Monday, October 3, 2022

From competence based dynamic ontology to a static ontology for medical education

Please refer to our previous post on competence based education that was more to do with creating a competence based dynamic ontology here: https://medicinedepartment.blogspot.com/2022/07/cbme-general-medicine-topics-and.html?m=0

although the topics and subtopics below can still be utilized to create a dynamic user driven ontology that we shall share in another post with links to all the user driven projects that are ongoing in medicine department. 


IM1.1


Topic: Heart Failure


Subtopic: Describe and discuss the epidemiology, pathogenesis clinical evolution and course of common causes of heart disease including: rheumatic/ valvular, ischemic, hypertrophic inflammatory




IM1.2


Topic: Heart Failure


Subtopic: Describe and discuss the genetic basis of some forms of heart failure


IM1.3


Topic: Heart Failure


Subtopic: Describe and discuss the aetiology microbiology pathogenies and clinical evolution of rheumatic fever, criteria, degree of rheumatic activity and rheumatic valvular heart disease and its complications including infective endocarditis


IM1.4


Topic: Heart Failure


Subtopic: Stage heart failure


IM1.5


Topic: Heart Failure


Subtopic: Describe, discuss and differentiate the processes involved in R V & LV  heart failure, systolic vs diastolic failure


IM1.6


Topic: Heart Failure


Subtopic: Describe and discuss the compensatory mechanisms involved in heart failure including cardiac remodelling and neurohormonal adaptations




IM1.7


Topic: Heart Failure


Subtopic: Enumerate, describe and discuss the factors that exacerbate heart failure dietary factors drugs etc.




IM1.8


Topic: Heart Failure


Subtopic: Describe and discuss the pathogenesis and development of common arrythmias involved in heart failure particularly atrial fibrillation




IM1.9


Topic: Heart Failure


Subtopic: Describe and discuss the clinical presentation and features, diagnosis, recognition and management of acute rheumatic fever




IM1.10


Topic: Heart Failure


Subtopic: Elicit document and present an appropriate history that will establish the diagnosis, cause and severity of heart failure including: presenting complaints, precipitating and exacerbating factors, risk factors exercise tolerance, changes in sleep patterns, features suggestive of infective endocarditis




IM1.11


Topic: Heart Failure


Subtopic: Perform and demonstrate a systematic examination based on the history that will help establish the diagnosis and estimate its severity including: measurement of pulse, blood pressure and respiratory rate, jugular venous forms and pulses, peripheral pulses, conjunctiva and fundus, lung, cardiac examination including palpation and auscultation with identification of heart sounds and murmurs, abdominal distension and splenic palpation




IM1.12


Topic: Heart Failure


Subtopic: Demonstrate peripheral pulse, volume, character, quality and variation in various causes of heart failure




IM1.13


Topic: Heart Failure


Subtopic: Measure the blood pressure accurately, recognise and discuss alterations in blood pressure in valvular heart disease and other causes of heart failure and cardiac tamponade




IM1.14


Topic: Heart Failure


Subtopic: Demonstrate and measure jugular venous distension




IM1.15


Topic: Heart Failure


Subtopic: Identify and describe the timing, pitch quality conduction and significance of precordial murmurs and their variations










IM1.16


Topic: Heart Failure


Subtopic: Generate a differential diagnosis based on the clinical presentation and prioritise it based on the most likely diagnosis




IM1.17


Topic: Heart Failure


Subtopic: Order and interpret diagnostic testing based on the clinical diagnosis including 12 lead ECG, Chest radiograph, blood cultures




IM1.18


Topic: Heart Failure


Subtopic: Perform and interpret a 12 lead ECG




IM1.19


Topic: Heart Failure


Subtopic: Enumerate the indications for and describe the findings of heart failure with the following conditions including: 2D echocardiography, brain natriuretic peptide, exercise testing, nuclear medicine testing and coronary angiogram




IM1.20


Topic: Heart Failure


Subtopic: Determine the severity of valvular heart disease based on the clinical and laboratory and imaging features and determine the level of intervention required including surgery




IM1.21


Topic: Heart Failure


Subtopic: Describe and discuss and identify the clinical features of acute and subacute endocarditis, echocardiographic findings, blood culture and sensitivity and therapy




IM1.22


Topic: Heart Failure


Subtopic: Assist and demonstrate the proper technique in collecting specimen for blood culture




IM1.23


Topic: Heart Failure


Subtopic: Describe, prescribe and communicate non pharmacologic management of heart failure including sodium restriction, physical activity and limitations




IM1.24


Topic: Heart Failure


Subtopic: Describe and discuss the pharmacology of drugs including indications, contraindications in the management of heart failure including diuretics, ACE inhibitors, Beta blockers, aldosterone antagonists and cardiac glycosides




IM1.25


Topic: Heart Failure


Subtopic: Enumerate the indications for valvuloplasty, valvotomy, coronary revascularization and cardiac transplantation




IM1.26


Topic: Heart Failure


Subtopic: Develop document and present a management plan for patients with heart failure based on type of failure, underlying aetiology




IM1.27


Topic: Heart Failure


Subtopic: Describe and discuss the role of penicillin prophylaxis in the prevention of rheumatic heart disease






IM1.28


Topic: Heart Failure


Subtopic: Enumerate the causes of adult presentations of congenital heart disease and describe the distinguishing features between cyanotic and acyanotic heart disease




IM1.29


Topic: Heart Failure


Subtopic: Elicit document and present an appropriate history, demonstrate correctly general examination, relevant clinical findings and formulate document and present a management plan for an adult patient presenting with a common form of congenital heart disease




IM1.30


Topic: Heart Failure

Subtopic: Administer an intramuscular injection with an appropriate  explanation to the patient





IM 2.1


Topic:- Acute Myocardial Infarction/ IHD




Subtopic:-Discuss and describe the epidemiology, antecedents and risk factors for atherosclerosis and ischemic heart disease






IM 2.2 


Topic:- Acute Myocardial Infarction/ IHD




Subtopic:-Discuss the aetiology of risk factors both modifiable and non modifiable of atherosclerosis and IHD






IM2.3 


Topic:- Acute Myocardial Infarction/ IHD




Subtopic:-Discuss and describe the lipid cycle and the role of dyslipidemia in the pathogenesis of atherosclerosis






IM2.4 


Topic:- Acute Myocardial Infarction/ IHD




Subtopic:-Discuss and describe the pathogenesis natural history, evolution and complications of atherosclerosis and IHD






IM 2.5 


Topic:- Acute Myocardial Infarction/ IHD




Subtopic:-Define the various acute coronary syndromes and describe their evolution, natural history and outcomes






IM 2.6 


Topic:- Acute Myocardial Infarction/ IHD




Subtopic:-Elicit document and present an appropriate history that includes onset evolution, presentation risk factors, family history, comorbid conditions, complications, medication, history of atherosclerosis, IHD and coronary syndromes






IM 2.7 


Topic:- Acute Myocardial Infarction/ IHD




Subtopic:-Perform, demonstrate and document a physical examination including a vascular and cardiac examination that is appropriate for the clinical presentation 




IM 2.8 


Topic:- Acute Myocardial Infarction/ IHD




Subtopic:-Generate document and present a differential diagnosis based on


The clinical presentation and prioritise based on “cannot miss”, most


Likely diagnosis and severity




IM 2.9 


Topic:- Acute Myocardial Infarction/ IHD




Subtopic:- Distinguish and differentiate between stable and unstable angina and Ami based on clinical presentation 






IM 2.10


Topic:-Acute Myocardial Infarction/ IHD




Subtopic:-Order, perform and interpret an ECG






IM 2.11


Topic:- Acute Myocardial Infarction/ IHD




Subtopic:- order and interpret a Chest X-ray and markers of acute myocardial infarction




IM 2.12 


Topic:- Acute Myocardial Infarction/ IHD




Subtopic:-


Choose and interpret a lipid profile and identify the desirable lipid profile in the clinical context






IM 2.13


Topic:- Acute Myocardial Infarction/ IHD




Subtopic:-


Discuss and enumerate the indications for and findings on echocardiogram, stress testing and coronary angiogram




IM 2.14


Topic:- Acute Myocardial Infarction/ IHD




Subtopic:- 


Discuss and describe the indications for admission to a coronary care unit and supportive therapy for a patient with acute coronary syndrome




IM 2.15


Topic:-Acute Myocardial Infarction/ IHD




Subtopic:-


Discuss and describe the medications used in patients with an acute coronary syndrome based on the clinical presentation




IM 2.16 


Topic:- Acute Myocardial Infarction/ IHD




Subtopic:- Discuss and describe the indications for acute thrombolysis, PTCA and CABG




IM 2.17 


Topic:-Acute Myocardial Infarction/ IHD




Subtopic:-Discuss and describe the indications and methods of cardiac rehabilitation




IM 2.18


Topic:- Acute Myocardial Infarction/ IHD




Subtopic:- Discuss and describe the indications, formulations, doses, side effects and monitoring for drugs used in the management of dyslipidemia




IM 2.19 


Topic:- Acute Myocardial Infarction/ IHD




Subtopic:- Discuss and describe the pathogenesis, recognition and management of complications of acute coronary syndromes


Including arrhythmias, shock, LV dysfunction, papillary muscle


Rupture and pericarditis




IM 2.20 


Topic:-Acute Myocardial Infarction/ IHD




Subtopic:-Discuss and describe the assessment and relief of pain in acute


Coronary syndromes




IM 2.21 


Topic:- Acute Myocardial Infarction/ IHD




Subtopic:-


Observe and participate in a controlled environment an ACLS program




IM 2.22


Topic:- Acute Myocardial Infarction/ IHD




Subtopic:- Perform and demonstrate in a mannequin BLS




IM 2.23


Topic:-Acute Myocardial Infarction/ IHD




Subtopic:-Describe and discuss the indications for nitrates, anti platelet agents, gpIIb IIIa inhibitors, beta blockers, ACE inhibitors etc in the management of coronary syndromes




IM 2.24 


Topic:- Acute Myocardial Infarction/ IHD




Subtopic:- Counsel and communicate to patients with empathy lifestyle changes in atherosclerosis / post coronary syndromes







TOPIC 3 – PNEUMONIA 




IM3.1

Topic : pneumonia

Subtopic : community acquired pneumonia, nosocomial pneumonia and aspiration pneumonia


IM3.2

Topic : pneumonia

Subtopic : aetiologies of various kinds of pneumonia and their microbiology depending on the setting and immune status of the host


IM3.3

Topic : pneumonia

Subtopic : pathogenesis, presentation, natural history and complications of pneumonia


IM3.4

Topic : pneumonia

Subtopic : evolution, risk factors including immune status and occupational risk


IM3.5

Topic : pneumonia

Subtopic : physical examination including general examination and appropriate examination of the lungs that establishes the diagnosis, complications and severity of disease


IM3.6

Topic : pneumonia

Subtopic : differential diagnosis based on the clinical features, and prioritise the diagnosis based on the presentation


IM3.7

Topic : pneumonia

Subtopic : interpret diagnostic tests based on the clinical presentation including: CBC, Chest X ray PA view, Mantoux, sputum gram stain, sputum culture and sensitivity, pleural fluid examination and culture, HIV testing and ABG




IM3.8

Topic : pneumonia

Subtopic : arterial blood gas examination


IM3.9

Topic : pneumonia

Subtopic : pleural fluid analysis


IM3.10

Topic : pneumonia

Subtopic : blood culture


IM3.11

Topic : pneumonia

Subtopic : HRCT, Viral cultures, PCR and specialised testing


IM3.12

Topic : pneumonia

Subtopic : aetiology, an appropriate empirical antimicrobial based on the pharmacology and antimicrobial spectrum


IM3.13

Topic : pneumonia

Subtopic : culture and sensitivity appropriate empaling antimicrobial based on the pharmacology and antimicrobial spectrum


IM3.14

Topic : pneumonia

Subtopic :  sputum gram stain and AFB


IM3.15

Topic : pneumonia

Subtopic : the indications for hospitalisation in patients with pneumonia


IM3.16

Topic : pneumonia

Subtopic : the indications for isolation and barrier nursing in patients with pneumonia


IM3.17

Topic : pneumonia

Subtopic : the supportive therapy in patients with pneumonia including oxygen use and indications for ventilation




IM3.18

Topic : pneumonia

Subtopic : counsel patient on family on the diagnosis and therapy of pneumonia


IM3.19

Topic : pneumonia

Subtopic : indications and communicate to patients on pneumococcal and influenza vaccines


IM4.1

Topic: Fever and febrile syndromes

Describe and discuss the febrile response and the influence of host immune status, risk factors and comorbidities on the febrile response

IM4.25 Communicate to the patient and family the diagnosis and treatment



IM5.1

TOPIC- LIVER DISEASE

The physiologic and biochemical basis of hyperbilirubinemia 


IM5.2

TOPIC- LIVER DISEASE

SUBTOPIC  - the aetiology and pathophysiology of liver injury 


IM5.3

TOPIC- LIVER DISEASE

SUBTOPIC – the pathologic changes in various forms of liver disease 


IM5.4

TOPIC- LIVER DISEASE

SUBTOPIC  - Epidemiology, microbiology, immunology and clinical evolution of infective (viral) hepatitis 


IM5.5

TOPIC- LIVER DISEASE

SUBTOPIC -  The pathophysiology and clinical evolution of alcoholic liver disease


IM5.6

TOPIC- LIVER DISEASE

SUBTOPIC – The pathophysiology, clinical evolution and complications of cirrhosis and portal hypertension including ascites, spontaneous bacterial peritonitis, hepatorenal syndrome and hepatic encephalopathy


 IM5.7

TOPIC- LIVER DISEASE

SUBTOPIC- The causes and pathophysiology of drug induced liver injury 


 IM5.8

TOPIC- LIVER DISEASE

SUBTOPIC- The pathophysiology, clinical evolution and complications cholelithiasis and cholecystitis 


IM5.9

TOPIC- LIVER DISEASE

SUBTOPIC – Elicit document and present a medical history that helps delineate the aetiology of the current presentation and includes clinical presentation, risk factors, drug use, sexual history, vaccination history and family history 


IM5.10 

TOPIC- LIVER DISEASE

SUBTOPIC – systematic examination that establishes the diagnosis and severity that includes nutritional status, mental status, jaundice, abdominal distension ascites, features of portosystemic hypertension and hepatic encephalopathy 


IM5.11

TOPIC- LIVER DISEASE

SUBTOPIC-  Generate a differential diagnosis and prioritise based on clinical features that suggest a specific aetiology for the presenting symptom 


IM5.12 

TOPIC- LIVER DISEASE

SUBTOPIC- Choose and interpret appropriate diagnostic tests including: CBC, bilirubin,function tests.


IM5.13 

TOPIC- LIVER DISEASE

SUBTOPIC -  Enumerate the indications for ultrasound and other imaging studies including MRCP and ERCP and describe the findings in liver disease 


IM5.14

TOPIC- LIVER DISEASE

SUBTOPIC-  Outline a diagnostic approach to liver disease based on hyperbilirubinemia, liver function changes and hepatitis serology


IM.15

TOPIC- LIVER DISEASE

SUBTOPIC- Assist in the performance and interpret the findings of an ascitic fluid analysis


IM5.16 

TOPIC- LIVER DISEASE

SUBTOPIC- The management of hepatitis, cirrhosis, portal hypertension, ascites spontaneous, bacterial peritonitis and hepatic encephalopathy 


IM5.17  

TOPIC- LIVER DISEASE

SUBTOPIC- Enumerate the indications, precautions and counsel patients on vaccination for hepatitis


IM5.18

TOPIC- LIVER DISEASE

SUBTOPIC – Enumerate the indications for hepatic transplantation

Topic: HIV

IM6.1 Describe and discuss the symptoms and signs of acute HIV seroconversion

Topic: Rheumatologic problems

IM7.1 Describe the pathophysiology of autoimmune disease

IM 8.1


Topic:- HYPERTENSION




Subtopic:-Describe and discuss the epidemiology, aetiology and the prevalence of primary and secondary hypertension




IM 8.2


Topic:- HYPERTENSION 




Subtopic:-Describe and discuss the pathophysiology of hypertension






IM 8.3


Topic:- HYPERTENSION 




Subtopic:-Describe and discuss the genetic basis of hypertension




IM8.4


Topic:- HYPERTENSION 




Subtopic:-Define and classify hypertension




IM 8.5 


Topic:- HYPERTENSION




Subtopic:-Describe and discuss the differences between primary and


Secondary hypertension




IM 8.6


Topic:- HYPERTENSION 




Subtopic:-Define, describe and discuss and recognise hypertensive urgency






IM 8.7


Topic:- HYPERTENSION 




Subtopic:-Describe and discuss the clinical manifestations of the various aetiologies of secondary causes of hypertension




IM 8.8 


Topic:-HYPERTENSION 




Subtopic:-Describe, discuss and identify target organ damage due to hypertension




IM 8.9


Topic:- HYPERTENSION 




Subtopic:-Elicit document and present a medical history that includes: duration and levels, symptoms, comorbidities, lifestyle, risk factors, family history, psychosocial and environmental factors, dietary assessment, previous and concomitant therapy




IM 8.10


Topic:- HYPERTENSION 




Subtopic:- Perform a systematic examination that includes : an accurate of measurement of blood pressure, fundus examination, examination of vasculature and heart




IM 8.11


Topic:- HYPERTENSION 




Subtopic:-Generate a differential diagnosis and prioritise based on clinical features that suggest a specific aetiology




IM 8.12


Topic:- HYPERTENSION 


Subtopic:-Describe the appropriate diagnostic work up based on the presumed aetiology




IM 8.13


Topic:- HYPERTENSION 




Subtopic:- Enumerate the indications for and interpret the results of : CBC, Urine routine, BUN, Cr, Electrolytes, Uric acid, ECG






IM 8.14


Topic:- HYPERTENSION 




Subtopic:- Develop an appropriate treatment plan for essential hypertension




IM 8.15


Topic:- HYPERTENSION


Subtopic:-Recognise, prioritise and manage hypertensive emergencies




IM 8.16


Topic:- HYPERTENSION 




Subtopic:- Develop and communicate to the patient lifestyle modification


Including weight reduction, moderation of alcohol intake, physical


Activity and sodium intake




IM 8.17


Topic:- HYPERTENSION 


Subtopic:-Perform and interpret a 12 lead ECG




IM 8.18


Topic:- HYPERTENSION

Subtopic:-Incorporate patient preferences in the management of HTN







TOPIC 09 - ANEMIA




TOPIC : ANEMIA 


SUBTOPIC : 


IM9.1 Define, describe and classify anemia based on red blood cell size and reticulocyte count ? 




TOPIC : ANEMIA 


SUBTOPIC : 


IM9.2 Describe and discuss the morphological characteristics, aetiology and prevalence of each of the causes of anemia




TOPIC : ANEMIA 


SUBTOPIC : 


IM9.3 Elicit document and present a medical history that includes symptoms, risk factors including GI bleeding, prior history, medications, menstrual history, and family history




TOPIC : ANEMIA 


SUBTOPIC : 


IM9.4 Perform a systematic examination that includes : general examination for pallor, oral examination, DOAP session of hyper dynamic circulation, lymph node and splenic examination




TOPIC : ANEMIA


SUBTOPIC : 


IM9.5 Generate a differential diagnosis and prioritise based on clinical features that suggest a specific aetiology




TOPIC : ANEMIA


SUBTOPIC : 


IM9.6 Describe the appropriate diagnostic work up based on the


Presumed aetiology




TOPIC : ANEMIA 


SUBTOPIC : 


IM9.7 Describe and discuss the meaning and utility of various components


Of the hemogram




TOPIC : ANEMIA 


SUBTOPIC : 


IM9.8 Describe and discuss the various tests for iron deficiency




TOPIC : ANEMIA 


SUBTOPIC : 


IM9.9 Order and interpret tests for anemia including hemogram, red cell


Indices, reticulocyte count, iron studies, B12 and folate


TOPIC : ANEMIA


SUBTOPIC : 


IM9.10 Describe, perform and interpret a peripheral smear and stool occult


Blood




TOPIC : ANEMIA


SUBTOPIC : 


IM9.11 Describe the indications and interpret the results of a bone marrow aspirations and biopsy




TOPIC : ANEMIA


SUBTOPIC : 


IM9.12 Describe, develop a diagnostic plan to determine the aetiology of anemia




TOPIC : ANEMIA 


SUBTOPIC : 


IM9.13 Prescribe replacement therapy with iron, B12, folate




TOPIC : ANEMIA


SUBTOPIC : IM9.14 Describe the national programs for anemia prevention




TOPIC :ANEMIA


SUBTOPIC : IM9.15 Communicate the diagnosis and the treatment appropriately to patients




TOPIC : ANEMIA 


SUBTOPIC : 


IM9.16 Incorporate patient preferences in the management of anemia




TOPIC : ANEMIA 


SUBTOPIC: 


IM9.17 Describe the indications for blood transfusion and the appropriate use of blood components




TOPIC : ANEMIA 


SUBTOPIC : 


IM9.18 Describe the precautions required necessary when performing a blood transfusion




TOPIC : ANEMIA


SUBTOPIC : 


IM9.19 Assist in a blood transfusion




TOPIC : ANEMIA 


SUBTOPIC : 


IM9.20 Communicate and counsel patients with methods to prevent


Nutritional anemia




TOPIC : ANEMIA 


SUBTOPIC : IM9.21 Determine the need for specialist consultation


Topic: Acute Kidney Injury and Chronic renal failure

IM10.1 Define, describe and differentiate between acute and chronic renal 
failure






TOPIC 11 – DIABETES MELLITUS


IM11.1

Topic:- DIABETES MELLITUS

 

Subtopic:- Define and classify diabetes


IM 11.2

Topic:- DIABETES MELLITUS


Subtopic:-Describe and discuss the epidemiology and pathogenesis and risk factors and clinical evolution of type 1 diabetes


IM 11.3

Topic:- DIABETES MELLITUS


Subtopic:- Describe and discuss the epidemiology and pathogenesis and risk

factors economic impact and clinical evolution of type 2 diabetes


IM 11.4

Topic:-DIABETES MELLITUS


Subtopic:- Describe and discuss the genetic background and the influence of

the environment on diabetes


IM 11.5

Topic:- DIABETES MELLITUS


Subtopic:-Describe and discuss the pathogenesis and temporal evolution of

microvascular and macro-vascular complications of diabetes


IM 11.6

Topic:- DIABETES MELLITUS


Subtopic:- Describe and discuss the pathogenesis and precipitating factors,

recognition and management of diabetic emergencies



IM 11.7

Topic:-DIABETES MELLITUS


Subtopic:- Elicit document and present a medical history that will differentiate the aetiologies of diabetes including risk factors, precipitating factors, lifestyle, nutritional history, family history, medication history, co-morbidities and target organ disease


IM 11.8

Topic:- DIABETES MELLITUS


Subtopic:-Perform a systematic examination that establishes the diagnosis and severity that includes skin, peripheral pulses, blood pressure measurement, fundus examination, detailed examination of the foot (pulses, nervous and deformities and injuries)


IM 11.9 

Topic:- DIABETES MELLITUS


Sub topic :- Describe and recognise the clinical features of patients who present with a diabetic emergency



IM 11.10 

Topic:- DIABETES MELLITUS


Subtopic:- Generate a differential diagnosis and prioritise based on clinical features that suggest a specific aetiology


IM 11.11

Topic:- DIABETES MELLITUS


Subtopic:-Order and interpret laboratory tests to diagnose diabetes and its complications including: glucoses, glucose tolerance test,glycosylated hemoglobin, urinary micro albumin, ECG, electrolytes ABG, ketones, renal function tests and lipid profile



IM 11.12

Topic:- DIABETES MELLITUS 


Sub topic:- Perform and interpret a capillary blood glucose test



IM 11.13 

Topic :- DIABETES MELLITUS

 

Subtopic:-Perform and interpret a urinary ketone estimation with a dipstick




IM 11.14

Topic:- DIABETES MELLITUS 


Subtopic:-Recognise the presentation of hypoglycaemia and outline the

principles on its therapy


IM 11.15

Topic:- DIABETES MELLITUS


Subtopic :- Recognise the presentation of diabetic emergencies and outline the

principles of therapy


IM 11.16

Topic:- DIABETES MELLITUS


Subtopic:- Discuss and describe the pharmacologic therapies for diabetes their

indications, contraindications, adverse reactions and interactions



IM 11.17 

Topic:- DIABETES MELLITUS 


Subtopic:-Outline a therapeutic approach to therapy of T2Diabetes based on

presentation, severity and complications in a cost effective manner




IM 11.18

Topic:- DIABETES MELLITUS 


Subtopic:-Describe and discuss the pharmacology, indications, adverse reactions and interactions of drugs used in the prevention and treatment of target organ damage and complications of Type II Diabetes including neuropathy, nephropathy, retinopathy, hypertension, dyslipidemia and cardiovascular disease


IM 11.19

Topic:- DIABETES MELLITUS 


Subtopic:- Demonstrate and counsel patients on the correct technique to administer insulin



IM 11.20 

Topic:- DIABETES MELLITUS


Subtopic:-Demonstrate to and counsel patients on the correct technique of self monitoring of blood glucoses


IM 11.21 

Topic:- DIABETES MELLITUS


Subtopic:- Recognise the importance of patient preference while selecting therapy for diabetes



IM 11.22

Topic:- DIABETES MELLITUS 


Subtopic:-Enumerate the causes of hypoglycaemia and describe the counter hormone response and the initial approach and treatment



IM 11.23

Topic:- DIABETES MELLITUS


Subtopic:-Describe the precipitating causes, pathophysiology, recognition, clinical features, diagnosis, stabilisation and

management of diabetic ketoacidosis



IM 11.24

Topic:- DIABETES MELLITUS 


Subtopic:- Describe the precipitating causes, pathophysiology, recognition, clinical features, diagnosis, stabilisation and management of Hyperosmolar non ketotic state



TOPIC 12 - THYROID


IM 12.1


Topic : Thyroid


Subtopic : epidemiology and pathogenesis of hypothyroidism and hyperthyroidism including the influence of iodine deficiency and autoimmunity in the pathogenesis of thyroid disease




IM 12.2


Topic : Thyroid


Subtopic: Genetic basis of some forms of thyroid dysfunction




IM12.3


Topic : Thyroid


Subtopic : Physiology of the hypothalamopituitary – thyroid axis, principles of thyroid function testing and alterations in physiologic function




IM12.4 


Topic : Thyroid


Subtopic : Principles of radio iodine uptake in the diagnosis of thyroid disorder




M12.5


Topic : Thyroid 


Subtopic : Document and present an appropriate history that will establish the diagnosis cause of thyroid dysfunction and its severity




IM12.6


Topic : Thyroid 


Subtopic : Perform and demonstrate a systematic examination based on the history that will help establish the diagnosis and severity including systemic signs of thyrotoxicosis and hypothyroidism, palpation of the pulse rate and rhythm abnormalities neck palpation of thyroid and lymph nodes and cardiovascular findings.




IM12.7 


Topic : Thyroid 


Subtopic :  The correct technique to palpate the thyroid




IM12.8


Topic : Thyroid


Subtopic : Generate a differential diagnosis based on the clinical presentation and prioritise it based on the most likely diagnosis




IM12.9


Topic : Thyroid 


Subtopic : Order and interpret diagnostic testing based on the clinical diagnosis including CBC, thyroid function tests and ECG and radio iodine uptake and scan




IM12.10


Topic : Thyroid


Subtopic : Identify atrial fibrillation, pericardial effusion and bradycardia on ECG




IM12.11


Topic : Thyroid


Subtopic :  Interpreting thyroid function tests in hypo and hyperthyroidism




IM12.12


Topic : Thyroid


Subtopic : The iodisation programs of the government of India




IM12.13


Topic : Thyroid


Subtopic : Pharmacology, indications, adverse reaction, interactions of thyroxine and antithyroid drugs




IM12.14


Topic : Thyroid

Subtopic : Write and communicate to the patient appropriately a prescription for thyroxine based on age, sex, and clinical and biochemical status


IM12.15

Topic : Thyroid

Subtopic: The indications of thionamide therapy, radio iodine therapy and surgery in the management of thyrotoxicosis





IM13.1


Topic: COMMON MALIGNANCIES




Subtopic:- Describe the clinical epidemiology and inherited & modifiable risk factors for common malignancies in India




IM13.2


Topic: COMMON MALIGNANCIES




Subtopic:- Describe the genetic basis of selected cancers




IM13.3


Topic: COMMON MALIGNANCIES




Subtopic:- Describe the relationship between infection and cancers




IM13.4


Topic: COMMON MALIGNANCIES




Subtopic:- Describe the natural history, presentation, course, complications and cause of death for common cancers




IM13.5


Topic: COMMON MALIGNANCIES




Subtopic:- Describe the common issues encountered in patients at the end of life and principles of management




IM13.6


Topic: COMMON MALIGNANCIES




Subtopic:- Describe and distinguish the difference between curative and palliative care in patients with cancer




IM13.7


Topic: COMMON MALIGNANCIES




Subtopic:- Elicit document and present a history that will help establish the aetiology of cancer and includes the appropriate risk factors, duration and evolution 




IM13.8


Topic: COMMON MALIGNANCIES




Subtopic:- Perform and demonstrate a physical examination that includes an appropriate general and local examination that excludes the diagnosis, extent spread and complications of cancer




IM13.9


Topic: COMMON MALIGNANCIES




Subtopic:- Demonstrate in a mannequin the correct technique for performing breast exam rectal examination and cervical examination and Pap smear 




IM13.10


Topic: COMMON MALIGNANCIES




Subtopic:- Generate a differential diagnosis based on the presenting symptoms and clinical features and prioritise based on the most likely diagnosis




IM13.11


Topic: COMMON MALIGNANCIES




Subtopic:- Order and interpret diagnostic testing based on the clinical diagnosis including CBC and stool occult blood and prostate specific antigen 




IM13.12


Topic: COMMON MALIGNANCIES




Subtopic:- Describe the indications and interpret the results of Chest X Ray, mammogram, skin and tissue biopsies and tumor markers used in common cancers




IM13.13


Topic: COMMON MALIGNANCIES




Subtopic:- Describe and assess pain and suffering objectively in a patient with cancer






IM13.14


Topic: COMMON MALIGNANCIES




Subtopic:- Describe the indications for surgery, radiation and chemotherapy for common malignancies 




IM13.15


Topic: COMMON MALIGNANCIES




Subtopic:- Describe the need, tests involved, their utility in the prevention of common malignancies 




IM13.16


Topic: COMMON MALIGNANCIES




Subtopic:- Demonstrate an understanding and needs and preferences of patients when choosing curative and palliative therapy




IM13.17


Topic: COMMON MALIGNANCIES




Subtopic:- Describe and enumerate the indications, use, side effects of narcotics in pain alleviation in patients with cancer




IM13.18


Topic: COMMON MALIGNANCIES




Subtopic:- Describe and discuss the ethical and the medico legal issues involved in end of life care


IM13.19


Topic: COMMON MALIGNANCIES




Subtopic:- Describe the therapies used in alleviating suffering in patients at the end of life 

Topic: Obesity

IM14.1 Define and measure obesity as it relates to the Indian population

Topic: GI bleeding

IM15.1 Enumerate, describe and discuss the aetiology of upper and lower 
GI bleeding






IM 16   Diarrheal disorder  






IM16.1


Topic: Diarrheal disorder  


Subtopic : Describe and discuss the aetiology of acute and chronic diarrhea including infectious and non infectious causes






IM16.2


Topic: Diarrheal disorder  


Subtopic : Describe and discuss the acute systemic consequences of diarrhea including its impact on fluid balance






IM16.3


Topic: Diarrheal disorder  


Subtopic : Describe and discuss the chronic effects of diarrhea including malabsorption






IM16.4


Topic: Diarrheal disorder  


Subtopic : Elicit and document and present an appropriate history that includes the natural history, dietary history, travel , sexual history and other concomitant illnesse






IM16.5


Topic: Diarrheal disorder  


Subtopic :Perform, document and demonstrate a physical examination based on the history that includes general examination, including an appropriate abdominal examination




IM16.6


Topic: Diarrheal disorder  


Subtopic :Distinguish between diarrhea and dysentery based on clinical features




IM16.7


Topic: Diarrheal disorder  


Subtopic : Generate a differential diagnosis based on the presenting symptoms and clinical features and prioritise based on the most likely diagnosis




IM16.8


Topic: Diarrheal disorder  


Subtopic : Choose and interpret diagnostic tests based on the clinical diagnosis including complete blood count, and stool examination




IM16.9


Topic: Diarrheal disorder  


Subtopic :Identify common parasitic causes of diarrhea under the microscope in a stool specimen






IM16.10


Topic: Diarrheal disorder  


Subtopic : Identify vibrio cholera in a hanging drop specimen




IM16.11


Topic: Diarrheal disorder  


Subtopic :Enumerate the indications for stool cultures and blood cultures in patients with acute diarrhea






IM16.12


Topic: Diarrheal disorder  


Subtopic :Enumerate and discuss the indications for further investigations  including antibodies, colonoscopy, diagnostic imaging and biopsy in the diagnosis of chronic diarrhea






IM16.13


Topic: Diarrheal disorder  


Subtopic :Describe and enumerate the indications, pharmacology and side effects of pharmacotherapy for parasitic causes of diarrhea






IM16.14


Topic: Diarrheal disorder  


Subtopic :Describe and enumerate the indications, pharmacology and side effects of pharmacotherapy for bacterial and viral diarrhea




IM16.15


Topic: Diarrheal disorder  


Subtopic  : Distinguish based on the clinical presentation Crohn’s disease from Ulcerative Colitis




IM16.16


Topic: Diarrheal disorder  


Subtopic : Describe and enumerate the indications, pharmacology and side effects of pharmacotherapy including immunotherapy




IM16.17


Topic: Diarrheal disorder  


Subtopic :Describe and enumerate the indications for surgery in inflammatory bowel disease








IM17.1


TOPIC- HEADACHE


Define and classify headache and describe the presenting features,  precipitating factors, aggravating and relieving factors of various kinds of headache




IM17.2


TOPIC- HEADACHE


SUBTOPIC  - Elicit and document and present an appropriate history including  aura, precipitating aggravating and relieving factors, associated symptoms that help identify the cause of headaches 


IM17.3


TOPIC- HEADACHE


SUBTOPIC -  Classify migraine and describe the distinguishing features between  classical and non classical forms of migraine






IM17.4


TOPIC- HEADACHE


SUBTOPIC  - Perform and demonstrate a general neurologic examination and a  focused examination for signs of intracranial tension including neck  signs of meningitis




IM17.5


TOPIC-HEADACHE


SUBTOPIC-Generate document and present a differential diagnosis based on  the clinical features and prioritise the diagnosis based on the presentation.




IM17.6


TOPIC- HEADACHE


SUBTOPIC -Choose and interpret diagnostic testing based on the clinical  diagnosis including imaging






 IM17.7


TOPIC- HEADACHE


SUBTOPIC-Enumerate the indications and describe the findings in the CSF in 


Patients with meningitis






 IM17.8


TOPIC- HEADACHE


SUBTOPIC-Demonstrate in a mannequin or equivalent the


Correct technique for performing a lumbar puncture






IM17.9


TOPIC- HEADACHE


SUBTOPIC – Interpret the CSF findings when presented with various parameters  of CSF fluid analysis








IM17.10 


TOPIC-HEADACHE


SUBTOPIC -  Enumerate the indications for emergency care admission and  immediate supportive care in patients with headache




IM17.11


TOPIC- HEADACHE


SUBTOPIC-Describe the indications, pharmacology, dose, side effects of  abortive therapy in migraine








IM17.12 


TOPIC- HEADACHE


SUBTOPIC- Describe the indications, pharmacology, dose, side effects of  prophylactic therapy in migraine



IM17.13 


TOPIC- HEADACHE


SUBTOPIC – Describe the pharmacology, dose, adverse reactions and regimens  of drugs used in the treatment of bacterial, tubercular and viral meningitis.



IM17.14


TOPIC- HEADACHE


SUBTOPIC-Counsel patients with migraine and tension headache on lifestyle  changes and need for prophylactic therapy

Topic: Cerebrovascular accident

IM18.1 Describe the functional and the vascular
anatomy of the brain

Topic: Movement disorders

IM19.1 Describe the functional anatomy of the locomotor system of the 
brain

Topic: Envenomation

IM20.1 Enumerate the local poisonous snakes 
and describe the distinguishing marks of each





IM21.1


Topic: Poisoning


Subtopic : Describe the initial approach to the stabilisation of the patient who presents with poisoning. 




IM21.2


Topic: Poisoning


Subtopic :Enumerate the common plant poisons seen in your area and describe their toxicology, clinical features, prognosis and specific approach to detoxification 




IM21.3


Topic: Poisoning


Subtopic : Enumerate the common corrosives used in your area and describe their toxicology, clinical features, prognosis and approach to therapy




IM21.4


Topic: Poisoning


Subtopic : Enumerate the commonly observed drug overdose in your area and describe their toxicology, clinical features, prognosis and approach to therapy




IM21.5


Topic: Poisoning


Subtopic : Observe and describe the functions and role of a poison center in suspected poisoning




IM21.6


Topic: Poisoning


Subtopic : Describe the medico legal aspects of suspected suicidal or homicidal poisoning and demonstrate the correct procedure to write a medico legal report on a suspected poisoning




IM21.7


Topic: Poisoning


Subtopic : Counsel family members of a patient with suspected poisoning about the clinical and medico legal aspects with empathy




IM21.8


Topic: Poisoning


Subtopic : Enumerate the indications for psychiatric consultation and describe the precautions to be taken in a patient with suspected suicidal ideation / gesture





IM22 Mineral, Fluid Electrolyte and Acid base Disorder   




IM22.1


Topic: Mineral, Fluid Electrolyte and Acid base Disorder   


Subtopic : Enumerate the causes of hypercalcemia and distinguish the features of PTH vs non PTH mediated hl




IM22.2


Topic: Mineral, Fluid Electrolyte and Acid base Disorder


Subtopic  : Describe the aetiology, clinical manifestations, diagnosis and clinical approach to primary hyperparathyroidism




IM22.3


Topic: Mineral, Fluid Electrolyte and Acid base Disorder


Subtopic :Describe the approach to the management of hypercalcemia





IM22.4


Topic: Mineral, Fluid Electrolyte and Acid base Disorder


Subtopic : Enumerate the components and describe the genetic basis of the multiple endocrine neoplasia syndrome




IM22.5


Topic: Mineral, Fluid Electrolyte and Acid base Disorder

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