Ordinance Governing

Paper: II
Amraz-e -Nau-Maulood

• 
  Care around birth :
  

(a) Resuscitation of the newborn,

(b) Neonatal unit.

• 
  General Neonatal care :
  

(a)Examination of the newborn,

(b)Temperature control,

(c) Infant feeding,

(d) Care of normal term newborn baby,

(e) High risk Infant and Multiple births.

• 
  Fetal Assessment:
  

(a) Gestational Age assessment,

(b) Assessment of foetal wellbeing

• 
  Maternal Disorders and Fetal outcome:
  

(a) Pregnancy induced Hypertension

(b) Polyhydrmnios

(c) Oligohydrmnios

(d) Chronic Systemic Disorders

(e) Miscellaneous Disorders.

• 
  Congenital defects and malformation syndromes
  

• 
  Pulmonary diseases of the newborn:
  

(a) Acute respiratory disease

(b) Chronic Lung disease

(c) Malformations of lower respiratory tract

(d) Apnia and Bradycardia

(e) Airway problems

(f) Respiratory failure

• 
  Cardio Vascular diseases:
  

(a) Cyanotic congenital Heart Disease

(b) Acyanotic congenital Heart Disease

(c) Common Neonatal Cardiac Surgical problems.

• 
  Neonatal Jaundice and Congenital defects:
  

(a) Bilirubin Metabolism

(b) Kernicterus

(c) Exchange Transfusion

(d) IsoImmune Hemolytic Disease of Newborn

(e) Drugs and Jaundice.

• 
  Disorders of Kidney and Urinary Tract:
  

(a) Failure to pass Urine

(b) Hematuria

(c) Urinary Tract Infection (UTI)

(d) Acute Renal Failure

(e) Abdominal Mass

(f) Proteinurea in Newborn.

• 
  Central Nervous System:
  

(a) Convulsions in Newborn

(b) Perinatal Asphyxia

(c) Hypoxic Ischemic Brain Injury

(d) Intracranial Hemorrhage

(e) Neural Tube defects.

• 
  Orthopedic Problem in neonate:
  

(a) Torticolis,

(b) Congenital Dislocation of Hip

(c) Polydactily, Syndactily

(d) Fracture Clavicle

(e) Congenital and Infantile Scoliosis

(f) Congenital Genu Recurvatiure

(g) Deformities of feet.

• 
  Neonatal Dermatology:
  

(a) Transient Cutaneous Lesions

(b) Developmental abnormalities of skin

(c) Vascular disorders and malformations.

• 
  Neonatal Hematology:
  

(a) Anaemia of prematurity

(b) Polycythemia

(c) Bleeding in an Infant

(d) Thrombocytopenia

(e) Transfusion reaction.

• 
  Infectious Disease:
  

(a) Congenital Viral Infections:

(i) Cytomegalovirus

(ii) Rubella

(iii) HIV

(b) Bacterial infection

(i) Septicemia

(ii) Focal Bacterial infection

(iii) Skin Infection

(iv) UTI

(v) Pneumonia

(vi) Septic Arthritis

(vii) Osteomylitis

(viii) Diarrhoea

(ix)Candidiasis,

(x) Congenital Malaria

(xi)Tuberculosis

(xii)Toxoplasmosis

• 
  Surgical Problems:
  

(a) Anticipation of type of congenital anomalies

(b) Postnatal Manifestations

(c) Cleft lip and Cleft palate

(d) Oesophageal Atresia

(e) Tracheo-besophageal Fistula

(f)Intestinal Obstruction

(g) Duodenal Atresia

(h)Small bowl Atresia

(i) Meckel Diverticulum and duplication

(j) Complete duodenal obstruction

(k) Meconium Ileus

(l) Hirsch Sprung’s disease

(m) Exophthalmus

(n) Imperforate Anus

(o) Diaphragmatic Hernia

(p) Undescended Testis

(q) Necrotizing Enterocolitis

• 
  Miscellaneous:
  

(a) Birth Injury

(b) Nerve Injury

(c) Bone Fractures

(d) Shock

(e) Neonatal Transport

(f) Cyanosis

(g) Ascitis

(h) Multiple gestations

(i) Baby friendly Hospital

(j) Neonatal Autopsy.

Text Books:

S. No.	Title of the book	Edition &Volume	Name of the Author	Publisher	Year of Publication
1.	Amrazul Atfal	3^rd edition	Shafaqat Azmi	Quomi council, New Delhi	2001
2.	Ayena Atfal	1^st edition	Mohd Rafiq Hijazi	Aijaz Publication	1998
3.	Roberton’s Text book of Neonatology	4^th edition	Janet M Rennie	Elsevier Churchill Livingstone	2005
4.	Text Book of Obstetrics, Neonatology and Gynaecology and Child health Education	6^th edition	C S Dawn	Dawn Book’s, Kolkotta	2004
5.	Neonatology Principles and practice	3^rd edition	Dipak K Guha	Jaypee	2005
6.	Principles and practice of Neonatology	1^st edition	R. Arvind	Churchill Livingstone

Paper III

Amraz e Niswan

• 
  Diagnosis of Gynaecological disorders.
  
• 
  General examination and Preparation of case sheets.
  
• 
  Malformation of female genital organs
  
• 
  Diagnosis of sex and inter sexuality
  

(a)Hirsutism

(b)Virilism

• 
  Amraaz e Farj (Disease of vulva)
  

(a ) Khiiqi ghair tabayi kaifiyat (Congenital abnormalities),

(b) Iltehab e farj (Inflammations of vulva),

(c)Qurooh e farj (Ulceration of vulva)

(d)Chronic epithelial dystrophies,

(e)Hikath ul farj (Pruritis vulvae)

(f) Kesa- e- farj (Cysts of vulva)

(g) Neoplasm of vulva.

• 
  Amraaz e Mahbal (Disease of Vagina)
  

(a) Biology of Vagina

(b) Sailan (Leucorrhea)

(c) Specific Vaginal Infection

(d)Trichomoniasis

(e) Candidiasis

(f) Chlamydia

(g ) Gardinella (Bacterial Vaginosis)

(h) Iltehab e mehbal (Vaginitis)

(i) Oestrogen deficiency Vaginitis

(j) Vulvo vaginitis in children

(k) Senile Vaginitis

(m) Secondary Vaginitis,

• 
  Qurooh, Kesa wa salaat- e- Mahbal (Ulcerations, Cysts and Tumours of Vagina)
  

• 
  Sexually transmitted diseases
  

(a) Sozak (Gonorrhoea)

(b) Aatishak (Syphilis)

(c) lympho granuloma venerum

(d) Granuloma inguinale

(e) Chancoroid

(f) AIDS

• 
  Diq e Zanana aza- e- Tanasuliya (Tuberculosis of Female genital tract)
  
• 
  Zarba-e- Zanana aza-e- Tanasuliya (Injuries of Female genital tract)
  
• 
  Uqar wa Banchpan (Sterility and infertility).
  

(a)Usr-e- jima (Dyspareunia)

(b) Vaginismus

(c) Zoafe Bah IAnanat / Na Mardi / Mardana Kamzori (Male Impotency)

(d) Female frigidity

(e) Surat-e- Inzaal (Premature Ejaculation)

• 
  Khandaani Mansooba Bandi (Family Planning)
  

(a) Sterilization and Birth control.

• 
  Futoorat-e-Haiz (Disorders of menstruation)
  

(a) Precocious puberty

(b) Ehtebas-e-Tarns (Amenorrhoea)

(c) Cryptomennorrhoea

(d) Usr ut Tams (Dysmenorrhea)

(e) Pre Menstrual Syndrome

(f) Oligomenorrhoea

(g) Hypomenorrhoea,

(h) Kasrat ut tarns ( Menorrhagia, Polymenorrhea, Metropathia Haemorrhagica)

(i) Istehaza (Metrorrhagia)

(j) Dysfunctional Uterine Bleeding (DUB)

(k) Premenopausal Bleeding (PMB)

• 
  Warm-e-Raham wa Unq ur Raham (Inflammation of Uterus and Cervix)
  

(a) Utehaab e raham Haad wa Muzmin (Acute and Chronic Endometritis)

(b) Itehab e Unaq ur reham Haad wa Muzmin (Acute and Chronic Cervicitis)

(c) Ectropion

(d) Anaqi taakul (Cervical Erosion)

(e) Cervical polyp.

• 
  Inzalaaq ur Raham (Prolapse of uterus).
  
• 
  Inqalaab ur Raham (Displacement of uterus)
  

(a) Inversion of uterus

(b) Retroversion of Uterus

• 
  Salaat ur Raham (Tumours of uterus)
  

(a)Fibromyomas

(b) Fibroid complicating Pregnancy

(c) Sarcomas of Uterus,

• 
  Amraaz-e-Khusiyat ur Raham (Diseases of Ovaries)
  
• 
  Non-neoplastic enlargements of the ovaries
  

(a) Follicular cysts

(b) Follicular Haematomas

(c) Lutein cysts

(d) Poly Cystic Ovarian Disease

• 
  Ovarian tumours
  

(a) Benign Tumours

(b) Malignant Tumours of ovaries

• 
  Sartaan Zanana Aza-e-Tanasuliya (Gynaecological Oncology)
  

(a) Sartaan Firj (Carcinoma of Vulva)

(b) Sartaan Mahbal (Carcinoma of Vagina)

(c) Sartaan Unaqur Raham (Carcinoma of the Cervix)

(d) Sartaan Raham (Carcinoma of Uterus)

(e) Sartaan Qajifain (Carcinoma of the Fallopian tubes)

(f) Sartaan Khusiyat ur Raham (Carcinoma of the Ovaries).

• 
  Pelvic Inflammatory diseases and Chronic Pelvic Pain
  
• 
  Daroone Rahmiyat (Endometriosis) and Adenomyosis
  
• 
  Inflammation of uterine appendages
  

(a)Iltehab qazifain wa Khusiyat ur Raham (Salpingo-oophoritis)

• 
  Amraaz e Saddi (Diseases of breast)
  

(a) Warm e Saddi (Mastitis)

(b) Sigar e Saddi (Atrophy of Breast)

(c) Izm e Saddi (Hypertrophy of Breast)

(d) Kasarat ul Laban (Galactorrhoea)

(e) Quillat ul laban (Oligogalactorrhoea)

(f) Hikkat us Saddi (Pruritis of Mammary gland)

(g) Inzalaaq e Saddi (Laxation of Breast)

(h) Breast Engorgement

(I) Kesa e Saddi (Breast cyst)

((j) Qurooh e Saddi (Ulcers of Breast)

(k) Dabilat us Saddi (Abscess of Breast).

• 
  Benign Breast Disease (a) Fidroadenoma of Breast (b) Fibro adenosis
  
• 
  Sartan e Saddi (Breast Cancers)
  
• 
  Imaging Modalities in Gynaecology
  

Reference Books

S. No.	Title of the book	Edition &Volume	Name of the Author	Publisher	Year of Publication
1	Al Qanon fil tib (Arabic Version)	3^rd vol	Ibn Sina (Urdu Translation by Kanturi)	Tareekhe Tibbi wa Abhas- ul- Tabiya, New Delhi. Nawal Kishore, Lukhnow.	1981
2	Al Hawi	9^th vol	Mohd Bin Zakriya Razi	CCRUM, New Delhi.
3.	Firdaus-al-Hikmat		Rabban Tabri (Urdu translation by Kabeeruddin)	Faisal Publication, Deoband.	2002
4.	Kamil-us-Sana		Ali Ibne Abbas Majoosi (Urdu translation by Ghulam Hasnain Kantoori)	Nawal Kishore, Lukhnow.	1889
5.	Zakheera Khwarizm Shahi		Ismail Jurjani	Nawal Kishore, Lukhnow.	1903
6.	Kitab-ul-Mansuri		Zakriya Razi	CCRUM, New Delhi.
7.	Moalijat Buqratia		Rabban Tabri translated by CCRUM.	CCRUM, New Delhi.

Text Books:

Sl N.	Title of the book	Edition &Volume	Name of the Author	Publisher	Year of Publication
1.	Amraz-e-Niswan	Voll	Waseem Ahmad Azmi	Ejaz Publishing House, Daryaganj, New Delhi	2000
2.	Amraz-un-nisa	Voll	Khursheed Ahmad Shafaqath Azmi	Urdu Development Board New Delhi	1978
3.	Amraz-e-Atfal		KASA	UDB	1989
4.	Amraaz un Nisa wa Moalijat wa Safa wa Jarahat		Ahmad Isa	Al Adab al Moyyed, Cairo, Egypt	1910
5.	Tajreezul Atfal		Isa Buk Hamdi	Al Maroof Bisharae Fajaila, Egypt	1913
.. 6.	Amraz-e-Niswan	12	John Hawkins & Jordon Bourme	The English Language Book Society
7.	Tarbiyathul Atfal		Mohammed Abdul Hameed Buk	Al Maroof Bisharse Fajalila, Egypt
8.	Umul Amraz-e-Nis'wan	Vol. I	Ghulam Dastagir	Jay & Churchill Ltd.	1939
9.	Jeffcots’s Principles of Gynaecology	5^th edition	VR Tindall	Butterworth Heinemann	1998
10.	Text book of Obstetrics	5^th edition	Dutta D.C.	New Central Book Agency New Delhi	2001
11.	Text book of Gynecology	2nd edition	Dutta D.C.	New Central Book Agency New Delhi.	2001
12	William Obstetrics	22 edition	Williams	MC GRAW Hill	2005
13	Recent Advances in Obstetrics and Gynaecology.	14^th edition	Das Gupta	Jaypee	1999
14	Text Book of Obstetrics	16^th edition	C. S. Dawn	Dawn Book, Kolkatta	2004
15	Text Book of Gynaecology.	14^th edition	C.S. Dawn	Dawn Book, Kolkatta	2003.

Department of Hifzane Sehat

Syllabus for MD Course

Objectives

The Post Graduate will be able to provide restorative care for the patient with complex problems that are beyond the treatment skills of general Unani physician and demonstrate evaluation and judgement skills in making appropriate decisions regarding Tashkhees wa Ilaj, Tahaffuz and to deliver comprehensive care for the patients keeping in view the National Health Programmes.

Knowledge

The student should possess basic and systematic knowledge in the following subjects.

• 
  Itlaqi Kulliyat, Umoore Tabiyah, Maheyatul Amraz, Tahaffuzi Tadabeer, Samaji Tadabeer, Khandani Bahbood programme, Bainul Aqwami Satah ke sehati programmes and their applied aspects.
  
• 
  Mareez ki Halate Taghziya.
  
• 
  Sehate Aamma ki Tadabeer.
  
• 
  Identification of the cases, which are outside the area of his/her speciality / competence and refer them to the appropriate specialists.
  
• 
  The student should attain continuing education programmes, seminars and conferences related to Hifzane Sehat thus updating himself
  
• 
  Should have essential knowledge of Shakhsi Hifzane Sehat, Tadiya, Tahaffuz, Fuzlat ka indefa’, keeping in view the risks of transmission of Warme Jigar, Illat Qillat Manaa’te Maksooba (AIDS).
  

Skills

• 
  Should be able to manage the health problems of the community.
  
• 
  Should be able to organise epidemiological studies to identify health problems.
  
• 
  Plan, implement and evaluation of various health programmes in the specified area, specially National Health Family Welfare and disease control/ eradication programmes by applying the basic fundamentals of Tibbe Unani.
  
• 
  Should be able to demonstrate the clinical competence necessary to carry out appropriate treatment at the level of knowledge, training and practice skills currently available in their competence area.
  
• 
  Perform Dalak, Hammam and Riyazat procedures with proper indications.
  

Attitude

The candidates should be able to

• 
  Adopt ethical principles in practice, maintain professional honesty and integrity.
  
• 
  Willing to share the knowledge and clinical experience with professional colleagues.
  
• 
  Willing to adopt new methods, competence techniques in the subject, based on scientific research, in-patients best interest.
  
• 
  Organise health care services, routine for special groups and during epidemics and natural disasters.
  

Department of Ilmul Qabalat wa Amraze Niswan

(Obstetrics & Gynaecology)

Syllabus for MD Course

Goals

The postgraduate will be able to provide restorative care for the patients with complex problems that are beyond the treatment skills of the general Unani physician and demonstrate evaluation and judgement skills in making appropriate decisions regarding treatment and referral to deliver comprehensive care for the patients.

Objectives

With the knowledge and skills developed at the completion of the course. The candidate should possess basic and systemic knowledge on the following subjects:

• 
  Janeen wa Mashima, Azae Niswania, Itlaqi Kulliyat wa Usoole ilaj.
  
• 
  Mareez ki Halate Taghziya.
  
• 
  Mutalliqa aam sehati umoor.
  
• 
  The candidate should be aware of his/her own limitations to the application of the speciality in situation, which warrant referral to major centres or individuals more qualified to treat.
  
• 
  The candidate should be able to contribute towards prevention of maternal mortality and morbidity and improving neonatal outcome.
  
• 
  The candidate should offer standard care to the community in Qabalat and Tashkhees of Amraze Niswan by application of basic principles of Tibbe Unani.
  
• 
  The candidate should possess the knowledge of National Programmes relevant to women’s health.
  
• 
  Effectively communicate with patients or relatives so as to educate them sufficiently and give them full benefit of informed consent to treatment and ensure compliance effectively communicate with colleagues.
  

Skills

• 
  The candidate should be able to examine the patients with Hamal, and manage Wazae Hamal.
  
• 
  The candidate should be able to examine patients suffering from Amraze Niswan clinically, investigate the patient systematically, analyse the result, diagnose the ailment, plan a treatment, communicate it to the patient and execute it.
  
• 
  The candidate should be able to do research in Unani Manae hamal advia, Muqawwie raham, Mudirre haiz wa musqit advia.
  
• 
  The candidate should be able to educate the patient about the importance of Zabte Tauleed wa Manae Hamal ki mukhtalif tadabeer.
  
• 
  The candidate should be able to demonstrate the clinical competence necessary to carry out appropriate treatment at the level of knowledge, training and practice skills currently available in their competence area.
  

Clinical Skills

• 
  Ilmul Qabalat
  

1. 
   Ibtedae Hamal ki Tashkhees, Awarizat daurane Hamal aur unki tadabeer. (Identify and recognize the medical diseases and disorders complicating pregnancy and childbirth).
   
2. 
   Muayena qabale viladat aur Awarizat ki Tashkhees wa Ilaj.
   
3. 
   Zachgi khana mein tabeeb ka khidmat anjaam dena, tabayi aur ghair tabayi Wazae hamal aur awarizat ke intezamat.
   
4. 
   Identify and recognize complications of labour and refer them to appropriate hospitals.
   
5. 
   Naumaulood ki nighadasht aur mukhtalif tadabeer.
   
6. 
   Baad viladat tabayi wa ghair tabayi Wazae hamal ki nigahdasht.
   
7. 
   Khandaani Mansoobabandi programmes: Contraceptive Methods like IUD insertions, adopting classical Unani Methods of contraception like Aabzan, Bukhoor, Shafa, Zimad, Tila, Farzaja, Nutool and Unani Herbs.
   
8. 
   Rural obstetrics care and referral services.
   

• 
  Amraze Niswan
  

1. 
   Out Patient and In Patient activities and consultations.
   
2. 
   Examination of cases with special reference to gynaecological history taking, abdominal and pelvic examinations.
   
3. 
   Tashkhees wa Ilaj of Amraze Niswan like Futoorate Haiz, Amraze Farj, Mahbal, Raham, Unaqur Raham, Qazifain wa Khusyaturraham, Sadiyan, Sailanur raham, Uqr, Amraze zahravia, Inzelaqur raham, Inqelabur raham, salaat ur raham.
   
4. 
   Writing case records.
   
5. 
   Candidate should write separate PG case sheets, they should keep diary and logbook and get verified by the unit chief by the end of each month.
   

Department of Moalejat

Syllabus for MD Course

Objectives

The post graduate course in Moalejat is to impart teaching and training to the Unani graduate in the field of general medicine, to treat the sick as per the principles of Tibbe Unani, to produce skillful Unani physicians, clinical researchers and teachers of Unani system of medicine with special emphasis on modern diagnostic techniques.

The postgraduate should be able to provide restorative care to the patients having complex problems that are beyond the treatment skills of the general Unani Physician.

Knowledge

The candidate should possess basic and systemic knowledge on the following subjects:

Kulliyate Tib, Sareeriyat, Usoole Ilaj wa Tashkhees, Ilaj Bit Tadbeer.

Along with the following:

• 
  Nutritional Status of the patient.
  
• 
  General health condition.
  
• 
  Identifying social, economical, environmental and emotional determinates of the patient and considering them in planning the treatment.
  
• 
  Identifying the cases, which are outside the area of his/her speciality/ competence and referring them to the appropriate specialties.
  
• 
  Advice regarding the case management involving surgical, interim treatment etc.
  
• 
  Should attend continuing educational programmes, seminars and conferences related to Moalejat thus updating himself / herself.
  
• 
  Teach his/her team, colleagues and other students.
  
• 
  Should be able to use information technology tools and carry out research in both basic and clinical, with aims of publishing his/her work at various scientific fora.
  

Skills

The candidate:

• 
  Should be able to examine the patients clinically, investigate the patient systematically, analyse the investigation results, diagnose the ailment, plan a treatment, and communicate with the patient.
  
• 
  Should be able to demonstrate the clinical competence necessary to carry out appropriate treatment at the level of knowledge, training and practice skills currently available in their speciality area.
  

Attitude

• 
  Adopts ethical principles, maintains professional honesty and integrity.
  
• 
  Gives treatment irrespective of social status, caste, creed or religion of the patient.
  
• 
  Willing to share the knowledge and clinical experience with professional colleagues.
  
• 
  Willing to adopt new methods and techniques in this subject occurring from time to time based on scientific research, which are in best interest of patients.
  
• 
  Respect patient’s rights and privileges including patients right to information and right to seek second opinion.
  
• 
  Willing to teach under graduates.
  

Communication abilities

• 
  Develop communication skills, in particular, to explain treatment option available in management.
  
• 
  Provide leadership and get the best out of his/her group in the congenial working atmosphere.
  
• 
  Should be able to communicate in simple and understandable language with the patient and explain the principles of the subject competence to the patient. He/She should be able to guide and counsel the patient with regard to various treatment modalities available.
  
• 
  Develop the ability to communicate with professional colleagues through various media.
  

SECTION IV

Teaching/Learning Activities and Monitoring Learning Progress

Teaching/Learning Activities:

All the candidates registered for Mahire Tib (M.D.Unani) postgraduate degree course in various specialties shall pursue the course for the period of three years as full time students. During this period each student shall take part actively in learning and teaching activities designed by the institution /university.

1. Lectures:

There shall be some didactic lectures in basic science and allied fields. The postgraduate departments should encourage the guest lectures in the required areas to strengthen the training programmes. It is also desirable to have certain integrated lectures by multidisciplinary teams on selected topics.

2. Journal Club:

The journal review meetings shall be held at least once a week. All candidates are expected to participate actively and enter relevant details in the logbook. The candidate should make the presentations from the allotted journals of selected articles at least five times in a year.

3. Seminars:

The seminars shall be held at least one in a week in each postgraduate department. All candidates are expected to participate actively and enter the relevant details in the logbook. Each candidate shall make at least five-seminar presentation in each year.

4. Symposium:

It is recommended to hold symposium on topics covering multiple disciplines

5. A. Clinical Postings:

Each trainee shall work in hospitals on regular basis to acquire adequate professional skill and competency in managing various cases to be treated by the specialists.

B. Practicals: concerned postgraduate department should work out the programme intimating R.G.U.H.S.

6. Clinico pathological conferences:

The clinico pathological conferences should be held once in a month involving the faculties and concerned clinical departments. The candidate should be encouraged to present the clinical details, Radiological and Histo-pathological interpretations and participate in the discussion.

7. Teaching skills:

All the trainees shall be encouraged to take part in undergraduate teaching programmes, if any, either in the form of lectures or group discussions in their subjects.

8. Continuing Education Programme:

Each postgraduate department shall organise these programmes on regular basis involving the other institutions. The candidates shall be encouraged to attend the programme conducted elsewhere.

9. Conferences:

The candidates shall be encouraged not only to attend conferences/ workshops/ advance courses but also to present at least one paper at state/ national competence meetings during their training period.

10. Rotation & posting in other departments:

To bring in more integration between the competence and allied fields each post graduate department shall work out a programme to rotate the trainees in related disciplines.

11. Dissertation:

Trainees shall prepare the dissertation based on clinical or experimental work or any other conducted by them under the supervision of the postgraduate guide.

Monitoring Learning Progress

It is essential to monitor the learning progress of each candidate through continuous appraisal and regular assessment. It not only helps teachers to evaluate students, but also student to evaluate themselves. The monitoring be done by the staff of the department based on participation of students in various teaching/learning activities. It may be structured and assessment be done using checklists that assess various aspects. Model checklists are given in this chapter, which may be copied and used.

The learning out comes to be assessed should be included

a. Personal Attitudes

b. Acquisition of Knowledge

c. Clinical skills

d. Teaching skills.

a) Personal attitude:

The essentials are: -

Caring attitudes

Initiative

Organisational ability

Potential to cope with stressful situation undertakes responsibility.

Trust worthiness and reliability

To understand and communicate intelligibly with patients and others.

To behave in a manner which establishes professional relationships with patients and colleagues.

Ability to work in team

A critical enquiring approach to the acquisition of knowledge

The methods used mainly consist of observation. It is appreciated that these items require a degree of subjective assessment by the guide, supervisors and peers.

b) Acquisition of knowledge:

The methods used comprise of logbook, which records participation in various teaching/ learning activities by the students. The number of activities attended and the number in which presentations are made are to be recorded, the log book should periodically be validated by the supervisors some of the activities are listed, the list is not complete institutions may include additional activities if so, desired.

Journal review meeting (journal club): - The ability to do literature search, in depth study, presentation skills and use of audio visual aids are to be assessed. Faculty members and peers attending the meeting using a checklist make the assessment.

Seminars/Symposia: The topics should be assigned to the students’ well in advance to facilitate in depth study. The ability to do literature search, in depth study, presentations skills and audio visual aids are to be assessed.

Clinico-pathological conferences: This should be a multidisciplinary case study of an interesting case to train the candidate to solve diagnostic and therapeutic problems by using an analytical approach. The presenter(s) are to be assessed using a checklist similar to that used for seminar.

c) Clinical Skills:

Day to Day work: skills in outpatients and ward work should be assessed periodically. The assessment should include the candidate’s sincerity and punctuality, analytical ability and communication skills.

Clinical meetings: candidates should periodically present cases to his/her peers and faculty members. This should be assessed using a checklist.

Clinical and procedural skills: The candidate should be given graded responsibility to enable learning by apprenticeship. The guide assesses the performance by direct observation. The student in the logbook records particulars.

d) Teaching skills:

Candidate should be encouraged to teach under graduate medical students and interns, if any. This performance should be based on assessment by the faculty members of the department and from feedback from the under graduate students.

Periodic Tests: The concerned departments may conduct three tests, two of them be annual tests, one during the first year and the other in the second year. The third test may be held three months before the final exam. The tests may include written papers, practicals/clinical and viva voce.

Work Diary: Every candidate shall maintain a work diary and record his/her participation in the training programmes conducted by the department such as journal reviews, seminars etc. Special mention may be made for the presentations by the candidate as well as details of clinical or laboratory procedures if any conducted by the candidate.

Records: Records, logbooks and marks obtained in the test will be maintained by the head of the department and will be made available to the university or CCIM.

Logbook: The logbook is a record of the important activities of the candidates during the training; internal assessment should be based on the evaluation of the logbook. Collectively logbooks are the tools for the evaluation of the training programme of the institution by the external agencies. The record included academic activities as well as the presentations and procedures carried out by the candidates.

Format for the logbook for the different activities of the candidates is given in Tables 1, 2 and 3 of chapter IV. Copies may be used by the institutions.

Procedure for defaulters: Every department should have a committee to review such situations. The defaulting candidate is counselled by the guide and head of department. In extreme case of default the departmental committee may recommend the defaulting candidate be withheld from appearing the examination, if she/he fails to fulfil the requirements in spite of being given adequate chances to set himself/herself right.

Format of Model Checklists and Logbook

For Monitoring Learning Progress

Checklist - 1

Model Checklist for Evaluation of Journal Review Presentation

Name of the Candidate: Date

Name of the faculty/observer:

Sl.No	Items of observation during presentation	Poor 0	Below Average 1	Average 2	Good 3	Very Good 4
1.	Article chosen was
2.	Extent of understanding of scope and objectives of the candidate
3.	Whether cross reference has been consulted
4.	Whether other relevant publications consulted
5.	Ability to respond to questions on the paper/subject.
6.	Audio-visual aids used
7.	Ability to defend the paper
8.	Clarity of presentation
9.	Any other observation
	Total Score

Check List - 2

Model Checklist for Evaluation of Seminar Presentation

Name of the Candidate: Date

Name of the faculty/observer:

Sl.No	Items of observation during presentation	Poor 0	Below Average 1	Average 2	Good 3	Very Good 4
1.	Whether other relevant publications consulted
2.	Whether cross reference has been consulted
3.	Completeness of the preparation
4.	Clarity of presentation
5.	Understanding the subject
6.	Ability to answer the questions
7.	Time scheduling
8.	Appropriate use of audio-visual aids
9.	Overall performance
10.	Any other observations
	Total Score

Check List - 3

Model CheckList for Evaluation of Clinical Work in OPD and Ward

Name of the Candidate: Date:

Name of the faculty/observer:

Sl.No	Items of observation during presentation	Poor 0	Below Average 1	Average 2	Good 3	Very Good 4
1.	Regularity of attendance
2.	Punctuality
3.	Interaction with colleagues and supporting staff
4.	Maintenance of case records
5.	Presentation of cases
6.	Investigations work up
7.	Chair side manners
8.	Rapport with patients
9.	Overall quality of clinical work
	Total Score

Check List – 4

Evaluation form for clinical presentation

Name of the Candidate: Date:

Name of the faculty/observer:

Sl.No	Items of observation during presentation	Poor 0	Below Average 1	Average 2	Good 3	Very Good 4
1.	Completeness of history
2.	Whether all relevant points elicited
3.	Clarity of presentation
4.	Logical order
5.	Mentioned all positive and negative
6.	Accuracy of general physical examinations
7.	Diagnosis: whether it follows logically from history and findings
8.	Investigations required complete list relevant order interpretations of investigations
9.	Ability to react to questioning. Whether it follows logically from history and findings
10.	Ability to defend diagnosis
11.	Ability to justify differential diagnosis
12.	Others
	Total Score

Check List – 5

Model CheckList for Evaluation of Teaching Skill

Name of the Candidate: Date:

Name of the faculty/observer:

Sl. No.		Strong Point	Weak Point
	Communication of the purpose of the talk
	Evokes audience interest in the subject
	The introduction
	The sequence of ideas
	The use of practical examples and/or illustrations
	Speaking style (enjoyable, monotonous, etc., specify)
	Attempts audience participation
	Summary of the main points at the end
	Asks questions
	Answers questions asked by the audience
	Rapport of speaker with his audience
	Effectiveness of the talk
	Uses AV aids appropriately

Check List – 6

Model CheckList for Dissertation Presentation

Name of the Candidate: Date:

Name of the faculty/observer:

Sl.No	Points to be Considered	Poor 0	Below Average 1	Average 2	Good 3	Very Good 4
1.	Interest shown in selecting topic
2.	Appropriate review
3.	Discussion with Guide and Faculty
4.	Quality of protocol
5.	Preparation of proforma
	Total Score

Check List – 7

Continuous Evaluation of Dissertation Work by Guide/Co-Guide.

Name of the Candidate: Date:

Name of the faculty/observer:

Sl.No	Items of Observer during Presentation	Poor 0	Below Average 1	Average 2	Good 3	Very Good 4
1.	Periodic consultation with Guide/Co-Guide
2.	Regular collection of case material
3.	Depth of Analysis/ Discussion
4.	Department presentations of findings
5.	Others
	Total Score