Undergraduate

Syllabus - Theory

Evaluation of Public Health and Concepts of Health
  1. Evaluation of Public Health
  2. Definition of health; holistic concept of health, appreciation of health as a relative concept, determinants of health.
  3. Characteristics of agent, host and environmental factors in health .and disease and the multifactorial etiology of disease.
  4. Understanding the Natural history of disease and application, interventions at various levels of prevention with appropriate examples.
  5. Indices used in measurement of health.
  6. Health profile in India.
Environment and Health
Must know
    1. The concept of safe and wholesome water.
    2. The requirements of sanitary sources of water.
    3. Understanding the methods of purification of water on small scale and large scale.
    4. Various biological standards, including who guidelines for third world countries.
  1. Concept and methods for assessing quality of water.
  2. Sources, health hazards and control of environmental pollution
  3. Problem in the disposal of refuse, sullage, human excreta and sewage and its remedies.
  4. Awareness of standards of housing and the effect of poor housing on health.
  5. Role of vectors in the causation of diseases.
  6. Identifying features of and mode of transmission of vector borne diseases.
Desirable to know
  1. Methods of vector control with advantages and limitations of each.
  2. Mode of action, does and application cycle of commonly used insecticides and rodenticides.
Health Education - (Information, Education, Communication)
  1. Communicate effectively with individuals, family and community using tools and techniques of information, education, and communication. To do so, the students should know:
    1. Principles of communication, methods and evaluation of health education and understand and apply adult education methods.
    2. Appreciate barriers to effective communication.
    3. List various methods of health education with their advantages and disadvantages.
    4. Select and use of appropriate media (simple audio-visual) for effective health education.
    5. Indices used in measurement of health.
    6. Practice of health education.
  2. Use every opportunity for health education of the individual, family and the community.
Nutrition and Dietetics
  1. Common sources of various nutrients and special nutritional requirement according to age, sex, activity, physiological condition.
  2. Nutritional assessment of individual, families and the community by selection and using appropriate methods such as: anthropometry, clinical. Dietary laboratory techniques
  3. Plan and recommend a suitable diet for the individuals and families bearing mind the local availability of foods economic status, etc.
  4. Common nutritional disorders protein energy malnutrition. Vitamin a deficiency anaemia, iodine deficiency diseases fluorosis, food toxin diseases and the control and management
  5. National programmes in nutrition.
  6. Nutritional surveillance education and rehabilitation.
Occupational Health
Must know
  1. Relate the history of symptoms with the specific occupation including agriculture.
  2. Employees state insurance scheme.
Desirable to know
  1. Identification of the physical, chemical biological and social hazards to which workers are exposed to while working in a specific occupational environment.
  2. Influence of physical factors like heat, humidity, cold, radiation and noise on the health of the individual and community.
  3. General preventive measures against these diseases including accident prevention.
  4. Various legislation in relation to occupational health
Medical Sociology and Community Mental Health
Must know
  1. Conduct of a clinico-social evaluation of the individual in relation to social, economic and cultural aspects, educational and residential background; attitude to health, disease and to health services, the individuals, families and community's
  2. Assessment of barriers to good health, recovery from sickness and to lead a socially and economically productive life.
  3. Development of good doctor-patient and community relationship.
  4. Identification of socio-cultural factors related to health and disease in the context of urban and rural societies.
  5. Impact of urbanization of health and disease.
  6. National mental health program.
Desirable to know
  1. Community psychiatry.
Fundamentals of Bio-Statistics
Must know
    1. The scope and uses of bio-statistics
    2. Collection of data, common sampling techniques, simple statistical method for the analysis, classification interpretation and presentation of data, frequency distribution, measures of central tendency, measures of variability, laws probability.
    3. Analyse and interpret data.
  1. Obtaining health information, computing indices (rates and ratio) and making comparisons.
Desirable to know
  1. Apply statistical methods in designing of studies.
    1. Choosing of appropriate controls.
    2. Applying tests of significance (large sampling tests)
    3. Use of statistical tables
Basic Epidemiology
Must know
  1. Epidemiology: definition, concept and role in health and disease. 2. Use of basic epidemiological tools to make a community diagnosis of the health situation in orders to formulate appropriate intervention measures.
  2. Definition of the terms used in describing disease transmission and control.
  3. Modes of transmission and measures for prevention and control of communicable and noncommunicable diseases.
  4. Principal sources of epidemiological data.
  5. Definition, calculation and interpretation of the measures of frequency of diseases and mortality.
  6. Need and uses of screening tests.
  7. Accuracy and clinical value of diagnostic and screening test (sensitivity, specificity, predictive values).
  8. Planning, collecting, analysing and interpreting data with community participation to reach a community diagnosis
  9. General principles of epidemiology of communicable and non-communicable diseases of public health importance and their control.
  10. Awareness of programmes for control of non-communicable diseases.
    1. Planning and investigation of an epidemic of communicable disease in a community setting.
    2. Institution of control measures and evaluation of the effectiveness of these measures.
Desirable to know
  1. The derivation of normal values and the criteria for intervention in case of abnormal values.
  2. Applications of computers in epidemiology
Epidemiology of Specific Diseases Communicable & Non-Communicable Disease
Must know

The specific objectives of selected communicable and non-communicable diseases of public health importance for which national disease control/eradication programmes have been formulated are described here. For other diseases, the individual teacher would formulate the objectives while drawing the lesson plans. The idea of formulation objectives for a few diseases here is to highlight their importance and emphasize certain learning outcomes.

Communicable diseases

  • Intestinal Infection: Poliomyelitis, Viral Hepatitis, Diarrhoeal Disease, Cholera, Helminthiasis Including Dracunculiasis.
  • Respiratory Infections: Acute Respiratory Infections/ Tuberculosis, Measles, Diphtheria, Whooping Cough
  • Vector-Borne Infections: Malaria, Filariasis, Kala Azar, Dengue.
  • Surface Infections: Sexually Transmitted Diseases, Hiv & Aids, Tetanus, Leprosy
  • Zoonosis: Rabies, Japanese Encephalitis, Plague, Kyasanur Forest Disease

  • Non-communicable diseases

    Coronary Heart Diseases, Hypertension, Rheumatic Heart Disease, Cancers, Diabetes, Blindness & Accidents.

    1. Extent of the problem, epidemiology and natural history of the, disease.
    2. Relative public health importance of particular disease in a given area.
    3. Influence of social, cultural and ecological factors on the epidemiology of the disease.
    4. Prevention and control of communicable and non-communicable disease by:
      1. Diagnosing and treating a case and in doing so demonstrate skills in:
        1. Clinical methods.
        2. Use of essential laboratory techniques.
        3. Selection of appropriate treatment regimes.
        4. Follow-up of cases.
      2. Principles of planning, implementing and evaluating prevention and control measures for the disease at the community level bearing in mind the relative importance of the disease.
    5. Institution of programmes for the education of individuals and communities.
    6. Investigating the disease epidemic and the principles of measures of control the disease epidemic.
    7. Awareness of national disease control programmes.
    Desirable to know
    1. Level of awareness of causation and prevention of disease amongst individuals and communities.
    2. Control of communicable and non-communicable diseases by diagnosing and treating a case and in doing so demonstrate skills in:
      1. Instituting measures, where necessary, for preventing disabilities/ deformities.
      2. Rehabilitation of the patient.
    Demography
    1. Definition of demography and family welfare program.
    2. Stages of the demographic cycle and their impact on the population, concept of demographic gap and population explosion.
    3. Definition, calculation and interpretation of demographic indices like birth rate, death rate, fertility rates.
    4. Reasons for rapid population growth in India and population dynamics.
    5. Need for population control measures and the national population policy.
    Reproductive and Child Health
    Must know
    1. Need for specialized services for these groups.
    2. Magnitude of morbidity and mortality in these groups in the local area and different regions.
    3. Local customs and practices during pregnancy, childbirth and lactation and complementary feeding.
    4. Concepts of reproductive cl1iid l1ealtl1 (f1cfl) components, including cl1ild survival and safe motherhood, universal immunization programme integrated child development and other existing programmes.
    5. Handicapped child.
    6. Organization, implementation and evaluation of reproductive child health program components.
    7. Identify and describe the different family planning methods and their advantages and shortcomings.
    8. Demonstrate skills in motivating a couple for selecting an appropriate family planning method.
    9. Medical termination of pregnancy act, (mtp).
    Desirable to know
    1. Organizations, technical and operational aspects of the national family welfare programme and participate in the implementation of the programme.
    School Health
    Must know
    1. Objectives of the scl1ool health programme.
    2. Activities of the programmes like
      1. Carrying out periodic medical examination of tile children and the teachers.
      2. Immunization of the children in the school.
      3. Health education.
      4. Mid-day meals.
    Desirable to know
    1. Obtaining participation of the teachers in the school health programmes including maintenance of record; refining healthy practices; early detection of abnormalities, national school health programmes.
    Urban Health
    1. Common health problems (medical, social environmental, economical, psychological) of urban slum dwellers.
    2. Organization of health services for slum dwellers.
    3. Organization of health services in urban areas.
    Health System in India
    Health Planning and Management Including Disaster Management
    1. Awareness regarding important health legislation in India such as birth and death registration act, prevention of food adulteration (pfa) act, and mtp act.
    2. Awareness regarding important health legislation in India such as child labour act, consumer protection act, prenatal diagnostics act, human organ transplant act, etc.
    International Health
    Geriatrics
    Bio-Medical Waste: Types, Potential risks and their Safe Management

    Syllabus - Skills

    General Skills

    The student should be able to:

    1. Elicit the clinico-social to describe the agent, host an environment factor that determine and influence health.
    2. Recognize and assist in management of common health problems of the community
    3. Apply elementary principles of epidemiology in carrying out simple wpidemiological studies in the community.
    4. Work as a team member in rendering health care.
    5. Carry out health education effectively for the community.

    Skills in Relation to Specific Topic

    The student should be able to:

    1. Communication: The student should be able to communicate effectively with family members at home, patients at clinics or at homes; individuals, family or a group for health education peers at scientific forums.
    2. Team activity: Work as a member of the health team; in planning and carrying our field work like school health.
    3. Environmental sanitation: Collect water and stool samples for microbiological evaluation.
    4. Communicable and non-communicable diseases (inciuding Social Problems)
      1. Eliciting clinico-social history and examining the patient for diagnosis and treatment
      2. Assessing tile severity and/or classifying dehydration in diarrhoea, upper respiratory tract infection, dog-bite, leprosy.
      3. Adequate and appropriate treatment and follow-up of leprosy, malaria, filariasis, rabies, upper respiratory tract infections, diarrhoea and dehydration.
      4. Advise on the prevention and prophlylaxis of common diseases like vaccine preventable diseases, tetanus, malaria, filariasis, rabies, cholera, typhoid, intestinal parasites.
    5. Maternal and Child Health:
      1. Antenatal-examination of the mother; application of the risk approach in antenatal care.
      2. Postnatal - assessment of the mother and new born, advice on appropriate family planning method; promotion of breast-feeding; advice on weaning.
      3. Assessment of growth and development of the child -use of the road to health, immunization to the child; identifying high-risk infants.
      4. Skills in Vaccine management.
    6. Statistics:
      1. Simple random sampling technique.
      2. Apply appropriate (large sample) tests of significance to make a correct inference.
      3. Sample analysis and presentation of data.
      4. Calculation of various health indices.
      5. Calculation of relative and attributable risks.
      6. Calculation of sensitivity, specificity and predictive values of screening test.
    7. Nutrition:
      1. Conducting a diet survey.
      2. Community survey and clinical diagnosis of nutritional deficiencies: vitamin A deficiency, iodine deficiency, malnutrition.
      3. Making recommendation regarding diet.
    8. Occupational Health:
      1. Inspection of work sites.
      2. Recommendation in improving work sites.
      3. Supervision of workers and programmes.
    9. Health Management:
      1. Be an effective team leader.
      2. Guide and train workers.
      3. Supervision of workers and programmes.
    10. Managerial:
      1. Organize antenatal and under- five clinic.
      2. To conduct meetings
      3. Review of records
      4. Principles of supervision.

    Syllabus - Field Visits

    Mandatory visits to:
    1. Primary Health Centre
    2. Sub centre
    3. Anganwadi
    4. Industrial visit
    5. Water purification works
    6. Clinico-social posting
    7. Family Health Advisory program.


    Postgraduate

    MD - Community Medicine : PG - Curriculum

    Goals

    The goal of postgraduate medical education shall be to produce specialists of Community Medicine who shall have the following competencies:

  • Recognize the health needs of the community and carry out professional obligations ethically and in keeping with objectives of the national health policy.
  • Have necessary abilities for the practice of Community Medicine Be aware of the contemporary advances and developments in the discipline of Community Medicine.
  • Have a spirit of scientific enquiry and is oriented to the principles of research methodology and epidemiology.
  • Have the basic skills in training of the medical and paramedical professionals.
  • Objectives

    At the end of the postgraduate training in Community Medicine (SPM), the student shall be able to:

  • Recognize the importance of the Community Medicine in the context of the health needs of the community and national priorities in the health sector.
  • Practice the Community Medicine specialty ethically and in step with the principles of health care.
  • Demonstrate sufficient understanding of the basic sciences relevant to Community Medicine.
  • Identify social, economic, environmental, biological and emotional determinants of health in a given case and take them into account while planning promotive, preventive, therapeutic and rehabilitative measures / strategies.
  • Diagnose and manage majority of the health conditions in the community on the basis of clinical assessment and conduct appropriate investigations.
  • Demonstrate the skills in documentation of individual / community case details as well as morbidity and mortality data relevant to the assigned situation.
  • Demonstrate empathy and humane approach towards clientele and exhibit interpersonal behavior in accordance with the societal norms and expectations.
  • Play the assigned role in the implementation of National Health Programmes, effectively and responsibly.
  • Organize and supervise the chosen/assigned health care services demonstrating adequate managerial skills in the clinic/hospital or field situation.
  • Develop skills as a self-directed learner, recognize continuing educational needs and select & use appropriate learning resources.
  • Demonstrate competence in basic concepts of research methodology and epidemiology and be able to critically analyze relevant published research literature.
  • Develop skills in using educational methods and techniques as applicable to the teaching of medical/nursing students, general physicians and paramedical health workers.
  • Function as an effective leader of a health team engaged in health care, research and training.
  • Research

    1. Psychosocial aspects in cases of poisoning
    2. Undergraduate outlook at the time of admission
    3. Maternal and Mental Health assessment of antenatal and postnatal cases
    4. Prevalence of known diabetes and gaps in diabetes care in Mysore city
    5. Feasibility of bi-weekly supplementation of iron for school aged children
    6. Coverage of iron supplementation consumption in rural Mysore
    7. Evaluation of Cotpa in Mysore city
    8. Mind modelling of auto driver using disc approach
    9. Maternal mental health- an operational research in primary care