Please refer to our previous post on competence based education that was more to do with creating a competence based dynamic ontology here: https://
although the topics and subtopics below can still be utilized to create a dynamic user driven ontology that we shall share in another post with links to all the user driven projects that are ongoing in medicine department.
IM1.1
Topic: Heart Failure
Subtopic: Describe and discuss the epidemiology, pathogenesis clinical evolution and course of common causes of heart disease including: rheumatic/ valvular, ischemic, hypertrophic inflammatory
IM1.2
Topic: Heart Failure
Subtopic: Describe and discuss the genetic basis of some forms of heart failure
IM1.3
Topic: Heart Failure
Subtopic: Describe and discuss the aetiology microbiology pathogenies and clinical evolution of rheumatic fever, criteria, degree of rheumatic activity and rheumatic valvular heart disease and its complications including infective endocarditis
IM1.4
Topic: Heart Failure
Subtopic: Stage heart failure
IM1.5
Topic: Heart Failure
Subtopic: Describe, discuss and differentiate the processes involved in R V & LV heart failure, systolic vs diastolic failure
IM1.6
Topic: Heart Failure
Subtopic: Describe and discuss the compensatory mechanisms involved in heart failure including cardiac remodelling and neurohormonal adaptations
IM1.7
Topic: Heart Failure
Subtopic: Enumerate, describe and discuss the factors that exacerbate heart failure dietary factors drugs etc.
IM1.8
Topic: Heart Failure
Subtopic: Describe and discuss the pathogenesis and development of common arrythmias involved in heart failure particularly atrial fibrillation
IM1.9
Topic: Heart Failure
Subtopic: Describe and discuss the clinical presentation and features, diagnosis, recognition and management of acute rheumatic fever
IM1.10
Topic: Heart Failure
Subtopic: Elicit document and present an appropriate history that will establish the diagnosis, cause and severity of heart failure including: presenting complaints, precipitating and exacerbating factors, risk factors exercise tolerance, changes in sleep patterns, features suggestive of infective endocarditis
IM1.11
Topic: Heart Failure
Subtopic: Perform and demonstrate a systematic examination based on the history that will help establish the diagnosis and estimate its severity including: measurement of pulse, blood pressure and respiratory rate, jugular venous forms and pulses, peripheral pulses, conjunctiva and fundus, lung, cardiac examination including palpation and auscultation with identification of heart sounds and murmurs, abdominal distension and splenic palpation
IM1.12
Topic: Heart Failure
Subtopic: Demonstrate peripheral pulse, volume, character, quality and variation in various causes of heart failure
IM1.13
Topic: Heart Failure
Subtopic: Measure the blood pressure accurately, recognise and discuss alterations in blood pressure in valvular heart disease and other causes of heart failure and cardiac tamponade
IM1.14
Topic: Heart Failure
Subtopic: Demonstrate and measure jugular venous distension
IM1.15
Topic: Heart Failure
Subtopic: Identify and describe the timing, pitch quality conduction and significance of precordial murmurs and their variations
IM1.16
Topic: Heart Failure
Subtopic: Generate a differential diagnosis based on the clinical presentation and prioritise it based on the most likely diagnosis
IM1.17
Topic: Heart Failure
Subtopic: Order and interpret diagnostic testing based on the clinical diagnosis including 12 lead ECG, Chest radiograph, blood cultures
IM1.18
Topic: Heart Failure
Subtopic: Perform and interpret a 12 lead ECG
IM1.19
Topic: Heart Failure
Subtopic: Enumerate the indications for and describe the findings of heart failure with the following conditions including: 2D echocardiography, brain natriuretic peptide, exercise testing, nuclear medicine testing and coronary angiogram
IM1.20
Topic: Heart Failure
Subtopic: Determine the severity of valvular heart disease based on the clinical and laboratory and imaging features and determine the level of intervention required including surgery
IM1.21
Topic: Heart Failure
Subtopic: Describe and discuss and identify the clinical features of acute and subacute endocarditis, echocardiographic findings, blood culture and sensitivity and therapy
IM1.22
Topic: Heart Failure
Subtopic: Assist and demonstrate the proper technique in collecting specimen for blood culture
IM1.23
Topic: Heart Failure
Subtopic: Describe, prescribe and communicate non pharmacologic management of heart failure including sodium restriction, physical activity and limitations
IM1.24
Topic: Heart Failure
Subtopic: Describe and discuss the pharmacology of drugs including indications, contraindications in the management of heart failure including diuretics, ACE inhibitors, Beta blockers, aldosterone antagonists and cardiac glycosides
IM1.25
Topic: Heart Failure
Subtopic: Enumerate the indications for valvuloplasty, valvotomy, coronary revascularization and cardiac transplantation
IM1.26
Topic: Heart Failure
Subtopic: Develop document and present a management plan for patients with heart failure based on type of failure, underlying aetiology
IM1.27
Topic: Heart Failure
Subtopic: Describe and discuss the role of penicillin prophylaxis in the prevention of rheumatic heart disease
IM1.28
Topic: Heart Failure
Subtopic: Enumerate the causes of adult presentations of congenital heart disease and describe the distinguishing features between cyanotic and acyanotic heart disease
IM1.29
Topic: Heart Failure
Subtopic: Elicit document and present an appropriate history, demonstrate correctly general examination, relevant clinical findings and formulate document and present a management plan for an adult patient presenting with a common form of congenital heart disease
IM1.30
Topic: Heart Failure
Subtopic: Administer an intramuscular injection with an appropriate explanation to the patient
IM 2.1
Topic:- Acute Myocardial Infarction/ IHD
Subtopic:-Discuss and describe the epidemiology, antecedents and risk factors for atherosclerosis and ischemic heart disease
IM 2.2
Topic:- Acute Myocardial Infarction/ IHD
Subtopic:-Discuss the aetiology of risk factors both modifiable and non modifiable of atherosclerosis and IHD
IM2.3
Topic:- Acute Myocardial Infarction/ IHD
Subtopic:-Discuss and describe the lipid cycle and the role of dyslipidemia in the pathogenesis of atherosclerosis
IM2.4
Topic:- Acute Myocardial Infarction/ IHD
Subtopic:-Discuss and describe the pathogenesis natural history, evolution and complications of atherosclerosis and IHD
IM 2.5
Topic:- Acute Myocardial Infarction/ IHD
Subtopic:-Define the various acute coronary syndromes and describe their evolution, natural history and outcomes
IM 2.6
Topic:- Acute Myocardial Infarction/ IHD
Subtopic:-Elicit document and present an appropriate history that includes onset evolution, presentation risk factors, family history, comorbid conditions, complications, medication, history of atherosclerosis, IHD and coronary syndromes
IM 2.7
Topic:- Acute Myocardial Infarction/ IHD
Subtopic:-Perform, demonstrate and document a physical examination including a vascular and cardiac examination that is appropriate for the clinical presentation
IM 2.8
Topic:- Acute Myocardial Infarction/ IHD
Subtopic:-Generate document and present a differential diagnosis based on
The clinical presentation and prioritise based on “cannot miss”, most
Likely diagnosis and severity
IM 2.9
Topic:- Acute Myocardial Infarction/ IHD
Subtopic:- Distinguish and differentiate between stable and unstable angina and Ami based on clinical presentation
IM 2.10
Topic:-Acute Myocardial Infarction/ IHD
Subtopic:-Order, perform and interpret an ECG
IM 2.11
Topic:- Acute Myocardial Infarction/ IHD
Subtopic:- order and interpret a Chest X-ray and markers of acute myocardial infarction
IM 2.12
Topic:- Acute Myocardial Infarction/ IHD
Subtopic:-
Choose and interpret a lipid profile and identify the desirable lipid profile in the clinical context
IM 2.13
Topic:- Acute Myocardial Infarction/ IHD
Subtopic:-
Discuss and enumerate the indications for and findings on echocardiogram, stress testing and coronary angiogram
IM 2.14
Topic:- Acute Myocardial Infarction/ IHD
Subtopic:-
Discuss and describe the indications for admission to a coronary care unit and supportive therapy for a patient with acute coronary syndrome
IM 2.15
Topic:-Acute Myocardial Infarction/ IHD
Subtopic:-
Discuss and describe the medications used in patients with an acute coronary syndrome based on the clinical presentation
IM 2.16
Topic:- Acute Myocardial Infarction/ IHD
Subtopic:- Discuss and describe the indications for acute thrombolysis, PTCA and CABG
IM 2.17
Topic:-Acute Myocardial Infarction/ IHD
Subtopic:-Discuss and describe the indications and methods of cardiac rehabilitation
IM 2.18
Topic:- Acute Myocardial Infarction/ IHD
Subtopic:- Discuss and describe the indications, formulations, doses, side effects and monitoring for drugs used in the management of dyslipidemia
IM 2.19
Topic:- Acute Myocardial Infarction/ IHD
Subtopic:- Discuss and describe the pathogenesis, recognition and management of complications of acute coronary syndromes
Including arrhythmias, shock, LV dysfunction, papillary muscle
Rupture and pericarditis
IM 2.20
Topic:-Acute Myocardial Infarction/ IHD
Subtopic:-Discuss and describe the assessment and relief of pain in acute
Coronary syndromes
IM 2.21
Topic:- Acute Myocardial Infarction/ IHD
Subtopic:-
Observe and participate in a controlled environment an ACLS program
IM 2.22
Topic:- Acute Myocardial Infarction/ IHD
Subtopic:- Perform and demonstrate in a mannequin BLS
IM 2.23
Topic:-Acute Myocardial Infarction/ IHD
Subtopic:-Describe and discuss the indications for nitrates, anti platelet agents, gpIIb IIIa inhibitors, beta blockers, ACE inhibitors etc in the management of coronary syndromes
IM 2.24
Topic:- Acute Myocardial Infarction/ IHD
Subtopic:- Counsel and communicate to patients with empathy lifestyle changes in atherosclerosis / post coronary syndromes
TOPIC 3 – PNEUMONIA
IM3.1
Topic : pneumonia
Subtopic : community acquired pneumonia, nosocomial pneumonia and aspiration pneumonia
IM3.2
Topic : pneumonia
Subtopic : aetiologies of various kinds of pneumonia and their microbiology depending on the setting and immune status of the host
IM3.3
Topic : pneumonia
Subtopic : pathogenesis, presentation, natural history and complications of pneumonia
IM3.4
Topic : pneumonia
Subtopic : evolution, risk factors including immune status and occupational risk
IM3.5
Topic : pneumonia
Subtopic : physical examination including general examination and appropriate examination of the lungs that establishes the diagnosis, complications and severity of disease
IM3.6
Topic : pneumonia
Subtopic : differential diagnosis based on the clinical features, and prioritise the diagnosis based on the presentation
IM3.7
Topic : pneumonia
Subtopic : interpret diagnostic tests based on the clinical presentation including: CBC, Chest X ray PA view, Mantoux, sputum gram stain, sputum culture and sensitivity, pleural fluid examination and culture, HIV testing and ABG
IM3.8
Topic : pneumonia
Subtopic : arterial blood gas examination
IM3.9
Topic : pneumonia
Subtopic : pleural fluid analysis
IM3.10
Topic : pneumonia
Subtopic : blood culture
IM3.11
Topic : pneumonia
Subtopic : HRCT, Viral cultures, PCR and specialised testing
IM3.12
Topic : pneumonia
Subtopic : aetiology, an appropriate empirical antimicrobial based on the pharmacology and antimicrobial spectrum
IM3.13
Topic : pneumonia
Subtopic : culture and sensitivity appropriate empaling antimicrobial based on the pharmacology and antimicrobial spectrum
IM3.14
Topic : pneumonia
Subtopic : sputum gram stain and AFB
IM3.15
Topic : pneumonia
Subtopic : the indications for hospitalisation in patients with pneumonia
IM3.16
Topic : pneumonia
Subtopic : the indications for isolation and barrier nursing in patients with pneumonia
IM3.17
Topic : pneumonia
Subtopic : the supportive therapy in patients with pneumonia including oxygen use and indications for ventilation
IM3.18
Topic : pneumonia
Subtopic : counsel patient on family on the diagnosis and therapy of pneumonia
IM3.19
Topic : pneumonia
Subtopic : indications and communicate to patients on pneumococcal and influenza vaccines
IM4.1
Topic: Fever and febrile syndromes
Describe and discuss the febrile response and the influence of host immune status, risk factors and comorbidities on the febrile response
IM4.25 Communicate to the patient and family the diagnosis and treatment
IM5.1
TOPIC- LIVER DISEASE
The physiologic and biochemical basis of hyperbilirubinemia
IM5.2
TOPIC- LIVER DISEASE
SUBTOPIC - the aetiology and pathophysiology of liver injury
IM5.3
TOPIC- LIVER DISEASE
SUBTOPIC – the pathologic changes in various forms of liver disease
IM5.4
TOPIC- LIVER DISEASE
SUBTOPIC - Epidemiology, microbiology, immunology and clinical evolution of infective (viral) hepatitis
IM5.5
TOPIC- LIVER DISEASE
SUBTOPIC - The pathophysiology and clinical evolution of alcoholic liver disease
IM5.6
TOPIC- LIVER DISEASE
SUBTOPIC – The pathophysiology, clinical evolution and complications of cirrhosis and portal hypertension including ascites, spontaneous bacterial peritonitis, hepatorenal syndrome and hepatic encephalopathy
IM5.7
TOPIC- LIVER DISEASE
SUBTOPIC- The causes and pathophysiology of drug induced liver injury
IM5.8
TOPIC- LIVER DISEASE
SUBTOPIC- The pathophysiology, clinical evolution and complications cholelithiasis and cholecystitis
IM5.9
TOPIC- LIVER DISEASE
SUBTOPIC – Elicit document and present a medical history that helps delineate the aetiology of the current presentation and includes clinical presentation, risk factors, drug use, sexual history, vaccination history and family history
IM5.10
TOPIC- LIVER DISEASE
SUBTOPIC – systematic examination that establishes the diagnosis and severity that includes nutritional status, mental status, jaundice, abdominal distension ascites, features of portosystemic hypertension and hepatic encephalopathy
IM5.11
TOPIC- LIVER DISEASE
SUBTOPIC- Generate a differential diagnosis and prioritise based on clinical features that suggest a specific aetiology for the presenting symptom
IM5.12
TOPIC- LIVER DISEASE
SUBTOPIC- Choose and interpret appropriate diagnostic tests including: CBC, bilirubin,function tests.
IM5.13
TOPIC- LIVER DISEASE
SUBTOPIC - Enumerate the indications for ultrasound and other imaging studies including MRCP and ERCP and describe the findings in liver disease
IM5.14
TOPIC- LIVER DISEASE
SUBTOPIC- Outline a diagnostic approach to liver disease based on hyperbilirubinemia, liver function changes and hepatitis serology
IM.15
TOPIC- LIVER DISEASE
SUBTOPIC- Assist in the performance and interpret the findings of an ascitic fluid analysis
IM5.16
TOPIC- LIVER DISEASE
SUBTOPIC- The management of hepatitis, cirrhosis, portal hypertension, ascites spontaneous, bacterial peritonitis and hepatic encephalopathy
IM5.17
TOPIC- LIVER DISEASE
SUBTOPIC- Enumerate the indications, precautions and counsel patients on vaccination for hepatitis
IM5.18
TOPIC- LIVER DISEASE
SUBTOPIC – Enumerate the indications for hepatic transplantation
Topic: HIV
IM6.1 Describe and discuss the symptoms and signs of acute HIV seroconversion
Topic: Rheumatologic problems
IM7.1 Describe the pathophysiology of autoimmune disease
IM 8.1
Topic:- HYPERTENSION
Subtopic:-Describe and discuss the epidemiology, aetiology and the prevalence of primary and secondary hypertension
IM 8.2
Topic:- HYPERTENSION
Subtopic:-Describe and discuss the pathophysiology of hypertension
IM 8.3
Topic:- HYPERTENSION
Subtopic:-Describe and discuss the genetic basis of hypertension
IM8.4
Topic:- HYPERTENSION
Subtopic:-Define and classify hypertension
IM 8.5
Topic:- HYPERTENSION
Subtopic:-Describe and discuss the differences between primary and
Secondary hypertension
IM 8.6
Topic:- HYPERTENSION
Subtopic:-Define, describe and discuss and recognise hypertensive urgency
IM 8.7
Topic:- HYPERTENSION
Subtopic:-Describe and discuss the clinical manifestations of the various aetiologies of secondary causes of hypertension
IM 8.8
Topic:-HYPERTENSION
Subtopic:-Describe, discuss and identify target organ damage due to hypertension
IM 8.9
Topic:- HYPERTENSION
Subtopic:-Elicit document and present a medical history that includes: duration and levels, symptoms, comorbidities, lifestyle, risk factors, family history, psychosocial and environmental factors, dietary assessment, previous and concomitant therapy
IM 8.10
Topic:- HYPERTENSION
Subtopic:- Perform a systematic examination that includes : an accurate of measurement of blood pressure, fundus examination, examination of vasculature and heart
IM 8.11
Topic:- HYPERTENSION
Subtopic:-Generate a differential diagnosis and prioritise based on clinical features that suggest a specific aetiology
IM 8.12
Topic:- HYPERTENSION
Subtopic:-Describe the appropriate diagnostic work up based on the presumed aetiology
IM 8.13
Topic:- HYPERTENSION
Subtopic:- Enumerate the indications for and interpret the results of : CBC, Urine routine, BUN, Cr, Electrolytes, Uric acid, ECG
IM 8.14
Topic:- HYPERTENSION
Subtopic:- Develop an appropriate treatment plan for essential hypertension
IM 8.15
Topic:- HYPERTENSION
Subtopic:-Recognise, prioritise and manage hypertensive emergencies
IM 8.16
Topic:- HYPERTENSION
Subtopic:- Develop and communicate to the patient lifestyle modification
Including weight reduction, moderation of alcohol intake, physical
Activity and sodium intake
IM 8.17
Topic:- HYPERTENSION
Subtopic:-Perform and interpret a 12 lead ECG
IM 8.18
Topic:- HYPERTENSION
Subtopic:-Incorporate patient preferences in the management of HTN
TOPIC 09 - ANEMIA
TOPIC : ANEMIA
SUBTOPIC :
IM9.1 Define, describe and classify anemia based on red blood cell size and reticulocyte count ?
TOPIC : ANEMIA
SUBTOPIC :
IM9.2 Describe and discuss the morphological characteristics, aetiology and prevalence of each of the causes of anemia
TOPIC : ANEMIA
SUBTOPIC :
IM9.3 Elicit document and present a medical history that includes symptoms, risk factors including GI bleeding, prior history, medications, menstrual history, and family history
TOPIC : ANEMIA
SUBTOPIC :
IM9.4 Perform a systematic examination that includes : general examination for pallor, oral examination, DOAP session of hyper dynamic circulation, lymph node and splenic examination
TOPIC : ANEMIA
SUBTOPIC :
IM9.5 Generate a differential diagnosis and prioritise based on clinical features that suggest a specific aetiology
TOPIC : ANEMIA
SUBTOPIC :
IM9.6 Describe the appropriate diagnostic work up based on the
Presumed aetiology
TOPIC : ANEMIA
SUBTOPIC :
IM9.7 Describe and discuss the meaning and utility of various components
Of the hemogram
TOPIC : ANEMIA
SUBTOPIC :
IM9.8 Describe and discuss the various tests for iron deficiency
TOPIC : ANEMIA
SUBTOPIC :
IM9.9 Order and interpret tests for anemia including hemogram, red cell
Indices, reticulocyte count, iron studies, B12 and folate
TOPIC : ANEMIA
SUBTOPIC :
IM9.10 Describe, perform and interpret a peripheral smear and stool occult
Blood
TOPIC : ANEMIA
SUBTOPIC :
IM9.11 Describe the indications and interpret the results of a bone marrow aspirations and biopsy
TOPIC : ANEMIA
SUBTOPIC :
IM9.12 Describe, develop a diagnostic plan to determine the aetiology of anemia
TOPIC : ANEMIA
SUBTOPIC :
IM9.13 Prescribe replacement therapy with iron, B12, folate
TOPIC : ANEMIA
SUBTOPIC : IM9.14 Describe the national programs for anemia prevention
TOPIC :ANEMIA
SUBTOPIC : IM9.15 Communicate the diagnosis and the treatment appropriately to patients
TOPIC : ANEMIA
SUBTOPIC :
IM9.16 Incorporate patient preferences in the management of anemia
TOPIC : ANEMIA
SUBTOPIC:
IM9.17 Describe the indications for blood transfusion and the appropriate use of blood components
TOPIC : ANEMIA
SUBTOPIC :
IM9.18 Describe the precautions required necessary when performing a blood transfusion
TOPIC : ANEMIA
SUBTOPIC :
IM9.19 Assist in a blood transfusion
TOPIC : ANEMIA
SUBTOPIC :
IM9.20 Communicate and counsel patients with methods to prevent
Nutritional anemia
TOPIC : ANEMIA
SUBTOPIC : IM9.21 Determine the need for specialist consultation
Topic: Acute Kidney Injury and Chronic renal failure
IM10.1 Define, describe and differentiate between acute and chronic renal
failure
TOPIC 11 – DIABETES MELLITUS
IM11.1
Topic:- DIABETES MELLITUS
Subtopic:- Define and classify diabetes
IM 11.2
Topic:- DIABETES MELLITUS
Subtopic:-Describe and discuss the epidemiology and pathogenesis and risk factors and clinical evolution of type 1 diabetes
IM 11.3
Topic:- DIABETES MELLITUS
Subtopic:- Describe and discuss the epidemiology and pathogenesis and risk
factors economic impact and clinical evolution of type 2 diabetes
IM 11.4
Topic:-DIABETES MELLITUS
Subtopic:- Describe and discuss the genetic background and the influence of
the environment on diabetes
IM 11.5
Topic:- DIABETES MELLITUS
Subtopic:-Describe and discuss the pathogenesis and temporal evolution of
microvascular and macro-vascular complications of diabetes
IM 11.6
Topic:- DIABETES MELLITUS
Subtopic:- Describe and discuss the pathogenesis and precipitating factors,
recognition and management of diabetic emergencies
IM 11.7
Topic:-DIABETES MELLITUS
Subtopic:- Elicit document and present a medical history that will differentiate the aetiologies of diabetes including risk factors, precipitating factors, lifestyle, nutritional history, family history, medication history, co-morbidities and target organ disease
IM 11.8
Topic:- DIABETES MELLITUS
Subtopic:-Perform a systematic examination that establishes the diagnosis and severity that includes skin, peripheral pulses, blood pressure measurement, fundus examination, detailed examination of the foot (pulses, nervous and deformities and injuries)
IM 11.9
Topic:- DIABETES MELLITUS
Sub topic :- Describe and recognise the clinical features of patients who present with a diabetic emergency
IM 11.10
Topic:- DIABETES MELLITUS
Subtopic:- Generate a differential diagnosis and prioritise based on clinical features that suggest a specific aetiology
IM 11.11
Topic:- DIABETES MELLITUS
Subtopic:-Order and interpret laboratory tests to diagnose diabetes and its complications including: glucoses, glucose tolerance test,glycosylated hemoglobin, urinary micro albumin, ECG, electrolytes ABG, ketones, renal function tests and lipid profile
IM 11.12
Topic:- DIABETES MELLITUS
Sub topic:- Perform and interpret a capillary blood glucose test
IM 11.13
Topic :- DIABETES MELLITUS
Subtopic:-Perform and interpret a urinary ketone estimation with a dipstick
IM 11.14
Topic:- DIABETES MELLITUS
Subtopic:-Recognise the presentation of hypoglycaemia and outline the
principles on its therapy
IM 11.15
Topic:- DIABETES MELLITUS
Subtopic :- Recognise the presentation of diabetic emergencies and outline the
principles of therapy
IM 11.16
Topic:- DIABETES MELLITUS
Subtopic:- Discuss and describe the pharmacologic therapies for diabetes their
indications, contraindications, adverse reactions and interactions
IM 11.17
Topic:- DIABETES MELLITUS
Subtopic:-Outline a therapeutic approach to therapy of T2Diabetes based on
presentation, severity and complications in a cost effective manner
IM 11.18
Topic:- DIABETES MELLITUS
Subtopic:-Describe and discuss the pharmacology, indications, adverse reactions and interactions of drugs used in the prevention and treatment of target organ damage and complications of Type II Diabetes including neuropathy, nephropathy, retinopathy, hypertension, dyslipidemia and cardiovascular disease
IM 11.19
Topic:- DIABETES MELLITUS
Subtopic:- Demonstrate and counsel patients on the correct technique to administer insulin
IM 11.20
Topic:- DIABETES MELLITUS
Subtopic:-Demonstrate to and counsel patients on the correct technique of self monitoring of blood glucoses
IM 11.21
Topic:- DIABETES MELLITUS
Subtopic:- Recognise the importance of patient preference while selecting therapy for diabetes
IM 11.22
Topic:- DIABETES MELLITUS
Subtopic:-Enumerate the causes of hypoglycaemia and describe the counter hormone response and the initial approach and treatment
IM 11.23
Topic:- DIABETES MELLITUS
Subtopic:-Describe the precipitating causes, pathophysiology, recognition, clinical features, diagnosis, stabilisation and
management of diabetic ketoacidosis
IM 11.24
Topic:- DIABETES MELLITUS
Subtopic:- Describe the precipitating causes, pathophysiology, recognition, clinical features, diagnosis, stabilisation and management of Hyperosmolar non ketotic state
TOPIC 12 - THYROID
IM 12.1
Topic : Thyroid
Subtopic : epidemiology and pathogenesis of hypothyroidism and hyperthyroidism including the influence of iodine deficiency and autoimmunity in the pathogenesis of thyroid disease
IM 12.2
Topic : Thyroid
Subtopic: Genetic basis of some forms of thyroid dysfunction
IM12.3
Topic : Thyroid
Subtopic : Physiology of the hypothalamopituitary – thyroid axis, principles of thyroid function testing and alterations in physiologic function
IM12.4
Topic : Thyroid
Subtopic : Principles of radio iodine uptake in the diagnosis of thyroid disorder
M12.5
Topic : Thyroid
Subtopic : Document and present an appropriate history that will establish the diagnosis cause of thyroid dysfunction and its severity
IM12.6
Topic : Thyroid
Subtopic : Perform and demonstrate a systematic examination based on the history that will help establish the diagnosis and severity including systemic signs of thyrotoxicosis and hypothyroidism, palpation of the pulse rate and rhythm abnormalities neck palpation of thyroid and lymph nodes and cardiovascular findings.
IM12.7
Topic : Thyroid
Subtopic : The correct technique to palpate the thyroid
IM12.8
Topic : Thyroid
Subtopic : Generate a differential diagnosis based on the clinical presentation and prioritise it based on the most likely diagnosis
IM12.9
Topic : Thyroid
Subtopic : Order and interpret diagnostic testing based on the clinical diagnosis including CBC, thyroid function tests and ECG and radio iodine uptake and scan
IM12.10
Topic : Thyroid
Subtopic : Identify atrial fibrillation, pericardial effusion and bradycardia on ECG
IM12.11
Topic : Thyroid
Subtopic : Interpreting thyroid function tests in hypo and hyperthyroidism
IM12.12
Topic : Thyroid
Subtopic : The iodisation programs of the government of India
IM12.13
Topic : Thyroid
Subtopic : Pharmacology, indications, adverse reaction, interactions of thyroxine and antithyroid drugs
IM12.14
Topic : Thyroid
Subtopic : Write and communicate to the patient appropriately a prescription for thyroxine based on age, sex, and clinical and biochemical status
IM12.15
Topic : Thyroid
Subtopic: The indications of thionamide therapy, radio iodine therapy and surgery in the management of thyrotoxicosis
IM13.1
Topic: COMMON MALIGNANCIES
Subtopic:- Describe the clinical epidemiology and inherited & modifiable risk factors for common malignancies in India
IM13.2
Topic: COMMON MALIGNANCIES
Subtopic:- Describe the genetic basis of selected cancers
IM13.3
Topic: COMMON MALIGNANCIES
Subtopic:- Describe the relationship between infection and cancers
IM13.4
Topic: COMMON MALIGNANCIES
Subtopic:- Describe the natural history, presentation, course, complications and cause of death for common cancers
IM13.5
Topic: COMMON MALIGNANCIES
Subtopic:- Describe the common issues encountered in patients at the end of life and principles of management
IM13.6
Topic: COMMON MALIGNANCIES
Subtopic:- Describe and distinguish the difference between curative and palliative care in patients with cancer
IM13.7
Topic: COMMON MALIGNANCIES
Subtopic:- Elicit document and present a history that will help establish the aetiology of cancer and includes the appropriate risk factors, duration and evolution
IM13.8
Topic: COMMON MALIGNANCIES
Subtopic:- Perform and demonstrate a physical examination that includes an appropriate general and local examination that excludes the diagnosis, extent spread and complications of cancer
IM13.9
Topic: COMMON MALIGNANCIES
Subtopic:- Demonstrate in a mannequin the correct technique for performing breast exam rectal examination and cervical examination and Pap smear
IM13.10
Topic: COMMON MALIGNANCIES
Subtopic:- Generate a differential diagnosis based on the presenting symptoms and clinical features and prioritise based on the most likely diagnosis
IM13.11
Topic: COMMON MALIGNANCIES
Subtopic:- Order and interpret diagnostic testing based on the clinical diagnosis including CBC and stool occult blood and prostate specific antigen
IM13.12
Topic: COMMON MALIGNANCIES
Subtopic:- Describe the indications and interpret the results of Chest X Ray, mammogram, skin and tissue biopsies and tumor markers used in common cancers
IM13.13
Topic: COMMON MALIGNANCIES
Subtopic:- Describe and assess pain and suffering objectively in a patient with cancer
IM13.14
Topic: COMMON MALIGNANCIES
Subtopic:- Describe the indications for surgery, radiation and chemotherapy for common malignancies
IM13.15
Topic: COMMON MALIGNANCIES
Subtopic:- Describe the need, tests involved, their utility in the prevention of common malignancies
IM13.16
Topic: COMMON MALIGNANCIES
Subtopic:- Demonstrate an understanding and needs and preferences of patients when choosing curative and palliative therapy
IM13.17
Topic: COMMON MALIGNANCIES
Subtopic:- Describe and enumerate the indications, use, side effects of narcotics in pain alleviation in patients with cancer
IM13.18
Topic: COMMON MALIGNANCIES
Subtopic:- Describe and discuss the ethical and the medico legal issues involved in end of life care
IM13.19
Topic: COMMON MALIGNANCIES
Subtopic:- Describe the therapies used in alleviating suffering in patients at the end of life
Topic: Obesity
IM14.1 Define and measure obesity as it relates to the Indian population
Topic: GI bleeding
IM15.1 Enumerate, describe and discuss the aetiology of upper and lower
GI bleeding
IM 16 Diarrheal disorder
IM16.1
Topic: Diarrheal disorder
Subtopic : Describe and discuss the aetiology of acute and chronic diarrhea including infectious and non infectious causes
IM16.2
Topic: Diarrheal disorder
Subtopic : Describe and discuss the acute systemic consequences of diarrhea including its impact on fluid balance
IM16.3
Topic: Diarrheal disorder
Subtopic : Describe and discuss the chronic effects of diarrhea including malabsorption
IM16.4
Topic: Diarrheal disorder
Subtopic : Elicit and document and present an appropriate history that includes the natural history, dietary history, travel , sexual history and other concomitant illnesse
IM16.5
Topic: Diarrheal disorder
Subtopic :Perform, document and demonstrate a physical examination based on the history that includes general examination, including an appropriate abdominal examination
IM16.6
Topic: Diarrheal disorder
Subtopic :Distinguish between diarrhea and dysentery based on clinical features
IM16.7
Topic: Diarrheal disorder
Subtopic : Generate a differential diagnosis based on the presenting symptoms and clinical features and prioritise based on the most likely diagnosis
IM16.8
Topic: Diarrheal disorder
Subtopic : Choose and interpret diagnostic tests based on the clinical diagnosis including complete blood count, and stool examination
IM16.9
Topic: Diarrheal disorder
Subtopic :Identify common parasitic causes of diarrhea under the microscope in a stool specimen
IM16.10
Topic: Diarrheal disorder
Subtopic : Identify vibrio cholera in a hanging drop specimen
IM16.11
Topic: Diarrheal disorder
Subtopic :Enumerate the indications for stool cultures and blood cultures in patients with acute diarrhea
IM16.12
Topic: Diarrheal disorder
Subtopic :Enumerate and discuss the indications for further investigations including antibodies, colonoscopy, diagnostic imaging and biopsy in the diagnosis of chronic diarrhea
IM16.13
Topic: Diarrheal disorder
Subtopic :Describe and enumerate the indications, pharmacology and side effects of pharmacotherapy for parasitic causes of diarrhea
IM16.14
Topic: Diarrheal disorder
Subtopic :Describe and enumerate the indications, pharmacology and side effects of pharmacotherapy for bacterial and viral diarrhea
IM16.15
Topic: Diarrheal disorder
Subtopic : Distinguish based on the clinical presentation Crohn’s disease from Ulcerative Colitis
IM16.16
Topic: Diarrheal disorder
Subtopic : Describe and enumerate the indications, pharmacology and side effects of pharmacotherapy including immunotherapy
IM16.17
Topic: Diarrheal disorder
Subtopic :Describe and enumerate the indications for surgery in inflammatory bowel disease
IM17.1
TOPIC- HEADACHE
Define and classify headache and describe the presenting features, precipitating factors, aggravating and relieving factors of various kinds of headache
IM17.2
TOPIC- HEADACHE
SUBTOPIC - Elicit and document and present an appropriate history including aura, precipitating aggravating and relieving factors, associated symptoms that help identify the cause of headaches
IM17.3
TOPIC- HEADACHE
SUBTOPIC - Classify migraine and describe the distinguishing features between classical and non classical forms of migraine
IM17.4
TOPIC- HEADACHE
SUBTOPIC - Perform and demonstrate a general neurologic examination and a focused examination for signs of intracranial tension including neck signs of meningitis
IM17.5
TOPIC-HEADACHE
SUBTOPIC-Generate document and present a differential diagnosis based on the clinical features and prioritise the diagnosis based on the presentation.
IM17.6
TOPIC- HEADACHE
SUBTOPIC -Choose and interpret diagnostic testing based on the clinical diagnosis including imaging
IM17.7
TOPIC- HEADACHE
SUBTOPIC-Enumerate the indications and describe the findings in the CSF in
Patients with meningitis
IM17.8
TOPIC- HEADACHE
SUBTOPIC-Demonstrate in a mannequin or equivalent the
Correct technique for performing a lumbar puncture
IM17.9
TOPIC- HEADACHE
SUBTOPIC – Interpret the CSF findings when presented with various parameters of CSF fluid analysis
IM17.10
TOPIC-HEADACHE
SUBTOPIC - Enumerate the indications for emergency care admission and immediate supportive care in patients with headache
IM17.11
TOPIC- HEADACHE
SUBTOPIC-Describe the indications, pharmacology, dose, side effects of abortive therapy in migraine
IM17.12
TOPIC- HEADACHE
SUBTOPIC- Describe the indications, pharmacology, dose, side effects of prophylactic therapy in migraine
IM17.13
TOPIC- HEADACHE
SUBTOPIC – Describe the pharmacology, dose, adverse reactions and regimens of drugs used in the treatment of bacterial, tubercular and viral meningitis.
IM17.14
TOPIC- HEADACHE
SUBTOPIC-Counsel patients with migraine and tension headache on lifestyle changes and need for prophylactic therapy
Topic: Cerebrovascular accident
IM18.1 Describe the functional and the vascular
anatomy of the brain
Topic: Movement disorders
IM19.1 Describe the functional anatomy of the locomotor system of the
brain
Topic: Envenomation
IM20.1 Enumerate the local poisonous snakes
and describe the distinguishing marks of each
IM21.1
Topic: Poisoning
Subtopic : Describe the initial approach to the stabilisation of the patient who presents with poisoning.
IM21.2
Topic: Poisoning
Subtopic :Enumerate the common plant poisons seen in your area and describe their toxicology, clinical features, prognosis and specific approach to detoxification
IM21.3
Topic: Poisoning
Subtopic : Enumerate the common corrosives used in your area and describe their toxicology, clinical features, prognosis and approach to therapy
IM21.4
Topic: Poisoning
Subtopic : Enumerate the commonly observed drug overdose in your area and describe their toxicology, clinical features, prognosis and approach to therapy
IM21.5
Topic: Poisoning
Subtopic : Observe and describe the functions and role of a poison center in suspected poisoning
IM21.6
Topic: Poisoning
Subtopic : Describe the medico legal aspects of suspected suicidal or homicidal poisoning and demonstrate the correct procedure to write a medico legal report on a suspected poisoning
IM21.7
Topic: Poisoning
Subtopic : Counsel family members of a patient with suspected poisoning about the clinical and medico legal aspects with empathy
IM21.8
Topic: Poisoning
Subtopic : Enumerate the indications for psychiatric consultation and describe the precautions to be taken in a patient with suspected suicidal ideation / gesture
IM22 Mineral, Fluid Electrolyte and Acid base Disorder
IM22.1
Topic: Mineral, Fluid Electrolyte and Acid base Disorder
Subtopic : Enumerate the causes of hypercalcemia and distinguish the features of PTH vs non PTH mediated hl
IM22.2
Topic: Mineral, Fluid Electrolyte and Acid base Disorder
Subtopic : Describe the aetiology, clinical manifestations, diagnosis and clinical approach to primary hyperparathyroidism
IM22.3
Topic: Mineral, Fluid Electrolyte and Acid base Disorder
Subtopic :Describe the approach to the management of hypercalcemia
IM22.4
Topic: Mineral, Fluid Electrolyte and Acid base Disorder
Subtopic : Enumerate the components and describe the genetic basis of the multiple endocrine neoplasia syndrome
IM22.5
Topic: Mineral, Fluid Electrolyte and Acid base Disorder
Subtopic :Enumerate the causes and describe the clinical features and the correct approach to the diagnosis and management of the patient with hyponatremia
IM22.6
Topic: Mineral, Fluid Electrolyte and Acid base Disorder
Subtopic :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
Topic: Mineral, Fluid Electrolyte and Acid base Disorder
Subtopic : 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
Topic: Mineral, Fluid Electrolyte and Acid base Disorder
Subtopic :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
Topic: Mineral, Fluid Electrolyte and Acid base Disorder
Subtopic : Enumerate the causes and describe the clinical and laboratory features of metabolic acidosis
IM22.10
Topic: Mineral, Fluid Electrolyte and Acid base Disorder
Subtopic :Enumerate the causes of describe the clinical and laboratory features of metabolic alkalosis
IM22.11
Topic: Mineral, Fluid Electrolyte and Acid base Disorder
Subtopic : Enumerate the causes and describe the clinical and laboratory features of respiratory acidosis
IM22.12
Topic: Mineral, Fluid Electrolyte and Acid base Disorder
Subtopic : Enumerate the causes and describe the clinical and laboratory features of respiratory alkalosis
IM22.13
Topic: Mineral, Fluid Electrolyte and Acid base Disorder
Subtopic : Identify the underlying acid based disorder based on an ABG report and clinical situation
TOPIC 23 – NUTRITION AND VITAMINE DEFICIENCIES
IM23.1
Topic : Nutrition and vitamin deficiencies Subtopic :Discuss and describe the methods of nutritional assessment in an adult and calculation of caloric requirements during illnesses .
IM23.2
Topic :Nutrition and Vitamin deficiencies
Subtopic :Discuss and describe the causes and consequences of protein caloric malnutrition in the hospital KK
IM23.3
Topic : Nutrition and Vitamin deficiencies Subtopic : Discuss and describe the aetiology, causes, clinical manifestations, complications, diagnosis and management of common vitamin deficiencies .
IM23.4
Topic : Nutrition and Vitamin deficiencies Subtopic :Enumerate the indications for enteral and parenteral nutrition in critically ill patients
IM23.5
Topic : Nutrition and Vitamin deficiencies
Subtopic :Counsel and communicate to patients in a simulated environment with illness on an appropriate balanced diet.
Topic: Geriatrics
IM24.1 Describe and discuss the epidemiology, pathogenesis, clinical evolution, presentation and course of common diseases in the elderly
25.1 Topic: Miscellaneous Infections :
immune status, risk factors and comorbidities on zoonotic diseases
(e.g. Leptospirosis, Rabies) and non-febrile infectious disease (e.g.
Tetanus)
26.1 Topic: The role of the physician in the community
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
IM26.49 Administer informed consent and approriately adress patient queries to a patient
