Curriculum 2011 I

CURRICULUM
FOR
MEDICAL COURSE
2011
VOLUME 1
FACULTY OF MEDICINE
UNIVERSITY OF JAFFNA
Approved by the Faculty Board at its 269th meeting held on 16.11.2011

and by the Senate at its 363rd meeting held on 20.12.2012
Page 2
Table of Contents
LIST OF FIGURES ......................................................................................................... V
ACKNOWLEDGEMENTS .........................................................................................................vi
CHAPTER 1 ...................................................................................................................... 1
INTRODUCTION ............................................................................................................ 1
GENERAL CONSIDERATIONS....................................................................................... 2
CHAPTER 3 ...................................................................................................................... 3
VISION, MISSION AND OUTCOME OF THE MEDICAL COURSE ............. 3
3.1.
Vision ................................................................................................................................ 3
3.2.
Mission ............................................................................................................................. 3
3.3.
Outcomes of the Medical Course ..................................................................................... 3
CHAPTER 4 ...................................................................................................................... 4
COURSE STRUCTURE ................................................................................................ 4
4.1. Introduction .......................................................................................................................... 4
4.2. Pre-clinical Course [Terms 1 to 4] ........................................................................................ 4
4.3. Para-clinical Course [Terms 5 to 11] .................................................................................... 7
4.4. Clinical Course...................................................................................................................... 7
4.5. Teaching / Learning activities ............................................................................................... 8
4.6. Student Activities. ................................................................................................................. 8
4.7. Student Attendance..............................................................................................................10
4.8. Contribution of Subjects to Curricula Outcomes ...............................................................11
Chapter 5 ....................................................................................................................................12
Course Details .............................................................................................................................12
Page i
5.1. Introductory Course ........................................................................................................... 12

5.2. IT Co Module for Medical Course ...................................................................................... 13
5.2.1. Course Description .............................................................................................................. 13
5.2.2. Syllabus of the Co Module .................................................................................................. 14
5.2.3. Evaluation and Marking Scheme ........................................................................................ 15
5.3. English Co-module for Medical Course ............................................................................. 17
5.3.2. Syllabus of the co-module ................................................................................................... 17
5.3.3. References ........................................................................................................................... 18
5.3.4. Evaluation and Marking Scheme ........................................................................................ 19
5.4. Personnel Professional Development Stream ..................................................................... 20
5.4.2. Detail Syllabus .................................................................................................................... 21
5.4.3. References ........................................................................................................................... 24
5.4.4. Evaluation ........................................................................................................................... 25
5.5. Anatomy .............................................................................................................................. 26
5.5.2. Detailed syllabus ................................................................................................................. 27
5.5.3. References ........................................................................................................................... 33
5.5.4. Evaluation ........................................................................................................................... 34
5.6. Biochemistry ....................................................................................................................... 36
5.6.2. Detailed Syllabus ................................................................................................................ 37
5.6.3. References ........................................................................................................................... 43
5.6.4. Evaluation ........................................................................................................................... 44
5.7. Physiology ........................................................................................................................... 45
5.7.2. Detailed Syllabus ................................................................................................................ 46
5.7.3. Reference ............................................................................................................................ 51
5.7.4. Evaluation ........................................................................................................................... 52
5.8. Synchronization Table of Main Preclinical Subjects .......................................................... 53
5.9. Summary of Hours Needed for Preclinical Course ............................................................ 55
5.9. Medical Sociology ............................................................................................................... 56
5.9.3. References ........................................................................................................................... 60
5.9.4. Evaluation ........................................................................................................................... 62
5.10. Microbiology ..................................................................................................................... 63
5.10.1. Course Description ............................................................................................................ 63
5.10.2. Detailed Syllabus .............................................................................................................. 64
5.10.3. References ......................................................................................................................... 67
Page ii
5.10.4. Evaluation ......................................................................................................................... 68

5.11. Parasitology........................................................................................................................69
5.11.3. References: ........................................................................................................................ 72
5.11.4. Evaluation of Parasitology ................................................................................................ 72
5.12. Community and Family Medicine .....................................................................................73
5.12.3. References: ........................................................................................................................ 81
5.12.4. Evaluation ......................................................................................................................... 82
5.13. Forensic Medicine ..............................................................................................................83
5.13.3. References ......................................................................................................................... 87
5.13.4. Evaluation ......................................................................................................................... 88
5.14. Pathology............................................................................................................................89
5.14.3. References ......................................................................................................................... 95
5.14.4. Evaluation ......................................................................................................................... 96
5.15. Pharmacology ....................................................................................................................97
1.15.2. Detailed Syllabus ........................................................................................................... 98
7.9.2. References ......................................................................................................................... 103
7.9.3. Evaluation ......................................................................................................................... 104
5.16. Psychiatry.........................................................................................................................105
5.16.1. Course Description .......................................................................................................... 105
5.16.1. Detailed Syllabus ............................................................................................................ 106
5.16.3. References ....................................................................................................................... 108
5.16.4. Evaluation ....................................................................................................................... 109
5.17. Medicine ...........................................................................................................................110
5.17.3. References ....................................................................................................................... 112
5.17.4. Evaluation ....................................................................................................................... 113
5.18. Obstetrics and Gynaecology ............................................................................................114
5.19.3. References ....................................................................................................................... 115
5.19.4. Evaluation ....................................................................................................................... 115
5.19. Paediatrics ........................................................................................................................116
Page iii

5.19.3. References ....................................................................................................................... 119
5.19.4. Evaluation ....................................................................................................................... 120
5.20. Surgery ............................................................................................................................ 121
5.20.3. References ....................................................................................................................... 127
5.20.4. Evaluation ....................................................................................................................... 128
5.21. Synchronization Table for Para Clinical and Clinical Subjects ..................................... 129
5.21.1. Synchronization- Phase II ............................................................................................... 129
5.21.2. Synchronization- Phase III .............................................................................................. 131
5.22. Hours Needed for Para-clinical courses.......................................................................... 135
5.23. Total Hours of the Course ............................................................................................... 136
CHAPTER 6 ................................................................................................................ 137

EVALUATION PROCEDURES AND AWARD OF DEGREE ..................... 137
6.1.
In-course assessment .................................................................................................... 137
6.2. End-of-course Examination ......................................................................................... 137

6.2.1. Eligibility to Sit for the First Examination for Medical Degrees ................................... 137
6.2.2. Eligibility to Sit for the Part I of the Second Examination ............................................ 138
6.2.3. Eligibility to Sit for the Part II of the Second Examination ........................................... 138
6.2.4. Eligibility to Sit for the Final Examination for Medical Degrees .................................. 138
6.2.5. Attempts and Excuses .................................................................................................... 139
6.3. Summary of the Scheme of Evaluation ........................................................................ 140
6.3.1. Summary of the Scheme of Evaluation at the First Attempt.......................................... 140
6.3.2. Summary of the Scheme of Evaluation at the Subsequent Attempts ............................. 141
6.4. Award of Pass, Fail, Distinctions and Class ................................................................. 142
6.4.1. Award of Pass in a Subject ............................................................................................ 142
6.4.2. Award of Fail and Referred in an examination .............................................................. 142
6.4.3. Award of Pass and Class Honours ................................................................................. 143
6.4.4. Award of Distinction ..................................................................................................... 143
6.5.
Releasing Results .......................................................................................................... 143
6.6.
Award of Bachelor of Medical Science [BMSc] ........................................................... 143
Page iv
List of Figures
Academic Calendar
Page v
ACKNOWLEDGEMENTS
I acknowledge with sincere gratitude the guidance given by the
Consultants for workshops conducted for curriculum development in 2007
and 2009, Vithyajothy Professor Lalitha Mendis, Dr. Indika Karunathilake
and Dr. Gominda Ponnamperuma of MEDARC, Faculty of Medicine,
Colombo; Members of staff of the Faculty of Medicine, Ragama and Faculty
of Health Sciences, Sri Jayewardenepura who introduced the design of the
curriculum implemented in the respective Faculties and the problems
encountered; the Faculty members and the Consultants of the Teaching
Hospital, Jaffna for their ideas and contribution to the development of the
curriculum at the workshops; and the World Bank and the PPDU for giving
the opportunity and support to develop the curriculum.
Over the past years the new curriculum has been implemented and
there were positive and negative comments on it. The academic staff and the
consultants in the Teaching Hospital have been contributing constantly
towards updating the curriculum. The workshop conducted in conference hall
of the Faculty in August 2011 identified considerable areas of improvement
especially in clinical teaching and resulted in this second edition of the
curriculum.
Prof. K. Sivapalan
Dean
Page vi
Medical Curriculum 2010
Chapter 1
Introduction
The Jaffna campus of the University of Sri Lanka was established under the University of Sri
Lanka Act number 1 of 1972. It became an autonomous University when the Universities
Act No. 16 of 1978 was passed in Parliament. Faculty of Medicine was established in Jaffna on
8th of October 1978.
The Faculty of Medicine developed its curriculum through the
Curriculum Committee for the course in medicine during the early years. The curriculum
underwent ad hog changes as and when need arose.
The curriculum of the Medical study program was revised completely during the
workshops conducted in 2007 and 2009 under QEF grant of the IRQUE project of the
World Bank and in 2011 with the help of Jaffna Medical Faculty Overseas Alumni.
Synchronization of the subjects started with the revision and is being improved year after
year leading towards the target of Integrated Spiral Curriculum. It was also decided to
move towards changing the traditional teaching / learning methods to SPICES as far as
possible and to improve assessment methods to be more structured and objective.
Traditional
Teaching
SPICES
Teaching/Learning
Teacher Centred
Student centred
Information gathering
Problem based
Discipline based
Integrated
Hospital based
Community based
Uniform
Electives
Apprentice based
Systematic
Page 1
Course Structure
Faculty of Medicine, UOJ
GENERAL CONSIDERATIONS
Degrees awarded- Bachelor of Medical Sciences [BMSc] and Bachelor of Medicine

and Bachelor of Surgery [MBBS] (Jaffna)
University awarding the degree - University of Jaffna, Sri Lanka.
Admission to Undergraduate Course - The University Grants Commission of Sri Lanka

selects students for all medical schools in Sri Lanka on the basis of their performance in
the G.C.E (A/L) examination held by the Department of Examination, Sri Lanka.
100 students are admitted each year to the Jaffna Medical Faculty.
Obligation of the Curriculum - The curriculum is guided by the Subject Benchmark Statement in
Medicine, published by the CVCD and the Prescribed Standards for Undergraduate
Medical Education of the Sri Lanka Medical Council.
Medium of instruction - The course is conducted entirely in English.
Duration of the entire course is five years followed by one year of Internship. Each
academic year consists of three terms of ten to thirteen weeks each for activities in the
Faculty. End of each term will be determined by completion of the teaching / learning activities
allocated for that term. Clinical teaching at the Teaching Hospital is a continuous process with
short breaks only.
Lectures and Practical classes are conducted in the Faculty and in the clinical lecture hall
at the Teaching Hospital. About 95% of the clinical course is conducted at the Teaching
Hospital, Jaffna. Base Hospital, Thellippalai which is about 16 kilometres from the Faculty and
the Chest Clinic, Jaffna are regular teaching facilities for psychiatry and chest diseases
respectively. Preventive aspects are taught in the Community Medicine Project area at Kokuvil
and Kondavil. The students are encouraged to go to wider areas for community programs.
Senior teachers from other Medical Faculties and consultants from Government
Hospitals are invited to serve as external examiners for all end-of-course
examinations.
Page 2
General aspects
Chapter 3
Vision, Mission and Outcome of the Medical Course

3.1.
Vision
To be a leading centre of excellence in teaching learning, research and scholarship

in the field of medicine
3.2.
Mission
To be a leading centre of excellence which produces intellectual, competent,

compassionate and dedicated health care professionals to meet the emerging needs of the
local, national and international community
3.3.
Outcomes of the Medical Course
At the end of the MBBS course the graduate should:

1) Possess sound knowledge, skills and attitudes required for patient care.
2) Be competent in health promotion and disease prevention.
3) Possess good communication and inter personnel skills.
4) Possess IT skills required for medical practice, self learning and research.
5) Be able to demonstrate administrative and management skills.
6) Be able to carry out medico legal responsibilities.
7) Be able to function as a leader and a team member.
8) Be a self learner committed to continuous professional development.
9) Apply the principles of ethical practice in personal and professional life.
10) Be able to teach and train.
11) Be able to plan, conduct and report research.
12) Develop as reflective professional.
Page 3
Course Structure
Chapter 4
Course Structure
4.1. Introduction
The course is divided into four phases and each phase is completed with an end of
course examination. The Pre-clinical course, conducted during Phase I, provides learning
of structure and function of the human body and introduces their application to clinical and
community aspects. During Phase II, students go for clinical courses at the Teaching
Hospital in the mornings and for Para-clinical course in the afternoons at the Faculty. The
Para-clinical subjects deal with abnormal structure and function in disease states and their
application in clinical situations and prevention and control of diseases. Phase II will end
with the Part I of the Second Examination for Medical Degrees. Phase III goes on with
clinical courses in the mornings and Para-Clinical courses in the afternoons and ends with
Part II of the Second Examination for Medical Degrees. Phase IV comprises Clinical
courses exclusively. There will be a 4 week elective appointment and an OSCE on clinical
subjects before starting the Professorial appointments.
4.2. Pre-clinical Course [Terms 1 to 4]

It comprises of an Introductory Period of 8 weeks and four terms of 10-13 weeks
duration. The First Examination for Medical Degrees is conducted at the end of this phase.
The examination is held twice a year. It is a bar examination: the students proceed to
Phase II only after passing the First Examination for Medical Degrees.
An introductory course is designed for new comers to facilitate understanding of
the university set up and to acclimatize them to the University environment by way of
lectures, group work, visits and training in first aid. The English Co-module is conducted
to enable the students follow the course of Medicine in English Medium for students
identified at the screening test on admission. The course in English is completed during
the introductory period. The Co-module in IT commences with the introductory course
and continues until the end of the first term.
The course in Personal Professional Development Stream [PPDS] is devided into
two parts. The first part is conducted intensively during the introductory period and will
continue up to the end of the term 2. The students are also given exposure to Community
perspectives by the Department of Community and Family Medicine during the terms 2
and 3.
The main subjects of the Pre-clinical Course are Anatomy, Biochemistry and
Physiology. These subjects will be conducted during the 4 terms of the pre-clinical course.
They are synchronized as far as possible to facilitate understanding and correlation by the
students.
Page 4
Course structure
Academic Calendar
Dec
Jan
Feb
Mar
Year 1 Phase I - Pre clinical

Introductory [8w]
Phase I - Pre clinical

Term 1 [11 w]
Year 2
Phase I ctd.
Term 4 [10 w]
Phase II
PreTerm 6
Christmus holidays
Year 3
Phase I ctd.
Phase II
Professorial
Term7
Year 4
May
Phase III
P2E2 Elective OSCE
Professorial 1
June
july

Term 2 [12 w]
Aug
Phase II
Clinical
P1E1 Term 8
Phase II
Pre-Professorial clinical rotations
Term 5
Phase III
Rotations
P2E2
Phase III
Rotations
Clinical
Term 11
Professorial 2
Sept

Term 3 [13 w]
E2
Phase III
Professorial
Term 10
PreTerm 9
Year 5
First E1
Apr
Medico,s week
Nov
New year Holidays
Oct
Part II E1
Phase IV
Professorial 3
Professorial 4
Year 6
Final E2
Final E1
Oct
Nov
Dec
Jan
Feb
Mar
Apr
May
June
July
Aug
Sept
Page 5
Course Structure
Page 6
Course structure
4.3. Para-clinical Course [Terms 5 to 11]

Students enter the para-clinical course after completing the pre-clinical course. The
course is conducted in the afternoons as the students go for clinical course in the mornings.
Courses in Microbiology and Parasitology are completed by the end of term 7 and the part I of
the Second Examination is conducted for these subjects. Causes in Community Medicine,
Forensic Medicine, Pathology and Pharmacology are commenced in term 5 and continue up to
term 11. The part II of the Second Examination for Medical Degrees will be conducted at the
end of the term 11. A short course in Medical Sociology is conducted during the term 5 with
further learning of Sociological aspects during students involvement with the Society and
evaluated after the part II of the second examination. In addition, lectures in Medicine,
Paediatrics, Psychiatry and Surgery will also be conducted during terms 5 to 11 to synchronize
with para-clinical subjects and to permit full clinical teaching during the Phase IV. Further,
the second part of PPDS is conducted from term 5 to term 9.
4.4. Clinical Course

The clinical course starts during the Phase II but introduction to clinical situations are
provided in Phase I in the form of applied anatomy and applied physiology with the objective
of showing the relevance of basic sciences for clinical practice. They go to the teaching
Hospital for clinical studies in the morning and attend the para-clinical studies in the
afternoons during Phases II and III. Students spend the entire day in the hospital during the
professorial studies in the Phase IV.
The course starts with one week of introductory program. Then the students are posted
for first appointment in Medicine of 8 weeks and Surgery of 4 weeks. This is followed by 4
week appointments in Paediatrics and Obstetrics & Gynaecology followed by one week
appointments in Blood Bank, Venereology, Out Patient Department and Oromaxillary surgery
and two week appointments in Chest medicine, Radiology, Clinical Pathology, and
Dermatology.
Students are then posted to second appointment in Surgery of six weeks followed by
four week appointment in Orthopaedics, eight week appointment in Community Medicine and
6 week appointment in Psychiatry. Students are posted to second Paediatrics and second
Obstetrics & Gynaecology and the groups rotate with four week appointments in Forensic
Medicine and two week appointments in Otolaryngology [ENT], Ophthalmology, Oncology,
Primary Health Care institutions under Medical Officer of Health and Cardiology. Anaesthesia
& Intensive Care is given 3 weeks.
Finally they go for the second appoint in Medicine for 8 weeks and third appointment
in Surgery of six weeks. At the end of all the pre-professorial clerkships, the students are
taken on educational tour of two weeks to visit important national institutions related to health
and at the same time they will visit other Faculties of Medicine to improve social harmony.
At the end of all these rotations the students are sent for elective appointments of four
weeks. Finally they go for eight weeks of professorial appointments in Medicine, Surgery,
Page 7
Course Structure

Paediatrics and Obstetrics & Gynaecology and four week appointments in Psychiatry and
Family / Community Medicine.
The students should have the following to be admitted to the professorial
appointments:
Completed the Second Examination for Medical Degrees.
Completed all pre-professorial appointments.
Passed the examination in Sociology.
Passed the examination in second part of PPDS.
All the major appointments and most of the short appointments are held in the
Teaching Hospital. They will have to go to the Chest Clinic at Pannai, Psychiatric unit at BH
Tellipallai and many other institutions as need arise.
More appointments will be included as new units are developed in the Teaching
hospital. However, patients related all subspecialties are exposed to students as those patients
are managed in Medical or Surgical Units if no special unit is available.
4.5. Teaching / Learning activities

A flexible schedule of teaching/learning activities will be used. The teaching sessions
will be arranged to synchronize the subjects as far as possible to facilitate better
understanding. The course coordinators [pre, para and clinical coordinators] will meet the
persons in charge for teaching of the relevant subjects regularly, preferably weekly, and plan
the teaching sessions of each week. Clinical significance of the basic sciences will be taught
in phase1 and basic sciences will be revisited during clinical teaching. Teaching / Learning
activities of each subject are described with detail syllabus of each subject in Section 5.
All examinations are conducted by the Teachers in the Faculty, Extended Faculty,
Consultants from other hospitals and Teachers from other Faculties in the Island. The MCQ
for the final examination is set by a combined panel of examiners from all Medical Faculties.
The marks of this MCQ and Clinical examination are computed to prepare the common merit
list of the graduates from all Faculties of Medicine in the Island.
4.6. Student Activities.

The students are encouraged to engage in a variety of student activities to develop their
soft skills and to engage in recreation. The activities could be religious, cultural, social or
social welfare in nature. These activities should be undertaken through appropriate student
bodies with the prior approval of the student councillor, Senior Treasurer, the Dean and the
Vice Chancellor according to the University rules and regulations.
Page 8
Course structure

The students are expected to elect their representatives at various levels such as small
group, a batch or the entire student body in order to facilitate or organize academic activities
and look after the needs and welfare of the students.
Page 9
Course Structure
4.7. Student Attendance

Student attendance will be marked in all teaching sessions.
Pre-clinical Course:
The attendance will be evaluated at the end of terms 3 and 4. The students
should have 80 % attendance in practical and tutorial classes of all subjects including PPDS I.
Students whose attendance is found to be inadequate will be instructed to follow the course
with the subsequent batch. If such student fails to show 80 % attendance in the repeated
period, that student will be referred to a special committee of three Senior Teachers to analyse
the problem of the student and to suggest appropriate course of action. The suggestion will be
placed before the Faculty and the Senate for final decision. All students who repeat the course
will lose eligibility for class at the First Examination for Medical Degrees unless the Faculty
Board and the Senate accept the explanation given by the student as valid.
Para-clinical Course:
The attendance of the para-clinical courses will be evaluated at the end of the terms 7,
10 and 11. The students should have 80 % attendance in practical and tutorial classes of all
subjects including PPDS II. Students whose attendance is found to be inadequate will be
instructed to follow the course with the subsequent batch. If such student fails to show 80 %
attendance in the repeated period, that student will be referred to a special committee of three
Senior Teachers to analyse the problem of the student and to suggest appropriate course of
action. The suggestion will be placed before the Faculty and the Senate for final decision. All
students who repeat the course will lose eligibility for class at the first examination for
medical degrees unless the Faculty Board and the Senate accept the explanation given by the
student as valid.
Clinical Course:
The attendance at the pre professorial clinical appointments will be assessed at
the end of the postings. Students with less than 90 % attendance in any clerkship and the
absence up to the balance 10 % not approved by the consultant, the student will have to repeat
the appointment with the same consultant if that consultant is agreeable or under another
consultant who will accept the student and sign the completion of the appointment.
The Clinical Coordinator will permit students to go over to professorial
appointments only on satisfactory completion of the prescribed pre-professorial appointments.
Students who fail to commence professorial appointments with the proper batch loose
eligibility for class unless the excuse given by the student is accepted by the Faculty and
Senate as valid.
The attendance at the professorial appointments will be evaluated at the end of
the rotations and students with less than 90 % attendance and the absence for the balance 10 %
not approved by the consultant will be requested to follow the professorial course with the
subsequent batch without eligibility for class unless the excuse submitted by the student is
accepted by the Faculty board and the Senate as Valid.
Page 10
Course structure
4.8. Contribution of Subjects to Curricula Outcomes

Subjects
English
IT
PPDS
Anatomy
Biochemistry
Physiology
Sociology
Microbiology
Parasitology
Community and Family Medicine
Forensic Medicine
Pathology
Pharmacology
Psychiatry
Medicine
Obstetrics & Gynaecology
Paediatrics
Surgery
Student Activities
3
x
OUTCOMES
5 6 7 8 9
10 11 12
x
x
x
x
x
x
x
x
x
x
x
x
x
x
x
x
x
x
x
x
x x
x
x x x
x x x
x x x
x
x
x
x
x
x
x
x
x
x
x
x
x
x
x
x
x
x
x x
x
x
x
x
x
x x
x x
x x
x x
x x
x
x
x
x
x
x
x
x
x
x
x
x
x
x
x x
x x
x
x
x
x
x
x
x
x
x
x
x
x
Outcomes of the Medical Course
At the end of the MBBS course the graduate should:

1) Possess sound knowledge, skills and attitudes required for patient care.
2) Be competent in health promotion and disease prevention.
3) Possess good communication and inter personnel skills.
4) Possess IT skills required for medical practice, self learning and research.
5) Be able to demonstrate administrative and management skills.
6) Be able to carry out medico legal responsibilities.
7) Be able to function as a leader and a team member.
8) Be a self learner committed to continuous professional development.
9) Apply the principles of ethical practice in personal and professional life.
10) Be able to teach and train.
11) Be able to plan, conduct and report research.
12) Develop as reflective professional.
Page 11
Course Structure
Chapter 5
Course Details
5.1. Introductory Course
[Person in Charge- Pre-Clinical Coordinator]
The program consists of lectures and visits to key areas related to University and the
Medical Course during the first eight weeks. This includes a full course of first aid. The first
aid course is aimed at introducing life saving skills at layman level at the onset for them to
keep it developing through the medical curriculum.
Hr
Activity
Content / Topic
Person / Department
4
2
2
2
1
1
1
2
2
1
1
1
1
1
1
2
2
2
2
2
3
14
Welcome
Group work
Lecture
Lecture
Lecture
Lecture
Lecture
Lecture
Lecture
Lecture
Lecture
Lecture
Lecture
Lecture
Lecture
Lecture
Visit
Visit
Visit
Visit
Visit
Training
Address by key persons

Introduction to each other
Medical Curriculum
IT for education in the Faculty
Student welfare
Medical Students and Community
Health Facilities in the University
Money Management
Recreation activities in the Faculty
MSU and Student activities
ITC
Sports in University
Status of an undergraduate
Student discipline
Examination Regulations
Carrier Prospects
University, health centre
University grounds
Library
ITC, Faculty of Medicine
Teaching Hospital
First Aid
Post evaluation
Summary
Activity
Lectures
Visits
Group work
Training
Total
Hours
23
11
2
14
62
Page 12
Introductory course
Introductory- Dean
Preclinical coordinator
Dean
IT coordinator
AR/ welfare
Dept. of Community Medicine
UMO
Dept. of Finance Management
MSU
MSU
MSU
Dept. of Physical Education
Dean
Student Councillor
Senior Academic
Senior Academic
MSU
MSU
Snr. Assist. Librarian
MSU
MSU
St. John ambulance
5.2. IT Co Module for Medical Course

[Person in Charge- Head, Computer Unit through Pre-Clinical coordinator]
5.2.1. Course Description

The co-module in IT is expected to provide sufficient knowledge, skills and attitudes to
make use of the Information Technology for effective learning and practice of
medicine.
Specific Objectives
o Have basic understanding of the hardware of the computer system and their
functions.
o Be able to protect the computers from malware such as viruses.
o Be aware of computer ethics.
o Be able to protect themselves from harmful effects of using computers.
o Be able to do word processing to prepare documents such as notes, research
reports etc.
o Be able to use spreadsheet packages for their needs.
o Be able to develop databases regarding reference material, notes, patient details
etc for future retrieval.
o Be able to prepare and do effective presentations using computers.
o Be able to use statistical packages to do data analysis for their needs.
o Be able to use internet to perform literature search and electronic
communication.
o The teaching and learning activities include Lectures for theoretical aspects and
practical training for applications with close guidance.
The course contributes to the outcome no 4 of the curriculum.
Page 13
IT Co Module

5.2.2. Syllabus of the Co Module
Introductory Period
Introduction to IT (10 Hrs)
Basic concepts of IT and its Promises, Computer System, Characteristics of
2 Lecture Computer, Type of computers and its classifications, Data versus Information,
Units of measurement for capacity.
System Unit, Input devices and its functions, Output devices and its functions
1 Lecture and Secondary storage devices.
Application software - Tools for documentation and information management,
Electronic Medical Record Keeping(EMR), Medical Databases, Graphics
2 Lecture
packages, Statistical software, Computer Aided Design (CAD),
Communication softwares and etc.
Use of computer networks and communication services Web Browsing, e2 Lecture mail, Short message services, Downloading, Teleconferencing, Shared
resource, Telnet, E-Learning, E-Commerce, Portable works and etc
Challenges of Information Technology - Health, Ergonomics & the
3 Lecture Environment, Cyber Ethics, Threats and Safeguarding Computers and
Communications Systems
Advanced Techniques in Word Processing (15Hrs)
1 Practical (Revision) Introduction to Windows, GUI, File management
(Revision)Start with Microsoft Word, Working with Text, Formatting Pages,
1 Practical Formatting Characters and Paragraphs, using Indents, Tabs
1 Practical Working with Tables
1 Practical Automating Tasks
1 Practical Documents with Columns and Art
6 Practical Documentation of project reports/thesis
2 Practical Creating simple web pages
2 Practical Mail merge, Previewing and Printing Documents.
Presentation Techniques (7 Hrs)
2 Practical Creating a Presentation , Applying and Modifying Design Templates
Viewing and Changing Presentation Colours, Editing a Presentation, Adding
2 Practical
and Modifying Slide Text
1 Practical Inserting Information into PowerPoint, Drawing and Modifying Shapes
Creating a Multimedia Presentation ,Printing a Presentation ,Setting Up and
2 Practical
Delivering a Slide Show
Page 14
IT Co Module
Term 1
Application of Statistical packages (28 Hrs)
8 Practical Use of Excel for statistical work
2 Practical Use of R (Open Source package) for statistical work
Use of Social science packages like SPSS
Entering data, variable types, variable labels, value labels,

missing values.
Transforming data and creating new variables: recode,

compute, count.
File manipulations: sort file, split file, select cases, merge

files.
Drawing random samples.
Basic descriptive statistics: descriptive, frequencies, explore,
18 Practical crosstabs.
Graphs : histogram, error bar, box-plot, bar chart, scatter etc.
Reading data into SPSS data files from outer sources: excel
files & text files.
Advanced statistical procedures such as: t-test, Chi-square,
regression etc.
Creating, editing and running procedures from the syntax
file.
Creating and editing output files.
Saving output files in different formats.
Summary
Activity
Lecture
Practical
Total
IT Co-module
Intro Term 1
10
0
22
28
32
28
Total
10
50
60
5.2.3. Evaluation and Marking Scheme

In-course assessment:
Practical (Advanced Techniques in Word Processing)
: 10%
Presentation (Presentation Techniques)
: 10%
Two Practicals (Application of Statistical packages) : 20%
End of course Examination
: 60%
Part I MCQ (40-50) Questions 01 hour
-30%
Part II- Practical 03 hours
-30%
Page 15
IT Co Module

The result will be Pass or Fail. Candidate must obtain 50 marks or above to pass.
Below 50 is fail.
A second examination will be conducted after 6 weeks from the release of results. In
course marks will be carried over to all subsequent attempts of the student.
The examiners and the date of examination will be approved by the Faculty Board and
the Senate. Arrangement of the Hall and appointment of Supervisors and Invigilators will be
done by the Assistant Registrar, Faculty of Medicine as for other examinations. A Pre-Results
Board shall be constituted as follows by the dean when the marks are ready
Dean- Chairman
Examiner of the co module
The results will be released to students after approval by the Faculty Board subject to
confirmation by the senate. The results will be submitted to the senate with the results of the
Second MBBS examination.
Page 16
IT Co Module
5.3. English Co-module for Medical Course

[Person in Charge- Head, ELTU through Pre-Clinical Coordinator]
5.3.1. Course
Description
This is a co module which each student should pass before sitting for the First
Examination for Medical Degrees. The course consists of 60 hours of teaching during
introductory Period. Teaching learning sessions are interactive where students must actively
participate and perform. The aim of the course is to facilitate students to read, listen, write and
speak in English to be able to follow the course of Medicine in English. The IT laboratory at
the Faculty will be used wherever possible to provide computer based teaching and the
program will be available in the IT laboratory for self learning of the students.
The aim of the course is to develop the language skills necessary to undertake the
medical course and it contributes to outcome no 3 of the curriculum.
An examination will be conducted before the commencement of the programme. Those
who obtain above 50% will be exempted from attending the classes and the final co-module
examination.
5.3.2. Syllabus of the co-module
Hrs
1
2
2
2
2
8
1
4
2
1
1
1
1
6
2
1
2
1
Activity
Details
Discussion Introduction
Pre-assessment
Reading
Basic reading skills (skimming and scanning)
Writing
Introducing the mechanics of writing
Speech
Describing people, events, pictures, places, concepts, ideas etc
Grammar introducing basic sentence structure and complex sentences
Understanding vocabulary from the context of developing
Reading
vocabulary (subject based)
Transferring graphic, statistical and pictural information into
Writing
writing
Listening
Listening for specific information
Grammar Word order
Reading
Understanding sequencing
Writing
Sequencing in writing
Speech
Interviewing
Grammar Tenses
Writing
Filling out different types of forms related to medical profession
Grammar Question formation
Writing
Writing notes, letters and memos
Speech
Giving instruction / direction
Page 17
English Co Module

1
1
2
1
Listening
Grammar
Writing
Speech
Writing
Speech
1
Grammar
2
Speech
1
Grammar
2
Grammar
2
Grammar
2
Speech
Summary
Listening and note taking

Articles
Preparing research proposals and reports
Listening and responding to telephone conversation
Preposition preparing posters, pamphlets, advertisements and
notices
Making short speeches on a previously prepared topic and
impromptu speeches
Pronouns, adjectives and adverbs
Conducting group discussions and meetings
Quantifiers
Active / passive and direct / indirect
Conjunctions / reletivization
Communication activities
Activity
Hours
Reading
Writing
Speech
Listening
Grammar
Total
4
15
14
4
23
60
5.3.3. References
1. English in Medicine: A Course in Communication Skills. Eric H. Glendinning
and Beverly Holmstrom. 3rd edition, Cambridge: Cambridge University Press,
2005.
2. Professional English in use Medicine. Eric Glendinning and Ron Howard.
Cambridge: Cambridge University Press, 2007.
3. Good practice teachers book: Communication skills in English for the medical
practitioner. Marie McCullagh and Ros Wright. Cambridge: Cambridge
University Press, 2008.
4. Check your English vocabulary for Medicine. 3rd edition, London: A& C
Black, 2007.
5. International medical communication in English. John Christopher Maher.
Michigan: University of Michigan Press, 1992.
6. English for Medicine. Published by the Faculty of Medicine.
Page 18
English Co Module

5.3.4. Evaluation and Marking Scheme
Components
Writing
Listening
Speech
Grammar and reading comprehension
40%
10%
10%
40%
First examination is conducted at the commencement of the course.

A second examination will be conducted at the end of the course. Components to be
evaluated will be the same.
A third examination will be conducted 6 weeks after releasing the results of the
second examination.
The examiners and the date of examination will be approved by the Faculty Board
and the Senate.
Arrangement of the Hall and appointment of Supervisors and Invigilators will be
done by the Assistant Registrar, Faculty of Medicine as for other examinations.
A Pre-Results Board shall be constituted as follows by the dean when the marks are
ready:
Dean- Chairman
Examiner of the co module
confirmation by the senate.
The candidates scoring above 50 marks will be declared as pass and others will be
failures at the examination.
Page 19
English Co Module
5.4. Personnel Professional Development Stream

[Person in Charge- Coordinator for PPDS]

The aim of the course in PPDS is to develop personnel skills and personality of the
students with a view to improve their learning abilities during the studentship and afterwards
for continuous professional development and improve the quality of the service provided. At
the end of the course the students should be able to,
Be skilled in listening, reading, speaking and writing.
Be skilled in learning, keeping relevant material in memory and solving problems.
Communicate effectively with superiors, subordinates, colleagues, patients and the

society.
Behave respectfully and ethically in the society.
Develop and maintain good relationships.
Teach and practice sexuality in appropriate manner.
Identify and manage conflict efficiently.
Identify, cope and help others to cope with stress.
Perceive emotions of self and others and respond in appropriate manner.
Be motivated to deliver good health care.
Engage in continuous learning.
Empathize with others.
Be an effective leader.
Be assertive.
Search for truth

The Course will be conducted by visiting staff and staffs of the Faculty. The teaching
learning activities include discussions and group activities.
Students are evaluated by end of course assessments during Phase I at the end of term
2 and Phase III at the end of term 9. A second examination will be conducted at the end of
term 3 and term 10 respectively. The students will be permitted to appear at the First
examination for Medical Degrees and Part II of the Second Examination for Medical Degrees
only if they qualify at the respective examination in PPDS. The students who fail to pass the
examination in PPDS will be placed with the subsequent batch without eligibility for class at
the respective examination for medical degrees. Behavioral assessment will be conducted by
survey done among the hospital staff during phase II and Phase III, initially as pilot study and
marks will be allocated in due course.
The students should have 80% attendance to be permitted to sit the examination in
PPDS. Students without necessary attendance will have to follow the course with subsequent
batch without eligibility for class at the respective examination for Medical Degrees.
Page 20
PPDS

The course in PPDS contributes to outcome numbers 3, 5, 7, 8 and 9 of the medical
curriculum
5.4.2. Detail Syllabus

Introductory Period
2
1
1
1
1
2
2
2
2
1
2
2
2
2
4
2
2
2
2
2
2
3
3
3
2
Discussion/group work
Discussion / Practical
Discussion / Roll play
Attitudes of young adults and adolescents

Introduction to communication skills
Relationships and skills
Personality Development
Learning Skills
Parenting
Time management
Introduction to Ethics
Introduction to human sexuality
Stress factors
Writing skills
Reading skills
Habits and Discipline
Coping with Stress
Relaxation Techniques
Meditation
Listening skills
Issues related gender and sex
Human needs
Group Dynamic
Team
Coping with different personalities
Enhancing Personality
Inter-Personal Communication
Intelligence Definition, classification
2
3
2
3
2
2
3

Mass Communication
Anger & Aggression
Gender Psychology
Conflict management
Discrimination & neutrality
Cooperation
Assertiveness
Page 21
PPDS

Term 1
2
2
2
2
2
2

Problem solving skills

Negotiation & Mediation
Habits and Highly Effective People
Human behavior
Perception
Leadership
2
2
2
2
2
2
2
2
Introduction anxiety
Moral Judgment and Behavior
Active Listening
Establishing intimate relationships
Empathy
Inner search for self
Achievement
Mixed emotions & Fickle emotions
Term 2
Summary of Phase I
Activity
Discussion/Group
work
Discussion/Role play
Total
Intro
Term
1
Term
2
Term
Total
3
46
16
70
22
68
4
12
0
16
26
96
Page 22
PPDS

Term 5
2
2
2
2
2
2
2
Medical ethics
Emotions
Motivation
Learning and Memory
Doctor patient relationship
Stress management Before, During & Aftermath
Developing Social support systems for Stress
management
Introduction to Intervention Models for Stress
Term 6
2
2
2
2
2
Enhancing Personality
Stereotypes and prejudice
Gender equality
Enhancing Memory
Intelligence Tests, Emotional intelligence
2
2
2
Enhancing motivation and emotion

Anger management
Meditation
Term 7
2
2
2
2
2
Time management
Dynamic of popularity
Group attraction
Love
Memory Enhancement techniques
2
2
2
2
Group dynamic
Social ethics
Essential Personal Skills
Stress and adaptation
Term 9
2
2
2
2
2
Continuing medical education

Enhancing communication skills
Dealing with difficult situation
Coping with loss
Coping with loss
Page 23
PPDS
Term 10
2
2
2
2
Changing behavior - Individual

Changing behavior Health professional
Boundaries and Barriers
Cooperation
Summary of Phase II & III

Discussion/Group
work
Discussion/Role-play
Total
Term
5
Term
6
Term
7
17
0
17
16
0
16
18
0
18
Term
8
Term
9
Term
10
10
0
10
8
0
8
Term
11
Total
69
0
69
5.4.3. References
1. The Practice of Behavioural and cognitive Therapy.
University press.
R.Drumond, Cambridge
2. Introduction to Counselling & Guidance. Robert L.Gibson and Marianne H Mitchelkl.

Prentice Hall of India, India
3. I am OK-You are OK. By Thomas A, Harris M.D, New York: Avon, 2004.
4. Tomorrows Doctors. Published by General Medical Council, UK.
5. Organizational Behaviour. Stephen Robbins and Timothy A. Judge, 13th edition,
Printice Hall, 2008.
6. Management. Richaerd L. Daft. 8th Edition, South- Western College, 2007
7. Principles of Management and Administration. D.Chandra Bose, Printice Hall of India,
2004.
8. Management: Meeting and Exceeding customer expectations. Warren. R. Plunkett,
Raymond F. Attner and Gemmy S. Allen, South Western College, 2007
9. Counseling and communication skills for medical and health practitioners. Edited by
Rowen Bayne, Paula Nicolson and Ian Horton. Wiley-Blackwell, 1998.
Page 24
PPDS

5.4.4. Evaluation
PPDS
Type of Examination
1
2
Phase I
Examination
Phase III
Examination
Distribution
of MarksFirst
examination
Distribution
of Markssubsequent
examinations
100
100
4 SEQ - 2 hours
100
100
4 SEQ - 2 hours
Details of evaluation
No. of hrs No. of
question etc.
Phase I Examination:
The first examination will be conducted at the term 2.

A second examination will be conducted at the end of the term 3.
Phase III Examination:
The first examination will be conducted at the term 9.

A second examination will be conducted at the end of the term 10.
Releasing of Results:
The examiners and the date of examination will be approved by the Faculty Board
and the Senate.
Arrangement of the Hall and appointment of Supervisors and Invigilators will be
done by the Assistant Registrar, Faculty of Medicine as for other examinations.
A Pre-Results Board shall be constituted as follows by the dean when the marks are
ready:
Dean- Chairman
Preclinical/ Para-clinical coordinator
PPDS coordinator
confirmation by the senate.
The candidates scoring above 50 marks will be declared as pass and others will be
failures at the examination.
Page 25
PPDS
5.5. Anatomy
[Person in Charge- Head Anatomy]

The aim of the course is to develop adequate knowledge of gross and microscopic
structure and the development of human body to understand the pathological changes, clinical
conditions and their management. At the end of the course of Anatomy the students should be
able to,
Discuss the muscles of the body with regard to origin, insertion, actions and
abnormalities of lesions in addition to nerve and blood supply.
Describe the bones with regard to ossification, muscles attached, joints and
movements. Outline the forensic significance of bones.
Describe each organ with regard to location, relations, blood supply, nerve supply and
lymphatic drainage and relate them to clinical conditions and forensic identification.
Surface mark the important organs.
Relate the anatomical basis of clinical presentation of relevant conditions and surgical
management of lesions in all parts of the body
Describe the microscopic structure of tissues and organs in relation to their functions
and identify them under the microscope.
Describe the development of organs and systems of the body and correlate them to
adult structure and discuss the developmental malformations and their significance in
medico-legal work.
Describe the genetic basis of diseases and outline the screening and prevention of
congenital malformations.
Teaching-learning activities include lectures, dissection, histology slide
demonstrations, discussion of applied aspects and tutorials. Students are encouraged to use
pre-dissected specimens and plastic models in the anatomy museum to understand the gross
structure as and when they need. A dissection guide prepared by the department is given to
students as teaching material.
The students are guided through these activities in a sequence to facilitate
understanding: it starts with development of a system/organ and followed by dissection of the
system/organ, histology and finally ends with discussion of clinical application. The
embryology is taught through lectures and tutorials with the help of pictures and plastic
models. The dissection is preceded by lecture/discussion of important aspects of the
dissection to be carried out. The students then dissect in groups with the help of dissection
guide produced by the department given to them well in advance, text books and atlas as a
group work. Lecturers and / or demonstrators will guide the dissection. There will be a short
discussion at the end of each days dissection. At the same time lecture on histology of the
same system/organ is delivered. It is followed by practical class on the same day: difficult
Page 26
Anatomy

slides are demonstrated using multi-viewer binocular microscope. Finally consultants from
the teaching hospital conduct discussions on applied anatomy including radiological anatomy.
In-course assessments are conducted at the end of teaching-learning of each region of
the body in all components of Anatomy by way of essay, MCQ and OSPE examinations. In
addition to an oral examination which carries no marks to the final examination is conducted
at the end of each term.
The subject contributes to outcome number 1, 3, 6, 7 and 8 of the curriculum.
5.5.2. Detailed syllabus
TERM 1
General Anatomy Lectures

1
1
1
1
1
2
3x2
Lecture
Lecture
Lecture
Lecture
Lecture
Lecture
Tutorial
1. Skin and fascia

2. Muscles
3. Cartilage and bones
4. Joints
5. Lymphatic and vascular tissues
6,7. Nervous tissue
General anatomy
Dissection- Upper limb

9x2
6
6
3
Tutorial
Dissection
Dissection
Dissection
Pre-dissection
Introduction and Pectoral region
Axilla and its contents
Front of arm and cubital region
9
3
6
6
6
Dissection
Dissection
Dissection
Dissection
Dissection
Superficial dissection of back of trunk,

scapular region and back of arm
Joints of shoulder girdle
Back of fore arm and hand
Front of the forearm and hand
Joints of upper limb
6
9
9
Dissection
Lecture
Tutorials
Summary of the Muscles, Nerves , Blood

vessels and lymphatics of upper limb
Gross anatomy
Post dissection
Page 27
Anatomy
Histology
1
Lecture
1.5x2 Practical
1
2x2
1
1.4x2
1
2x2
1
2x2
1
1.5x2
1
2x2
1
2x2
1
2x2
5x2
Lecture
Practical
Lecture
Practical
Lecture
Practical
Lecture
Practical
Lecture
Practical
Lecture
Practical
Lecture
Practical
Lecture
Practical
Tutorials
1. Cell membrane, nucleus, cytoplasm,

organelles, inclusions and their functions
Use of microscope, embalming of body,
museum mounting, and paraffin wax
techniques
2. Cell division and cell cycle
Staining techniques
3. Skin
Skin
4. Covering epithelium
Covering epithelium
5. Glandular epithelium
Glandular epithelium
6. Muscles
Muscles
7. Connective tissue
Connective tissue
8. Cartilage and bone
Cartilage and bone
9. Nervous tissue
Nervous tissue
Histology
Embryology
1
1
1
1
1
1
1
1
1
5x2
2
1
1.Introduction to embryology and

Gametogenesis
2. Menstrual cycle, ovulation and
Lecture
implantation
Lecture
3. Differentiation of blastocyst
Lecture
4. Embryonic period
Lecture
5. Placentation, fetal membranes and twining
Lecture
6. Fetal period
Lecture
7. Development of Skin
Lecture
8. Development of skeletal system
Lecture
9. Development of Muscular system
Tutorials
Embryology
In Course Assessment- written
In Course Assessment- OSPE
Lecture
Page 28
Anatomy
Term 2
Gross Anatomy
Thorax
6x2
6
6
6
6
6
6
6
6
Tutorial
Dissection
Dissection
Dissection
Dissection
Dissection
Dissection
Lecture
Tutorials
PredissectionChest wall
Pleurae and lungs
Superior mediastinum and its contents
Middle mediastinum
Posterior mediastinum
Bones and joints of the thorax
Gross Anatomy
Post dissection
Lower limb
8x2
9
Tutorial
Dissection
9
9
3
Dissection
Dissection
Dissection
Dissection
Dissection
Dissection
Dissection
8
8x2
Lecture
Tutorials
PredissectionAnterior and medial aspects of the thigh

Gluteal region and posterior aspect of the
thigh
Hip joint, Popletial fossa and back of the leg
Knee joint
Anterior and lateral aspects of the leg and
dorsum of the foot
Sole of the foot
Tibiofibular joints, ankle joint, and joints of
the foot
Summary of nerves, blood vessels and
lymphatics of the lower limb
Gross Anatomy
Post dissection
Embryology
1
1
4
3x2
Lecture
Lecture
Lecture
Tutorial
1. Development of body cavities, diaphragm

and serous membranes
2. Development of Respiratory system
3,4,5,6. Development of CVS
Embryology
Histology
1
1.5x2
2
1.5x2
1
Lecture
Practical
Lecture
Practical
Lecture
1. Lymphatic tissue
Lymphatic tissue
2,3. Respiratory system
Respiratory system
4. Cardiovascular system
Page 29
Anatomy

1.5x2 Practical
Cardiovascular system
3x2 Tutorial
Histology
4
In Course Assessment2
OSPE
Term 3.
Abdomen
7x2
3
6
6
3
6
6
6
6
6
6
10
7x2
Tutorial
Dissection
Dissection
Dissection
Dissection
Dissection
Dissection
Dissection
Dissection
Dissection
Dissection
Lecture
Tutorial
Pre dissection
Anterior abdominal wall
Inguinal canal
External genitalia
Abdominal cavity, planes, subdivisions and peritoneum
Stomach, small intestine and large intestine
Liver and biliary apparatus
Duodenum,Pancreas, and spleen
Kidneys, ureters and suprarenal glands
Posterior abdominal wall, diaphragm and lumbar plexus
Vessels and nerves of abdomen
Gross anatomy
Post dissection
Pelvis and Perineum

6x2
6
6
6
6
9
6x2
Tutorial
Dissection
Dissection
Dissection
Dissection
Lecture
Tutorial
PredissectionPelvic viscera
Pelvic blood vessels and nerves
Pelvic musculature
Perineum
Gross anatomy
Post dissection
Histology
2
4x2
1
1.5x2
2
2x2
1
1.5x2
1
2x2
Lecture
Practical
Lecture
Practical
Lecture
Practical
Lecture
Practical
Lecture
Practical
1,2.Gastrointestinal tract (GIT)

Gastrointestinal tract
3. Glands associated with GIT
Glands associated with GIT
4,5. Endocrine system
Endocrine system
6. Urinary system
Urinary system
7. Male reproductive system
Male reproductive system
Page 30
Anatomy

2
4x2
6x2
Lecture
Practical
Tutorial
8,9.Female reproductive system

Female reproductive system
Histology
Embryology
3
1
Lecture
Lecture
1,2,3. Development of Digestive system

4. Development of urinary system
3
1
3x2
Lecture
Lecture
Tutorial
5,6,7. Development of Male and female reproductive systems

8. Development of CNS
Embryology
Neuroanatomy- 1
1
1
1
1
1
1
1
2x2
2
1
1. Introduction
lecture
2. Development and Histogenesis
lecture
3. Cell elements neurons , neuroglia
lecture
4. Peripheral and autonomic nervous systems
lecture
5. Reflex arc
lecture
Lecture
6. Meninges and CSF
7. Spinal cord
lecture
Neuroanatomy
Tutorial
In Course Assessment- OSPE
Term-4
Head and neck
11x2
6
6
6
6
6
6
6
6
6
6
6
3
3
3
3
Tutorial
Dissection
Dissection
Dissection
Dissection
Dissection
Dissection
Dissection
Dissection
Dissection
Dissection
Dissection
Dissection
Dissection
Dissection
Dissection
PredissectionPosterior triangle of the neck

Anterior triangle of the neck
Face and scalp
Cranial cavity
Orbit and lachrymal apparatus
Parotid gland
Infratemporal region and temperomandibular joint
Submandibular region and deep structures of the neck
Deep structures of the back of the neck and the trunk
Muscles and fasciae of the head and neck
Nerves, blood vessels and lymphatics of head and neck
Nasal cavity
Oral cavity
Soft palate, pharynx and larynx
Eye
Page 31
Anatomy

3
Dissection
Ear
Lectures
10
11x2
Lecture
Tutorial
Anatomy of special structures- eye, ear, nose, oral cavity,

soft palate, pharynx and larynx
Gross anatomy
Post dissection
Neuroanatomy 2
1
1
1
1
1
1
1
1
1
1
1
1
12
4x2
Lecture
Lecture
Lecture
Lecture
Lecture
Lecture
Lecture
Lecture
Lecture
Lecture
Lecture
Lecture
Dissection
Tutorial
8. Brain stem
9. Cranial nerves nuclei
10. Reticular formation of brain stem
11. Eye movements
12. Cerebellum
13. Cerebral hemisphere
14. Blood supply to brain
15. Ventricular system of brain
16. Diencephalon
17. Olfactory and optic path way
18. Limbic system
19. Basal ganglia and internal capsule
Brain
Neuroanatomy
Histology
1
2x2
1
1.5x2
2x2
Lecture
Practical
Lecture
Practical
Tutorial
1. Central Nervous System

Central Nervous System
2. Special sense organs
Special sense organs
Histology
Embryology
1
2
2
1
1
4x2
1
8
4x2
2
1
Lecture
1. Development of pharyngeal pouches, arches and clefts
Lecture
2,3. Development of face
Lecture
4,5. Development of central nervous system
Lecture
6. Development of Ear
Lecture
7. Development of Eye
Tutorial
Embryology
Lecture
Summary of congenital malformations
Lecture
Medical Genetics
Tutorial
Medical Genetics
In Course
AssessmentOSPE
Page 32
Anatomy
Summary
Activity
General anatomy
lecture
Gross anatomy
Histology lecture
Embryology lecture
Neuroanatomy lecture
Genetics
Total Lectures
Dissection
Term Term
1
2
Term
3
Term
Total
4
7
9
9
9
0
0
34
51
0
14
4
6
0
0
24
93
0
19
9
8
7
0
43
78
0
16
2
7
12
9
46
81
7
58
24
30
19
9
147
303
12
12
16.5
67.5
4.5
97.5
11
89
3.5
96.5
35.5
350.5
Predissection Tutorial
14
13
11
47
Post disssection
tutorial
Histology tutorial
Embryology tutorial
Neuroanatomy
tutorial
12
14
13
11
50
5
5
3
3
6
3
2
4
16
15
Genetics Tut
Total Tutorial
31
34
37
36
138
3
135.5
6
161.5
3
172
3
181.5
15
650.5
Neuroanatomy
dissection
Histology practical
Total Practical
In Course Assessment
Total Hours
5.5.3. References
Textbooks [Latest Editions]
1. Last's Anatomy: Regional and Applied. Chummy S Sinnatamby, 11th edition, Edinburgh:
Churchill Livingstone.2006.
2. A new approach to dissection of the human Body. R Kanagasundaram,
Singapore: PG Publishing, 1980.
2 nd edition,
3. Grants atlas of Anatomy. Anne M R Agur, 11th edition, Philadelphia: Lippincott Williams
& Wilkins, 2005.
Page 33
Anatomy

4. Clinical Anatomy. Harold Ellis. 10 th edition, Oxford: Blackwells, 2002.
5. Wheaters Functional Histology. 4th edition, Edinburgh: Churchill Livingstone, 2000.
6. Langmans Medical Embryology. 10th Edition, edited by T W Sadler.
Lippincott Williams & Wilkins, 2006.
Philadelphia:
7. Text book of Human Neuro Anatomy. Inderber Singh, 7th edition, New Delhi: Jaypee,
2006.
8. Principles of Medical Genetics. Thomas D Gelehrter, 2nd edition, Baltimore: Williams &
Wilkins, 1998.
Reference Books [Latest Editions]
1. Clinically oriented anatomy.
Williams & Wilkins, 2005.
Keith L Moore, 5th edition, Philadelphia: Lippincott
2. Basic Histology. L Carlos Junqueira, 11th Edition. New York: McGraw Hill, 2006
3. Clinical Anatomy. Richard S Snell, 3rd edition, Philadelphia: Lippincott Williams &
Wilkins, 2000.
4. Grays anatomy for students. Richard L Drake, Philadelphia: Churchill Livingstone, 2005.
5. Human Anatomy. B D Chaurasia, 4th edition, New Delhi: CBS Publishers, 2004.
5.5.4. Evaluation
Anatomy
Type of Examination
In course
Assessment
Distribution
of MarksFirst
examination
End of course:
20
80
2.1
M.C.Q.
25
2.2
Essay
Gross Spots
25
2.3
10
Distribution
Details of evaluationof Marksduration, number of
subsequent
questions. ect.
examinations
5 assessments of 2 hour
duration and Spot
examination
100
40 Multiple response and
30
20 single response
questions 3 hrs
10 SEQs 3 hrs
30
Gross Anatomy- 20 x 2
10
min
Page 34
Anatomy
Qualifying
pass marks
(%)
40% in
Essay &
M.C.Q.

2.4
2.5
Histology spots
Viva
10
10
10
20
Histology 20 x 2 min
10 min / student
Page 35
Anatomy
5.6. Biochemistry
[Person in Charge- Head Biochemistry]

The aim of the course in Biochemistry is to develop basic knowledge of normal
biochemical processes in the body, biochemical aspects of nutrients and nutrition, develop
basic understanding of changes in biochemical processes in disease, develop skills in
performing biochemical investigations to identify the above changes, develop awareness in
biomedical research and to prepare and conduct seminar. At the end of the course the students
should be able to,
Describe the biochemical basis of acid base balance and the buffers in the body fluids.
Describe the structure and function of bio-molecules of the body and outline the causes
and conditions that cause alterations in them.
Describe the structure and kinetic properties of the enzymes and explain the alterations
in the properties and levels in disease conditions. Clinical applications of enzyme
inhibition, application of certain enzymes and enzyme inhibitors in management of
patients.
Describe the functions and metabolism of haemoglobin and mention the causes and
conditions leading to abnormalities of haemoglobin metabolism and perform tests to
identify them.
Describe the metabolism of carbohydrates, lipids, eicosanoids, amino acids and
proteins and explain the effects of under nutrition and over nutrition, foods that provide
essential nutrients and dietary advice for patients.
Describe the mechanism of removal of toxic substances and their implication on blood
levels of hormones and drugs.
Describe inheritance and molecular basis of hereditary diseases and molecular
techniques in medicine and its uses in Forensic Medicine.
Analyze urine for normal constituents and abnormal constituents and analyze serum
for indicators of disease.
Perform simple laboratory research in relation to medical problems and report it.
Prepare and present short seminar on current bio-medical problems.
Be interested in continuous education to understand the biochemical basis of disease
processes and the biochemical tests performed to diagnose them
Teaching-learning activities include lectures, practical and tutorial classes. The tutorial
classes are a mixture of traditional tutorials and modified small group discussions. The
practical classes include a few demonstrations and more experiments performed by individual
students. All teaching-learning activities are designed to stimulate student participation and
promote individual and group learning. A complete notes prepared by the department and the
power point presentations prepared for lectures are given to students as teaching material.
Page 36
Biochemistry

A research project is given to students to be performed singly or in groups in any
discipline of their interest with a senior teacher as supervisor. Students are also given a pool
of topics from which students select one topic of interest and make a presentation in seminar.
The assessment methods involve in-course and end of course assessments. The incourse assessments include marks given to research project, seminar and examinations
conducted during the course. Formative assessments are conducted at the end of each section
or as surprise class tests. After each examination, the answers are discusses with the students.
The subject contributes to outcome numbers 1, 2, 3, 4, 6, 7, 8 and 11 of the curriculum.
5.6.2. Detailed Syllabus
Term 1
pH and buffers
1
1
3x2
1x2
Lecture
Lecture
Practical
Tutorial
1. Buffers and buffering action.

2. Dissociation constant and buffering action
pH and buffers
pH and buffers
Chemistry of carbohydrates
1
1
1
1
3x2
2x2
Lecture
Lecture
Lecture
Lecture
Practical
Tutorial
1. General introduction to carbohydrates & classification.

2. Important monosaccharides and derivatives.
3. Disaccharides and identification of carbohydrates.
4. Homopolysaccharides & hetropolysaccharides.
Qualitative analysis of carbohydrates
Carbohydrates
Chemistry of Lipids
1
1
1
1
3x2
2x1
Lecture
Lecture
Lecture
Lecture
Practical
Tutorial
1. General introduction to fats.

2. Component of lipids.
3. Phospholipids.
4. Sterols & lipid storage disease
Qualitative analysis of lipids- 2x2h
Lipids
Movement of substances across membrane

1.Micro and macro elements of the body membranes and
1
Lecture
membrane structure.
1 Lecture 2. Movement of substances by different mechanism.
1 Lecture 3. Different transporters.
Chemistry of amino acids and proteins
1
1
1
1
1
Lecture
Lecture
Lecture
Lecture
Lecture
1. Introduction. Structure and chemistry of amino acids

2. Ionization properties of amino acids.
3. Structure of protein, insulin, -keratin & -keratin.
4. Collagen synthesis & degradation
5. Elastin, fibronectin, laminine & muscle protein.
Page 37
Biochemistry

1x2
1
1
3x2
3x2
3x2
1x2
Tutorial
Lecture
Lecture
Practical
Practical
Practical
Tutorial
Amino acids
6 Plasma proteins, their origin
7 Plasma proteins separation.
Qualitative analysis of proteins
Serum electrophoresis
Estimation of serum proteins
Proteins
Enzymes
1 Lecture 1. General properties of enzymes & mechanism of enzyme action
1 Lecture 2. Factors affecting the enzyme catalyzed reactions.
1 Lecture 3. Enzymes activators, inactivators and inhibitors
1 Lecture 4. Enzyme inhibition
1 Lecture 5. Isoenzymes, protective enzymes
3x2 Practical Determination of Serum amylase activity
1x2 Tutorial Enzymes
Gene expression and the protein synthesis (12 hours)

1
Lecture
Lecture
1
1
1x2
1
1
1
1
1
1x2
Lecture
Lecture
Tutorial
Lecture
Lecture
Lecture
Lecture
Lecture
Tutorial
Lecture
Gene expression and the protein synthesis

1. General introduction to nucleic acids. Nucleosides, nucleotides
and nucleotide derivatives
2. Structure of DNA
3. Organization of DNA. Gene and chromosome
Nucleic acids
4. Organization of DNA. Gene and chromosome continuation
5. Information transfer: DNA Replication
6. Information transfer: DNA transcription
7. Information transfer: Regulation of gene expression
8. Information transfer: Translation
Gene
9. Information transfer: Post-translational modification of proteins
2 Lecture 10, 11. DNA Mutation and repair

1 Lecture 12. Introduction to molecular basis of cancer
Chromasomal Abnormalities (4)
1 Lecture 1. Chromosomal anomalies
1 Lecture 2. Chromosomal anomalies conti..
1 Lecture 3. Chromosomal anomalies conti..
1 Lecture 4. Chromosomal anomalies conti
1x2 Tutorial Chromosomes
Page 38
Biochemistry
Term 2
Immunoglobulins
1 Lecture 1. Types of immunity
1 Lecture 2. Antibody formation polyclonal antibodies
1 Lecture 3. Structure and function of immunoglobulin
1 Lecture 4. Autoimmune diseases, immuno malignancy
1x2 Tutorial Immunoglobulins
Vitamins
1 Lecture 1. Vitamin A
1 Lecture 2. Vitamin D
1 Lecture 3. Vitamin D, E and K and Thiamine
1 Lecture 4. Riboflavin, Nicotinic acid and Pyridoxal phosphate
1 Lecture 5. Folic acid
1 Lecture 6. Vitamin B12
1 Lecture 7. Biotin, Pantothenic acid and Vitamin C
3x2 Practical Estimation of Urinary excretion of Vitamin C
Vitamins
2x2 Tutorial
Iron metabolism
1 Lecture Composition of human body micro and macro elements
1
1
Lecture
Lecture
Iron
Iron deficiency anaemia
Haemoglobin
1
1
1
1
1
1
1
1
1
4x2
2x2
Lecture
Lecture
Lecture
Lecture
Lecture
Lecture
Lecture
Lecture
Lecture
Practical
Tutorial
1. Haemoglobin structure, etc.

2. Oxygen dissociation curve
3. Synthesis of haemoglobin
4. Synthesis of haemoglobin and porphyrias
5. Catabolism of haemoglobin
6. Hyper bilirubinemias
7. Hyperbilirubinemias
8. Haemoglobinopathies
9. Haemoglobinopathies
Bile and blood and Estimation of serum bilirubin level

Haemoglobin
Biological oxido-reduction
1 Lecture 1. Oxido-reduction steps & mitochondria
1 Lecture 2. Chemi-osmotic hypothesis of oxido- reduction
1 Lecture 3. Effect of ionophores, inhibitor, etc.
1 Lecture 4. Other uses of oxygen in the body.
1x2 Tutorial
Page 39
Biochemistry

Mineral metabolism
1
1
1
1
Lecture
Lecture
Lecture
Lecture
1. Iodine
2. Thyroid hormone
3. Test for thyroid function
4. Calcium, zinc
5Copper, chromium, fluorine, selenium, manganese,
1 Lecture magnesium
3x2 Practical Estimation of serum calcium
3x2 Tutorial Mineral metabolism
Incourse Assessment
Term 3
Digestion and absorption
1
Lecture 1. Digestion in the oral cavity
1
Lecture 2. Gastric digestion, control of gastric secretion
1
Lecture 3. Intestinal digestion, hormonal control, Bile
1
Lecture 4. Carbohydrate, protein, lipid digestion and absorption
1x2 Tutorial
Carbohydrate Metabolism
1
Lecture 1. Introduction to Metabolism
1
Lecture 2. Glycolysis and energetics
1
Lecture 3. Tri carboxylic acid cycle
1
Lecture 4. Control of Glycolysis and Tri carboxylic acid cycle
1
Lecture 5. Hexose Mono phosphate pathway and significance
1
Lecture 6. Metabolism of fructose and galactose
1
Lecture 7. Glycogenolysis and glycogenesis
1
Lecture 8. Control of glycogenolysis and glycogenesis
1
Lecture 9. Gluconeogenesis, alcohol metabolism and lactic acidosis
10. Blood glucose maintenance and role of hormones in blood
1
Lecture glucose maintenance, Diabetes
11. Measurement of blood glucose, glucose tolerance test and
abnormal glucose tolerance curves
1
Lecture
3x2 Practical Estimation of blood glucose level
1
Lecture 12. Glycogen storage diseases
4x2 Tutorial
Lipid Metabolism
1
Lecture 1. Blood lipids and transport of lipids
1
Lecture 2. Metabolism of blood lipids
1
Lecture 3. Metabolism of blood lipids
1
Lecture 4. Roles of liver and adipose tissues in lipid metabolism
1
Lecture 5. Metabolism of fatty acids
Page 40
Biochemistry

1
Lecture
1
Lecture
1
Lecture
1
Lecture
3x2 Practical
1
Lecture
3x2 Tutorial
Eicosanoids
6. Control of fatty acid metabolism

7. Metabolism of ketone bodies
8. Metabolism of cholesterol
9. Cholesterol homeostasis
Estimation of serum cholesterol level
10. Errors in lipid metabolism
1
Lecture 1. General aspects of eicosanoids
1
Lecture 2. Biochemical functions of eicosanoids
Amino acid Metabolism (6 Hours)
1
Lecture 1. Amino acid pool and essential and non-essential amino acids
2. Transamination, amino acid oxidases and deamination
1
Lecture reactions
3x2 Practical Estimation of serum urea
1
Lecture 3. Metabolism of ammonia in the body
1
Lecture 4. Biochemical importance of amino acid derivatives
1
Lecture 5. One carbon pool
1
Lecture 6. Molecular diseases in amino acid metabolism
3x2 Practical Analysis of normal constituents in urine
3x2 Practical Analysis of abnormal constituents in urine
2x2 Tutorial
Serum enzymes of diagnostic value (3 Hours)
1
Lecture 1. Plasma specific enzymes
1
Lecture 2. Plasma non-specific enzymes
3. Alteration in enzymes and proteins in myocardial infarction,
1
Lecture liver disease, bone disease and muscle diseases
3x2 Practical Estimation serum AST
3x2 Practical Estimation of ALT
Incourse Assessment
Principles of Nutrition
1
1. Principles of nutrition and nutrient requirements
Lecture
1
2. Energy requirements
Lecture
1
3. Energy requirements
Lecture
1
4. Energy requirement calculations
Lecture
1
5. Requirements of carbohydrates , fats and proteins
Lecture
1
6. Requirements of proteins and calculation, supplementary
Lecture
action
1
7. Quality of proteins
Lecture
1
8. Nutritional requirements for infants, weaning food, preschool
children and school going children
Lecture
1
Lecture
9. Nutrition for adolescents and adults

Page 41
Biochemistry

1
10. Nutrition for adolescent and adult pregnant mothers
Lecture
1
11. Nutrition requirement for lactating mothers
Lecture
1
12. Nutrition requirements of adults
Lecture
1
13. Nutrition for sportsmen
Lecture
1
14. Malnutrition
Lecture
2x2 Tutorial Nutrition
Food of plant and animal origin
1
1. Milk from different animals consumed by man
Lecture
1
2. Preserving milk
Lecture
1
3. Milk products
Lecture
1
4. Egg ,meat , fish and fish products
Lecture
1
5. Cereal and preservation of cereals
Lecture
1
6. Legumes and ant nutritive factors
Lecture
1
7. Roots and tubers, vegetables
Lecture
1
8. Nuts, oils, fibers, foods and cancer
Lecture
2x2 Tutorial Foods
6
Research Methodology lectures
Lecture
17x3 Research Laboratory Research
18 Research Report writing
Term 4
Nucleic acid metabolism
1. Biosynthesis of purines and pyrimidines
1
Lecture
2. Purine salvage pathway
1
Lecture
3. Hyperuricemia and secondary causes
1
Lecture
Nucleic Acid Metabolism
1x2
Tutorial
Molecular Techniques in Medicine (5 Hours)
1. Tools in Molecular medicine
1
Lecture
2. Cloning, stem cells, gen therapy
1
Lecture
3. Genetically engineered insulin, blotting techniques
1
Lecture
4. RFLP, DNA microarray, PCR, prenatal diagnosis and
1
Lecture
genetic counselling
1
1x2
2
1
8
20
Lecture
Tutorial
Lecture
Seminar
Seminar
5. DNA finger printing and applications

Molecular Techniques in Medicine
Instruction on preparation of seminar Presedntation
Preparation
10 minute Presentation & 5 minute discussion / student
Page 42
Biochemistry
Summary
Activity
Lecture
Practical
Tutorial
Seminar
Presentation
Research
In-Course
Assessment
Total
Biochemistry
Term Term Term
1
2
3
42
32
65
21
10
21
10
9
14
Term
Total
4
10
149
0
52
2
35
0
0
0
0
0
69
28
0
28
69
2
75
1
52
2
171
1
41
6
339
5.6.3. References
Textbooks [Latest Editions]
1. Harpers Illustrated Biochemistry. Robert K Muray, Daryl K. Granner and Victor W
Rodwell, 27th edition, Boston: Mc Graw Hill, 2009.
2. Biochemistry-A Case Oriented Approach. Montgomery. T. W Conway, A. A Spector and
D Chapell, 6th edition, edited by Rex Montgomery, Mosby Publishers, 1996.
3. Text Book of Biochemistry with Clinical Correlations. Delvin, T. M. 6 th edition, WileyEliss Publication, 2010.
4. Marks Basic Medical Biochemistry: A Clinical Approach. Smith, C., Marks, A. and
Libeberman, M. 2nd edition, Philadelphia: Lippincott Williams & Wilkins, 2008.
5. Lippincotts Illustrated Reviews- Biochemistry. Champe, P.C., Harvey, R. A. and Ferrier,
D. R, 4th edition, Philadelphia: Lippincott Williams & Wilkins, 2007.
6. Biochemistry. Berg, T., Tymoczo, J. L. and Stryer, L. W. H., 6th edition,
Freeman and Company, 2008.
New York:
Reference Books [Latest Editions]

1. Scientific Foundations of Biochemistry in Clinical Practice. Williams, D.L and Marks, V.
Butterworth Heinemann, 1994.
2. Medical Biochemistry. Bhagavan, N. V, 4th edition, Academic Press (An Imprint Elsevier)
2001.
Page 43
Biochemistry

3. Scientific foundations of biochemistry for Medical students. Vasudevan DM Sreekumari S,
5th Edition, Jaypee Brothers Medical Publishers (P) Ltd, New Delhi. 2007
4. Textbook of Medical Biochemistry. Chatterjea MN Rana Shinde, 7 th Edition, Jaypee
Brothers Medical Publishers (P) Ltd, New Delhi. 2007
Web Sites
1. http://www.annualreviews.org/
2. http://www.lipidsonline.org/
5.6.4. Evaluation
Details of
Distribution
evaluationof Marksduration,
subsequent
number of
examinations
questions. ect.
5 Assessments
each of 1Hr
duration and
Seminar
Type of Examination
Distribution
of MarksFirst
examination
In course
Assessment
20
2
3
Research Project
End of the Course
10
70
100
3.1 MCQ
25
40
3.2 Essay
25
40
3.3 Practical
3.4 Viva
10
10
10
10
Page 44
Biochemistry
60 questions
3Hrs duration
6 questions 3Hrs duration
45 minutes
10 min/student
Qualifying
pass marks
(%)
40% in
Theory
5.7. Physiology
[Person in Charge- Head Physiology]

The aim of the course is to develop basic understanding of the functions of the body and
their applications in management of patients and to develop skills in assessing the functions of
systems of the body and basic clinical examination. At the end of the course the students
should be able to,
Describe the basic principles of homeostasis, water and electrolyte balance, acid base
balance, energy balance and temperature regulation.
Describe the role of various systems of the body, how they function, the mechanisms
that regulate them and the factors that alter the functions.
Outline how pathological factors interfere with the functions of these systems and how
altered functions of these systems cause disease.
Describe the physiological basis of various tests used to assess the functions of these
systems and interpret the results obtained.
Mention the names of common chemical agents that alter the functions of these systems
and outline the mechanism of their actions.
Investigate blood for, haemoglobin concentration, red cell count, white cell count,
differential count, bleeding time and clotting time, blood groups and packed cell volume.
Feel arterial pulse and recognize rate, regularity and volume of the pulse, measure blood
pressure, identify normal heart sounds, identify waves and intervals in normal E.C.G,
measure lung volumes, pulmonary ventilation, record respiratory movements, analyze
alveolar air, perform artificial respiration and cardiac massage, measure metabolic rate,
body temperature, urine flow, specific gravity of urine, and examine basic sensory,
motor functions and special sensations.
Having attained the knowledge and skills mentioned above, the student should view man
as a whole organism and not a collection of systems, apply the knowledge and skills in
understanding and managing patient problems and keep on continued study of
Physiology.
The teaching learning activities include lectures, practical classes and tutorials.
All these activities will be interactive encouraging student participation and performance
instead of simple delivery of information. Further, there will be formative evaluations at the
end of or during the course of each section or system. The marks of in-course assessments
conducted at the end of each section will be given to students and the answers will be
discussed with the students. The students are given detailed objectives for the course in
physiology and guides for each practical class developed by the department as teaching
material.
Page 45
Physiology

Applied Physiology lectures will be delivered by consultants from the Teaching
Hospital to provide understanding of clinical implications of body functions and to bring
holistic view of patient problems. In addition, video shows on functions of various systems
are shown to illustrate their structure and function.
The subject contributes to outcome number 1, 2, 3 and 9 of the curriculum.
Term 1
BODY FLUIDS
1 Lecture
1 Lecture
3x2 Practical
1.Homeostasis and Organ Systems

2.Body composition
Anthropological measurements and estimation of body fat
Lecture
3.Body fluid compartments, estimation and Composition of body

fluids
2
1
1
Lecture
Lecture
Lecture
4,5.Mechanisms of membrane transport and osmosis

6.Tissue fluid formation and Mechanisms of Oedema
7.Fluid and Electrolyte Balance and their control
3x2 Practical
0.5 Video
2x2 Tutorial
Osmotic Fragility
Structure and function of cell
Body fluids
ECITABLE TISSUE NERVE & MUSCLE

1
1
1
1
1
1
Lecture
Lecture
Lecture
Lecture
Lecture
Lecture
1.Membrane Potential
2. Action Potential and impulse
3.Spread of impulse and classification of nerves
4.Synaptic transmission
5.Electrical and Mechanical Properties of Skeletal Muscle
6.Muscle structure, Molecular Basis of contraction
1
1
1
0.5
Lecture
Lecture
Lecture
Video
7.Cardiac and Smooth Muscle

8.Autonomic Nervous System
9.Pharmacology of ANS
Autonomic nervous system
3x2 Tutorials
Excitable tissue
BLOOD
1
Lecture
1.General Physical properties - blood and plasma
3x2
0.5
1
3x2
1
1
Practical
Video
Lecture
Practical
Lecture
Lecture
ESR and PCV

Blood
2.Blood volume and its regulation
WBC count
3.Red cell-structure and function, haemopoisis
4.Fate of redcells and Anaemias
Page 46
Physiology

3x2 Practical
3x2 Practical
RBC count
Hb Measurement, PCV (capillary tube) and Haematological
indeceases
1
1
3x2
1
3x2
1
1
Lecture
Lecture
Practical
Lecture
Practical
Video
Lecture
5.Thrombocytes
6.Hemostasis, coagulation and anticoagulants
Bleeding time, Clotting time
7.Leucocytes
Differential count
Immune system, active barriors
9.Defense reactions- innate immunity, humeral immunity
Lecture
10. Cellular immunity, activation of immune system,

hypersensitivity
1 Lecture
3x2 Practical
1 Lecture
3x2 Tutorials
2 Exam
11.Blood groups, ABO system

Blood grouping
12.Rh group, Principles of blood transfusion

Blood
Incourse assessment
Term 2
RESPIRATION
1
Lecture
1.Design of respiratory system, Upper Respiratory Tract
2
3x2
1
1
3x2
Lecture
Practical
Video
Lecture
Practical
2,3.Mechanics of Breathing, lung volumes and capacities
1
1
1
Lecture
Lecture
Lecture
5.Gas exchange in lungs

6.Oxygen Transport
7. Hypoxia, cyanosis
Lecture
1
3x2
1
3x2
1
1
3x2
3x2
Lecture
Practical
Lecture
Practical
Lecture
Lecture
Practical
Tutorial
8.Carbon Dioxide Transport, Hypocapnoea/hypercapnoea, neural

regulation of Respiration
9. Chemical control of respiration
Chemical control of respiration
10.Respiratory Adjustments to exercise
Effect of exercise on ventilation
11.Respiratory adjustments- Altitude and pH
12. Complience
Graphic recording of respiration

Respiration, Biological adaptations
4. Ventilation, dead space and Ventilation /perfusion ratio
Spirometry- lung volumes, capacities and ventilation
Lung function test

Respiratory system
Page 47
Physiology

HEART AND CIRCULATION
1
Video
Heart & circulation, Structure and function of heart
1
2
2x2
Lecture
Lecture
Demo
1. Introduction and Properties of Cardiac Muscle

2,3. Electrophysiology of Heart, recording and uses of ECG
Recording ECG
Lecture
1
1
1
1
3x2
1
1
3x2
1
1
3x2
3x2
1
Lecture
Lecture
Lecture
Video
Practical
Lecture
Lecture
Practical
Lecture
Lecture
Practical
Practical
Lecture
4,5.Cardiac Cycle- mechanical and pressure changes & Heart

Sounds
6. Cardiac Output, Cardiac Index
7. Cardiac Work, Metabolism
8. Blood Vessels, Vascular Pulsation
Arteries- Myocardial infarction, Vein & Vein disorders
Measurement of Blood pressure
1
3x2
1
3x2
5x2
2
Lecture
Practical
Lecture
Practical
Tutorial
Exam
8. Blood Pressure, Maintenance

9. Regulation of Blood Pressure
Postural changes on Blood pressure
10.Pulmonary, Splanchnic Circulation
11. Cerebral, Coronary and Cutaneous Circulation
Ischemic pain
Plethesmography
12. Placental and Fetal Circulation
13. Cardiovascular Adjustments in Exercise, Haemorrhage,
Shock
Effects of exercise of Blood pressure
14. Drugs on Cardiovascular System
Examination of CVS and CPR- cardiopulmonary resuscitation
CVS
Incourse assessment
Term 3
GASTRO INTESTINAL PHYSIOLOGY
1
2
Lecture
Lecture
1. General Organization, Overview of Control Mechanisms of

GIT
2. Mastication, Salivation & Deglutition
2
1
1
Lecture
Lecture
Lecture
3,4. Gastric Functions- secretion, movements, emptying, their

control and peptic ulcer
5. Pancreas, Exocrine function and their control
6. Hepatic functions and their control
1
1
1
3x2
Lecture
Lecture
Lecture
Tutorial
7. Small Intestinal function- propagation, mixing, absorption and

their control
8. Large Intestinal function and their control
9. Defecation Mechanisms and Disorders
Gastrointestinal physiology
Page 48
Physiology

ENDOCRINOLOGY
1
Lecture
1.General principles of endocrinology
2
Lecture
2,3. Islets of Langerhans
2
Lecture
4,5. Thyroid
1
Lecture
6. Parathyroid and Calcium Homeostasis
0.5 Video
Bone, cartilage and Joints
1
Lecture
7. Adrenal Medulla
1
Lecture
8. Adrenal Cortex
1
Lecture
9. Neurohypophysis
1
Lecture
10. Adenohypophysis
1
Lecture
11. Local Hormones, Pineal gland and Thymus
4x2 Tutorial
Endocrine Physiology
ENERGY BALANCE & TEMPERATURE REGULATION

1
1
Lecture
Lecture
1. Energy Exchange - General Principles

2. Energy intake, expenditure, storage and Requirements
1
1
3x2
1
1
3x2
2x2
Lecture
Lecture
Practical
Lecture
Lecture
Practical
Tutorial
3. Metabolic Rate- BMR

4. Energy Balance and its control
Measurement of metabolic rate

5. Heat exchange with environment
6. Temperature Regulation and fever
Body temperature measurement
Energy balance, temp regulation
RENAL PHYSIOLOGY
1
2
1
3x2
1
1
2x2
Lecture
Lecture
Lecture
Practical
Lecture
Lecture
Tutorial
1,2. Introduction, Glomerular Function

3,4,5. Tubular Function , concentration of urine
6. Kidney and lungs in Acid Base and electrolyte Balance
Diuresis
7. Micturition
8. Hemo Dialysis and Renal Function Test
Renal function
REPRODUCTIVE PHYSIOLOGY
1
Lecture
1. Introduction
1
1
1
3x2
1
1
1
1
1
Lecture
Lecture
Lecture
Practical
Lecture
Lecture
Lecture
Lecture
Lecture
2. Male Gametogenesis, Endocrine functions of testis

3. Erection, ejaculation and physiology of sexual intercourse.
4. Puberty in males
Sperm Count
5. Female Gametogenesis, Endocrine functions of Ovary
6. Menstrual Cycle and its control
7. Pregnancy, Parturition, Lactation
8. Puberty in females
9. Fertility, Contraceptives
Page 49
Physiology

3x2
2
Tutorial
Exam
Reproductive physiology
Incourse assessment
Term 4
NEUROPHYSIOLOGY
1 Lecture
1. Introduction, Development and Over View
1 Video
Development of fetus, reflex and conscious movement
1 Lecture
2. Sensory system- receptor mechanism
1 Lecture
3. Sensory system- sensory pathway
1 Lecture
4 Pain and visceral sensation
1 Lecture
5. Lower Motor system
1 Lecture
6. Cortical Motor function
1 Lecture
7. Cerebellum
1 Lecture
8. Basal Ganglia
1 Lecture
9. Thalamus and hypothalamus
1 Lecture
10. Posture
3x2 Practical
Examination of peripheral Nervous system
1 Lecture
11. Limbic system
1 Lecture
12. Cerebral Cortex- Higher functions
0.5 Video
Sleep
1 Lecture
13. Sleep and arousal
1 Lecture
14. Eye structure and optics
1 Lecture
15. Eye retina and nerves.
1 Lecture
16. Visual Field, Binocular Vision, Colour Vision
3x2 Practical
Examination of the visual system-1
3x2 Practical
Examination of the visual system-2
1 Lecture
17. External, middle and internal ear
1 Lecture
18. Auditory pathway, deafness
1 Lecture
19. Vestibule.
1 Lecture
20. taste and smell
3x2 Practical
Test of hearing, taste and smell
6x2 Tutorial
Neurophysiology
APPLIED PHYSIOLOGY
2 Lecture
Sports Physiology
2 Lecture
Physiology of elderly
2 Lecture
Physiology of children
2 Lecture
Electrolyte and acid base balance
2 Lecture
Blood
2 Lecture
Respiration
2 Lecture
Circulation
2 Lecture
Renal function
2 Lecture
Endocrine function
Page 50
Physiology

2
2
2
2
2
Lecture
Lecture
Lecture
Lecture
Exam
Gastrointestinal function
Reproduction
Central Nervous system function
Pain and emergencies
Incourse assessment
Summary
Activity
Lecture
Practical
Tutorial
Video
In course
Assessments
Total
Physiology
Term Term Term Term
Total
1
2
3
4
27
26
44
46
143
21
35
12
12
80
14
8
14
6
42
2.5
3
0
1.5
7
2
66.5
2
74
2
72
2
67.5
8
280
5.7.3. Reference
[Latest Editions]
1. An Introduction to Human Physiology. J.H.Green, 4th edition, Oxford: Oxford University
Press, 1976.
2. Review of Medical Physiology. William F Ganong, 22nd edition, Boston: McGraw Hill,
2005.
3. Textbook of Medical Physiology. Arthur C Guyton and John E Hall, 11th edition,
Philadelphia: Saunders, 2006.
4. Basic Clinical Physiology. J.H.Green, 3rd edition, Oxford: Oxford University Press, 1978.
5. SAMSON WRIGHTS Applied Physiology. Cyril A. Keele, Eric Neil and Norman Joels,
13th edition, Oxford: Oxford University Press, 1982.
6. Text book of Physiology. Donald Emslie-Smith, Colin R. Paterson, Thomas Scratcherd, and
Nicholas W. Read, 11th edition, Edinburgh: Churchill Livingstone, 1988.
7. Essentials of Medical Physiology. K. Sembulingam and Prema Sembulingam. New Delhi:
Jaypee Brothers, 2004.
Page 51
Physiology
5.7.4. Evaluation
Type of Examination
Distribution
of MarksFirst
examination
In course
Assessment:
20
End of the course
80
Distribution
of Markssubsequent
examinations
Qualifying
pass marks
(%)
100
2.1 MCQ
30
35
2.2 Essay
30
35
2.3 Practical
10
10
2.4 Viva
10
20
Page 52
Physiology
Details of
evaluationduration,
number of
questions. ect.
4 Assessment
per course each
of 1Hr duration
50 single
response & 30
multiple
response 3hrs
10 structured
questions-3 hrs
Assessment of
skills- 4 x 15
minutes
10 min /
student
40 % in
Essay &
MCQ
5.8. Synchronization Table of Main Preclinical Subjects

Term 1
Anatomy
Biochemistry
Physiology
General Anatomy Lectures
Dissection- Upper limb
Histology of cell and tissues
pH and buffers
Chemistry of carbohydrates
Chemistry of Lipids
Movement of substances across
membrane
General development of the

foetus
Chemistry of amino acids and proteins
Development of skin,
muscular system and skeletal
system
Enzymes
Gene expression and the protein
synthesis
Term 2
Biochemistry
Anatomy
Dissection- lower limb
[comparative learning with
upper limb]
Histology of Lymphatic
tissue
Development of body
cavities
Dissection- Thorax
Body fluids
Excitable tissue nerve

& muscle
Blood
Physiology
Immunoglobulin and immune reactions

Vitamins
Iron metabolism
Respiration
Haemoglobin
Development of Respiratory
system
Histology of Respiratory
system
Heart and circulation
Development of CVS
Histology of Cardiovascular
system
Mineral Metabolism
Page 53
Synchronization Phase I
Term 3
Biochemistry
Anatomy
Development of Digestive
system
Digestion and absorption
Dissection-Abdomen
Carbohydrate Metabolism
Histology of GIT &

associated glands
Histology of Endocrine
system
Lipid Metabolism
Development of urinary
system
Amino acid Metabolism
Dissection- Posterior
Abdominal wall
Principles of Nutrition
Histology of Urinary system

Development of genital
system
Food of plant and animal origin
Dissection-Pelvis
Development of pharyngeal
pouches, arches and clefts,
tongue, thyroid gland and
face
Dissection- Head and neck
Term 4
Biochemistry
Renal physiology
Physiology
Nucleic acid metabolism

Neurophysiology
Development of special sense

organs.
Dissection- Special senses
Energy balance &

Temperature regulation
Reproductive
physiology
Research
Anatomy
Gastrointestinal
physiology
Endocrine physiology
Eicosanoids
Serum enzymes of diagnostic value
Histology of Male and

female reproductive systems
Physiology
Molecular Techniques in Medicine
Histology of Special sense

organs
Development of CNS
Neuroanatomy dissection and
lectures
Seminar
Applied Physiology
Histology of CNS
Page 54
5.9. Summary of Hours Needed for Preclinical Course

Subject
Duration- weeks
Introductory
English
IT
PPDS
Community
Medicine
Anatomy
Biochemistry
Physiology
Total
Hours Available
Extra available
Intro
8
62
60
32
68
222
280
58
Term
1
11
Term
2
12
Term Term
3
4
13
10
28
12
16
0
135.5
75
66.5
317
385
68
10
161.5
52
74
313.5
420
106.5
13
171
171
72
427
455
28
Total
62
60
60
96
0
23
181.5 649.5
41
339
67.5
280
290 1569.5
350
60
Page 55
5.9. Medical Sociology

[Person in Charge- Head Sociology with Para Clinical coordinator]

This course is designed to provide medical students with a through
multidisciplinary, systematic and comparative knowledge on medical sociology. Medical
Sociology explores the interaction between health, society, culture and disease. The objective
of the course is to train medical students to analyze various aspects and complexities of health
from a multidisciplinary perspective to improve the health in their own society as well as other
societies at large. The students are encouraged to look for cultural, historical, environmental
and socio-economic roots of health problems. In order to achieve the defined goals students
will be introduced to four broader themes: Key concepts and approaches in medical
Sociology; research methods in medical sociology; health issues and health interventions.
The students are evaluated during the course by group presentation, term paper, quiz
and final examination based on structured essay questions at the end of the course. Students
should submit a term paper of no more than 20 pages in length (typed and double spaced.
Students will select an area of medical sociology in which they are interested. They should
discuss the topic with primary instructor before commencing the writing.
The students should pass the examination to be permitted to professorial appointments.
The subject contributes to outcome numbers 1 and 7 of the curriculum.

Hrs
Learning
Activity
Content
Term 5
1. Introduction to Sociology
Lecture
1.1 Definitions
1.2 Fields of Sociology in the Twenty-First
1.3 Key Concepts in Sociology
1.3.1 Society
1.3.2 Community
1.3.3 Culture
1.3.4 Socialization
1.3.5 Social Stratification& Social Inequality: (Race, Ethnicity,
Gender, Class& Regional Disparities)
Page 56
Sociology
Lecture
Lecture
Lecture
Lecture
Lecture
2. Social Institutions
2.1 Family
2.2 Marriage
2.3 Bureaucratic Institutions
3. History and Scope of Medical Sociology
3.1 The Growth& Development of Sociology in Public Health.
4. Health as Social Institutions
4.1 The Sociology of the Body
4.2 The Social Space of Illnesses, Culture and Illness Behavior
4.3 Culture and Healing System
4.4 Definition of Health
4.5 Dimension and Determinants of health
4.6 Social Conditions of Disease
4.7 Health seeking Behavior
4.8 Social stigma
4.9 Hospital as Social Organization
4.10 Medical Pluralism
4.11 Health Behavior and Life Styles
4.12 Poverty and Health
6. Health Social Psychology
6.1 Introduction to Health Social Psychology
6.2 Focusing areas
6.3 The biopsychosocial model
6.4 Some good and bad health Practices
7. Research Methods in Medical Sociology.
7.1 Qualitative Methods
7.2 Case Study Method
7.3 In-depth Interview
7.4 Qualitative data analysis& interpretation
7.5 Quantitative Techniques
7.6 Questionnaire Method
7.7 3Content Analysis
7.8 Participatory Methods
7.9 PRA
7.10 RRA
7.11 Transect walk
Page 57
Sociology

8. Doctor-Patient relationship
8.1 Patterns of doctor-patient relations
8.2 Patents Perspectives

2
Lecture
Lecture
Lecture
Lecture
Lecture
Lecture
Lecture
8.2 Male Physicians and Female Patients

8.3 Issues related to communication
8.4 Doctor-Patient Relations and New Technology
8.5 Issues related with Doctor-Patient Relationship
9. Social Work and Physical healthcare
9.1 Social Work in Contemporary World
9.2 The emergence of social work as a profession
9.3 Volunteering: A quest for the human spirit
9.4 Social Work: A Comprehensive Helping Profession
9.5 Social Work Practice with Families: Family dynamics, Family
problems; Family Therapy
10. History and Scope of Medical Sociology
10.1 The Growth& Development of Sociology in Public Health
11. Suicide as public health problem
11.1 Suicide Trends in Sri Lanka
11.2 Causes of Suicide
11.3 Types of Suicide
11.4 Mode of Suicide
11.5 Pockets of suicide
11.6 Gender and Suicide
11.7 Misconceptions about suicide
11.8 Prevention of Suicide
12. HIV/AIDS Vulnerability
12.1 Trends and magnitude of the issue
12.2 Socio-economic factors associated with HIV/AIDS
12.3 Empowerment of victims
13.Alcoholism
13.1 Alcohol problems
13.2 The impact of Alcoholism on social life
13.3 Social Aspects of Alcoholism
13.4 The prevention of Alcohol problems
14. Ageing& Health
14.1 The demography of Ageing
14.2Ageing in Sri Lanka
14.3 Social gerontology and old age
14.4 Psychology of Ageing
14.5 Heath Care & long-term care
Page 58
Sociology
Lecture
Lecture
Lecture
16.1 Malaria, Dengue & Human Behavior

16.2 History
16.3 Human behavior relevant to malaria & Dengue control
16.4 Human Behavior as risk factor for malaria&Dengue
16.5 Implication for control strategies
16.6 Research Issues
17. Globalization, Consumption &Health
17.1 What is Globalization?
17.2 Main Features of Globalization
17.3 Globalization & food consumption
17.4 Fast Food Culture
17.5 Mechanisms of globalization of food
17.6 Impact on health
18. Sociology of Violence & Conflict Management
18.1 Domestic Violence
18.2 Child Abuse
18.3 Violence against women
18.4 Managing the violence
19. Health Care Reform, Policy and Disease Control Priorities in
Developing Countries
Lecture
19.1 Health challenges, health needs and health care practices of the
world
19.2 Politics and Health Institutions
19.3 The Sri Lankan Health Care System: Issues and Challenges
5 Term Paper
5 Discussion
5 Presentation
Summary
Lectures
Term Paper
Discussions
Presentation
Total
Term
5
47
5
5
5
62
Term
6
Term
7
Total
47
5
5
5
62
Page 59
Sociology
5.9.3. References
Annandale, Ellen.1998. The Sociology of Health and Medicine: A Critical Introduction.
Cambridge: Polity Press.
Atchley, Robert C.2000. Social Forces and Ageing. New York: Wadsworth.
Cockerham, William C. (2011) Medical Sociology. 12th ed. Englewood Cliffs, NJ: Printice
Hall.
Cockerham, William C. (ed.) (2005) the Blackwell Companion to Medical Sociology.
London: Oxford
Cockerham, William C. Michael Glasser. (2001) Readings in Medical Sociology. 2nd edition,
Upper Saddle River: Prentice Hall.
David Armstrong. (1994).Outline of Sociology: As Applied to Medicine. 4th edition, Hodder
Arnold: London.
Doyal, Lesley.1995.What Makes Women Sick: Gender and the Political Economy of Health.
London: Macmillan.
Ort-Gomer, K. And M.A.Chesney.1997. Social Stress/ Strain in Heart Disease in
Women.Desmond.J. and Wenger,N.K(eds.), Women and Heart Disease.
Gillian Bendelow, Lynda Birke and Simon Williams (2003) Debating Biology: Sociological
Reflections on Health, Medicine and Society. Routledge: London.
Hannah Bradby. (2008). Medical Sociology: An introduction. Sage Publications: London.
Jonathan Gabe, Mike Bury and Marry Ann Elston. (2006)Key Concepts in Medical Sociology.
Sage Publication: London.
Karunatissa Athukorala (1998). Suicide Problem & Prevention. Graphic Land: Kandy.
Morales, Armando T. and Sheafor, Bradford. (2009). Social Work: A Profession of Many
Faces. 11th edition. Bostgon, Mass. Allyn and Bacon.
Pence, Gregory E. (2007) Recreating Medicine: Ethical Issues at the frontiers of Medicine.
Lanham, MD: Rowman and Littlefield.
Peter Conrad. (2005) Sociology of health and illness, 7th editions. New York:Wadsworth
publishers.
Phil Brown. (2007) Perspectives in medical sociology 4th edition, Illinosis: Waveland Press.
Porter, Dorothy. (1997) Social Medicine and Medical Sociology in the Twentieth Century.
Welcome Institute for the History of Medicine: London.
Page 60
Sociology

Doyal, Lesley.1995.What Makes Women Sick: Gender and the Political Economy of Health.
London: Macmillan.
Ort-Gomer, K. And M.A.Chesney.1997. Social Stress/ Strain in Heart Disease in
Women.Desmond.J. and Wenger,N.K(eds.), Women and Heart Disease.
Gillian Bendelow, Lynda Birke and Simon Williams (2003) Debating Biology: Sociological
Reflections on Health, Medicine and Society. Routledge: London.
Hannah Bradby. (2008). Medical Sociology: An introduction. Sage Publications: London.
Jonathan Gabe, Mike Bury and Marry Ann Elston. (2006)Key Concepts in Medical Sociology.
Sage Publication: London.
Karunatissa Athukorala (1998). Suicide Problem & Prevention. Graphic Land: Kandy.
Morales, Armando T. and Sheafor, Bradford. (2009). Social Work: A Profession of Many
Faces. 11th edition. Bostgon, Mass. Allyn and Bacon.
Pence, Gregory E. (2007) Recreating Medicine: Ethical Issues at the frontiers of Medicine.
Lanham, MD: Rowman and Littlefield.
Peter Conrad. (2005) Sociology of health and illness, 7th editions. New York:Wadsworth
publishers.
Phil Brown. (2007) Perspectives in medical sociology 4th edition, Illinosis: Waveland Press.
Porter, Dorothy. (1997) Social Medicine and Medical Sociology in the Twentieth Century.
Welcome Institute for the History of Medicine: London.
Journals on Health
American Journal of Public Health
Journal of the American Medical Association (JAMA)
Journal of the American Sociological Association (JASA)
Journal of Health and Social Behavior
Journal of Medicine International
Journal of Social Science and Medicine
Journal of Epidemiology and Community Health
Journal of Occupational Medicine
Journal of Gerontology
Journal of Social and Clinical Psychology
Reproductive matters
Culture, Medicine and Psychiatry: An International Journal of Comparative Cross- Cultural
Research
New England Journal of Medicine
ETHOS Journal of Psychological Anthropology
International Family Planning Perspective
Page 61
Sociology

WHO Publications
Sri Lankan Ministry of Health and Indigenous Medicine Publications
Useful websites
Human Development report: http://hdr.undp.org/reports/
SocioSite: Sociology of Health:http://www.sociosite.net
World health report: http://www.who.int/whr/en/
Bulletin of the world health organization: http://www.who.int/bulletin/en/
World development report: http://www.worldbank.org/reference/
Gender and health: http://www.id21.org/health/h9vb1g1.html
http://www.reproductiverights.org/pub_bo_wowsa.html
The American Sociological Association Medical Sociology:
http://dept.kent.edu/socilogy/asamedsoc/
Centers for Diseases Control and Prevention, Bioterrorism:
http://www.bt.cdc.gov
Doctor-Patient Interaction Internet Sites
Centre for Communication Programs, Johns Hopkins University.
http://www.jhuccp.org
Diversity Rx.
http://www.diversityrx.org
National Association of social workers (NASW)
www.socialworkers.org
Social Work--The New Social Worker Online--Magazine for Social work articles, social work
jobs, and more.
www.socialworker.com
Source for Social Work professional advice, inspiring stories
www.helpstartshere.org
5.9.4. Evaluation
In Course assessment
Group Presentation
Term Paper
Quiz
End of course Assessment
4 SEQ - 2 hours
40%
10%
20%
10%
60%
Page 62
Sociology
5.10. Microbiology
[Person in Charge- Teacher in charge of Microbiology]

The course is designed to provide basic knowledge of scientific basis of Microbiology
which includes General Microbiology, Bacteriology, Virology, Mycology, Immunology and
Clinical Microbiology in relation to pathogenesis, laboratory diagnosis, prevention and
treatment of infective diseases and basic practical skills in staining and microscopy relevant to
the diagnosis of bacterial infections.
At the end of the course in general microbiology the students should be able to,
Classify the Micro organisms & define the terminology commonly used in Medical
Microbiology
Describe the mechanisms of Bacterial infections
Describe the morphology & physiology of bacteria
Compare & contrast various sterilization, disinfection, antisepsis methods and describe
their practical uses
Compare & contrast the major antibacterial substances & describe the positive &
negative aspects of each
Outline the flow of bacterial genetic information & Resistance formation
At the end of the course in immunology the students should be able to,
State the Cells of immune system and their organization
Outline the antigen recognition and processing of antigens
Outline the HLA system
Classify the Immunoglobulins and state the structure, role in defense and disease
Describe the antigen-antibody (receptor) reactions: mechanisms, consequences
(Protective immunity disease, diagnostic use) different ways or detecting antigenantibody reaction agglutination, complement fixation, precipitation, ELISA, RIA
Immunoflourcence etc and their application in clinical practice.
Outline the immune response: Primary and secondary
Describe the immunopathology: Hypersensitivity: classification and mechanisms
Describe the immune reaction in relation to infective disease: preventionimmunization (active & passive), treatment, immunotherapy & diagnosis-serology,
antigen detection
At the end of the course in bacteriology the students should be able to,
Describe bacteria of medical significance with regard to pathogenicity and culture
requirements in relation to collection and transport of specimen
Discuss antigenic structure in relation to identification, pathogenecity and specific
prophylaxis
Describe the resistance to physical and chemical agents and antibiotic sensitivity
pattern
Compare and contrast the methods of laboratory diagnosis
Page 63
Microbiology

At the end of the course in mycology the students should be able to,
Describe the General properties, structure in relation to identification, growth,
antifungal drugs, and mechanisms of pathogenicity of medically important fungi
At the end of the course in clinical microbiology the students should be able to,
Describe the normal flora of human body in relation to collection of specimens,
interpretation of tests, endogenous infections and cross infections
Describe microbiological investigation of infective diseases and interpretation of
results with respect to the concepts of sensitivity, specificity, predictive value and
efficiency.
Describe the infections of CNS, RT, GIT and UR and STD in relation to epidemiology,
pathogenisis, collection of specimens, clinical presentation, diagnosis & preventive
measures
At the end of the course in virology the students should be able to,
Discuss the epidemiology (including transmission, seasonality [if applicable],
typical age group affected, etc), clinical manifestations, and laboratory diagnosis
(including specimen collection, tests commercially available, and the advantages
& disadvantages of those tests) of infection
The teaching &learning methods include lectures, practical classes, student
centered tutorials and video shows. Handouts are given to the students prior to the
lectures. The lectures are interactive with questions are asked during the lectures and
depending on the student response, topics are given to small group s of students to
prepare and deliver 5 minute presentation at the next lecture.
Students are evaluated by three different types (SEQ, MCQ, OSPE) of in course
assessments before the end course assessments.
The course of Microbiology contributes to 1, 2, 3, 4, 7 and 9 of the outcomes of
the curriculum
Term 5
1
1
1
1
1
1
2
1x4
1x4
Lecture
Lecture
Lecture
Lecture
Lecture
Lecture
Lecture
Tutorial
Practical
General Microbiology
Morphology and Nature of Bacteria
Classification of Micro organisms
Growth and Nutrition of Bacteria
Mechanisms of Bacterial infection
Sterilization and disinfection
Bacterial genetics
Antimicrobial agents
General Microbiology
Microscopy
Page 64
Microbiology

1x4 Practical
1x4 Demonstration
1
1
1
1
1
1
1
1
1
1
1
1
1x4
Lecture
Lecture
Lecture
Lecture
Lecture
Lecture
Lecture
Lecture
Lecture
Lecture
Lecture
Lecture
Tutorial
Sterilization & disinfection

Gram staining
Basic and Applied Immunology
Innate and Acquired Immunity
Recognition and processing of antigens
Cells of the immune system and their organization
Immunoglobulins
Antigen Antibody reactions
Humeral antibody response
Cell mediated immunity
Cytokines and their role in the immune response
Hypersensitivity reactions
Auto immune diseases
Immuno-deficiency diseases
Immunization: Active & passive
Basic and Applied Immunology
Term 6
1
1
1
Lecture
Lecture
Lecture
Systematic Bacteriology
Staphylococcus
Streptococcus
Gram negative cocci
Lecture
Parvobacteriaceae(haemophilus, Brucella, Bordetella, Pasteurella,

Legionella, Yesinia)
Lecture
Enterobacteriaceae- (Salmonella, Shigella and other

Enterobacteriaceae)
1/2 Lecture Gram negative bacilli ( Pseudomonas )

1x4 Practical Gram staining(G-ve and +ve organisms)
1/2 Lecture
1 Lecture
1x4 Tutorial
1
Lecture
Aerobic Gram positive bacilli- (Corynebacteria, Listeria)

Anaerobic Gram positive bacilli
Systematic Bacteriology
Curved Gram negative bacilli- (Vibrio, Helicobacter,
Campylobacter)
1/2
1
1
1x4
Lecture
Lecture
Lecture
Practical
Actinomycetes, Nocardia
Mycobacteria
Spirochaetes- (Treponemes, Leptospira and Borrelia)
Acid Fast staining
Page 65
Microbiology

1/2
1
Lecture
Lecture
1
1
1
1
1
1
Lecture
Lecture
Lecture
Lecture
Lecture
Lecture
Mycoplasma,Ureaplasma
Chlamydia and Rickettsiae
Mycology
Introduction to mycology- (General properties of fungi, medical
importance,culture and identification)
Superficial mycoses
Candida infections
Subcutanious mycoses
Systemic mycoses
Aspergilus, other Filamentous fungi and opportunistic infections
Demonstration of skin scrapings and KOH mount. Gram staining

1x4 Practical for fungi
1x4 Tutorial Mycology
Virology
1 Lecture General properties of viruses
1 Lecture Laboratory techniques in diagnostic virology
1 Lecture Pox,Adeno,Parvo ,Papova viruses
1 Lecture Herpes viruses
1 Lecture Retro viruses
1 Lecture Arbo viruses
1 Lecture Respiratory viral infections
1 Lecture Enteric viruses
1 Lecture Hepatitis viruses
1 Lecture Oncogenic viruses
1x4 Tutorial Virology
Demonstration of common serological tests (SAT, ELISA, Rapid
1x4 Practical methods)
Term 7
Clinical Microbiology
1
2
1
1x4
2
1
1
Lecture
Lecture
Lecture
Practical
Lecture
Lecture
Lecture
Hospital Acquired Infections

Respiratory Infection
Antimicribial use in clinical practice
ABST
Anaerobic infections
UTI
CNS infections
Page 66
Microbiology

2
1
2
1
1
1
2
1
2x4
Lecture
Lecture
Lecture
Lecture
Lecture
Lecture
Lecture
Lecture
Tutorial
STD
Infections in pregnancy , fetus and neonates
Gastrointestinal infections
Skin, wound and soft tissue infections
Collection and transport of specimens
Infections in the compromised host
Zoonotic diseases
Emerging infections
Clinical Microbiology
Sputum examination (Gram staining, culture and ABST) and

2x2 Practical demonstration of Pneumococci and Mycobacterium Tuberculosis
1x4
1x5
1x6
1x7
Practical
Practical
Practical
Practical
Demonstration of Lumbar puncture, collection of CSF, storage and

transport
Demonstration of collection of Blood, transport and culture
Demonstration of throat swab, transport and culture
Demonstration of urine collection, transport and culture
Summary
Lecture
Tutorial
Practical
Total
Microbiology
Term 5
Term 6
20
28
2
3
3
4
25
35
Term 7
19
2
7
28
Total
67
7
14
88
5.10.3. References
Textbooks
1. Medical Microbiology. Greenwood, D. Slack, R.C.B. and Peutherer, J.F. 16th edition,
Edinburgh: Churchill, Livingstone, 2004.
2. Review of Medical Microbiology and Immunology. Levinson, W and Jewetz, E., 9th
edition, New York: Appleton & Lange, 2006.
3. Medical Microbiology. Mims, C., Dockrell, H.M., Goering, V.R., Roitt, I., Wakelin, D.
and Zuckerman, M., 3rd edition, Edinburgh: Elsevier, 2004.
4. Human Virology. Leslie Collier and John Oxford, 3 rd edition, New York: Oxford
University press, 2006.
5. Notes on Medical Bacteriology. Sleigh, D.J. and Timbury, M.C, 5th edition, New York:
Churchill Livingstone, 1998.
6. Roitts Essential Immunology. 10th edition, Massachusetts : Blackwells,2001
Reference Books
Page 67
Microbiology

1. Principles and of Infectious Diseases Vol 1&2. Mandell, G.L., Bennett, J.E. and Dolin, R,
6th edition ,Philadelphia :Churchill Livingstone, 2005.
2. Text book of Microbiology. Ananthanarayanan, R. and Panikar, C.K., 6th edition, India:
Orient Longman Ltd, 2000.
3. Medical Microbiology. Murray, P.R., Rosenthal, K.S. and Pfaller, M.A, 5th edition,
Philadelphia: Elsevier, 2005.
4. Cellular and Molecular Immunology. . Abbas, A.K., Lichtman, A.H. and Pober J.S, 4th
edition, Philadelphia: W.B. Saunders Company, 2000.
5. Mahttp://www.immunizationinfo.org/
6. www.immunofacts.com
7. www.who.int/vaccines/
8. www.partnersforimmunization.org/
9. www.acpm.org/adult.htm
5.10.4. Evaluation
Type of Examination
1
2
2.1.
2.2.
2.3.
2.4.
In course
Assessment:
End of the course
MCQ
Essay
OSPE
Viva
Distribution
of MarksFirst
examination
Distribution
of Markssubsequent
examinations
100
35
35
15
15
Page 68
Microbiology
Qualifying
pass marks
(%)
3 assessments- Essay,
MCQ and OSPE
20
80
30
30
10
10
No. of hrs No. of
question etc.
30 questions-1hr 30 min
4 questions-2hrs
1 Hour
10 min/ student
40 in
theory
5.11. Parasitology
[Person in Charge- Person in Charge of Division of Parasitology]

The aim of the course is to develop basic knowledge and skill to identify the parasites,
diagnose the diseases caused by them, manage the patients, prevent and control parasitic
diseases. At the end of the course the students should be able to,
State the definitions and classification of parasites
Describe the geographical distribution, life cycle, morphology at different stages,

sources of infection and mode of transmission of each parasite with a view of prevention
and control of parasitic diseases.
Identify the parasites at different stages of life cycle, their vectors and hosts by
macroscopic or microscopic examination as appropriate.
List the organs or the systems affected by the parasites and describe the pathogenesis,
signs and symptoms
Describe the sample collection methods, transport and laboratory diagnosis of parasitic
diseases.
Perform stool examination for intestinal parasites and blood smear staining for malaria
and filarial parasites.
Outline treatment of parasitic illnesses and management of patients.
Describe the prevention and control of each parasitic illness
Describe the parasitic zoonotic diseases
Identify the medically important snakes and the basis of management of snake bite.
Motivated to use the knowledge and skills obtained in the subject to understand the
problems and management of their patients during clinical clerkships at the Teaching
Hospital.
The teaching / learning methods include lectures, practical classes, tutorials and
modified small group discussions. Students are encouraged to actively participate in the
activities. Handouts and copies of power point presentations are given to students as learning
materials.
Students are evaluated by two in course assessments and end of course assessments.
Formative evaluations will be conducted frequently and the answers will be discussed with the
students.
The course in Parasitology contributes to 1, 2, 3, 4, 7, and 9 of the outcomes of the
curriculum.
Page 69
Parasitology

Term 6
Protozoa
1
1
1
1
1
1
3
Lecture
Lecture
Lecture
Practical
Practical
Practical
SGD
3
1
1
3
1
1
1
1
1
3
Lecture
Practical
Practical
Lecture
SGD
Lecture
Lecture
Lecture
Practical
Practical
SGD
Alimentary system
Amoebiasis
Amoebiasis + Balantidiasis
Giardiasis + Cryptosporidiosis
Use of microscope [4 groups 45 min each]
Amoebiasis [4 groups 45 min each]
Balantidiasis+ Giardiasis [4 groups 45 min each]
Diarrhoea - 4 groups
Blood and other organs
Malaria
Malaria (Demonstration) [4 groups 45 min each]
Malaria (staining) [4 groups 45 min each]
Malaria [4 groups]
Leishmaniasis
Trypanosomiasis
Toxoplasmosis
Leishmaniasis + Trypanosomiasis [4 x 45 min each]
Trypanosomiasis + Toxoplasmosis [4 x 45 min each]
Leismaniasis [4 groups]
Reproductive system
Trichomoniasis
Term 7
Helminthes
1
1
1
1
Lecture
Lecture
Lecture
Practical
3
1
1
1
3
1
SGD
Lecture
Lecture
Lecture
Practical
Lecture
Alimentary system
Ascariasis & Trichuriasis
Hookworm disease & Strongyloidiasis
Enterobiasis, Trichinellosis
Ascariasis & Trichuriasis + Hookworm disease+
Enterobiasis & Trichinellosis [4 groups 45 min each]
Nematodes
Adult cestodes
Hydatid disease & cysticercorsis
Larvae migrans
Adult cestodes + Hydatid disease [4 groups 45 min each]
GI tract Trematodes
Page 70
Parasitology
1
1
1
1
1
1
3
3
Lecture
Practical
Lecture
Lecture
Practical
Practical
SGD
SGD
1
1
1
1
3
1
1
1
3
Lecture
Lecture
Lecture
Practical
SGD
Lecture
Lecture
Practical
SGD
Blood & Lymphatic system

Schistosomiasis + Other trematode
Trematodes
Lymphatic filariasis
Lymphatic filariasis + Tropical Pulmonary eosinophilia
Filariasis
Stool examination
Nematodes
Cestodes & Trematodes
Arthropods
Mosquitoes
Mosquito control
Flies+ Myasis
Mosquitoes + Flies [4 groups 45 min each]
Mosquitoes + Mosquito control
Scabies+ Typhus mite
Lice+ Fleas + Ticks
Scabies + Lice+ Fleas + Ticks [4 groups 45 min each]
Ectoparasites
Lecture
Lecture
Practical
SGD
Snakes
Snakes classification & identification
Snake bite treatment & management
Snakes [4 groups 45 min each]
Snake bite
Lecture
SGD
Zoonosis
Parasitic Zoonosis
Parasitic Zoonosis
1
1
1
3
1
3
Summary
Term 5
Lecture
SGD
Practical
Total
Term 6
10
3
7
20
Term 7
18
7
10
35
Total
28
10
17
55
Page 71
Parasitology

5.11.3. References:
Textbooks
1) Text book of Medical Parasitology. C K Jayaram Paniker, 6th edition, New Delhi: Jaypee
Brothers, 2007.
2) Parasitology (Protozology and Helminthology) in relation to clinical Medicine. Chatterjee,
K.D, 12th edition, Calcutta: Chatterjee medical publishers, 1980.
3) Basic Clinical Parasitology. Franklin A Neva, 6th edition, East Norwalk: Prentice Hall
International Inc, 1996.
4) Entomology for students of Medicine. Gordon R M and Lavoipierre M M J, Blackwells
Scientific Publications, 1978.
Reference Books
1) Mansons Tropical Diseases. Gordon Cook and Alimuddin Zumla, 21st edition, Saunders,
2002.
2) Toply and Wilsons Microbiology and Microbial Infections.Volume 5. 10th edition, ASM
Press, 2005.
5.11.4. Evaluation of Parasitology
Type of Examination
1
In course
Assessment:
2
2.1.
2.2.
2.2.1
End of the course

Essay
Practicals:
Stool
Examination
2.2.2 Spots
2.3. Viva
Distribution
of MarksFirst
examination
Distribution
of Markssubsequent
examinations
15
85
50
100
60
4 questions-2hr
20
20
20 min/group
5
10
5
15
20 min/group
10 min/ student
Page 72
Parasitology
Details of evaluationNo. of hrs No. of

question etc.
2 Theory Papers + 2
Spots
Qualifying
pass marks
(%)
40%
5.12. Community and Family Medicine

[Person in Charge- Head Community Medicine]

The objective of the course is to develop knowledge, skills and attitudes of the students
to be able to improve individual, family and community health and disease prevention. At the
end of the course the students should be able to,
Describe the health information systems.
Obtain and interpret the health statistics and demographic data with emphasis on trends.
Assess evidence with respect to validity and reliability and arrive at conclusions by way
of logical deductions.
Describe the epidemiology, prevention and control the communicable diseases and noncommunicable diseases.
Identify illnesses that are prevalent in the community and health issues of the
community and institute appropriate remedial and control measures.
Identify social factors in the society that affect health and implement preventive,
curative and rehabilitative measures at community and social level.
Describe the interaction between people and the environment in relation to health and
diseases and improve the interaction in a way to improve the health of the people while
preserving the nature.
Describe the factors that contribute to reproductive health and implement measures to
improve it through sex education, family planning and maternity and child health.
Exhibit leadership skills and work as a leader or a member of a team depending on the
situation.
Describe local and international health care strategies and systems.
Describe health promotion methods available for individuals, families and community,
implement them and evaluate the activities.
Describe the appropriate food and nutrition for all stages of life and disease conditions
and the importance of good food to maintain good health and disease prevention and
control.
Develop good food habits that promote the quality of life and health out of locally
available and affordable food.
Describe and practice ethical and legal issues relating to doctor-patient relationship,
interactions with other health professionals and with the society as a whole.
Develop, maintain and promote personnel characteristics and attitudes for a career as a
health professional.
Page 73

The teaching / learning activities include lecture-discussions, tutorials, research,
seminar, family attachment, field activities, case studies, and visits to community health
institutions and attachment to primary health care institutions and administrative offices.
The lecture-discussions vary from traditional lecture to working out solutions to

statistical and community problems. Tutorials are open discussions with students.
Research is undertaken by students singly or in small groups on any field of interest after
a series of lectures on research methodology. The research is supervised jointly by one
staff member of the Department of Community Medicine and a senior teacher or
professional relevant to the field of research.
With regard to seminar, students are expected to prepare 10 minute presentation on a

topic of their interest followed by a short question time. The assessment includes the
ability to answer questions.
With regard to family attachment, students in groups of two or three are allocated a
family in the Community Project Area [Nallur MOH area] that has health problems.
The students have to follow the progress of the family and submit a report.
For field activity, each student should identify a health related problem and carryout an
activity to solve it such as health education, environmental sanitation etc.
For case studies, students select three cases seen by them during their clinical
appointments and follow them in the wards and at home and submit a report about their
progress. The three cases have to be from any three of the following groups:
malnourished child, a communicable disease, patient with chronic illness, a pregnant
mother with complication, or a case identified by a consultant.
Institutional visits are study tours organized by the department to big institutions of
health concerns like factories for occupational health demonstrations, orphanages and
institutions for differently abled children or persons. Students are given detailed
objectives for the visit of each institution.
Clinical attachments include attachment to primary health care institutions with

emphasis on practice of Family Medicine as there are no dedicated family practice
centres in the district. Also, students will follow the Preventive and MCH activities of
the department in the project area and learn health administration by posting to RDHS
office and Directors office, and a Divisional Hospital.
Intermittent written examinations are conducted on the theoretical aspects. The
research, family attachment and case study are evaluated on the reports submitted by
individual students at the end of the work and a viva on the work they have done. The seminar
is marked as they make the presentation. Field activity is supervised by a staff member and
marked. The students are evaluated by MCQ after visiting various institutions.
The course contributes to all the outcomes of the curriculum except outcome number 6.
Page 74

Phase 1
Term 2- Principles of Community Medicine
1
Lecture
Health care services

Definition of health; concepts of disease; determinants of
disease; disease
Lecture
Prevention at different levels; definition and components of

Primary Health Care
Lecture
Organizational structure of health delivery systems and

health manpower in Sri Lanka
Lecture
Burden of disease (Morbidity & Mortality)
Lecture
Statistics
Appropriate summary statistics and graphical methods for
describing a data set
1
1
Lecture
Lecture
Sociology
Family, structure & Function
Relationship between patient, family and community
Lecture
Social stratification, Social class & social mobility

Summary
10 Lectures
Term 3- Community Survey

4
6
2
1
Lecture
Visit
Seminar
Exam
Introduction to survey methods

Community visit for survey
Survey Findings
In-course assessment
Summary of Phase I
Activity
Lecture
Field visit
Seminar
Exam
Total
Term
1
Term
2
10
10
Term
3
4
6
2
1
13
Term
4
Total
10
20
30
Page 75
Phase II
Term 5
Demography 1
Definitions
Factors affecting size and composition of the population
Sources and collection of vital statistics
Statistics 1
Appropriate summary statistics and graphical methods for
describing a data set
1
1
1
Lecture
Lecture
Lecture
Lecture
Lecture
1
2
1
Lecture
Lecture
Lecture
Normal distribution
Basic Epidemiology 1
Concepts
Measures of morbidity and mortality
Certification of Death & its importance
Lecture
Lecture
Epidemiological study designs (descriptive, analytical,

trials, and experiments)
Surveillance
4
1
Term 6
1
2
Lecture
Lecture
Lecture
Child Care
Child care- the need
EPI
1
2
2
2
Growth monitoring
Nutrition
Discussion Basic Nutrition
Lecture
Common nutritional problems
Lecture
Causes and prevention of Malnutrition
Lecture
Nutritional assessment
1
2
1
Reproductive Health1
Definition & concepts
Family health programme in Sri Lanka
Safe motherhood
Lecture
Lecture
Lecture
Lecture
1
1
Lecture
Lecture
Environmental & Occupational Health 1

Sources and effects of environmental pollution & ,
prevention
Food safety and sanitation
Housing, water supply
Page 76
Term 7
1
1
1
1
4
3
3
2
2
1
Lecture
Lecture
Lecture
Lecture
Lecture
Lecture
Lecture
Lecture
Lecture
Lecture
Communicable Diseases
Epidemic, endemic, and pandemic diseases
Notification
Investigation of an epidemic
Control and prevention of diarrhoeal diseases
Food borne diseases
Vector borne diseases
Air borne diseases
Sexually transmitted diseases
Zoonosis
Skin diseases
1
2
Lecture
Lecture
Health Planning &Management 1

Health indicators
National health information systems
1
1
Lecture
Lecture
Health Economics 1
Introduction
Different models
Lecture
Lecture
Lecture
Health Education 1
Definition& concepts
Health belief model
Health education materials
1
1
1
1
2
Lecture
Lecture
Lecture
2
1
Lecture
Lecture
Family Medicine 1
The principals of Family practice
Specific health problems related to stages in the individual
family life cycle
Concept of the doctor patient relationship in family
practice & process of consultation in primary medical care
Principles of patient management & prescribing
Patient compliance & factors that influence it
Page 77
Phase III
Term 8
1
1
1
1
1
1
1
1
5
Lecture
Lecture
Lecture
Lecture
Lecture
Lecture
Lecture
Lecture
Research
Research 1
Types of research (qualitative and quantitative)
Stages in research project
Literature survey
Writing objectives
Writing references
Writing project proposal
Preparing questionnaire
Ethics in Research
Writing and submitting research proposal
2
3
4
Lecture
Lecture
Lecture
Statistics-2
Confidence intervals
Sampling methods and Sample size calculation
Tests of statistical significance
3
1
2
30
30
30
96
24
48
Basic Epidemiology-2
Lecture
Determining factors in causation of disease
Lecture
Quality of data
Lecture
Concept of screening
Elective Field activities
Student identify a health related problem and carryout an
Field
activity such as health education, environmental sanitation
activity
etc
Students select three cases seen by them during their clinical
appointments and follow them in the wards and at home and
submit a report about their progress. The three cases have
Case study to be from any three of the following groups: malnourished
child, a communicable disease, patient with chronic illness,
a pregnant mother with complication, or a case identified by
a consultant.
Students in groups of two or three are allocated 1 family.
Family
attachment They have to follow the progress and submit report.
Clinical attachment
Clinical
Community Medicine Clerkship- 22 visits
Health centre- 1 week
Clinical
Clinical
PU, Kopay- 1 week
Page 78
Term 9
1
1
2
1
1
1
1
Lecture
Lecture
Lecture
Lecture
Lecture
Lecture
Lecture
1
1
1
60
Lecture
Lecture
Lecture
Research
Non Communicable Diseases

Disease surveillance
Prevention programmes
Diabetes
Cardio vascular diseases
Cancer
Mental health
Others
Research-2
Data Collection technique
Preparation of questionnaire
Writing research project report
Data collection, analysis and submission of the report
1
1
1
1
Lecture
Lecture
Lecture
Lecture
Statistics-3
Presentation of data
correlation coefficient and linear regression
standardization of mortality and morbidity statistics
Standardization of mortality and morbidity statistics
Term 10
2
1
1
3
Lecture
Lecture
Lecture
Lecture
Reproductive Health-2
Maternal and child health services
Prevention of maternal deaths
Nutrition and MCH
Family planning and fertility control
2
1
2
1
1
1
1
Lecture
Lecture
Lecture
Lecture
Lecture
Lecture
Lecture
Environmental & Occupational Health-2

Housing, water supply
Urbanization and industrialization
Disposal of refuse & excreta
Food and Drug control
Environmental laws and legislations
Disability
Substance abuse
Lecture
Lecture
Lecture
Health Planning &Management-2

Planning process
Monitoring and evaluation of health programmes
Inspection and supervision
2
1
1
Page 79

1
Lecture
Evaluating health care quality
1
1
Lecture
Lecture
Health Economics-2
Current health expenditure pattern in Sri Lanka
Future challenges in health financing
1
1
Lecture
Lecture
Health Education-2
Health promotion and COMBI
Health education programmes
2
2
Lecture
Lecture
Lecture
Family Medicine- 2
Caring for an ill person in the home
Medical records in family practice
Management of terminally ill patient, death and
bereavement by the family physician
Lecture
Prescribing & writing prescriptions
Term 11
1
1
1
1
Lecture
Lecture
Lecture
Lecture
Reproductive Health-3
Adolescent health
School health services
Gender issues
Well Woman Clinics
2
1
Lecture
Lecture
Environmental & Occupational Health-3

Occupational health
Disaster management
Lecture
Lecture
Health Planning &Management- 3

Administrative management in a institution
Financial management in a institution
Lecture
Lecture
Lecture
Family Medicine- 3
Organization of a family practice
Management of Common conditions
Sexual problems in General Practice
Lecture
Lecture
Lecture
Lecture
Lecture
Special topics
Millennium Development Goals
Accidents
International health regulations
Problems of the elders & care
War and Public health
2
2
2
10
1
1
2
1
2
1
2x10 Tutorial
All topics
Page 80
Family Medicine
Panel
Sexual problems in General Practice
Discussion
Panel
Ethics and Legal implications related to patient care
Discussion
2
2
Workshop
Workshop
Prescribing & prescription writing

Writing medical certificates & certification of death
Summary of Phase II and III

Lecture
Tutorial
Field work
Research
Seminar
Clinical
Total
Term
5
16
Term
6
19
Term
7
35
Term
8
23
0
90
5
0
Term
9
15
0
0
60
0
Term
10
31
0
0
0
0
16
19
35
118
75
31
Term
11
Total
31
170
10
10
0
90
0
65
8
8
288
49
631
5.12.3. References:
FIELD WORK
Hand out prepared by the Department of Community Medicine.

TEXT BOOKS [Students are advised to use the last edition]
1. Parks Textbook of preventive & social medicine. Park.K, 19th edition, Jabalpur:
Banarsidas Bhanot, 2007.
2. Practical epidemiology. Barker D J P. and Hall A J, 4th edition, Edinburgh: Churchill
Livingstone, 1991.
3. Lecture notes on epidemiology and Public health medicine. Richard Farmer and Ross
Lawrenson, 5th edition, Oxford: Blackwells publishing, 2004
4. Bradford Hills Principles of medical statistics. Austin Bradford Hill and Hill I D. New
Delhi: B I Publications, 1991
5. Statistics at square one. Swinscow T D V, London: British Medical Association, 1978.
6. Occupational Health An introductory course for Health workers. Herath H M S S D
(Ed). Sri Lanka: Ministry of Health, 1990
7. Survey methods in Community Medicine: Epidemiological studies, Programme
evaluation, clinical trials. Abrahamson J H. 4th edition, Edinburgh:
Churchill
Livingstone, 1990
Page 81

8. Learning Research. Sivagnansundram C. 2nd edition. Jaffna: Published by author 2003
9. Lecture Notes in Family Medicine. Nandani de Silva, Colombo: Published by author,
2000.
REFERENCE BOOKS
1. International Statistical Classification of Diseases and related Health Problems. 10th
Revision, Geneva: World Health Organization 1994. (ICD 10)
2. International Statistical Classification of Diseases 9th Revision, Geneva: World Health
Organization 1975. (ICD 9)
3. Oxford Text Book of Public Health 4th edition. Edited by Roger Detels et al. New York:
Oxford University, 2002.
4. Theory and Practice of Public Health. Hobson W. 5th Edition, Oxford: Oxford University
Press.1980.
5. Essentials of Family Medicine. 5th edition, Edited by: Slone DP et al, Philadelphia:
Lippincott, 2007.
6. SLMA guidelines and Information on vaccines. Sri Lanka Medical Association, Colombo,
2008.
5.12.4. Evaluation
Type of
Examination.
Distribution
of MarksFirst
examination
15
Field activity
Case studies
Family study
6
7
End course
written paper.
Viva
Written paper (1hour)

mainly on clearkship.
Project report and viva.
Report and field
assessment
Report and field
assessment
Report and field
assessment
50
70
3 hr, 6 questions.
10
30
20 min./student.
Page 82
Qualifying
pass marks
(%)
Phase I
Clerkship
Assessment
Research Project.
Distribution
of MarksDetsails of Evaluation.
subsequent
examinations
40 % for
each
component
40
5.13. Forensic Medicine

[Person in Charge- Head Forensic Medicine]

The objective of the course in forensic medicine is to develop adequate knowledge,
skills and attitudes to enable the students to fulfill the medico-legal obligations. At the end of
the course the student should be able to,
Describe the basic forensic procedures, supervise them and interpret the result.
Describe the ethical issues in medical practice and the bodies that govern the
adherence to the ethical practices.
Perform postmortem, describe, identify and report ante mortem and post mortem
injuries
Describe, diagnose and report the causes of death.
Examine, Identify, diagnose and report victims of sexual offences/child abuse and all
kinds of abuses.
Give appropriate evidence in a court of law

The teaching / learning methods include lectures, tutorials, museum demonstrations and
clinical attachment. Evaluation is conducted at the end of the course.
The course contributes to outcome numbers 1and 6.
Term 5
Introduction
1
Lecture
Introduction to Forensic Medicine branches, scope and

the need
Lecture
1
1
1
Lecture
Lecture
Lecture
Legal system of Sri Lanka with special reference to

practice of medicine
Medico-legal services in Sri Lanka
Medico legal Duties of MOO
Reports MLEF/MLR
Death and Postmortem

1
1
2
1
Lecture
Lecture
Lecture
Lecture
Lecture
Lecture
Introduction to routine Autopsy and techniques

COD, mode of death and circumstances of Death
Sudden deaths/Natural deaths
Law of murder and homicide
Un-natural deaths - murder, homicide, accident and
suicide
Reports PM report and Medical certificates
Page 83
Forensic Medicine

1
2
Lecture
Lecture
Lecture
1
2
1
Lecture
Lecture
Lecture
Lecture
1
2
1
1
1
1
3x4
Lecture
Lecture
Lecture
Lecture
Lecture
Lecture
Tutorial
Inquest
Medico legal aspects of death
Changes after death and Estimation of Time since
death
Postmortem artifacts
Identification of living and death
Investigation of a crime and Doctor at scene of crime
Body fluid and tissue analysis in forensic practice
including collection, packing and
Transport of specimens to laboratories.
Exhumation and excavation
Trace evidence
SIDS and Negative Autopsy
Forensic aspects of blood
Court procedure & Expert Testimony in Courts
Medical Ethics
1
1
Lecture
Lecture
International code of medical ethics

Medical ethics in practice
Lecture
Lecture
Medical confidentiality, testamentary capacity, fitness

to plead, dying deposition and dying declaration
Consent to medical treatment
Lecture
1
1
1
1
Lecture
Lecture
Lecture
Lecture
Lecture
2x4
Tutorial
Roles and responsibilities of a doctor in maintaining

relationships
Medical negligence
SLMC
health care rights
Research Ethics
Controversial Issues: abortion, euthanasia, death
penalty, cloning, HIV/AIDS, Organ transplantation
Medical Ethics
Page 84
Forensic Medicine
Term 6
Injuries
1
2
1
1
2
1
2
3
1
2
1
2
1
1
2
1
Lecture
Lecture
Lecture
Lecture
Lecture
Lecture
Lecture
Lecture
Lecture
Lecture
Lecture
Lecture
Lecture
Lecture
Pathology and Pathophysiology of trauma

Introduction
Patterns of injuries
Time of injury
Firearm injuries
Explosive injuries
Drugs of addiction, alcohol and drunkenness
Transportation injuries
Explosive injuries
Thermal injuries
Electrical injuries
Head injuries
Sequalae and complications of injuries
Classification of injuries for legal purposes
Lecture
Regional Injuries
Thoracic Injuries, neck injuries, abdominal injuries,
injuries to spinal cord
Forensic radiology and Forensic Photography
Wounds & Injuries
Lecture
1
Lecture
2x4 Tutorial
3x4 Museum
Wounds & Injuries
Asphyxia
1
1
1
1
1
1
1
1
1
1x2
Lecture
Lecture
Lecture
Lecture
Lecture
Lecture
Lecture
Lecture
Lecture
tutorial
Introduction
Drowning
Strangulation
Hanging
Throttling
Smothering
Chocking
Traumatic asphyxia
Auto-erotic asphyxia
Asphyxia
Page 85
Forensic Medicine
Term 7
Sexual offenses and abuses
3
1
1
2
2
1
1
2
1x4
Lecture
Lecture
Lecture
Lecture
Lecture
Lecture
Lecture
Lecture
tutorial
Sexual offences
Abortion
Infanticide
Child abuse
Torture and human rights violence
Mass disaster
Starvation & Neglect
Medical aspects of mental diseases
Sexual offenses and abuses
Poisoning
1
1
1
1
1
1
1
1
2
1x4
2x4
Lecture
Lecture
Lecture
Lecture
Lecture
Lecture
Lecture
Lecture
Lecture
tutorial
Museum
Introduction
Corrosive
Metallic
Agrochemical
Food
Plant
Cyanide
Irritants
Drug abuse
Poisoning
Poisoning
Clinical
48
Clinical
Clinical Appointment
Summary
Lecture
Tutorial
Museum
Clinical
Total
Forensic Medicine
Term 5 Term 6 Term 7
41
34
23
5
3
2
0
3
2
46
40
27
Term 11
0
10
0
10
Page 86
Forensic Medicine
Total
98
10
5
96
209

5.13.3. References
1. Simpsons Forensic medicine. Richard Shepherd, 12 edition, London: Arnold, 2003.
2. Lecture notes on forensic medicine. Ree D.J, Oxford: Blachwells, 1992.
3. Forensic Medicine & Medical Law. Hemamal Jayawardena, 2nd edition, Sri Lanka:
published by the author, 2002.
4. Text book of clinical forensic medicine and forensic pathology. Niriellage Chandrasiri,
Galle: published by the author, 1998.
5. The Medico-Legal aspects of injuries. Saravanapavananthan.N, Jaffna: Published by
the author, 1982.
6. Knights Forensic pathology. Pekka Saukko and Bernard Knight,
Arnold, 2004.
3rd
edition, London:
7. Forensic pathology: Practical aspects of criminal investigations. Dominic Dimaio and

Vincent J.M Dimaio, 2nd edition, London: CRC press, 2001.
8. Forensic medicine: a guide to principles. Gordon, H.A.Shapiro and S.D.Berson, 3rd
edition, Edinburg: Churchill Livingstone, 1988.
9. Forensic pathology: A handbook for pathologists. Fisher R S and Petty C S, London:
Castle house, 1980.
10. The pathology of trauma. Mason J.K and B.N Purdue, 3rd edition, Edinburgh : Hodder
Arnold, 2000.
11. Spitz and Fishers Medico legal investigation of death: Guidelines for the application
of pathology to crime investigation. Werner U, Spitz, Daniel J Spitz and Russell S
Fisher, 4th edition, USA: Charles C Thomas, 2006.
12. Medico Legal aspects of injuries. L.B.L.De Alwis, Colombo: L.B.L.De Alwis, 2007.
13. The principles and practice of medical jurisprudence. Alfred Swaine Taylor, Nabu
press, 2010.
14. The principles and practice of medical jurisprudence. A.W. Taylor, Edited by Thomas
Stevanson, Kessinger Pub, 2007.
15. Forensic pathology: A handbook for pathologists. Fisher R S and Petty C S, London:
Castle House, 1980.
Page 87
Forensic Medicine

5.13.4. Evaluation
Type of Examination
1
2
3
End of the course

Essay
Practicals
Viva
Distribution
of MarksFirst
examination
Distribution
of Markssubsequent
examinations
50
20
30
50
20
30
Page 88
Forensic Medicine
Details of
evaluation No.
of hrs No. of
question etc.
5 questions-3hr
10 spots x 3 min
10 min/ student
Qualifying
pass marks
(%)
40%
5.14. Pathology
[Person in Charge- Teacher in Charge of Division of Pathology]

The aim of the course is to develop sound understanding of causation of disease,
macroscopic and microscopic changes that occur in the organs and tissues in the body and to
be able to perform basic diagnostic tests and to interpret the advanced tests. At the end of the
course the students should be able to,
Describe the causative agents of cell injury, acute and chronic response of cells and
tissues to injurious agents and the processes and consequences of cell death.
Describe the normal and abnormal responses of plasma constituents to damage to

blood vessels and their consequences.
Identify the above reactions macroscopically and microscopically.
Describe the response of immune system to antigen and hypersensitivity.
Describe the causes of neoplasm, microscopic and macroscopic appearances, their

effects on the organs and tissues of the body and the principles of management of
patients with neoplasm.
Describe the environmental factors that cause pathological changes in the body and the
features of such changes.
Describe the factors that cause pathological changes, identify the changes
macroscopically and microscopically and correlate the clinical features of such
changes with regard to: cardiovascular system, respiratory system, alimentary system,
musculo-skeletal system, urinary system, endocrine system, reproductive system,
nervous system and lympho-reticulo-haematological system.
Motivated to correlate and understand the symptoms, signs, investigations, diagnosis,

treatment and follow up of the patients they see in various wards during the clinical
rotations.
Outline the laboratory procedures for investigation of patients and reporting by the
pathologist.
The teaching / learning activities include lectures, tutorials, museum demonstrations
and histology slide demonstrations. They are posted to the Pathology Laboratory of the
Teaching Hospital for 2 weeks in small groups to learn the laboratory procedures. Students
are evaluated by in-course and end of course assessments.
The course contributes to outcomes number 1, 2 and 8 of the curriculum.
Page 89
Pathology

General Pathology
Term 5
1
1
3
1x6
1
4
1x6
3
1x6
2
1x6
2
1x6
1
1x6
1
1x6
1
1
1
1
3x2
48
Introduction
Lecture Introduction to pathology
Lecture Necrosis and gangrene
Lecture Cell injury, adaptation and cell death
Tutorial Cell injury, adaptation and cell death
Extracellular deposition- Calcification, Pigmentation,
Lecture Amyloidosis
Lecture Acute Inflammation
Tutorial Acute Inflammation
Lecture Chronic Inflammation
Tutorial Chronic Inflammation
Lecture Repair, Regeneration, wound healing
Tutorial Repair, Regeneration and wound healing
Lecture Thrombosis and Embolism
Tutorial Thrombosis and Embolism
Lecture Shock
Tutorial Shock
Lecture Oedema and Congestion
Tutorial Oedema and Congestion
Disorders of immunity and immune response
Lecture Hypersensitivity reactions
Lecture Autoimmune disease
Lecture Immunology of tissue transplantation
Tutorial Disorders of immunity and immune response
Practical Histopathology
Clinical 2 weeks clinical posting
Term 6
1
Lecture
1
1
2
1
1
Lecture
Lecture
Lecture
Lecture
Lecture
Neoplasm
Tumours- introduction and classification
Structure and effects of common benign and malignant
neoplasms
Spread of malignant tumours
Aetiology and incidence of tumours
Immunological aspects of neoplasia
Diagnosis of cancer
Page 90
Pathology

2
Tutorial
1
1
Lecture
Tutorial
Neoplasm
Environmental disease
Pneumoconiosis, Tobacco smoke, Injury by chemical agents
including alcohol, Injury by physical agents, Nutritional
disease
Environmental disease
Infectious diseases- nosocomial infection, clostridial

infections, HIV
Clinical Pathology:
1 Lecture
Introduction to Clinical Pathology
1 Lecture
Blood - General considerations, examinations of blood films
1 Lecture
Enzymes in clinical medicine.
1 Lecture
Biopsy in clinical medicine, Collection of specimens
1
Biological rhythms and factors influencing biochemical
Lecture
values.
3x2 Demonstration Museum
Histopathology Slides
3x2 Practical
1
Lecture
Term 8
1
1
1
1
1
1
1
1
1
1
1
1
1
1
3x2
3x2
1
1
1
Lecture
Lecture
Tutorial
Lecture
Lecture
Tutorial
Lecture
Tutorial
Lecture
Lecture
Lecture
Tutorial
Lecture
Lecture
Demonstration
Practical
Lecture
Lecture
Lecture
Cardiovascular System:
Hypertensive heart disease.
Cardiac Failure (Congestive cardiac failure).
Cardiac Failure (Congestive cardiac failure).
Cor-pulmonale, Diseases of the pericardium
Ischemic Heart disease
Ischemic Heart disease
Rheumatic Heart disease, Infective Endocarditis
Rheumatic Heart disease, Infective Endocarditis
Cardiomyopathy
Miscellaneous Lesions- myocarditis, Tumours.
Congenital heart diseases
Arteriosclerosis, Atherosclerosis
Syphilis, Aneurysm, Varicose veins, Arteritis
Museum
Respiratory System:
Atelectasis
Obstructive lung disease- Asthma, Emphysema
Obstructive lung disease- Chronic bronchitis, Bronchiectasis
Page 91
Pathology

Restrictive lung disease- Acute lung injury and Acute
Respiratory Distress Syndrome
Restrictive lung disease- Idiopathic pulmonary fibrosis,
1 Lecture
Sarcoidosis, Hypersensitivity pneumonitis, Wegener's
granulomatosis
Pulmonary thromboembolism, haemorrhage and infarction,
1 Lecture
Pulmonary hypertension and vascular sclerosis
2 Lecture
Infective lung disease
1 Lecture
Aspiration pneumonia
1 Lecture
Tuberculosis
1 Lecture
Lung abscess
1 Lecture
Occupational lung disease, Fungal and other infections
1 Lecture
Lung tumours
1 Lecture
Pleural lesions and lesions of the upper respiratory tract
3x2 Practical
1
Lecture
Term 9
Alimentary System:
Disease of the oral cavity and tongue, leukoplakia, Salivary
gland diseases
Lecture
1
1
1
Lecture
Lecture
Lecture
Lecture
Disease of Oesophagus- Congenital Abnormalities,

Inflammatory conditions, carcinoma of the oesophagus
Gastritis and gastric ulceration
Tumours of the stomach
Congenital abnormalities of Small and large Intestines,
Obstruction, Strangulation, Volvulus of Small Intestines
Lecture
Small Intestines - Diarrhoeal diseases, Malabsorption

syndrome and acute appendicitis
1
1
1
Lecture
Lecture
Lecture
Diseases of the Large Intestines- Diverticular diseases,

Vascular disorders
Idiopathic inflammatory bowel disease
Tumours of the small and large intestines
Lecture
Lecture
Lecture
Lecture
Lecture
Lecture
Acute and chronic hepatitis, autoimmune hepatitis, Liver

abscess
Hepatic injury
Jaundice
Hepatic failure, Cirrhosis
Alcoholic Liver disease and Non-alcoholic fatty liver
Circulatory disorders of the liver, Tumours of the liver
3
1
1
1
1
1
Page 92
Pathology

1
1
1
6x2
6x2
6x2
1
1
1
1
1
1
4x2
3x2
3x2
Lecture
Lecture
Lecture
Tutorial
Demonstration
Practical
Lecture
Lecture
Lecture
Lecture
Lecture
Lecture
Tutorial
Demonstration
Practical
Disorders of the gallbladder and the extra hepatic bile ducts

Liver function tests
Pancreatitis, Tumours of the pancreas
Museum
Musculo Skeletal System:
Normal histology of bones including Growth and Repair
Inflammation in bone
Metabolic disorders of bone including Osteoporosis and
Osteomalacia
Tumours.
Diseases of Joints
Myopathies and tumours of the muscles
Museum
Histopathology
Term 10
2
1
1
1
1
1
1
1
Lecture
Lecture
Lecture
Lecture
Lecture
Lecture
Lecture
Lecture
Urinary System:
Glomerulonephritis
Nephrotic syndrome
Renal failure
Kidney in systemic diseases
Renal calculi, hydronephrosis
Pyelonephritis
Tumours and cystic disease of kidney.
Pathological changes in the nephron, Renal function tests
and Qualitative examination of urine
Acid - base, water and electrolyte balance
Lecture
10 Tutorial
Urinary System:
3x2 Practical
Endocrine disease
Pituitary gland and its disease
1 Lecture
Thyroid- functional disease, Thyroiditis, neoplasms
3 Lecture
1
2
Lecture
Lecture
Parathyroid and calcium metabolism

Adrenal gland- Cortex, Medulla
Page 93
Pathology

2
Lecture
1 Lecture
3x2 Practical
1
1
1
1
1
2
1
2
Pancreas- Diabetes mellitus and its complications, Islet cell

tumours, Multiple endocrine neoplasia
Laboratory diagnosis of endocrine diseases
Histopathology
Lecture
Lecture
Female genital system

Disease of the vulva and vagina
Disease of the cervix
Lecture
Lecture
Lecture
Lecture
Lecture
Lecture
Endometriosis, Dysfunctional uterine bleeding, Endometrial

hyperplasia
Tumours of the endometrium and myometrium
Tumours of the endometrium and myometrium
Disease of the ovaries
Trtophoblastic disease
Breast
Male genital system

1 Lecture
Penile conditions, Scrotum, testis and epididimis
1 Lecture
Nodular hyperplasia & Carcinoma of prostate
1 Lecture
Sexually transmitted disease
Male and female genital system
6x2 Tutorial
3x2 Demonstration Museum- male and female genital system
Histopathology- male and female genital system
3x2 Practical
Term 11
1
1
1
1
1
Lecture
Lecture
Lecture
Lecture
tutorial
1
1
2
1
1
1
1
Lecture
Lecture
Lecture
Lecture
Lecture
Lecture
Lecture
Nervous System:
CSF Formation and auto regulation of circulation,
Hydrocephalus
Infections (Meningitis, Brain abscess)
Intracranial haemorrhage
Tumours
Lympho Reticular Tissue and haematological disorders
Diseases of Spleen, Splenomegaly, Atrophy of Spleen.
Hypersplenism
Diseases of Lymph node
Causes of Lymphadenopathy, Lymphomas
Diseases of Thymus, Causes of Hyperplasia /Hypoplasia,
Thymic tumours
Sites of formation of blood cells and their development
General discussion of anaemias
Iron deficiency anaemias
Page 94
Pathology

1
1
1
1
1
Lecture
Lecture
Lecture
Lecture
Lecture
Lecture
2
2
1
Lecture
Lecture
Lecture
1
Lecture
10 Tutorial
6x2 Practical
2
Lecture
Megaloblastic anaemias
Aplastic anaemia
Haemolytic anaemia
Haemoglobinopathy
Polycythemia Vera
Types of leucocytes, production, function & leukemoid
reactions
Acute leukaemias
Chronic leukaemias
Malignant plasma cell proliferations, Myelosclerosis &
Myeloproliferative disorders
coagulation disorders
Lympho Reticular Tissue and haematological disorders
Histopathology
Skin
Summary
Lecture
Tutorial
Histopathology
Practical
Museum
Clinical
Total
Term
5
22
8
Term
6
14
12
9
3
33
38
Term
7
Term 8
24
4
Term
9
26
10
Term 10
33
16
Term 11
25
11
Total
144
61
6
5
9
9
9
6
6
0
39
54
64
42
42
23
48
318
5.14.3. References
1. Robbins Basic Pathology. Kumar V., Abul K Abbas, Nelson Fausto and Richard
Mitchell., 8th edition, Saunders, 2007.
2. Oxford Text book of Pathology. McGee, J.O.D, Isaacson, P.G., Wright, N.A, Oxford:
Oxford University Press, 1992.
3. Muirs Text book of Pathology. Robin Reid[et-al], 14th edition, Hodder Arnold, 2006.
4. Walter and Israel General Pathology. Walter J.B., and Talbot I.C, 7 th edition, New York:
Page 95
Pathology

5. Aids to Pathology. Michael F Dixon and Philip Quirke, 3rd edition, Edinburgh: Churchill
Livingstone, 1986.
6. Essential Hematology. Victor Hoffbrand, Paul Moss and John Pettit, Blackwells
5th
edition, 2006.
7. Diagnostic Function tests in chemical pathology. Lascelles, P. T and Donaldson, D,
Springer, 1990.
5.14.4. Evaluation
Type of
Examination
1
2
3
4
5
End of the course

Essay
MCQ
Histo Pathology
Haematology
Practicals
Viva
Distribution
of MarksFirst
examination
Distribution
of MarksDetails of evaluation
subsequent
examinations
100
30
30
10
100
30
30
10
10 short questions- 3 hrs

60 questions, 3 hours
20 spots x 3 min each
10
10
20 spots x 3 min each
20
20
10 min/ student
Page 96
Pathology
Qualifying
pass marks
(%)
40 % in
Theory
5.15. Pharmacology
[Person in Charge- Head Pharmacology]

The aim of the course is to develop the knowledge of the properties of drugs, their
mechanisms of action, unwanted effects and their application to ameliorate the effects of disease. At
the end of the course the students should be able to;
Describe the principles of drug therapy.
Describe how drugs act and interact in disease and how evidence of therapeutic effect is
obtained and evaluated.
Develop a rational and critical attitude to drug therapy.
Develop the skill of prescription.
Outline the symptoms, signs and therapeutics of common diseases of all systems.
Apply the knowledge acquired about drugs in clinical situations.
Judge or weigh the benefits and risks of drugs before prescribing drugs in their carrier as a
doctor.
Describe the ethical issues in prescribing and clinical trials.
Keep on updating their knowledge about pharmacotherapy.
Deliver the knowledge.
Develop as a competent healthcare professional.

Teaching / learning activities include lectures, bed side teaching, small group discussions and
interactive tutorials. Therapeutics lectures overlap with medicine giving clinical features of
important illnesses and the basis of managing them. The students are assessed by in-course and end
of course assessments.
Lectures are interactive and are open for discussion. In small group discussion students are
expected work as small team under the supervision of facilitator/ lecturer in small groups. Bed side
teaching is clinical oriented class conducted in the wards involving small group of students to
demonstrate the practical aspects of drug therapy. Tutorial are open discussions in small groups.
Each student is provided with a study guide by department of pharmacology and is expected to
complete it during their pre-professorial appointments.
Students are evaluated by in-course and end of course assessments. In-course assessment
can be a written examination, assignment, OSCE or viva voice and clinical oriented learning is
evaluated by study guide. End of course examination consists of written examination consist of
essay, single best and multiple choice questions, OSCE and viva voice.
The course contributes to outcomes number 1, 2, 4, 7, 8, 9, 10 and 11 of the curriculum.
Page 97
Pharmacology

Term 5
2
2
1
3
2
1
1
Lecture
Lecture
Lecture
BST
Lecture
Lecture
Lecture
1 Lecture
1 Lecture
1 SGD
1 Lecture
1 Lecture
1
1
1
1
1
1
1
1
Lecture
Lecture
Lecture
Tutorials
Lecture
SGD
Lecture
SGD
1 Lecture
1 Lecture
Introduction to pharmacology
General principles of pharmacology
Introduction to pharmacology
Pharmacokinetics
Clinical pharmacokinetics
Routes of drug administration
Pharmacodynamics
Dose response curve
Factors Influencing Drug Dosage and
Response
Drug Interactions and Over the counter drugs
Therapeutic Drug Monitoring
Prescription writing and evidence based
medicine
Compliance
Essential drugs, drug regulation, drug
information
Adverse Drug Reactions
Drug development and clinical trials
Ethics
General Pharmacology
Prenatal & Paediatric Pharmacology
Prescribing in children
Geriatric Pharmacology
Prescribing in elderly
Toxicology
Heavy Metal Poisoning and Chelating Agents
Management of Poisoning
Pharmacology
Pharmacology
Pharmacology
Pharmacology
Pharmacology
Pharmacology
Pharmacology
Pharmacology
Pharmacology
Pharmacology
Pharmacology
Pharmacology
Pharmacology
Pharmacology
Pharmacology
Pharmacology
Medicine & Therapeutics
Term 6
2 Lecture
1
1
1
2
Lecture
Lecture
Lecture
Lecture
Immunopharmacology
Immune Modulators
Drugs Acting on Autonomic Nervous
System
Cholinomimetics
Anticholinergics
Sympathomimetics
Sympatholytics
Page 98
Pharmacology
Pharmacology
Pharmacology
Pharmacology
Pharmacology
Pharmacology
1
1
1
2
1
1
1
1
2
1
2
2
1
1
Lecture
Lecture
Lecture
Lecture
Lecture
Lecture
Lecture
Lecture
Lecture
Lecture
Lecture
Lecture
BST
BST
Antimicrobials
Introduction to Chemotherapy
Sulphonamides
Quinolones & Urinary Antiseptics
Beta Lactum Antibiotics
Aminoglycosides
Macrolides & Related Drugs
Tetracyclines
Chloramphenicol & Other Antibiotics
Antituberculosis Agents
Antiamoebic agents
Antimalarial Agents
Antiviral agents
Penicillin sensitivity test
Antiseptics & Disinfectants
Pharmacology
Pharmacology
Pharmacology
Pharmacology
Pharmacology
Pharmacology
Pharmacology
Pharmacology
Pharmacology
Pharmacology
Pharmacology
Pharmacology
Term 7
2 Tutorial
1 Lecture
1 Lecture
2 Lecture
1 Lecture
2
2
1
2
1
Lecture
Lecture
Lecture
Lecture
Lecture
Antimicrobials
Antifungal agents
Antihelminthic agents
Drugs Acting on Kidney
Renin-Angiotensin System & Related Drugs
Diuretics
Drugs Acting on Cardiovascular System
Antianginal agents
Antihypertensive agents
Cardiac Glycosides & other inotropic agents
Antiarrhythmic agents
Antihyperlipidaemic agents
Pharmacology
Pharmacology
Pharmacology
Pharmacology
Pharmacology
Pharmacology
Pharmacology
Pharmacology
Pharmacology
Term 8
2 Lecture
1 Lecture
2
1
2
2
1
Lecture
Lecture
Lecture
Lecture
Lecture
Drugs Acting on Blood and Blood Forming

Organs
Haemopoietic Agents
Drugs Used in Coagulation Disorders
Disorders of Cardiovascular System
Cardiac Failure
Arrhythmias
Hypertension (systemic & pulmonary)
Coronary Artery Diseases
Cardiac Arrest
Pharmacology
Pharmacology
Page 99
Pharmacology

2
1
1
1
Lecture
Tutorial
Tutorial
Tutorial
2 Lecture
2 Lecture
Rheumatic Fever and Endocarditis

Angina & Myocardial Infarction
Hypertension
Cardiac Failure
Autacoids & Related drugs
Autacoids and antagonist
Non-Steroidal Anti-Inflammatory Agents &
Drugs Used in Rheumatoid Arthritis & Gout
1 Lecture
Drugs Used in Bronchial Asthma
1 BST
Drug delivery in bronchial asthma
1 In Course Assessment-1: General principles of
pharmacology, Antimicrobials, Drugs Acting on Autonomic
Nervous System, Drugs Acting on Kidney, Drugs acting on
CVS, Drugs Acting on Blood & Blood Forming Organs,
Disorders of CVS, Autocoids and related drugs
Pharmacology
Pharmacology
Pharmacology
Term 9
2 Lecture
1
2
1
1
Lecture
Lecture
Lecture
Tutorial
3 Lecture
1
1
1
1
1
1
2
1
2
Lecture
Lecture
Lecture
Lecture
Lecture
Lecture
Lecture
Lecture
Lecture
Disorders Of Respiratory System

Bronchial Asthma & Chronic Obstructive
Pulmonary Diseases
Respiratory Failure
Tuberculosis
Pneumonia & Lung Abscess
Bronchial Asthma
Rheumatology
Rheumatoid arthritis, Gout, SLE
Drugs Acting on Gastrointestinal Tract
Drugs used in Peptic Ulcer Disease
Pharmacology of Vomiting & Antiemetics
Laxatives
Antidiarrhoeal & Drugs Used in
Inflammatory Bowel Disease
Disease Affecting Gastrointestinal
Tract
Peptic Ulcer & Complications
Hepatitis
Liver Cirrhosis & Complications
Haematemesis
Typhoid fever, Cholera, Leptospirosis,
Brucellosis
Page 100
Pharmacology


Pharmacology
Pharmacology
Pharmacology
Pharmacology


1
1
1
1
Lecture
Tutorials
Tutorials
SGD
2 Lecture
Treatment of Amoebiasis
Peptic Ulcer
Liver Disease & Complications
Prescribing in hepatic impairment
Chemotherapy of Neopalstic Diseases
Anticancer Drugs
Pharmacology
Term 10
2
2
2
1
1
1
Lecture
Lecture
Lecture
Lecture
Lecture
SGD
1
1
2
2
1
1
1
2
2
1
Lecture
Lecture
Lecture
Lecture
Lecture
Lecture
Lecture
Lecture
BST
Lecture
2 Lecture
2 Lecture
2 Lecture
2 Lecture
1 Lecture
1 Tutorial
1 Tutorial
Nephrology
Acute Renal Failure
Chronic Renal Failure
Nephrotic Syndrome
Acute Glomerular Nephritis
Urinary Tract Infection
Prescribing in renal failure
Hormones & Related Drugs
Hypothalamic & Pituitary Hormones
Thyroid and & Antithyroid Drugs
Corticosteroids & Realated Drugs
Gonadal Hormones & Related Drugs
Contraceptives
Post-menopausal hormonal therapy
Tocolytics and other drugs used in labour
Insulin & Oral Hypoglycaemics
Insulin therapy
Drugs Affecting Calcium & Bone
Metabolism
Endocrinology
Diabetes Mellitus
Disorders of Pituitary: Acromegaly,
Hypopituitarism, Diabetes Insipidus
Disorders of Adrenals: Cushings
Syndrome, Addisons Disease,
Pheochromocytoma
Disorders of Thyroid: Thyrotoxicosis,
Myxoedema
Disorders of Parathyroid: Hyper &
Hypoparathyroidism, Calcium
Metabolism
Diabetes Mellitus
Thyroid Dysfunction

Pharmacology
Pharmacology
Pharmacology
Pharmacology
Therapeutics (Gyn&Obs)
Pharmacology
Pharmacology

Page 101
Pharmacology
1 BST
Fluid & Electrolyte Balance

Intravenous fluids
Term 11
1
1
1
1
1
Lecture
Lecture
Lecture
Lecture
Lecture
1
1
1
2
1
1
Lecture
Lecture
Lecture
Lecture
Lecture
Lecture
1
1
1
1
2
1
1
1
Lecture
Lecture
Lecture
Lecture
Lecture
Tutorial
Tutorial
SGD
1 Lecture
1 Lecture
Drugs Acting on Central Nervous System

Pharmacology of Central Nervous System
General Anaesthesia
Local Anaesthesia
Skeletal Muscle Relaxants
Hypnotics, Sedative & Anxiolytics
Psychotropic Drugs
Antipsychotics & Mood Stabilisers
Antidepressants
Opioids & Antagonists
Anticonvulsants
Drugs Used in Parkinsonism
Miscellaneous CNS Drugs
Disorders of Central Nervous System
Chronic head ache & Migraine
Epilepsy
Parkinsonism
Myasthenia Gravis
Meningitis, Cerebral Abscess, Encephalitis,
Epilepsy
Parkinsonism & Myasthenia Gravis
Prescribing in CNS disorders
Miscellaneous
Therapeutic Gases
Life-Style Drugs, Drugs in Sports, Biopharmaceuticals & Gene Therapy, Stem Cell
Therapy
1 In Course Assessment-2: Disorders of CVS, Autocoids and

related drugs, Disorders of respiratory system, Drugs acting on
GIT, Disease of GIT, Nephrology, Fluid and electrolytes,
Hormones & Related Drugs, Endocrinology, Miscellaneous
Page 102
Pharmacology
Pharmacology
Pharmacology
Pharmacology
Pharmacology
Pharmacology
Pharmacology
Pharmacology
Pharmacology
Pharmacology
Pharmacology
Pharmacology
Pharmacology
Pharmacology
Summary
Pharmacology
Lectures
Medicine
&Theraputics
Tutorial
SGD
BST
Demonstration
Seminar
Assessment
Total
Term
5
Term
6
Term
7
Term
8
Term
9
Term
10
Term
11
Total
19
23
13
14
92
1
1
3
3
0
0
0
27
0
0
0
2
0
0
0
25
0
2
0
0
0
0
0
15
10
3
0
1
0
0
1
23
17
3
1
0
0
0
0
27
20
2
1
3
0
0
0
35
6
2
1
0
0
0
1
24
54
13
6
9
0
0
2
176
7.9.2. References
1.
2.
3.
4.
5.
6.
7.
8.
Text books:
Clinical Pharmacology. B.N Bennett, and M.J.Brown, 10th edition, Edinburgh: Churchill
Livingstone, 2008.
Basic and Clinical Pharmacology. B.G.Katzung, M. J., 12th edition, London: Churchil
Livingstone, 2011.
Rang and Dales Pharmacology. 7th edition, London: Churchill Livingston, 2011.
Clinical Medicine. Parveen Kumar and Michael Clark, 8th edition, Edinburgh: Elsevier, 2011.
Davidsons principles & practice of medicine. 21st edition, Edited by Nicholas A. Boon [etal], Edinburgh: Churchill Livingstone, 2010.
Foundations of Pharmacology for students of Medicine and Allied Health Sciences. R. L.
Jeyakody, 2009.
British National Formulary 60th or latest volume, British Medical Association, UK.
Sri Lankan Hospital Formulary-1994. Edited by R L Jayakody, Department of Pharmacology,
University of Colombo and the Ministry of Health, Sri Lanka.
Reference books.
1. Goodman & Gillmans the pharmacological basis for therapeutics. Laurence Brunton., John
Lazo., and Keith Parker, 12th edition, New York: McGraw Hill, 2010.
2. Graham Smith, D. G. and Aroson, J. K. Oxford Text Book of Clinical Pharmacology and
Drug Therapy, Oxford University Press, 3rd edition, Oxford, 2002.
Page 103
Pharmacology

3. The Sri Lankan Prescriber, University of Colombo and the Ministry of Health, Sri Lanka,
Colombo (Quarterly Publication).
4. Drugs and therapeutics Bulletin (DTB), Consumer Association (UK).
7.9.3. Evaluation
Pharmacology
Type of
Examination
Distribution
of MarksFirst
examination
Distribution
of Markssubsequent
examinations
In-course
1.1. assessment
10
1.2. Study Guide
20
20
End of the course

MCQ- Single
2.1 best
MCQ- Multiple
2.1.
Choice
70
15
80
15
15
15
2.2. Essay
20
30
2.3. OSCE
2.3. Viva
10
10
10
10
Page 104
Pharmacology
Details of Evaluation
2 in-course
assessments
Student has to redo
the sections scored
less than 50% in the
first attempt
Qualifying
pass marks
(%)
40%
30 questions, 1 hour
20 Questions, 1 hour
4 Questions
Pharmacology, 2
QuestionsTherapeutics,
3 hours
5 Stations
10 min / student
40% in
theory
5.16. Psychiatry
[Person in Charge- Head Psychiatry]

The aim of the course in psychiatry is to develop knowledge of normal human
behaviour and the abnormalities that can occur and to develop skills and attitudes to manage
patients with psychological problems. At the end of the course the students should be able to,
Describe the basic psychology of human behaviour.
Explain the concept of mental health and psychosocial wellbeing.
Describe the factors that can affect the psyche, the effects of them in the mental
function and the ways of managing such abnormal situations.
Describe the mental state of persons with psychological / psychiatric problems.
Describe the ways for doctors to approach people with psychological problems and
psychiatric illness.
Describe the drugs that could modify the mental state; their beneficial and unwanted
effects.
Describe the basic psychology related to family and society.
Describe the legal implications of abnormal psychology.
Describe the mental illnesses.
Obtain the history of psychiatric illnesses and perform mental state examination in
patients with psychological disturbances.
Educate patients and their families and deal with family issues or make appropriate
referrals.
Explain the concept of rehabilitation and contribute to it.
Diagnose and manage common psychiatric conditions in primary care setting.
Identify patients to be referred for specialized mental health services.
Understand the patient's problems holistically
The teaching learning activities include lectures, tutorials, presentations, group work,
field visits and clinical attachment. The first appointment is of 4 weeks duration during Phase
II. In addition to the training for psychiatric examination and basics of psychiatric illnesses,
the students will be exposed to ECT sessions, relaxation exercises, counselling sessions, and
management of aggressive / violent patients during the first appointment. The lectures will be
delivered during Phases II and III.
Students will be posted to Professorial appointment of 6 weeks during the Phase IV.
The students are expected to participate actively / assist in managing the patients. Each
student is expected to present at least one patient fully, use psychometric scales and develop
professional ethics and etiquettes. Students are assessed formatively at clinical presentations
and by case reports submitted. The formal evaluation is conducted at the end of the course.
This subject contributes to outcome numbers 1, 2, 3, 6, 9, 10, and 12 of the curriculum.
Page 105
Psychiatry

Term 5
1 Lecture
1
Lecture
1 Lecture
1 Lecture
1 Lecture
Introductory Course
Patients as Persons- Understanding your patients in a broader
context (complaints, behavior, expectations, compliance and
beliefs)
Gathering information from patients- setting, empathizing,
questioning, exploring etc.
Therapeutic relationships
Handling emotionally taxing situations
Caring for your self-stress management
Term 6
3
2
3
2
4
2
4
1
1
1
1
2
4
1
1
2
1
1
Lecture
Lecture
Lecture
Lecture
Lecture
Lecture
Lecture
Basic Psychology [20 hrs]

perception, attention, concentration, memory
Intelligence, learning
Basic needs, Love and other needs, creativity
personality, self
Behaviour Psychology
Emotions, thoughts
Human Sexuality
Lecture
Lecture
Lecture
Lecture
Lecture
Lecture
Lecture
Lecture
Lecture
Lecture
Lecture
Clinical Psychology [16 hrs]

Mind, conscious, unconscious
Developmental psychology
Defence mechanisms
Transference, counter transference
Communication skills
Basic Counselling Skills
Normal and abnormal
The concept of illness, help seeking behaviour
Psychological sequale for physical illness
Problem solving skills
Anger Management skills
Page 106
Psychiatry
Term 7
2
2
2
2
2
Lecture
Lecture
Lecture
Lecture
Lecture
Basics in Family psychology and social psychology [10 hrs]

Family, types, Nuclear and extended family
Family hierarchy, Family dynamics
Family pathology
Community, community resources, social capital
Social pathology
Forensic Psychiatry [7 hrs]

1
1
1
1
1
1
1
Lecture
Lecture
Lecture
Lecture
Lecture
Lecture
Lecture
Fitness to plea, give informed consent and decision making

Mental health law in Sri Lanka
Rights of the Mentally ill
Psychiatry related to crimes
Risk assessment
Sexual deviant behaviours
Ethical principles
Phase III
Term 9
2
2
2
2
1
1
1
1
2
1
Lecture
Lecture
Lecture
Lecture
Lecture
Lecture
Lecture
Lecture
Lecture
Lecture
1
1
1
1
1
1
Lecture
Lecture
Lecture
Lecture
Lecture
Lecture
Adult Psychiatry [15 hrs]

Organic Psychiatry
Schizophrenia and related disorders
Affective disorders
Anxiety disorders
Somatoform disorders
Alcohol and substance related disorders
Trauma related conditions
Personality disorders
Deliberate self harming behaviours
Sexual disorders
Child psychiatry [6hrs]
Behavioural problems in childhood
Emotional problems in childhood
Pervasive developmental disorders
Mental retardation
Other interesting childhood psychiatric problems
Parenting
Page 107
Psychiatry
Term 10
1
1
1
1
1
1
1
Lecture
Lecture
Lecture
Lecture
Lecture
Lecture
Lecture
Psychopharmacology [7hrs]
Basic principles
Antipsychotics
Antidepressants
Antimanics and mood stabilizers
Anxiolytics and Hypnotics
Drugs used in dementia, alcohol dependence, and others
Therapeutics
Summary
Lecture
Clinical
Total
Term
5
5
Term
6
36
Term
7
17
Term
8
36
17
Term Term
9
10
21
7
21
Term
11
Total
86
384
470
5.16.3. References
1. Psychiatry: Oxford core texts. Michal.G.Gelder, Richard Mayou, John Geddes. 3rd edition,
Oxford: Oxford University Press, 2005.
2. Shorter Oxford Textbook of Psychiatry. Michal Gelder, Phillip Cowen, and Paul Harrison.
5th edition, Oxford: Oxford University Press, 2006.
3. Companion to psychiatric studies. 6th edition, edited by Eve C.Johnstone, C.P, L, Freeman
and A.k. Zealley, Edinburgh: Churchill Livingstone, 1998.
4. Introductory Text Book of Psychiatry. Nancy C Anderson & Donald W.Black. 4th edition,
American Psychiatric publishing, 2006.
5. Text Book of Psychiatry. Edited by Linford Rees, London: Arnold, 1997.
6. Oxford hand book of psychiatry. David Semole, [et-al], Oxford: Oxford University Press,
2005.
Page 108
Psychiatry
5.16.4. Evaluation
Type of Examination
1
2
3
3
End of the course

Essay
MCQ
Long Case
Short Case
Distribution
of MarksFirst
examination
25
25
25
25
Distribution
of MarksDetails of evaluation
subsequent
No. of hrs No. of question
examinations
etc.
25
25
25
25
8 questions-3hr
40 questions
1 case
2 cases
Qualifying
pass marks
(%)
45%
50%
Page 109
Psychiatry
5.17. Medicine
[Person in Charge- Head Medicine]

The aim of the course is to develop the knowledge, skills and attitude acquired in basic
sciences to be able to cure illnesses, relief suffering, comfort patients who come under care
and to refer difficult patients for specialized treatment. At the end of the course the students
should be able to,
Communicate with patients and family members and obtain a good history
Do a complete physical examination
Interpret the signs and symptoms and come to diagnosis or differential diagnosis.
Perform simple investigations in the side laboratory.
Perform basic therapeutic procedures in the ward.
Request relevant investigations and interpret the results.
Prescribe necessary treatment and manage patients or refer for specialized advice.
Recognize the medical emergencies, manage them including performing CPR and
inform superiors / refer for specialized treatment.
Provide appropriate advice to patients during the stay in ward and on discharge and
follow up the relevant patients.
Notify the relevant diseases to appropriate authorities.
Communicate to the patient and relatives about the condition of the patient including
breaking bad news.
Practice medical ethics in dealing with patients.
The teaching / learning activities include lectures in important topics during Phase II
and III along with Pharmacology, three clinical appointment in medicine of 8 weeks duration
each and two week appointments in various sub specialties. During the appointments the
students present cases and discuss them and do procedures according to a logbook produced
by the department and get signed by the superiors.
Students are evaluated by asking questions during ward rounds as formative
assessments. Another formative assessment is conducted before admitting to professorial
appointment. At the end of each clinical appointment, the respective consultant performs on
the spot assessment before signing the record book. In course assessments are done during the
professorial appointment and end of course assessment is carried out at the end of the course
for the entire batch.
The course contributes to outcome numbers 1, 2, 3, 6, 7, 8, 9 and 12 of the curriculum.
Page 110
Medicine

Term 8
Cardiovascular system - 02
1
Lecture
Lecture
Disorders of tmyocardium cardiopulmyopathy and

myocarditis
Disorders of pericardium Pericarditis, pericardial effusion
and constriction
Term 9
Respiratory System -03
1
1
1
Lecture
Lecture
Lecture
1
1
1
1
1
Lecture
Lecture
Lecture
Lecture
Lecture
Ca bronchus
Occupational lung disease
Interstitial lung disease, eosinophilia
Gastroenterology - 05
Oesophagus GORD
Small intestine malabsorption
Large intestine dysenteries
IBD
Hepatitis & miscellaneous
Term 10
Nephrology - 03
3
Lecture
Acute pyelonephritis, RPGN, tubule interstial disease,

nephrolithiasis, cystic renal diseases
Term 11
Neurology - 05
1
2
1
1
Lecture
Lecture
Lecture
Lecture
1
1
1
1
1
Lecture
Lecture
Lecture
Lecture
Lecture
Cerebrovascular disease
Extrapyramidal synd, syringomyelia, MND
Paraplegia
Peripheral neuropathy
Haematology 05
Approach to a patient with anaemia
Myeloproliferative disorders
Lympho proliferative disorders
Myeloma and paraprotenamia
Approach to a patient with bleeding disorder
Page 111
Medicine
Summary
Lecture
Clinical
Total
Term
5
Term
6
Term
7
Term
8
2
Term
9
8
Term
10
3
Term
11
Total
10
23
968
10
991
5.17.3. References
1. Clinical medicine. Parveen Kumar and Michael Clark, 6th edition, Edinburgh Elsevier,
2005.
2. Davidsons principles & practice of medicine. 20th edition, Edited by Nicholas A. Boon
[et-al], Edinburgh: Churchill Livingstone, 2006.
3. Chamberlains symptoms and signs in Clinical Medicine: An Introduction to Medical
Diagnosis. Colin Ogilvie and Christopher C Evans, 12th editon, Oxford: Butterworth, 1997.
4. Hutchisons clinical Methods.22nd edition, edited by Michael Swash, Edinburgh: W B
Saunders, 2007.
5. Clinical examination. Nicholas J Talley and Simon OConnor, 5th edition,
Edinburgh:
6. Oxford Text book of Medicine vol. I, II & III, 4th edition, edited by Weatherall D. J., T.M.
Cox and Warrel D. A, Oxford: Oxford University Press, 2005.
7. Harrisons principles of internal medicine Vol I & II. 16th edition, edited by Dennis
Kasper [et-al], New York: McGraw Hill, 2005.
8. Ministry of Healthcare & Nutrition National Guidelines, Sri Lanka, 2007.
Page 112
Medicine

5.17.4. Evaluation
Medicine
Type of Examination
1 In course
Assessment:
2
2.1.
2.2.
2.3.
End of course
MCQ
Essay
Clinicals
Distribution
of MarksFirst
examination
Distribution
of Markssubsequent
examinations
20
80
20
20
100
30
30
2.3.1 Long case
20
20
2.3.2 Short case
20
20
No. of hrs No. of
question etc.
a) Pre-professorial2.5x 2 = 5 marks
b) Professorial- 15
marks
Qualifying
pass marks
(%)
30 SBA questions- 10
marks 20 T/F
questions - 10 marks
10 SEQs -3hrs
45% in
theory
1 case 40 minutes for

history, examination
and investigations and
20 minutes for
discussion
4 cases 7.5x4 = 20
marks
50% in
clinical
examination
Continuous Assessment (20marks)

Pre professorial
First Observed history taking and examination
techniques 2.5 marks
Second Clinical examination - 2.5 marks
[Ethics & Communication skills also will be
evaluated]
During Professorial
1. Written exam MCQs, StQs & SEQs
2. 4 Short cases
3. Viva on emergency topics
-10 marks
OSCE
- 05 marks
Page 113
Medicine
5.18. Obstetrics and Gynaecology

[Person in Charge- Head Obstetrics and Gynaecology]

The aim of the course is to develop knowledge, skills and attitude necessary to manage
basic obstetric and gynaecological problems and refer complicated cases to specialized
treatment and/or assist the consultant in managing the cases referred. At the end of the course
the student should be able to,
Manage normal pregnant woman and identify the complications during antenatal
period, labour and puerperium.
Start the management of emergency conditions and call for appropriate help to
continue the management.
Give health education to antenatal mothers in related topics.
Give appropriate family planning advice and perform IUCD insertions.
Diagnose and treat common Gynaecological conditions and refer others for specialized
treatment.
Obtain informed consent, prepare patients for Obstetric and Gynaecological surgeries,
assist in the surgeries, manage post operative patients and identify post operative
complications early.
Resuscitate a newborn
Identify neonatal problems early and refer to Paediatrition.
Follow standard ethical practice when dealing with obstetric and gynaecological
patients.
Maintain professional secrecy and give appropriate advice to patients and family
members.
The teaching / learning activities include ward classes during clinical appointments,
small group discussions, training skills based on log book prepared by the Department. The
SGDs are modified where students perform the discussions on patient histories and problems.
The final presentation is assessed by facilitator. When staff position improves, proper SGDs
will be conducted. Preparation of study guides and case scenarios are underway for teaching /
learning activities. There will be no formal lectures in this subject.
Students are evaluated at the end of first and second clinical appointments by way of
viva for continuous assessment and end of course assessment. Formative evaluations are also
conducted by viva and MCQ examinations during the professorial appointment.
The subject contributes to outcome numbers 1, 2, 3, 6, 7, 8, 9 and 12 of the curriculum.
Page 114

There will be no lectures delivered. All teaching is to be done during clinical appointments.
Summary
Term
5
Lecture
Clinical
Total
Term
6
Term
7
Term
8
Term
9
Term
10
Term
11
Total
608
608
5.19.3. References
1. Obstetrics by Ten Teachers, 18th edition, Edited by Philip n. Baker, London: Hodder
Arnold, 2006.
2. Gynaecology by Ten Teachers, 18th edition, Edited by Ash Monga, London: Hodder
Arnold, 2006.
3. Williams Textbook of Obstetrics. F. Gary Cunningham, Norman F. Gant, Kenneth J.
Leveno, and Larry C. Gilstrap, McGraw Hill, 2001.
5.19.4. Evaluation
Type of Examination
Distribution
of MarksFirst
examination
Distribution
of Markssubsequent
examinations
No. of hrs No. of
question etc.
In-course
End of course
1 Essay(3 hours)
90
20
100
20
2 MCQ
3 Viva Obs, gyn
20
10
20
20
40 Questions
10 + 10 min / student
4 Obstetric case
5 Gynaecological
case
20
20
20
20
30 min
30 min
Qualifying
pass marks
(%)
10
6 Questions [3in Obs, 3

in Gyn.]
45 % in
theory
50%
Page 115
5.19. Paediatrics
[Person in Charge- Head Paediatrics]

The aim of the course is to develop knowledge, skills and attitude needed for the care
of normal babies, babies at risk and managing children with various diseases. At the end of
the course students should be able to,
Demonstrate a sense of responsibility and kindness towards the patient.
Outline the problems of premature babies and babies at risk, investigations on such
babies and their management.
Describe the growth and development of children
Communicate effectively with infants, children, adolescents and their families.
Describe the common illness and outline the less common diseases that affect children.
Obtain a history, examine sick children and arrive at a differential diagnosis.
Commence immediate management and refer patients with complications for specialized
treatment / assist management of such patients.
Identify abused children and inform authorities.
Manage paediatric emergencies.

The teaching / learning activities include lectures, small group discussions and clinical
attachments. In the wards, students are expected to clerk the patients allocated to them and
present at the ward classes. They must perform simple ward procedures and watch difficult
procedures.
The students are assessed at presentations and by questioning before the end of each
appointment. Formal evaluation is conducted at the end of the course.
The subject contributes to outcome numbers 1, 2, 3, 6, 9 and 12 of the curriculum.
Term 5
1
2
1
1
1
1
Lecture
Lecture
Skill lab
Lecture
Lecture
Lecture
1
2
Lecture
SGD
Growth and development

Normal growth
Abnormal growth
Anthropometry
Normal development
Abnormal development
MDT, speech and visual problems
Nutrition
Healthy eating habits
Calorie counting
Page 116
Paediatrics

1
1
1
Lecture
Lecture
Lecture
Failure to thrive
Obesity
Micronutrient deficiency
Term 6
1
1
1
1
1
1
1
1
2
Lecture
Lecture
Lecture
Lecture
Lecture
Lecture
Lecture
Lecture
Skill lab
Neonatolgy
Definitions
Respiratory distress
Hypoglycaemia
Jaundice
Problems of prematurity
Neonatal seizures
Collapsed baby
Chromosomal abnormalities
Newborn resuscitation
Term 7
1
1
1
1
2
1
1
1
1
Infection/immunology
Lecture
Sepsis and shock
Lecture
PUO
Lecture
Fever and hepatosplenomegaly
Lecture
Immunodeficiency
PBL
Immunisation
Hamatology/oncology
Lecture/PBL Anaemia
Lecture
Pancytopenia
Lecture
Malignancies
Lecture
Problems and emergencies in malignancies
Term 8
1
1
1
1
2
1
1
2
1
Lecture
Lecture
Lecture
Lecture
Lecture
Lecture
Lecture
PBL
Lecture
Cardiovascular system
Acyanotic heart disease
Cyanotic heart disease
Heart failure
Endocarditis
Acquired heart disease rheumatic fever,
Kawasaki disease
Respiratory system
Wheezing in a child
Bronchial asthma
Devices/modes of drug delivery in asthma
Chronic cough
Page 117
Paediatrics

1
1
Lecture
Lecture
Stridor in a child
Infection
Lecture
Lecture
Lecture
Lecture
Lecture
Lecture
Lecture
GIT and Liver

Vomiting in children
Abdominal pain
Diarrhoea- acute/chronic
Inflammatory bowel disease
Constipation
Fulminant hepatic failure
Portal hypertension
Term 9
1
1
1
1
1
1
1 hour
Muskuloskletal system
1
1
Lecture
Lecture
JIA
Connective tissue diseases
Term 10
1
1
1
1
2
Lecture
Lecture
Lecture
SGD
SGD
Renal
Acute/chronic renal failure
Tubulopathy
Voiding dysfunction
UTI
Proteinuria /Haematuria
Endocrine
1 hour Lecture
1 hour Lecture
Pituitary diseases
Hypo/hyperthyroid
1
1
1
1
1
Polyuria and polydipsia

Precocious puberty
Ambiguous genitalia
Calcium metabolism
Emergencies
Lecture
Lecture
Lecture
Lecture
SGD
Term 11
1
1
1
1
Lecture
Lecture
Lecture
SGD
1
1
Lecture
Lecture
Nervous system
Epilepsy
Floppy child
Altered conscious level
Developmental delay
Child psychiatry
Conduct disorder
Anxiety disorder
Page 118
Paediatrics

1
1
1
hour
1
hour
1
1
1
1
Lecture
Lecture
Lecture
ADHD
Pervasive developmental problems
School problems
Lecture
Eating disorders
Lecture
Lecture
Lecture
Lecture
Misc.
Child protection different aspects
Case conferences in abuse
Prescribing in children
Research in children
Summary
Lecture
Skill lab
SGD/PBL
Clinical
Total
Term
5
10
1
2
Term
6
8
2
0
Term
7
8
0
2
Term
8
11
0
2
Term
9
9
0
0
Term
10
9
0
4
13
10
10
13
13
Term
11
Total
13
68
0
3
1
11
632
14
714
5.19.3. References
1. Illustrated Textbook of Paediatrics. Tom Lissauer and Graham Clayden, 3rd edition,
Edinburgh: Mosby, 2007.
2. Nelson Textbook of Paediatrics. Richard E Behrman., Robert M Klieg man and Hal B
Jenson. 19th edition, Phildelphia: Saunders, 2007.
3. Forfar and Arnells Textbook of Paediatrics.6th edition, edited by Neil Mclntosh, Peter J
Helms., and Rosalind L Smyth, Edinburgh: Churchill Living stone, 2003.
4. Robreton, S. Textbook of Neonatology. 4th edition, Churchill Livingstone, 2005.
5. A manual of normal neonatal intensive care. N.R.C. Roberton, 5th edition, Hodder &
Arnold publication, 2004
Page 119
Paediatrics

6. From Birth to Five Years: Childrens Developmental Progress. Mary D. Sheridan,
edition, Routledge, 2007.
3rd
5.19.4. Evaluation
Type of Examination
1
2
3
4
5
In course
End of course
MCQ+SBA
Essay
OSCE
Long case
Short case
Distribution
of MarksFirst
examination
Distribution
of Markssubsequent
examinations
Qualifying
pass marks
(%)
10
90
20
20
10
20
20
100
20
20
10
25
25
Page 120
Paediatrics
eg. No. of hrs No. of
question etc.
20+30 questions-2hrs
6 questions-3hrs
15 items x 4 min
1 case
2 cases
45 % in
theory
50% in
clinical
5.20. Surgery
[Person in Charge- Head Surgery]

The aim of the course is to enable students to develop the knowledge, skills and attitude to
identify simple surgical problems and manage them. They should identify major problems and refer
for specialized treatment with proper precautions and manage them post operatively. At the end of
the course the students should be able to,

Explain the general principles in surgery and utilize them in the management of
surgical patients.
Elicit, document and analyze clinical symptoms and signs; arrive at a list of differential
diagnosis for patients presenting with surgical problems.
Request necessary investigations to come to a diagnosis, interpret the results and assess
the patients condition
Outline the basic principles in diagnostic and therapeutic functions in imaging.
Analyze various treatment options and plan a course of management of the problem
and its complications.
Perform the procedures needed to be carried out in the wards.
Communicate to patients and relatives regarding the patients illness, its complications
treatment and get consent for surgery.
Follow up patients in the clinic with regard to assessment of improvement or
worsening of the problem and complications of surgical problems.
Identify the judicial cases and observe the activity taken by judicial medical officers.
Motivate the students in research, publication and presentation.
Exhibit moral values and ethical conduct when interacting with patients and their
families.
In short, the students should be able to work in a surgical ward as house officers after
passing out and as medical officers thereafter. They would also acquire the basic knowledge,
skills and attitudes that will be the foundation on which they can build up their post graduate
training if they opt to specialize in surgery.
Teaching and learning activities include lectures and clinical rotations. There will be 2
in-course assessments conducted during the course: at the end of second and third
appointments. The marks of in-course assessments will be a barrier to enter the professorial
appointment if not adequate and therefore the students who fail the examination should appear
at subsequent examinations and pass. The final examination will constitute of MCQs, SEQs
and clinical examination which includes long case, short cases OSCE and viva.
The subject contributes to outcome numbers 1, 2, 3, 6, 7, 9 and 12 of the curriculum.
Page 121
Surgery

Term 5
Lecture
Lecture
Lecture
Lecture
Lecture
Lecture
Lecture
Video
3x4 Skill lab

Skills
3x4
lab
1
Lecture
Lecture
3x4 Skill lab
Lecture
General principles
Perioperative care
Preoperative management, Assessment of Fitness for surgery,
Premedication, Consent for surgery and anaesthesia, Risk of
surgery and anaesthesia
Postoperative management critical care and pain management
Anaesthetic management postoperative monitoring, ventilation,
pain.
Nutritional support and fluid & electrolytes
Common postoperative complications- Bleeding, infections, SIRS,
MODS and ARDS
Haemorrhage and blood transfusion
Surgical techniques/technology
Surgical wounds-classification, management principles, healing,
scars, contractures
Surgical techniques - safe surgery, diathermy; Tourniquets in
operating theatre
Surgical procedures- minor procedures, day surgery, endoscopic
and laparoscopic surgery
Surgical procedures- minor procedures, day surgery
Various incisions, wound closure, sutures, basic surgical
instruments; principles of anastomosis
Emergency medicine and management of trauma
Initial assessment of the trauma patient-prehospital care, triage,
clinical assessment, resuscitation - ATLS
Management of unconscious patient-brain injury,
assessment/resuscitation - a coma patient
ATLS
Traumatic wounds- management gunshot, blast, stab,
human/animal bites
Management of skin loss-skin graft, flaps
Traumatic oedema, compartment syndrome- pathogenesis,
management
Lecture
Abdominal trauma - Penetrating and blunt: assessment,

investigations, management, organ injuries
Lecture
Lecture
Chest trauma - blast/penetrating injury: initial life threatening and

later complications, assessment, investigations and management
Head, Spinal cord and Limp injury
Page 122
Surgery
TERM 8
1
Lecture
Lecture
3x4 Skills lab

3x4 Skills lab
1
Lecture
Lecture
Lecture
Lecture
Lecture
Management and legal issues

Evidence based surgery, statistics, trials, research;
Management aspects- audit, clinical governance, medico legal
aspects
Communication skills-psychological aspects, breaking bad
news, working in teams; Medical litigation-avoiding
management errors, ethics, medical negligence
procedures - catheterization, IV canula insertion, chest drain
insertion
skills lab - procedures - catheterization, IV canula insertion,
chest drain insertion
Vascular diseases
Investigations
Problem oriented lecture on Acute and chronic limb ischaemia,
Chronic ulcers of the limb
Lower limb swelling
Thorax
Thorax- lung tumours, mediastinum- mediatinitis and
mediastinal tumours, pleura, diaphragmatic hernia
Acute Thoracic emergencies in surgical patients
Hydropneumothorax, Cardiac tamponade, Congenital or
acquired diaphragmatic hernia, Superior mediastinal
obstruction
Term 9
Head and neck
1 Lecture Ulcers Oral cavity
2 Lecture Differential diagnosis of Neck lumps other than thyroid lumb
GIT
GIT- oesophagus
1 Lecture Congenital problem of oesophagus & diaphragm
2 Lecture Dysphagia GORD, Neoplasia Achalasia cardia, Hiatus Hernia,
strictures and oral causes
GIT- stomach and duodenum
Page 123
Surgery

2 Lecture Epigastric pain Peptic ulcer, Carcinoma stomach, Gastritis and
Acute & Chronic pancreatitis
Gastric outlet obstruction Adults and Paediatric age group
1 Lecture (Congenital pyeloric Stenosis, Duodenal atresia, Annular pancreas,
Lads band & ets)
Peritoneal cavity
1 Lecture Peritonitis and Abdominal and pelvic abscesses
The small intestine and large intestine
Intestinal obstruction Acute, sub-acute & chronic, paediatric
1 Lecture
causes
1 Lecture Appendix
Rectum and Anus
1 Lecture Rectal carcinoma, benign tumours
Anal conditions Painful and Painless Anal fissure, Anal
1 Lecture carcinoma, Incontinence of feces, Peri anal abscess, peri anal fistula,
Rectal prolapse
Bleeding PR Haemorrhoids / Colorectal carcinoma / Chronic
2 Lecture inflammatory bowel disease / Diverticulitis / Angiodysplasia / Upper
GI bleeding / Trauma
Hepatobiliary system and Pancreas
2 Lecture Obstructive Jaundice
1 Lecture Gall bladder: Gall stones and cholecystitis
1 Lecture Chronic pancreatitis
1 Lecture Carcinoma and endocrine tumours of the pancreas
1 Lecture Splenomegally, hypersplenism and splenectomy
Abdominal wall / Abdomen
2 Lecture Inguinal hernia and Ventral hernias
1 Lecture Different type of abdominal stomas and management Colostomy,
Iliostomy, Gastrostomy, Ureterostomy & etc
Differential diagnosis of RIF pain & Lump Acute appendicitis,
1 Lecture Ureteric colic, Mesenteric adenitis, Ilio-caecal TB, Amoebiasis of
caecum, Ectopic pregnancy, Tubo-ovarian mass, Twisted ovarian
cyst, Deep Intramuscular abscess, Psoas abscess, Aneurism
2 Lecture Hernias; the umbilicus
Page 124
Surgery
TERM 10
1
1
1
1
1
Lecture
Lecture
Lecture
Lecture
Lecture
Musculo-skeletal disorders
principles of management of Fractures and dislocations
Upper limb
Pelvis and lower limb
Infection of bone and joints
Tumours of the musculoskeletal system, Chronic joint disorders
1 Lecture Children's orthopaedics - congenital disorders, disorders of growing

skeleton
1 Lecture Sports injury - biomechanics, diagnosis, muscle injury, tendon,
ligaments, bursae, regions
1 Lecture The spine and vertebral column
1 Lecture CNS - intracranial tumours
Principles of oncology
epidemiology of common cancers
1 Lecture Screening programmes- breast, colon, prostate, cervix
Clinicopathological staging of cancer
2 Lecture Principles of treatment- surgery, RT,CT, hormone, immunotherapy,
Palliative care-pain, ect.
1 Lecture Head and neck tumours; Thyroid malignancy
1 Lecture Oesophageal and gastric malignancy
1 Lecture Colorectal malignancy
1 Lecture Breast malignancy
1 Lecture Prostate malignancy
Endocrines
1 Lecture Investigations of the endocrine system
1 Lecture Thyroid lump & differential diagnosis, Hyperthyroidism
1 Lecture Thyroid neoplasms
1 Lecture Parathyroid gland, hypo and hyper parathyroidism
1 Lecture Pheochromocytoma & MEN
Breast
1 Lecture The nipple and benign disease of the breast
1 Lecture Breast lump including malignancy & Differential diagnosis
Genito- Urinary system
1 Lecture LUTS
1 Lecture Haematuria
1 Lecture Congenital abnormalities
1 Lecture Urolithiasis
Page 125
Surgery

1
1
1
1
1
Lecture
Lecture
Lecture
Lecture
Lecture
Urinary tract infection, Urinary fistulas and Diverticula of the bladder

Uroepithelial tumours and renal malignancies
Bladder outflow obstruction- benign prostatic hyperplasia and others
Carcinoma of the prostate
Penis: phymosis, paraphymosis, inflammation, carcinoma
1 Lecture Problems of the testis: torsion, varicocele, hydrocele and other cysts,
infection, tumours
Term 11
4 Lectures
1
1
1
1
1
Lecture
Lecture
Lecture
Lecture
Lecture
1 Lecture
2 Lecture
EYE
Surgical problems of the eye
ENT
Upper airway obstruction and tracheostomy
Epistaxis
Acute otitis media and chronic suppurative otitis media
Sinusitis
Voice problems, Hearing impairment
Nasal obstruction: nasal polyps, septal deviation, tumours.
Foreign bodies: nose, ear, throat, airway
Principles of imaging and radiological diagnosis
Summary
Lecture
Skill lab
Video
Clinical
Total
Term
5
14
9
1
Term
6
3
0
0
Term
7
Term
8
8
6
0
Term
9
28
0
Term
10
34
0
24
14
28
34
Page 126
Surgery
Term
11
Total
12
99
0
15
1
1088
12
1203

5.20.3. References
1.
Baily and Loves Short Text Book of Surgery.25th edition, Edited by R.C.G. Russell.,
N .L.Williams and Christopher J.K. Bulstrode, London: Hodder and Arnold, 2008.
2.
Scott An Aid to Clinical Surgery. 6th edition edited by Robin C .N Williamson and
Bruce P. Waxman, Edinburgh: Churchill Livingstone, 1998.
3.
An introduction to the symptoms and signs of surgical disease. Norman L Browse, 3 rd

edition, London: Edward Arnold, 1997.
4.
Hamilton Baileys Physical signs: Demonstrations of physical signs in Clinical surgery.

John S.P.Lumley, 18th edition, Oxford: Butterworth, 1997.
5.
Text book of surgery. David A. Macfarlane and Lewis P. Thomas, 5th edition,
Edinburgh: Churchill Livingstone, 1985.
6.
A short text book of surgery. Selwyn Taylor and Leonard Cotton. 5th ed. London:
Hodder and Stoughton, 1982.
7.
Lecture notes on general surgery. Harold Ellis., Sir Roy Y. Calne and Christopher
J.E.Watson, 10th edition, Oxford: Blackwell Scientific, 2002.
8.
A text book of surgical pathology. Illingworth and Dick, London: ELBS, Latest Edition.
9.
Outline of fractures. John Crawford Adams and David L.Hamblen, 11th edition, London:
10. Ward procedures in surgery. Gayan Ekanayake. Edited by Aloka Pathirana, Sri Lanka,
2008.
Page 127
Surgery

5.20.4. Evaluation
Type of Examination
Distribution
of MarksFirst
examination
10
No. of hrs No. of
question etc.
At the end of first and
second surgical
appointments. MCQ and
OSCE. 5 marks each
examination
90
100
20
15
25
20
40 questions-2hrs
10 questions-3.5 hrs
10 min / student
Clinical
Examination
4.1. Long case
4.2. Short case
20
20
20
20
1 case 1hr & 30 min

2-3 cases 20 min
4.3. OSCE
10
10
20x 1 minute stations
1
2
3
End of Course
Assessment
MCQ
Essay
Viva [instruments
and procedures]
Distribution
of Markssubsequent
examinations
Qualifying
pass marks
(%)
45 % in
theory
Page 128
Surgery
50% in
clinical
5.21. Synchronization Table for Para Clinical and Clinical Subjects

5.21.1. Synchronization- Phase II
Term 5
Community
Medicine
Forensic
Medicine
Demography
1
Introductio
n
Death and
Postmorte
m
Statistics 1
Basic
Epidemiology
1
Medical
Ethics
Microbiology
Parasitology
General
Microbiology
Pathology
General
pathology
Basic and
Applied
Immunology
Disorders of
immunity and
immune response
Pharmacology
Introduction to
pharmacology
Psychiatry
Basic
Psychology
Surgery
Perioperative
care
Principles of
Drug Thrapy
Post op
management
Toxicology
Surgical
techniques,
Emergency
med
Paediatrics
Growth and
development
Nutrition
Term 6
Community
Medicine
Child Care
Nutrition
Forensic
Medicine
Microbiolog
y
Pathology
Systematic
Bacteriology
Neoplasm
Mycology
Environmental
disease
Injuries
Protozoa
Reproductive
Health1
Environmental
& Occupational
Health 1
Parasitolog
y
Asphyxia
Virology
Pharmacology
Psychiatr
y
Surgery
Immunopharmacology
Fluid &
Electrolyte
Balance
Basic
Psycology
Tissue
transplantatio
n
Antimicrobials
Clinical
Pathology
Infections
Paediatric
s
Neonatolg
y
Clinical
Psycholog
y
Surgical
microbiology
Page 129
Synchronization- Phase II and Phase III

Term 7
Community
Medicine
Communicable
Diseases
Health Planning
&Management 1
Health Economics
1
Health Education
1
Family Medicine
1
Forensic
Medicine
Microbiology Parasitology Pathology Pharmacology
Helminthes
Sexual offenses
and abuses
Clinical
Microbiology
Arthropods
Paediatrics
Basics in
Family
psychology
and social
psychology
[10 hrs]
Infection/
immunology
Forensic
Psychiatry
Hamatology/
oncology
Infections
Snakes
Poisoning
Zoonosis
Page 130
Psychiatry
5.21.2. Synchronization- Phase III

Term 8
Community
Medicine
Research 1
Pathology
Pharmacology Psychiatry Medicine
Drugs Acting
on Autonomic
Cardiovascular Nervous
System
System
Statistics-2
Drugs Acting
on Kidney
Epidemiology2
Cardiovacular
System
Elective Field
activities
Clinical
attachment
Respiratory
System
Paediatrics
Surgery
Management
Cardiovascular Cardiovascular and legal
issues
system
system
Vascular
diseases
Blood and
Blood Forming
Organs
Infectious
Diseases
Thorax
Disorders of
Cardiovascular
System
Page 131

Term 9
Community
Medicine
Communicable
Diseases-2
Noncommunicable
diseases- 2
Research-2
Statistics-3
Pathology
Alimentary
System
Pharmacology
Autacoids &
Related drugs
Respiratory
Disorders
Psychiatry Medicine
Paediatrics
Surgery
Adult
Psychiatry
Respiratory
System
GIT and
Liver
Head and
neck
Child
psychiatry
Gastroenterology
Muskuloskletal system
GIT
Rheumatology
Musculo
Skeletal
System
Gastrointestinal
Tract
Chemo-therapy
of Neopalstic
Diseases
Page 132
Term 10
Community
Medicine
Pathology
Urinary
Reproductive
System
Health-2
Environmental
&
Occupational
Health-2
Endocrine
disease
Health
Planning
&Management2
Health
Economics-2
Health
Education-2
Family
Medicine- 2
Pharmacology
Psychiatry
Medicine
Nephrology
Renal
Hormones &
Related Drugs
Surgery
Musculoskeletal
disorders
Principles
of oncology
Psychopharmacology
Nephrology
Endocrines
Female genital
system
Male genital
system
Paediatrics
Endocrine
Endocrinology
GenitoUrinary
system
Page 133
Term 11
Community
Medicine
Pathology
Pharmacology
Psychiatry Medicine
Reproductive
Health-3
Environmental &
Occupational
Health-3
Nervous
System
Family
Medicine- 3
Statistics 4
Special Topics
Nervous
system
Central
Nervous
System
Health Planning
&Management3
Neurology
Lympho
Reticular
Tissue and
haematological
disorders
Paediatrics
Surgery
Radiology
Child
psychiatry
Eye
Misc.
ENT
Miscellaneous
Page 134
5.22. Hours Needed for Para-clinical courses

Subject
Term
5
Term
6
Term
7
Term
8
Term
9
Term
10
Term
11
Total
Sociology
PPDS
Microbiology
Parasitology
Community
Medicine
Forensic Medicine
Pharmacology
Pathology
Psychiatry
Medicine
Obstetrics &
Gynaecology
59
17
25
0
16
35
20
18
28
35
10
16
46
27
33
5
0
19
40
25
38
36
0
35
27
15
0
17
0
118
75
31
23
39
0
2
27
54
21
8
35
64
7
3
49
10
24
42
0
10
343
123
176
270
86
23
Paediatrics
Surgery
Total
Available [12x5x4
Hr]
13
24
265
10
3
242
10
0
185
13
11
206
9
26
230
13
34
195
14
12
161
82
110
1484
240
240
240
240
240
240
240
59
69
88
55
Page 135
5.23. Total Hours of the Course

The course is very extensive and demanding. More clinical attachments are
to be added as more sub-specialties like neurosurgery, rheumatology etc. become
established in the Jaffna Teaching Hospital. The duration is five years and there is
very limited time for self study and recreation. The following table gives total
hours allocated for learning. Credits are calculated on the basis of 15 hours of
lectures and tutorials, 30 hours of practical, research, seminar and 45 hours of
clinical learning as equivalent of one credit.
Total for the course

Subject
Hours Credits
Introductory
62
English
60
4.0
IT
60
2.3
PPDS
139
9.3
Anatomy
645.5
30.4
Biochemistry
339
17.2
Physiology
280
15.0
Sociology
59
3.1
Microbiology
88
5.4
Parasitology
55
3.1
Community
Medicine
661
24.0
Forensic Medicine
209
9.5
Pathology
318
16.9
Pharmacology
176
10.6
Psychiatry
422
13.2
Medicine
991
23.0
Obstetrics &
Gynaecology
Paediatrics
Surgery
Elective
Grand total
576
12.8
714
1188
192
7235
19.5
30.8
4.3
254.5
Page 136
Chapter 6
Evaluation Procedures and Award of Degree

Each subject will be evaluated by the respective department of study. In-course
assessments and end-of-course examination are held. Three end-of-course examinations
are conducted: First Examination for Medical Degrees, Second Examination for Medical
Degrees and Final Examination for Medical Degrees. The First two examinations are bar
examinations. The students must pass all subjects to enter the next stage.
6.1. In-course assessment

Respective Departments will conduct in course assessment examinations during the
course.
Students must attend all in-course assessment examinations.
If any student
absents at the in-course assessment for valid reason, the department concerned may
conduct another examination either in written or oral form. If students absent themselves
for trivial reasons, they will be given zero mark for that examination. A portion of the final
marks of the first attempt will be obtained from the in-course assessment marks.
6.2. End-of-course Examination

An examination is conducted at the end of each Phase. A second examination will
be conducted 6 weeks after releasing the results of the first examination. Each subject will
be examined separately.
Integrated examinations could be evolved when integrated
teaching is introduced in due course. Each examination will have many components such
as MCQ, essay questions, practical, spot examination, viva and clinical examinations. The
components may vary according to the nature of the subject. Attempts will be made to
make the evaluation objective by giving structured questions for theory and converting
conventional clinical and practical examinations into Objective Structured Clinical
Examinations and Objective Structured Practical Examinations.
6.2.1. Eligibility to Sit for the First Examination for Medical Degrees
The subjects are Anatomy, Biochemistry and Physiology.
The student must have valid registration in the University.
The student must have passed the Information Technology examination (see
section 6.1.3.3).
The student must have passed the English examination (see section 6.1.4.2).
The student must have passed PPDS examination for Phase I (see section
5.4.4.).
Page 137
Evaluation
The student must have at least 80% attendance practical and tutorial classes of
all the subjects.
The student must have completed the course in all subjects and should have
obtained the signature of each Head of each Department in the student record
book and the application form.
6.2.2. Eligibility to Sit for the Part I of the Second Examination
The subjects are Microbiology and Parasitology.
The student must have at least 80% attendance in practical and tutorial
classes of the three subjects.
The student must have completed the course in the two subjects and should
have obtained the signature of the Head of the Department in the student
record book and the application form.
6.2.3. Eligibility to Sit for the Part II of the Second Examination
The subjects are Community Medicine, Forensic Medicine, Pathology and

Pharmacology.
The student must have passed PPDS examination for Phase III (see section
5.4.4.).
The student must have at least 80% attendance in practical and tutorial
classes of the four subjects.
The student must have completed the course in the subjects and should have
obtained the signature of each Head of each Department in the student
6.2.4. Eligibility to Sit for the Final Examination for Medical

Degrees
The subjects are Medicine, Obstetrics & gynaecology, Paediatrics,

Psychiatry and Surgery.
The student must have obtained pass marks in the assessment of the
Elective Appointment.
Page 138
Evaluation
The student must have 100% attendance in clinical component. Up to 10%

absenteeism in Clinical component could be acceptable with written
permission of the Consultant. The student should have at least 80%
attendance in other relevant components of all the subjects or the absence
should have been excused by the Faculty and the Senate.
The student must have completed the course in all the subjects and should
have obtained the signature of each Head of each Department in the student
The student should have passed the Sociology co-module examination.
6.2.5. Attempts and Excuses

The students must appear for the scheduled examinations. The examination
scheduled immediately after the completion of the course shall be deemed to be the
first attempt. Students will be allowed to sit 4 scheduled attempts at the first
examination and 6 scheduled attempts at the other examinations. If any student
misses the scheduled examination for not fulfilling the above mentioned criteria or
for any other reason, the student will be deemed to have failed that examination
unless the absence at the examination is excused by the Faculty and the Senate. If
any student happens to be unable to appear at the examination due to ill health, the
student should get examined by the UMO or a Consultant at the Teaching Hospital
or a Government Medical Officer if the student is in a faraway place. The medical
certificate should be duly certified by the UMO and submitted to the Faculty within
Two weeks. Medical certificates or any appeal of excuses will not be accepted
after releasing the results of the examination.
An additional grace chance may be granted under exceptional circumstances
for students who have not completed any examination within the stipulated number
of attempts if the appeal of the student is well supported by authenticated
documents and accepted by the Faculty Board and approved by the Senate.
Page 139
Evaluation
6.3. Summary of the Scheme of Evaluation

6.3.1.
Summary of the Scheme of Evaluation at the First Attempt
Subject
1
2
3
4
5
6
7
8
9
10
11
12
13
14
Anatomy
Biochemistry
Physiology
Forensic Medicine
Microbiology
Parasitology
Community Medicine
Pathology
Pharmacology
Psychiatry
Medicine
Obstetrics &
Gynaecology
Paediatrics
Surgery
Clinical
Theory
Practical/
In
Practical/OSPE/
OSCE / Short
Research Viva Total
Long case/
Course Essay MCQ
Spot 1
case/
Spot 2
Gynaecology
Obstetrics
20
25
25
10
10
10
100
20
25
25
10
10
10
100
20
30
30
10
10
100
50
20
30
100
20
30
30
10
10
100
15
50
20
5
10
100
25
50
15
10
100
30
30
10
10
20
100
10
20
30
20
10
10
100
25
25
25
25
100
20
20
20
0
20
20
100
10
20
20
10
10
20
15
20
20
10
10
Page 140
Evaluation
20
20
20
20
20
20
10
100
100
100
6.3.2.
Summary of the Scheme of Evaluation at the Subsequent Attempts

Clinical
Practical/
OSPE/ Practical/
Spot 1/
OSCE / Short
Research Viva Total
Long case/
Essay MCQ
Study
Spot 2 case/
Gynaecology
Obstetrics
guide
Theory
Subject
1
2
3
4
5
6
7
8
9
10
11
12
13
14
Anatomy
Biochemistry
Physiology
Forensic Medicine
Microbiology
Parasitology
Community Medicine
Pathology
Pharmacology
Psychiatry
Medicine
Obstetrics &
Gynaecology
Paediatrics
Surgery
30
40
35
50
35
60
70
30
30
25
30
30
40
35
20
20
20
20
20
25
35
30
30
25
30
10
10
10
20
15
20
10
10
20
10
10
10
10
25
20
25
20
20
20
25
20
25
20
20
10
20
30
15
15
30
20
10
100
100
100
100
100
100
100
100
100
100
100
20
100
100
100
Page 141
Evaluation
6.4. Award of Pass, Fail, Distinctions and Class

Each examination of the pre, para and clinical courses will be independent and the
results of one examination will not have any influence on the results of the other
examinations and the students will be awarded pass, class and distinctions for each
examination separately.
6.4.1. Award of Pass in a Subject

The students should obtain the marks of 50% or above and obtain the qualifying
marks in the specified components to pass any subject.
Qualifying mark is 40% in the theory component [MCQ and Essay] in each of the
pre-clinical and para-clinical subjects. Qualifying mark for the clinical subjects is,
45% in theory [MCQ and Essay] and 50% in clinical component [short case and
long case in Medicine, Surgery, Paediatrics and Psychiatry and Obstetric &
Gynaecological cases in Obstetrics & Gynaecology].
6.4.2. Award of Fail and Referred in an examination
Any student who fails to appear at any scheduled examination will be deemed to
have failed that examination [First and Final Examinations for medical degrees] or
part of the examination [Part I or Part II of the Second Examination for medical
degrees] unless an excuse is accepted by the Faculty Board and approved by the
Senate.
If any student obtains less than 25% in any one subject, the student will be failing
the entire examination irrespective of the marks obtained in other subjects.
If any student obtains less than 50% in all subjects, the student will have failed in
the examination.
If any student fails to obtain the qualifying marks, the student will fail in that
subject irrespective of the total marks obtained.
If the student passes one or more subjects and fails to pass in other subjects, the
student will be deemed to have referred in the unsuccessful subjects.
Page 142
Evaluation

6.4.3. Award of Pass and Class Honours
Pass will be awarded to students when they obtain pass marks in all subjects of the
course. Class Honours will be awarded to students only if they complete the course in the
first scheduled attempt and obtain average marks for that examination as follows:
Range of Marks
Award
50-59
Pass
60-64
Second Class Lower
65-69
Second Class Upper
70 or above
First Class
6.4.4. Award of Distinction

Distinctions in subjects will be awarded to students who got 70% or above in any
subject if they have got pass marks in all subjects of the examination at the first scheduled
attempt.
6.5. Releasing Results

When the marks of all subjects of an examination are received by the Dean, a PreResult Board will be convened by the Dean. The Pre-Result Board will comprise the
relevant Heads of Departments, all examiners who took part in that examination and the
Assistant Registrar.
The marks will be analyzed and scrutinized and sent to the
Examination branch of the University. The students who obtain fail in subjects will be
notified by the Dean, subject to confirmation by the Result Board and the Senate. The date
of notifying failures will be the first day for counting 6 weeks to conduct the second
examination.
The Vice Chancellor will convene a Result Board to finalize the results and submit
the result for confirmation by the Senate. The Result Board will scrutinize the marks again
and work out the distinctions, class honours, passes, failures and prizes.
6.6. Award of Bachelor of Medical Science [BMSc]

The degree of BMSc will be awarded to those students who wish to leave the
University after successful completion of the Second Examination for Medical Degrees.
The BMSc could be converted to MBBS provided the students return within a
period of 5 years from the date of award of BMSc and complete the MBBS within the
remaining period to make the maximum period of 10 years in the University.
Page 143
Evaluation

Curriculum 2011 I

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CURRICULUM

Approved by the Faculty Board at its 269th meeting held on 16.11.2011

Outcomes of the Medical Course ..................................................................................... 3

5.1. Introductory Course ........................................................................................................... 12

5.10.4. Evaluation ......................................................................................................................... 68

5.19.1. Course Description .......................................................................................................... 116

CHAPTER 6 ................................................................................................................ 137

In-course assessment .................................................................................................... 137

6.2. End-of-course Examination ......................................................................................... 137

Releasing Results .......................................................................................................... 143

Award of Bachelor of Medical Science [BMSc] ........................................................... 143

Medical Curriculum 2010

The Faculty of Medicine developed its curriculum through the

Faculty of Medicine, UOJ

Degrees awarded- Bachelor of Medical Sciences [BMSc] and Bachelor of Medicine

University awarding the degree - University of Jaffna, Sri Lanka.

Admission to Undergraduate Course - The University Grants Commission of Sri Lanka

Medium of instruction - The course is conducted entirely in English.

Medical Curriculum 2010

Vision, Mission and Outcome of the Medical Course

To be a leading centre of excellence in teaching learning, research and scholarship

To be a leading centre of excellence which produces intellectual, competent,

Outcomes of the Medical Course

At the end of the MBBS course the graduate should:

Faculty of Medicine, UOJ

4.2. Pre-clinical Course [Terms 1 to 4]

Medical Curriculum 2010

Year 1 Phase I - Pre clinical

Phase I - Pre clinical

Phase I - Pre clinical

Phase I - Pre clinical

New year Holidays

Faculty of Medicine, UOJ

Medical Curriculum 2010

4.3. Para-clinical Course [Terms 5 to 11]

4.4. Clinical Course

Faculty of Medicine, UOJ

4.5. Teaching / Learning activities

4.6. Student Activities.

Medical Curriculum 2010

Faculty of Medicine, UOJ

4.7. Student Attendance

Medical Curriculum 2010

4.8. Contribution of Subjects to Curricula Outcomes

Outcomes of the Medical Course

At the end of the MBBS course the graduate should:

Faculty of Medicine, UOJ

Address by key persons

Medical Curriculum 2010

5.2. IT Co Module for Medical Course

5.2.1. Course Description

Faculty of Medicine, UOJ

Medical Curriculum 2010

Entering data, variable types, variable labels, value labels,

Transforming data and creating new variables: recode,

File manipulations: sort file, split file, select cases, merge

5.2.3. Evaluation and Marking Scheme

Faculty of Medicine, UOJ

Medical Curriculum 2010

5.3. English Co-module for Medical Course

Faculty of Medicine, UOJ

Listening and note taking