Friday, October 7, 2022

NMC topic and subtopic codes

 DEPARTMENT OF GENERAL MEDICINE

NMC topic codes


(available open access here :

https://www.nmc.org.in/information-desk/for-colleges/ug-curriculum/)

S. No

Topic

SUBTOPIC

1

HEART FAILURE

IM1.1:Describe and discuss the epidemiology, pathogenesis clinical evolution and course of common causes of heart disease including: rheumatic/ valvular, ischemic, hypertrophic inflammatory



IM1.2: Describe and discuss the genetic basis of some forms of heart failure



IM1.3: 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: Stage heart failure



IM1.5: Describe, discuss and differentiate the processes involved in R V & LV  heart failure, systolic vs diastolic failure



IM1.6: Describe and discuss the compensatory mechanisms involved in heart failure including cardiac remodelling and neurohormonal adaptations



IM1.7: Enumerate, describe and discuss the factors that exacerbate heart failure dietary factors drugs etc.



IM1.8: Describe and discuss the pathogenesis and development of common arrythmias involved in heart failure particularly atrial fibrillation



IM1.9: Describe and discuss the clinical presentation and features, diagnosis, recognition and management of acute rheumatic fever



IM1.10: 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: 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: Demonstrate peripheral pulse, volume, character, quality and variation in various causes of heart failure



IM1.13: 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: Demonstrate and measure jugular venous distension



IM1.15: Identify and describe the timing, pitch quality conduction and significance of precordial murmurs and their variations



IM1.16: Generate a differential diagnosis based on the clinical presentation and prioritise it based on the most likely diagnosis



IM1.17: Order and interpret diagnostic testing based on the clinical diagnosis including 12 lead ECG, Chest radiograph, blood cultures



IM1.18: Perform and interpret a 12 lead ECG



IM1.19: 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: 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: Describe and discuss and identify the clinical features of acute and subacute endocarditis, echocardiographic findings, blood culture and sensitivity and therapy



IM1.22: Assist and demonstrate the proper technique in collecting specimen for blood culture



IM1.23: Describe, prescribe and communicate non pharmacologic management of heart failure including sodium restriction, physical activity and limitations



IM1.24: 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: Enumerate the indications for valvuloplasty, valvotomy, coronary revascularization and cardiac transplantation



IM1.26: Develop document and present a management plan for patients with heart failure based on type of failure, underlying aetiology



IM1.27: Describe and discuss the role of penicillin prophylaxis in the prevention of rheumatic heart disease



IM1.28: Enumerate the causes of adult presentations of congenital heart disease and describe the distinguishing features between cyanotic and acyanotic heart disease



IM1.29: 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: Administer an intramuscular injection with an appropriate  explanation to the patient


2

ACUTE MYOCARDIAL INFARCTION/ IHD

IM2.1:-Discuss and describe the epidemiology, antecedents and risk factors for atherosclerosis and ischemic heart disease



IM2.2 :-Discuss the aetiology of risk factors both modifiable and non modifiable of atherosclerosis and IHD



IM2.3 :-Discuss and describe the lipid cycle and the role of dyslipidemia in the pathogenesis of atherosclerosis



IM2.4 :-Discuss and describe the pathogenesis natural history, evolution and complications of atherosclerosis and IHD



IM 2.5 :-Define the various acute coronary syndromes and describe their evolution, natural history and outcomes



IM 2.6 :-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 :-Perform, demonstrate and document a physical examination including a vascular and cardiac examination that is appropriate for the clinical presentation



IM 2.8 :-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 :- Distinguish and differentiate between stable and unstable angina and Ami based on clinical presentation



IM 2.10:-Order, perform and interpret an ECG



IM 2.11:- order and interpret a Chest X-ray and markers of acute myocardial infarction



IM 2.12 :-Choose and interpret a lipid profile and identify the desirable lipid profile in the clinical context



IM 2.13:-Discuss and enumerate the indications for and findings on echocardiogram, stress testing and coronary angiogram



IM 2.14:- 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:-Discuss and describe the medications used in patients with an acute coronary syndrome based on the clinical presentation



IM 2.16 :- Discuss and describe the indications for acute thrombolysis, PTCA and CABG



IM 2.17 :-Discuss and describe the indications and methods of cardiac rehabilitation



IM 2.18:- Discuss and describe the indications, formulations, doses, side effects and monitoring for drugs used in the management of dyslipidemia



IM 2.19 :- 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 :-Discuss and describe the assessment and relief of pain in acute coronary syndromes



IM 2.21  :-Observe and participate in a controlled environment an ACLS program



IM 2.21  :-Observe and participate in a controlled environment an ACLS program



IM 2.22:- Perform and demonstrate in a mannequin BLS



IM 2.23:-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 :- Counsel and communicate to patients with empathy lifestyle changes in atherosclerosis / post coronary syndromes


3

PNEUMONIA

IM3.1:-community acquired pneumonia, nosocomial pneumonia and aspiration pneumonia



IM3.2: aetiologies of various kinds of pneumonia and their microbiology depending on the setting and immune status of the host



IM3.3 : pathogenesis, presentation, natural history and complications of pneumonia



IM3.4: evolution, risk factors including immune status and occupational risk



IM3.5: physical examination including general examination and appropriate examination of the lungs that establishes the diagnosis, complications and severity of disease



IM3.6 : differential diagnosis based on the clinical features, and prioritise the diagnosis based on the presentation



IM3.7 : 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: arterial blood gas examination



IM3.9: pleural fluid analysis



IM3.10: blood culture



IM3.11: HRCT, Viral cultures, PCR and specialised testing



IM3.12 : aetiology, an appropriate empirical antimicrobial based on the pharmacology and antimicrobial spectrum



IM3.13: culture and sensitivity appropriate empaling antimicrobial based on the pharmacology and antimicrobial spectrum



IM3.14 :  sputum gram stain and AFB



IM3.15 : the indications for hospitalisation in patients with pneumonia



IM3.16: the indications for isolation and barrier nursing in patients with pneumonia



IM3.17: the supportive therapy in patients with pneumonia including oxygen use and indications for ventilation



IM3.18 : counsel patient on family on the diagnosis and therapy of pneumonia



IM3.19 : indications and communicate to patients on pneumococcal and influenza vaccines


4

Fever and febrile syndromes


IM4.1 Describe and discuss the febrile response and the influence of host immune status, risk factors and comorbidities on the febrile response



IM4.2 Describe and discuss the influence of special populations on the febrile response including: the elderly, immune suppression, malignancy and neutropenia, HIV and travel



IM4 3 Discuss and describe the common causes, pathophysiology and manifestations of fever in various regions in India including bacterial, parasitic and viral causes (e.g.Dengue, Chikungunya, Typhus)



IM4.4 Describe and discuss the pathophysiology and manifestations of inflammatory causes of fever



IM4.5 Describe and discuss the pathophysiology and manifestations of malignant causes of fever including hematologic and lymph node malignancies



IM4.6 Discuss and describe the pathophysiology and manifestations of malaria



IM4.7 Discuss and describe the pathophysiology and manifestations of the sepsis syndrome



IM4.8 Discuss and describe the pathophysiology, aetiology and clinical manifestations of fever of unknown origin (FUO) including in a normal host neutropenic host nosocomial host and a host with HIV disease




IM4.9 Elicit document and present a medical history that helps delineate the aetiology of fever that includes the evolution and pattern of fever, associated symptoms, immune status, comorbidities, risk factors, exposure through occupation, travel and environment and medication use



IM4.10 Perform a systematic examination that establishes the diagnosis and severity of presentation that includes: general skin mucosal and lymph node examination, chest and abdominal examination (including examination of the liver and spleen)



IM4.11 Generate a differential diagnosis and prioritise based on clinical features that help distinguish between infective, inflammatory, malignant and rheumatologic causes



IM4.12 Order and interpret diagnostic tests based on the differential diagnosis including: CBC with differential, peripheral smear, urinary analysis with sediment, Chest X ray, blood and urine cultures, sputum gram stain and cultures, sputum AFB and cultures, CSF analysis, pleural and body fluid analysis, stool routine and culture and QBC



IM4.13 Perform and interpret a sputum gram stain



IM4.14 Perform and interpret a sputum AFB



IM4.15 Perform and interpret a malarial smear



IM4.16 Enumerate the indications and describe the findings in tests of inflammation and specific rheumatologic tests, serologic testing for pathogens including HIV, bone marrow aspiration and biopsy



IM4.17 Observe and assist in the performance of a bone marrow aspiration and biopsy in a simulated environment



IM4.18 Enumerate the indications for use of imaging in the diagnosis of febrile syndromes



IM4.19 Assist in the collection of blood and wound cultures



IM4.20 Interpret a PPD (Mantoux)



IM4.21 Develop and present an appropriate diagnostic plan based on the clinical presentation, most likely diagnosis in a prioritised and cost effective manner IM4.22 Describe and discuss the pharmacology, indications, adverse reactions, interactions of antimalarial drugs and basis of resistance



IM4.23 Prescribe drugs for malaria based on the species identified, prevalence of drug resistance and national programs



IM4.24 Develop an appropriate empiric treatment plan based on the patient’s clinical and immune status pending definitive diagnosis



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



IM4.26 Counsel the patient on malarial prevention


5

LIVER DISEASE

IM5.1 - The physiologic and biochemical basis of hyperbilirubinemia



IM5.2 - the aetiology and pathophysiology of liver injury



IM5.3 - the pathologic changes in various forms of liver disease



IM5.4  - Epidemiology, microbiology, immunology and clinical evolution of infective (viral) hepatitis



IM5.5 -  The pathophysiology and clinical evolution of alcoholic liver disease



IM5.6 - The pathophysiology, clinical evolution and complications of cirrhosis and portal hypertension including ascites, spontaneous bacterial peritonitis, hepatorenal syndrome and hepatic encephalopathy



IM5.7 - The causes and pathophysiology of drug induced liver injury



IM5.8 - The pathophysiology, clinical evolution and complications cholelithiasis and cholecystitis



IM5.9 - 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



IM.10 - 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 -  Generate a differential diagnosis and prioritise based on clinical features that suggest a specific aetiology for the presenting symptom



IM5.12 - Choose and interpret appropriate diagnostic tests including: CBC, bilirubin,function tests



IM5.13  - Enumerate the indications for ultrasound and other imaging studies including MRCP and ERCP and describe the findings in liver disease



IM5.14 -  Outline a diagnostic approach to liver disease based on hyperbilirubinemia, liver function changes and hepatitis serology



IM.15 - Assist in the performance and interpret the findings of an ascitic fluid analysis



IM5.16 - The management of hepatitis, cirrhosis, portal hypertension, ascites spontaneous, bacterial peritonitis and hepatic encephalopathy



IM5.17 - Enumerate the indications, precautions and counsel patients on vaccination for hepatitis



IM5.18 - Enumerate the indications for hepatic transplantation


6

HIV

IM 6.1 -Describe and discuss the symptoms and signs of acute HIV seroconversion



IM 6.2-Define and classify HIV AIDS based on the CDC criteria



IM 6.3 -Describe and discuss the relationship between CDC count and the risk of opportunistic infections



IM 6.4-Describe and discuss the pathogenesis, evolution and clinical features of common HIV related opportunistic infections



IM 6.5-Describe and discuss the pathogenesis, evolution and clinical features of common HIV related malignancies



IM 6.6-Describe and discuss the pathogenesis, evolution and clinical features of common HIV related skin and oral lesions



IM 6.7- Elicit document and present a medical history that helps delineate the aetiology of the current presentation and includes risk factors for HIV, mode of infection, other sexually transmitted diseases, risks for opportunistic infections and nutritional status



IM 6.8-Generate a differential diagnosis and prioritise based on clinical features that suggest a specific aetiology for the presenting symptom



IM 6.9-Choose and interpret appropriate diagnostic tests to diagnose and classify the severity of HIV-AIDS including specific tests of HIV, CDC



IM 6.10-Choose and interpret appropriate diagnostic tests to diagnose cultures, blood cultures, stool analysis, CSF analysis and Chest opportunistic infections including CBC, sputum examination and radiographs



IM 6.11-Enumerate the indications and describe the findings for CT of the chest and brain and MRI



IM 6.12-Enumerate the indications for and interpret the results of: pulse oximetry, ABG, Chest Radiograph



IM 6.13-Describe and enumerate the indications and side effects of drugs for bacterial, viral and other types of diarrhea



IM 6.14-Perform and interpret AFB sputum



IM 6.15-Demonstrate in a model the correct technique to perform a lumbar puncture



IM 6.16-Discuss and describe the principles of HAART, the classes of antiretrovirals used, adverse reactions and interactions



IM 6.17-Discuss and describe the principles and regimens used in post exposure prophylaxis



IM 6.18-Enumerate the indications and discuss prophylactic drugs used to prevent HIV related opportunistic infections



IM 6.19 -Counsel patients on prevention of HIV transmission



IM 6.20-Communicate diagnosis, treatment plan and subsequent follow up plan to patients



IM 6.21-Communicate with patients on the importance of medication adherence



IM 6.22-Demonstrate understanding of ethical and legal issues regarding patient confidentiality and disclosure in patients with HIV



IM 6.23-Demonstrate a non-judgemental attitude to patients with HIV and to their lifestyles 



7

RHEUMATOLOGIC PROBLEMS

IM7.1 Describe the pathophysiology of autoimmune disease



IM7.2 Describe the genetic basis of autoimmune disease



IM7.3 Classify cause of joint pain based on the pathophysiology



IM7.4 Develop a systematic clinical approach to joint pain based on the pathophysiology



IM7.5 Describe and discriminate acute, subacute and chronic causes of joint pain



IM7.6 Discriminate, describe and discuss arthralgia from arthritis and mechanical from inflammatory causes of joint pain



IM7.7 Discriminate, describe and discuss distinguishing articular from periarticular complaints



IM7.8 Determine the potential causes of join pain based on the presenting features of joint involvement



IM7.9 Describe the common signs and symptoms of articular and periarticular diseases



IM7.10 Describe the systemic manifestations of rheumatologic disease



IM7.11 Elicit document and present a medical history that will differentiate the aetiologies of disease



IM7.12 Perform a systematic examination of all joints, muscle and skin that will establish the diagnosis and severity of disease



IM7.13 Generate a differential diagnosis and prioritise based on clinical features that suggest a specific aetiology



IM7.14 Describe the appropriate diagnostic work up based on the presumed aetiology



IM7.15 Enumerate the indications for and interpret the results of : CBC, anti- CCP, RA, ANA, DNA and other tests of autoimmunity



IM7.16 Enumerate the indications for arthrocentesis



IM7.17 Enumerate the indications and interpret plain radiographs of joints



IM7.18 Communicate diagnosis, treatment plan and subsequent follow up plan to patients



IM7.19 Develop an appropriate treatment plan for patients with rheumatologic diseases IM7.20 Select, prescribe and communicate appropriate medications for relief of joint pain



IM7.21 Select, prescribe and communicate preventive therapy for crystalline

arthropathies




IM7.22 Select, prescribe and communicate treatment option for systemic rheumatologic conditions



IM7.23 Describe the basis for biologic and disease modifying therapy in rheumatologic diseases



IM7.24 Communicate and incorporate patient preferences in the choice of therapy



IM7 25 Develop and communicate appropriate follow up and monitoring plans for patients with rheumatologic conditions



IM7.26 Demonstrate an understanding of the impact of rheumatologic conditions on quality of life, well being, work and family



8

HYPERTENSION

IM 8.1:-Describe and discuss the epidemiology, aetiology and the prevalence of primary and secondary hypertension



IM 8.2:-Describe and discuss the pathophysiology of hypertension



IM 8.3:-Describe and discuss the genetic basis of hypertension



IM8.4:-Define and classify hypertension



IM 8.5 :-Describe and discuss the differences between primary and secondary hypertension



IM 8.6:-Define, describe and discuss and recognise hypertensive urgency



IM 8.7:-Describe and discuss the clinical manifestations of the various aetiologies of secondary causes of hypertension



IM 8.8 :-Describe, discuss and identify target organ damage due to hypertension



IM 8.9:-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:- Perform a systematic examination that includes : an accurate of measurement of blood pressure, fundus examination, examination of vasculature and heart



IM 8.11:-Generate a differential diagnosis and prioritise based on clinical features that suggest a specific aetiology



IM 8.12:-Describe the appropriate diagnostic work up based on the presumed aetiology



IM 8.13:- Enumerate the indications for and interpret the results of : CBC, Urine routine, BUN, Cr, Electrolytes, Uric acid, ECG



IM 8.14:- Develop an appropriate treatment plan for essential hypertension



IM 8.15:-Recognise, prioritise and manage hypertensive emergencies



IM 8.16:- Develop and communicate to the patient lifestyle modification including weight reduction, moderation of alcohol intake, physical activity and sodium intake



IM 8.17:-Perform and interpret a 12 lead ECG



IM 8.18:-Incorporate patient preferences in the management of HTN


9

ANEMIA

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



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



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



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



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



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



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

of the hemogram



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



IM9.9 Order and interpret tests for anemia including hemogram, red cell indices, reticulocyte count, iron studies, B12 and folate



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



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



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



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



IM9.14 Describe the national programs for anemia



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



IM9.16 Incorporate patient preferences in the management of anemia



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



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



IM9.19 Assist in a blood transfusion



IM9.20 Communicate and counsel patients with methods to prevent nutritional anemia



IM9.21 Determine the need for specialist consultation


10

ACUTE KIDNEY INJURY AND CHRONIC RENAL FAILURE

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



IM10.2 :-Classify, describe and differentiate the pathophysiologic causes of AKI



IM10.3:-Describe the pathophysiology and causes of pre renal ARF, renal and post renal ARF



IM10.4:-Describe the evolution, natural history and treatment of ARF



IM10.5 :-Describe and discuss the aetiology of CRF



IM10.6 :-Stage Chronic Kidney Disease



IM10.7 :-Describe and discuss the pathophysiology and clinical findings of uraemia



IM10.8 :-Classify, describe and discuss the significance of proteinuria in CKD



IM10.9 :-Describe and discuss the pathophysiology of anemia and hyperparathyroidism in CKD



IM10.10 :-Describe and discuss the association between CKD glycemic and hypertension



IM10.11 :-Describe and discuss the relationship between CAD risk factors and CKD and in dialysis



IM10.12 :-Elicit document and present a medical history that will differentiate the aetiologies of disease, distinguish acute and chronic disease, identify predisposing conditions, nephrotoxic drugs and systemic causes



IM10.13:-Perform a systematic examination that establishes the diagnosis and severity including determination of volume status, presence of edema and heart failure, features of uraemia and associated systemic disease



IM10.14 :-Generate a differential diagnosis and prioritise based on clinical features that suggest a specific aetiology

IM10.15 :-Describe the appropriate diagnostic work up based on the presumed aetiology



IM10.16 :-Enumerate the indications for and interpret the results of : renal function tests, calcium, phosphorus, PTH, urine electrolytes, osmolality, Anion gap



IM10.17:-Describe and calculate indices of renal function based on available laboratories including FENa (Fractional Excretion of Sodium) and CrCl (Creatinine Clearance)



IM10.18:-Identify the ECG findings in hyperkalemia



IM10.19:-Enumerate the indications and describe the findings in renal ultrasound



IM10.20 :-Describe and discuss the indications to perform arterial blood gas analysis: interpret the data



IM10.21:-Describe and discuss the indications for and insert a peripheral intravenous catheter



IM10.22:- Describe and discuss the indications, demonstrate in a model and assist in the insertion of a central venous or a dialysis catheter



IM10.23:- Communicate diagnosis treatment plan and subsequent follow up plan to patients



IM10.24:- Counsel patients on a renal diet



IM10.25:- Identify and describe the priorities in the management of ARF including diet, volume management, alteration in doses of drugs, monitoring and indications for dialysis



IM10.26:- Describe and discuss supportive therapy in CKD including diet, anti hypertensives, glycemic therapy, dyslipidemia, anemia, hyperkalemia, hyperphosphatemia and secondary hyperparathyroidism



IM10.27 :-Describe and discuss the indications for renal dialysis



IM10.28 :- Describe and discuss the indications for renal replacement therapy



IM10.29 :- Describe discuss and communicate the ethical and legal issues involved in renal replacement therapy



IM10.30 :- Recognise the impact of CKD on patient’s quality of life well being work and fami



IM10.31 :- Incorporate patient preferences in to the care of CKD


11

DIABETES MELLITUS

IM11.1:-  Define and classify diabetes



IM 11.2:-Describe and discuss the epidemiology and pathogenesis and risk factors and clinical evolution of type 1 diabetes



IM 11.3:-Describe and discuss the epidemiology and pathogenesis and risk factors economic impact and clinical evolution of type 2 diabetes



IM 11.4:- Describe and discuss the genetic background and the influence of the environment on diabetes



IM 11.5:-Describe and discuss the pathogenesis and temporal evolution of microvascular and macro-vascular complications of diabetes



IM 11.6:- Describe and discuss the pathogenesis and precipitating factors, recognition and management of diabetic emergencies



IM 11.7:- 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:-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  :- Describe and recognise the clinical features of patients who present with a diabetic emergency



IM 11.10 :- Generate a differential diagnosis and prioritise based on clinical features that suggest a specific aetiology



IM 11.11:-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:- Perform and interpret a capillary blood glucose test



IM 11.13 :-Perform and interpret a urinary ketone estimation with a dipstick



IM 11.14:-Recognise the presentation of hypoglycaemia and outline the principles on its therapy



IM 11.15 :- Recognise the presentation of diabetic emergencies and outline the principles of therapy



IM 11.16:- Discuss and describe the pharmacologic therapies for diabetes their indications, contraindications, adverse reactions and interactions



IM 11.17 :-Outline a therapeutic approach to therapy of T2Diabetes based on presentation, severity and complications in a cost effective manner



IM 11.18:-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:- Demonstrate and counsel patients on the correct technique to administer insulin



IM 11.20 :-Demonstrate to and counsel patients on the correct technique of self monitoring of blood glucoses



IM 11.21 :- Recognise the importance of patient preference while selecting therapy for diabetes



IM 11.22:-Enumerate the causes of hypoglycaemia and describe the counter hormone response and the initial approach and treatment



IM 11.23:-Describe the precipitating causes, pathophysiology, recognition, clinical features, diagnosis, stabilisation and

management of diabetic ketoacidosis



IM 11.24:- Describe the precipitating causes, pathophysiology, recognition, clinical features, diagnosis, stabilisation and management of Hyperosmolar non ketotic state


12

Thyroid


IM 12.1: epidemiology and pathogenesis of hypothyroidism and hyperthyroidism including the influence of iodine deficiency and autoimmunity in the pathogenesis of thyroid disease



IM 12.2: Genetic basis of some forms of thyroid dysfunction



IM12.3: Physiology of the hypothalamopituitary - thyroid axis, principles of thyroid function testing and alterations in physiologic function



IM12.4  : Principles of radio iodine uptake in the diagnosis of thyroid disorder



IM12.5 : Document and present an appropriate history that will establish the diagnosis cause of thyroid dysfunction and its severity



IM12.6: 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  : The correct technique to palpate the thyroid



IM12.8: Generate a differential diagnosis based on the clinical presentation and prioritise it based on the most likely diagnosis



IM12.9: 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 : Identify atrial fibrillation, pericardial effusion and bradycardia on ECG



IM12.11 :  Interpreting thyroid function tests in hypo and hyperthyroidism



IM12.12: The iodisation programs of the government of India



IM12.13 : Pharmacology, indications, adverse reaction, interactions of thyroxine and antithyroid drugs



IM12.14 : Write and communicate to the patient appropriately a prescription for thyroxine based on age, sex, and clinical and biochemical status



IM12.15: The indications of thionamide therapy, radio iodine therapy and surgery in the management of thyrotoxicosis


13

COMMON MALIGNANCIES

IM13.1 - Describe the clinical epidemiology and inherited & modifiable risk factors for common malignancies in India



IM13.2 - Describe the genetic basis of selected cancers



IM13.3 - Describe the relationship between infection and cancers



IM13.4 - Describe the natural history, presentation, course, complications and cause of death for common cancers



IM13.5 - Describe the common issues encountered in patients at the end of life and principles of management



IM13.6 - Describe and distinguish the difference between curative and palliative care in patients with cancer



IM13.7 - 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 - 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 - Demonstrate in a mannequin the correct technique for performing breast exam rectal examination and cervical examination and Pap smear



IM13.10 - Generate a differential diagnosis based on the presenting symptoms and clinical features and prioritise based on the most likely diagnosis



IM13.11 - Order and interpret diagnostic testing based on the clinical diagnosis including CBC and stool occult blood and prostate specific antigen



IM13.12 - 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 - Describe and assess pain and suffering objectively in a patient with cancer



IM13.14 - Describe the indications for surgery, radiation and chemotherapy for common malignancies



IM13.15 - Describe the need, tests involved, their utility in the prevention of common malignancies



IM13.16 - Demonstrate an understanding and needs and preferences of patients when choosing curative and palliative therapy



IM13.17 - Describe and enumerate the indications, use, side effects of narcotics in pain alleviation in patients with cancer



IM13.18 - Describe and discuss the ethical and the medico legal issues involved in end of life care

IM13.19  - Describe the therapies used in alleviating suffering in patients at the end of life



14

OBESITY

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



IM14.2 Describe and discuss the aetiology of obesity including modifiable and non-modifiable risk factors and secondary causes



IM14.3 Describe and discuss the monogenic forms of obesity



IM14.4 Describe and discuss the impact of environmental factors including eating habits, food, work, environment and physical activity on the incidence of obesity



IM14.5 Describe and discuss the natural history of obesity and itscomplications



IM14.6 Elicit and document and present an appropriate history that includes the natural history, dietary history, modifiable risk factors, family history, clues for secondary causes and motivation to lose weight



IM14.7 Perform, document and demonstrate a physical examination based on the history that includes general examination, measurement of abdominal obesity, signs of secondary causes and comorbidities



IM14.8 Generate a differential diagnosis based on the presenting symptoms and clinical features and prioritise based on the most likely diagnosis



IM14.9 Order and interpret diagnostic tests based on the clinical diagnosis including blood glucose, lipids, thyroid function tests etc.



IM14.10 Describe the indications and interpret the results of tests for secondary causes of obesity



IM14.11 Communicate and counsel patient on behavioural, dietary and lifestyle modifications



IM14.12 Demonstrate an understanding of patient’s inability to adhere to lifestyle instructions and counsel them in a non - judgemental way



IM14.13 Describe and enumerate the indications, pharmacology and side effects of pharmacotherapy for obesity



IM14.14 Describe and enumerate the indications and side effects of bariatric surgery



IM14.15 Describe and enumerate and educate patients, health care workers and the public on measures to prevent obesity and promote a healthy lifestyle




15

GI BLEEDING

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



IM15.2 Enumerate, describe and discuss the evaluation and steps involved in stabilizing a patient who presents with acute volume loss and GI bleed



IM15.3 Describe and discuss the physiologic effects of acute blood and volume loss



IM15.4 Elicit and document and present an appropriate history that identifies the route of bleeding, quantity, grade, volume loss, duration, etiology, comorbid illnesses and risk factors



IM15.5 Perform, demonstrate and document a physical examination based

on the history that includes general examination, volume

assessment and appropriate abdominal examination



IM15.6 Distinguish between upper and lower gastrointestinal bleeding based on the clinical features



IM15.7 Demonstrate the correct technique to perform an anal and rectal examination in a mannequin or equivalent



IM15.8 Generate a differential diagnosis based on the presenting symptoms and clinical features and prioritise based on the most likely diagnosis



IM15.9 Choose and interpret diagnostic tests based on the clinical diagnosis including complete blood count, PT and PTT, stool examination, occult blood, liver function tests, H.pylori test.



IM15.10 Enumerate the indications for endoscopy, colonoscopy and other imaging procedures in the investigation of Upper GI bleeding



IM15.11 Develop, document and present a treatment plan that includes fluid

resuscitation, blood and blood component transfusion, and specific

therapy for arresting blood loss




IM15.12 Enumerate the indications for whole blood, component and platelet transfusion and describe the clinical features and management of a mismatched transfusion



IM15.13 Observe cross matching and blood / blood component transfusion



IM15.14 Describe and enumerate the indications, pharmacology and side effects of pharmacotherapy of pressors used in the treatment of Upper GI bleed



IM15.15 Describe and enumerate the indications, pharmacology and side effects of pharmacotherapy of acid peptic disease including Helicobacter pylori



IM15.16 Enumerate the indications for endoscopic interventions and Surgery



IM15.17 Determine appropriate level of specialist consultation



IM15.18 Counsel the family and patient in an empathetic non-judgmental manner on the diagnosis and therapeutic options




16

Diarrheal disorder

IM16.1:- Describe and discuss the aetiology of acute and chronic diarrhoea including infectious and non-infectious causes



IM16.2:- Describe and discuss the acute systemic consequences of diarrhoea including its impact on fluid balance



IM16.3:- Describe and discuss the chronic effects of diarrhoea including malabsorption



IM16.4:- Elicit and document and present an appropriate history that includes the natural history, dietary history, travel, sexual history and other concomitant illness



IM16.5:- Perform, document and demonstrate a physical examination based on the history that includes a general examination, including an appropriate abdominal examination



IM16.6:- Distinguish between diarrhoea and dysentery based on clinical features



IM16.7:- Generate a differential diagnosis based on the presenting symptoms and clinical features and prioritise based on the most likely diagnosis



IM16.8:- Choose and interpret diagnostic tests based on the clinical diagnosis including complete blood count, and stool examination



IM16.9:- Identify common parasitic causes of diarrhoea under the microscope in a stool specimen



IM16.10:- Identify vibrio cholera in a hanging drop specimen



IM16.11:- Enumerate the indications for stool cultures and blood cultures in patients with acute diarrhoea



IM16.12:- Enumerate and discuss the indications for further investigations  including antibodies, colonoscopy, diagnostic imaging and biopsy in the diagnosis of chronic diarrhoea



IM16.13:- Describe and enumerate the indications, pharmacology and side effects of pharmacotherapy for parasitic causes of diarrhoea



IM16.14:- Describe and enumerate the indications, pharmacology and side effects of pharmacotherapy for bacterial and viral diarrhoea



IM16.15:- Distinguish based on the clinical presentation of Crohn’s disease from Ulcerative Colitis



IM16.16:- Describe and enumerate the indications, pharmacology and side effects of pharmacotherapy including immunotherapy



IM16.17:- Describe and enumerate the indications for surgery in inflammatory bowel disease


15

HEADACHE

IM17.1 - Define and classify headache and describe the presenting features, precipitating factors, aggravating and relieving factors of various kinds of headache



IM17.2  - 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 -  Classify migraine and describe the distinguishing features between classical and non classical forms of migraine



IM17.4  - Perform and demonstrate a general neurologic examination and a focused examination for signs of intracranial tension including neck signs of meningitis



IM17.5 -Generate document and present a differential diagnosis based on the clinical features and prioritise the diagnosis based on the presentation.



IM17.6 -Choose and interpret diagnostic testing based on the clinical diagnosis including imaging



IM17.7 -Enumerate the indications and describe the findings in the CSF in patients with meningitis



IM17.8 -Demonstrate in a mannequin or equivalent the

correct technique for performing a lumbar puncture



IM17.9 - Interpret the CSF findings when presented with various parameters of CSF fluid analysis



IM17.10 -  Enumerate the indications for emergency care admission and immediate supportive care in patients with headache



IM17.11 -Describe the indications, pharmacology, dose, side effects of abortive therapy in migraine



IM17.12 - Describe the indications, pharmacology, dose, side effects of prophylactic therapy in migraine



IM17.13  - Describe the pharmacology, dose, adverse reactions and regimens of drugs used in the treatment of bacterial, tubercular and viral meningitis.



IM17.14 -Counsel patients with migraine and tension headache on lifestyle changes and need for prophylactic therapy






18

CVA

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



IM18.2Classify cerebrovascular accidents and describe the aetiology, predisposing genetic and risk factors pathogenesis of hemorrhagic and non hemorrhagic stroke



IM18.3Elicit and document and present an appropriate history including onset, progression, precipitating and aggravating relieving factors, associated symptoms that help identify the cause of the cerebrovascular accident



IM18.4Identify the nature of the cerebrovascular accident based on the temporal evolution and resolution of the illness



IM18.5Perform, demonstrate & document  physical examination that includes general and a detailed neurologic examination as appropriate, based on the history



IM18.6Distinguish the lesion based on upper vs lower motor neuron, side, site and most probable nature of the lesion



IM18.7Describe the clinical features and distinguish, based on clinical examination, the various disorders of speech



IM18.8Describe and distinguish, based on the clinical presentation, the types of bladder dysfunction seen in CNS disease



IM18.9Choose and interpret the appropriate diagnostic and imaging test that will delineate the anatomy and underlying cause of the lesion 



IM18.10Choose and interpret the appropriate diagnostic testing in young patients with a cerebrovascular accident (CVA)



IM18.11Describe the initial supportive management of a patient presenting with a cerebrovascular accident (CVA)



IM18.12Enumerate the indications for and describe acute therapy of non hemorrhagic stroke including the use of thrombolytic agents



IM18.13Enumerate the indications for and describe the role of anti platelet agents in non hemorrhagic stroke



IM18.14Describe the initial management of a hemorrhagic stroke



IM18.15Enumerate the indications for surgery in a hemorrhagic stroke



IM18.16Enumerate the indications describe and observe the multidisciplinary rehabilitation of patients with a CVA



IM18.17Counsel patient and family about the diagnosis and therapy in an empathetic manner


19

MOVEMENT DISORDERS

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



IM19.2 Classify movement disorders of the brain based on distribution, rhythm, repetition, exacerbating and relieving factors




IM19.3 Elicit and document and present an appropriate history including onset, progression precipitating and aggravating relieving factors, associated symptoms that help identify the cause of the movement disorders



IM19.4 Perform, demonstrate and document a physical examination that includes a general examination and a detailed neurologic examination using standard movement rating scales



IM19.5 Generate document and present a differential diagnosis and prioritise based on the history and physical examination



IM19.6 Make a clinical diagnosis regarding on the anatomical location, nature and cause of the lesion based on the clinical presentation and findings



IM19.7 Choose and interpret diagnostic and imaging tests in the diagnosis of movement disorders



IM19.8 Discuss and describe the pharmacology, dose, side effects and interactions used in the drug therapy of Parkinson’s syndrome



IM19.9 Enumerate the indications for use of surgery and botulinum toxin in the treatment of movement disorders


20

ENVENOMATION

IM 20.1:-Enumerate the local poisonous snakes and Describe the distinguish marks each



IM20.2:-Describe, demonstrate in a volunteer or a mannequin and educate (to other health care workers / patients) the correct initial management of patient with a snake bite in the field



IM 20.3:-Describe the initial approach to the stabilisation of the patient who presents with snake bite



IM20.4:-Elicit and document and present an appropriate history, the circumstance, time, kind of snake, evolution of symptoms in a patient with snake bite



IM 20.5:-Perform a systematic examination, document and present a physical examination that includes general examination, local examination, appropriate cardiac and neurologic examination



IM 20.6:- Choose and interpret the appropriate diagnostic testing in patients with snake bites



IM 20.7:- Enumerate the indications and describe the pharmacology, dose, adverse reactions, hypersensitivity reactions of anti snake venom



IM 20.8:-Describe the diagnosis, initial approach stabilisation and therapy of scorpion envenomation



IM20.9:-Describe the diagnosis initial approach stabilisation and therapy of bee sting allergy


21

POISONING

IM21.1:-Describe the initial approach to the stabilisation of the patient who presents with poisoning.



IM21.2:-Enumerate the common plant poisons seen in your area and describe their toxicology, clinical features, prognosis and specific approach to detoxification



IM21.3:- Enumerate the common corrosives used in your area and describe their toxicology, clinical features, prognosis and approach to therapy



IM21.4:-Enumerate the commonly observed drug overdose in your area and describe their toxicology, clinical features, prognosis and approach to therapy



IM21.5:- Observe and describe the functions and role of a poison center in suspected poisoning



IM21.6:- 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:-Counsel family members of a patient with suspected poisoning about the clinical and medico legal aspects with empathy



IM21.8:-Enumerate the indications for psychiatric consultation and describe the precautions to be taken in a patient with suspected suicidal ideation / gesture


22

MINERAL, FLUID ELECTROLYTE AND ACID BASE DISORDER

IM22.1:-Enumerate the causes of hypercalcemia and distinguish the features of PTH vs non PTH mediated hl



IM22.2:-Describe the aetiology, clinical manifestations, diagnosis and clinical approach to primary hyperparathyroidism



IM22.3:-Describe the approach to the management of hypercalcemia



IM22.3:-Enumerate the components and describe the genetic basis of the multiple endocrine neoplasia syndrome



IM22.5:-Enumerate the causes and describe the clinical features and the correct approach to the diagnosis and management of the patient with hyponatremia



IM22.6:-Enumerate the causes and describe the clinical and laboratory features and the correct approach to the diagnosis and management of the patient with hyponatremia



IM22.7:-Enumerate the causes and describe the clinical and laboratory features and the correct approach to the diagnosis and management of the patient with hypokalemia



IM22.8:-Enumerate the causes and describe the clinical and laboratory features and the correct approach to the diagnosis and management of the patient with hyperkalemia



IM22.9:-Enumerate the causes and describe the clinical and laboratory features of metabolic acidosis



IM22.10:-Enumerate the causes of describe the clinical and laboratory features of metabolic alkalosis



IM22.11:-Enumerate the causes and describe the clinical and laboratory features of respiratory acidosis



IM22.12:-Enumerate the causes and describe the clinical and laboratory features of respiratory alkalosis




IM22.13:-Identify the underlying acid based disorder based on an ABG report and clinical situation


23

NUTRITION AND VITAMIN DEFICIENCIES

IM23.1 :Discuss and describe the methods of nutritional assessment in an adult and calculation of caloric requirements during illnesses .



IM23.2  :Discuss and describe the causes and consequences of protein caloric malnutrition in the hospital KK



IM23.3 : Discuss and describe the aetiology, causes, clinical manifestations, complications, diagnosis and management of common vitamin deficiencies .



IM23.4 :Enumerate the indications for enteral and parenteral nutrition in critically ill patients



IM23.5:Counsel and communicate to patients in a simulated environment with illness on an appropriate balanced diet.


24

GERIATRICS

IM24.1 Describe and discuss the epidemiology, pathogenesis, clinical

evolution, presentation and course of common diseases in the

elderly




IM24.2 Perform multidimensional geriatric assessment that includes

medical, psycho-social and functional components




IM24.3 Describe and discuss the aetiopathogenesis,clinical presentation,

identification, functional changes, acute care, stabilization,

management and rehabilitation of acute confusional states




IM24.4 Describe and discuss the aetiopathogenesis,clinical presentation,

identification, functional changes, acute care, stabilization,

management and rehabilitation of vascular events in the elderly




IM24.5 Describe and discuss the aetiopathogenesis,clinical presentation,

identification, functional changes, acute care, stabilization,

management and rehabilitation of depression in the elderly




IM24.6 Describe and discuss the aetiopathogenesis causes, clinical

presentation, difference in discussion presentation identification,

functional changes, acute care, stabilization, management and

rehabilitation of dementia in the elderly




IM24.7 Describe and discuss the aetiopathogenesis,clinical presentation,

identification, functional changes, acute care, stabilization,

management and rehabilitation of personality changes in the

elderly




IM24.8 Describe and discuss the aetiopathogenesis,clinical presentation,

identification, functional changes, acute care, stabilization,

management and rehabilitation of osteoporosis in the elderly




IM24 9 Describe and discuss the aetiopathogenesis,clinical presentation,

identification, functional changes, acute care, stabilization, management and rehabilitation of CVA in the elderly





IM24.10 Describe and discuss the aetiopathogenesis,clinical presentation,

identification, functional changes, acute care, stabilization,

management and rehabilitation of COPD in the elderly




IM24.11 Describe and discuss the aetiopathogenesis,clinical presentation,

identification, functional changes, acute care, stabilization,

management and rehabilitation of the elderly undergoing surgery




IM24.12 Describe and discuss the aetiopathogenesis,clinical presentation,

identification, functional changes, acute care, stabilization,

management and rehabilitation of degenerative joint disease




IM24.13 Describe and discuss the aetiopathogenesis,clinical presentation,

identification, functional changes, acute care, stabilization,

management and rehabilitation of falls in the elderly




IM24.14 Describe and discuss the aetiopathogenesis,clinical presentation,

identification, functional changes, acute care, stabilization,

management and rehabilitation of common fractures in the elderly




IM24.15 Describe and discuss the aetiopathogenesis,clinical presentation,

identification, functional changes, acute care, stabilization,

management and rehabilitation of vision and visual loss in the

elderly




IM24.16 Describe and discuss the principles of physical and social

rehabilitation, functional assessment, role of physiotherapy and

occupational therapy in the management of disability in the

elderly




IM24.17 Describe and discuss the aetiopathogenesis,clinical presentation,

identification, functional changes, acute care, stabilization,

management and rehabilitation of hearing loss in the elderly




IM24.18 Describe the impact of the demographic changes in ageing on the

population




IM24.19 Enumerate and describe the social problems in the elderly including

isolation, abuse, change in family structure and their impact on

health.




IM24.20 Enumerate and describe social interventions in the care of elderly

including domiciliary discussion services, rehabilitation facilities, old

age homes and state interventions




IM24.21 Enumerate and describe ethical issues in the care of the elderly




IM24.22 Describe and discuss the aetiopathogenesis, clinical presentation,

complications, assessment and management of nutritional disorders

in the elderly



25

MISCELLANEOUS INFECTIONS

IM25.1:-Describe and discuss the response and the influence of host immune status, risk factors and comorbidities on zoonotic diseases (e.g. Leptospirosis, Rabies) and non-febrile infectious disease (e.g. Tetanus)



IM25.2 :- Discuss and describe the common causes, pathophysiology and manifestations of  these diseases



IM25.3 :-Describe and discuss the pathophysiology and manifestations of  these diseases



IM25.4 :-Elicit document and present a medical history that helps delineate the aetiology of these diseases that includes the evolution and pattern of symptoms, risk factors, exposure through occupation and travel



IM25.5 :-Perform a systematic examination that establishes the diagnosis and severity of presentation that includes: general skin, mucosal and lymph node examination, chest and abdominal examination (including examination of the liver and spleen)



IM25.6 :-Generate a differential diagnosis and prioritise based on clinical features that help distinguish between infective, inflammatory, malignant and rheumatologic causes



IM25.7 :- Order and interpret diagnostic tests based on the differential diagnosis including: CBC with differential, blood biochemistry, peripheral smear, urinary analysis with sediment, Chest X ray, blood and urine cultures, sputum gram stain and cultures, sputum AFB and cultures, CSF analysis, pleural and body fluid analysis, stool routine and culture and QBC



IM25.8 :-Enumerate the indications for use of newer techniques in the diagnosis of these infections



IM25.9 :-Assist in the collection of blood and other specimen cultures



IM25.10 :-Develop and present an appropriate diagnostic plan based on the clinical presentation, most likely diagnosis in a prioritised and cost effective manner



IM25.11 :-Develop an appropriate empiric treatment plan based on the patient’s clinical and immune status pending definitive diagnosis



IM25.12 :-Communicate to the patient and family the diagnosis and treatment of identified infection



IM25.13 :-Counsel the patient and family on prevention of various infections due to environmental issues



26

ROLE OF THE PHYSICIAN IN THE COMMUNITY

IM26.1 Enumerate and describe professional qualities and roles of a

physician



IM26.2 Describe and discuss the commitment to lifelong learning as an

important part of physician growth



IM26.3 Describe and discuss the role of non maleficence as a guiding

principle in patient care



IM26.4 Describe and discuss the role of autonomy and shared responsibility as a guiding principle in patient care



IM26.5 Describe and discuss the role of beneficence of a guiding principle

in patient care



IM26.6 Describe and discuss the role of a physician in health care system



IM26.7 Describe and discuss the role of justice as a guiding principle in

patient care



IM26.8 Identify discuss medicolegal, socioeconomic and ethical issues as

it pertains to organ donation



IM26.9 Identify, discuss and defend medicolegal, sociocultural, economic

and ethical issues as it pertains to rights, equity and justice in

access to health care



IM26.10 Identify, discuss and defend medicolegal, socio-cultural and ethical issues as it pertains to confidentiality in patient care



IM26.11 Identify, discuss and defend medicolegal, socio-cultural and ethical issues as it pertains to patient autonomy, patient rights and shared

responsibility in health care



IM26.12 Identify, discuss and defend medicolegal, socio-cultural and ethical issues as it pertains to decision making in health care including

advanced directives and surrogate decision making



IM26.13 Identify, discuss and defend medicolegal, socio-cultural and ethical issues as it pertains to decision making in emergency care including situations where patients do not have the capability or capacity to give consent



IM26.14 Identify, discuss and defend medicolegal, socio-cultural and ethical issues as it pertains to research in human subjects



IM26.15 Identify, discuss and defend, medicolegal,socio-cultural and ethical issues as they pertain to consent for surgical procedures



IM26.16 Identify, discuss and defend medicolegal, socio-cultural,

professional and ethical issues as it pertains to the physician

patient relationship (including fiduciary duty)



IM26.17 Identify, discuss physician’s role and responsibility to society and

the community that she/ he serves



IM26.18 Identify, discuss and defend medicolegal, socio-cultural,

professional and ethical issues in physician- industry relationships



IM26.19 Demonstrate ability to work in a team of peers and superiors



IM26.20 Demonstrate ability to communicate to patients in a patient,

respectful, non threatening, non judgemental and empathetic

manner 



IM26.21 Demonstrate respect to patient privacy



IM26.22 Demonstrate ability to maintain confidentiality in patient care



IM26.23 Demonstrate a commitment to continued learning



IM26.24 Demonstrate respect in relationship with patients, fellow team

members, superiors and other health care workers



IM26 25 Demonstrate responsibility and work ethics while working

in the health care team



IM26.26 Demonstrate ability to maintain required documentation in health

care (including correct use of medical records)



IM26.27 Demonstrate personal grooming that is adequate and appropriate

for health care responsibilities



IM26.28 Demonstrate adequate knowledge and use of information

technology that permits appropriate patient care and continued

learning



IM26.29 Communicate diagnostic and therapeutic opitons to patient and

family in a simulated environment



IM26.30 Communicate care opitons to patient and family with a terminal

illness in a simulated environment



IM26.31 Demonstrate awareness of limitations and seeks help and

consultations appropriately



IM26.32 Demonstrate appropriate respect to colleagues in the profession



IM26.33 Demonstrate an understanding of the implications and the

appropriate procedures and response to be followed in the event of

medical errors



IM26.34 Identify conflicts of interest in patient care and professional

relationships and describe the correct response to these conflicts



IM26.35 Demonstrate empathy in patient encounters



IM26.36 Demonstrate ability to balance personal and professional priorities



IM26.37 Demonstrate ability to manage time appropriately



IM26.38 Demonstrate ability to form and function in appropriate professional

networks



IM26.39 Demonstrate ability to pursue and seek career advancement



IM26.40 Demonstrate ability to follow risk management and medical error

reduction practices where appropriate



IM26.41 Demonstrate ability to work in a mentoring relationship with junior colleagues



IM26.42 Demonstrate commitment to learning and scholarship



IM26.43 Identify, discuss and defend medicolegal, sociocultural, economic

and ethical issues as they pertain to in vitro fertilisation donor

insemination and surrogate motherhood



IM26.44 Identify, discuss and defend medicolegal, socio-cultural professional and ethical issues pertaining to medical negligence



IM26.45 Identify, discuss and defend medicolegal, socio-cultural professional and ethical issues pertaining to malpractice



IM26.46 Identify, discuss and defend medicolegal, socio-cultural

professional and ethical issues in dealing with impaired physicians



IM26.47 Identify, discuss and defend medicolegal, socio-cultural and ethical issues as they pertain to refusal of care including do not resuscitate

and withdrawal of life support



IM26.48 Demonstrate altruism



IM26.49 Administer informed consent and approriately adress patient queries to a patient being enrolled in a research protocol in a simulated

environment






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