IMNCI has been accepted as part of undergraduate curriculum in India and the same has been reflected in this document. I have the following suggestions to share.
1. IMNCI is being reflected as part of Pediatrics teaching curriculum only, while recommendations are for teaching the skills in both pediatrics and Community medicine and repetition of same during internship. The same needs to be reflected in the document.
2. Evaluation done by GOI recommends that some marks be kept reserved for IMNCI in the final exam for facilitating learning and needs to be reflected in the document.
3. IMNCI is integration of most common morbidities and mortalities in the outpatient care and needs to be reflected that way. That means as per evaluation report IMNCI teaching is to be initiated first and then individual conditions such as Diarrhoea, ARI etc to complement the missing issues and not to teach by two different ways as is being reflected.
4. IMNCI has almost all the skill based components of IYCF. Gujarat has suggested an integrated approach where some of the additional knowledge is provided as additional lectures without duplicating the same.
Dr Harish Kumar
NPO(CHD)WHO, India
Friday, August 10, 2007
Medical Training
Duration of MBBS- 5 yrs- Assessments at completion of each module- not EXAM TIME at the end of professionals .................................................................................Pre-clinical: 1 year Anatomy Biochemistry Physiology
Para-clinical: 1 year Microbiology Pharmacology Pathology
Clinical: 4-5 years1 year - Foundation1 year - Carry On Foundation 1 Year - Advanced Foundation1 year - Directly Supervised Hands on 1 Year- Optional/Gap year
Post-Graduation:3 years- Residency in choosen speciality
Superspeciality training1 Year (or more depending on sub-specilaity) ..................................................................................Foundation- 4 modules Starter- theoritical-Skill lab/Dummy based etcNo hospital postings/attchements yetMedicine, Surgery ,Gynae/Obst, PaedsFocussing on simple Principles rather on details-------------------------------------------------------------------------------- Hospital/Community attachments starts now--------------------------------------------------------------------------------Carry On Foundation -7 modules
Medicine...more detailsSurgery...more detailsGynae/Obst...more detailsPaeds...more details
Medical Law, \nEthics and forensic Medicine\u003cbr\>Community medicine and organisation of health \nservices\u003cbr\>Medical information \ntechnology\u003cbr\>..............................\u003cWBR\>..............................\u003cWBR\>.................\u003cbr\>Advanced \nFoundation / Allied to foundation- Modules and Sub-modules\u003c/font\>\u003c/div\>\n\u003cdiv\> \u003c/div\>\n\u003cdiv\>\u003cfont face\u003d\"Arial\"\>Medicine- Psychiatry,Endocrinology, \nDermatology,Rheumatology, Transfusions \u003c/font\>\u003c/div\>\n\u003cdiv\> \u003c/div\>\n\u003cdiv\>\u003cfont face\u003d\"Arial\"\>Surgery- Burns, Orthopaedics, Eye, ENT, \nDental/Maxillofacial, Neurosurgery, Cardiac surgery\u003c/font\>\u003c/div\>\n\u003cdiv\> \u003c/div\>\n\u003cdiv\>\u003cfont face\u003d\"Arial\"\>Cancer Medicine- Hematology,Chemotherapy, \nRadiotherapy, cancer surgery \u003c/font\>\u003c/div\>\n\u003cdiv\> \u003c/div\>\n\u003cdiv\>\u003cfont face\u003d\"Arial\"\>Diagnostic Medicine- Pathology, Biochemistry,Radiology, \nNuclear Medicine, \nPost-Mortmes\u003cbr\>..............................\u003cWBR\>..............................\u003cWBR\>......................\u003cbr\>Hands \non/ Practical/ Directly Supervised - 7 Modules\u003c/font\>\u003c/div\>\n\u003cdiv\> \u003c/div\>\n\u003cdiv\>\u003cfont face\u003d\"Arial\"\>Acute medicine \n(Anaesthesia)-Resuscitation\u003cWBR\>,Transfer,Intensive care\u003c/font\>\u003c/div\>\n\u003cdiv\> \u003c/div\>\n\u003cdiv\>\u003cfont face\u003d\"Arial\"\>Hospital/Community based Management training\u003c/font\>\u003c/div\>\n\u003cdiv\> \u003c/div\>\n\u003cdiv\>\u003cfont face\u003d\"Arial\"\>General Medicine- Emergency / Basic /Common \u003cbr\>Surgery - \nEmergency / Basic /Common \u003cbr\>Trauma - Emergency / Basic /Common \u003cbr\>Obstetrics- \nEmergency / Basic /Common \u003cbr\>Paediatrics- Emergency / Basic /Common \n\u003c/font\>\u003c/div\>\n\u003cdiv\> \u003c/div\>\n\u003cdiv\>\u003cfont face\u003d\"Arial\"\>..............................\u003cWBR\>..............................\u003cWBR\>......................\u003cbr\>1 \nYear- Optional/Gap- Two or more modules in \u003c/font\>\u003c/div\>\n\u003cdiv\> \u003c/div\>\n\u003cdiv\>\u003cfont face\u003d\"Arial\"\>Top up training other Hospital, particular \nspeciality\u003cbr\>Inter-state/ Overseas/ Exchange programmes/ \nSponsorships\u003cbr\>Defence services\u003cbr\>Community/ NGO\u003cbr\>Alternative \nMedicine\u003cbr\>Academics/Research\u003cbr\>..............................\u003cWBR\>..............................\u003cWBR\>......................\u003cbr\>3 \nyears- \u003cbr\>Residency in choosen speciality( traditional)",1]
);
//-->
Medical Law, Ethics and forensic MedicineCommunity medicine and organisation of health servicesMedical information technology.............................................................................Advanced Foundation / Allied to foundation- Modules and Sub-modules
Medicine- Psychiatry,Endocrinology, Dermatology,Rheumatology, Transfusions
Surgery- Burns, Orthopaedics, Eye, ENT, Dental/Maxillofacial, Neurosurgery, Cardiac surgery
Cancer Medicine- Hematology,Chemotherapy, Radiotherapy, cancer surgery
Diagnostic Medicine- Pathology, Biochemistry,Radiology, Nuclear Medicine, Post-Mortmes..................................................................................Hands on/ Practical/ Directly Supervised - 7 Modules
Acute medicine (Anaesthesia)-Resuscitation,Transfer,Intensive care
Hospital/Community based Management training
General Medicine- Emergency / Basic /Common Surgery - Emergency / Basic /Common Trauma - Emergency / Basic /Common Obstetrics- Emergency / Basic /Common Paediatrics- Emergency / Basic /Common
..................................................................................1 Year- Optional/Gap- Two or more modules in
Top up training other Hospital, particular specialityInter-state/ Overseas/ Exchange programmes/ SponsorshipsDefence servicesCommunity/ NGOAlternative MedicineAcademics/Research..................................................................................3 years- Residency in choosen speciality( traditional)
Introduction of \nFamily/General/Referal Medicine, \u003cbr\>Introduction of Acute Medicine\u003c/font\>\u003c/div\>\n\u003cdiv\> \u003c/div\>\n\u003cdiv\>\u003cfont face\u003d\"Arial\"\>Entry exams \u003cbr\>In Training Assessments\u003cbr\>Abolish exit \nexams\u003c/font\>\u003c/div\>\n\u003cdiv\> \u003c/div\>\n\u003cdiv\>\u003cfont face\u003d\"Arial\"\>Uniform titles...MD /MS /DNB\u003cbr\>Abolish \nDiplomas\u003c/font\>\u003c/div\>\n\u003cdiv\> \u003c/div\>\n\u003cdiv\>\u003cfont face\u003d\"Arial\"\>Academics and reserach should be segregated from this \ntraining\u003cbr\>Allow to integrate depending on interest and aptitude.\u003cbr\>Not forced \non everybody- save resources for those with aptitude\u003cbr\>Delink from \nMD,MS,DM,MCh\u003cbr\>Uniform BSc, MSc, MPhil and \nPhD\u003cbr\>..............................\u003cWBR\>..............................\u003cWBR\>......................\u003cbr\>1 \nYear (or more depending on sub-specilaity) Superspeciality training \u003cbr\>Uniform \ntitles DM and MCh \u003cbr\>Abolish PDCC and ambiguous \nfellowshis\u003cbr\>..............................\u003cWBR\>..............................\u003cWBR\>......................\u003c/font\>\u003c/div\>\n\u003cdiv\> \u003c/div\>\n\u003cdiv\>\u003cfont face\u003d\"Arial\"\>Emphasis should be on -\u003c/font\>\u003c/div\>\n\u003cdiv\> \u003c/div\>\n\u003cdiv\>\u003cfont face\u003d\"Arial\"\>1.Clear objective- to make High Quality CLINICIANS- NOT \nALL ROUNDERS e.g. Keep research and academics for those willing to pursue \nit\u003c/font\>\u003c/div\>\n\u003cdiv\> \u003c/div\>\n\u003cdiv\>\u003cfont face\u003d\"Arial\"\>2.Inefficient/unrealistic/failed methods should be \nabandonded or given only due importance in training e.g.Preventive and social \nmedicine\u003c/font\>\u003c/div\>\n\u003cdiv\> \u003c/div\>\n\u003cdiv\>\u003cfont face\u003d\"Arial\"\>3.Early introduction of Management in to the curriculum to \nhelp them apply their skills/ knowledge and to dovelop right \nattitude\u003c/font\>\u003c/div\>\n\u003cdiv\> \u003c/div\>\n\u003cdiv\>\u003cfont face\u003d\"Arial\"\>4.Stop producing walking encyclopedia( limit MCQ exams to \nbasic sciences) but encourage dovelopment of application skills\u003c/font\>\u003c/div\>\n\u003cdiv\> \u003c/div\>\n\u003cdiv\>\u003cfont face\u003d\"Arial\"\>5.COMPETENCY BASED IN HOUSE assessments- Onus to organise \nand pass THEM should be on the candidates not the teachers who should only \nfacilitate.\u003c/font\>\u003c/div\>\n\u003cdiv\> \u003c/div\>\n\u003cdiv\>\u003cfont face\u003d\"Arial\"\>6.Regular assessments,feedback and MUTUALLY agreed \ncorrection plans",1]
);
//-->
Introduction of Family/General/Referal Medicine, Introduction of Acute Medicine
Entry exams In Training AssessmentsAbolish exit exams
Uniform titles...MD /MS /DNBAbolish Diplomas
Academics and reserach should be segregated from this trainingAllow to integrate depending on interest and aptitude.Not forced on everybody- save resources for those with aptitudeDelink from MD,MS,DM,MChUniform BSc, MSc, MPhil and PhD
..................................................................................
1 Year (or more depending on sub-specilaity) Superspeciality training Uniform titles DM and MCh Abolish PDCC and ambiguous fellowshis
..................................................................................
Emphasis should be on -
1.Clear objective- to make High Quality CLINICIANS- NOT ALL ROUNDERS e.g. Keep research and academics for those willing to pursue it
2.Inefficient/unrealistic/failed methods should be abandonded or given only due importance in training e.g.Preventive and social medicine
3.Early introduction of Management in to the curriculum to help them apply their skills/ knowledge and to dovelop right attitude
4.Stop producing walking encyclopedia( limit MCQ exams to basic sciences) but encourage dovelopment of application skills
5.COMPETENCY BASED IN HOUSE assessments- Onus to organise and pass THEM should be on the candidates not the teachers who should only facilitate.
6.Regular assessments,feedback and MUTUALLY agreed correction plans
7.Ensure basic training in 'Common and Acute problems' before allowing any independent- or credible supervised- patient interaction
8.Alternative career(?within healthcare) advice to mal-adjusted at the earliest opportunity
9.Reform of medical education Funding - not purely by tax-payers money(govt subsidies/grants)- Govt Medical colleges should also generate some income- Rather than subsiding and later ending up failing to force bonds on unwilling beneficiaries or be content with substandard pay-back service , govt can provide legally sound education loans.-This will also discourage rich parents to hijack merit by money,provide level opportunity for poor aspirants and may check brain-drain too.-Private medical college should be banned from charging upfront fees but asked to set up education loans for every applicant successful purely on merit.
All in all, this would be more of reorganisation of the existing training structure.Further fine tuning can be undertaken in later phases.
Para-clinical: 1 year Microbiology Pharmacology Pathology
Clinical: 4-5 years1 year - Foundation1 year - Carry On Foundation 1 Year - Advanced Foundation1 year - Directly Supervised Hands on 1 Year- Optional/Gap year
Post-Graduation:3 years- Residency in choosen speciality
Superspeciality training1 Year (or more depending on sub-specilaity) ..................................................................................Foundation- 4 modules Starter- theoritical-Skill lab/Dummy based etcNo hospital postings/attchements yetMedicine, Surgery ,Gynae/Obst, PaedsFocussing on simple Principles rather on details-------------------------------------------------------------------------------- Hospital/Community attachments starts now--------------------------------------------------------------------------------Carry On Foundation -7 modules
Medicine...more detailsSurgery...more detailsGynae/Obst...more detailsPaeds...more details
Medical Law, \nEthics and forensic Medicine\u003cbr\>Community medicine and organisation of health \nservices\u003cbr\>Medical information \ntechnology\u003cbr\>..............................\u003cWBR\>..............................\u003cWBR\>.................\u003cbr\>Advanced \nFoundation / Allied to foundation- Modules and Sub-modules\u003c/font\>\u003c/div\>\n\u003cdiv\> \u003c/div\>\n\u003cdiv\>\u003cfont face\u003d\"Arial\"\>Medicine- Psychiatry,Endocrinology, \nDermatology,Rheumatology, Transfusions \u003c/font\>\u003c/div\>\n\u003cdiv\> \u003c/div\>\n\u003cdiv\>\u003cfont face\u003d\"Arial\"\>Surgery- Burns, Orthopaedics, Eye, ENT, \nDental/Maxillofacial, Neurosurgery, Cardiac surgery\u003c/font\>\u003c/div\>\n\u003cdiv\> \u003c/div\>\n\u003cdiv\>\u003cfont face\u003d\"Arial\"\>Cancer Medicine- Hematology,Chemotherapy, \nRadiotherapy, cancer surgery \u003c/font\>\u003c/div\>\n\u003cdiv\> \u003c/div\>\n\u003cdiv\>\u003cfont face\u003d\"Arial\"\>Diagnostic Medicine- Pathology, Biochemistry,Radiology, \nNuclear Medicine, \nPost-Mortmes\u003cbr\>..............................\u003cWBR\>..............................\u003cWBR\>......................\u003cbr\>Hands \non/ Practical/ Directly Supervised - 7 Modules\u003c/font\>\u003c/div\>\n\u003cdiv\> \u003c/div\>\n\u003cdiv\>\u003cfont face\u003d\"Arial\"\>Acute medicine \n(Anaesthesia)-Resuscitation\u003cWBR\>,Transfer,Intensive care\u003c/font\>\u003c/div\>\n\u003cdiv\> \u003c/div\>\n\u003cdiv\>\u003cfont face\u003d\"Arial\"\>Hospital/Community based Management training\u003c/font\>\u003c/div\>\n\u003cdiv\> \u003c/div\>\n\u003cdiv\>\u003cfont face\u003d\"Arial\"\>General Medicine- Emergency / Basic /Common \u003cbr\>Surgery - \nEmergency / Basic /Common \u003cbr\>Trauma - Emergency / Basic /Common \u003cbr\>Obstetrics- \nEmergency / Basic /Common \u003cbr\>Paediatrics- Emergency / Basic /Common \n\u003c/font\>\u003c/div\>\n\u003cdiv\> \u003c/div\>\n\u003cdiv\>\u003cfont face\u003d\"Arial\"\>..............................\u003cWBR\>..............................\u003cWBR\>......................\u003cbr\>1 \nYear- Optional/Gap- Two or more modules in \u003c/font\>\u003c/div\>\n\u003cdiv\> \u003c/div\>\n\u003cdiv\>\u003cfont face\u003d\"Arial\"\>Top up training other Hospital, particular \nspeciality\u003cbr\>Inter-state/ Overseas/ Exchange programmes/ \nSponsorships\u003cbr\>Defence services\u003cbr\>Community/ NGO\u003cbr\>Alternative \nMedicine\u003cbr\>Academics/Research\u003cbr\>..............................\u003cWBR\>..............................\u003cWBR\>......................\u003cbr\>3 \nyears- \u003cbr\>Residency in choosen speciality( traditional)",1]
);
//-->
Medical Law, Ethics and forensic MedicineCommunity medicine and organisation of health servicesMedical information technology.............................................................................Advanced Foundation / Allied to foundation- Modules and Sub-modules
Medicine- Psychiatry,Endocrinology, Dermatology,Rheumatology, Transfusions
Surgery- Burns, Orthopaedics, Eye, ENT, Dental/Maxillofacial, Neurosurgery, Cardiac surgery
Cancer Medicine- Hematology,Chemotherapy, Radiotherapy, cancer surgery
Diagnostic Medicine- Pathology, Biochemistry,Radiology, Nuclear Medicine, Post-Mortmes..................................................................................Hands on/ Practical/ Directly Supervised - 7 Modules
Acute medicine (Anaesthesia)-Resuscitation,Transfer,Intensive care
Hospital/Community based Management training
General Medicine- Emergency / Basic /Common Surgery - Emergency / Basic /Common Trauma - Emergency / Basic /Common Obstetrics- Emergency / Basic /Common Paediatrics- Emergency / Basic /Common
..................................................................................1 Year- Optional/Gap- Two or more modules in
Top up training other Hospital, particular specialityInter-state/ Overseas/ Exchange programmes/ SponsorshipsDefence servicesCommunity/ NGOAlternative MedicineAcademics/Research..................................................................................3 years- Residency in choosen speciality( traditional)
Introduction of \nFamily/General/Referal Medicine, \u003cbr\>Introduction of Acute Medicine\u003c/font\>\u003c/div\>\n\u003cdiv\> \u003c/div\>\n\u003cdiv\>\u003cfont face\u003d\"Arial\"\>Entry exams \u003cbr\>In Training Assessments\u003cbr\>Abolish exit \nexams\u003c/font\>\u003c/div\>\n\u003cdiv\> \u003c/div\>\n\u003cdiv\>\u003cfont face\u003d\"Arial\"\>Uniform titles...MD /MS /DNB\u003cbr\>Abolish \nDiplomas\u003c/font\>\u003c/div\>\n\u003cdiv\> \u003c/div\>\n\u003cdiv\>\u003cfont face\u003d\"Arial\"\>Academics and reserach should be segregated from this \ntraining\u003cbr\>Allow to integrate depending on interest and aptitude.\u003cbr\>Not forced \non everybody- save resources for those with aptitude\u003cbr\>Delink from \nMD,MS,DM,MCh\u003cbr\>Uniform BSc, MSc, MPhil and \nPhD\u003cbr\>..............................\u003cWBR\>..............................\u003cWBR\>......................\u003cbr\>1 \nYear (or more depending on sub-specilaity) Superspeciality training \u003cbr\>Uniform \ntitles DM and MCh \u003cbr\>Abolish PDCC and ambiguous \nfellowshis\u003cbr\>..............................\u003cWBR\>..............................\u003cWBR\>......................\u003c/font\>\u003c/div\>\n\u003cdiv\> \u003c/div\>\n\u003cdiv\>\u003cfont face\u003d\"Arial\"\>Emphasis should be on -\u003c/font\>\u003c/div\>\n\u003cdiv\> \u003c/div\>\n\u003cdiv\>\u003cfont face\u003d\"Arial\"\>1.Clear objective- to make High Quality CLINICIANS- NOT \nALL ROUNDERS e.g. Keep research and academics for those willing to pursue \nit\u003c/font\>\u003c/div\>\n\u003cdiv\> \u003c/div\>\n\u003cdiv\>\u003cfont face\u003d\"Arial\"\>2.Inefficient/unrealistic/failed methods should be \nabandonded or given only due importance in training e.g.Preventive and social \nmedicine\u003c/font\>\u003c/div\>\n\u003cdiv\> \u003c/div\>\n\u003cdiv\>\u003cfont face\u003d\"Arial\"\>3.Early introduction of Management in to the curriculum to \nhelp them apply their skills/ knowledge and to dovelop right \nattitude\u003c/font\>\u003c/div\>\n\u003cdiv\> \u003c/div\>\n\u003cdiv\>\u003cfont face\u003d\"Arial\"\>4.Stop producing walking encyclopedia( limit MCQ exams to \nbasic sciences) but encourage dovelopment of application skills\u003c/font\>\u003c/div\>\n\u003cdiv\> \u003c/div\>\n\u003cdiv\>\u003cfont face\u003d\"Arial\"\>5.COMPETENCY BASED IN HOUSE assessments- Onus to organise \nand pass THEM should be on the candidates not the teachers who should only \nfacilitate.\u003c/font\>\u003c/div\>\n\u003cdiv\> \u003c/div\>\n\u003cdiv\>\u003cfont face\u003d\"Arial\"\>6.Regular assessments,feedback and MUTUALLY agreed \ncorrection plans",1]
);
//-->
Introduction of Family/General/Referal Medicine, Introduction of Acute Medicine
Entry exams In Training AssessmentsAbolish exit exams
Uniform titles...MD /MS /DNBAbolish Diplomas
Academics and reserach should be segregated from this trainingAllow to integrate depending on interest and aptitude.Not forced on everybody- save resources for those with aptitudeDelink from MD,MS,DM,MChUniform BSc, MSc, MPhil and PhD
..................................................................................
1 Year (or more depending on sub-specilaity) Superspeciality training Uniform titles DM and MCh Abolish PDCC and ambiguous fellowshis
..................................................................................
Emphasis should be on -
1.Clear objective- to make High Quality CLINICIANS- NOT ALL ROUNDERS e.g. Keep research and academics for those willing to pursue it
2.Inefficient/unrealistic/failed methods should be abandonded or given only due importance in training e.g.Preventive and social medicine
3.Early introduction of Management in to the curriculum to help them apply their skills/ knowledge and to dovelop right attitude
4.Stop producing walking encyclopedia( limit MCQ exams to basic sciences) but encourage dovelopment of application skills
5.COMPETENCY BASED IN HOUSE assessments- Onus to organise and pass THEM should be on the candidates not the teachers who should only facilitate.
6.Regular assessments,feedback and MUTUALLY agreed correction plans
7.Ensure basic training in 'Common and Acute problems' before allowing any independent- or credible supervised- patient interaction
8.Alternative career(?within healthcare) advice to mal-adjusted at the earliest opportunity
9.Reform of medical education Funding - not purely by tax-payers money(govt subsidies/grants)- Govt Medical colleges should also generate some income- Rather than subsiding and later ending up failing to force bonds on unwilling beneficiaries or be content with substandard pay-back service , govt can provide legally sound education loans.-This will also discourage rich parents to hijack merit by money,provide level opportunity for poor aspirants and may check brain-drain too.-Private medical college should be banned from charging upfront fees but asked to set up education loans for every applicant successful purely on merit.
All in all, this would be more of reorganisation of the existing training structure.Further fine tuning can be undertaken in later phases.
e-learning
while i see the concept of e-learning, i did not see a formal recommended course for the use of computers.similarly, formal course including lectures, group discussions, mock cases etc in the field of medical ethics and evidence based learning are requireda introduction to the concept of Professional development is neededMCI must formally recognise the adequacy of a digital libraryMCI must also recognise the worth of specialists/teachers with foreign qualifications - this should not be dictated by political considerations
Dr K Lakshman FRCS
Dr K Lakshman FRCS
Thursday, August 9, 2007
UROLOGY
THIS IS TO INFORM YOU THAT SURGERY IN PRACTICE COMPRISSES NEARLY 60% OF UROLOGY WHICH IS NEGLECTED. DEFINITELY A SUBSPECIALITY OF UROLOGY NSHOULD BE CREATED TO BE SUPERVISED BY UROLOGIST
DR PAWAN KESARWANI
DR PAWAN KESARWANI
curiculum
It is a laudable effect. However, success of this venture depends on one very crucial factor and that is the medical teacher. Without teacher training, this curriculum will also degenerate into what happened to earlier models. Equally important is to take away high stake examinations (prof. examinations, entrance examinations) and replace them with continuous assessment. We have to believe teachers- everything cannot depend on one 2 hours paper, ignoring the efforts and conduct during 5 years of medical studies. Internal assessment should also reflect emphasis on skills and should be a criterion referenced test. Further progression in the course should depend on acquiring the prescribed skills.--
Dr Tejinder Singh
Director
CMCL-FAIMER Regional Institute
its a good move, let me congragulate the initiative, especially theModular approach and core competencies development.It's fine to regard community medicine as a core clinical entity,provided its social engineering aspects are not neglected altogether.Couldn't understand what is meant by Medicine skill? And I am surprisedin not finding Paediatrics amongst the clinical subjects.
Dr Biju Soman
Dr Tejinder Singh
Director
CMCL-FAIMER Regional Institute
its a good move, let me congragulate the initiative, especially theModular approach and core competencies development.It's fine to regard community medicine as a core clinical entity,provided its social engineering aspects are not neglected altogether.Couldn't understand what is meant by Medicine skill? And I am surprisedin not finding Paediatrics amongst the clinical subjects.
Dr Biju Soman
Subject of Physical Medicine and Rehabilitation
This is in regard to bringing the Subject of Physical Medicine and Rehabilitation in to the curriculum of the MBBS Students for the following reasons.
1. Predominantly the subjects deals with Rehabiltation of the chronically ill patients like stroke, traumatic brain injury, orthopedically injured patients, geriatric patients etc.. and as a primary care physician the Medical graduate needs to know about the availabilities of the Rehab services and role it can play in bringing these patients to realise their abilities and incorporate them into the society and reduce the social burden.
2.This also deal with Disabled persons and Medical graduate needs to know about impairment, disabilty, handicap and how to help the disabled person to realize his independence
3. Brief knowledge about physiotherapy and occupational therapy is essential as a medical graduate need to know about the services rendered by these paramedical group personnel
Hope Physical Medicine and Rehabilitaion will be included in subsequent syllabus.
Dr.P.Thirunavukkarasu
Associate Prof in Physical Medicine
Govt. Vellore Medical College
1. Predominantly the subjects deals with Rehabiltation of the chronically ill patients like stroke, traumatic brain injury, orthopedically injured patients, geriatric patients etc.. and as a primary care physician the Medical graduate needs to know about the availabilities of the Rehab services and role it can play in bringing these patients to realise their abilities and incorporate them into the society and reduce the social burden.
2.This also deal with Disabled persons and Medical graduate needs to know about impairment, disabilty, handicap and how to help the disabled person to realize his independence
3. Brief knowledge about physiotherapy and occupational therapy is essential as a medical graduate need to know about the services rendered by these paramedical group personnel
Hope Physical Medicine and Rehabilitaion will be included in subsequent syllabus.
Dr.P.Thirunavukkarasu
Associate Prof in Physical Medicine
Govt. Vellore Medical College
Regarding Evaluation Methods
Its nice to have a curriculum plan as per the global essentials of medical education.the technology is rapidly changing.we have to train and teach our students according to this.I felt very happy so much emphasis was given in to anaesthesia and resuscitation in curriculum. in fact we have to train basic doctor these skills.the other topics also quite useful.we can include management of trauma victim and management of unconscious patient.ICU posting during intern ship is a must for all. more emphasis should be given to problem based learning. Communication skills, medical ethics,managerial skills, computer knowldge, should be included in curriculum.
Regarding Evaluation Methods.
its time to modify evaluation methods by including tools with more validity and reliability.OSCE.OSPE,has to be included.the curriculum and evaluation methods should be uniform through out country.
Prof.T.VenugopalaRao
Senete member, Dr.NTRuniversity of Health Sciences
Regarding Evaluation Methods.
its time to modify evaluation methods by including tools with more validity and reliability.OSCE.OSPE,has to be included.the curriculum and evaluation methods should be uniform through out country.
Prof.T.VenugopalaRao
Senete member, Dr.NTRuniversity of Health Sciences
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