Subject curriculum

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I PHASE

Including information to the subjects of Demography, Health economics, Medical Sociology, Hospital management, Behavioral sciences inclusive of Psychiatry.

    • Objectives

    The student shall be able to:

    At the end of the course, the student shall be able to make use of:

    Teaching of community medicine shall be both theoretical as well as practical. The practical aspects of the training programme shall include visits to the health establishments and to the community where health intervention programmes are in operation.

    In order to inculcate in the minds of the students the basic concept of community medicine to be introduced in this phase of training, it is suggested that the detailed curriculum drawn shall include at least 30 hours of lectures, demonstrations, seminars etc. together with at-least 15 visits of two hours each.

    Theory Lectures (1 hour each) Field visits (2 hours each)
    Introduction to the subject PSM & Department Visit of the hospital
    Health: Definitions, concept and spectrum Record section
    Health: Determinants and indicators Operation theatre
    Levels of Prevention  
    Demography: Census, cycle, trends- India Central Sterilization Unit
    Demography: collection, compilation and analysis Medical store
    Health economics-I P.M. room
    Health economics-II  
    Sociology: Social classification A.R.V. Clinic
    Sociology: In health and disease P.P. Unit
    Family and health Blood bank
    Culture and health Urban Health Centre
    Community behavior Anganwadi
    Social psychology Primary Health Centre
    Urban -rural communities, urbanization and health Sub Health Centre
    Hospital management-I Immunization clinic
    Hospital management-II  
    Health care delivery system in India Incinerator
    Primary, comprehensive and basic health care  
    Health status & problems in Gujarat & India  
    Tutorial on health determinants & Levels of Prevention (2 hours)  
    Tutorial on Sociology & health ( 2 hours)  
    Seminar on Health Care Delivery system in India (2hours)  
    Seminar on Population problem in India (2 hours)  
    Tutorial on Health status and health problems in Gujarat (2 hours)  
      • Knowledge
      1. Explain the principles of sociology including demographic population dynamics
      2. Identify social factors related to health, disease and disability in the context of urban and rural societies;
      3. Appreciate the impact of urbanization on health and disease;
      4. Observe and interpret the dynamics of community behavior;
      5. Describe the elements of normal psychology and social psychology;
      6. Observe the principles of practice of medicine in hospital and community settings.
      • Skills
      1. Principles of practice of medicine in hospital and community settings and familiarization with elementary nursing practices;
      2. Art of communication with patients including history taking and medico-social work.

 

II AND III PHASE

 

The broad goal of the teaching of undergraduate students in community medicine is to prepare them to function as community and first level physician in accordance with the institutional goals.

 

At the end of the course, the student shall be able to

    • Goal
    • Objectives
    1. Describe the health care delivery system including rehabilitation of the disables in the country;
    2. Describe the National Health Programmes with particular emphasis on maternal and child health programmes, family welfare planning and population control;
    3. List epidemiological methods and describe their application to communicable and non-communicable diseases in the community or hospital situation;
    4. Apply bio-statistical methods and techniques;
    5. outline the demographic of the country and appreciate the roles of individual, family milieu in health and disease;
    6. Describe the health information system;
    7. Enumerate the principles and components of primary health care and the national health policies to achieve the goal of 'Health for all';
    8. Identify the environmental and occupational hazards and their control;
    9. Describe the importance of water and sanitation in human health;
    10. To understand the principles of health economics, health administration and health education in relation to community.
    • Skills
    • At the end of course, the student should be able to

      1. Use Epidemiology as a scientific tool to make rational decisions relevant to community and individual patient intervention;
      2. Collect, analyze, interpret and present simple community and hospital based data;
      3. Diagnose and manage common health problems and emergencies at the individual, family and community levels keeping in mind the existing health care resources and in the context of the prevailing socio-cultural believes;
      4. Diagnose and manage maternal and child health problems and advise a couple and the community on the family welfare planning methods available in the context of the national priorities;
      5. Diagnose and manage common nutritional problems at the individual and community level;
      6. Plan, implement and evaluate a health education programme with skill to use simple audio-visual aids;
      7. Interact with other members of the health care team and participate in the organization of health care services and implementation of national health programmes.

       

      • Integration

      Develop capabilities of synthesis between causes of illness in the environmental or community and individual health and respond with leadership qualities to institute remedial measures for this.

      Theory Lectures Field visits/Practicals
      Introduction to " environment and health" Environment
      Water: sources and pollution Horrock's apparatus
      Water: Quality criteria Orhtho-toludene test
      Air: pollution and control Chlorination of well
      Role of light and ventilation in health Water sampling
      Noise pollution and control Bacteriological analysis of Drinking water- MPN count
      Radiation hazards & prevention Chemical indicators of water pollution
      Solid waste disposal Indices of Thermal comfort & Meteorological instruments
      Human waste disposal-I (Types of sanitary latrines Models on environment
      Human waste disposal-II (Sewage treatment) Models in Occupation health
      Genetics and health: Principles and heredity Entomology
      Chromosomal disorders and abnormalities Introduction of medical entomology
      Population genetics and genetic counseling Mosquito
      Genetic disorders: epidemiology and control Mosquito control measures
      Introduction and definitions of epidemiology Housefly & sandfly
      Uses and types of epidemiology: 1. Descriptive Louse, ticks and mites
      Types of epidemiology: analytical and experimental Cyclops and flea
      Epidemic investigation Insecticides
      Screening and surveillance in epidemiology Nutrition
      Disease transmission, carrier and reservoir Museum specimens of cereals and pulses
      Control of communicable diseases Museum specimens of fruits, vegetables, fats and oils
      Control of non-communicable diseases Museum specimens of non-vegetable food
      Epidemiology and control of small-pox and chicken-pox Nutritional disorders: xerophthalmia, rickets, anemia, IDD and fluorosis
      Measles, mumps and rubella Assessment of Nutritional status & Obesity
      Influenza Infant feeding, weaning & Road to health card
      Acute respiratory infections Dietary survey techniques; nutritional and energy requirements
      Diphtheria and pertussis Assessment of dietary intake and nutritional surveillance
      Tuberculosis-I Adulteration of foods
      Tuberculosis-II FIELD VISITS  
      Meningococcal meningitis Water treatment plant
      Viral hepatitis-I Urban Malaria centre
      Viral hepatitis-II Blind school
      Poliomyelitis Salt iodization plant
      Acute diarrheal diseases PHC-Songadh
      Cholera K.J. Mehta TB Hospital-Amargadh
      Enteric fevers Leprosy Hospital
      Food poisoning and its investigations Excel Industries
      Dracunculiasis Public health laboratory
      Malaria-I Contraceptives
      Malaria-II Introduction and barrier contraceptives
      Filariasis Intrauterine devices
      Arboviral diseases-Dengue and DHF Hormonal contraceptives
      Japanese encephalitis Sterilization and MTP
      Plague Natural method
      Rabies Immunization
      Tetanus Introduction
      Trachoma Live vaccines
      STD Killed vaccines
      HIV/AIDS UIP and cold chain
      Leprosy-I Evaluation of UIP
      Leprosy-II Biostatics
      Biostatics Introduction of statistics, Data: methods of collection,types and uses , Presentation of data: tabulation, charts and pictures , Mean: application and calculation(simple and grouped data ,Median and mode: application and calculation ,Measures of dispersion: types and standard deviation ,Normal distribution and normal curve ,Standard error of proportion , Standard error of difference of proportion, Chi-square test , Z- test ,Standard error of mean ,Standard error of difference of means, Student's t-test ,Morbidity and mortality statistics , Population statistics , Fertility statistics
      Cancer
      IHD
      RHD
      Obesity
      Diabetes
      Hypertension
      Injuries
      Blindness
      Introduction to MCH
      Antenatal, intranatal and postnatal care
      MTP Act
      Indicators of MCH Services-MMR & PNR
      IMR& Neonatal MR
      Post neonatal MR & U5MR
      School health
      ICDS
      CSSM/RCH
      NFWP Epidemiological Exercises
      Geriatrics Case-control studies
      Mental health Cohort studies
      Substance abuse Randomized control trials
      Introduction to Occupational health Screening
      Pneumoconiosis  
      Occupational dermatitis and cancers  
      Prevention and control of Occupational diseases  
      Factories act and ESI act  
      Development of health care system in India  
      Organization of health services- National, state and district  
      CHC, PHC and SHC (activities and functions)  
      Primary health care  
      Health For All by 2000 AD- activities and goals  
      Health education  
      International health organizations  
      Health planning and management  
      National Nutrition Programmes  
       

       

      • Evaluation

      For the evaluation of students there is a provision for two internal examinations, one preliminary examination and at the end of seventh semester, there will be University examination along with the subjects of Ophthalmology and E.N.T. 

      I Internal Examination: 
               Will be conducted after the completion of 4th semester and will include the course covered till date. The examination will comprise of Theory and Practical 

      II Internal Examination:
               Will be conducted after the completion of 6th semester and will include the course covered after I Internal examination. The examination will comprise of Theory and Practical

      Preliminary Examination:
               Will be conducted one month before the University Examination and it will cover the whole course. The examination will comprise of Theory and Practical.