pm.d community medicine syllabus

8/8/2019 Pm.d Community Medicine Syllabus

1/38

LIST OF SPOTTERS FOR POSTGRADUATE PRACTICAL EXAM FROM26TH TO 27TH JUNE 2007.

NUTRITION1. Parboiled Rice 38. Paris green1. Wheat 39. Pyrethrum extract2. Ragi 40. Incinerator3. Red gram 41. Bore-hole latrine4. Black gram 42. Soakage pit5. Milk 43. Slow-sand filter6. Egg. 44. Growth chart7. Coconut 45. Diptheria chart8. Ground Nuts. 46. Pertussis chart9. Vegetables 47. Neonatal Tetanus chart10.Green leafy vegetables 48. Measles chart11. Fruits 49. Leprosy chart12.Jaggery 50. Tuberculosis chart13. Iodised salt 51. Dracunculiasis chart14.Oral Polio Vaccine 52. Anopheles Mosquito15.D.P.T.Vaccine 53. DEC Tablets16.T.T.Vaccine 54. Chloroquine Tablets17.B.C.G.Vaccine. 55. Paucibacillary Leprosy Treatment18.Measles Vaccine. Multi blister pack19.Hepatitis B vaccine20.Vitamin A solution21.Bengal gram22.Vaccine carrier23. Ice packs24. I.U.C.D.25.Oral pills26.Saheli27.Nirodh28. Iron & Folic Acid tablets29.ORS30.Disposable delivery kit31.Alum32.Permutit33.Bleaching powder34.Cresol

Copper sulphateTformolin

*****


2/38

35.MUSEUMCharts:

1. Chicken pox2. Small pox3. Mumps4. Nosocomial infections5. Measles6. Severe acute respiratory syndrome(SARS)7. Rubella German measles8. Lead, empower,deliver9. ORS10.Diagnosis of TB in RNTCP11.National immunizational schedule.

Environment:

1. Double pot method2. Air Pollution3. Factories Act4. Pneumoconiosis5. Occupational Hazards6. Industrial Accidents7. Lead poisoning8. Classification of Bio-Medical waste9. Soakage-pit

Social Sciences:

1. Cultural factors of health and disease.2. Socio-economic classification.3. Age pyramid


3/38

Nutrition:

1. Nutrition Health2. Pulses3. Nutritional blindness

NCD- Non communicable Disease

1. Vision -2020MCH:

1. ICDSInternational Health:

1. World Health Organization.2. UNICEF3. National Health Polichy -20024. FAO(Food & Agriculture Organization)5. International Labour Organization.

Concept of Health & Epidemiology:

1. Iceberg of disease2. Epidemiological triad3. Determinants of Health4. Classification of Epidemiological studies


4/38

5. RCT(Randomized controlled trial)6. Care control & cohort study7. Spectrum of Health8. Chain of infection Natural history of disease.

Statistics:

1. Measures of Dispersion.2. Normal Distribution

Environment:1. Slow sand filter2. First Aid3. HIV4. Rural information Technology in Health promotion.5. Types of families6. Modern sewage treatment7. Tips for HIV +ve patient8. Characteristics of anopheles,culex,aedes mosquitoes9. Nutrition programmes in India


5/38

10.Optimum newborn care11.Examination of nerves in leprosy12.Social evils13.TB symptoms14.Balanced diet for adult man Moderate work15.Balanced diet for adut man Heavy work16.Balanced diet for adult man sedentary work17.Bananced diet for adult woman Heavy work18.Balanced diet for adult woman sedentary work19.Balanced diet for adolescent boys20.Balanced diet for adolescent girls21.Balanced diet for school children

22.Balanced diet for pre-school children

22.Concept map of Leprosy23.STD24.Disposable delivery kit25.Family planning- son or daughter one will do26.Horrocks apparatus27.Planning cycle28.Preventive measures to reduce IMR


6/38

29.Sanitation barrier to transmission of faecal borne diseases30.Primary treatment of sewage31. Activated sludge process32.Pyramid of Health services33.The structure of the TB programme34.Standardized treatment of TB35.Diagnosis & management of Chest symptomatics36.Malaria lifecycle in mosquito & human beings37.Modes of Transmission38.Droplet infection

Entomology:

1. Mosquitoes

Models:

1.Sanitary well

2.Spring (Artesian well)


7/38

3. Model with housestandards

4. Slow sand filter5. Filter bed6. Bore hole Latrine7. Soakage pit8. Incinerator9. Septic Tank Latrine10.Pasteur Chamberland filter11.Berke feld - filter12. Activated sludge process13.Trench latrine14.Sulabh Latrines15.Sanitary Tank16.Bore well Latrine17.Dug well Latrine18.In sanitary well19.Vaccine carrier20.Ventilator out-lets21.Mecknels ventilator corner of Institutes22.Sherring Ham valve23.Tobins tube


8/38

24.Refuse cart25.Night soil cart26.Model of lavatory27.Aerated filter Trickling filter28.Model of House29.Sewage system30.Different types of Houses31.Sweet shop Hygienic:

Un hygienic:

32.Dam proof course33.Common deadly shakes34.Cynogas pump35.Spotters of Parasitic infestations 1,2,336. Plague

37. Sandfly lifehistory

38. Head louse life history 2

39. Common House fly life historry

40.Life history of aedes aegptii

41. Crab louse life history

42. Tsetsefly

43. Various stages of Malarial Parasites

44. Life history of anopheles

45. Life history of ticks


9/38

46. Parasitic infestations Fasciola

Communicable Diseases:

47. Small Pox

48. Checken Pox

49. Syphilis

50. Scabies

51. Leprosy

52. Rodents

53. Section of female pelvis

54. Vaccine carrier

55. Tobacco products and Alcohol

56. Family planning chart kit

57. Nutrition and Health spotters

58. Family planning spotters

59. Graphic representation charts

60. Sedimentation Tank

61. Bore hole Latrine

62. Rapid sand filter

63. Activated sludge process


10/38

EPIDEMIOLOGICAL PROBLEMS FOR FINAL MBBS PART-I PRACTICAL EXAMINATIONIN COMMUNITY MEDICINE MARCH/APRIL 2010

1. Heavy incidence of Ankylostomiasis cases had been reported in a village. Outlinethe measures you would undertake to prevent and control the same.

2. A hostel warden reports to you with 6 hostel inmates with skin lesions on theirhands, axilla and groin regions. Hand lesions are more in finger web spaces.Children say they have itching sensation in the area of lesions especially during nighttime.

What is your diagnosis?How do you treat the cases?What measures you would take for remaining children of the hostel so as toprevent its spread and further recurrences of the infestation.

3. A boy aged 12 years had been brought to PHC with history of rabid dog bitewith a deep wound on the face and multiple lacerated wounds on the hands.Enumerate the steps you would undertake to prevent the occurrence of rabiesin him.

1. A mother with her 3 years old child has come to your PHC and tells that thebaby has difficulty in seeing the objects during darkness.

(a). What is your diagnosis of the problem in the child.(b). Enumerate the measures to be undertaken to prevent the problem and also

such recurrences in the child.

2. Rupali, a 24 years old second gravida gave birth to a male child at home. Anuntrained village birth attendant has delivered the child who weighed 2.6 Kg and appearednormal at birth. Rupali has not received any antenatal checkups during thispregnancy. Five days later, the baby stopped suckling at the breast, developedtrismus, had convulsions and ultimately died after 2 days.

(a). What was the cause of death in the child.(b). Mention the immunization schedule given during pregnancy.c). Mention the aseptic practices to be followed during the delivery that

would have prevented the death of the child.

6. Three cases of Dengue fever had been reported from a village attached toDurgi P.H.C., in Guntur district. Mention the steps you would under taketo investigate this situation. Suggest measures to be followed


11/38

so as to prevent and control the epidemic of Dengue fever in that PHC area.

7) A motor mechanic aged 32 years is brought to the casualty with crush injury on both legs after he metwith a road traffic accident 2 hours ago.What measures will you take to prevent the occurrence of tetanus in him

8) Four cases of enteric fever have been diagnosed in a medical college hostel. What measures do youtake in the management of cases .Suggest also the measures to be taken to prevent and control suchrecurrences in future

STATISTICAL PROBLEMS FOR FINAL MBBS PART-I PRACTICAL EXAMS.

1. In a town the following data was recorded for the year 2004.Population - 1,40,000Live births - 5,500Deaths - 2,000Infant deaths - 420Maternal deaths - 35

Calculate birth rate, death rate, Infant mortality rate, & Maternal mortality ratefor the town for the given year.

2.In a town with the population of 1,10,000, the following events have occurred in 2005.Total Births - 3,000

Total Deaths - 1,000

Infant deaths - 200Deaths due to TB- 100Calculate birth rate, death rate, infant mortality rate, proportional mortality rate and

specific mortality rate for TB.

3. Weights in Kgs of 9 students were given as follows.56 48 48 50 54 48 46 46 54

Calculate range, Mean deviation, Mean and standard deviation.

4. Data pertaining to Malaria surveillance activity under NMEP in a PHC during

2003 are as follows.Mid year population - 55,000No. of Blood smears collected and examined:

Active surveillance - 5000Passive surveillance - 2500Mass + contact blood smear survey - 750Total No. of slides positive for malaria parasite - 100No. of blood smears positive for plasmodium Falciparium - 20


12/38

No. of deaths due to Falciparium malaria - 08.

Calculate Annual blood examination rate, slide positivity rate, slide Falciparium rate,annual parasite incidence and case fatality rate for Malaria in the PHC Area.

5. A city has a mid year population of 90,000.. Total deaths due to all causes in thatarea were 1500. Deaths due to CHD were 180. Calculate specific death rateand Proportional mortality rate for CHD., Mention the risk factors for CHD.

6)In a village a circular well with a diameter of 8 meters and height of water column 9 meters is to bechlorinated. On doing Horrocks test blue color developed in third cup. Calculate the amount of bleachingpowder required to chlorinate the well water. Mention also the steps involved in the chlorination of well.

7)A cohort study conducted to study Lung Cancer& Cigarette smoking. The results are as follows.Cig Smoking Disease +ve Un-diseased TotalPresent 150 4850 5000

Not present 24 3976 4000Calculate Relative risk, Attributable.

8) An investigator s hypothesis that smoking is associated with coronary heart disease so he chooses 300cases with coronary heart disease, 400 cases without CHD who had some other disease. History ofsmoking was obtained from individuals of both groups.220 cases and 100 controls reported that they weresmokers . Now find outa)Mention the type of study

b) find the exposure rates of smoking among Heart disease and those without heart disease.c) Estimate the extent of association between characteristic and outcome

POSTGRAUDTE COURSE SYLLABUS CONTENTS-THEORY.Health systems in India and the World- Historical perspective.1. History of Public Health in India.

- Hilstory of Health Services in India.- Indigenous systems of Medicines in India.- Bhore Committees and other Committee reports on HealthServices, Health Care and Health Professional Education in

India.- National Health Policy.- An update of achievements of the country vis--vis the Healthfor All Indicators.

2. History of Public Health in the World.- Influence of the various systems of Medicine i.e. Chinese,Mesopotamian, Egyptian, Greek etc.


13/38

- Concepts in public Health - Disease control- Health Promotion- Social Engineering.- Health for all.

3. Primary Health Care.- Concepts of Primary Health care.- Principles of Primary Health Care.- Elements of Primary Health Care.- Models of delivery of Primary Health care.- Current status of Primary Health Care the world

over.4. The Health care system in India - Structure and Function.

- Central Level.- State Level.- District Level.- Taluk Level.- Primary Health Centre Level.- Village Level.- Urban Level.

SOCIO CULTURAL DIMENSION IN HEALTH1. Principles of Sociology and the Behavioral sciences.

- Concepts of Sociology and Behavioral Sciences.- Influence of Social and Cultural Factors on Health and Disease.- Social Structures and Social Organization.

2. Principles of Social Psychology.- Principles of Psychology.- Principles of behavioral sciences.- Principles of Social anthropology.

3. Application of Sociology in Health and Development.- Social problems in Health and Disease.- Use of sociology in addressing problems in Health and Disease.

PRINCIPLES OF EDUCATIONAL SCIENCE & TECHNOLOGY- Curriculum planning, Educational Objectives.- Principles of Learning.


14/38

- Teaching/Learning methods.- Teaching skills including Micro Teaching- Preparation and use of Teaching Aids and Learning

Research Materials.- Methods of Evaluation.

PRINCIPLES AND PRACTICE OF INFORMATION, EDUCATION ANDCOMMUNICATION.

1. Principles of IEC Health Education- Objectives of Health Education- Content of Health Education

2. Communication Skills- Principles of communication

- Communication blocks- Body language

3. The use of Media for IEC4. Practice (Methods) of IEC and its application in Community Health5. Evaluation of impact

PRINCIPLES OF NUTRITION AND APPLIED NUTRITION

1. Nutrients, Daily Requirements, Balanced Diet, Primordial Prevention of Lifestylerelated disease.

- Classification of Foods- Daily Requirements of Nutrients- Balanced Diet- Nutritional Profiles of Major Foods

2. Nutritional Deficiencies- Nutritional Requirements- Protein Energy Malnutrition- Vitamin Deficiencies- Mineral Deficiencies- Deficiencies of Trace elements.


15/38

3.Assessment of Nutritional status in a community and approach to a programme.- Assessment of an individuals Nutritional Status.- Assessment of Community Nutritional Status.

3. Nutritional Programmes in India Critical Review- Nutritional Problems in India- Programmes to combat these problems- Nutritional Surveillance- Social Problems in Nutrition

4. Other Aspects of Nutrition- Food Borne Diseases- Food Hygiene- Food Adulteration including PFA Act

PRINCIPLES OF ENVIRONMENTAL HEALTH

1. Water- Sources of water- Water Pollution- Purification of water- Water Quality Standards- Water Borne disease Epidemiology and Control

Investigation of outbreak of water borne disease and reportincluding water testing.

2. Air- Indices of thermal comfort- Air Pollution including monitoring- Effects of air pollution and prevention and control.- Ventilation

3. Housing including domestic and industrial housing standards.4. Noise and noise pollution.5. Radiation6. Meteorological Environment including temperature, humidity and rainfall.7. Lighting8. Disposal of Waste and Sanitation

- Sources and Classification of wastes- Disposal of Solid Wastes.- Excreta Disposal- Sewage Treatment- Health Care and Hospital Waste Management.


16/38

9.Environmental Pollution- Source of Environmental Pollution- Monitoring of Environmental Pollution.- Prevention and Management of Environmental

Pollution.10.Medical Entomology

- Insecta; Mosquito, Flies, Lice, Fleas and Bugs- Arachnida: Ticks and Mites- Crustacea: Cyclops- Identification of the arthropods- Diseases transdmitted by arthropods.- Control of Arthropods and Diseases borne by them.- Insecticides and Insecticide Resistance- Rodents and Anti-Rodent Measures- Integrated Vector Control.

MATERNAL HEALTH, CHILD HEALTH AND FAMILY WELFARE1. Common, Maternal and Child health problems at an individual level

- Antenatal Care- Risk Approach- Antenatal visits- Preventive services- Intranatal Care- Postnatal Care- Care of the mother- Child Health Problems- Low Birth Weight- Growth and Development- Childhood Infections- Care of the infant

2. Genetics and health- Common genetic problems- Management of Genetic problems- Preventive and Social Measures in Genetics

3. Structure of MCH and Family Welfare services in India- Problems of Maternal Health in India- Delivery of Maternal and Child Health Services


17/38

- Trends in the MCH services- MCH related programmes in India eg., RCH,

CSSM, ICDS.- Family Planning- Methods of family planning- Indicators of MCH care.

4. Demographic Trends in India.- Demographic Cycle- Trends in the world- Demography related indicators- Demographic trends in India

5. School Health Services- Objectives- Components of school health services- Planning for school health services- Care of handicapped children- Behavioural and Learning Problems in Children

6. Social Paediatrics- Juvenile Delinquency- Child Abuse- Child Labour- Street Children- Child Guidance Clinic- Child Marriage- Child Placement

PRINCIPLES AND APPLICATION OF EPIDEMIOLOGIC METHODS IN HEALTHRESEARCH

1. Research Methodology2. Principles of Epidemilogy3. Epidemiologic Studies

- Descriptive- Analytical- Experimental

BIOSTATISTICS:Collection/Organisation of data/Measurement scales


18/38

Presentation of dataMeasures of Central TendancyMeasures of variabilitySampling and planning of health surveyProbability, Normal distribution and inductive statisticsEstimating population valuesTests of significance (Parametric/Non-parametric including qualitative methods)

Analysis of varianceAssociation, correlation and RegressionVital statisticsEvaluation of health and measurement of morbidity/mortalityLife table and its usesUse of computersCensus.

PRINCIPLES OF TROPICAL MEDICINE1. Infectious and Non Infectious Disease Epidemiology- Respiratory Diseases such as small Pox, Chicken Pox, Measles, Mumps,

Rubella, Diptheria, Pertusis, Influenza, Tuberculosis, ARI etc.,- Intestinal Infections such as Poliomyelitis, Hepatitis, Food Poisoning, Cholera,- Enteric Fevers, Amoebiasis, Worm Infestations etc.,- Arthropod Borne Infections such as Malaria, Filaria, Dengue and others- Zoonotic Diseases such as Brucellosis, Rickettsial Diseases, Parasitic- Surface Infections including AIDS, STDs, Leprosy, Tetanus, Trachoma

among others.- Non-Infectious Diseases of Public Health Importance.- Cardiovascular diseases, diabetes, blindness, accidents, cancers.

NATIONAL HEALTH PROGRAMMES:The origin, historical development, interventions, current state and critique of the

different National health programmes; national Family Welfare Programme(NFWP).

- National Tuberculosis control Programme.- National Leprosy Eradication Programme.- National Diarrhoeal Diseases Control Programme.- National Malaria Eradication Programme.- National Acute Respiratory Infections(ARI) control Programme.- National AIDS control Programme.- National Guinea Worm Eradication Programme.


19/38

- National Kala Azaar Control Programme.- National Japnese Encephalits(JE) Control Programme.- National Iodine Deficiency Disorders(IDD) control Programme.- National Programme for the Control of Blindness.- National Cancer Control Programme.- National Mental Health Programme- National Diabetes Control Programme.- Child Survival and Safe Motherhood(CSSM)- Reproductive Child Health(RCH).- Universal Immunization Programme(UIP)- National Water supply and sanitation Programme.- Minimum Needs Programme.The Implementation of NHPs at a programme level and in the community.COMMUNITY MENTAL HEALTH

1. Principles of Mental Health.- Types, causes and warning signals of Mental Illness.- Preventive aspects of mental health.

2. The approach to Mental Health Problems in a Community.- Primary Health Care approach to mental health problems.- Mental Health Services in the country.

OCCUPATIONAL HEALTH1. Principles of Occupational Health.

- Occupational Environment.- Occupational Hazards.- Absenteeism- Problems of Industrialisation.- Health Protection of workers- Prevention of Occupational Diseases.

2. Legislation in Occupational Health.- Factories Act

- Employees State Insurance Act.- Workmens compensation Act.- Mines Act.

- Plantation Labour Act.

3. Basics of Industrial Toxicology.4. Principles of Industrial psychology.


20/38

5. Basics of Ergonomics.

HEALTH CARE OF THE AGED AND THE DISABLED.

1. Community Geriatrics.- Implications of demographic changes in Indian Population.- Health Problems of the aged.- Preventive Health Services for the aged.

2. The Disabled and Rehabilitation.- Problem of disabled in the country.- Types of disabilities and their management- Rehabilitation of the disabled.- Community based Rehabilitation.

Health care of Tribal People

Desert Medicine.

VOLUNTARY SECTOR IN HEALTH.Role of the Voluntary sector in Health.

- Activities undertaken by VOs in the Health Sector.- Activities of specific VOs in Health.- Innovative approaches in the voluntary Effort in Health.

HEALTH CARE ADMINISTRATION AND HEATH MANAGEMENT

1. Principles of Planning and Evaluation.- Plan Formulation.- Execution- Evaluation.

- Planning Cycle.2. Health Management.


21/38

- Methods and Techniques of Health Management.- Behavioral sciences in Management.- Quantitative Methods in Health Management.

3. Basics of Health Systems Research.4. Basics of Health Economics.5. Basics of Health Information Systems.

RECENT ADVANCES AND TOPICS OF CURRENT INTEREST.

1. Rational Drug Policy.2. Computers in Health.3. Agricultural Medicine and plantation Health.4. Introduction to Counseling.5. Community Ophthalmology.6. Qualitative Research.7. Disaster Management and Public health emergencies.8. Nosocomial Infection and Hospital Infection Control.9. Other free topics.

********POSTGRADUATE COURSE CONTENTS FOR PRACTICALS

1. Microbiology applied to public Health(Dept.of Microbiology)- Hands an experience in staining techniques and interpretation of- Leishmann stain- Grams Stain- JSB Stain- Alberts Stain- Ziehl-Neilson Stain.- Peripheral blood examination of Thick and Thin Smears and

Reporting.- Microscopic examination of stools and interpretation.- Collection and Dispatch of Samples to Laboratory- Experience in the Collection, examination and interpretation of

simple laboratory tests on blood, stool and urine.- Interpretation of Commonly used serological tests such as

Widal/Hiv/Hepatitis-B/Viral Antibody Titres.


22/38

2. Medical Entomology.- Collection of Mosquitoes/fleas/ticks/others.- Hands on experience on mounting and reporting.- Entomological Survey.

3. Epidemiological exercises and case studies(Including family studies)to illustrate principles and Practice of Community Health.- Statistical Exercises to Illustrate Principles and Practice.- Investigation of an Outbreak of a disease and Measures to control.

4. Exercises in public Health Administration.- Planning Exercises- VED Analysis etc.- Beneficiary Need Analysis.

- Preparation of Annual plan- Budgeting at the PHC level- Supervision of a PHC/SC- Requirement of Vaccines, Medicines, Stationary at the PHC level.- Organisation of a Family Welfare camp.- Conduction of an Immunization camp.

5. Diet and Nutritional Survey of a Community.- Collection and Dispatch of Food samples.

6. Study of Environment and its influence on health in- Work places.- House- hold- Community.- This includes the study of air pollution, noise pollution, temperature, humidity

and other meteorological factors and their effect on health.

7. Study of sanitation problems to illustrate the principles and practice ofCommunity health.

8. Environment Sanitation- Collection of Water Sample/Analysis/Reporting- Analysis of physical, chemical and microbiological quality of water- Study of Waste Management Methods- Adaptation of water supply methods and waste disposal methods to an

industry or Plantation setting.


23/38

- Study of Requirement of Water in Urban and Rural Setting.

9. Visits/Postings to the following institutions- District Health Office- District Hospital- Taluk Hospital- PHC/SC/CHC- Field Publicity Office

- ICDS office/Anganwadi Centre- Public Health Laboratory- Sewage Treat Plant- HUDCO- Vector control centre (Hosur)- Meteorology department- Any large NGO- UFWC Family Welfare Camps- Infectious disease hospital- Malaria/DTC/Filaria units- National Tuberculosis Institute- Leprosorium- Malaria Research Centre- Polio Surveillance Office- Visit to factory/Inspectorate of factories- Home for the aged- Blindness Rehabilitation schools- Deaf and Dumb schools- Spastic society

- Physically Handicapped Centre- Market Place- Slaughter House- Hotel- Milk Dairy- Cinema House- Food and Beverages Processing units


24/38

Posting to Obstetric and Gynaecology

1. Obstetrics ( Urban and Rural Health Centres )- Antenatal care- High Risk pregnancy- Intranatal care The management of normal labour- Postnatal care- Family Welfare

2. Gynaecology- Adolescent health- Reproductive Tract infections- Cancer of the reproductive tract especially Carcinoma cervix

Posting to Paediatrics ( Hospital and ICDS )1. Paediatric Infectious diseases2. Nutrition problems3. Immunization4. Neonatal problems5. Growth and development monitoringTRAINING ACTIVITIES

The entire training and the facilitation of the learning process will beaided through the following methods of learning :1. Lecture Discussions2. Practical Demonstrations3. Field visits Family Studies / Clinico-Social Case Studies / Site Visits4. Institutional Visits 5. Seminars 6. Journal Clubs7. Epidemiological Exercises8. Supervised Training of undergraduates including Lesson Planning9. Involvement in Specific Departmental Project works10. Conducting of Surveys

METHODS OF MONITORING:

1. Self Evaluation Through daily work Dairy2. Faculty Evaluation Through scrutiny of work diary by Head of the Dept andStaff.

3. Technique of skills in Pedagogy Through lesson plans and supervised taking ofclasses for undergraduates.

4. Skill evaluation through demonstration and practicals and field reports.5. Knowledge Evaluation through journal clubs, seminars and tests.


25/38

Dissertation (guidelines to student)Step 1 Identifying guide and co guideStep 2 Review of available literatureStep 3 Short listing of topic of interestStep 4 Workup in detail on few topics keeping in mind the

feasibility and discussion at the dept level.Step 5 Selection and finalization of the topic and submission of

protocolStep 6 Preparation and submission of synopsis six months after the

date of admission and as notified by the University.Step 7 Preparation of study instrumentStep 8 Pilot surveyStep 9 Finalising the studyStep 10 Data collection

Step 11 Data entry, compilation and processingStep 12 Analysis and interpretationStep 13 Presentation and Discussion at the Dept levelStep 14 Preparation and submission of dissertation to Register

Evaluation six months prior to university examination asnotified by the University.

POSTGRADUATE COURSECURRICULAM ACTIVITIES YEAR WISE

POSTGRADUATEDEGREE -M.D.COMMUNITYMEDICINE

1st year -- First 6 Months

Attending Undergraduate student classes. P.G. Seminars & Journal clubs Visiting R.H.C.,P.H.C., along with under graduate students. Theory classes for Postgraduates.--- Second 6 Months


26/38

* Lecture Classes for Postgraduates* Microbiology posting --- 1 month* Partaicipation in Journal Club and seminars.* Theory classes to Postgraduates &Water chemistry

at Regional Laboratory

2nd year

Perlipheral postings(3months)

1. General Medicine --- 2 wks.2. Obst.& Gynaecology --- 2 wks.3. S.T.D --- 2 wks

4. Dermatology --- 2 wks5. T.B.& Chest Diseases --- 2 wks6. Family planning Unit --- 2 wks7. I.D.H., --- 2 wks8. Municipal Corporation --- 2 wks9. Rural Health Centre --- 2 wks10.Primary Health Centre --- 2 wks11. District Medical & Health Office --- 2 wks12. Other institutions at state level --- 1 month

THESIS & PROJECT WORK(9months)

3RD YEAR --- Pedagogy


27/38

--- Particlipation in Semilnars, Journal Club &P.G.Theory classes

--- Participation in Surveys.--- Taking Theory & Practicals to the Undergraduates

including all Clinico social case discussionand family studies presentation

--- Attending to smart P.G.Programme at MedicalEducation unit.

--- Organization of tutorials to the Undergradute inall the topics as per the syllabus.

--- Attending the National & State level conferences(IAPSM & IPHA) and preparation for scientificresearch paper presentations perse.


28/38

POSTGRADUATE COURSE

CURRICULAM ACTIVITIES YEARWISEPOSTGRADUATE DIPLOMA i.e .D.P.H.,

1st year -- First 6 Months Attending Seminars & Journal clubs. Water chemistry. Theory classes to Postgraduates.

Second 6 Months

--- Particlipation in seminars & Journal clubs.Micronbiology posting for one month.Bi weekly theory classes.Participation in seminars, Journal clubstheory classes to Postgraduates &Practicals

Attending to U.G.Field trips

2nd year - Perlipheral Postings:

First 6 Months

1. General Medicine --- 2 wks.2. Obst.& Gynaecology --- 2 wks.3. S.T.D --- 2 wks4. Dermatology --- 2 wks5. T.B &Chest Diseases --- 2 wks6. Family welfare --- 2 wks7. I.D.H., --- 2 wks8. Municipal Corporation --- 2 wks9. Rural Health Centre --- 2 wks10.Primary Health Centre --- 2 wks11. District Medical & Health Office -- 2 wks12. Other Institutions at state leavel -- 1 month

Second 6 months


29/38

Term paper

SCHEME OF EXAMINATION FOR M.D. POST-GRADUATES

A. Theory written Examination

There shall be four question papers, each of three hours duration. Eachpaper shall consist of ten long essay questions each question carrying 10 marks. Total

marks for each paper will be 100.

Questions on recent advances may be asked in any or all the papers.

Paper I :1. History of Public Health and Community Medicine.2. Behavioural Science and health.3. Information, Education, Communication and Counseling.4. Microbiology including Entomology, Parasitology & Immunology.5.

Environmental health and Ecology.6. General Epidemiology, Biostatistics and Research methodology.Paper II :

7. Diet and nutrition in health and disease.8. Epidemiology of communicable diseases and non-communicable diseases,9. Occupational health.

Paper III :

10.Maternal health, Child health.11.Demography and Family Welfare.12.Cares of special groups viz., school health, adolescent health, and Geriatrics.13.Care of disabled, Community based Rehabilitation Tribal health, Desert

Medicine.14.Public Health emergencies and calamities.


30/38

Paper IV :

15.Health and Hospital administration.16.Health care delivery including National Health Programmes.17.Public Health legislation.18.Genetics and Counseling19.Mental Health.20.International Health.21.Voluntary Health OrganisationS, NGOS.

B. PRACTICALS 200 marks1. Family Study : (One) (75 marks)

One family will be allotted in rural/urban field practice area. Presentation anddiscussion will be on the health status of the family and of any case/individual in the familyand on factors that contributed towards maintenance of health and occurrence of disease;management at individual, family, and community levels.

2. Clinico-social case study (One case) (50 marks)Basic clinical presentation and discussion of diagnosis, treatment and management of

common communicable or non-communicable diseases/conditions with emphasis onsocial and community aspects.

3. Public Health Laboratory (Two) (25 marks)Staining of smears, interpretation of common serological diagnostic tests, water & milk

analysis or interpretation of given results of any above tests.

4. Problem on Epidemiology and Biostatistics (Two) (30 marks)Based on situation analysis from communicable or non-communicable diseases.MCH & FP including demography. Environmental health including Entomology and

Occupational Health.

5. Spotters (Five) (20 marks)Identification and description of relevant public health aspects of the spotters/specimen

by the student. Spotters shall be from Nutrition, Environmental health including Entomology& Occupational health, MCH & FP; Microbiology including parasites; vaccines, sera andother immunobiologicals.


31/38

C. VIVA-VOCE AND DISSERTATION DEFENCE (60 marks)

1) Viva-Voce Examination + Dissertation defence (60 marks)Students will be examined by all the examiners together about studentscomprehension, analytical approach, expression and interpretation of data. Studentshall also be given case reports, charts for interpretation. It includes discussion ondissertation.

2) Pedagogy Exercise: (40 Marks)A topic be given to each candidate along with the Practical Examination questionpaper on the first day. Student is asked to make a presentation on the topic on thesecond day for 20 minutes.

Max. Marks in M. D. Community

Medicine

Theory Practicals Viva-voce Total

400 200 100 700

SCHEME OF EXAMINATION FOR D.P.H. POST-GRADUATES:

A. Theory written Exmination: 300Marks.There shall be three question papers, each of three hours duration. Each paper

shall consist of four long essay questions each question carrying 15 marks and 4 shortessay questions each carrying 10 marks. Total marks for each paper will be 100.

Questions on recent advances may be asked in any or all the papers.Paper I : Basic sciences applied to Public health. ---(100marks)Paper II: Environmental health including occupational health.---(100marks)

* Epidemiology* Control of diseases.

Paper III: Public health practice and administration.(100marks)

B. PRACTICALS 200 marks1. Public Health Resort Inspection : (One) (50 marks)

One Public health resort allotted in Urban field practice area like lodging house,

hotel, market place, slaughter house. Presentation and discussion will be on its locality,premises relevant hygienic conditions of public health importance. Maintenance of rulesand regulations and its followeth as per the guidelines of Public health act. Anydeficiencies and suggested recommendations.2. Clinico-social case study (Two cases) (50 marks)

One long case carrying 30 marks and one short case carrying 20 marks. Basic clinicalpresentation


32/38

and discussion of diagnosis, treatment and management of common communicable ornon-

communicable diseases/conditions with emphasis on social and community aspects.3. Public Health Microbiology (One) (10 marks)

Staining of smears, interpretation of common serological diagnostic tests orinterpretation of given results of any above tests.4. Problem on Epidemiology and Biostatistics (Two) (20 marks)

Based on situation analysis from communicable or non-communicable diseases. MCH& FP including demography. Environmental health including Entomology and OccupationalHealth.5. Spotters (Five) (10 marks)

Identification and description of relevant public health aspects of the spotters/specimenby the student. Spotters shall be from Nutrition, Environmental health includingEntomology & Occupational health, MCH & FP; Microbiology including parasites; vaccines,

sera and other immunobiologicals.

C. VIVA-VOCE (50 marks)Students will be examined by all the examiners together about students comprehension,

analytical approach, expression and interpretation of data. Student shall also be given casereports, charts for interpretation.

List of M.D Postgraduates in Community Medicine by Year of Admission andDissertation topics & Term papers done in the

department of CommunityMedicine2006Dr.B.Anil Kumar:A comparative study of health status of 0-6 years children

among ICDS Vs Non ICDS urban slums of Guntur town2005Dr.N.Khadervali -An epidemiological study of Health Status of persons

aged 60 Years and above in slum & Non slum Areasof Guntur town.

2004Dr.R.Purnamma - A profile of cancer pattern in tertiary care Hospitals

of Guntur District.2003Dr.T.Sucharitha --Clinico-epidemiological study of Hypertension among

the individuals aged 20 years and above attending theoutpatient department of Urban Health Centre,Mallikarjunapet, Guntur.


33/38

2002Dr.S.S.Prathap - A study on Epidemiological profile of Industrial

Accidents in Vizag Steel Plant.2001Dr.K.A.A.S.V.Prasad - A Study of Health status of prenatal, postnatal

women and under 5 children in TadikondaRural Health Centre Area.

2003Dr.P. Madhavi. - A comparative study of permanent contraceptive

methods between Rural & Urban Areas in KrishnaDistrict.

2002Dr.S.Sermista -- Cross sectional study of reproductive health of

women in Rural Community in Guntur District.

2001Dr.K.Valleswari - A study on structural evaluation in P.H.C., in

Guntur District.Dr.Ch.Prasada Rao- Evaluation of Rural Health Status in Guntur district.Dr.A.Sitarama -- A study on Health status of School children in

Guntur district.Dr.R.Nageswara Rao - KAP study of implementation of Vitamin-A

Prophylaxis Programme among MPHAs of bothRural & Urban areas at Guntur District.

D.P.H., TERM PAPERS:

Dr.P.Rama Rao : Coverage evaluation of Universal ImmunizationProgramme in slums of Guntur city.

Dr.G,.SivaPrakash : Clinico Profile study of Leprosy cases inUrban Guntur between October December 2003.

Dr.Y.Mohan Rao : Evaluation of Nutritional and Health Status of 0-5years Children of ICDS project area in Urbanslum of Guntur.

DEPARTMENTAL ACTIVITIES-ON GOING RESEARCH SUBJECTS

M.D.,2007

Dr.V.Suhasini -


34/38

The Prevalence of Sexually transmitted infectionsin women in Urban slums of Guntur.

2006Dr.B.Anil Kumar - A Comparative study on Health Status of

Children aged 0-6 years attending ICDS Centre& Non ICDS areas in Guntur town.

D.P.H.,2007Dr.KVN.Siva Kumar - A study on obstertric delays resulting in

Maternal deaths in Guntur district.2006Dr.G.Indira - Clinico Social profile of pulmonary Tuberculosis

patients attending DTC,Guntur.*****

LIST OF C.M.E PROGAMMES ATTENDED BY FACULTY ANDPOSTGRADUATES

All faculty and both M.D & D.P.H postgraduates have participated in CME programmesregularly being organized by medical education unit in Guntur Medical college Guntur onevery 3rd Friday in a month which is conducted as smart PG programme

The following topics were covered and attended in this programme.1. Retrospective study of clinical profile of Neurocysticercosis.2. Case presentation on Addisons Disease.3. Out come of Organophosphorous poisoning cases in GGH., Guntur.

4. Retro-caval ureter- case report.5 Metabolic syndrome.6. Role of macrophages in Innate Immunity.7. Integrated disease surveillance programme.8. Avian influenza threat to global health security.

9. Anthrax.


35/38

1. microbiology2wks2. regional water lab2wks3. General Medicine --- 2 wks.

2. Obst.& Gynaecology --- 2 wks.3. S.T.D --- 2 wks4. Dermatology --- 2 wks5. T.B.& Chest Diseases --- 2 wks6. Family planning Unit --- 2 wks7. I.D.H., --- 2 wks8. Municipal Corporation --- 2 wks9. Rural Health Centre --- 2 wks10.Primary Health Centre --- 2 wks11. District Medical & Health Office --- 2 wks

12. Other institutions at state level --- 1 month


36/38

Unit Period


37/38

Posting Period

Microbiology 07-02-2011 to 20-02-2011(2wks)

Regional water laboratory 21-02-2011 to 06-03-2011(2wks)

Rural health centre 07-03-2011 to 20-03-2011(2wks)

Urban health centre 21-03-2011 to 03-04-2011(2wks)

D.M and H.O office 04-04-2011 to 10-04-2011(1wk)

Municipal corporation 11-04-2011 to 17-04-2011(1wk)

T.B and Chest diseases 18-04-2011 to 01-05-2011(2wks)

General medicine 02-05-2011 to 22-05-2011(3wks)

Obstetrics and gynecology 23-05-2011 to 05-06-2011(2wks)

S.T.I and Dermatology 06-06-2011 to 12-06-2011(1wk)

Family planning unit 13-06-2011 to 26-06-2011(2wks)

Paediatrics 27-06-2011 to 10-07-2011(2wks)


38/38

pm.d community medicine syllabus

Documents