There is a detailed timeline linked below but let's start from the time we started an elective learning program for those interested in solving "wicked problems" in healthcare with a focus on individual patients and although in various institutions since its inception a decade ago, it is currently linked here :
medicinedepartment.blogspot.com/2021/03/medicine-department-training-programs.html?m=0
Below is the previous link from it's nominal sponsor:
There is more here about how the elective program began and gradually worked parallely with our research into "user driven healthcare UDHC :
Here's about how it transformed into the current CBBLE since 2017 at Narketpally : https://www.ncbi.nlm.nih.
And culminated in Narketpally syndrome, published in 2025 here: https://pubmed.ncbi.nlm.nih.gov/40674544/, which
introduced "critical realist heutagogy" CRH as a tool to create "user driven learning community ontologies" UDLCOs as archived here: https://medicinedepartment.blogspot.com/2026/04/udlco-crh-what-is-definition-of-medical.html?m=1
More timeline at the bottom of this write up.
Current CBBLE dashboard :
E logged online learning portfolios (currently around thousand portfolios of 200 students from five batches logging around 5000 case reports) that are displayed for each batch entry year wise here :
MBBS
2013:
2015: https://
2017: https://
2019: https://
MD General Medicine :
2019: https://
BDS:
2018: https://
Elective students :
Our current CBBLE is being further developed by some of our recent past students through a quality improvement QI project detailed here
Timeline from 2 decades back :
Current timeline: https://medicinedepartment.blogspot.com/2025/02/medicine-department-workflow.html?m=1
A picture of the way to our campus auditorium where the offline component of our CBBLE partly operates
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