngeal airway
VI. Tracheostomy
TOTAL DEMONSTRATIONS 31
Prof. Sikandar Hayat Gondal
565
Head department of surgery
Amna Inayat Medical College Sheikhupura
566
AMNA INAYAT MEDICAL COLLEGE
DEPARTMENT OF SURGERY
Curriculum for 3rd year M.B.B.S.
Session 2018-2019
S/No. TOPICS NO OF LECTURES
REQUIRED
1. Wounds & wound management 3
2. Wound healing & its complications 2
3. Fluids, electrolytes & acid base balance 4
4. Haemorrhage 1
5. Shock & its management 2
6. Blood transfusion 2
7. Surgical nutrition 2
8. Sterilization & disinfection 2
9. Burns 2
10. Trauma 4
11. Tumors 3
12. Cysts 1
13. Ulcers 1
14. Sinus & Fistulae 1
15. Surgical infections 6
16. Viral infections of surgical importance 2
17. Immunology & organ transplantation 4
18. Peri-operative management 3
TOTAL LECTURES 45
Prof. Sikandar Hayat Gondalo
Head department of surgery
Amna Inayat Medical College Sheikhupura
567
AMNA INAYAT MEDICAL COLLEGE
DEPARTMENT OF SURGERY
Clinical course for 4th year M.B.B.S
Session 2018-2019
S/No. Topics No. of demonstrations
Required
1. Wounds 1
2. Head injury 1
3. Cranial & peripheral nerves 2
4. The Neck 3
5. The Thorax 2
6. The Breast 2
7. The Abdomen 2
8. Genitor-urinary system 1
9. The Ischemic limb 1
10. Varicose veins 1
11. The shoulder joint 1
12. The hand 1
13. Hip Joint 1
14. Knee Joint 1
15. Surgical instruments, drains & tubes 4
16. Imaging 4
17. Skills 6
I. Technique of securing iv line
II. Technique of Folley’s catheterization
III. Technique of Naso gastric intubation
IV. Technique of Endotracheal intubation
V. Technique of securing oropharyngeal airway
VI. Tracheostomy
TOTAL DEMONSTRATIONS 34
568
Prof. Sikandar Hayat Gondal
Head department of surgery
Amna Inayat Medical College Sheikhupura
569
Course Distribution
3rd year MBBS
Surgical Unit-1
Tumors, Cysts, Ulcers, Sinuses
1. Tumors
2. Benign Tumors
3. Malignant tumors
4. Benign to malignant transformation
5. Cysts
Wound infection
1. Physiology and manifestations
2. Types of infections
3. Treatment
4. Prophylaxis
5. Classification
6. Principles of antimicrobial treatment
Special infections
1. Clostridia
2. Mycobacteria
3. Treponemas
4. Other infections (nonviral)
5. Viruses
Acquired Immunodeficiency Syndrome (AIDS)
1. Anal diseases
2. The acute abdomen in AIDS
3. Chalangitis
570
4. Lymphoma
5. Splenectomy
6. Risk of transmission of HIV disease from patient to surgeon
7. Infection of the patient by the surgeon
Surgical Unit-2
Introduction to surgery Basic Surgical Principles
1. Surgical Process
2. Surgical history
3. Clinical examination
4. Imaging
5. Diagnostic Process
Wounds Tissue Repairs & Scars
1. Wounds
2. Wound healing
3. Classification of wounds
4. Wound excision
5. Wound closure
6. Types of wound
7. Injury to internal organs
8. Chronic Wounds
9. Scars
10. Adverse scars
Critical Care; Fluid Electrolyte and acid base balance; blood transfusion
1. Fluids
571
2. Electrolyte balance
3. Acid base balance
4. Haemorrhage
5. Transfusion of blood blood products
6. Blood transfusion
7. Shock
8. Parental fluid therapy
9. Therapeuitc interventions aied at preventing organ failure
Nutritional Suport and Rehabilitation
1. Nutrition
2. Rehabilitation
Sterile Precautions
1. The theatre sterilization
2. Disinfection
3. Theatre staff
4. The operation
Skin lesions
1. Skin nfections
2. Cysts
3. Benign growths
4. Vascular anomalies
5. Benign pigmented lesion
6. Premalignant lesions
7. Malignant lesions
8. Other malignancies
Burns
1. Assessment of the burn area
2. Assessment of the burn depth
3. Mechanisms o injury
4. Effect of burn injury
5. Clinical features of burn injuries
6. Management of the burned patient
Arterial Disorders
1. Arterial stenosis or occlusion acute arterial occlusion
2. Gangrene
3. Amputation
4. Arterial dilatation (aneurysm)
5. Abdominal aortic aneurysm
572
6. Arteritis
7. Vassospastic conditions
Venous Disorders
1. Anatomy of the venous system in the limbs
2. Venous pathophysiology
3. Venous incompetence
4. Varicose veins
5. Venous incompetence
6. Deep vein incompetence
7. Investigation of venous disease
8. Management o patients with varicose veins
9. Leg ulcers
10. Venous thrombosis
Lymphatic System
1. Anatomy and ohysiology of the lymphatic system
2. Acute inflammation of the lymphatics
3. Lymphoedema
4. Primary Lymphoedema
5. Secondary Lymphoedema
6. Management of Lymphoedema
7. Lymphangiomas
Accident & Emergency Surgery
1. Epidermiology
2. Mechanisms of njury
3. Modern management of the injured
4. The advanced trauma life support approach
5. Prehospital retrieval and management
6. Management in hospital emerging concept and technique
7. Multiple and mass casualties
8. Audit and quality assurance
Warfare Injuries
1. Epidemiology
2. Wound Baldrics and mechanisms of injury
3. Management of missile injuries
4. Blas injuries
573
Course Distribution 4th year MBBS
Surgical Unit-I
The Tongue
1. Developmental anomalies
2. Traumatic condition of tongue.
3. Inflammatory conditions of tongue.
4. Other bening conditions of tongue (Leukoplakia, Hyperplakia, Hairy
Tongue, Submucous fibrosis).
5. Ulcers of tongue.
6. Neurological lesion of tongue.
7. Benign and malignant tumor of tongue.
The Salivary Glands
1. Surgical anatomy of parotid and submandibular glands.
2. Inflammations (Acute, Chronic)
3. Neoplasms of Parotid glands
4. Neoplasm of Submandibular glands.
Disease of Lymph Nodes
1. Surgical anatomy.
2. Acute inflammations.
3. Chronic inflammations.
4. Neoplasm (primary or secondary).
Perforation
Mallory Weiss Syndrome
Corrosive injury
Drug induced injury
Gastro-Oesophageal reflux desease
Paraoesophageal (rolling) hiatus hernia
Neoplasms of the oesophagus
Motility disorders and diverticlaula
Other non-neoplastic conditions
5. Stomach & Duodenum
Surgical anatomy
Histologicl anatomy of the stomach and duodenum
574
Physiology of the stomach and duodenum
Investigation of the stomach and duodenum
Paediatric disorders
Helicobacter pylori
Gastritis
Peptic ulcer
Haematemesis and malign
Gastric outlet obstruction
Gastric polyps
Gastric cancer
Gastric stromal tumor
Gastric lymphoma
Gastric tumors
Duodenal obstruction
Other gastric conditions
575
Course Distribution
Final year MBBS
Surgical Unit-I
1. Abdominal pain arising from the alimentary tract.
2. Surgical anatomy
3. Congenital malformation & functional anomalies.
4. Mega-colon and non-colon constipation.
5. Hi schsprung disease (primary mega-colon)
6. Acquired or secondaey mega-colon and mega rectum.
7. Vascular malformation (Angiodysplasia).
8. Traumatic rupture of intestine
9. Blind loop syndrome.
10. Diverticulae of small intentine. A- Jejunal diverticulae b- Meckles diverticulae.
11. Diverticulae of colon
a. Diverticulosis
b. Diverticulitis
12. Ulcerative colitis.
13. Crohn’s disease.
14. Intestinal amaebiasis.
15. Surgical complication of Typhoid and paratyphoid fever.
16. Tuberculosis of intestine.
17. Actinomycosis of RIF.
18. Pnaematosis cytoides intestinalis.
19. Intestinal stomas
1- Ileostomy 2- Colostomy
20. Tumors of small intestine.
21. Tumors of large intestine 1- polyps 2- FAP 3- malignant tumors.
22. Fntero-cutaneous fistulae
Intestinal Obstruction
Dynamic, Non Dynamic
1. Acute intestinal obstruction.
2. Chronic intestinal obstruction
3. Acute intestinal obstruction of new born congenital atresia and Stenosis
-Arrested rotation
-Vulvulous of midgut.
576
4. Acute intussusceptions.
5. Vulvulous.
6. Obstruction by adhesion and bands.
7. Obstruction due to internal hernia.
8. Obstruction from stricture of small intestine.
9. Obstruction by obturation of small bowel.
10. Embolism thrombosis of mesenteric vessels.
11. Pseudo obstruction.
12. Paralytic ileus.
Vermiform Appendix
1. Surgical anatomy .
2. Acute appendicitis .
3. Differential diagnosis.
4. Appendicular mass.
5. Appendicular abscess.
6. Pertforation /Gangrene of appendix, peritonitis.
7. Neoplasms of appendix.
Techniques of Anastomosis
A. Gastro-intestinal anastomoses
-Open end to end – Close end to end
-End to side anastomoses –Side to side anastomoses
-Stapling technique
B. Urological anastomoses
C. Vascular anastomoses
D. Sutures material
E. Complication of anastomoses
The Rectum
1. Surgical anatomy.
2. Symptoms of rectal disease.
3. Injuries.
4. Foreign bodies in rectum.
5. Prolapse of rectupl.
6. Proctitis.
577
7. Solitary rectal ulcer.
8. Benign tumors of rectum.
a. Polyps
b. FAP
9. Carcinoma of rectum.
Anus & Anal Canal
1. Surgical anatomy.
2. Surgical physiology of anal muscles of pelvic floor.
3. Examination of anus.
4. Congenital anomalies.
a. Imperforate anus
b. Sarcocollygeal turatoma
5. Pilonidal sinus.
6. Anal incontinence
7. Anal fissure.
8. Haemorrhoids.
9. Pruritis ani.
10. Anorectal abscess.
11. Fistula in ano.
12. Non-malignant strictures.
13. Malignant tumor of anus & anal canal.
14. Post anal dermoids
Surgical Unit-II
1. Cardiothoracic Surery
Thoracic trauma
Airway obstruction
Pulmonary neoplasms
The mediastinum
Pleural conditions
The chest wall
Other thoracic disorders
Appendix 1: Anatomy and development of the lungs
Appendix 2: Investigation of the respiratory system
Heart surgery
Vavular heart disease
Congenital heart disease
578
Ischaemic heart disease
The thoracic aorta
The pericardium
Heart transplantation
Myocardial management during aortic occlusion
Investigations in cardiac surgery
Postoperative complications in cardiac surgery
Cargiopulmonary resuscitation
2. Breast
Comparative and surgical anatomy
Investigation of the breast
The nipple
Benign breast disease
Congenital abnormalities
Carcinoma of the breast
Treatment cancer of the breast
Screening for breast cancer
Familial breast cancer
Hormone replacement therapy
Treatment of advanced breast cancer
The male breast
Other tumors of the breast
3. Liver & Pancreas
Anatomy of the liver
Signs and tests of acute and chronic liver disease
Imaging the liver
Liver trauma
Portal hypertension
Chronic liver conditions
Liver infections
\Liver tumors
Anatomy and physiology
579
Investigation
Congenital abnormalities
Injuries to the pancreas
Pancreatitis
Carcinoma of the pancreas
Endocrine tumor of the pancreas
4. Gall bladder & Bile duct
Surgical anatomy and physiology
Investigation of the biliary tract
Congenital abnormalities of the gall bladder and bile ducts
Gallstones (cholelithiasis)
Cholecystitis
Cholecystectomy
Management of bile duct
Obstruction
Stones in the bile duct
Stricture of the bile duct
Tumors of the bile duct
5. Laparoscopic surgery
Definition
Extent of minimal access surgery
Surgical trauma in open and laparoscopic surgery
Limitations of minimal access surgery
Preoperative evaluation
General intraoperative principles
Postoperative care
Principles of common laparoscopic procedures
6 Testis & Scrotum
Imperfect descent of the testis
Torsion of the testis
Varicocele
Cysts connected with epididymis
Epididymo-orchitis
Tumours of the testes
The scrotum
Male infertility
580
Clinical Course Distribution
3rd , 4th & Final Year MBBS Examination
History Taking
Physical Examination (General, Systemic, local)
Examination of a swelling
Examination of an ulcer
Examination of sinus and fistula
Examination of Cysts
Examination of Gangrene (Dry , Wet )
Burns
Examination of thyroid
Examination of lymph nodes in the neck
Examination of the parotid gland
Examination of submendibular gland
Examination of oral cavity
Examination of tongue
Examination of tempromendibular joint
Examination of cranial & peripheral nerves
Examination of facial nerves
Examination of abdomen
Examination of Ischemic limb
Examination of varicose veins
Examination of knee joint
Examination of hip joint
Examination of shoulder joint
Examination of hand
Examination of breast
Examination genitor urinary system
Examination of respiratory system
Examination of cardiovascular system
Examination of gastro-intestinal system
Endoscopic examination
581
Study of relevant syllabus
X-rays, Instruments, Specimen
Operative Surgery & Sterillization
Surface Anatomy
Clinico-Pathological Conferences
582
Clinical course distribution
3rd & 4th Final year MBBS Examination
History Taking
Physical Examination (General, Systemic, Local )
Examination of a swelling
Examination of an ulcer
Examination of sinus and fistula
Examination of Cysts
Examination of Gangrene (Dry , Wet)
Burns
Examination of thyroid
Examination of lymph nodes in the neck
Examination of the parotid gland
Examination of submendibular gland
Examination of oral cavity
Examination of tongue
Examination of tempromendibular joint
Examination of cranial & peripheral nerves
Examination of abdomen
Examination of Ischemic limb
Examination of varicose veins
Examination of knee joint
Examination of hip joint
Examination of shoulder joint
Examination of hand
Examination of breast
Examination genitor urinary system
Examination of respiratory system
Examination of gastro-intestinal system
Examination of cardiovascular system
Endoscope examination
Study of relevant syllabus
583
X-rays, Instruments, Specimen
Operative surgery & Sterilization
Surface Anatomy
Clinic-Pathological Conferences
Course Distribution
3rd year BDS
Surgical Unit-I
Ulcer, Sinus, Fistula, Cysts, Tumours and Diseases of lymph nodes
1. Wound pathophysiology of wounds, classification complication and wound repair
including management. 2. Acute resuscitation and support including cardiac arrest. 3. Fluid and electrolyte and acid base. 4. Shock
584
5. Infection, cellulitis boil, abscess, lymphangitis, erysipelas, bacteraemia,
septicemia and toxemia. 6. Tetanus, Anthrax, Tuberculosis, syphilis 7. Fungal (Actinomycosis etc) and viral infections (aids hepatitis, etc) 8. Principles of sterilization, disinfection and antisepsis. 9. Ggangrene, classification dry gangrene and wet gangrene. Special types of
gangrene, gasgangrene, synerene and cancurum oris. 10. Face and oral cavity. 11. Developmental anomalies of the face and oral cavity. 12. Diseases of maxilla and facio-maxillary injuries. 13. Diseases of mandible and tempro-mendibular joint. 14. Diseases o the salivary glands. 15. Midline and lateral swellings of the neck. 16. Diseases of thyroid(mi.IItinodular goiter) 17. Diseases of thyroid(Graves diseases and solitary thyroid) 18. Cranial nerves 19. Grafts. 20. Skin lesions and bums. 21. Hemorrhage and disorders of coagulation of surgical importance. Blood
transfusion. 22. Surgical nutrition. 23. Diseases of the tongue (inflammation and ulcers) 24. Diseases of tongue (Benign and malignant tumors) 25. Pharynx and Larynx. 26. Tracheostomy indications, technique and complications 27. Foreign bodies of nose, orophryns esophagus trahea.and bronchial tree. 28. ORL examination. 29. Peritonsillar abscesses, pharyngeal abscess, Ludwig’snangina alveolar and dental
abscesses. 30. Diseases of Para nasal sinuses. 31. Anaesthesia and pain relief.
585
Clinical Course Distribution
3rd year BDS
Surgical; Unit-I & II
History Taking
Physical Examination (General, Systemic, Local)
Examination of a swelling
Examination of an ulcer
Examination of sinus and fistula
Examination of Cysts
Examination of Gangrene (Dry, Wet)
Burns
Examination of thyroid
Examination of lymph nodes in the neck
Examination of the parotid gland
Examination of submendibular gland
Examination of oral cavity
Examination of tongue
Examination of tempromendibular joint
Examination of cranial & peripheral nerves
Examination of facial nerves
Examination of abdomen
Study of relevant syllabus
X-rays, Instruments, Specimen
Operative Surgery & Sterilization
Surface Anatomy
586
Anaesthesia Study Hours in 5th year MBBS
Sr.No. Subject
Title
1st
year
2nd
year
3rd
year
4rth
year
5th
year
Total
1 Anaesthesia - - - - 10Hrs 10Hrs
ANAESTHESIA TEAM
1. Prof. Dr. Mobeen
2. Asst. Prof. Dr. Usman Zeeshan
3. Senior Registrar Dr. Tariq
587
Study Hours For 5th MBBS Theory/Practical
Sr. No. Class Theory Practical
1 1st year - -
2 2nd year - -
3 3rd year - -
4 4th year - -
5 5th year 10Hrs 30Hrs
Study Hours For Theory 5th year MBBS Semester
Class Semester 1 Semester 2 Semester 3 Total
1st year - - - -
2nd year - - - -
3rd year - - - -
4th year - - - -
5th year 3Hrs 3Hrs 4Hrs 10Hrs
588
Theory Topics For 5th year MBBS 2018 - 2019
11 Lectures will be conducted 1st in morning Tuesday or Wednesday
Sr.
No.
Topics Theory Parts Teacher
1 Preoperative assessment 1. History
2. General
3. Examination of vertebral
column
4. Airway assessment
5. Mallampati classification
6. ASA classification
1, Prof. Dr
Mobeen
2 Preoperative preparation 1. Preoperative
Optimization of patient
2. Preoperative
optimization of comorbid
conditions
3. Pre-op orders
Premedications
1 Prof. Dr
Mobeen
3 Preoperative Management 1. Choice of anaesthesia
2. Monitoring
3. General Anaesthesia
1 Prof. Dr
Mobeen
4 Drugs used in general
Anaesthesia
1. Induction agents
2. Muscle relaxants
3. Analgesics
4. Reversal agents
1 Prof. Dr
Mobeen
5 1. Local anaesthesia Local anaesthetic drugs
Classification
Mechanism of action
Factors affecting local
anaesthesia
Toxicity and management
1 Prof. Dr
Mobeen
6 Intravenous regional anaesthesia
biers block
1. Methods
2. Drug used
1 Prof. Dr
Mobeen
7 Neuroaxia block 1. Advantages over
general anaesthesia
2. Spinal block
Preparation,
positioning relvant
1 Prof. Dr
Mobeen
589
anatomy of
spinal cord.
3. Edidural block
Advantages, uses
4. Caudal block
5. Complications of
Neuroaxial block
8 Cardiopulmonary Resuscitation
1. Definition
2. Assessment/managem
ent of
Circulation
Airway
Breathing
Defibrillation
Difference in
Children/neona
tes
1 Prof. Dr
Mobeen
9 Airway management 1. Airway assessment
2. Airway management
Without equipment
with
Equipment
3. Emergency airway
Dervices
4. Definitive airway
1 Prof. Dr
Mobeen
10 Pain amnagement 1. Pain pathway types
and classification
2. System response to
pain
3. Method of pain control
Drug and
adjuvants
Neurolysis
Stimulation
induced
Analagesia
psychotherapy
1 Prof. Dr Mobeen
11 Central sterilization supply
department
1. Layout of CSSD and
Equipmen
2. Methods of
sterilization
3. Step to reduce
Infection in surgery
4. OT preparation
1 Prof. Dr Mobeen
590
Revision Classes For MBBS
4 Lectures of Revision Classes will be conducted early morning on Tuesday or Wednesday
Sr. No. Subject
Topics
1st
year
2nd
year
3rd
year
4th
year
5th
year
Total
1 Anaesthesia - - 160
minutes
2.6Hrs
Workshops for 5th year MBBS 2018 – 2019
Sr.
No
Topic Paractical Parts Teacher
1 Basic Life Support 40 minutes 1 Prof. Dr
Mobeen
2 Airway Management 40 minutes 1 Prof. Dr
Mobeen
591
Pactical Procedures Demontrations
1. Pre-Operative assessment of the patient
2. Intravenous cannulation and Intraoperative fluid management
3. Vital signs Monitors and their application
4. Demonstration of ageneral Anaesthesia
5. Demonstration of neuroaxial Blocks
6. Demonstration of Regional Blocks
7. Demonstration of Cardiopulmonary Resuscitation
8. Demonstration of Anaesthesia Machine and Other Instruments
9. Introduction to Intensive Care Unit
Operation Theatre Rotation for Practicals
Operation theatre rotation for practicals will be conducted on daily basis for 5th year
MBBS 2018-2019
592
RADIOLOGY LECTURES (FINAL YEAR MBBS)
Objectives
The students will be able to
Select/advice the required radiology examination
correctly
Indentify gross abnormalities in the films
List indication and advantages of modern techniques
Recognize major abdominal viscera and their imaging
Characters
593
RADIOLOGY LECTURES (FINAL YEAR MBBS)
Lecture No1:- Imaging Mogalities Used in the Radiology Department their brief
description, how image is formed. Clinical Indication and advantages.
Lecture No 2:-
Chest:- Normal Anatomy and projections.
Lecture No 3:-
Chest Diseases:- (Radiological Features)
Pneumonia
Effusion
Cardiomegaly
Pulmonary Oedema
Fractures
Lecture No 4:-
Skull:- Normal Anatomy and Projections.
Lecture No 5:-
Skull Diseases:- (Radiological Features)
Calcifications
Pituitary Fossa
Lytic and Sclerotic Lession.
Lecture No 6:-
Abdomen:- Normal Anatomy and Projection.
Renal and urinary tract Stones, gall Stones.
Free gass Under Diaphragm.
Enlarged liver & spleen.
Lectures No 7:-
Skeletal Trauma, Peripheral and axial, various types (Radiogical
Features)
Lecture No 8:-
Spine:-
Normal Anatomy and Projections.
Disc Space Reduction
Vertebral Collapse.
Lecture No 9:-
594
Barium Meal With Double Contrast:-, (Where applicable)
Normal Anatomy and the Various Procedures.
Lecture No 10:-
Varuious G I T PROBLEMS- (Radiological Features)
Gastric Outlet Obstruction.
Stomach Mass/Filling Defect.
Oesophageal Outline/Varices/Strictures.
Intusssusception
Ulcerative Colitis
Lecture No 11:-
Intravenous Urogram:- Preparation, indication, contra indication and how
to perform the procedure.
Hydronephrosis
Renal Mases.
Lecture No 12:-
Micturating Cystourethrogram:-Prepration, indication and how to
perform the procedure.
To assess the anatomy of urethra and its abnormalities
To assess the vesico ureteric refux
Lecture No 13:-
Liver and gall Bladder Diseases. Imaging Modalities Used For their Diagnosis.
Lecture No14:-
C.T Scanning:-
Be Able TO interpt the Report.
Lecture No 15:-
MRI
Basic Principles.
595
PLANNER OF TEACHING
IN SURGERY & ALLIED
FOR
MBBS (2018-2019)
596
AMNA INAYAT MEDICAL COLLEGE
TIME TABLE – 3RD YEAR MBBS 2018 - 2019
Day 08:00 A.M. to
08:45 A.M.
08:45 A.M. to
09:30 A.M.
09:30 A.M.
to
10:15 A.M.
10:15 A.M.
to
10:35 A.M.
10:35 A.M. to
11:20 A.M.
11:20 A.M.
to
01:20 P.M.
Monday Behavioral
Sciences
Pathology Pharmacology
BR
EA
K
Eye Clinical Ward Practical
Batch
Batch
Batch
Batch
Tuesday Forensic
Medicine
Pharmacology Pathology Gynecology/
Paeds
Clinical Ward Practical
Batch
Batch
Batch
Batch
Wednesday Behavioral
Sciences
Pharmacology Pathology Medicine Clinical Ward Practical
Batch
Batch
Batch
BatchThursday Pathology Pharmacology Forensic
Medicine
Surgery Clinical Ward Practical
Batch
Batch
Batch
BatchFriday Forensic
Medicine
Pathology E.N.T. 11:20 to 01:00
Grand Tutorial
Weekly rotation of class in Patho/Pharma/Foren
597
PLANNER
Teaching Schedule of Surgery & Allied For
3rd year Professional MBBS-2018 - 2019
AIMCS All above classes will be conducted in Lecture Theatre # 3.
PRINCIPAL
DATE TOPIC TEACHER
Thursday 15-11-2018
Time 10:35 am
Wounds, Definitions, Types Prof.Sardar Sohail Ali Khan
Thursday 23-11-2018
Time 10:35 am
Stages of wound healing . Prof Sardar Sohail Ali Khan
Thursday 29-11-2018
Time 10:35 am
Management of wounds
according to types of wounds
Prof. Sardar Sohail Ali Khan
Thursday 6-12-2018
Time 10:35 am
Factors affecting wound healing
& complications of wounds
Prof. Sardar Sohail Ali Khan
Thursday 13-12-2018
Time 10:35 am
Surgical Site Infection, Definition,
Pathophysiology
Prof. Sardar Sohail Ali Khan
Thursday 20-12-2018
Time10:35 am
SSIs, SIRS, Multiorgan dysfunction
Multi organ Failure, Sepsis
Prof. Sardar Sohail Ali Khan
25 – 12 – 2018 To
01 – 01 - 2019
Winter Vacation
Thursday 3- 01-2019
Time 10:35 am
Specific Infections, Clostridial
Infections, Gas Gangrene, Tetanus
C/F & Management
Prof. Sardar Sohail Ali Khan
Thursday 10-01-2019
10:35 am
Surgical Prophylaxis
Prof. Sardar Sohail Ali Khan
Thursday 17-01-2019
Time10:35
Surgical Nutrition, Definition,
Malnutrition
Prof. Hassan ASkari
Thursday 24-01-2019
Time 10:35
Surgical Nutrition - Assessment Prof. Hassan Askri
Thursday 31-01-2019
Time 10:35am
Parenteral Nutrition, Indications &
Complications
Prof. Hassan Askri
Thursday 07-02-2019
Time10:35
Enteral Nutrition, Indications &
Complications
Prof. Hassan Askri
Thu 14-02 -2019 First Term Examination
598
Thursday 21-02-2019
Time10:35
Introduction to trauma
Dr. M. Tariq Saeed
Thursday 28-02-2019
10:35 am
Principles of ATLS Protocol Dr. M. Tariq Saeed
Thursday 07-03-2019
10:35am
Trauma Management, Primary
survey and secondary survey
Dr. M. Tariq Saeedss
Thursday 14-3-2019
10:35AM To 11:20
Surgical Site Infection,
Pathophysiology, Fators affecting
SSIs
Thursday 21-3-2019
10:35am To 11:20
SIRs, Multiorgan failure & Sepsis Prof. Sardar Sohail Ali Khan
Thursday 28-3-2019
10:35AM To 11:20
Specific Infections, Clostridial
infections. Gas gangrene, Tetanus
Prof. Sardar Sohail Ali Khan
Thursday 04-4-2019
10:35 am
Tuberculosis & its management
Prof. Sardar Sohail Ali Khan
Thursday 11-04-2019
Time 10:35 am
Viral infection
Hepatitis B, C and HIV(AID)
Prof. Sardar Sohail Ali Khan
Thursday 18-4-2019
Time 10:35 am
Principles & Prophylaxis & role of
antibiotics in SSIs
Prof. Sardar Sohail Ali Khan
Thursday 25-4-2019
Time 10:35 am
Cyst, Definition, Classification, C/F
Treatment
Dr. M. Tariq Saeed
Thursday 02-05-2019
10:35 am To 11:20 am
Ulcer, Definitionm Types, C/F.
Treatment
Dr. M. Tariq Saeed
Thursday 09-05-2019
10:35 am To 11:20 am
Sinus, Fistula, C/Fs, Treatment Dr. M. Tariq Saeed
15-05-2019 SUMMER VACATION Up to 13-6-2019
Thursday 23-05-2019
Time 10:35 am
Shock, Definition, Classifications Prof. Sardar Sohail Ali Khan
Thursday 30-05-2019
Time 10:35 am
Management Of Shock Prof Sardar Sohail Ali Khan
Thursday 06-06-2019
Time 10:35 am
Haemorrhage, Types
Complications, Management
Prof. Sardar Sohail Ali Khan
Thursday 13-06-2019
Time 10:35 am
Blood Transfusion, Indications,
Complications
Prof. Sardar Sohail Ali Khan
Thursday 20-06-2019
Time 10:35 am
Fluids & Electrolytes balance Prof. Qarib Abbas
Thursday 27-06-2019
Time 10:35 am
Fluid & Electrolytes Abnormalities
& MAnagement
Prof. Qarib Abbas
Thursday 04-07-2019
Time 10:35 am
Burn, Pathophysiology,
Classification
Dr. M. Tariq Saeed
Thursday 11-07-2019
Time 10:35 am
Burns CFs, Assessment &
Management
Dr. M. Tariq Saeed
599
Thursday 18-07-2019
Time 10:35 am
SECOND TERM EXAMINATION MCQs = 50
SAQs = 10
Thursday 25-07-2019 Surgical Oncology
Def.,Classification, CFs,
Prof. Qarib Abbas
Thursday 01-08-2019
Time 10:35 am
Grading & Staging of Malignant
Neoplasms
Prof. Qarib Abbas
Thursday 08-8-2019
Time: 10:35 am
Surgical Oncology, Definitions &
Classification
Prof. Hassan Askri
Thursday 15-8-2019
Time: 10:35 am
Characteristics of Benign &
Malignant tumors & their spread
Prof. Hassan Askri
Thursday 22-8-2019
Time: 10:35 am
Grading & Staging of Malignant
tumors
Prof. Hassan Askri
Thursday 29-8-2019
Time: 10:35 am
Principles of Sterilization Prof. Qarib Abbas
Thursday 5-9-2019
Time: 10:35 am
Principles of Radiotherapy Prof. Qarib Abbas
Thursday 12-9-2019
Time: 10:35 am
Principles of Chemotherapy Prof. Qarib Abbas
Thursday 19-9-2019
Time: 10:35 am
SEND UP EXAMINATION MCQs = 50
SAQs = 10
Prof. Sikandar Hayat Gondal
H.O.D.Surgery
AIMC
600
601
AMNA INAYAT MEDICAL COLLEGE
TIME TABLE – 4TH YEAR MBBS Class 2018-2019
DAYS 8:00
8:45AM
8:45
09:30AM
09:30
10:15AM
10:15
11:00AM
11:00
11:20AM
11:20AM
1:30PM
MONDAY Community
Medicine
Lecture
Surgery
Batch-A: Pathology Practical
Batch-B: Community
Medicine
Bre
ak
CLI
NIC
ALR
OT
AIO
N Tuesday Lecture
Surgery
Lecture
Pathology
Batch-A: C. medicine Practical
Batch-B: Pathology Practical
Wednesday Lecture
Medicine
Lecture
Pathology Batch-A: Tutorial Path/C.Med
Batch-B: Tutorial C.Med/Path
THURSDAY Lecture
GYNAE/OBS
Lecture
PATHOLOGY Lecture
EYE
Lecture
MEDICINE
Friday Lecture
Pathology
Lecture
medicine
Lecture
COM.
MEDICINE
Lecture
EYE
Principal
Amna Inayat Medical College
602
PLANNER
Teaching Schedule of Surgery & Allied For
4th year Professional MBBS-2018 - 2019
AIMCS
DATE TOPIC TEACHER
Monday 17-12-2018
Time 08:45 am
Acute Appendecitis, Surgical
Anatomy, Pathophysiology
Dr. M. Tariq Saeed
Tuesday 18-12-2018
Time 08:00 am
Acute Appendecitis. CFs &
Management
Dr. M. Tariq Saeed
Monday 24-12-2018
Time 08:45 am
Appendicular Mass, Appendicular
Abscess & Management
Dr. Tariq Saeed
25-12-2018 to
01-01-2019
Winter Vacation
Tuesday 01-01-2019
Time 08:00 am
Appendicectomy – Steps of
operation & Complications
Dr. M. Tariq Saeed
Monday 07-01-2019
Time 08:45 am
The Neck, Surgical Anatomy,
Congenital Anamolies in Neck
Prof. Sardar Sohail Ali Khan
Tuesday 08-01-2019
Time08:00 am
Cystic Hygroma, Cervical Rib &
other Neck Swellings
Prof. Sardar Sohail Ali Khan
Monday 14- 01-2019
Time 10:35 am
Cervical Lymphadenopathies,
Tuberculous Cevical
Lymphadenopathy
Prof. Sardar Sohail Ali Khan
Tuesday 15-01-2019
10:35 am
Neck Dissection for Malignant
Lymph nodes
Prof. Sardar Sohail Ali Khan
Monday 21-01-2019
Time08:45 am
Head Injury, Mechanism of injury,
CFs, Glasgow coma Score
Prof. Hassan ASkari
Tuesday 22-01-2019
Time 10:35
Management of Head Injury Prof. Hassan Askri
Monday 28-01-2019
Time 08:45am
The Breast, Surgical Anatomy,
Breast Abscess & Management
Prof. Hassan Askri
Tuesday 29-01-2019
Time08:00 am
Benign Breast Diseases- ANDI, CFs,
Management
Prof. Hassan Askri
603
Monday 04-02-2019
Time08:45 am
Carcinoma Breast, Management
Prof Hassan Askri
Tuesday 05-02-2019
Time 08:00 am
The Thyroid: Surgical Anatomy,
Physiology & Investigations
Prof. Sardar Sohail Ali Khan
Monday 11-02-2019
Time 08:45 am
Hypothyroidism & its
Management
Prof. Sardar Sohail Ali Khan
Tuesday 12-02-2019
08:00 am
Thyrotoxicosis- CFs, Investigations Prof. Sardar Sohail Ali Khan
Monday 18-2-2019
Time: 8:45am
Thyroglossal cyst and its
management, Ectopic thyroid
Prof. Sardar Sohail Ali Khan
Tuesday 19-2-2019
Time: 8:00 am
Neoplasm of thyroid & their
management
Prof. Sardar Sohail Ali Khan
Monday 25-2-2019
Time: 8:45 am
Neoplasm of thyroid and its
management
Prof. Sardar Sohail Ali Khan
Tuesday 26-2-2019
Time: 8:00 am
The Parathyroid gland – Surgical
Anatomy & Physiology
Prof. Sardar Sohail Ali Khan
Monday 4-3-2019
Time 8:45 am
Hypoparathyroidism – etiology –
C/Fs & Management
Prof. Sardar Sohail Ali Khan
Tuesday 5-3-2019
Time: 8:00 am
Hyperparathyroidism – etiology –
C/Fs, investigations & managemen
Prof. Sardar Sohail Ali Khan
Monday 11-03-2019
Time: 8:45 am
Cleft Lip and palate Development Dr. M. Tariq Saeed
Tuesday 12-3-2019
Time: 8:00 am
Cleft Lip & Palate Development Dr. M. Tariq Saeed
Mon. 18-3-2019 First Term Test
Tuesday 19-3-2019
Time: 8:00 am
Oropharyngeal Cancer &
Management
Dr. Tariq Saeed
Moday 25-3-2019
Time: 8:45 am
Oropharyngeal Cancer &
Mnagement
Dr. Tariq Saeed
Tuesday 26-3-2019
Time: 8:00 am
Oropharyngeal Cancer – Ca.
Tongue & management
Dr. Tariq Saeed
SPRING Vacations
Monday 8-4-2019
Time: 8:45 am
Esophagus – Surgical Anatomy &
Physiology
Prof. Hassan Askri
Tuesday 9-4-2019
Time: 8:45 am
The Esophagus – Congenital
anamolies 7 management
Prof. Hassan Askri
Monday 15-4-2019
Time: 8:45 am
Esophagus – Trauma,
management & Esophagitis
Prof. Hassan Askri
Tuesday 16-4-2019
Time: 8:00 am
The Esophagus – GORD &
Management
Prof. Hassan Askri
604
Monday 22-4-2019
Time: 8:45 am
Esophagus – Hiatus hernia, C/Fs,
Management
Dr. M. Tariq Saeed
Thursday 23-4-2019
Time: 8:00 am
Esophagus motility disorder C/Fs
& management
Prof. Hassan Askri
Monday 29-4-2019
Time: 8:45 am
Carcinoma Esophagus, etiology,
C/Fs, Investigations
Prof. Hassan Askri
Tuesday 30-4-2019
Time: 8:45 am
Carcinoma Esophagus, Staging &
management
Prof. Hassan Askri
Monday 6-5-2019
Time: 8:45 am
Burns Classification,
Pathophysiology & Assessment
Dr. Tariq Saeed
Tuesday 7-5-2019
Time: 8:00 am
Burns, assessment & Manadement Dr. Tariq Saeed
Monday 13-5-2019
Time: 8:45 am
Principles of Radiotherapy Dr. Tariq Saeed
15-5-2019 SUMMER VACATION Upto 13-6-2019
Monday 17-6-2019
Time: 8:45 am
DVT, investigations and management.
Pulmonary embolism, CF, management
Prof. Hassan Askri
Tuesday 18-6-2019
Time: 8:00 am
The Abdominal wall – surgical Anatomy Prof. Sikandar Gondal
Monday 24-6-2019
Time:8:45 am
Inguinal Hernia, CF, Management Prof. Sikandar Gondal
Tuesday25-6-2019
Time: 8:00 am
Umblical and Para umbilical hernia, CFs, &
Management
Prof. Sikandar Gondal
Monday 1 -7-2019
Time:8: 00 am
Incisional Hernia, CFs, complications and
Management
Prof Sikandar Gondal
T uesday 2-7-2019
Time:8:00 am
The Stomach- Surgical anatomy Prof. Qarib Abbas
Monday 8-7-2019
Time:8:00 am
The Peptic Ulcer, CFs, investigations Prof. Qarib Abbas
Tuesday 9-7-2019
Time: 8;00 am
Complications of Peptic ulcer, CFs &
management
Prof. Qarib Abbas
Monday 15-7-2019
Time: 8:45 am
Carcinoma Stomach – etiology, CFs, Staging Prof. Qarib Abbas
Tuesday 16-7-2019
Time: 8;00 am
Carcinoma Stomach - investigations Prof. Qarib Abbas
Monday 22 -7-2019
Time: 8:45 am
The Neck –Surgical anatomy & Congenital
anamolies
Prof. Qarib Abbas
Tuesday 23-7-2019
Time :8:00 am
The Neck – Cystic Hygroma, CFs, &
Management
Prof. Qarib Abbas
Monday 29-7-2019
Time:8;45 am
Lateral Neck swelling & Cervical
Lymphadenitis
Prof . Qarib Abbas
Tuesday 30-7-2019
Time:8;00 am
Cervical Lymphadenitis – investigations &
Management
Prof. Qarib Abbas
Monday 5-8-2019 Metastetic lesion in the neck - investigations Prof. Qarib Abbas
605
Time:8:45 am And management
Tuesday 6-8-2019
Time ;8;00 am
Parotid swellings CFs, investigations &
management
Prof. Qarib Abbas
Monday 12-8-2019
Time:8:45 am
Neck Dissection Prof. Qarib Abbas
Tuesday 13-8-2019
Time:8:00 am
Advance Trauma life Support Dr. Tariq Saeed
Monday 19-8-2019
Time;8:00 am
Head Injury- Pathophysiology GCS, CFs. Dr. Tariq Saeed
Tuesday 20-8-2019
Time:8:00 am
Management of Head Injury Dr. Tariq Saeed
Prof. Sikandar Hayat Gondal
HOD. Department of Surgery
AIMCE
606
AMNA INAYAT MEDICAL COLLEGE
TIME TABLE – FINAL YEAR MBBS CLASS – 2018-2019
Day 08:00 A.M. to
08:45 A.M.
08:45 A.M. to
09:30 A.M.
09:30 A.M. to
10:15 A.M.
10:15 A.M. to
11:00 A.M.
11:00 A.M.
to
11:20 A.M.
11:20 A.M. to
01:30 P.M.
01:30 P.M. to
03:00 P.M.
Monday Surgery/Allied Peadiatrics Obs & Gynae Medicine
Clinical Class
Batches
SGD/PBL/DSL
BATCHES
Tuesday Medicine
(Psychiatry) Medicine Surgery/Allied Obs & Gynae
Clinical Class
Batches
SGD/PBL/DSL CLASS
BATCHES
Wednesday Medicine/Allied Surgery /Allied Obs & Gynae Medicine
Clinical Class
Batches
SGD/PBL/DSL CLASS
BATCHES
Thursday Surgery/Allied Medicine Paeditrics Obs & Gynae
Clinical Class
Batches
SGD/PBL/DSL CLASS
BATCHES
Friday Medicine
(Dermatology) Peadiatrics
Obste &
Gynae SurgeryAllied
Clinical Class
Batches
01:30-2:00PM
JUMA PRAYER/ DSL
CLASS BATCHES
PRINCIPAL
Amna Inayat Medical College
607
PLANNER
Teaching Schedule of Surgery & Allied For
Final Professional MBBS-2018 - 2019
AIMCS
DATE TOPIC TEACHER
Friday 14-12-2018
Time 10:15 am
The Liver – Surgical Anatomy &
Physiology
Prof.Sardar Sohail Ali Khan
Monday 17-12-2018
Time 08:00 am
Introduction to the Principles of
Anaesthesia & Analgesia
Brig. Mobeen
Thuesday 18-12-2018
Time 09:30 am
Liver infections, Pyogenic Liver
abscess
Prof. Sardar Sohail Ali Khan
Wednesday19-12-2018
Time 08:45 am
Liver infections, Amoebic liver
abscess, Pathology
Prof. Sardar Sohail Ali Khan
Thursday 20-12-2018
Time 08:00 am
Amoebic liver abscess, CFs &
Management
Prof. Sardar Sohail Ali Khan
Friday 21-12-2018
Time10:15 am
Hydatid Cyst, Pathology, CFs
&Management
Prof. Sardar Sohail Ali Khan
Monday 24-12-2018
Time: 08:00 am
Introduction to the Principles of l
Anaesthesia & Analgesia
Brig. Mobeen
25 – 12 – 2018 To
01 – 01 - 2019
Winter Vacation
Wednesday 2- 01-2019
Time 08:45 am
Liver Trauma, Classification, CFs &
Management
Prof. Sardar Sohail Ali Khan
Thursday 3-01-2019
Time 08:00 am
Portal Hypertension, Pathology
Prof. Sardar Sohail Ali Khan
Friday 0 4-01-2019
Time10:15 am
Liver Tumour, Hepatocellular
Carcinoma
Prof. Sardarb Sohail Ali Khan
Monday 07-01-2019
Time 08:00 am
Management of Metastatic liver
tumours
Prof. Sardar Sohail Ali Khan
Tuesday 08-01-2019
Time 09:30am
The Colon, Surgical Anatomy -
Investigations
Prof. Hassan Askri
608
Wednesday 09-01-2019
Time08:45 am
Aquired Mega Colon Prof. Hassan Askri
Thursday 10-01-2019
Time08:00 am
Ulcerative Colitis, Pathology, CFs,
Investigations & Management
Prof. Hassan Askri
Friday 11 -01-2019
Time: 10:15 am
Ulcerative Colitis, Investigations,
Complications & Management
Prof. Hassan Askri
Monday 14-01-2019
Time: 08:00am
Crohn’s Disease, Pathology, CFs, &
Investigations
Prof. Hassan Askri
Tuesday 15-01-2019
Time09:30 am
Crohn’s Disease & Management Prof. Hassan Askri
Wednesday 16-01-2019
08:45 am
Carcinoma Of Colon, Pathology CFs
& Investigations.
Prof. Hassan Askri
Thursday 17-01-2019
08:00 am
Liver Trauma Prof. Sardar Sohail Ali Khan
Friday 18-01-2019
10:15 am
Portal Hypertension. Prof. Sardar Sohail Ali Khan
Monday. 21-01-2019
Time 8:00 am
Principles of management of liver
trauma
Prof. Sardar Sohail Ali Khan
Tuesday. 22-1-2019
Time:9:30 am
Principle of liver trauma
management
Prof. Sardar Sohail Ali Khan
Wednesday 23-1-2019
Time 8:45 am
Portal hypertension &
Management
Prof. Sardar Sohail Ali Khan
Thursday 24-1- 2019
Time 8:00 am
Liver tumour, Metastatic liver
tumour
Prof. Sardar Sohail Ali Khan
Friday. 25-1-2019
Time:10:15 am
Liver tumour, Metastatic liver
tumour & management
Prof. Sardar Sohail Ali Khan
Monday. 28-1-2019
Time: 8:00 am
Carcinoma of colon, Pathology Prof. Hassan Askri
Tuesday 29-1-2019
Time:9:30 am
Carcinoma colon, C/Fs,
Investigations
Prof. Hassan Askri
Wednesday 30-1-2019
Time 8:45 am
Carcinoma Colon and its
management - curative
Prof. Hassan Askri
Thursday 31-1-2019
Time 8:00 am
Pre-operative preparation Dr. Mobeen
Friday 1-2-2019
Time 10:15 am
Management of carcinoma colon-
paliative
Prof. Hassan Askri
Monday 4-2-2019
Time 8:00am
Principles of Radiology Prof. Mehfooz
Tuesday 5-2-2019
Time 9:30 am
X- Rays Physical principles involved. Prof. Mehfooz
Wednesday 6-2-2019 Regional X- rays. Views and Prof. Mehfooz
609
Time:8:45am Radiological signs
Thursday 7-2-2019
Time 8:00 am
Interpretation of Plain X - rays Prof. Mehfooz
Friday 8-2-2019
Time 10:15 am
Plain X – rays Significance Prof. Mehfooz
Monday 11-2-2019
Time: 8:00 am
The Gall bladder, Surgical Anatomy,
Gall stone disease
Prof. Sardar Sohail Ali Khan
Tuesday 12-2-2019
Time 9:30 am
Acute Cholecystitis &
Managememnt
Prof. Sardar Sohail Ali Khan
Wednesday 13-2-2019
Time:8:45 am
Chronic Cholecystitis &
management
Prof. Sardar Sohail Ali Khan
Thursday 14-2-2019
Time:8:00
General Anaesthesia Steps &
Monitoring
Dr. Mobeen
Friday 15-2-2019
Time: 10:15 am
Obstructive Jaundice, Pathology,
C/Fs, Investigations
Prof. Sardar Sohail Ali Khan
Monday. 18-2-2019
Time: 8:00 am
Mangement of Obstructive jaundice Prof. Sardar Sohail Ali Khan
Tuesday 19-2-2019
Time: 9:30 am
Minimal Access Surgery
(Laparoscopic Surgery)
Prof. Sardar Sohail Ali Khan
Wednesday 20-2-2019
Time: 8:45 am
Steps of Cholecystectomy (Open) Prof. Sardar Sohail Ali Khan
Thursday 21-2-2019
Time: 8:00 am
Common bile duck stone & Acute
Cholangitis & management
Prof Sardar Sohail Ali Khan
Friday 22-2-2019
Time: 10:15 am
Chlangiocarcinoma & Management Prof. Sardar Sohail Ali Khan
Monday 25-2-2019
Time: 8:00 am
Arterial Diseases, Acute Limb
Ischemia, Gangrene
Prof. Hassan Askri
Tuesday 26-2-2019
Time: 9:30 am
Gangrene Management &
Amputations
Prof. Hassan Askri
Wednesday 27-2-2019
Time: 8:45 am
Chronic Limb Ischemia, CFs ,
Management
Prof. Hassan Askri
Thursday 28-2-2019
Time: 8:00 am
General Anaesthesia, Pharmocology Dr. Mobeen
Friday 29-2-2019
Time: 10:15 am
Venous Disorders, DVT, CFs, Prof. Hassan Askri
Monday 4-3-2019
Time: 8:00 am
Venous Disorders, investigations &
Management
Prof. Hassan Askri
Tuesday 5-3-2019
Time: 9:30 am
Varicose veins, CFs, Investigations &
Management
Prof. Hassan Askri
Wednesday 6-3-2019
Time: 8:45 am
Lymphatic Disorders, Investigations,
& management
Prof. Hassan Askri
Thursday 7-3-2019
Time: 8:00 am
Lymphoedema & Management Prof. Hassan Askri
610
Friday 8-3-2019
Time: 10:15 am
Introduction to Trauma, ATLS -
Protocol
Dr Tariq Saeedi
Monday 11-3-2019
Time: 8:00 am
ATLS – Protocol, Primary Survey &
Secondary Survey
Dr. Tariq Saeed
Tuesday 12-3-2019
Time:9:30 am
ATLS – Thoracic S Trauma Dr. Tariq Saeed
Wednesday 13-3-2019
Time: 8:45 am
Thorcic Trauma Dr. Tariq Saeed
Thursday 14-3-2019
Time: 8:00 am
Local Anaesthesia, Pharmacology &
Technique
Dr. Mobeen
Friday 15-3-2019
Time: 10:15 am
Discussion on SAQs Dr. Tariq Saeed
Monday 18-3-2019
Time: 8:00 am
Surgical Anatomy of the Rectum,
CFs. of rectal diseases&
investigations
Prof. Sikandar Gondal
Tuesday 19-3-2019
Time: 9:30 am
Rectal injuries & F.Bodies Prof. Sikandar Gondal
Wednesday 20-3-2019
Time: 8:45am
Rectal Prolaps & Management Prof. Sikandar Gondal
Thursday 21-3-2019
Time: 8:00 am
Solitary rectal ulcer, Benign &
Malignant tumours
Prof. Sikandar Gondal
Friday 22-3-2019
Time: 10:15 am
Management of Rectal Cancer Prof. Sikandar Gondal
Monday 25-3-2019
Time: 8:00 am
Intestinal Obstruction,
Classification, C/Fs
Prof. Sardar Sohail Ali Khan
Tuesday 26-3-2019
Time: 9:30 am
Intestinal Obstruction in Children
CFs and Management
Prof. Sardar Sohail Ali Khan
Wednesday 27-3-2019
Time: 8:45 am
Acute Intestinal Obstruction ,
Investigations and Management
Prof Sardar Sohail Ali Khan
Thursday 28-3-2019
Time: 8:00 am
Intravenous Regional Anaesthesia Dr. Mobeen
Friday 29-3-2019
Time:10:15 am
Intestinal Ischemia, Infarction,CFs
Investigations & Management
Prof. Sardar Sohail Ali Khan
Spring vacations 1-4-2019 to 8-4-2019 Tuesday9-4-2019
Time: 8:00 am
Large bowel Obstruction, CFs,
Investigations and Management
Prof. Sardar Sohail Ali Khan
Wednesday 10-4-2019
Time: 8:45 am
Ultrasound- Physical Principles &
Scope of ultrasound
Prof. Mehfooz – U – Rehman
Thursday 11-4-2019
Time: 8:00 am
Neuro – Axial Anaesthesia Dr. Mobeen
Friday 12-4-2019
Time: 10:15 am
Different Techniques of using
ultrasound & Doppler
Prof. Mehfooz –U – Rehman
Monday 15-4-2019 Focus Assessment by sonogram in Prof. Mehfooz – U – Rehman
611
Time: 8:00 am Trauma (FAST)
Tuesday 16-4- 19
Time: 9:30 am
First Term Examination
Paper I
MCQs = 50
SAQs = 10 Wednesday 17-4-2-19
Time: 8:45am
Infections of Kidney, CFs,
Investigations
Dr. Tariq Saeed
Thursday 18-4-19
Time: 8:00 am
First Term Examination MCQs = 60
SAQs = 13 Friday 19-4-2019
Time: 10:15 am
Renal Calculus disease Dr. Tariq Saeed
Monday 22-4-2019
Time: 8:00 am
Renal Calculus disease,
Investigations & Management
Dr. Tariq Saeed
Tuesday 23-4-2019
Time: 9:30 am
Renal Calculus disease,
investigations and management
Dr. Tariq Saeed
Wednesday 24-4-2019
Time: 8:45 am
Renal Neoplasms ,investigations Dr. Tariq Saeed
Thursday 25-4-2019
Time: 8:00 am
Pain management services Dr. Mobeen
Friday 26-4-2019
Time: 10:15 am
Renal Neoplasm & Mangement Dr. Tariq Saeed
Mon day 29-4-2019
Time: 8:00 am
Principles Of Orthopedics Dr. Khalid
Tuesday 30-4-2019
Time: 9:30 am
Congenital diseases of bones &
joints
Dr. Khalid
Wednesday 1-5-2019
Time: 8:45 am
Telepes Equino Varus – Congenital
dislocation of hip
Dr. Khalid
Thursday 2-5-2019
Time: 8:00 am
Metabolic bone disease Dr. Khalid
Friday 3-5-2019
Time: 10:15 am
Metabolic bone diseases – Rickets &
Osteomalasia
Dr. Khalid
Monday 6-5-2019
Time: 8:00 am
The Urinary bladder Surgical
Anatomy, Ectopia Vesice
Dr. Tariq Saeed
Tuesday 7-5-2019
Time: 9:30 am
The Urinary bladder infections Dr. Tariq Saeed
Wednesday 8-5-2019
Time: 8:45 am
The Urinary bladder stones &
management
Dr. Tariq Saeed
Thursday 9-5-2019
Time: 8:00 am
Cardiopulmonary resuscitation,
Indication & Technique
Dr. Mobeen
Friday 10-5-2019
Time: 10:15am
The Urinary bladder neoplasm &
management
Dr. Tariq Saeed
Monday 13-5-2019
Time: 8:00 am
Principles of CT Scan & indications Prof. Mehfooz –U- Rehman
Tuesday 14-5-2019 Three dimentional and multiplanner Prof. Mehfooz –U - Rehman
612
Time: 9:30 am CT scan
15-5-2019 – 13-6-2019 SUMMER VACATION EXTRA - CLASSES
Wednesday 15-5-2019
Time: 8:45 am
CT Scan , indications, Uses and
disadvantages
Prof. Mehfooz – U – Rehman
Thursday 16-5-2019
Time:8:00 am
Cardiopulmonary Resuscitation,
indications & Technique
Dr. Mobeen
Friday 17-5-2019
Time: 10:15 am
Principles Of MRI & Indications Prof. Mehfooz –U – Rehman
Monday 20-5-2019
Time: 8: 00 am
MRI Scanning Uses and
Disadvantages
Prof. Mafooz – U - Rehman
Tuesday 21-5-2019
Time: 9:30 am
Nuclear – Isotope scanning,
Principles, Indications, uses &
Disadvantages
Prof. Mahfooz – U – Rehman
Wednesday 22-5 -2019
Time: 8:45am
Rheumatic disorders, Pathology, CFs
investigations & treatment
Dr.Noman
Thurday 23 -5-2019
Time: 8:00 am
Airway management Dr. Mobeen
Friday 24-5-2019
Time:10:15am
Tuberculosis of bone and spine Dr. Noman
Monday27-5-2019
Time:8:00 ams
Surgical anatomy of anus and anal
canal &Congenital anamolies
Prof. Sikandar Gondal
Tuesday 28-5-2019
Time:9:30am
Pilonidal sinus, Anal Fissure, CFs,
treatment
Prof. SIkandar Gondal
Wednesday 29-5-2019
Time:8:45am
Haemorrhoids & its management Prof. SIkandar Gondal
Thursday 30-5-2019
Time:8:00am
Airway management Dr. Mobeen
Friday 31-5-2019
Time:10:15am
Fistula in Ano and its management Prof. SIkandar Gondal
Monday 3-6-2019
Time: 8:00am
Anorectal Abscess & its
management
Prof. SIkandar Gondal
Tuesday 4-6-2019
Time: 9:30am
Ischiorectal Abscess & its
management
Prof. Sikandar Gondal
Wednesday 5-6-2019
Time:8:45am
Neop;asm of anal canal Prof. Sikandar Gondal
Thursday 6-6-2019
Time: 8:00 am
Setting up of an ICU Dr. Mobeen
Friday 7-6-2019 Time:
10:15 am
Carcinoma anal canal & its
management
Prof. Sikandar Gondal
Monday 10-6-2019
Time: 8:00am
Prostate – Surgical anatomy Dr. Tariq Saeed
Tuesday 11-6-2019
Time: 9:30 am
Prostatitis Dr. Tariq Saeed
613
Wednesday 12-6-2019
Time: 8:45am
Benign Enlargement of Prostate Dr. Tariq Saeed
Thursday13-6-2019
Time: 8:00 am
BLS – Work Shop – Venue Skill Lab. Dr. Mobeen
Friday 14-6-2019
Time:10:15am
Carcinoma Prostate & its
management
Dr. Tariq Saeed
Monday 17-6-2019
Time:8:00 am
Infections of bones and joints, CFs,
investigations & management
Dr. Noman
Tuesday 18-6-2019
Time: 9:30 am
Chronic Osteomyelitis Dr. Noman
Wednesday 19-6-2019
Time: 8:45 am
Tuberculosis of bones & joints – CFs
– investigations & management
Dr. Noman
Thursday 20-6 - 2019
Time:8:00am
Principles of Sterilization & Setting
up of CSSD
Dr. Mobeen
Friday 21-6-2019
Time: 10:15 am
Introduction to trauma in
orthopedic
Dr. Noman
Monday 24 -6 – 2019
Time: 8:00 am
Trauma in Orthopedics Definitions,
Classifications, C/F of Fractures
Dr. Noman
Tuesday 25 – 6 – 2019
Time: 9:30 am
Investigations for Fractures
Radiologic interpretation&
Management
Dr. Noman
Wednesday 26-6-2019
Time: 8:45 am
Fractures of Long bones, C/F,
Investigations
Dr. Noman
Thursday 27-6-2019
Time: 8:00 am
Airway work shop – Venue Skill Lab. Dr. Mobeen
Friday: 28-6-2019
Time: 10:15 am
Fracture of Pelvis, C/F,
Investigations & Management
Dr. Noman
Monday 1-7-2019
Time: 8:00 am
Second Term Examination
Paper – I
MCQs = 50
SAQs = 10 Tuesday 2-7-2019
Time: 9:30 am
Urethral Injury, Stricture Urethra &
Management
Dr. Tariq Saeed
Wed. 3-7- 2019
Time: 8:45 am
Second Term Examination
Paper – II
MCQs = 60
SAQs = 13 Thursday 4-7-2019
Time: 8:00 am
The Testis: Surgical Anatomy, Un
descendent Testis
Dr. Tariq Saeed
Friday 5-7-2019
Time: 10:15 am
Un Descendent Testis & its
Management
Dr. Tariq Saeed
Monday 8-7-2019
Time: 8:00 am
Principles Of Orthopedics Dr. Usman
Tuesday 9-7-2019
Time: 9:30 am
Congenital diseases of bones &
joints
Dr. Usman
Wednesday 10-7-2019 Telepes Equino Varus – Congenital Dr. Usman
614
Time: 8;45 am dislocation of hip
Thursday 11-7-2019
Time: 8:00 am
Metabolic bone disease – Rickets &
Osteomalasia
Dr. Usman
Friday 12-7-2019
Time: 10:15 am
Metabolic bone diseases – Rickets &
Osteomalasia & Management
Dr.Usman
Monday 15-7-2019
Time: 8: 00 am
Varicocele, Hydrocele C/F, &
Management
Dr. Tariq Saeed
Tuesday 16-7-2019
Time: 9:30 am
Malignant Tumour Of Testis Dr. Tariq Saeed
Wednesday 17-7-2019
Time: 8:45 am
Malignant Tumour Of Testis &
Management
Dr. Tariq Saeed
Thursday 18-7-2019
Time: 8:00 am
Trauma to Spine - Surgical Anatomy
of spine Mechanism of injury
Dr. Noman
Fri day 19- 7 -2019
Time: 10:15 am
Spine Injury – Investigations &
Management
Dr. Noman
Monday 22-7-2019
Time: 8:00 am
Neurovascular Trauma -
Mechanism , Investigations
Dr. Noman
Tuesday 23-7-2019
Time: 9:30 am
Neurovascular Trauma -
Management
Dr. Noman
Wednesday 24-7-2019
Time: 8:45 am
Joint Trauma – Mechanism,
Investigations
Dr. Noman
Thursday 25-7-2019
Time: 8:00 am
Joint Trauma – Management Dr. Noman
Friday 26-7-2019
Time: 10:15 am
Neoplasm of Bones & Joints ,
Classifications
Dr. Noman
Monday 29-7-2019
Time: 8:00 am
Arterial Diseases, Acute Limb
Ischemia, Gangrene
Prof. Syed Qarib Abbas
Tuesday 30-7-2019
Time: 9:30 am
Gangrene Management &
Amputations
Prof. Syed Qarib Abbas
Wednesday 31-7-2019
Time: 8:45 am
Chronic Limb Ischemia, CFs ,
Management
Prof. Syed Qarib Abbas
Thursday 1-8-2019
Time: 8:00 am
General Anaesthesia, Pharmocology Dr. Mobeen
Friday 2-8-2019
Time: 10:15 am
Venous Disorders, DVT, CFs, Prof Syed Qarib Abbas
Monday 5-8-2019
Time: 8:00 am
Venous Disorders, investigations &
Management
Prof. Syed Qarib Abbas
Tuesday 6-8-2019
Time: 9:30 am
Varicose veins, CFs, Investigations &
Management
Prof. Syed Qarib Abbas
Wednesday 7-8-2019
Time: 8;45 am
Lymphatic Disorders, Investigations,
& management
Prof. Syed Qarib Abbas
Thursday 8-8-2019
Time: 8: 00 am
Lymphoedema & Management Prof. Syed Qarib Abbas
615
Friday 9-8-2019
Time:
Chest Trauma – Tension
Pnumothorax
Dr. Tariq Saeed
Monday 12-8-2019
Time: 8:00 am
Neoplasm of Bones & Joints,
Investigations & Management
Dr. Usman
Tuesday 13-8-2019
Time: 9:30 am
Neoplasm of Muscles,
Classifications, C/F
Dr. Usman
Wednesday 14-8-2019
Time 8:45 am
Neoplasm of Muscles Investigations Dr. Uman
Thursday 15-8-2019
Time: 8:00 am
Neoplasm of Muscles -
Management
Dr. Usman
Friday 16-8-2019
Time: 10:15 am
Abdominal Trauma Mechanism of
Injury, Assessment & Resuscitation
Prof. Syed Qarib Abbas
Monday 19-8-2019
Time: 8: 00 am
Liver Trauma – Mechanism of
injury, Investigations &
Management
Prof. Syed Qarib Abbas
Tuesday 20-8-2019
Time: 9:30 am
Splenic Trauma – Mechanism of
Injury, Investigations&
Management
Prof. Syed Qarib Abbas
Wednesday 21-8-2019
Time: 8:45 am
Principles of Radiology Prof . Mehfooz – U –
Rehman
Thursday 22-8-2019
Time: 8:00 am
X Rays – Physical Principle involved
& Methods of X ray reporting
Prof. Mehfooz
Friday 23-8-2019
Time: 10:15 am
Plain & Contrast X- Rays Indications Prof. Mehfooz
Monday 26-8-2019
Time: 8: 00 am
Acute Appendicitis C/F,
Investigations & Management
Dr. Tariq Saeed
Tuesday 27-8-2019
Time: 9:30 am
Appendicular Mass & its
Management
Dr. Tariq Saeed
Wednesday 28-8-2019
Time: 8:45 am
Esophagus: Surgical Anatomy
Achalazia Cardia & Management
Prof Hassan Askri
Thursday 29-8-2019
Time: 8:00 am
Carcinoma Esophagus, Etiology, C/F,
Investigations & Management
Prof. Hassan Askri
Friday 30-8-2019 Time Neuro – axial Anaesthesia Dr. Usman
Monday 2-9-2019
Time: 8:00 am
Neck Swellings Prof. Sikandar Hayat Gondal
Tuesday 3-9-2019
Time: 9:30 am
Congenital Neck Swellings and
Cystic hygroma
Prof. Sikandar Hayat Gondal
Wednesday 4-9-2019
Time: 8:45 am
Cervical Lymphadenitis C/F,
Investigations & Management
Prof Sikandar Hayat Gondal
Thursday 5-9-2019
Time; 8: 00 am
Tuberculous Cervical
Lymphadenopathy
Prof. Sikandar Hayat Gondal
Friday 6-9-2019
Time: 10:15 am
Parotid Adenoma C/F,
Investigations & Management
Prof Sikandar Hayat Gondal
616
Monday 9-9-2019
Time: 8:00 am
Ultrasound – physical principles Prof. Mehfooz
Tuesday 10-9-2019
Time; 9:30 am
Techniques of ultrasound –
Indications of ultrasound & Doppler
ultrasound
Prof. Mehfooz
Wednesday 11-9-2019
Time: 8:45 am
Focused Assessment by sonograph
in Trauma ( FAST )
Prof. Mehfooz
Thursaday 12-9-2019
Time: 8:00 am
Principles Of CT – Scan and
Indications
Prof. Mehfooz
Friday 13-9-2019
Time: 10:15 am
3 – Dimentional and multiplanner
CT –Scan - uses & disadvantages
Prof. Mehfooz
Monday 16-9-2019
Time: 8:00 am
Acute & Chronic Cholecystitis,
Etiology, Management
Prof. Hassan Askri
Tuesday 17-9-2019
Time: 9:30 am
Acute Pancreatitis, Etiology, C/F,
Complications
Prof Hassan Askri
Wednesday 18-9-2019
Time: 8:45 am
Acute Pancreatitis & Management Prof Hassan Askri
Thursday 19-9-2019
Time: 8:00 am
I/V Regional Anaesthesia Dr. Usman
Friday 20-9-2019
Time: 10:15 am
Burns – Classification, Clinical
assessment
Dr. Tariq Saeed
Monday 23-9-2019
Time: 8:00 am
Burns – Management of Burn Injury Dr. Tariq Saeed
Tuesday 24-9-2019
Time: 9:30 am
Head Injury – Pathophysiology of
ICP, GCS
Dr. Tariq Saeed
Wednesday 25-9-2019
Time: 8:45 am
Management Of Head Injury Dr. Tariq Saeed
Thursday 26-9-2019
Time: 8: 00 am
Pre – Operative Preparation of
Surgical Patient
Dr. Usman
Friday 27-9-2019
Time: 10:15 am
ATLS – Protocol Dr. Tariq Saeed
Monday 30-9-2019
Time: 8:00 am
Principles of MRI and Indications Prof. Mehfooz
Tuesday 1-10-2019
Time: 9:00 am
MRI Scanning, uses, indication and
advantages
Prof. Mehfooz
Wednesday 2-10-2019
Time: 8:30 am
Nuclear – Isotopes Scanning,
Principles, Uses & Disadvantages
Prof. Mehfooz
Thursday 3-10-2019
Time: 8:00 am
Principles of Orthopedics –
Congenital diseases of bones &
joints
Dr. Noman
Friday 4-10-2019
Time: 10:15 am
Telepes Equino Varus & Valgus,
Congenital dislocation of Hip.
Dr. Noman
Monday 7-10-2019 Intestinal Obstruction, Etiology, Prof. Syed Qarib Abbas
617
Prof. Sikandar Hayat Gondal
HOD. Surgery
AIMCE
Time: 8:00 am Management
Tuesday 8-10-2019
Time: 9:30 am
Surgical Anatomy of Thyroid Prof. Syed Qarib Abbas
Wednesday 9-10-2019
Time: 8:45 am
Hyperthyroidism , C/Fs,
Investigations
Prof. Syed Qarib Abbas
Thursday 10-10-2019
Time: 8:00 am
Pain Management Dr. Usman
Friday 11-10-2019
Time: 10:15 am
Management of Hyperthyroidism Prof. Syed Qarib Abbas
Monday 14-10-2019
Time: 8:00 am
SEND UP EXAMINATION PAPER I MCQs = 50
SAQs = 10
Tuesday 15-10-2019
Wednesday 16-10-2019 SEND UP EXAMINATION PAPER II MCQs = 60
SAQs = 13
618
619
620
AMNA INAYAT MEDICAL COLLEGE
AIMC-MBBS,
PEDIATRICS SYLLABUS (PMDC & UHS)
&
ACADEMIC PLANNER
2017-2018
Department of Pediatrics, Amna Inayat Medical College
Focal Person: Dr. Khalid Mehmood
Author: Dr. Khalid Mehmood
Approved By: Prof. Dr. Tariq Bhatti
Faculty: Dr Tariq Bhatti HOD & Professor of Pediatrics
Dr. Iqbal Azhar Professor of Pediatrics
Dr. Khalid Mehmood Assistant Professor Pediatrics
621
CONTENTS 1. Introduction
2. Mission statement
3. Faculty and staff
4. PMDC Curriculum for pediatrics
5. UHS Curriculum for pediatrics
6. Curriculum in accordance with PMDC & UHS
7. Allocated credit hours of pediatrics
8. Number of lectures according to credit hours
9. Division of lectures into basic pediatrics and clinical pediatrics
10. Division of lectures according to organ system
11. Topics to be taught
12. Table showing term wise distribution of allocated hours
13. Table showing term wise final year schedule
14. Table showing term wise fourth year schedule
15. First term time table final year
16. Second term time table final year
17. Third term time table final year
18. First term fourth year time table
19. Second term fourth year time table
20. Third term fourth year time table
21. Assessments and evaluation
22. Recommended books
622
Introduction
The Department of pediatrics is concerned with the health of infants,
children and adolescents; their growth and development; and their
opportunity to achieve full potential as adults. Pediatrics must be
concerned not only with particular organ systems and biological
processes, but also with environmental and social influences, which
have a major impact on the physical, emotional and mental health and
social wellbeing of children and their families.
Pediatricians should also serve as advocates for all children, irrespective
of culture, religion, gender, race and ethnicity or of local, state, or
national boundaries. Children cannot advocate for themselves. More
than 4 decades ago, pediatrics emerged as a medical specialty in our
part of world in response to increasing awareness that the health
problems of children differ from those of adults and thata child
response to illness and stress varies with age.
The department is focused to uplift the overall wellbeing of children of
the community and to educate medical students in such a way that
they are well equipped to handle health problems of patients.
Prof. Dr Tariq Bhatti
Head of Department
623
Mission Statement
The department is committed for development of human
capacity through training of students, dissemination of
knowledge, expertise and developing professionalism. Itaims to
inculcate attitude of leadership, community services and ethics
among faculty members and students. Our mission has deep
roots in the faith to serve as a role model for our community to
deliver medical care judiciously, appropriately and timely
according to the available local resources. The training includes
epidemiology and knowledge of community problems.
624
Faculty and Staff
Sr.
No.
Name Qualification Role
1. Dr. tariqbhatti MBBS,MCPS,FCPS Professor / Head of
Department
2. Dr. Iqbal MBBS,FCPS Professor
3. Dr Khalid MBBS,MCPS,FCPS Assitant Professor
625
PMDC CURRICULAM OF PAEDIATRICS
PERFORMANCE OBJECTIVES:
COURSE CONTENT
List of suggested topics for teaching the undergraduates is given below, however
the individual faculties can alter/add topics as per their discretion in respective
institution:
- Common Problems of children in Pakistan and statistics of Pakistani Children.
- Clinical Methods in Paediatrics.
- Nutrition (Breast feeding, infant feeding, Weaning) and Nutritional Disorders: (PCM,
Rickets, Vitamin A Deficiency, iodine deficiency, Iron Deficiency).
- Growth and Development. 112
- Common Paediatric infections: Measles, tetanus, polio, diphtheria, whooping cough,
AIDS, Malaria, Enteric Fever, Tuberculosis, Chicken pox, Common Skin infections.
- Expanded Programme of Immunization (EPI). Newer vaccines.
- Diarrhoeal diseases.
- Acute Respiratory Infections (ARI).
- IMCI (Integrated Management of Childhood Illness).
- Neonatology: Resuscitation of new born, care of normal new-born, birth asphyxia,
premature and low birth weight babies, Neonatal Jaundice, Neonatal sepsis,
Neonatal fits, Respiratory distress of new born, Common skin conditions of
neonates;Pyloric stenosis, Myelo-meningocele, Hydrocephalus, common
congenital abnormalities and Birth trauma.
- Neurology: Meningitis, febrile, convulsions, epilepsy, Cerebral Palsy, mental handicap,
Cerebral Malaria, Encephalitis.
- Cardiology: Congenital heart diseases [VSD, PDA, TOF, ASD], Rheumatic fever.
Congestive cardiac failure, Clinical assessment of a cyanotic neonate/infant.
- Haematology: Anaemias, Thalassemia, Leukemias, Bleeding disorders.
- Nephrology: Nephrotic syndrome, Urinary tract infections, Acute Glomeulonephritis.
- Endocrinology: Hypothyroidism, short stature, Diabetes.
- Pulmonology: Croup, Asthma, Tuberculosis, Pneumonias, Pleural effusions.
- Gastroenterology: Abdominal pain, Malabsorption, Hepatitis, cirrhosis, Acute liver
failure, Diarrhoea [acut/echronic] Dysentery, Worm infestations, Giardia,
amoebiasis Rectal Polyp.
- Genetics: Patterns of inheritance, Down’s syndrome.
626
- Social Paediatrics: Right of child, child abuse, Enuresis, encoparesis, Hyperactivity,
Dyslexia, Attention Deficit disorder.
- Miscellaneous: Poisoning, prevention of home accidents, behavioural disorders.
- Paediatric Surgery: Hernia, Intussusseption, Intestinal obstruction, Tallipes, congenital
Dislocation of Hip, Vesico ureteral reflux.
A. KNOWLEDGE AND UNDERSTANDING
1. Student will be able to give description of common paediatric problems and
diseases, in children at different ages.
2. Student will show an understanding of national programmes working for
health promotion and disease prevention in children e.g. EPI, ARI etc.
3. Student will show an understanding of processes of growth and development
in childhood and will be able to describe growth parameters and
developmental milestones at different ages. 113
4. Student will demonstrate understanding of the importance of nutrition in
children and be able to describe diets suitable for different ages and in
different diseases.
5. Student will show an understanding of the interaction between heredity and
environment in the genesis of disease in children.
6. Student will be able to describe care of new-born baby, in health and when
suffering from common problems, along with importance of perinatal
factors impacting on the well being of the new-born.
7. The Student will show understanding and knowledge about common accidents
and poisoning in children and their management.
B. SKILLS:
1. Students will demonstrate his ability to obtain a relevant clinical history from a
parent or an older child.
2. Student will demonstrate his ability to perform adequate clinical examination
of a child of any age (including new-born).
3. Student will be able to interpret clinical and laboratory data arriving at a
diagnosis.
4. Student will be able to advise appropriate nutritional measures for healthy and
sick children (Breast feeding, avoidance of bottle, proper weaning).
5. Student will be able to counsel the parents on health promotive and disease
preventive strategies for the child e.g. immunisation procedures; hand
washing)
627
6. Student will be able to recognize and manage common health problems of
children.
7. Student will recognize the danger signs of disease in children and be able to
appropriately refer children with severe disease to appropriate
specialists/hospitals.
8. Student will demonstrate his ability to perform essential clinical procedures
relevant to children, e.g.
Resuscitation of new-born.
Basic cardio-pulmonary resuscitation.
Anthropometric measurements.
Measuring blood pressure.
Starting Intravenous lines/draw blood sample.
Administration of Oxygen therapy
Giving Nebulizer therapy [Bronchodilator]
Use of Growth chart.
OBSERVE THE FOLLOWING SKILLS:
Lumbar Puncture
Bone marrow aspiration 114
628
Supra pubic puncture
Subdural tap
Thoracocentesis
Pericardiocentesis
Liver Biopsy
Renal biopsy
Observe passing of catheter
Observe pericardial tap
9. The Student will show ability to provide general care of sick Paediatric patients
and be able to carry out simple diagnostic tests in the side lab.
A curriculum of Paediatrics should be designed based on common problem of
Pakistani children which a medical student should at least know.
OBJECTIVES
1. Students acquire the knowledge of health promotion, disease prevention and
management of common diseases in children (including new-borns).
2. Students become proficient in basic clinical skills of history taking, physical
examination, data interpretation and basic technical procedures as applied to
children of different ages.
3. Students develop an attitude of sympathetic care for the child patient and his
parents.
4. Students develop a desire for self-learning.
5. Students are able to visualize the impact of the disease on the community as a whole
and be able to study the genesis of epidemics and be able to plan prevention of
those.
6. The students are equipped with the knowledge and confidence to play the role of a
teacher, supervisor and organizer in a primary health care setup.
629
UHS CURRICULAM OF PAEDIATRICS
The course outline is as follows :
List of suggested topics for teaching the undergraduates is given below,
however the individual faculties can alter/add topics as per their
discretion in respective institution:
• Common problems of children in Pakistan and statistics of Pakistani
children
• Clinical methods in paediatrics
• Nutrition (breast feeding, infant feeding , weaning) and nutritional
disorders:(PEM, rickets, vitamin A deficiency, iodine deficiency, iron
deficiency )
• Growth and development.
• Common pediatric infections: measles, tetanus, polio, diphtheria,
whooping cough, aids
• Malaria, enteric fever, tuberculosis, chicken pox, common skin
infections
• Expanded program of immunization (EPI) .newer vaccines
• Diarrheal diseases.
• Acute respiratory infections (ARI).
• IMCI (integrated management of childhood illness).
• Neonatology: resuscitation of new born, care of normal new born,
birth asphyxia, premature and low birth weight babies, neonatal
jaundice, neonatal sepsis, neonatal fits, respiratory distress of new
born, common skin conditions of neonates; pyloric stenosis,
myelomeningocele, hydrocephalus, common congenital abnormalities
and birth trauma.
• Neurology: meningitis, febrile, convulsions, epilepsy, cerebral palsy,
mental handicap, cerebral malaria, encephalitis
• Cardiology: congenital heart diseases [VSD, PDA, TOF, ASD],
rheumatic fever. Congestive cardiac failure, clinical assessment of a
cyanotic neonate/infant.
• Haematology: anaemias, thalassemia, leukemias, bleeding disorders.
• Nephrology: nephrotic syndrome, urinary tract infections, acute
glomeulonephritis
• Endocrinology: hypothyroidism, short stature, diabetes
• Pulmonology: croup, asthma, tuberculosis, pneumonias , pleural
effusions.
• Gastroenterology: abdominal pain, malabsorption, hepatitis, cirrhosis,
acute liver failure
• Diarrhea[acut/echronic] dysentery, worm infestations, giardia,
amoebiasis, rectal polyp.
• Genetics: patterns of inheritance, Down’s syndrome,
630
• Social pediatrics: right of child, child abuse, enuresis, encoparesis,
hyperactivity
• Dyslexia, attention deficit disorder
• Miscellaneous: poisoning, prevention of home accidents, behavioral
disorders.
• Pediatric surgery: hernia, intussusceptions, intestinal obstruction,
tallipes, congenital dislocation of hip, vesico ureteral reflux.
SKILLS: 1. Students will demonstrate his ability to obtain a relevant clinical
history from a parent or an older child.
2. Student will demonstrate his ability to perform adequate clinical
examination of a child of any age (including newborn).
3. Student will be able to interpret clinical and laboratory data to arrive
at a diagnosis.
4. Student will be able to advise appropriate nutritional measures for
healthy and sick children (Breast feeding, avoidance of bottle, proper
weaning)
5. Student will be able to counsel the parents on health promotive and
disease preventive strategies for the child e.g. immunization procedures;
hand washing)
6. Student will be able to recognize and manage common health
problems of children.
7. Student will recognize the danger signs of disease in children and be
able to appropriately refer children with severe disease to appropriate
specialists/hospitals.
8. Student will demonstrate his ability to perform essential clinical
procedures relevant to children e.g.
_ Resuscitation of newborn.
_ Basic cardio-pulmonary resuscitation.
_ Anthropometric measurements.
_ Measuring blood pressure
_ Starting intravenous lines/ draw blood sample
_ Administration of oxygen therapy
_ Giving nebulizer therapy [bronchodilator]
_ Use of growth chart
OBSERVE THE FOLLOWING SKILLS:
1. Lumbar puncture
2. Bone marrow aspiration
3. Supra pubic puncture
4. Subdural tap
5. Thoracentesis
6. Pericardiocentesis
7. Liver biopsy
631
8. Renal biopsy
9. Observe passing of catheter
10. Observe pericardial tap
RECOMMENDED BOOKS: 1. Text book of paediatricsby Pervaiz Akbar
2. Essentials of Paediatricsby Nelson. Latest Edition.
3. Online Journals and Reading Materials through HEC Digital Library
Facility
632
CURRICULUM
In accordance with UHS and PMDC
633
Academic curriculum of pediatric department
for year 2017-2022
Existing structure:
Total credit hours 236 hours
Theory 108 hours (considering 36 working weeks)
4 lectures /week (3+1)
Clinical 128 hours
Final year 80 hours
Fourth year 32 hours
Third year 16 hours
Proposed structure:
Total credit hours 209 hours
Theory 81 hours
3 lectures /week (2+1)
Clinical 128 hours
Final year 80 hours
Fourth year 32 hours
Third year 16 hours
634
Number of lectures according to credit hours
Existing structure:
Total hours 108
Total lectures 144
Final year 108
Fourth year 36
Proposed structure:
Total hours 81
Total lectures 108
Final year 72
Fourth year 36
635
Division of lectures into two categories
Basic pediatrics/ theoretical lectures 30% (32 lectures)
This will include introduction to pediatrics, preventive pediatrics, growth and
development, nutrition, fluid and electrolyte balance and neonatology.
Clinical topics 70% (76 lectures)
636
Division of lectures according to system
BASIC PEDIATRICS
1. Introduction to pediatrics 1 lecture
2. Growth and development 6 lectures
3. Preventive pediatrics 2 lectures
4. Nutrition 7 lectures
5. Fluid and electrolytes 1 lecture
6. Poisonings 5 lectures
7. Pediatric pharmacology 1 lecture
8. Neonatology 9 lectures
CLINICAL TOPICS
1. Gastro enterology 7 lectures
2. Cardiovascular 7 lectures
3. Respiratory 7 lectures
4. CNS 9 lectures
5. Infectious diseases 11 lectures
6. Hematology /oncology 6 lectures
7. Nephrology 6 lectures
8. Endocrine 6 lectures
9. Neuromuscular diseases 2 lectures
10. IMCI 1 lectures
11. Genetics 2 lectures
12. Social pediatrics 6 lectures
13. Pediatric surgery 6 lectures
637
Name of lectures
BASIC PEDIATRICS
1. Introduction to pediatrics ( 1 lecture)
2. Growth and development (6 lectures)
. Newborn
. Gross motor development
. Fine motor development
. Vision and hearing
. Preschool and middle childhood
. Adolescence
3. Preventive pediatrics (2 lectures)
. Immunization(EPI and NIDprogramme)
. Polio malaria and T.B eradication programmes
4. Nutrition (7 lectures)
. Breast feeding
.Weaning food
.Vitamin A deficiency and execess
.Iodine deficiency
. Rickets and hypervitaminosis D
. Iron deficiency
. Micronutrients and mineral deficiency
5. Fluid and electrolytes (1 lecture)
. Electrolytes and acid base disorder
. Maintenance and replacement therapy
. Fluid and electrolyte treatment of specific disorders
6. Poisonings (5 lectures)
.lead poisoning
. Mercury and heavy metal poisonings
.kerosine oil ingestions
. Organophosphate poisonings
. Salicylate poisoning
7. Pediatric pharmacology (1lecture)
. Principals of drug therapy
638
. pharmacogenesis
8. Neonatology (9 lectures)
. Resuscitation of newborn
. Care of normal newborn
. Birth asphyxia
. Premature and low birth weight babies
. Neonatal jaundice
. Neonatal sepsis
. Neonatal fits
. RDS
. Congenital anomalies (hydrocephalus, myelomeningocele,TEV etc.)
CLINICAL PEDIATRICS LECTURES
1. GIT( 7 lectures)
. Abdominal pain
. Acute diarrhea
. Chronic diarrhea
. Hepatitis
. Cirrhosis
. Acute liver failure
. Giardiasis and amoebiasis
2. CVS (7 lectures)
.Congestive cardiac failure
. Acyanotic congenital heart disease
. Cyanotic congenital heart disease
. Viral myocarditis
. Rheumatic fever
. Rheumatic heart disease
. Infective endocarditis
3. Respiratory system ( 7 lectures)
. Common upper airway infections (croup, epiglottitis,etv.)
. Bronchiolitis
. ARI programme
. Bronchial asthma
. Pneumothorax
. Pleural effusion
639
. Bronchiectasis
4. CNS ( 9 lectures)
. Acute bacterial meningitis
. TBM
. Febrile fits
. Epilepsy
. Viral encephalitis
. Cerebralmalaeia
. Cerebral palsy
. Stroke
. Acute flaccid paralysis
5. Infectious diseases (11 lectures)
. Enteric fever
. T.B
. Malaria
. Measles
. Chicken pox
. Mumps
. Diphtheria
. Whooping cough
. Polio
. Tetanus
. Dengue fever
6. Hematology /oncology (6 lectures)
. Iron deficiency anemias
. Hemolyticanemias / thalassemia
. Aplastic anemia
. Leukemia
. Lymphomas
. Bleeding disorders ( ITP, von billebrand disease)
7. Nephrology ( 6 lectures)
. Acute glomerulonephritis
. Nephrotic syndrome
. Acute renal failure
. Chronic renal failure
. Urinary tract infections
. Renal masses
8. Endocrine (6 lectures)
. Diabetes mellitus
. Addison disease
640
. Cushing syndrome
. Thyroid disorders (hypothyroidism and hyperthyroidism)
. Parathyroid(hypo and hyperparathyroidism)
. Pituatory problems
9. Neuromuscular disorders (2 lectures)
. Muscular dystrophies
. Myasthenia gravis
10. IMNCI (1lecture)
11. Genetics ( 2lectures)
. Patterns of inheritance
. Down syndrome
12. Social pediatrics ( 6 lectures)
. Rights of child
. Child abuse
. Enuresis and encoperesis
. Hyperactive child
. Attention deficit disorder
. Dyslexia
13. Pediatric surgery ( 6 lectures)
. Hernia
. Intussception
. Intestinal obstruction
. Talipes disorder of foot
. Congenital dislocation of hip joint
. Vesico ureteral reflux
641
SCHEME OF SUBJECTS
Allocated Hours divided into Theory & Practical
First term Theory Practical Second term Theory Practical Third term Theory Practical Grand
Total
T 1 T P T2 T P T3 T P
T1 T2 T3
642
ACADEMIC PLANNER
Allocation of Hours:
Lectures: 108 Final year: 76
Fourth year 32
Final year schedule
Title Description Lectures Clinical hours in
ward
FIRST TERM 15thDec to
15th March 24 26
SECOND
TERM
16th Mar to
15th June 24 26
THIRD TERM 16th June to
15th Sep 24 26
Total - 72 80
WINTER BREAK: 25/12/2017 to 01/1/2018
SPRING BREAK: 01/4/18 to 8/4/2018
SUMMER BREAK: 15.6.2018 to 14.7.2018
643
FOURTH YEAR SCHEDULE
Title Description Lectures Clinical hours in
ward
FIRST TERM 15thDec to
15th March 12 11
SECOND
TERM
16th Mar to
15th June 12 11
THIRD TERM 16th June to
15th Sep 12 10
Total - 36 32
644
Curriculum
Department of pediatric Medicine
1st TERMFINAL YEAR|
1st Term - 15thDec to 15th March
- Number of lectures = 24
- Clinical work = 26 hours
Winter Break - Last week of Dec
Sr.
No.
Topic Learning Objectives Total No.
of Lectures
Lecturer
1
Abdominal pain
Students should be able to
understand etiology and
management issues
01
Dr. Khalid
2
Acute diarrhea
Students should be able to
understand the definition,
assess dehydration and
management
01
Dr. Khalid
3 Chronic diarrhea Students should be able to
understand the definition,
assess dehydration and
management
01
Dr. Khalid
4 hepatitis Students should be able to
understand definition ,
etiology ,how to investigate
and manage the case
01
Dr. Khalid
645
5 Chronic liver
disease
Students should be able to
understand definition ,
etiology ,how to investigate
and manage the case
01
Dr. Khalid
s6 Acute liver failure Students should be able to
understand definition ,
etiology ,how to investigate
and manage the case
01
Dr. Khalid
7 Giardiasis and
amoebiasis
Students should be able to
understand definition ,
etiology ,how to investigate
and manage the case
01
Dr. Khalid
8 Congestive
cardiac failure
Students should be able to
understand definition ,
etiology ,how to investigate
and manage the case
01 Dr Tariq
bhatti
9 AcyanoticCHD Students should be able to
understand definition ,
etiology ,how to investigate
and manage the case
01 Dr Tariq
bhatti
10 Cyanotic CHD Students should be able to
understand definition ,
etiology ,how to investigate
and manage the case
01 Dr Tariq
bhatti
11 Viral myocarditis Students should be able to
understand definition ,
etiology ,how to investigate
and manage the case
01 Dr Tariq
bhatti
12 Rheumatic heart
disease
Students should be able to
understand definition ,
etiology ,how to investigate
and manage the case
01 Dr Tariq
bhatti
13 infective
endocarditis
Students should be able to
understand definition ,
etiology ,how to investigate
and manage the case
01 Dr Tariq
bhatti
646
14 Common upper
airway infections
Students should be able to
understand definition ,
etiology ,how to investigate
and manage the case
01 DrIqbal
15 bronchiolitis Students should be able to
understand definition ,
etiology ,how to investigate
and manage the case
01 DrIqbal
17 Bronchial asthma Students should be able to
understand definition ,
etiology ,how to investigate
and manage the case
01 DrIqbal
18 pneumothorax Students should be able to
understand definition ,
etiology ,how to investigate
and manage the case
01 DrIqbal
19 Pleural effusion Students should be able to
understand definition ,
etiology ,how to investigate
and manage the case
01 DrIqbal
20 bronchiectasis Students should be able to
understand definition ,
etiology ,how to investigate
and manage the case
01 DrIqbal
21 Acute bacterial
meningitis
Students should be able to
understand definition ,
etiology ,how to investigate
and manage the case
01
Dr Tariq
bhatti
22 TBM Students should be able to
understand definition ,
etiology ,how to investigate
and manage the case
01 Dr Tariq
bhatti
23 Febrile fits Students should be able to
understand definition ,
etiology ,how to investigate
and manage the case
01 Dr Tariq
bhatti
647
24 epilepsy Students should be able to
understand definition ,
etiology ,how to investigate
and manage the case
01 Dr Tariq
bhatti
648
2ndTERMFINAL YEAR|
2nd Term - 16th Mar to 15th June
- No. of lectures = 24
- Clinical work = 26 hours
Spring Break - 1st week of April
Sr.
No.
Topic Brief Description Total
No. of
Lectures
Lecturer
1.
Viral encephalitis Students should understand
Clinical features, Diagnosis and
Management.
01
Dr. Tariq
bhatti
2 Cerebral malaria Students should understand
Clinical features, Diagnosis and
Management.
Dr. Tariq
bhatti
3
Cerebral palsy
Students should understand
Clinical features, Diagnosis and
Management.
01
Dr. Tariq
bhatti
4
stroke
Students should understand
Clinical features, Diagnosis and
Management.
01
Dr. Tariq
bhatti
5
Acute flaccid
paralysis
Students should understand
Clinical features, Diagnosis and
Management.
01
Dr. Tariq
bhatti
6 Enteric fever Students should
understandepidemiology,Clinical
features, Diagnosis and
Management.
01
DrIqbal
7
T.B
Students should understand
epidemiology,Clinical features,
Diagnosis and Management.
01
DrIqbal
649
8 Malaria Students should understand
epidemiology,Clinical features,
Diagnosis and Management.
01
DrIqbal
9
measles
Students should understand
epidemiology,Clinical features,
Diagnosis and Management.
01
DrIqbal
10 Chicken pox Students should understand
epidemiology,Clinical features,
Diagnosis and Management.
01 DrIqbal
11 Mumps Students should understand
epidemiology,Clinical features,
Diagnosis and Management.
01
DrIqbal
12 diptheria Students should understand
epidemiology,Clinical features,
Diagnosis and Management.
01
DrIqbal
13 Whooping cough Students should understand
epidemiology,Clinical features,
Diagnosis and Management.
01 DrIqbal
14
Polio Students should understand
epidemiology,Clinical features,
Diagnosis and Management.
01
DrIqbal
15 Tetanus Students should understand
epidemiology,Clinical features,
Diagnosis and Management.
01 DrIqbal
16 Dengue fever Students should understand
epidemiology,Clinical features,
Diagnosis and Management.
01 DrIqbal
17 Iron deficiency
anemia
Students should understand
Clinical features, Diagnosis and
Management.
01 Dr Tariq
bhatti
18 Hemolytic
anemias/thalassemia
Students should understand
Clinical features, Diagnosis and
Management.
01 Dr Tariq
bhatti
650
19 Aplastic anemia Students should understand
Clinical features, Diagnosis and
Management.
01 Dr Tariq
bhatti
20 leukemia Students should understand
Clinical features, Diagnosis and
Management.
01 Dr Tariq
bhatti
21 lymphomas Students should understand
Clinical features, Diagnosis and
Management.
01 Dr Tariq
bhatti
22 Bleeding disorders Students should understand
Clinical features, Diagnosis and
Management.
01 Dr Tariq
bhatti
23 Acute
glomerulonephritis
Students should understand
Clinical features, Diagnosis and
Management.
01 Dr Tariq
bhatti
24 Nephrotic syndrome Students should understand
Clinical features, Diagnosis and
Management.
01 Dr Tariq
bhatti
651
3rdTERMFINAL YEAR|
3rd Term - 16th June to 15th Sep
- No. of lectures = 24
- Clinical work = 26 hours
Sr.
No.
Topic
Brief Description
Total No. of
Lectures
Lecturer
1.
Acute renal failure
Students should
understand etiology,
clinical features, diagnosis
and management
01
Dr. tariqbhatti
2.
Chronic renal failure
Students should
understand etiology,
clinical features, diagnosis
and management
01
Dr. tariqbhatti
3.
Urinary tract infections
Students should
understand etiology,
clinical features, diagnosis
and management
01 Dr. tariqbhatti
4
Renal masses
Students should
understand etiology,
clinical features, diagnosis
and management
01
Dr. tariqbhatti
5. Diabetes mellitus Students should
understand etiology,
clinical features, diagnosis
and management
01
Dr. tariqbhatti
6.
Addison disease Students should
understand etiology,
clinical features, diagnosis
and management
01
Dr. tariqbhatti
7.
Cushing syndrome
Students should
understand etiology,
clinical features, diagnosis
and management
01
Dr. tariqbhatti
652
8. Thyroid disorders
Students should
understand etiology,
clinical features, diagnosis
and management
01
Dr. tariqbhatti
9.
Parathyroid disoders
Students should
understand etiology,
clinical features, diagnosis
and management
01
Dr. tariqbhatti
10 Pituatory problems Students should
understand etiology,
clinical features, diagnosis
and management
01 Dr. tariqbhatti
11 Muscular dystrophies Students should
understand inheritance,
clinical features, diagnosis
and management
01 Driqbal
12 Myasthenia gravis Students should
understand etiology,
clinical features, diagnosis
and management
01 Driqbal
13 IMNCI Students should
understand etiology,
clinical features, diagnosis
and management
01 Driqbal
14 Genetics/ patterns of
inheritance
Students should
understand patterns of
inheritance
01 Driqbal
15 Down syndrome Students should
understand patterns of
inheritance, clinical
features
01 DrIqbal
16 Rights of child Students should
understand social
pediatrics and rights of
child
01 DrIqbal
17 Child abuse Students should
understand forms of child
abuse and how to deal
with such problems
01 DrIqbal
18 Enuresis and
encoperesis
Students should
understand etiology,
clinical features, diagnosis
and management
01 DrIqbal
653
19 Hyperactive child Students should
understand etiology,
clinical features, diagnosis
and management
01 DrIqbal
20 Attention deficit
disorder
Students should
understand etiology,
clinical features, diagnosis
and management
01 DrIqbal
21 hernia Student should
understand types of
hernia and surgical
management
01 DrIqbal
22 Intussception Students should be able
to diagnose intussception
and know treatment
01 DrIqbal
23 Intestinal obstruction Students should be able
to diagnose intestinal
obstruction and know
treatment
01 DrIqbal
24 DDH Students should be able
to diagnose intestinal
obstruction and know
treatment
01 DrIqbal
25 Talipes disorder of foot Students should be able
to identify talipes and
manage accordingly
01 DrIqbal
26 Vesicoureteral reflux Students should be able
to identify problem and
treat appropriately
01 DrIqbal
27 Cleft lip and cleft palate Students should be able
to identify cleft lip and
palate and manage
accordingly
01 DrIqbal
28 Dyslexia Students should be able
to identify dyslexia and
manage accordingly
01 DrIqbal
654
FOURTH YEAR FIRST TERM
Sr.
No.
Topic
LEARNING OBJECTIVE
LECTURES
LECTURER
1. Introduction to
pediatrics
Students should learn about
the importance of pediatrics
in community
01 Dr. Tariq bhatti
2. Growth and
development
New born
Students should learn about
growth and development
pattern of children
01 Dr. Iqbal
3. Fine motor
development
Students should know about
fine motor development of
child
01 Dr. Iqbal
4. Vision and hearing Students should know about
vision and hearing of children
01 Dr. Iqbal
5.
Preschool and middle
childhood
Students should learn about
preschool and middle
childhood growth and related
problems
01 Dr. Iqbal
6. adolescence Students should learn about
adolescent growth and
related problems
01 Dr. Iqbal
7. Preventive pediatrics Students should know about
the EPI and NIDprograms
01 Dr. Iqbal
8. Preventive pediatrics Students should know about
the malaria, polio and T.B
eradication programs
01 Dr. Iqbal
9. Nutrition
Breast feeding
Students should know about
basics of nutrition especially
breast feeding
01 Dr. Iqbal
10 Weaning food Students should learn about
weaning foods and effect of
weaning on growth
01 Dr. Iqbal
11 Vitamin A deficiency
and excess
Students should learn about
vitamin A related problems
01 Dr. Iqbal
12 Iodine deficiency Students should learn about
iodine related problems
01 Dr. Iqbal
655
FOURTH YEAR SECOND TERM
Sr. Topic Learning objectives lectures lecturer
1. Rickets and
hypervitaminosis D
Students should learn about
vitamin D related problems
01 Dr. Iqbal
2. Iron deficiency Students should learn about iron
related problems
01 Dr. Iqbal
3. Micronutrients and
minerals deficiency
Students should learn about
micronutrients related problems
01 Dr. Iqbal
4. Fluid and electrolytes students should learn about fluid
and electrolytes imbalance
01 Dr. Iqbal
5. Lead poisoning Students should learn about lead
poisoning and its management
01 Drkhalid
6. Mercury and heavy
metal poisonings
Students should learn about
mercury poisoning and its
management
01 Drkhalid
656
7. Kerosene oil ingestion Students should learn about
kerosene oil ingestion and its
management
01 Drkhalid
8. Organophosphate
poisoning
Students should learn about
organophosphate poisoning and
its management
01 Drkhalid
9. Salicylate poisoning Students should learn about
salicylate poisoning and its
management
01 Drkhalid
10. Pediatric pharmacology Students should know about
dosages of different drugs used in
pediatrics
01 Dr. Tariq
bhatti
657
FOURTH YEAR THIRD TERM
Sr.
No.
TOPIC
LEARNING OBJECTIVE
LECTURES
LECTURER
1. Resuscitation of
newborn
Students should learn how to
resuscitate a newborn
01 Dr Tariq bhatti
2. Care of normal
newborn
Students should learn care of
a normal newborn
01 Dr Tariq bhatti
3. Birth asphyxia Students should learn
etiology, clinical features,
diagnosis and management
01 Dr Tariq bhatti
4. Premature and low
birth weight babies
Students should learn
etiology, clinical features,
diagnosis and management
01 Dr Tariq bhatti
5.
neonatal jaundice Students should learn
etiology, clinical features,
diagnosis and management
01 Dr Tariq bhatti
6. Neonatal sepsis Students should learn
etiology, clinical features,
diagnosis and management
01 Dr Tariq bhatti
7. Neonatal fits Students should learn
etiology, clinical features,
diagnosis and management
01 Dr Tariq bhatti
8. RDS Students should learn
etiology, clinical features,
diagnosis and management
01 Dr Tariq Bhatti
9. Congenital anomalies Students should learn about
different congenital
anomalies
01 Dr Tariq Bhatti
10. Hemorrhagic disease
of newborn
Students should learn
etiology, clinical features,
diagnosis and management
01 Dr Tariq Bhatti
658
659
Assessment and evaluation
Students would be evaluated through examination at the end of each term and ward tests at
the end of batch.
Send up examination will be taken in October.
Recommended books
1. Text book of pediatrics by Pervaiz akbar
2. Essentials of pediatrics by nelson
660
AMNA INAYAT MEDICAL COLLEGE
AIMC-MBBS,
Gynecology + Obstetrics (PMDC/UHS)
&
ACADEMIC PLANNER
2017-2022
Department of Gynecology + Obstetrics, AIMC
Focal Person: Dr. Sajeela Hameed
Author: Prof. Dr. FarkhandaShoiab / DrSajida Yasmeen
Approved by: Dr. FarkhandaShoaib Randhawa
Faculty: Prof. Dr. FarkhandaShoaib Randhawa (HOD Obs + Gyne)
Dr. Sajeela Hameed (Prof Obs + Gyne (Acting)
Dr. Sajida Yasmeen (Associate Prof Obs + Gyne)
Dr. NaziaSajjad (Assistant Prof)
Dr. Sobia Zafar (Assistant Prof)
Dr. Lubna Imran (Assistant Prof)
661
CONTENTS
1.0. INTRODUCTION
1.1. Department of Gynecology + Obstetrics, faculty and staff
1.2. PMDC Table of Subjects, spacing and allocated hours of MBBS Program
1.3. Allocated contact hours (Theory, Clinical, Total) of Gynecology + Obstetrics,
subject, in year 3rd, 4th, final year MBBS Program.
1.4. Semester planner of contact hours (Theory, Clinical, Total) of Gynecology +
Obstetrics, subject, in year 3rd, 4th, final year MBBS Program.
1.5. Assessment/Evaluations/Examinations-Planner
1.6. Scheme of Semesters and Send up Assessments/Evaluations and University
Examinations of year MBBS Program.
1.7. Blooms Taxonomy
1.8. Learning Strategies
2.0. CURRICULUM OF Gynecology + Obstetrics, SUBJECT.
2.1. PMDC Curriculum
2.2. UHS Curriculum
3.0. LESSON PLANNERS AND TIME TABLE
3.1. Time Table of Lectures/Clinical classes 3rd, 4th, final year MBBS.
3.2. Lesson planner with titles and learning objectives of “Theory & Clinical” of year-3
3.3. Lesson planner with titles and learning objectives of “Theory & Clinical” of year-
4.
3.4. Lesson planner with titles and learning objectives of “Theory & Clinical” of year-5
4.0. ASSESSMENTS/EVALUATIONS/EXAMINATIONS
4.1. Continuous Assessments
4.2. Evaluations at End of Semester
4.3. Evaluations at end of year (Send up)
4.4. University Examinations (Professional 3rd, 4th& final year)
4.5. Student Feedback form (Student will fill and submit his/her Feedback form) at
end of each year regarding, quality of teaching, quality of learning resources and any
recommendations to improve effectiveness of teaching and
assessments/evaluations)
662
PMDC TABLE OF SPACING AND HOURS OF SUBJECTS IN MBBS COURSE
SUBJECT 1st Year 2nd Year 3rd Year 4th Year 5th Year Total
Hours
BEHAVIOURAL SCIENCE 5HRS 5HRS 5HRS 5HRS 5HRS 25HRS
ISLAMIC PAKISTAN AND
STUDIES
15HRS 15HRS 10HRS 10HRS - 50HRS
ANATOMY 250HRS 250HRS - - - 500HRS
PHYSIOLOGY 250HRS 250HRS - - - 500HRS
BIOCHEMISTRY 100HRS 100HRS - - - 200HRS
PHARMACOLOGY - - 300HRS - - 300HRS
PATHOLOGY 15HRS 25HRS 260HRS 200HRS - 500HRS
FORENSIC MEDICINE - - 100HRS - - 100HRS
COMMUNITY MEDICINE 25HRS 25HRS 50HRS 150HRs - 250HRS
MEDICINE AND ALLIED
NUCLEAR MEDICINE
EMERGENCY MEDICINE
MEDICINE ELECTIVE
PSYCHIATRY
DERMATLOGY AND GENERAL
PRACTICE
25HRS
-
30HRS
10HRS
120HRS
-
265HRS
10HRS
360HRS
-
800HRS
20HRS
PAEDIATRIC MEDICINE 5HRS 10HRS 15HRS 50HRS 70HRS 450HRS
SURGERY AND ALLIED
RADILOGY
ORTHOPEDICS
PAEDS SURGERY
NEUROSURGERY
SURGERY ELECTIVE
EMERGENCY SURGERY
& ANAESTHESIA
25HRS
5HRS
30HRS
10HRS
120HRS
-
265HRS
10HRs
360HRS
15HRS
800HRS
40HRS
OBSTETRICS AND
GYNAECOLOGY
10HRS 10HRS 50HRS 100HRS 130HRS 300HRS
OPTHALMOLOGY 5HRS 10HRS 15HRS 70HRS - 100HRS
OTORHINOLARYNGOLOGY(ENT) 5HRS 10HRS 15HRS 70HRS - 100HRS
CLINICOPATHOLOGICAL
CONFERENCE
- - - 60HRS - 60HRS
Total 740HRS 790HRS 1060HRS 1265HRS 940HRS 4795HRS
663
TOTAL NUNBER OF COUNTACT HOURS
Subject: GYNECOLOGY + Obstetrics
Total number of Contact Hours For 3rd years MBBS
Mits Total Number Total Contact Hours
Lectures 27 15
Clinical Class 20 33
Assessment 01 02
Total Contant House 50
Total Contact Hour: 50
Duration of Lecture 45 Min
Duration of Clinical Class 100 Min
Duration of Assessment 100 Min
664
Allocate Hours Divided Into Theory & Clinical
Subject: Gynecology + Obstetrics 3rd Year MBBS
Semester Theory Clinical Assessment Total
Semester 1 5 11 0 15
Semester 2 5 11 02 17
Semester 3 5 11 0 18
Grand Total 50
665
Semester Planner for 3rd Year MBBS
Subject: Gynecology + Obstetrics
Semesters Semester 1 Semester 2 Semester 3
To
pic
s
Development and
Abnormalities of
Genital Tract
Management of
Labour
Contraception
Conception and
Placental
abnormalities
Ectopic Pregnancy Pregnancy Induced
Hypertension
Menstruation ,
Ovulation and clinical
importance
Preterm Labour Menopause and 1+RT
Foetal skull and bony
pelvis
Infertility Anemia in Pregnancy
Menstrual
abnormalities
Post maturity Genital Prolapse
Physiological changes
in pregnancy
Pelvic Inflammatory
Disease
Diabetes in Pregnancy
Primary and secondary
amenorrhea
Polyhydramnois and
Oligohydramnois
Psychological and
Ethical Aspect in gyne
Mechanism of Labour Endometriosis and
Adenomyosis
Intrauterine Growth
Restriction
Abortion Multiple Pregnancy ERCP and D+C
Total Duration of Session 9 months
Total Semesters: 3
Each Semester Duration: 3 Months
666
Total Number of Contact Hours
Subject: Gynecology + Obstetrics
Total Number Of Contact Hours For 4th Year MBBS
MITS TOTAL NUMBER TOTAL CONTACT HOURS
Lecture 28 21
Clinical Class 27 53
Assessment 03 09
CME 02 06
Group Discussions 02 06
Tutorial 02 02
Grand Tutorial 01 03
Total 100 Hours
Total Contact Hours 100
Lecture Duration 45 Min
Clinical Class 120 Min
Tutorial 100 Min
Assessment 180 Min
CME 180 Min
Group Discussion 180 Min
Grand Tutorial 180 Min
667
Allocated Hours Divided Into Theory & Clinical
Subject: Gynecology + Obstetrics 4th Year MBBS
Semester Lecture Clinical Assessment CME Group
Discussion
Tutorial Grand
Tutorial
Total
Semester
1
07 18 03 03 31
Semester
2
07 18 03 03 03 34
Semester
3
07 17 03 03 02 03 25
Grand
Total
100
Lecture Duration 45 Min
Clinical Class 120 Min
Tutorial 100 Min
Assessment 180 Min
CME 180 Min
Group Discussion 180 Min
Grand Tutorial 180 Min
668
Semester Planner for 4th Year MBBS
Subject: Gynecology + Obstetrics
Semesters Semester 1 Semester 2 Semester 3
To
pic
s
Puberty and
Adolescence
URO gynecology Benign Tumors of
Ovary
Eclampsia Antepartum
Hemorrhage
Breast Feeding
Dysfunctional Uterine
Bleeding
Benign and Malignant Malignant Tumors of
Ovary
Gestational
Trophoblastic Disease
Cervical Lesions Minor Problems of
Newborn
Jaundice, Hepatitis and
Pyrexia in Pregnancy
Conduction of Assisted
Delivery
Benign and Malignant
Vulval Lesions
Hirsutism and
Virilization
Benign Tumors of
Uterus
Obstetrical Operations
and Complications
RH incompatibility Complication of 3rd
Stage of Labour
Gynecological
Operation and
Operation
Genital Prolapse Malignant Tumors
Uterus
Vital Statistics
Perinatal and Maternal
Mortality
Intrauterine Growth
Restriction
Episiotomy and
Perineal Tear
Role of Ultrasound in
Gyne
Prenatal Assessment
and Foetal Well Being
669
CONTACT HOURS 5th YEAR MBBS
MITS TOTAL NUMER CONTACT HOURS
Lecture 60 45
Clinical 38 76
Assessment 03 09
CME 02 06
Send up Examination
(GYNE)
01 03
Send up Examination
(Obsttric)
01 03
Tutorial 02 04
Grand Tutorial 01 03
Total 150
Lecture Duration 45Min
Clinical Class 120Min
Assessment 180Min
CME 180Min
Send up Examination 180Min
Grand Discussion 180Min
Tutorial 100Min
Grand Tutorial 180Min
670
ALLOCATED HOURS DIVIDED INTO THEORY AND CLINICAL
Semester Theory Clinical Assessment CME Tutorial Grand
Tutorial
Total
Semester 1 15 26 03 1 45
Semester 2 15 25 03 03 02 48
Semester 3 15 26 03 03 01 03 51
Send up
Examination
03 03 6
Grand Total 150
671
SEMESTER PLANNER OF FINAL YEAR MBBS
Subject: Gynecology + Obstetrics
Semester Semester 1
To
pic
Development And Abnormalities OF Genital Tract
Conception placental development and abnormality
Puberty and Adolescence Foetal skull and bony pelvis
Men Saturation ovulation and its clinical importance
Physiological changes in pregnancy
Dysfunctional Uterine bleeding
Mechanism of labour
Dysfunctional uterine bleeding
Management of labour
Primary Amenorrhea
Conduction of normal delivery
Secondary amenorrhea
Conduction of assisted delivery
Inter sexuality
Complications of 3rd stage of labour
Hirsutism + virilization prematurity
Assisted reproductive techniques post maturity
Abortion
Induction of laboure
Abortion
Congenital Abnormalities of fetus
Ectopic pregnancy
Management of Ectopic pregnancy
672
SEMESTER PLANNER OF FINAL YEAR MBBS
Subject: Gynecology + Obstetrics
Semester Semester 2
To
pic
Benign Gestational Trophoblastic Disease
Diabetes in pregnancy
Malignant gestational trophoblastic Disease
Hyperemesis Gravidarum
Vaginal Discharge
Hypertension in pregnancy
Pelvic inflammatory disease
Pregnancy induced hypertension
Genital Prolapse
Eclampsia
Pelvic Floor injuries
Anaemia in pregnancy
Benign tumors of ovarx
Benign tumors of vagina
Cardiac disease in pregnancy
Jaundice=, HepatitiesDyrexia in pregnancy
Maliknantvulval lesions
Other medical disorders in pregnancy
Benign disease of cervix
Antepartum Haemorrrhage
Obstetrical shock
Malignant tumors of ovary
Breech presentation
MAL presentation other than breech
673
SEMESTER PLANNER OF FINAL YEAR MBBS
Subject: Gynecology + Obstetrics
Semester Semester 3
To
pic
Benign Tumors of Ovary
Multiple Pregnancy
Malignant Tumors of Ovary
Episiotomy and Perineal Tear
Menopause and HRT
RH incompatibility
Contraception
Other Hematological Diseases in Pregnancy
Sterilization
Oligohydramnois
URO gynecology I
Polyhydramnois
URO gynecology II
Breast Feeding
Problems of Marriage
Minor Problems of Newborn
Psychological and Ethical Aspech of GYNE
Intrauterine Growth Restriction
Abdominal Hystrectomy
Vital Statistics Perinatal and Maternal Mortality
Vaginal Hystrectomy
Postoperative Obstetric Complication
Role of Ultrasound in GYNE
Role of Ultrasound in Obstetric and Perinatal assessment and Foetal
well
Pap smear / colposcopy and Hysteroscopy Being ERPC and DTC
Perinatal Assessment and Foetal well Being
674
ASSESSMENT AND EXAMINATION PLANNER FOR FINAL YEAR MBBS (GYNE)
Semester
1
(3
Months)
Asse
ssme
nt 1
Semester
2
(3
Months)
Asse
ssme
nt 2
Semester
3
(3
Months)
Asse
ssme
nt 3
Asse
ssme
nt
Asse
ssme
nt
SI
Te
rm T
est I
S2
Te
rm T
est I
S3
Te
rm T
est I
Send Up UHS Prof
Exam
TERM TEST TOTAL MARK: 270
a. Obstetric Theory Marks STQ 35 MCQ’s 35 = 70
b. Gyne Theory Marks SEQ 30 + MCQ’s 35 = 65
c. Long Case Obstetrics 30 Marks
d. Long Case Gyne 30 Marks
e. OPSE 75 Marks
SEND UP MARKS: 270
a. Obstetrics Theory Marks SEQ 35 + MCQ’s 35 = 70
b. Gyne Theory Marks SEQ 30 + MCQ’s 35 = 65
c. Long Case Obstetrics 30 Marks
d. Long Case Gyne 30 Marks
e. OSPE 75 Marks
INTERNAL EVALUATION: 30 Marks
a. Assessment 1 + Assessment 2 + Assessment 3 = 50% Score
b. Send up 50% Score
675
676
Introduction to Teaching Strategies:
Genecology Department of AMNA INAYAT MEDICAL HOSPITAL teaches 3rd, 4th
and final year MBBS under supervision of Dr. FarkhandaShoaib Randhawa. Our
basic aim is to improve basic knowledge of students by teaching them
gynecological + Obstetrical skills and improving their professional attitude.
Scope and Vision:
We contribute obstetricians and gynecologist dedicated to the broad integrated
medical and surgical care of woman’s health throughout their life span. In
academically conductive environment, we promote extensive study and
understanding of reproductive physiology. Including social / cultural /
environmental and genetic factors that influence disease in woman our vision is
to produce obstetrician and gynecologist with unique perspective in addressing
gender specific health care issues.
Course Objective:
To provide best of knowledge and skills that they able to understand and
demonstrate adequate knowledge/skill and attitude to diagnose and manage
GYNE and obstetric patients appropriately.
677
PMDC Curriculum MBBS final Professional Obstetrics + Gynecology
Scheme of Studies
MBBS final Professional Examination Obstetrics + Gynecology
Obstetrics
Theory 70 Marks
SEQ 35 Marks
MCQ’s 35 Marks
Gynecology
Theory 65 Marks
SEQ 30 Marks
MCQ’s 35 Marks
OSPE 75 Marks
Long Case GYNE 30 Marks
Long Case OBS 30 Marks
Internal Assessment 30 Marks
Total Marks: 300 Marks
678
6.18 GYNECOLOGY AND OBSTETRICS
BASIC SCIENCES AND CLINICAL SKILLS
Learning outcomes
Understand and demonstrate adequate knowledge (including basic sciences
concepts), skills and attitudes in relation to history taking, physical examination,
and requesting and interpreting relevant investigations.
History Taking:
o Takes detailed history to reach a provisional diagnosis
General Physical Examination (GPE) of a Gynecological Patient:
o Demonstrates proficient GPE
Abdominal Examination of a Gynecological Patient:
o Demonstrates adequate P/A with informed consent
Pelvic Examination On Mannequins:
o Demonstrates adequate P/V skills on a model or mannequin
with diagnosis of clinical signs
Communication Skills and Counseling of a Gynecology Patient:
o Demonstrates good communication and counseling skills with
Role players
Ethics and Medico-legal Issues:
o Provides adequate knowledge of ethical and medico-legal
issues in relation to gynecology
Lab Tests in Gynecology:
o Orders, interprets reports and justifies various lab test for
Gynecology patients
Imaging in Gynecology:
o Provides adequate knowledge and interpretation, of
Ultrasound, x-Ray and HSG reposts
Surgical Anatomy of Female Reproductive Tract:
o Describes relevant surgical anatomy for a gynecology patient
679
Embryology of Female Reproductive Tract and Congenital
Abnormalities:
o Describes embryological development of female reproductive
tract
o Discusses various congenital anomalies of genital tract
Normal Menstrual Cycle:
o Describes normal menstrual cycle and its physiological basis
GENERAL GYNAECOLOGY
Learning Outcomes
Understand and demonstrate adequate knowledge, skills and attitudes in relation
to benign conditions and general presenting complaints to clinics.
Miscarriage and Abortion:
o Discusses causes and types of miscarriage
o Diagnoses miscarriage and describe management principles of
miscarriage.
o Describes indications of termination of pregnancy (TOP)
o Enumerates methods of safe (TOP)
Ectopic Pregnancy:
o Enumerates causes
o Describes principles of management
Dysmenorrhea:
o Can discuss causes and management of primary and secondary
dysmenorrhea
Chronic Pelvic Pain:
o Enumerates causes
o Describes principles of management
Menorrhagia/Heavy Menstrual Bleeding (HMB), and DUB:
o Enumerates causes
o Describes tools of diagnosis
o Discusses medical management
o Discusses Mirena and other surgical options
Uterine Fibroids:
680
o Describes types and presentations of fibroids
o Discusses options of management
o Enumerates indications for surgery
Pruritus Vulvae:
o Enumerates causes, including types of NNED (non-neoplastic
epithelial disorders)
Benign Ovarian Cysts:
o Describe various types
o Can diagnose benign cysts
o Discusses principles of surgery, and when surgery required
Cervical Ectopy and Polypi:
o Can diagnose benign cysts
o Describe types
REPRODUCTIVE ENDOCRINOLOGY
Learning Outcomes
Understand and demonstrate adequate knowledge, skills and attitudes in relation
of Reproductive Endocrinology
Puberty:
o Describes basic physiology
o Describe management of disorders of puberty, other than
menstrual disorders
Amenorrhea:
o Enumerates causes of amenorrhea
o Can diagnose cause by relevant investigation
o Describe management plan of individual cause
Endometriosis and Adenomyosis:
o Describe presentation of such a case
o Describes medical management options if pain is main
complaint
681
o Describes various surgical options if Infertility is main
presentation
Hirsutism and Virilism:
o Enumerates causes
o Describes principles of management
Infertility:
o Describes common causes
o Understands concepts of “unexplained infertility”
o Discusses relevant lab tests. Semen analysis
o Discusses management principles
Polycystic Ovaries (PCO):
o Defines PCO and PCOD
o Discusses investigations and plan of management
Recurrent Pregnancy Loss:
o Enumerates cause
o Discusses investigations and plan of management
o Counsels such a patient
Pre Menstrual Syndrome (PMS):
o Can diagnose PMS
o Describes management principles
o Counsels such a patient
Menopause and HRT:
o Describes symptomatology of menopause
o Can diagnose cause by relevant investigation
o Describe management plan of individual case
UROGYAECOLOGY AND PELVIC FLOOR
Learning Outcomes
Understand and demonstrate adequate knowledge, skills m and attitudes in
relation to Urogynaecology and pelvic floor disorders
Genital Fistula:
682
o Describes causes and types
o Diagnoses and describes outline of management
Urinary Stress Incontinence:
o Enumerates types
o Can describe outline of management of urethral sphincter
incontinence, and Detrusor instability
Uterovaginal Prolapse:
o Enumerates types of Prolapse
o Describes management
GYNAECOLOGY ONCOLOGY
Learning Outcomes
Understand and demonstrate adequate knowledge, skills and attitudes in relation
to Gynecologic cancers and precancerous conditions
Preinvasive Disease CIN, VIN, VAIN:
o Describe types of pre invasive disease
o Describe principles of management
Screening for Gynecological Cancer:
o Enumerate principles of screening and tumour markers
Ovarian Cancer:
o Diagnose cancer of Ovary
o Describe principles of management
Endometrial Cancer:
o Diagnose cancer of endometrium
o Describe principles of management
Cervical Cancer:
o Discuss prevention by cervical cancer vaccination
o Diagnose cancer of Cervix
o Describe principles of management
Vulval Cancer:
o Diagnose cancer of Vulva
683
o Describe principle of management
Gestational Trophoblastic Neoplasia (GTN):
o Diagnose Hydatidiform Mole and Choriocarcinoma
o Describe principles of management
Basic Principles of Chemotherapy and Radiotherapy”
o Select chemotherapeutic drugs and common side effects
o Describe principles of radiotherapy and its complications
Care of Terminal Gynecological Cancer Patient:
o Describe outline of care of a terminal cancer patient
OPERATIVE GYNAECOLOGY
Learning Outcome
Understand and demonstrate adequate knowledge, skills, and attitude in relation
to concepts in Reproductive Health
Vaginal discharge:
o Enumerates causes and types of vaginal discharge
o Discusses management options
HIV/AIDS:
o Describes management plan
o Discusses precautions of staff members
o Discusses prevention
Sexually Transmitted Infections (STI):
o Enumerates causes and types of STI
o Discusses management options
Contraception and Sterilization:
o Discusses CPR (contraceptive prevalence rate) and its causes in
Pakistan
o Discusses types and side effects of various contraceptive
o Discusses efficacy and compliance of various methods
Psychosexual Disorders:
o Describe types of such disorders
684
o Describe management plans
Women’s Rights to Reproductive Health:
o Describe types of Women’s rights, and role of doctors in their
protection, promotion, and advancement
ANTENATAL CARE, NORMAL AND HIGH RISK PREGNANCY
Course Objective:
The student should be able to demonstrate adequate knowledge, skills and
attitudes in relation to antenatal care in low risk pregnancy and to recognize high
risk pregnancy and manage/refer appropriately.
Course Outline:
Book patient for confinement
Provide antenatal care specific to the expectant mother and plan
frequency of visits.
Screen appropriately for:
o Anaemia, Diabetes mellitus, preeclampsia
o Foetal growth and placement etc. by ultrasound and its
significance.
Anomaly scan at 16, 18 weeks.
Second Ultrasound at 28 weeks (optional)
Ultrasound at 32, 34 weeks (fetal growth etc)
Manage minor disorders of pregnancy, including vaginal discharge
during pregnancy.
o Provide essential drugs with proper dosage
o Prescribe safely in pregnancy for common ailments
Must be familiar with immunizations protocol during antenatal care
Screen patients for common conditions, prevalent in the population
e.g. Hepatitis B, C, HIV, Rubella and syphilis, TORCH profile (Where
indicated)
Identify high risk pregnancy and is significance
o Mange/Refer appropriately and follow up as required
Understand multi-disciplinary approach for high risk pregnancy
685
Should be able to provide effective communication and Counseling
skills
o Educate the mother of care during pregnancy
o Counsel regarding labour, newborn and lactation
ABNORMAL PREGNANCY
Course Objective:
Demonstrate and understand of the etiology, risk factors for complication and
management of the major antenatal complications of pregnancy.
Course Outline:
Bleeding in early pregnancy
o Abortion
o Ectopic pregnancy
o Gestational trophoblastic disease
Bleeding in 2nd Half of Pregnancy (Ante partum haemorrhage)
o Placenta previa
o Abruption placentae
o Vasa previa and incidental causes
Polyhydramnios/Oligohydramnios
Intra Uterine Fetal Death
Mal-Presentation and Position
o Breech presentation
o Transverse lie and shoulder presentation
o Face presentation
o Brow presentation
Cord Prolapse
Preterm Labour / PROM
Intra Uterine Growth Restriction
Multiple Pregnancy
Congenital Anomalies
686
MEDICAL DISORDER(S) IN PREGNANCY
Course Objectives:
Should be able to identify the medical disorder diagnose and manage
o Anemia in pregnancy
o Pyrexia in pregnancy
o Misc. conditions e.g. UTI, Respiratory infections, allergic
conditions
Identify and diagnose the condition, evaluate infections, allergic
conditions disorders, provide initial treatment and refer to proper
health care facility
o Pregnancy with hypertensive disorders
o Pregnancy with cardiac disease
o Pregnancy with diabetes mellitus
o Pregnancy with jaundice / hepatitis
o Pregnancy with renal problems
o Deep vein thrombosis
o Endocrine disorder / autoimmune disorders
Course Outline:
Anaemia in Pregnancy:
o History taking and clinical examination to identify cause and
severity
o Order appropriate investigation to reach the diagnose
o Treat anemia according to type, severity and gestational age
o Must know the modes of treatment available, dosages, routes
and side effects
o Know the principles of blood transfusions & risks
Pyrexia in Pregnancy:
o Differential diagnose of the causes of pyrexia in pregnancy
o Appropriate investigation to reach a diagnosis
o Provide treatment general and specific according to cause
687
o Take opinion of specialist when required
o Safety antibiotics / drugs with regard to fetus should be known
Pregnancy with Hypertensive Disorders:
o Should be able to carry out differential diagnosis, assessment
of severity and complications maternal & fetal
o Order relevant investigation
o Carry out initial management according to severity. Current
drugs and doses should be known
o Referral for specialized care as required
Pregnancy with Cardiac Disease:
o Recognition of complications of this condition in pregnancy
o Management with help of specialized case
Pregnancy with Diabetes:
o Should know screening / diagnose tests for diabetes
o Should be aware of maternal / fetal complication
o Basic management should be known
o Principles of delivery time / mode and neonatal care
Pregnancy with Jaundice / Hepatitis:
o Should be aware of screening tests for hepatitis and basic
management
Renal Problems in Pregnancy:
o Awareness of changes in urinary tract physiology and its effect
on renal function tests
o Refer for specialized care
Deep Vein Thrombosis:
o Should be able to diagnose, order relevant investigation and
refer for specialized care
Endocrine / Autoimmune Disorders:
o Recognition of these, diagnose and referral for specialized care
688
BASIC CLINICAL SKILLS IN OBSTETRICS
Course Objectives:
Understand and demonstrate adequate knowledge, skills and attitudes in relation
to history taking. Clinical examination, investigation and communication in
obstetrics
Course Outline:
Eliciting history from obstetric patient
Performing through clinical general examination
Performing abdominal examination of pregnant lady
Order appropriate investigations and knows interpretations
Learning effective verbal and non-verbal communication skills
Provide treatment / counseling as appropriate to the condition
ANATOMY OF FOETAL SKULL AND MATERNAL BONY PELVIS
Course Objective / Specific Learning Objective
Should know and is able to demonstrate:
The anatomy of fetal skull and maternal bony pelvis
Identify abnormalities of maternal pelvis and the significances in
relation of labour complication
Learning on the dummy and bony pelvis
PHYSIOLOGY OF PREGNANCY:
Course Objectives:
Understand and demonstrate adequate knowledge, skill and attitudes in relation
to physiology of pregnancy:
Course Outline:
Diagnosis of pregnancy
Conception, implantation, development of placenta, fetal circulation
and abnormalities of placenta
689
Physiological changes associated with pregnancy
NORMAL LABOUR
Course Objectives:
To understand and demonstrate appropriate knowledge, skill and attitude in
relation to labour
Normal Labour
o Physiology
o Mechanism
o Disgnosis
o Management of labour
Understanding and use of partogram
Intra partum fetal monitoring
o Fetal heart rate monitoring and CTG interpretation
Methods of induction and augmentation of labour
o Indications
o Contraindications
o Complications
Analgesia and anesthesia in labour
Management of 3rd stage of labour prevention of PPH
ABNORMAL LABOR
Couse Objectives:
To understand and demonstrate appropriate knowledge skills and attitude in
relation to abnormal labour
Course Outline:
Prolonged labour / obstructed labour / ruptured uterus
o Diagnosis, causes and management
Complication of III stage of labour. Diagnosis, caused and
management
o Primary PPH and inversion of uterus
690
o Obstetrical shock
Operative Delivery Prerequisites, indications and complications
o Episiotomy
o Instrumental vaginal delivery (forceps and ventouse)
o Cesarean section
PUERPERIUM AND LACTATION
Course Objectives:
Should be able to understand normal and abnormal puerperium and lactation
management
Course Outline:
Physiological changes in normal puerperium
Puerperal psychosis
Breasts disorder and lactation management
Contraception different methods, appropriate in the postpartum
period
691
BORN CARE (INTEGRATED WITH PAEDIATRICS)
Couse Objectives:
Demonstrate and understanding of essential newborn care and is able to
diagnose and manage common neonatal problems
Course Outline:
Newborn examination & Essential newborn care
Basic resuscitation &Aggar score
Breast feeding and its importance
SAFE MOTHERHOOD
Course Objectives:
Should be able to understand the concept of safe motherhood and implement it
at the community level
Act as a leader at primary health care facility utilizing local resources
and personnel
Be able to provide emergency obstetric services
Organize health care teams, incorporating LHV, LHW and midwives of
the area.
Act as a liaison officer in referral of patients to secondary and tertiary
health care facility
Should understand the definition and causes of MMR & PNMR
Should organize seminars and workshops for health care workers as
preventive strategies to reduce MMR and PNMR in the local
population.
692
Gynecology + Obstetrics Clinical Skills MBBS Final Professional
Log Book of 20 Assisted Deliveries
Learning Objective:
To understand and demonstrate appropriate knowledge skill and attitude
in relation to Labours
Reference Books
a. Obstetrics by ten teachers
b. Fundamental of obstetrics and gynecology by LLEW and Derek (latest
edition)
c. Essential of obstetrics by hacker and MOORE
693
Gynecology Academic Planner 3rd Year MBBS 2017-18
Lecture
No Topic Unit
1 Development and Abnormalities of Genital Tract Dr. Sobia Zafar
2 Conception and Placental abnormality Dr. Lubna Imran
3 Menstruation, Ovulation and Clinical Importance Dr. Sobia Zafar
4 Fortal skull and bony pelvis Dr. Lubna Imran
5 Menstural abnormalities Dr. Sobia Zafar
6 Physiological changes in pregnancy Dr. Lubna Imran
7 Primary and Secondary amenorrhea Dr. Sobia Zafar
8 Mechanism of Labour Dr. Lubna Imran
9 Abortion Dr. Sobia Zafar
10 Management of Labour Dr. Lubna Imran
11 Ectopic Pregnancy Dr. Sobia Zafar
12 Preterm Labour Dr. Lubna Imran
13 Infertility Dr. Sobia Zafar
14 Post maturity Dr. Lubna Imran
15 Pelvic inflammatory Disease Dr. Sobia Zafar
16 Polyhydramnois and Oligohydramnois Dr. Lubna Imran
17 Endometriosis and Adenomyosis Dr. Sobia Zafar
18 Multiple Pregnancy Dr. Lubna Imran
19 Contraception Dr. Sobia Zafar
20 Pregnancy Induced Hypertension Dr. Lubna Imran
21 Menopause and HRT Dr. Sobia Zafar
22 Anaemia in Pregnancy Dr. Lubna Imran
23 23Genital Prolapse Dr. Sobia Zafar
24 Diabetes in Pregnancy Dr. Lubna Imran
25 Psychological and Ethical Aspect in Gyne Dr. Sobia Zafar
26 Intrauterine Growth Restriction Dr. Lubna Imran
27 ERCP and D+C Dr. Sobia Zafar
694
Gynecology Academic Planner 4th Year MBBS 2016-17
Lecture
No Topic Teachers
1 Puberty and Adolescence Dr. Sajida Yasmeen
2 Eclampsia Dr. NaziaSajjad
3 Dysfunctional Uterine Bleeding Dr. Sajida Yasmeen
4 Cardiac Disease in Pregnancy Dr. NaziaSajjad
5 Gestational Trophoblastic Disease Dr. Sajida Yasmeen
6 Jaundice/Hepatitis and Pyrexia in Pregnancy Dr. NaziaSajjad
7 Hirsutirm and Virilization Dr. Sajida Yasmeen
8 RH Incompatibility Dr. NaziaSajjad
9 Genital Prolapse Dr. Sajida Yasmeen
10 Intrauterine Growth Restriction Dr. NaziaSajjad
11 URO Gynecology Dr. Sajida Yasmeen
12 Antepartum Hemorrhage Dr. NaziaSajjad
13 Benign and Malignant Cervical Lesions Dr. Sajida Yasmeen
14 Conduction of Assisted Delivery Dr. NaziaSajjad
15 Benign Tumors and Uterus Dr. Sajida Yasmeen
16 Complication of 3rd Stage of Labour Dr. NaziaSajjad
17 Malignant Tumors of Uterus Dr. Sajida Yasmeen
18 Episiotomy and Perineal Tear Dr. NaziaSajjad
19 Benign Tumors of Ovary Dr. Sajida Yasmeen
20 Breast Feeding Dr. NaziaSajjad
21 Malignant Tumors of Ovary Dr. Sajida Yasmeen
22 Minor Problems of Newborn Dr. NaziaSajjad
23 Benign and Malignant Vulval Lesions Dr. Sajida Yasmeen
24 Obstetrical Operation and Complications Dr. NaziaSajjad
25 Gynecological Operation and Complication Dr. Sajida Yasmeen
26 Vital Statistics Perinatal and Maternal Mortality Dr. NaziaSajjad
27 Role of Ultrasound in Gyne Dr. Sajida Yasmeen
28 Prenatal Assessment and Foetal well being Dr. NaziaSajjad
695
Gynecology Academic Planner Final Year MBBS 2106-17
Lecture
No Topic Teachers
1 Development and abnormalities of Genital Tract Prof. Dr. Farkhanda
2 Conception Placental Development and Abnormalities Dr. Sajeela
3 Puberty and Adolescence Prof. Dr. Farkhanda
4 Foetal skull and bony pelvis Dr. Sajeela
5 Menstruation, Ovulation and its clinical importance Prof. Dr. Farkhanda
6 Physiological changes in pregnancy Dr. Sajeela
7 Dysfunctional Uterine Bleeding Prof. Dr. Farkhanda
8 Mechanism of labour Dr. Sajeela
9 Primary Amenorrhea Prof. Dr. Farkhanda
10 Conduction of normal delivery Dr. Sajeela
11 Secondary Amenorrhea Prof. Dr. Farkhanda
12 Inter Sexuality Dr. Sajeela
13 Complication of 3rd stage of labour Prof. Dr. Farkhanda
14 Hirsutism and virilization Dr. Sajeela
15 Prematurity Prof. Dr. Farkhanda
16 Infertility Dr. Sajeela
17 Post maturity Prof. Dr. Farkhanda
18 Abortion Dr. Sajeela
19 Induction of labour Prof. Dr. Farkhanda
20 Abnortion Dr. Sajeela
696
21 Congenital Abnormality Of Foetur Prof. Dr. Farkhanda
22 Ectopic Pregnancy Dr. Sajeela
23 Oligohydramnois Prof. Dr. Farkhanda
24 Management of Ectopic pregnancy Dr. Sajeela
25 Polyhydramnois Prof. Dr. Farkhanda
26 Benign gestational Trophoblastic Disease Dr. Sajeela
27 Hyperemesis Gravidarum Prof. Dr. Farkhanda
28 Vaginal Discharge Dr. Sajeela
29 Hypertension in pregnancy Prof. Dr. Farkhanda
30 Pelvic inflammatory disease Dr. Sajeela
31 Pregnancy Induced Hypertension Prof. Dr. Farkhanda
32 Genital Prolapse Dr. Sajeela
33 Eclampsia Prof. Dr. Farkhanda
34 Pelvic floor injuries Dr. Sajeela
35 Anaemia in pregnancy Prof. Dr. Farkhanda
36 Benign Tumors of vagina Dr. Sajeela
37 Cardiac Disease in pregnancy Prof. Dr. Farkhanda
38 Malignant tumors of vagina Dr. Sajeela
39 Revision
40 Jaundice, hepatitis, pyrexia in pregnancy Prof. Dr. Farkhanda
41 Benign + Malignant vulval lesions Dr. Sajeela
42 Other medical disorders in pregnancy Prof. Dr. Farkhanda
43 Benign disease of cervix Dr. Sajeela
44 Antepartum Haemorrhage Prof. Dr. Farkhanda
697
45 Revision
46 Malignant Disease of Cervix Dr. Sajeela
47 AnterpartumHaemorrhage Prof. Dr. Farkhanda
48 Benign Tumors of Uterus Dr. Sajeela
49 Revision
50 Malignant tumors of uterus Prof. Dr. Farkhanda
51 Obstetrical Emergencies Dr. Sajeela
52 Benign tumors of ovary Prof. Dr. Farkhanda
53 Obstetrical shock Dr. Sajeela
54 Revision
55 Malignant Tumors of Ovary Prof. Dr. Farkhanda
56 Breech Presentation Dr. Sajeela
57 Menopause and HRT Prof. Dr. Farkhanda
58 Breech Presentation and Other Dr. Sajeela
59 Revision
60 Adenomyosis and Endometriosis Prof. Dr. Farkhanda
61 Multiple Pregnancy Dr. Sajeela
62 Urogynecology I Prof. Dr. Farkhanda
63 Episiotomy and Perineal Tear Dr. Sajeela
64 Revision
65 Urogynecology II Prof. Dr. Farkhanda
66 RH incompatibility Dr. Sajeela
67 Contraception Prof. Dr. Farkhanda
68 Other Haematological Disease During Pregnancy Dr. Sajeela
698
69 Revision
70 Sterilization Prof. Dr. Farkhanda
71 Breast Feeding Dr. Sajeela
72 Problems of Marriage Prof. Dr. Farkhanda
73 Minor Problems of Newborn Dr. Sajeela
74 Revision
75 Psychological and Ethical aspect of GYNE Prof. Dr. Farkhanda
76 Intrauterine Growth Restriction Dr. Sajeela
78 Abdominal Hystrectomy Prof. Dr. Farkhanda
79 Vital Statistic Perinatal and Material Mortality Dr. Sajeela
80 Revision
81 Vaginal Hystrectomy and Role of Ultrasound in GYNE Prof. Dr. Farkhanda
82 Postoperative Obstetric Complication Dr. Sajeela
83 PAP Smear, colposcopy and Hyteroscopy Prof. Dr. Farkhanda
84 Role of Ultrasound in Obstetric Foetal Well Being Dr. Sajeela
85 ERPC and D+C Prof. Dr. Farkhanda
86 Prenatal Assessment and Foetal Well Being Dr. Sajeela
699
MBBS Final Professional Obstetrics
(Multiple Choice Questions)
Table of Specifications
35 MCQ’s of One Mark Each Time Allowed: 45 Minutes
Sr # Contents No of Questions
1 Physiological Changes in Pregnancy 02
2 Normal Fetal Development 02
3 Abnormal Fetal Development 02
4 Assessment of Foetal Well Being 03
5 Role of Investigations 01
6 Antenatal Care 04
7 Pain Relief in Labour 01
8 Normal Labour 04
9 Abnormal Labour 04
10 Puerperal Disorders 03
11 Medical Disorders 04
12 Role of Imaging and Radiology 02
13 Statistic 02
14 Neonatolog 01
Total
Questions
35
700
MBBS Final Professional Obstetrics
(ShortEssay Questions)
Table of Specifications
Sr # Contents No of Questions
1 Physiological of Pregnancy 01
2 Antenatal Care Including Investigation 01
3 Assessment of Foetal Well being 01
4 Intrapartum Care Normal Labour 01
5 Abnormal Labour 01
6 Postpartum Disorders 01
7 Medical Disorders in Pregnancy 01
Total
Questions
07
701
MBBS Final Professional Gynecology
(Multiple Choice Questions)
Table of Specifications
35 MCQ’s of One Mark Each Time Allowed: 45 Minutes
Sr # Contents No of Questions
1 Anatomy and Embryology of Genital Tracy 02
2 Disorders of Puberty and Ovulation 02
3 Disorders of Menstruation 04
4 Abortion 02
5 Ectopic Gestation 01
6 Infertility 02
7 Endometriosis and Adenomyosis 01
8 Infection of Genital Tract 03
9 Uterovaginal Prolapse 01
10 Urogynecology and Fistula 01
11 Benign Disease of Genital Tract 04
12 Malignant Disease of Genital Tract 04
13 Contraception 02
14 Menopause and HRT 02
15 Common Gynecological 02
16 Pre-Intra and Postoperative care 01
Total
Questions
35
702
MBBS Final Professional Gynecology
(Short Essay Questions)
Table of Specifications
Sr # Contents No of Questions
1 Anatomy and Development of Genital Tract 01
2 Disorders of Menstruation 01
3 Abortion including Ectopic Gestation 01
4 Infertility and Ednometriosis 01
5 Infections of Genital Tract 01
6 Benign Tumors of Genital Tract 01
7 Malignancies of Genital Tract 01
8 Displacement of Uterus and Urinary Problems 01
9 Contraception 01
Total
Questions
10
703
MBBS Final Professional Gynecology + Obstetrics
Objectively Structured Performance Evaluation
OSPE TOTAL: 75 MARKS
Total Station: 20 (05 Rest Station)
05 Minutes at Each Station
05 Mark at Each Station
Obstetrics 08 Station
Non-Interactive 5 Station
Interactive 3 Station
Gynecology 7 Station
Non-Interactive 05 Station
Interactive 02 Station
704
University Examination
Obstetrics + Gynecology
Total Marks:
Written Paper
Obstetrics Paper:
MCQ: 35 Marks
Short Essay Questions: 35 Marks
Total: 70 Marks
Gynecology Paper:
MCQ: 35 Marks
Short Essay Questions: 30 Marks
Total: 65 Marks
Clinical Exam:
Long Case Obstetrics: 30 Marks
Long Case Gynecology: 30 Marks
OSPE:
75 Marks
Internal Assessment: 30 Marks
Total: 300 Marks
705
Evaluation form for Assessment of Sessions of Small Group Discussions
Gynecology + Obstetrics department of AMNA INAYAT MEDICAL COLLEGE
Name of Class:
Date:
For Overall rating of each of following items, circle the appropriate number.
No. 1 Least Effective and No. 5 = Outstanding
1. Physical arrangement and comfort 1 2 3 4 5
2. Choice of methods tutor used 1 2 3 4 5
3. Participation level 1 2 3 4 5
4. Group atmosphere 1 2 3 4 5
5. Interest of participants 1 2 3 4 5
6. Was the session focused 1 2 3 4 5
7. To what extent learning objectives were fulfilled 1 2 3 4 5
The three most important things we talked about today were
A. Here is what I learned today:
B. A new idea for me was:
C. I am confused about:
D. Here’s what I do not understand:
706
Evaluation form for Course Assessment
Gynecology + Obstetrics Department of AMNA INAYA T MEDICAL COLLEGE
Course Tital:
Date:
(Circle the Appropriate Number)
1 = Standards not met, 5 = Standards fully met
1. Objectives were met 1 2 3 4 5
2. Topics were logically organized 1 2 3 4 5
3. Used time appropriately 1 2 3 4 5
4. Assignments were useful 1 2 3 4 5
5. Required reading was useful 1 2 3 4 5
6. Used student’s experience well 1 2 3 4 5
7. Grading standards were clear 1 2 3 4 5
8. Required an appropriate amount of work 1 2 3 4 5
9. Responded to ethnic and cultural diversity 1 2 3 4 5
10. Evaluation activities were appropriate 1 2 3 4 5
11. Used appropriate teaching method 1 2 3 4 5
12. Communicated ideas and concepts fairly 1 2 3 4 5
13. Provided timely and thoughtful feedback 1 2 3 4 5
14. Tutor available outside of class if needed 1 2 3 4 5
15. Tutor sensitive to students background and needs 1 2 3 4 5
16. Tutor demonstrated thorough and up-to-date knowledge 1 2 3 4 5
17. Topic was useful in my professional development 1 2 3 4 5
18. Topic was stimulating and though provoking 1 2 3 4 5
Additional comments about likes, dislikes, strengths and weaknesses:
707
Recommended Book’s
Gynecology + Obstetrics
A. Obstetrics By Ten Teachers (Latest Edition)
B. Gynecology By Ten Teachers (Latest Edition)
C. Fundamental Of Obstetrics + Gynecology By LLEWYN and BEREK (Latest
Edition)
D. Essential of Obstetrics By hacker and Moore