Post on 12-Jan-2023
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1CURRICULUM IMC
CURRICULUM OF SURGERY MBBS COURSE
Contents
S. No. Subject Page No.
1. Introduction 02
2. Educational Hours 03
3. Learning Outcomes 04
4. Educational Strategies 05
5. Assessment 06
6. Learning Resources 07
7. Contents Modules 08
8. Implimentation 09-12
9. Programme Evaluation 13
10. Table of Specification 14-17
11. Modules 18-25
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2CURRICULUM IMC
INTRODUCTION
Billions of people worldwide lack access even to basic health care. Out of the roughly 250 million operations performed each year, only 3.5% are performed on the poorest third of the world’s population. Healthcare has a crucial role to play in achieving universal health coverage including the United Nations Millennium Development Goals, a set of goals set by the UN in 2000 to be fulfilled by 2015. This is not to say that surgery is any more important than other types of treat-ment, but it is certainly as important as other global health priorities.
The global burden of disease is massive, of which much is un-diagnosed and untreated. All doc-tors need to understand which options are possible and many of the treatments are basic and well-established. The graduating medical student should have an awareness of health services in local environment, including the place of health services in global healthcare.
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3CURRICULUM IMC
SURGERY
Year Theory Practical Total
1st year 20 hours 25 hours 45
2nd year 20 hours 25 hours 45
3rd year 25 50 (Surgery rotation 4 weeks)
50 (Specialities rotation 4 weeks)
75 (Sur)50 (Spe)
4th year 25 (Surgery)25 (Specialities)
50 (Surgery rotation 4 weeks)
50 (Specialities rotation 4 weeks)
75 (Sur)75 (Spe)
5th year 60 (Surgery)75 (Specialities)
300 (Surgery rotation 8 weeks)
100 (Specialities rotation 4 weeks)
360 (Sur)175 (Spe)
Total 250 hours in 36 weeks/year 650 hours 600 (Sur)
300 (Spe)
Strategy
LecturesProblem based learningSmall group discussionCase based discussion
Clinical attachmentEvening duties in wardsClinical skills laboratoryEarly clinical exposure
EDUCATIONAL HOURS
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4CURRICULUM IMC
AT THE END OF CURRICULUM STUDENT WILL BE ABLE TO
• Take a focused history
• Perform physical examination(s) in order to identify specific problems
• Formulate a provisional diagnosis problems, Order appropriate investigations for common
surgical problems
• Formulate management plans in partnership with Using cost-effective best evidence
• Competent graduates require professional values, attitudes and behaviors that embody good
medical practice, that is, life-long learning, altruism, empathy, cultural and religious sensitivi-
ty, honesty, accountability, probity, ethics, communication skills, and working in teams
• Can demonstrate knowledge of basic medical and clinical sciences required for the practice
of surgery.
• Can display the ability to critically evaluate existing knowledge, technology and information,
and to be able to reflect on it, is necessary for solving problems.
• Perform basic procedures with the consent of the patient, ensuring infection control
• Medical and dental graduates must continually acquire new scientific knowledge and skills to
maintain competence, and incorporate it into their day-to-day medical practice.
• Graduates should be able to demonstrate Communication Skills, when dealing with patients
and their families, nurses, other health professionals, community, the general public and the
media.
LEARNING OUTCOMES
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5CURRICULUM IMC
EDUCATION STRATEGIES
The educational strategies in this curriculum are multiple and aligned with domain of learning and according to the desired outcome
Interactive lecturesOne-third of the curriculum will be delivered in a traditional didactic format including PowerPoint presentations and case discussions. Didactic education is considered to be a one-way transmis-sion of material from teacher to learner, we cannot overlook the possibility of meaningful interac-tion between experts and learners during live lectures. This type of interaction, which allows for immediate clarification of concepts and extension of knowledge, may be particularly important for novice learners who have relatively little exposure to the subject matter, such as our study population(4).
Case based DiscussionA lot of emphasis is on case based discussion during ward placement. Problem-based learning (PBL) is complex and heterogeneous. A wide variety of educational methods are referred as PBL. These include Lecture-based case, Case based lecture, Case based discussions, Problem or inquiry based and Closed loop or reiterative. Incorporation of case based discussion in teaching enhances the critical thinking and problem-solving skills. It also helps in developing a broader prospective of clinical case scenarios (5).
Small Group DiscussionSmall group discussion provides a unique environment to achieve high standards in medical edu-cation. Activation of prior knowledge, exchange of ideas, and engagement at a higher cognitive level are assumed to result in deeper learning and better academic achievements by students (6).
Clinical Skills SessionsClinical skills session are important part of curriculum to achieve psychomotor and affective outcomes. Learning manual skills is a fundamental part of health care education, and motor, sensory and cognitive learning processes are essential aspects of professional development. Simulator training has been shown to enhance factors that facilitate motor and cognitive learning. Students learned manual skills, how to perform the procedure, and professional behaviour. They learned by preparing, watching, practising and reflecting. The simulator contributed by providing opportunities for students to prepare for the skills training, to see anatomical structures, to feel resistance, and to become aware of their own performance ability (7).
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6CURRICULUM IMC
ASSESSMENT MCQ’s and SEQ’s Multiple choice question and short essay question test will be used at the end of part of curric-ulum to assess the learning of knowledge. These all assessment exercises will be formative. The written tests like Multiple-Choice Questions (MCQs) and Short-Essay Questions (SEQs) test formats are used for the assessment of cognitive domain. The MCQs are more objective and essentially select type of item response format. MCQs have a cueing effect, which promotes guessing and leads to higher scores. In addition, writing MCQs of higher cognitive level of prob-lem solving is challenging. On the contrary, the SEQs are more subjective and have a supply or construct type item response format, which does not have any cueing effect and can effectively assess problem solving skills(8).
OSCE AND SHORT CASEShort case and OSCE will be used to evaluate clinical skills and procedural skills at the ward end of placement. The OSCE is a method of clinical skill assessment, and it has been reported to be appropriate for assessing learning achievement levels in the psychomotor and emotional domains, which are difficult to evaluate with written examinations(9).
CLINICAL LOG BOOKClinical log book is meant for self directed learning (SDL) and assessment of students. The clini-cal logbook includes reflection which helps the students to set educational goals.
MINI-CEXMini-CEX is used to assess the clinical skills and problem solving skills of medical students. This is the tool used by clinical teachers. This can assess all three domains, Pyschomotor, cognitive and affective. This also used as formative assessment.
INTERNAL ASSESSMENT i. The weightage of internal assessment shall be 10% of totals marks. ii. Continuous internal assessment shall consist of evaluation at the end of each assignments,
e.g. stages/sub-stage, class tests etc., attitudinal assessment from educational supervisors. iii. Assessment of knowledge, Skills and Attitude shall contribute toward internal assessment.
Methods used to assess these domains shall include Multiple Choice Questions of one-best type, Short essay questions, Oral/Viva, and Practical/Clinical axaminations.
iv. The score of internal assessment shall contribute to the score in the final examination, Final university examination of each subject shall contribute 90 to total score, and the candidate shall pass in aggregate.
v. Proper record of continuous internal assessment shall be maintained.
Evaluation plan
Each Module Written test (MCQ and SEQ) Formative
After 12 weeks of ward placement Ward test (OSCE and short case) Formative
At end of 36 weeks Send up exam (MCQ and SEQ)Viva voce Formative
Annual University Professional exam Summative
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7CURRICULUM IMC
LEARNING RESOURCESThe department of Surgery will require following resources for implementation resources:
• Human resource
• Instructors (faculty members 8)
• Curriculum coordinator curriculum secretary
• Infrastructure
• Lecture hall with AV aids
• Tutorial room with AV aids
• Clinical skills Lab with manikins
• Simulated patients and simulated manikins
• Computers
LISTS OF CONTENT RESOURCES• Short Surgical Practice Bailey & Love 28th edition
• Surgical Signs and Symptoms Norman Browse
• ATLS manual 9th edition
• Clinical examination systems by Muhammad Shuja Tahir
• Tell me the Answer Vol 1 and Vol 2 by Muhammad Shuja Tahir
• Trauma by Muhammad Shuja Tahir
• Breast Problem by Muhammad Shuja Tahir
• Thyroid Problems by Muhammad Shuja Tahir
• GIT Problems by Muhammad Shuja Tahir
• Urology by Muhammad Shuja Tahir
• Investigations by Muhammad Shuja Tahir
• Independent Review (H-2000) www.indepreview.com
• History Register
• Clinical Log book
• General Surgery (Lecture Notes Series) by Harold Ellis, Roy Calne, Chris Watson
• An Introduction to the Symptoms and Signs of Surgical Disease by Norman Browse
• Current Surgical Practice: by Norman L. Browse, Alan G. Johnson, and Tom. Vol. 6
• Schwartz’s Principles of Surgery by F. Charles Brunicardi, Dana K.
• Andersen, Timothy R. Billiar, and David L. Dunn 8th edition. 2004
• Online Journals and Reading Materials through HEC Digital Library Facility
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8CURRICULUM IMC
COURSE CONTENTS
3rd Year
1st Term Module 1: Wounds & Surgical infections
2nd Term Module 2: Surgical physiology
3rd Term Module 3: Critical care and Anesthesia
4th Year
1st Term Module 4: Diagnosis and Surgical technology
2nd Term Module 5: Surgical Pathology
3rd Term Module 6: Trauma
Final Year
1st Term
Module 7: Skin and soft tissue lesions
Module 8: Head and neck
Module 9: Breast diseases
Module 10: Upper GIT
2nd Term
Module 11: Small intestine and appendix
Module 12: Abdominal wall and peritonitis
Module 13: Hepato billiary and pancreas
Module 14: Colorectal disease
3rd Term
Module 15: Urology
Module 16: Vascular diseases
Module 17: Pediatric surgery
Module 18: Neurosurgery
CONTENTS MODULES
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9CURRICULUM IMC
IMPLEMENTATIONThe curriculum will be spread over 5 year with 36 working weeks each year. During this period student will be exposed to various education strategies to achieve the learning objectives.
1st Year.In this year student will be exposed to do early clinical exposure to develop understanding of applied aspects of basic sciences.
Theory (Lecture, SGD and PBL) Practical (Early clinical exposure, Skills lab)
20 Hours (36 Weeks) 25 Hours
2nd Year.In this year student will be exposed to do early clinical exposure to develop understanding of applied aspects of basic sciences.
Theory (Lecture, SGD and PBL) Practical (Early clinical exposure, Skills lab)
20 Hours (36 Weeks) 25 Hours
3rd Year.In this year student will be placed on ward attachments and formative assessment of clinical skills will be started.
Theory (Lecture, SGD and PBL) Practical (Ward Placement, Skills lab)
25 Hours (36 Weeks) 100 Hours (8 Weeks)
4th Year.In this year student will be placed on ward attachments and clinical skills lab. formative assess-ment of clinical skills will be started.
Theory (Lecture, SGD and PBL) Practical (Ward Placement, Skills lab)
50 Hours (36 Weeks) 100 Hours (8 Weeks)
Final Year.In this year student will be placed on ward attachments and clinical skilsl lab. All students will be assessed for knowledge and clinical skills during year. This year will have summative assessment as final professional at the end of year.
Theory (Lecture, SGD and PBL) Practical (Ward Placement, Skills lab)
135 Hours (36 Weeks) 400 Hours (12 Weeks)
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10CURRICULUM IMC
THIRD YEAR WARD ROTATION IN SURGERY Duration: 8 weeks (100 hours)Location: ward, OPD, Tutorial roomTutors: Assistant professor, associate Professor, Professor
Ward C P A % age Assessment
Week 1
History takingGeneral physical examinationExamination of ulcerExamination of swelling
C2C2
P1P1
A1A1 15
Ward testMini CEXOSPE
Week 2
Abdominal examinationDigital rectal examinationInguinal examinationScrotal examination
C2C2
P1P1
A1A1 15
Ward testMini CEXOSPE
Week 3 Chest examinationBreast examination
C2C2
P1P1
A1A1 15
Ward testMini CEXOSPE
Week 4 Examination of neckThyroid examination
C2C2
P1P1
A1A1 15
Ward testMini CEXOSPE
Week 5Arterial examinationVenous examinationDiabetic foot examination
C2C2
P1P1
A1A1 10
Ward testMini CEXOSPE
Week 6CNS examinationExamination of upper limb nervesExamination of lower limb nerves
C2C2
P1P1
A1A1 10
Ward testMini CEXOSPE
Week 7 Orthopedics Examination of upper limb joint
C2C2C2
P1P1P1
A1A1A1
10Ward testMini CEXOSPE
Week 8 OrthopedicsExamination of lower limb joints
C2C2C2
P1P1P1
A1A1A1
10Ward testMini CEXOSPE
Evaluation:• Attendance of 75% is mandatory• 15 clinical histories must be completed on history register• Every Saturday will be formative assessment for course work of that week• End of course work will be ward test • Ward test will be OSPE and 2 short cases
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11CURRICULUM IMC
FOURTH YEAR WARD ROTATION IN SURGERY Duration: 8 weeks (100 hours)Location: Ward, OPD, Tutorial roomTutors: Assistant Professor, Associate Professor, Professor
Ward C P A % age Assessment
Week 1Examination of ulcerExamination of swellingNeck swelling
C2C2C3
P2P2
A2A2 15
Ward testMini CEXOSPE
Week 2Abdominal examinationDigital rectal examinationAbdominal Pain
C2C2C3
P2P2
A2A2 15
Ward testMini CEXOSPE
Week 3
Inguinal examinationScrotal examinationLUTSHematuria
C2C2C3C3
P2P2
A2A2 15
Ward testMini CEXOSPE
Week 4Chest examinationBreast examinationJaundice
C2C2C3
P2P2
A2A2 15
Ward testMini CEXOSPE
Week 5Examination of neckThyroid examinationdysphagia
C2C2C3
P2P2
A2A2 10
Ward testMini CEXOSPE
Week 6
Arterial examinationVenous examinationDiabetic foot examinationIschemic limb
C2C2C3C3
P2P2
A2A2 10
Ward testMini CEXOSPE
Week 7 Orthopedics Examination of upper limb joint
C2C2C2
P2P2P2
A2A2A2
10Ward testMini CEXOSPE
Week 8 Orthopedics Examination of upper limb joint
C2C2
P2P2
A2A2 10
Ward testMini CEXOSPE
Evaluation:• Attendance of 75% is mandatory• 15 clinical histories must be completed on history register• Every Saturday will be formative assessment for course work of that week• End of course work will be ward test • Ward test will be OSPE and 2 short cases
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12CURRICULUM IMC
FINAL YEAR WARD ROTATION IN SURGERY Duration: 12 weeks (350 hours)Location: ward, OPD, Tutorial room, Operation theatreTutors: Assistant Professor, Associate Professor, Professor
Small Group Discussion ward % age Assessment
Week 1 WoundsSkin lesions/ulcers
Examination of wound /ulcerExamination of swelling 8 Short case
SEQ, OSPE
Week 2Soft tissue swellingsLateral neck swellingMidline neck swelling
Examination of neckThyroid examination 8 Short case
SEQ, OSPE
Week 3Breast lumpBreast painNipple discharge
Breast examinationmammography 8 Short case
SEQ, OSPE
Week 4 DysphagiaUpper GI bleed Barium studies 8 Short case
SEQ, OSPE
Week 5RIF painRUQ painEpigastric pain
Abdominal examinationGeneral anesthesia 10 Short case
SEQ, OSPE
Week 6Intestinal obstructionLUQ lumpRIF mass
Abdominal x-rayRegional anesthesia 10 Short case
SEQ, OSPE
Week 7 Periumbilical swellingInguinoscrotal swelling
Examination of groinPain management 10 Short case
SEQ, OSPE
Week 8 JaundiceRectal mass ERCP, PTC 10 Short case
SEQ, OSPE
Week 9LUTSUrinary retentionHematuria
IVU 8 Short case SEQ, OSPE
Week 10Renal painRenal massScrotal swelling
Examination of scrotum 8 Short case SEQ, OSPE
Week 11Diabetic foot Varicose veinsIschemic limb
Arterial examinationVenous examination 8 Short case
SEQ, OSPE
Week 12Abdominal traumaHead injuryChest trauma
CT scanCNS examnationExamination of peripheral nerves upper and lower limb
4 Short case SEQ, OSPE
Evaluation:• Attendance of 75% is mandatory• 15 clinical histories must be completed on history register• Every Saturday will be formative assessment for course work of that week• End of course work will be ward test • Ward test will be OSPE and 2 short cases
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13CURRICULUM IMC
PROGRAMME EVALUATIONPurpose of Evaluation The major goals of the evaluation are to provide information that the students can use to achieve curricular objectives and that the faculty can use to monitor quality of and improve curriculum.
Design of Evaluation The evaluation design as only posttest.
Users of evaluation: students, curriculum faculty, Principal OfficeResources: Curriculum faculty and departmental secretaries. No additional funding
Evaluation question: • What percentage of students achieved 75% mandatory attendance?• What percentage of students achieved pass marks in university exam?• What are the strengths of the curriculum? What are the weaknesses? How can the curriculum
can be improved?
Because of limited resources, the evaluation was kept simple. Data Collection was integrated into the curriculum schedule. The major goals of the evaluation are to provide information that the students can use to achieve curricular objectives and that the faculty can use to monitor quality of and improve curriculum. The evaluation design as only posttest.
End of curriculum evaluation form:This will be filled by students and faculty members for evaluation of adequacy with each content was covered, whether they would recommend the curriculum to others and written comments on curriculum strengths, weaknesses and suggestions for improvements.
Annual Report:Based on evaluation of the educational programe report will be generated annually and submitted to Medical Educational Department.
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14CURRICULUM IMC
TABLE OF SPECIFICATIONSURGERY 1 (Principles of Surgery)
No Module Subject percentage MCQ SEQ
1 Surgical anatomy 6% 3 1
2Wounds and injuries
Wounds, tissue repair and scars 6% 3
1
3 Accident and Emergency , warfare Injuries 6% 3
4Surgical physiology
Fluid , electrolytes and acid base balance 6% 3
1
5 Blood transfusion and shock 6% 3
6 Nutrition 6% 3 1
7Surgical infections
Wound infection 6% 3
1
8 Special infection, AIDS , sterile precautions 6% 3
9
Skin and soft tissues
Tumors, cyst ulcer and sinuses 6% 3
110 Burns 6% 3
11 Skin lesions, skin grafts and flaps 6% 3
12
Vascular system
Arterial disorders 6% 3
113 Venous disorders 6% 3
14 Lymphatic disorders 6% 3
15 Critical care Principles of anesthesia and pain management 6% 3 1
16 Principles of radiology 6% 3 1
17 Principles of radiotherapy and chemotherapy 4% 2 1
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15CURRICULUM IMC
SURGERY 2 (systemic Surgery)No Module Subject percentage MCQ SEQ
1
Musculoskeletal Disease
Fractures and dislocations-general principles
10%
1
1
2 Fractures and dislocations-upper limb 1
3 Fractures and dislocations-lower limb 1
4 Other diseases of bones, joints and related tissues 2
5 Hand and foot 1
6
Upper GI
Esophagus
24%
3
2
7 Stomach and duodenum 2
8 Liver 2
9 Spleen 2
10 Gall bladder and bile ducts 2
11 pancreas 2
12 Peritoneum. Omentum, mesentry, and retroperitoneal space 2
13
Lower GI
Small and large intestine
20%
2
2
14 Intestinal obstruction 2
15 Vermiform appendix 2
16 Rectum 2
17 Anus and anal canal 2
18 Hernia , umbilicus and abdominal wall 2
19
Urogenital system
Kidney and ureter
16%
2
2
20 Urinary bladder 2
21 Prostate and seminal vesicles 2
22 Urethra and penis 2
23 Testis and scrotum 2
24
Head and neck
Thyroid gland and thyroglossal tract
7%
1
125 Parathyroid and Adrenal Glands 1
26 Salivary Glands 1
27 Others 1
28Thorax
Chest trauma7%
21
29 Others 2
30Breast diseases
Malignant diseases of breast7%
21
31 Benign diseases of breast 2
32Nervous system
Head , spine and nerve injuries3%
11
33 Others 1
34 Heart and great vessels
Heart3%
11
35 Great vessels 1
36orodontal
Maxillofacial injuries3%
1 1
37 Others 1
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16CURRICULUM IMC
TABLE OF SPECIFICATION FOR OSPE
OSPE
TOTAL MARKS 55Total Station 13 (02 Rest Station)05 Marks at Each Station 05 Marks at Each Station
Static Stations
0905 General Surgery 01 of the four sub-speciaties (Anaesthesia, Urology, Neurosurgery, Orthopaedics)
Interactive / Observed Stations 02General Surgery and Trauma only
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17CURRICULUM IMC
FINAL PROFESSIONAL MARKING SCHEME
Theory
SEQ MCQ Int. Ass Sub Total
Surgery 1 50 50
25 250
Surgery 2 65 60
Clinical
Short caseX2 cases
Long caseX1 case OSPE Int. Ass Sub total
100 70 55 25 250
Total: 500
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18CURRICULUM IMC
Con
tent
sO
bjec
tives
Do-
mai
nSt
rate
gyAs
sess
men
t
Mod
ule-
1: W
ound
s &
Sur
gica
l inf
ectio
ns
Intro
duct
ion
to s
urge
ry,
surg
ical
eth
ics
Wou
nds
, typ
e of
wou
nds
Wou
nd h
ealin
g a
nd a
bnor
mal
wou
nd h
ealin
gM
anag
emen
t of w
ound
sPr
inci
ples
of w
ound
clo
sure
Surg
ical
infe
ctio
ns, p
rom
oter
s, in
hibi
tors
and
pr
even
tion
Surg
ical
site
infe
ctio
nsCo
mm
on s
urgi
cal b
acte
ria a
nd p
rinci
ple
of
antib
iotic
use
Spe
cific
sur
gica
l inf
ectio
ns &
pr
ecau
tions
in h
epat
itis
and
AIDS
Erys
ipel
as ,
boil,
abs
cess
Cellu
litis
, ne
crot
izin
g fa
sciit
is,
hide
rade
nitis
sup
part
itava
Gas
gan
gren
e, te
tanu
s p
reca
utio
ns in
hep
atiti
s an
d AI
DSBa
cter
emia
, SI
RS s
epsi
s , s
hock
and
mul
ti-or
gan
faliu
reAm
eobi
asis
,Hyd
atid
dis
ease
, TB
surg
ical
asp
ects
• Ex
plai
n pa
thop
hysi
olog
y of
wou
nd h
ealin
g•
Desc
ribe
fact
ors
affe
ctin
g w
ound
hea
ling
• As
sess
men
t of v
ario
us w
ound
s•
Plan
man
agem
ent o
f wou
nds
• Di
scus
s ab
norm
al w
ound
hea
ling
• To
iden
tify
com
mon
inf
ectio
ns a
nd p
aras
itic
infe
ctio
ns o
f sur
gica
l im
port
ance
•
To e
xpla
in g
as g
angr
ene
and
teta
nus
• To
out
line
use
of a
ntib
iotic
s •
To o
utlin
e m
anag
emen
t of s
urgi
cal s
ite in
fect
ion
• To
diff
eren
tiate
bet
wee
n di
ffere
nt s
urgi
cal
infe
ctio
ns
C3 C3 C3P3
A3C3
P2A3
C3 C3 C3 C3 C3P2
A3
C3P2
A3
Lect
ure
Lect
ure
Beds
ide
SGD
SGD
Lect
ure
Lect
ure
SGD
SGD
Beds
ide
MCQ
MCQ
SC/O
SPE
SEQ
SEQ
MCQ
MCQ
MCQ
SEQ
SC/O
SPE
Mod
ule-
2: S
urgi
cal p
hysi
olog
y
Flui
d m
anag
emen
tPo
tass
ium
bal
ance
& S
odiu
m b
alan
ceCa
lciu
m b
alan
ce a
nd M
g ba
lanc
eAc
id b
ase
bala
nce
Hem
orrh
age,
hem
orrh
agic
sho
ckBl
ood
tran
sfus
ion
& Co
mpl
icat
ion
of b
lood
tr
ansf
usio
n, B
lood
com
pone
nts
• Ex
plai
n ba
sic
fluid
and
ele
ctro
lyte
bal
ance
of
body
•
Prep
are
IV fl
uid
adm
inis
trat
ion
plan
•
Dem
onst
rate
ste
ps o
f IV
acce
ss
• Id
entif
y ab
norm
aliti
es o
f flui
d an
d el
ectro
lyte
ab
norm
aliti
es
• Ex
plai
n nu
triti
onal
car
e of
pat
ient
s •
Perf
orm
nut
ritio
nal a
sses
smen
t •
Desc
ribe
Body
resp
onse
to tr
aum
a •
Disc
rimin
ate
type
s o
f sho
ck
• Ex
plai
n he
mor
rhag
e •
Out
line
proc
edur
e of
blo
od tr
ansf
usio
n
C3 C3P3
A3C3 C3 C3
P3
Lect
ure
Beds
ide
Lect
ure
SGD
SGD
MCQ
OSP
EM
CQM
CQM
SQ/S
EQ
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19CURRICULUM IMC
Con
tent
sO
bjec
tives
Do-
mai
nSt
rate
gyAs
sess
men
t
Mod
ule-
3: C
ritic
al c
are
and
Anes
thes
ia
Met
abol
ic re
spon
se to
inju
ryPr
e-op
erat
ive
asse
ssm
ent &
opt
imiz
atio
n of
su
rger
yAn
esth
esia
loca
l and
regi
onal
Gen
eral
ane
sthe
sia
Pain
man
agem
ent
Intr
a th
eatre
car
e an
d Po
st-o
pera
tive
care
• De
mon
stra
te p
re-o
pera
tive
asse
ssm
ent
• Ta
ke h
isto
ry o
f sur
gica
l pat
ient
•
Dem
onst
rate
gen
eral
phy
sica
l exa
min
atio
n •
Com
pare
regi
onal
and
gen
eral
ane
sthe
sia
Di
scus
s an
esth
estic
dru
gs•
Illust
rate
prin
cipl
es o
f pai
n m
anag
emen
t •
Expl
ain
mon
itorin
g in
ane
sthe
sia
• O
utlin
e po
stop
erat
ive
com
plic
atio
ns•
Asse
ssm
ent o
f pos
t-ope
rativ
e co
mpl
ains
•
Dem
onst
rate
ste
ps o
f bas
ic li
fe s
uppo
rt
C3P3
A3C3
P3A3
C3P3
A3C3 C3 C3
P3A3
C3P3
A3C3 C3
A3C3
P3A3
C3P3
A3
Beds
ide
Beds
ide
Beds
ide
SGD
SGD
Beds
ide
Skills
lab
SGD
SGD
Skills
Lab
SGD
SC/O
SPE
SC SC/O
SPE
SEQ
SEQ
OSP
EM
CQ
SEQ
OSP
ESE
Q
Mod
ule-
4: D
iagn
ostic
s an
d su
rgic
al te
chno
logy
Diag
nost
ic Im
agin
g in
sur
gery
(ide
ntifi
catio
n of
m
orbi
ditie
s , h
igh
risk
patie
nts,
pitf
alls
Endo
scop
y in
sur
gery
Tiss
ue d
iagn
osis
Min
imal
inva
sive
sur
gery
Surg
ical
inci
sion
s
• Co
mpa
re d
iffer
ent r
adio
logi
cal i
nves
tigat
ions
• An
alyz
e va
rious
labo
rato
ry in
vest
igat
ions
•
Desc
ribe
adva
nce
surg
ical
inve
stig
atio
ns
• Ca
tego
rize
path
olog
ical
inve
stig
atio
ns
• Ex
plai
n an
atom
y of
sur
gica
l inc
isio
ns
C3 C3 C3 C3 C3P3
Lect
ure
SGD
lect
ure
SGD
Skills
lab
MCQ
MCQ
/SEQ
MCQ
/SEQ
SEQ
OSP
E
Mod
ule-
5: S
urgi
cal P
atho
logy
Neo
plas
ia a
nd s
urge
ryPr
inci
ples
of C
hem
othe
rapy
Pr
inci
ples
of r
adio
ther
apy
Prin
cipl
es o
f tra
nspl
anta
tion
• Ex
plai
n pr
inci
ples
of o
ncol
ogic
al th
erap
y an
d pa
lliatio
n •
Desc
ribe
prin
cipl
es o
f tra
nspl
anta
tion
• Di
scus
s ph
arm
acol
ogy
of c
hem
othe
rapy
• De
scrib
e ty
pes
of r
adio
ther
apy
C3 C3 C3 C3
Lect
ure
Lect
ure
Lect
ure
SGD
MCQ
MCQ
MCQ
SEQ
ww
w.im
c.ed
u.pk
20CURRICULUM IMC
Con
tent
sO
bjec
tives
Do-
mai
nSt
rate
gyAs
sess
men
t
Mod
ule-
6: T
raum
a
Intro
duct
ion
to tr
aum
a an
d tr
iage
Prim
ary
surv
ey a
nd S
econ
dary
sur
vey
Burn
s an
d its
type
s &
Man
agem
ent o
f bur
nsSp
inal
inju
ryAb
dom
inal
trau
ma
Ches
t tra
uma
• Di
scus
s pa
thop
hysi
olog
y of
Hea
d In
jury
• Re
cogn
ize
sign
s of
Hea
d in
jury
•
Plan
trea
tmen
t of H
ead
inju
ry p
atie
nt
• Pe
rfor
m C
NS
exam
inat
ion
• Ex
plai
n an
atom
y of
spi
nal i
njur
y •
Dem
onst
rate
App
licat
ion
of c
ervi
cal c
olla
r •
Desc
ribe
man
agem
ent o
f abd
omin
al tr
aum
a •
Out
line
man
agem
ent
ches
t inj
urie
s •
Inte
rpre
t che
st x
-ray
C•
Dem
onst
rate
airw
ay m
anag
emen
t sk
ills
• Pe
rfor
m c
linic
al e
xam
inat
ion
of C
hest
•
Carr
y ou
t tria
ge a
nd p
re h
ospi
tal c
are
• Pe
rfor
m p
rimar
y an
d se
cond
ary
surv
ey
C3 C3P3
A3C3
P3A3
C3P3
A3C3 C3
P3A3
C3 C3 C3 C3 C3P3
A3C3
P3A3
C3P3
A3
Lect
ure
beds
ide
SGD
beds
ide
Lect
ure
Skills
Lab
Lect
ure
SGD
SGD
Skills
Lab
beds
ide
Skills
lab
MCQ
OSP
ESE
Q/M
CQSC
/OSP
EM
CQO
SPE
MCQ
MCQ
OSP
EO
SPE
SC/O
SPE
OSP
E
Mod
ule-
7: S
kin
and
soft
tiss
ue le
sion
s
Beni
gn s
oft t
issu
e le
sion
sSq
uam
ous
cell
carc
inom
a an
d Ba
sal c
ell
carc
inom
aSk
in g
rafts
and
flap
sre
trope
riton
eal S
arco
mas
& L
ymph
omas
• De
scrib
e Pr
inci
ples
of s
kin
cove
rage
•
Diffe
rent
iate
bet
wee
n Co
mm
on b
enig
n an
d m
alig
nant
ski
n le
sion
s •
Perf
orm
Clin
ical
exa
min
atio
n of
ulc
er•
Disc
uss
the
com
mon
sur
gica
l ski
n sw
ellin
gs
• Pe
rfor
m e
xam
inat
ion
of s
wel
ling
and
Just
ify
clin
ical
feat
ures
•
Diffe
rent
iate
bet
wee
n di
ffere
nt b
enig
n sk
in
swel
lings
C3 C3P3
C3P3
A3C3 C3
P3A3
C3P3
Lect
ure
SGD
Beds
ide
SGD
Beds
ide
SGD
MCQ
SEQ
/OSP
E
SC/O
SPE
MCQ
/SEQ
SC/O
SPE
SEQ
/MCQ
Mod
ule-
8: H
ead
and
neck
Nec
k sw
ellin
g &
Saliv
ary
glan
d di
seas
es &
Br
anch
ial c
yst,
bran
chia
l sin
us ,
cyst
ic h
ygro
ma
Goi
tre/s
olita
ry n
odul
e of
thyr
oid
& Hy
per
/hy
poth
yroi
dism
Thyr
oid
mal
igna
ncy
Para
thyr
oid
glan
d di
seas
e &
Pheo
chro
moc
ytom
a ,
MEN
1 an
d M
EN 2
• Ex
plai
n Tr
iang
les
and
zone
s of
nec
k •
Desc
ribe
Saliv
ary
glan
d di
seas
es
• Pl
an m
anag
emen
t of
Thy
roid
dis
ease
s •
Expl
ain
Cong
enita
l sw
ellin
gs o
f nec
k •
Asse
ssm
ent o
f nec
k sw
ellin
g •
Clin
ical
exa
min
atio
n of
nec
k an
d th
yroi
d di
seas
e pa
tient
s •
Plan
inve
stig
atio
ns fo
r ne
ck s
wel
ling
• In
terp
ret t
hyro
id fu
nctio
n te
sts
C3 C3 C3P3
C3 C3P3
A3C3
P3A3
C3P3
C3P3
Lect
ure
Lect
ure
SGD
SGD
Beds
ide
Beds
ide
SGD
SGD
MCQ
MCQ
/SEQ
MCQ
/SEQ
MCQ
/SEQ
SC/O
SPE
SC/O
SPE
OSP
ESE
Q
ww
w.im
c.ed
u.pk
21CURRICULUM IMC
Con
tent
sO
bjec
tives
Do-
mai
nSt
rate
gyAs
sess
men
t
Mod
ule-
9: B
reas
t dis
ease
s
Nip
ple
disc
harg
e M
asta
lgia
& B
enig
n br
east
lum
p , G
ynae
com
astia
Carc
inom
a br
east
Brea
st s
urge
ry
• De
scrib
e cl
inic
al fe
atur
es o
f bre
ast l
umps
• Pe
rfor
m c
linic
al e
xam
inat
ion
of b
reas
t •
Expl
ain
trip
le a
sses
smen
t •
Disc
uss
path
olog
y of
bre
ast c
ance
r •
Prep
are
man
agem
ent p
lan
for
mal
igna
nt lu
mps
of
brea
st
• An
alys
e pa
tient
s w
ith n
ippl
e di
scha
rge
• O
utlin
e m
anag
emen
t mas
talg
ia
• Di
scus
s p
rinci
ples
of b
reas
t sur
gery
•
Disc
uss
mal
e br
east
pro
blem
s
C3 C3P3
A3C3
P3C3 C3
A3C3
P3A3
C3 C3 C3
Lect
ure
Beds
ide
SGD
Lect
ure
SGD
SGD
SGD
Lect
ure
lect
ure
MCQ
/SEQ
SC/O
SPE
MCQ
/SEQ
MCQ
SEQ
SEQ
MCQ
MCQ
MCQ
Mod
ule
10: U
pper
GIT
Mot
ility
diso
rder
s of
eso
phag
usG
ERD
dise
ase
Uppe
r G
I ble
edCa
rcin
oma
esop
hagu
sCa
rcin
oma
stom
ach
• An
alys
e pa
tient
with
dys
phag
ia
• Di
ffere
ntia
te M
otilit
y di
sord
ers
of e
soph
agus
•
Prep
are
man
agem
ent p
lan
for
UGI B
leed
•
Disc
uss
man
agem
ent o
f car
cino
ma
esop
hagu
s •
Expl
ain
man
agem
ent o
f gas
troes
opha
geal
reflu
x di
seas
e •
Inte
rpre
t bar
ium
sw
allo
w
• De
term
ine
man
agem
ent p
lan
for
carc
inom
a st
omac
h
C3A3
P3C3 C3
A3C3 C3 C3
A3C3
Beds
ide
SGD
SGD
Lect
ure
Lect
ure
SGD
Lect
ure
OSP
EM
CQ
SEQ
MCQ
/SEQ
MCQ
/SEQ
OSP
EM
CQ/S
EQ
Mod
ule-
11: S
mal
l int
estin
e an
d ap
pend
ix
Inte
stin
al o
bstr
uctio
nIn
test
inal
TB
, typ
hoid
and
am
ebia
sis
Appe
ndic
itis
, app
endi
cula
r m
ass
, app
endi
cula
r ab
sces
sTu
mor
s of
sm
all i
ntes
tine
Mec
kels
div
ertic
ulum
• Di
scus
s m
anag
emen
t of p
atie
nt w
ith r
ight
ilia
c fo
ssa
mas
s •
Perf
orm
abd
omin
al e
xam
inat
ion
• Ev
alua
te p
atie
nt w
ith in
test
inal
obs
truc
tion
• Di
scus
s pa
thol
ogy
of in
test
inal
obs
truc
tion
• As
sess
men
t of a
cute
abd
omin
al p
ain
• In
terp
reta
tion
of a
bdom
inal
x-ra
y
C3 C3P3
A3C3
P3A3
C3 C3P3
A3C3
P3A3
Lect
ure
beds
ide
SGD
Lect
ure
Beds
ide
Skills
Lab
MCQ
SC/O
SPE
SEQ
MCQ
/SEQ
SC/O
SPE
OSP
E
ww
w.im
c.ed
u.pk
22CURRICULUM IMC
Con
tent
sO
bjec
tives
Do-
mai
nSt
rate
gyAs
sess
men
t
Mod
ule-
12: A
bdom
inal
wal
l and
per
itoni
tis
Gro
in h
erni
as
Vent
ral h
erni
asBu
rst a
bdom
en a
nd in
cisi
onal
her
nia
Perit
oniti
s
• De
scrib
e an
atom
y of
ingu
inal
regi
on
• Ex
amin
e pa
tient
with
gro
in s
wel
ling
• Ex
plai
n gr
oin
hern
ia a
nd it
s co
mpl
icat
ions
•
Asse
ss s
wel
lings
in u
mbi
lical
regi
on
• Pl
an m
anag
emen
t pla
n of
ven
tral
her
nias
• Pa
thol
ogy
of p
erito
nitis
• Pl
an m
anag
emen
t of p
erito
nitis
C3 C3P3
A3C3 C3
P3A3
C3 C3 C3A3
Lect
ure
Beds
ide
SGD
Beds
ide
SGD
Lect
ure
SGD
MCQ
SC/O
SPE
SEQ
SC/O
SPE
SEQ
/MCQ
MCQ
SEQ
Mod
ule-
13: H
epat
o bi
lliar
y an
d pa
ncre
as
Chol
elith
iasi
s a
nd C
holid
ocol
ithia
sis
Tum
ors
of b
iliary
trac
tPa
ncre
atiti
s Ca
rcin
oma
panc
reas
Sple
nom
egal
yLi
ver
absc
ess
and
Live
r m
asse
s
• Ev
alua
te p
atie
nts
with
RUQ
mas
s •
Desc
ribe
path
olog
ies
of li
ver
• De
scrib
e m
anag
emen
t of A
cute
cho
lecy
stiti
s an
d en
list i
ts c
ompl
icat
ions
• Di
scus
s pa
tient
s w
ith le
ft hy
poch
ondr
ial m
ass
with
sp
leno
meg
aly
• Ex
plai
n pa
thop
hysi
olog
y fo
r inv
estig
atio
n of
ja
undi
ce
• De
scrib
e m
anag
emen
t of s
urgi
cal j
aund
ice
C3P3
A3C3 C3
A3C3 C3
P3A3
C3 C3A3
beds
ide
lect
ure
SGD
SGD
Lect
ure
SGD
SC/O
SPE
MCQ
SEQ
SEQ
/MCQ
MCQ
SEQ
Mod
ule-
14: C
olor
ecta
l dis
ease
Low
er G
I ble
ed a
nd A
bdom
inal
mas
sIn
flam
mat
ory
bow
el d
isea
seCo
lore
ctal
car
cino
ma
Carc
inom
a an
al c
anal
Blee
ding
PR
and
hem
orrh
oids
Anal
fiss
ure
and
peria
nal a
bsce
ss
Peria
nal fi
stul
aPi
loni
dal s
inus
• As
sess
pat
ient
with
lowe
r GI b
leed
ing
• Ex
plai
n m
anag
emen
t of c
olor
ecta
l car
cino
ma
• De
scrib
e di
verti
cula
r dise
ase
• Di
scus
s m
anag
emen
t of r
ecta
l pro
laps
e •
Desc
ribe
colo
nosc
opy
, bar
ium
ene
ma
and
its
prep
arat
ion
• Ex
plai
n an
atom
y of
col
onic
sur
gery
•
Com
pare
ulc
erat
ive c
oliti
s an
d ch
ron’s
dise
ase
• Ou
tline
man
agem
ent
for h
emor
rhoi
ds
• De
scrib
e an
atom
y of
per
iana
l fist
ula
•
Expl
ain
man
agem
ent o
f per
iana
l con
ditio
ns•
Perfo
rm d
igita
l rec
tal e
xam
inat
ion
• De
scrib
e m
anag
emen
t of p
iloni
dal s
inus
C3 C3P3
A3C3
P3A3
C3P3
A3C3 C3
P3A3
C3 C3 C3 C3 C3P3
A3C3
P3A3
C3P3
A3
Lect
ure
beds
ide
SGD
beds
ide
Lect
ure
Skills
Lab
Lect
ure
SGD
SGD
Skills
Lab
beds
ide
Skills
lab
Skills
lab
MCQ
OSP
ESE
Q/M
CQSC
/OSP
EM
CQ
OSP
EM
CQM
CQO
SPE
OSP
ESC
/OSP
EO
SPE
OSP
E
ww
w.im
c.ed
u.pk
23CURRICULUM IMC
Con
tent
sO
bjec
tives
Do-
mai
nSt
rate
gyAs
sess
men
t
Mod
ule
15: U
rolo
gy
Urin
ary
trac
t sto
ne d
isea
se
Hydr
onep
hros
is a
nd h
ydro
uret
erRe
nal n
eopl
asm
Ca
rcin
oma
bald
der
BPH
and
carc
inom
a pr
osta
teSt
rictu
re u
reth
raSc
rota
l sw
ellin
g Te
stic
ular
tum
our
Rena
l tra
ct in
vest
igat
ion
• De
scrib
e Lo
wer
urin
ary
tract
syp
mto
ms
• As
sess
pat
ient
with
hem
atur
ia•
Disc
uss
pros
tatic
dis
ease
and
iden
tify
plan
of
man
agem
ent
• Ev
alua
te p
atie
nt w
ith re
nal,m
ass
• Pl
an m
anag
emen
t of c
arci
nom
a bl
adde
r •
Inte
rpre
t IVU
and
iden
tify
step
s of
IVU
Exp
lain
ste
ps
of c
ricum
ciss
ion
• As
sess
pat
ient
with
scr
otal
sw
ellin
g •
Man
age
rena
l col
ic p
atie
nt•
Outli
ne m
anag
emen
t of u
rinar
y re
tent
ion
• Pe
rform
ure
thra
l cat
hete
rizat
ion
C3 C3A3
P3C3 C3
A3P3
C3 C3A3
C3 C3P3
A3C3
A3P3
C3 C3A3
P3
Lect
ure
Besi
deSG
D
Beds
ide
SGD
Skills
Lab
SGD
Beds
ide
SGD
Lect
ure
Skills
Lab
SEQ
SC/S
EQM
CQ/S
Eq
SC/O
SPE
MCQ
/SEQ
OSP
EO
SPE
SC MCQ
/SEQ
MCQ
/SEQ
OSP
E
Mod
ule-
16: V
ascu
lar
dise
ases
Arte
rial o
cclu
sive
dis
orde
rs
Aneu
rysm
s G
angr
ene
Varic
ose
vein
s DV
TDi
abet
ic fo
ot
• Di
scus
s ch
roni
c lim
b is
chem
ia
• Ex
plai
n Ra
ynau
d’s
and
Buer
ger’s
dis
ease
•
Dem
onst
rate
eva
luat
ion
of d
iabe
tic fo
ot
• Di
scus
s va
rious
ane
urys
ms
• Ex
plai
n an
atom
ical
des
crip
tion
of v
aric
ose
vein
s•
Out
line
man
agem
ent o
f ven
ous
diso
rder
s •
Perf
orm
exa
min
atio
n of
vas
cula
r s
yste
m
• Ex
plai
n ris
ks a
nd c
ompl
icat
ions
of D
VT
C3 C3 C3P3
A3C3 C3 C3
A3C3
A3P3
C3
Lect
ure
lect
ure
beds
ide
lect
ure
lect
ure
SGD
Beds
ide
SGD
MCQ
/SEQ
MCQ
/SEQ
SC/O
SPE
MCQ
MCQ
DEQ
SC/O
SPE
MCQ
/SEQ
Mod
ule-
17: P
edia
tric
sur
gery
Unde
scen
ded
test
is &
Hyp
ospa
dias
Tes
ticul
ar
tors
ion
Clef
t lip
and
pal
ate
Hirs
ch s
prun
g di
seas
e an
d co
ngen
ital
mal
form
atio
ns o
f anu
sHy
pert
roph
ic p
ylor
ic s
teno
sis
Rect
al p
olyp
and
rect
al b
leed
ing
• De
scrib
e Te
stic
ular
tors
ion
• Ev
alua
te A
cute
abd
omin
al p
ain
in c
hild
ren
• Ex
plai
n ty
pes
of c
left
lip &
pal
ate
• O
utlin
e an
o re
ctal
mal
form
atio
ns•
Disc
uss
caus
es o
f ble
edin
g PR
in c
hild
ren
• Ex
plai
n m
anag
emen
t of U
DT
C3 C3P3
A3C3 C3 C3 C3
A3
Lect
ure
SGD
Lect
ure
Lect
ure
SGD
lect
ure
MCQ
/SEQ
SEQ
MCQ
/SEQ
MCQ
/SEQ
SEQ
SEQ
ww
w.im
c.ed
u.pk
24CURRICULUM IMC
Con
tent
sO
bjec
tives
Do-
mai
nSt
rate
gyAs
sess
men
t
Mod
ule-
18: N
euro
surg
ery
Brai
n tu
mor
Hydr
ocep
halu
sM
enin
goce
leIn
trac
rani
al p
ress
ure
Perip
hera
l ner
ve in
jurie
s
• In
trodu
ctio
n to
intr
acra
nial
tum
ours
• Ex
plai
n an
atom
y of
Per
iphe
ral n
erve
inju
ries
• De
scrib
e co
ngen
ital a
nom
alie
s of
CN
S•
Disc
uss
path
ophy
siol
ogy
of C
SF•
Perf
orm
exa
min
atio
n of
per
iphe
ral n
erve
s•
perf
orm
Exa
min
atio
n of
CN
S
C3 C3 C3 C3 C3P3
A3C3
P3A3
Lect
ure
Lect
ure
Lect
ure
Lect
ure
Beds
ide
beds
ide
MCQ
MCQ
MCQ
/SEQ
MCQ
/SEQ
SC/O
SPE
SC/O
SPE
Mod
ule
19 C
linic
al S
kills
Basi
c su
rgic
al s
kills
Ur
ethe
ral c
athe
triz
atio
n IV
can
nula
tion
Prim
ary
surv
ey
NG
tube
inse
rtio
n Ai
rway
man
agem
ent
Wou
nd d
ress
ing
• De
mon
stra
te s
utur
ing
skills
•
Dem
onst
rate
scr
ubbi
ng te
chni
que
• De
scrib
e st
eps
of u
reth
ral c
athe
teriz
atio
n •
Desc
ribe
step
s of
IV c
annu
latio
n •
Dem
onst
rate
ste
ps o
f prim
ary
surv
ey
• De
mon
stra
te s
kills
for
airw
ay m
anag
emen
t
C3 P
3 A3
C3 P
3 A3
C3 P
3 A3
C3 P
3 A3
C3 P
3 A3
C3 P
3 A3
Skills
lab
Skills
lab
Skills
lab
Skills
lab
Skills
lab
Skills
lab
OSP
E O
SPE
OSP
EO
SPE
OSP
EO
SPE
ww
w.im
c.ed
u.pk
25CURRICULUM IMC
Con
tent
sO
bjec
tives
Do-
mai
nSt
rate
gyAs
sess
men
t
Mod
ule-
20: O
rtho
pedi
cs
Trau
ma
and
Shoc
k.Bo
ne &
sof
t tis
sue.
Biom
echa
nics
of f
ract
ure.
Heal
ing
& re
pair
(bon
e &
soft
tissu
es).
Prin
cipl
es o
f phy
siot
hera
pyO
rtho
tics
– or
thop
aedi
c ap
plia
nces
to
su
ppor
t and
cor
rect
def
orm
ities
Pros
thes
is –
art
ifici
al s
ubst
itute
for
mis
sing
bo
dy p
arts
.Co
ngen
ital
& De
velo
pmen
t Di
seas
es
of
bone
s an
d jo
ints
su
ch
as
Bone
dy
spla
sia
(def
ect
intr
insi
c to
bon
e) D
war
f- Ac
hond
ropl
asia
.Bo
ne a
nd jo
int i
nfec
tions
Acut
e os
teom
yelit
is
and
sept
ic
arth
ritis
, Ch
roni
c os
teom
yelit
is,
Tube
rcul
ous
arth
ritis
/Car
ies
spin
e,
Ost
eoly
sis/
bone
cy
st,
sequ
estr
um,
perio
stea
l rea
ctio
n.M
etab
olic
Bon
e di
seas
es.
Bone
Tum
ours
, Ben
ign
& M
alig
nant
.Pr
inci
ples
, in
dica
tions
, te
chni
ques
an
d or
thot
ics
rela
ted
to a
mpu
tatio
n.N
eck
Pain
, Low
Bac
k Pa
in a
nd S
ciat
ica.
Arth
ritis
an
d M
uscu
losk
elet
al
Pain
ful
Diso
rder
s.So
ft Ti
ssue
Inju
ries,
Fra
ctur
es.
ATLS
Pric
iple
s of
frac
ture
man
agem
ents
Cl
inic
al E
xam
inat
ion
• Ex
plai
n Pa
thop
hysi
olog
y of
trau
ma
and
shoc
k.•
Desc
ribe
the
Mec
hani
cal p
rope
rtie
s of
bon
e &
soft
tissu
e.•
Expl
ain
the
Biom
echa
nics
of f
ract
ure.
• Ex
plai
n th
e st
eps
of H
ealin
g &
repa
ir (b
one
& so
ft tis
sues
).•
Defin
e th
e Pr
inci
ples
of p
hysi
othe
rapy
• De
scrib
e O
rtho
tics
– or
thop
aedi
c ap
plia
nces
to
supp
ort
and
corr
ect d
efor
miti
es•
Desc
ribe
Pros
thes
is –
art
ifici
al s
ubst
itute
for m
issi
ng b
ody
part
s.•
Disc
uss
the
Cong
enita
l & D
evel
opm
ent D
isea
ses
of b
ones
an
d jo
ints
suc
h as
Bon
e dy
spla
sia
(def
ect i
ntrin
sic
to b
one)
Dw
arf-
Acho
ndro
plas
ia.
• Ex
plai
n th
e Bo
ne a
nd jo
int i
nfec
tions
• De
scrib
e Ac
ute
oste
omye
litis
and
sep
tic a
rthr
itis,
Chr
onic
os
teom
yelit
is, T
uber
culo
us a
rthr
itis/
Carie
s sp
ine,
•
Desc
ribe
Ost
eoly
sis/
bone
cys
t, se
ques
trum
, pe
riost
eal
reac
tion.
• Di
scus
s M
etab
olic
Bon
e di
seas
es.
• Ex
plai
n Bo
ne T
umou
rs, B
enig
n &
Mal
igna
nt.
• Di
scus
s Pr
inci
ples
, in
dica
tions
, te
chni
ques
and
ort
hotic
s re
late
d to
am
puta
tion.
• Di
scus
s N
eck
Pain
, Low
Bac
k Pa
in a
nd S
ciat
ica.
• De
scrib
e Ar
thrit
is a
nd M
uscu
losk
elet
al P
ainf
ul D
isor
ders
.•
Expl
ain
the
mec
hani
sm a
nd t
reat
men
t of
Sof
t Ti
ssue
In
jurie
s, F
ract
ures
.•
Dem
onst
rate
Bas
ic a
nd a
dvan
ced
trau
ma
life
supp
ort,
Tria
ge o
f inj
ured
pat
ient
s in
em
erge
ncy
room
.•
Desc
ribe
Prin
cipl
es o
f fra
ctur
e cl
assi
ficat
ion,
Prin
cipl
es o
f fr
actu
re tr
eatm
ent i
n ch
ildre
n, P
rinci
ples
of f
ract
ure
fixat
ion,
M
anag
emen
t of
com
mon
ort
hopa
edic
em
erge
ncie
s, M
al-
unite
d fr
actu
res;
non
-uni
ons.
• Pe
rfor
ms
exam
inat
ion
of J
oint
s (H
ip,
Knee
, Sh
ould
er,
Wris
t, An
kle)
.
C3 C3 C3 C3 C3 C3 C3 C3 C3 C3 C3 C3 C3 C3 C3 C3 C3 C3 P
3
A3 C3
Lect
ure/
SGD
Lect
ure/
SGD
Lect
ure/
SGD
Lect
ure/
SGD
Lect
ure/
SGD
Lect
ure/
SGD
Lect
ure/
SGD
Lect
ure/
SGD
Lect
ure/
SGD
Lect
ure/
SGD
Lect
ure/
SGD
Lect
ure/
SGD
Lect
ure/
SGD
Lect
ure/
SGD
Lect
ure/
SGD
Lect
ure/
SGD
Lect
ure/
SGD
Beds
ide/
SGD
Lect
ure/
SGD
Beds
ide/
Skill
Lab
SEQ
/MCQ
SEQ
/MCQ
SEQ
/MCQ
SEQ
/MCQ
SEQ
/MCQ
SEQ
/MCQ
SEQ
/MCQ
SEQ
/MCQ
SEQ
/MCQ
SEQ
/MCQ
SEQ
/MCQ
SEQ
/MCQ
SEQ
/MCQ
SEQ
/MCQ
SEQ
/MCQ
SEQ
/MCQ
SEQ
/MCQ
OSP
E
SEQ
/MCQ
OSP
E