DEPARTMENT OF GENERAL MEDICINE*
*Training in Medical Wards:*
a) Number of OPD cases seen :
b) Number of review OP cases seen :
c) Approximate number of case records written :
d) Approximate number of ward rounds attended and cases presented on the round
*Training in Routine Procedure*
Sl. No. Particulars Recommended No. Approx. No. Performed Scoring (0-5)
1 I.V. Injection 30
2 Setting up of I.V. Drip 10
Intern captured procedural video
3 Blood Transfusion with his Management 04
4 Passing of Ryle’s Tube (Stomach Tube) 05
11 Oxygen administration 10
Clinical Lab Training:*
1 Sputum Examination for AFB 10
2 Estimation of Hb, TLC, DLC, ESR 30
3 Complete Urine Examination 30
4 Stool examination for parasitic ova / Cyst 05
5 CSF Smear examination 02
*Training in Special Procedures:
1 Open Methods (Cut Down) 04
2 Stomach Wash 02
3 Nebulisation 30
4 Cardiac monitoring 05
5 Revealing bad news to relatives 04
6 Lumbar puncture and examination of CSF 02
NKPCH:
7 Pleural Aspiration 04
NKPCH:
8 Abdominal paracentesis 04
NKPCH:
Training in Emergency Procedures and Treatment:*
1 Assisting in external Cardiac massage 04
2 Management of:
a) A case having convulsions 04
b) A case in coma 04
3 Acute myocardial infarction 10
4 Diabetic Coma 04
5 Poisoning 04
6 Hyperpyrexia 04
7 Status asthmatics 02
(Poor – 0; Fair – 1; Below Average – 2; Average – 3; Above Average - 4; Excellent -5)
Date :.....................
*CERTIFICATE*
Certified that Dr. *_**_**_**_**_*_ worked in the Medicine Department from *_**_* to *_**_* and completed the posting.
His / Her comprehensive score is *_**_* (0 to 10).
Signature of the Head of the Unit with Stamp
Signature of the Head of the Department with Stamp
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Under the National Medical Commission's (NMC) Competency-Based Medical Education (CBME) curriculum, Compulsory Rotating Medical Internship (CRMI) is designed to transition students from "shows how" to "performs" in real clinical settings. Interns must achieve certification in a specific list of core procedural skills using Workplace-Based Assessments like DOPS. [1, 2, 3]
Core Clinical & Procedural Competencies
During their clinical postings in General Medicine, Surgery, Pediatrics, OBG, and Emergency Medicine, interns are required to independently perform under supervision and log a set number of certifications. Key certifiable procedural skills include:
- General Medicine: Venipuncture, intravenous (IV) cannulation, arterial puncture, nasogastric intubation, urinary catheterization, lumbar puncture, and pleural/ascitic fluid tapping.
- Surgery: Suturing minor wounds, surgical knot tying, incision and drainage of abscesses, applying splints/casts, and assisting in minor/major operations.
- Emergency & Critical Care: Cardiopulmonary Resuscitation (CPR), airway management (bag-mask ventilation, basic intubation), administering emergency drugs, and triage.
- OBG & Pediatrics: Assisting in normal vaginal deliveries, newborn resuscitation, and administering vaccinations.
Assessment & Certification (DOPS)
- Directly Observed Procedural Skills (DOPS): This Workplace-Based Assessment (WPBA) framework is used to evaluate an intern's actual clinical practice. Faculty members observe, provide feedback, and grade the intern’s performance.
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