Medicine Department

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

Medicine Department

Monday, October 24, 2022

Departmental Senior Resident online learning portfolios

Friday, October 7, 2022

NMC topic and subtopic codes