4th Year MBBS- Community Medicine - Multan Medical ...

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Multan Medical & Dental College

4th YEAR MBBS CURRICULUM 2020- 2021

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PATRON:

Mr. Imran Rasool Chief Operating Officer

Multan Medical and Dental College

CURRICULUM COMMIITTEE:

Dr. Tanveer Jahan

(Professor Obs & Gynae) Chairman

Dr. M. Awais Khan

(Assistant Professor DME) Secretary

MEMBERS:

Dr. Kamran Ameer (Associate Professor)

Dr. Sakina Joiya (Demonstrator)

EDITED AND COMPILED BY:

Dr. Sakina Muhammad Joiya

ASSISTANCE:

Dr. Mirza M. Hassan

Dr. Aman Fatima

Multan Medical & Dental College

MBBS CURRICULUM 2020 - 2021

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Dr. Asad Ali

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Prof. Dr. Shabbir Ahmad Nasir

Chief Executive & Principal Multan Medical

& Dental College

Avicenna once said ―The extraordinary faith put in oneself &

in one’s creator, as one takes the very first step for a new

journey, shall mark itself as a milestone to one’s eternal

glory‖. This was my vision and that of my team to provide

quality medical education to the students at Multan Medical

& Dental College, when we laid the foundation stone of this

nascent Alma Mata, seven years ago. This college has come

of a small age in terms of years but we feel a genuine pride

to see that it is fledgling with powerful wings to embark towards its destination of eternal glory in the

field of quality medical education. A journey, which apparently seemed to be less promising at the

beginning, has now turned into a story of achievements at every front. It is indeed a matter of immense

pleasure to welcome applications for the Seven batch at Multan Medical & Dental College with a mission

to impart profound quality medical education.

In consonance with the vision of the Government to extend healthcare to all segments of society and

groom the best quality medical professionals, Multan Medical & Dental College has responded positively

well to this national cause. We have taken the pledge to keep serving this noble mission and prove our

credentials as a beacon so that our nation reposes its full confidence in our commitment to excellence.

Besides providing quality education, based on modern teaching techniques, I am sure the college shall

also develop a strong spectrum of research-oriented activities. Owing to a top-class faculty, supported by

a 600-bedded modern hospital, Ibn-e-Siena Hospital & Research Institute, I am confident that its

graduates shall emerge as doctors upholding the highest intellectual, professional & social values.

Institutions are developed through professional acumen and commitment to the cause. My advice to the

students & faculty alike is to leave no stone unturned to keep on bringing laurels to themselves and this

institution as they have done it in their initial trials. In their endeavors, they shall always find me at their

back to provide them a genuine direction and elan to help channel their energies into a glorious outcome.

I wish the best of luck to all those who are associated with this project for the fulfillment of this already

being realized dream.

MESSAGE FROM PRINCIPAL

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MULTAN MEDICAL & DENTAL COLLEGE

MISSION STATEMENT

To Produce Professionally Competent, Research Oriented Health Care Providers, Through

Modern Medical Education, Meeting the Local And Global Needs And Committed To Serve

Humanity

VISION

Working in Consonance with the vision of UHS, the Federal and provincial Health Authorities to

groom best quality Medical Professionals by providing the best quality Education based on

Modern Teaching Techniques. Also, committed to develop a strong spectrum of research-

oriented activities.

Envisaging an example in eliminating Health disparities faced by the different strata of the

society by finding their solution through research and execution of Public Health Programs.

OUTCOMES

By the end of (MBBS/BDS) program the graduates of MM&DC will be able to:

1. Perform various basic Medical/Surgical and Dental procedures independently.

2. Demonstrate Knowledge and comprehension of common Medical/Surgical and

Dental procedures.

3. Assist in management of Critically ill patient.

4. Manage common non critical conditions Independently.

5. Demonstrate professional, ethical and culturally appropriate behavior.

6. Advocate health promotion and disease prevention.

7. Involve in research programs.

8. Quality Outcomes:

9. Develop a habit of reflection, critical thinking and applying the knowledge to reach

the level of Creativity.

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Multan Medical and Dental College is grateful to its faculty

for their contribution in the

preparation of the Curriculum.

&

The College is also thankful to

faculty and students for their

feedback and suggestions.

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Contents MESSAGE FROM PRINCIPAL .......................................................................................................................... 4

CURRICULUM COMMIITTEE .......................................................................................................................... 9

DEFINITIONS AND ABBREVIATIONS ............................................................................................................ 11

ASSESSMENT POLICIES ................................................................................................................................ 12

PROMOTION POLICIES ................................................................................................................................ 15

YEARLY DISTRIBUTION OF SUBJECTS .......................................................................................................... 16

SUBJECT ....................................................................................................................................................... 17

ORGANOGRAM ........................................................................................................................................... 18

INTRODUCTION .................................................................................................................................. 19

TEACHING STRATAGIES ............................................................................................................................... 20

TEACHING ENVIRONMENT .......................................................................................................................... 21

SUBJECT OUTCOMES ................................................................................................................................... 22

SYLLABUS .................................................................................................................................................... 23

SCHEME OF STUDIES ................................................................................................................................... 29

TABLE OF SPECIFICATIONS .......................................................................................................................... 31

LEARNING OBJECTIVES ................................................................................................................................ 33

TEACHING AND ASSESSMENT STRATAGIES ................................................................................................ 33

Diseases due to Direct Contact ............................................................................................................... 37

Epidemiology, control and prevention of non-infectious diseases of Public Health Importance ........... 38

Biostatistics ............................................................................................................................................. 38

Demography and Population Dynamics ................................................................................................. 39

Food and Nutrition .................................................................................................................................. 39

Reproductive and Child Health ............................................................................................................... 40

Health of School Age Children ............................................................................................................... 41

Environmental Health Sciences .............................................................................................................. 42

Occupational Health ................................................................................................................................ 43

Arthropods and their Public Health Importance ..................................................................................... 44

Parasitic Diseases of Public Health Importance ..................................................................................... 44

Mental Health.......................................................................................................................................... 45

Behavioral Sciences and Lifestyle .......................................................................................................... 45

file:///H:/CURRICULUMS/4th%20year%20mbbs/4th%20Year%20MBBS-%20Community%20Medicine.docx%23_Toc66179211
















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Information, Education and Communication (IEC) ................................................................................ 46

Disaster ................................................................................................................................................... 46

Medical Ethics ........................................................................................................................................ 47

Practicals & Field Training ..................................................................................................................... 47

Skills Development Lab .......................................................................................................................... 49

ANNUAL TIMETABLE ................................................................................................................................... 50

ASSESSMENT SCHEDULE ............................................................................................................................. 50

BATCHES ALLOCATIONS .............................................................................................................................. 50

PRACTICAL PRE-REQUISITES........................................................................................................................ 50

LEARNING RESOURCES ................................................................................................................................ 50






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The Curriculum Committee for session 2020 - 21 is hereby notified as under:

Curriculum Committee

Sr. # Name Designation Department

1. Dr. Tanveer Jahan

(Professor Obs & Gynae) Chairman Clinical Sciences

2. Dr. M. Awais Khan

(Assistant Professor) Secretary Medical Education

3. Dr. Sakina Joiya Member Medical Education

4. Dr. Kamran Ameer

(Associate Professor of Anatomy) Member Basic Sciences

5. Dr. Khalid

(Professor) Member Community Medicine

6. Dr. Asif Mughal

(Assistant Professor) Member Behavioral Sciences

7. Muhammad Bilal

Member Student Representative

8. Hasnat Sahu


9. Hassan Masood


CURRICULUM COMMIITTEE

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The following faculty members were involved

in the process of documentation of curriculum

at various stages

1. Dr. Samina Badar (HOD)

2. Dr. Khalid Masood

3. Dr. Adil Umer Khan

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DEFINITIONS Definitions of the following terms used in the Curriculum Document have been

taken from HEC Guidelines.

CREDIT HOURS:

1. A credit hour means teaching a theory course of 50 minutes each week throughout the year

(1 lecture of 50 minutes = 1 credit hour).

2. One credit hour in laboratory or practical work / project would require lab contact of two

hours per

week throughout the year

Credit Hours:

15 MIN OF INFORMATION TRANSFER/ LEARNING=0.25 HRS

30 MIN OF INFORMATION TRANSFER/ LEARNING =0.5 HRS

45 MIN OF INFORMATION TRANSFER/ LEARNING =0.75 HRS

60 MIN OF INFORMATION TRANSFER/ LEARNING =1 HR

ABBREVIATIONS

KEY: SEQ:

SAQ:

MCQ:

SGD:

PBL:

CBL:

SBL:

OSPE:

OSCE:

HEC:

PMC:

DME:

Short Essay Questions

Short Answer Questions

Multiple Choice Questions

Small Group Discussion

Problem Based Learning

Case Based Learning

Scenario Based Learning

Objective structured Practical Evaluation

Objective structured Clinical Evaluation

Higher Education Commission

Pakistan Medical Commission

Department Of Medical Education

DEFINITIONS AND ABBREVIATIONS

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Examinations are of two kinds:

I) Internal Examinations

II) University Examinations

I) Internal Examinations

Send Up examinations shall be compulsory for students of all classes. Students who do not

appear or fail in the examination will be regarded as students whose courses of instructions

are incomplete and unsatisfactory and will not be allowed to appear in the university

professional examination for promotion to the next higher class and may also loose the

scholarship, if any, granted to them.

Pass percentage for Send up examinations is 50%.

i) First Year M.B.B.S. There will be send up examination in the subjects of Anatomy,

Physiology and Biochemistry. Students will not be allowed to sit in the University

Examination if they fail in any of the subjects in the send up examination.

ii) Second Year M.B.B.S. There will be send up examination in the subjects of Anatomy,

Physiology and Biochemistry. Failed Students will not be allowed to sit in the University

Examination if they fail in any of the subjects in the send up examination.

iii) Third Year M.B.B.S. There will be one send up examination. The subjects will be: -

1. Pharmacology and Therapeutics

2. Forensic Medicine and Toxicology

3. General Pathology

4. Behavioural Sciences

5. Clinical Methods in Surgery

6. Clinical Methods in Medicine

All subjects will be compulsory for the purpose of examination but only those students will

be detained from appearing in the University Examination who fail in any of the first four

subjects.

iv) Fourth Year M.B.B.S. There will be send up examination in the following subjects: -

1. Special Pathology

2. Community Medicine

3. Ophthalmology

4. Otorhinolaryngology

5. Medicine

6. Surgery

7. Obstetrics &Gynecology

The students will be allowed to sit the University Examination only if they clear at least the

first four subjects.

ASSESSMENT POLICIES

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v) Final Year M.B.B.S. The send up examination will be conducted in the following

subjects:

1. Medicine & Allied Specialties including Psychiatry and Dermatology

2. Surgery & Allied Specialties including Orthopedics and Anesthesia etc.

3. Obstetrics &Gynecology

4. Pediatrics

The students will be allowed to appear in the University Examination only if they pass in all

subjects.

NOTE:

1. During the clinical years, the progress of the students will be judged from the remarks of

the respective Professor on the Clinical Record Cards. Those students, whose cards show

unsatisfactory work during any of their clinical assignments, will be detained from appearing

in the final professional examination of the university.

2. A duplicate record of Clinical Card of each student will be kept in the office of the

concerned Professor.

3. Ten percent (10%) of marks of university examinations are based on internal assessment.

4. Remanded students will not be detained from the University examination if they have

fulfilled the required percentage of attendance and have satisfactory report from the

respective professor for their work during the terms, in question.

5. Certificate of Honor is awarded by the college to the student who obtains 75% or more

marks in a subject of Send Up examination of the year provided he/she does not get less than

50 percent marks in other subjects of the same examination.

Regulations for Internal Assessment

(i) The weightage of internal assessment shall be 10% in all subjects. 5% internal assessment

marks shall be added to the aggregate score of Theory and 5% internal assessment marks to

aggregate score of Oral and Practical Examination and not to an individual component like

MCQs, SEQs Paper or Oral /

Practical / Clinical Examination.

(ii) Continuous internal assessment shall consist of evaluation at the end of each assignment,

e.g. stages/sub-stages, class tests etc., attitudinal assessment from educational and or clinical

supervisors, clinical skill assessment from clinical supervisors, and Year’s work books.

(iii) Assessment of Knowledge, Skills and Attitude shall contribute towards internal

assessment. Methods used to assess these domains shall include Multiple Choice Questions,

Short essay questions, Oral/Viva, and Practical Clinical examinations.

(iv) The score of internal assessment shall contribute 10% to final examination and final

university examination of each subject shall contribute 90% to total score, and the candidate

shall pass in aggregate.

(v) Awards of internal assessment in all the subjects of all the candidates shall be submitted

to the Controller of Examinations along with Admission Forms for the annual examination.

Internal assessment received after commencement of the final examination shall not be

accepted.

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(vi) The marks of internal assessment shall be submitted only once a year prior to annual

examination and the same shall be counted both for annual and supplementary examinations.

It is further emphasized that fresh assessment or a revision of assessment for supplementary

examination shall not be permissible.

(vii) Proper record of continuous internal assessment shall be maintained by respective

departments of the medical/dental colleges.

(viii) Internal assessment awarded in particular year may not be decreased subsequently

detrimental to the candidate.

II) University Examinations

University Examinations are strictly governed by the statutes and regulations of the

University

A) MBBS

i) First Professional M.B.B.S Examination will be held at the end of first academic year.

NOTE: Any student who fails to clear the 1st Professional M.B.B.S. examination in four

chances, availed or un-availed, after becoming eligible for each examination and has been

expelled on that account shall not be eligible for continuation of medical and dental studies

of MBBS and BDS in subsequent professional examinations.

ii) Second Professional M.B.B.S Examination held at the end of second academic year.

iii) Third Professional M.B.B.S Examination will be held at the end of third academic year.

iv) Fourth Professional M.B.B.S Examination will be held at the end of fourth academic year.

v) Final Professional M.B.B.S. Examination will be held at the end of fifth academic year.

NOTE: Any student who fails to clear the 1st Professional M.B.B.S. examination in four

chances, availed or un-availed, after becoming eligible for each examination and has

been expelled on that account shall not be eligible for continuation of medical and

dental studies of MBBS and BDS in subsequent professional examinations.

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1. Minimum attendance and satisfactory completion of the log book is required for a

student to be eligible for Certifying Examination(s).

2. Formative and Summative Assessment: The same tools may be used for formative or

summative assessment. Formative Assessments will be used only for feedback to

develop the learners, while Summative Assessments will be used to make pass/fail or

progress decisions). Any assessment where the results contribute to a final score,

which leads to a decision of

the progress of the student, must be considered summative.

3. Summative Assessment consists of the sum of the Continuous Assessment score

(Internal assessment based on assessment of student performance during the module

or clerkship) and end of year University Examination.

4. University Examinations will be held at the end of each

academic year

5. Requirements: Surveys 10

Press cuttings.

1 Research Project

PROMOTION POLICIES

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YEAR WISE DISTRIBUTION OF SUBJECTS:

1ST YEAR 2ND YEAR 3RD YEAR 4TH YEAR 5TH

YEAR

General

Anatomy

Histology

and

Embryology

General

Anatomy

Histology and

Embryology

Pharmacology

and therapeutics

ENT Gynecology

Physiology Physiology Forensic

Medicine and

Toxicology

EYE Pediatrics

Bio-

Chemistry

Bio-Chemistry Pathology Pathology Surgery

Pak Studies

and

Islamiyat /

Ethics

Behavioural

Sciences

Community

Medicine

Medicine

YEARLY DISTRIBUTION OF SUBJECTS

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Community Medicine

SUBJECT

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Head of Community

Medicine Department

Prof. Dr. Samina Badar

Professor Prof. Dr. Khalid Masood

Associate Professor Dr. Adil Umer

Assistant Professor Dr. Raza Gardezi Dr. Bushra Dr. Uzma

Senior Demonstrator Dr.Shehla Qadir

Statistical Officer Dr.Asya Ahmad

Demonstrators Dr. Shehla

Paramedical Staff Syed Uzair Raza Gardezi

MSW / Counselling Psychologist

Abd-ur- Rizwan

Computer Operator

Office Boy

Muhammad Shahid

ORGANOGRAM

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INTRODUCTION

Community Medicine is a new branch of Medicine recently added with a concept to provide

comprehensive health care by health team to improve the health of the community.

Students are trained in community diagnosis, health education of community, studying of health

systems, research conduction, provision of primary health care and in collaboration with other

departments (School Health services, Occupational Health care and Social security etc.) to plan

implement and evaluate the extent to which health measures effectively meet these needs trained

in provision of University Health Coverage.

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The educational strategies in this curriculum are multiple and aligned with domain of learning

and according to the desired outcome

Interactive lectures

One-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

transmission of material from teacher to learner, we cannot overlook the possibility of

meaningful interaction 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.

Small Group Discussion

Small group discussion provides a unique environment to achieve high standards in medical

education. 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.

Self- directed learning

Students' take responsibilities of their own learning through individual study, sharing and

discussing with peers, seeking information from Learning Resource Center, teachers and

resource persons within and outside the college. Students can utilize the time within the college

scheduled hours or afterwards for self-study.

Power Point Presentations

Power point Presentations on various topics are assigned to the students which will increase their

knowledge and build their confidence.

CBL

Using a case-based approach engages students in discussion of specific scenarios that resemble

or typically are real-world examples. This method is learner-centered with intense interaction

between participants as they build their knowledge and work together as a group to examine the

case.

Assignments

TEACHING STRATAGIES

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Students are given written formative assignments on designated topics. Revision of the topics

already covered by anatomy and physiology departments are given to students as oral

presentations.

Tutorials

A tutorial, in education, is a method of transferring knowledge and may be used as a part of a

learning process. More interactive and specific than a book or a lecture, a tutorial seeks to teach

by example and supply the information to complete a certain task.

• Lecture halls.

• Labs (Museum)

• Counselling room for health education

• Research and IT rooms

• Community field work/ field visits.

• Hospital (both indoor and outdoor)

• Administrative setups.

• Waste Management

• Immunization

• Reproductive Health.

• Surgical Audit.

• Pharmacy etc

TEACHING ENVIRONMENT

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Goals

(SAMPLE)

At the end of final year, student will be able to:

Explain how the fundamental pharmacological properties of pharmacokinetics and

pharmacodynamics influence routes of administration; drug distribution and drug

levels in the body; drug efficacy and potency; potential for drug-drug interactions;

drug toxicity; and the appropriate choice of drug for pharmacotherapy in a given

patient.

Outcomes

(SAMPLE)

At the end of this curriculum the student should be able to:

KNOWLEDGE:

1. List the major drugs and drug classes currently used in medical practice and

describe their pharmacology including their indications, contraindications, clinical use,

mechanisms of action, physiological effects, pharmacokinetic properties, major adverse

effects and clinically significant drug interactions.

2. Apply knowledge of the pharmacology of the major drugs and drug classes

3. currently used in medical practice, together with both disease-specific and

patient specific factors to select the most appropriate medication(s) for the

effective pharmacotherapy of a given disease or condition in a specific patient.

SKILL:

1. Demonstrate the ability to effectively communicate and work collaboratively

together with peers in the small group setting to successfully address problems of

pharmacological significance.

2. Contribute to the education of peers by actively engaging in small group sessions

and other required group work within the course.

ATTITUTE:

Demonstrate professional behavior by completing all course requirements,

including course evaluations, in a timely manner

Demonstrate professionalism by behaving in a professional, courteous and

respectful manner when engaged in course activities or interacting with course

faculty and staff.

Demonstrate responsibility and accountability by attending and being punctual at

all required course activities such as small groups, team-based learning exercises

and exams.

Demonstrate professional behavior by requesting any excused absence from

required course activities well ahead of the scheduled date.

Demonstrate professional behavior by responding to direct communication from

the Course Director in a timely fashion, particularly in circumstances when a

face-to-face meeting is requested to discuss issues related to academic

performance

Demonstrate professional and ethical behavior by honestly completing course

examinations without attempting to seek an advantage by unfair means; and by

reporting any unethical behavior of peers to the course administration.

SUBJECT OUTCOMES

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The course outline is as follows:

Concept of Health & Disease

Concept of health

Definition of health (Dimensions, physical, mental, social and spiritual).

Spectrum of health

Determinants of health. Responsibility for health

Indicators of health

Concept of disease. Concept of causation (all theories including ecological triad, agent,

host & environmental factors).

Spectrum of disease. Iceberg phenomenon.

Natural history of disease. Levels of prevention.

Disease elimination and eradication. Disease surveillance.

Introduction to Public Health and Health Systems in Pakistan

Background and Concepts:

Definitions and concepts in Public Health

Development of Public Health in Pakistan.

Economics and Health. Health Policy and planning in Pakistan.

―Health for all‖, background, concepts and progress.

―Primary Health Care‖: Concepts and progress.

The National Disease Control programmes; policies, strategies and operations.

Health System in Pakistan:

The role of Federal and Provincial Governments in Health care.

The District Health System, in the context of devolution.

The Physician as a manager:

Functions of manager, management of material, human and financial resources.

Leadership and motivation.

Partners in Health:

The public and private sector.

Nongovernmental Organizations and International Agencies.

Resources for health. Community Mobilization.

Epidemiology and disease control

General epidemiology and research methodology.

SYLLABUS

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Background and concepts, uses, basic measurements in epidemiology (morbidity,

mortality, disability and fatality).

Epidemiological methods (descriptive, analytic and experimental) epidemiological

transition. Association and causation.

Investigation of an outbreak or an epidemic.

Screening for disease. Community diagnosis.

Research and survey methodology.

Introduction to qualitative research methodology.

Prevention and control of Infectious diseases

Definitions to differentiate between:

Infection, contamination, pollution, infestation

Infectious disease, communicable disease, contagious disease

Host, Immune and susceptible persons

Sporadic, Endemic, Epidemic, Pandemic

Epizootic, Exotic, Zoonosis Contact, fomites, Carriers, Insect Vectors, Reservoir of

infection Incubation period, Infective period, Generation time

Cross infection, Nosocomial infection, Opportunistic infections, Iatrogenic (Physician

induced) disorders

Surveillance, Eradication, Elimination.

Dynamics of infectious disease Transmission

Reservoir and source of infection, Escape of organism, Mode of transmission, Entry into

the body, Susceptible host, Immunity (different types of immunity and immunization)

Control of infection.

Controlling the reservoir-notification, early diagnosis treatment, isolation, quarantine,

disinfections.

Interruption of transmission.

The susceptible host (active & passive immunization, Combined Chemoprophylaxis,

Nonspecific measures).

Health advice to travelers.

National case management guide lines.

Epidemiology, control and prevention of infectious diseases of Public Health importance.

Diseases transmitted through inhalation

Diseases transmitted through faeco-oral route

Arthropod borne diseases.

Diseases of animals conveyed to man.

Diseases due to direct contact

Epidemiology, control and prevention of non-infectious diseases of Public Health

importance.

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Hypertension,

Coronary heart disease

Cancers,

Injuries

Diabetes mellitus

Obesity

Rheumatic fever and heart disease.

Biostatistics

Concepts and uses

Data and its types

Rates, ratios and proportions

Crude, specific and standardized rates.

Collection and registration of vital events in Pakistan

Sources of health-related statistics

Measures of central tendency, (Mean, Median, Mode),

Measures of dispersion (Range, Standard deviation, Standard error)

Normal curve

Methods of data presentation (tables, graphs & diagrams).

Interpretation of data (t-test and Chi-square test)

Sampling and its various techniques.

Health Management Information System

Demography and Population dynamics

Concept, demographic principles and demographic processes

Census, definition, methodology, types.

Determinants of fertility, mortality

Population pyramid, and its interpretation.

Demographic transition, demographic trap and its public health importance.

Demographic and social implication of high population growth.

Social mobilization

Urbanization

Food and Nutrition

Concepts (nutrition, nutrient, food, diet).

Food groups and their functions.

Role of fiber in diet.

Balanced diet.

Malnutrition at all stages of life its types causes and prevention.

Common nutritional problem of public health importance and their prevention and

control.

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Dietary requirements of normal human being at different stages of life.

Food hygiene, pasteurization, fortification, additives & adulteration and preservation

Food poisoning

Assessment of nutritional status of a community.

Reproductive and child health

Safe mother hood, and its components. (ante-natal, post-natal, family planning &

emergency obstetric care).

Maternal mortality, causes and prevention.

Infant care: growth and development. Breast feeding,

Common causes of morbidity and mortality, their prevention

Child care: health promotion strategies. Common ailments, home accidents, child

mortality prevention.

Strategic approaches of integrated management of childhood illness (IMCI).

Adolescent health

Reproductive tract infections: guidelines for management of STD’s.

Health of school age children.

Role of teachers and role of doctor in maintenance of health

Procedures for determining health status of school age children.

Common health problems of school children.

Environmental Health Sciences

Air: Composition of air. Causes of Air pollution. Purification of Air. Diseases caused by

impurities in air and their prevention.

Water: Sources of Water. Daily water requirement. Water pollution its causes and

prevention. Purification of Water.

Water quality Standards. Diseases due to polluted water.

Waste disposal: contents, hazards and safety measures for solid and liquid; domestic,

industrial and hospital waste.

Climate: Climate and weather. Global environmental concerns

Greenhouse effect, depletion of ozone layer, acid rains.

Effect of extremes of temperature, humidity, atmospheric pressure on human health and

their prevention.

Radiation: Sources, types, causes, hazards and prevention.

Healthful housing. Urban and rural slums. Refugee camps and hostels.

Noise: Definition, causes, acceptance level, hazards and control.

Occupational Health

Concepts, of occupational health, occupational medicine and occupational hygiene.

Ergonomics and its importance.

Occupational hazards. Principles of control.

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General principles of occupational disease prevention.

Organization of occupational health services.

Health Insurance and Social Security Schemes

Arthropods and their public health importance

Common arthropod borne diseases

Control of arthropods of medical importance.

Insecticides and their public health importance

Prevention and control of parasitic diseases of public health importance

Snake Bites: personal protection and management

Mental Health

Concept. Common mental health problems, their causes, prevention and control.

Juvenile delinquency

Behavioral Sciences and lifestyle

Concept, attitudes, health and illness Behaviour.

Drug abuse, addiction and smoking

Child abuse and child labor

Role of physical exercise in health and disease.

Information, Education and Communication (IEC)

Concept. Aims and objectives

Approaches used in public health

Contents, principles and stages of health education

Communication methods, barriers and skills in health education

Planning, organizing and evaluating a health education programme Social marketing

Disaster

Definition, classification, (natural disasters like earthquake, floods.

Epidemic of communicable diseases, manmade disasters.

Accidents, thermo nuclear warfare, causes and prevention),

Magnitude and effects of disaster and public health consequences

Disaster: preparedness and management

Medical Ethics

Background concepts and components

National recommended guidelines.

PRACTICAL AND COMMUNITY BASED TRAINING

Student should have practical experience in questionnaire development, data collection,

compilation, presentation, analysis and report writing.

Field visits

Visit to BHU and RHC

Visit to an NGO

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Visit to a primary school to assess the nutritional status of school children

Visit to MCH/Reproductive Health Centre to observe the organization, and function of

the center and to demonstrate counseling skills in one of the following:

Nutritional counseling for children, pregnant and lactating women.

Antenatal Care

Family planning services

Immunization, others

Visit to a hospital to see the hospital waste disposal.

Visit to an industry

Visit to a physical/mental/social rehabilitation center.

Skills development lab

Water purification at domestic level.

Contraceptives

Vaccination including the cold chain

Oral rehydration solution

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Subject 3

rd Year

MBBS

Total

Hours

Achieved in

3rd

Year

MBBS

4th

Year

MBBS

Total

Hours

Achieved

in 4th

Year

MBBS

PMC

Require

ment

Total

Hours

Achieved

MM&DC

Pathology

Test-----------27

Hours

Lecture------180

Hours

SGD —----- 45

Hours

Practical ---- 36

Hours

288 Hours

Test-----------27

Hours

Lecture-------

180 Hours

Practical ---- 36

Hours

243 Hours 500 Hours 531 Hours

Community

Medicine

Lecture ------36

Hours 36 Hours

Test-----------27

Hours

Lecture------108

Hours

Practical ---- 36

Hours


Eye --------------- ---------------

Test-----------27

Hours

Lecture------72

Hours

Clinical ---- 75

Hours


ENT --------------- ---------------

Test-----------27

Hours

Lecture------72

Hours

Clinical ---- 75

Hours


Surgery

Clinical

Lecture ------18

Hours

Skill Lab ----18

Hours

36 Hours

Lecture ------36

Hours

Clinical ---- 75

Hours

111 Hours ------------

--- 147 Hours

Medicine

Clinical

Lecture ------18

Hours

Skill Lab ----18

Hours

36 Hours

Lecture ------36

Hours

Clinical ---- 75

Hours

111 Hours ------------

--- 147 Hours

Gynae & Obs. --------------- ---------------

Lecture ------36

Hours

Clinical ---- 75

111 Hours ------------

--- 111 Hours

SCHEME OF STUDIES

30

Hours

Peads --------------- ---------------

Lecture ------36

Hours

Clinical ---- 75

Hours

111 Hours ------------

--- 111 Hours

Research

Community

Medicine

--------------- --------------- Lecture ------36

Hours 36 Hours

------------

--- 36 Hours

SDL SDL---------- 72

Hours 72 Hours

SDL---------- 36

Hours 36 Hours

------------

--- 108 Hours

31

Sr. No. Course Content MCQS SEQs

1.

Concept of heath and disease, natural history of

the disease, levels of prevention, control,

elimination, eradication and surveillance.

1.a: General Epidemiology and research

methodology, dynamics of infectious

disease transmission.

1.b: Epidemiology, control and prevention of

Communicable and non-communicable diseases

14 2

2. Introduction to public health and health systems in

Pakistan, primary health care, leadership and

motivation, national and international health

agencies

3 1

3. Immunology 5 1

4. Biostatistics / HMIS 4 1

5. Demography and Population Control 3 1

6. Food + Nutrition 5 1

7. MCH / Reproductive Health 6 1

8. Environment

8.a: Air

pollution

8.b: Water

8.c:

Radia

tion

8.d:

Housi

ng

8.e: Waste disposal

8.f: Climate

8.g: Noise

6 1

9. Occupational Health 4 1

10. Parasitology + Entomology + Snake Bite 5 1

11. Mental health + Behavioral Sciences 5 1

12. Dental Health / School Health / Health Education 3 1

TABLE OF SPECIFICATIONS

32

13. Information, Education and Communication

(IEC)

1 -

14. Accidents / Disasters 1 1

Total Items 65MCQ

s

14

SAQs

Total Marks 65×1=6

5

14×5=7

0

33

TOPIC LEARNING OBJECTIVES Interactiv

e

Lectu

re

SG

D

PB

L

CB

L

Bed

side

Sk

ills Lab

SE

Qs

MC

Qs

Viv

a

At the end of session, student will be able to:

Knowledge Skill/Attitude Teaching Strategies Assessment

1 1.Concept of health

2. Definition of health

& dimension

3.Spectrum of health

1.Analyze about impact of

dimensions on health

2. Characteristics of the

spectrum of health.

Demonstrate the dimension

of health.

Recognized the spectrum of

health.

o

s

p

e

2 1. Determents of

Health.

2. Responsibility for

Health.

1. Recognize the importance

of responsibility of health at

various levels.

Apply the determinants of

health to the specific disease

in specific scenario.

Demonstrate professionalism

for fixing responsibility

about health.

o

s

p

e

3 1. Natural History of

disease.

2. Level of Prevention.

3. Disease elimination

and eradication.

4.Disease surveillance

1. Analyze the concept of

disease surveillance and its

application for prevention and

control of disease.

Apply different level of

disease to identify preventive

method for each level.

Recognize the occurrence of

epidemic.

4 1.Indicators of Health 1. Analyze the indicators of

health.

Recognize / categorize

different prospective of

health

o

s

p

e

5 1. Concept of disease

& causation (theories

including ecological

triad, agent, host, &

environmental

factors).

2. Spectrum of disease

ICE berg phenomena.

1.Analyze the spectrum of the

disease including Ice berg

Phenomena

Recognize / categorize

different prospective of

health

6 1. Definitions &

concepts in public

health.

2. Development of

public health in

Pakistan. Economics

& health

1. Interpret public health in

ancient civilizations

2. Conclude the evolution of

public health.

3. Recognize the future

direction of public health.

Demonstrate Future direction

of public health to the class

group

o

s

p

e

LEARNING OBJECTIVES

TEACHING AND ASSESSMENT STRATAGIES

34

7 Health policy &

planning in Pakistan

1. Identify the bottleneck in

health system.

2. Describe vertical and

horizontal programs for health

in Pakistan.

3. Summarize the National

Health policy of Pakistan.

Predict bottle next and

design solutions in health

policy of Pakistan.

P

re

s

e

nt

at

I

o

n

o

s

p

e

8 1. Health for all

background concepts

and progress.

2. Primary health care

& concepts &

progress.

3. Millennium

Development goals.

4. Sustainable

development goals.

5. Universal Health

coverage.

1. Enumerate the essential

components of PHC.

2. Distinguish the SGD &

UHC for Community

Compose universal health

coverage for slum area near

Multan city

P

re

s

e

nt

at

i

o

n

9 The national disease

control programs,

policies, strategies &

operations.

Criticize the health policies,

strategies & operations for the

national disease control

programme.



policy of Pakistan.

10 1. The role of Federal

& Provincial

Governments in

Health Care

2. The District health

system, in the context

of devolution.

1.Analyze the District health

system in view of 18th

amendment

2. Describe the role of district

health system regarding

primary health care in the

context of intersectoral

principles of primary health

care.



policy of Pakistan.

A

ss

ig

n

m

e

nt

11 1. The physician as a

manager

2. Function of

manager, management

of material, human

and financial

resources.

1. Recognize different roles as

physician.

2. Interpret resources and its

improvement as manager.

Demonstrate professionalism

for fixing responsibility of

health manager.

Judge from where resources

could be collected

Q

ui

z

A

ss

I

g

n

m

e

nt

12 Leadership and

motivation.

Compare the different stages

of leadership for motivation

of subordinate to achieve the

goal of the organization.

Demonstrate leadership.

R

o

L

e

p

l

a

y

13 1. The public &

Private sectors.

2. Non-Governmental

organizations &

International Agencies

1. Describe the role in health

management system for

prevention, treatment and

control of diseases.

2. Recognize the role of non-

governmental organizations

and international agencies in

health care system.

Explain the benefits of

public private partnership in

health sector

14 1. Resources for

health. 2.Community

1. Recognize about the health

resources.

Judge from where resources

could be collected tell the

Q

ui

35

mobilization.

2. Organize community

mobilization for prevention of

health problems.

benefits of community

mobilization.

z

15 General Epidemiology

& Research

methodology

Basic measurements

1. Interpret and differentiate

between epidemiology and

research methodology.

2. Calculate and Interpret

Ratios, Proportions, Incidence

rate, mortality rates,

Prevalence.

3.Describe uses of

epidemiology.

Recognize the importance of

measuring tools in disease

causation

16 Epidemiological

Methods

1. Describe the key features of

descriptive, analytical,

Experimental studies.

2. Construct desired design of

research according to

situation and resources.

Design the research project

according to resources

17 Epidemiological

Transition,

Association &

Causation

1. Judge the phenomenon of

transition and disease trends

according to current situation.

2. Assess the criteria for

causation.

Apply demographics

transition to epidemiological

transition

18 Investigation of an

outbreak/ Epidemic

1.Construct the steps of

investigation

2. Analyze the Importance of

surveillance system.

3. Estimate early warning

reporting and response

system.

Design the plan for

investigation of an outbreak /

epidemic

P

re

s

e

nt

at

io

n

19 Screening 1. Interpret the difference

between diagnostic and

screening test, Indication of

screening, high risk &

population approach for

screening.

2. Evaluate the screening test

by calculating sensitivity,

specificity and predictive

values of a screening test.

Choose proper screening test

on appropriate community

for assessment of disease

prevalence.

20 1.Research & Survey

Methodology

Qualitative research

1.Appraise the overall process

of designing a research study

2. Assess the ethical issues in

educational research

(Quantitative & Quantitative).

3. Construct the research

problem stated in the study.

4.Compose a research project

Choose proper design of

research in a community

according to resources

21 Definitions to

differentiate between:

1.Infection,

contamination,

pollution, infestation

2. Infectious disease,

communicable

disease, contagious

disease

3. Host, Immune and

susceptible persons

1. Recognize the different

terms used in infectious

epidemiology.

2.Evaluate different types of

infections.

3.Differentiate between

elimination and eradication.

4. Justify the importance of

surveillance.

Demonstrate different

surveillance programs for

prevention/ elimination/

eradication of disease

36

4. Sporadic, Endemic,

Epidemic, Pandemic

5.Epizootic, Exotic,

Zoonosis.

6.Contact, fomites,

Carriers, Insect

Vectors, Reservoir of

infection.

7.Incubation period,

Infective period,

Generation time

8.Cross infection,

Nosocomial infection,

Opportunistic

infections, Iatrogenic

(Physician induced)

disorders.

9.Surveillance,

Eradication,

Elimination.

22 Definitions to


1.Reservoir and source

of infection,

2. Escape of organism,

3.Mode of

transmission,

4.Entry into the body,

5. Susceptible host.

6.Immunity (different

types of immunity and

immunization)

1. Interpret the different

modes for transmission of

infections.

2. Construct the plan to

immunize the host in different

age groups and immune

status.

3. Perform the health

education session to

attendants accompanying the

child in immunization center.

Demonstrate Professionalism

during health education

session for prevention of

vaccine preventable diseases

23 Definitions to


1.Controlling the

reservoir-

2.Notification,

3.Early diagnosis

treatment,

4.Isolation,

5. Quarantine,

6. Disinfections.

7. Interruption of

transmission.

8.The susceptible host

(active & passive

immunization,

Combined

Chemoprophylaxis,

Nonspecific

measures).

9. Health Advice to

Travelers.

10. National case

management guide

lines.

1. Analyze different modes of

prevention for transmission of

infections.

2. Construct the protection

plan for the host by

immunoprophylaxis and

chemoprophylaxis in different

age groups and immune

status. 3. Apply National

case management guide lines

in different health issues.




child in immunization center





24 1. Small Pox

2.Chiken Pox

3.Measles

4.Rubella

1. Organize different plans for

prevention from individual to

community level.

2. Interpret and apply any





37

5.Mumps

6.Influenza

7.Diptheria

8.Whooping Cough

9.Meningococcal

meningitis

10.Acute Respiratory

infections

11.SARS

12.Tuberculosis

preventive program being run

by the WHO and Govt. Of

Pakistan.




child in immunization center

4. Recommend the treatment

plan for patients suffering

with resistant tuberculosis.

25 1.Polio myelitis

2.Viral hepatitis

3.Acute diarrheal

disease

4.Cholera

5.Typhoid fever

6.Food poisoning

7.Amoebiasis

8.Ascariasis

9. Hookworm

infection.

10.Dracunculiasis

1. Recommend different plan

for prevention from individual

to community level.




Pakistan.




diseases

26 1.Dengue Syndrome

2.Malaria

3.lymphatic filariasis

4.Zika virus disease

1. Recommend different plans

for prevention from

individual, environment and

community level.




Pakistan.




diseases

27 Viral

1.Rabies

2.Yellow fever

3.Japanese

encephalitis

4.KFD

5.Chikungunya fever

Rickettsia Diseases

1.Rickettsial Zoonoses

2.Scrub typhus

3.Murine typhus

4.Tick typhus

5.Q fever

Bacterial

1.Brucellosis

2.Leptospirosis

3.Plague

4.Human

Salmonellosis

Parasitic Zoonoses

1.Taeniasis

2.Hydatid Disease

3. Leishmaniasis

1.Recommend different plans

for prevention from


community level.

2.Interpret and apply any



Pakistan.

3.Propose and health educate

regarding importance of tick

typhus and scabies treatment

for patients, their relatives and

closed communities




diseases

Diseases due to Direct Contact 28 1.Trachoma

2.Tetanus

3. Leprosy

4.STD

5. Yaws

6.AIDS

1. Recommend different plans

for prevention from


community level.






diseases

38


Pakistan.

Epidemiology, control and prevention of non-infectious diseases of Public Health Importance 29 1.Hypertension

2. Coronary Heart

Disease

3.Cancers

4.Injuries

5.Diabetes Mellitus

6.Obesity

7.Rheumatic fever

& Heart Disease.

1. Recognize the

epidemiology and causation

of disease (in each scenario)

2. Interpret modifiable and

non-modifiable risk factors.

3. Calculate and interpret

BMI.

4. Construct a health

education program at primary

health care level to render

health education to

community for prevention of

each disease in accordance

with the program being run by

the WHO and Govt. Of

Pakistan.

5. Construct a research

protocol to find out the

prevalence and

epidemiological risk factors

of the disease ( in each

scenario).




diseases

Biostatistics 30 1.Concepts and uses

2.Data and its types

3.Rates, ratios and

proportions

4.Crude, specific and

standardized rates.

1.Differentiate between

various terms used in

biostatistics.

2.Calculate various rates used

in biostatistics.

3.Calculate the standard

deviation and standard error

Formulate biostatistics

31 1. Collection and

registration of vital

events in Pakistan

2. Sources of health-

related statistics

Recognize the method used

for collection of data

regarding vital events in

Pakistan.

Select the methods for

collection of data

32 1. Measures of central

tendency, (Mean,

Median, Mode),

2. Measures of

dispersion (Range,

Standard deviation,

Standard error)

3. Normal curve

4. Interpretation of

data (t-test and Chi-

square test)

1.Analyze the data (by t. test

and chi square test).

2.Justify level of significance

3.Compare the measures of

center tendency and measures

of dispersion.

4.Analyze the importance of

normal curve.

Select appropriate test for

analysis

33 Methods of data

presentation (tables,

graphs & diagrams).

Construct various tables bar

diagram and pie charts

Design presentation of data Q

ui

z

P

re

s

e

nt

at

io

n

39

34 Sampling and its

various techniques.

1. Decide about the sampling

design to conduct the

research.

2. Apply a sampling method

to conduct a research

Select appropriate sampling

design according to

resources

35 Health Management

Information System


of health management

information system.

2. Differentiate between the

level of information and its

flow.

Effectively communicate and

collaborate the flow of

information to different

places

G

D

Demography and Population Dynamics 36 Concepts and

Demographic

Principle and

processes

Appraise the demographic

processes and underlying

population dynamics.

Demonstrate the different

models with their importance

P

re

s

e

nt

at

io

n

37 Censes, definition and

methodology types

Interpret the meaning of

censes, its types, & method

used in Pakistan



38 Determinants of

fertility and mortality

1. Interpret the factors

responsible for fertility.

2. Analyze the methods used

to control the fertility rates.

3. Calculate and interpret

fertility and mortality rates.



39 Population pyramid

and its interpretation

Distinguish the pyramid of

developed and developing

countries and their health

problems according to age

groups with solutions.



40 1. Demographic

transition,

demographic trap and

its public health

importance.

2.Implication of high

population growth

1. Elaborate the problems

related with high population

growth.

2. Design the solution related

with high population growth.



41 Social mobilization

and urbanization

Compose plans for prevention

of problems associated with

urbanization.



Food and Nutrition 42 1.Concepts (nutrition,

nutrient, food, diet).

2.Food groups and

their functions.

Categorize the food groups

with their functions.


food groups.

43 1.Role of fiber in diet.

2.Balanced diet.

Conclude proper proportion

of nutrients for balance diet.

Demonstrate the importance

of food groups

44 1. Malnutrition at all

stages of life its types

1. Identify epidemiological

factors responsible for

Recognize the malnutrition

problems and its prevention

G

D

40

causes and prevention.

2.Common nutritional

problem of public

health importance and

their prevention

and control.

common nutritional problems.

2. Choose plans for control

and prevention of common

nutritional problems as per

advice by WHO and

Government of Pakistan.

3. Interpret any nutritional

programs run by WHO,

Government of Pakistan, and

NGOs.

Face to face discussion with

malnourished group /

mothers /peers

45 1. Dietary

requirements of

normal human being

at different stages of

life.

2.Food hygiene,

pasteurization,

fortification, additives

& adulteration and

Preservation.

3.Food poisoning

1.Construct the diet chart

according to physiological

requirement of man.

2.Distinguish between food

fortification, adulteration,

addition and preservation.

3.Evaluate problems

associated with food

poisoning and adulteration.

4.Recommend preventive

measures for prevention of

food adulteration and food

poisoning.

Develop dietary plan for

different groups of

populations

Construct the plan for food

safety

G

D

46 Assessment of

nutritional status of a

community.

1. Categorize direct and

indirect measures to calculate

nutritional status of

community.

2.Design a research plan for

assessment of nutritional

status of various settings in

the community.

Assess the nutritional status

of all types of community

F

I

e

L

d

w

o

r

k

Reproductive and Child Health 47

Safe mother hood, and

its components. (ante-

natal, post-natal,

family planning &

emergency obstetric

care).

1. Interpret all programs for

promotion of reproductive

health.

2. Interpret the importance of

safe motherhood program

recommend by WHO and


3. Propose the suitable family

planning method / device for

clients

4.Organize health education

session regarding importance

of family planning in clients.


of different programs of

maternal health

48 Maternal mortality,


Develop a program to prevent

maternal morbidity and

mortality in rural and urban

area of Pakistan.


of different programs of

maternal health

49 1. Infant care: growth

and development.

Breast feeding,

2. Common causes of

morbidity and

mortality, their

prevention and

control.

3.Child care: health

promotion strategies.

1. Identify the risk factors

responsible for infant

morbidity and mortality.


of breast feeding.

3. Develop a program to

prevent infant morbidity and


area of Pakistan.

4.Identifiy the risk factors




MCH problems and its

solution

41

Common ailments,

home accidents,

child mortality

prevention.

responsible for common

ailments of children and home

accident

5. Describe the child health

care preventive strategies

recommend by WHO &


6. Develop a program to

prevent child morbidity and


area of Pakistan.

50 Strategic approaches

of integrated

management of

childhood illness

(IMCI).

1. Describe the IMNCI &

IMCI program run by


2. Diagnose the child

according to color coding

recommended by WHO.

3. Decide the referral or home

management according to

condition of child.

4. Perform health education

session with mother for

preventive measures of the

child.

5. Demonstrate the

Preparation of ORS.





solution

51 Adolescent health.

Develop a program for

prevention of adolescent

health risks in rural and urban

area of Pakistan, in

accordance with WHO and





Adolescent health problems

and its solution

52 Reproductive tract

infections: guidelines

for management of

STD’s.

1. Apply the diagnostic

criteria to diagnose

RTIs/STDs as

recommended by WHO.

2. Develop the

management plan for

prevention of

RTIs/STDs.

3. Construct a research

plan in the community to

find out the prevalence

and epidemiology of

RTIs / STDs.





solution

Health of School Age Children 53 Role of teacher and

doctor in maintenance

of health

1.Identify role of teacher in

provision of school health

2. Analyze the importance of

visit of doctors to school for

assessment of health of

children

3. Describe the importance of

training of teachers on health

issues for early recognition.

Demonstrate the role of

teacher for maintaining the

health of school children

R

O

L

E

P

L

A

Y

54 Procedure of

determining health

status of school

children

Assess the physical growth of

the children and their health

status.

Assess the health status of

school children

42

55 Common health

problems of School

children

1. Recognize the common

health, behavioral and

postural problems in school

children.

2. Demonstrate the audience

regarding healthy life style

(hand hygiene, oral hygiene.

Healthy diet).

Assess the health status of

school children

Environmental Health Sciences 56

Air

1.Composition of air.

2.Causes of Air

pollution.

3.Purification of Air.

4.Diseases

caused by impurities

in air and their

prevention.

1. Recognize the causes of air

pollution.

2. Interpret the methods used

for purification of air.

3. Predict the diseases caused

by air pollution.

4. Establish the

recommendation for

purification of air.

5. Recognize the programs

run by Government of

Pakistan for prevention of air

pollution.

Demonstrate the role of air

in health issues

57

Water: 1. Sources of Water.

2.Daily water

requirement. 3.Water

pollution its causes

and prevention.

4.Purification of

Water.

5.Water quality

Standards. 6.Diseases

due to polluted water.

1. Discuss the causes of water

pollution and its prevention.

2. Name the methods used for

purification of water at large

and small scale.

3. Explain the water quality

standard according to the

WHO criteria.

4. Calculate the chlorine

amount to disinfect the water

of different sources.

5. Demonstrate the slum area

community regarding

methods and importance of

water purification at domestic

level

6. Interpret the diseases

caused by polluted water

7. Develop the plan for

prevention of diseases caused

by polluted water.

Elaborate the causes of water

pollution and impact on

health

58

Waste disposal: 1.contents,

2. hazards and safety

measures for solid and

liquid; domestic,

industrial and hospital

waste.

1. Classify the hazards

associated with different

wastes.


prevention of hazards


wastes (Solid, liquid,

domestic, industrial and

hospital waste).


of proper disposal of waste

Q

U

I

Z

59 Climate: 1. Climate and

weather.

2.Global

environmental

concerns

(Greenhouse effect,

Depletion of ozone

1. Interpret the acceptable

levels set by WHO for

temperature, pressure &

humidity.

2. Explain the phenomenon of

green house.

3. Interpret the health and

environmental hazards

Elaborate the causes of

environmental pollution and

impact on health

Design suggestion to

improve the problem

43

layer, Acid rains).

Effect of extremes of

temperature, humidity,

atmospheric pressure

on human

health and their

prevention.

associated with greenhouse

effect, depletion of ozone

layer, acid rains.

4. Interpret the health hazards

associated with extremes of

temperature, humidity and

atmospheric pressure.


prevention of global

environmental health hazards

and protection of

environment.

6. Describe any program run

by Government of Pakistan

for prevention of

environment.

60

Radiation:

1. Sources,

2. Types,

3. Causes,

4. Hazards

5. Prevention.

1. Illustrate the acceptable

levels set by WHO for

different waves.

2. Interpret the health hazards

associated with radiation.


protection workers from

radiation at their work place.

Elaborate the effect of

radiation on health


improve the problem

61 Healthful housing. 1. Urban and rural

slums.

2.Refugee camps

3. Hostels.

1. Construct the suggestion

for prevention of health

hazards among population

living in these areas.

2. Demonstrate the health

education session for

prevention of health risks

among population living in

these areas.

Elaborate the causes of

unhealthy housing


improve the problem

Noise 1.Definition,

2.Causes,

3. Acceptance level,

4.Hazards and control.

1.Interpret the health hazards

associated with noise.

2. Recognize the role of social

security for compensation.


protection of workers from

noise pollution at their work

place.

4. Demonstrate use of

personal protective equipment

in workers.

Elaborate the effect of Noise

on health


improve the problem

Occupational Health 62 1. Concepts of

occupational health,

2. Occupational

medicine and

occupational hygiene.

3.Ergonomics and its

importance.

1. Interpret the terms used in

occupational health.

2. Describe the importance of

Ergonomics.


occupational hazards on

human health


improve the problem

63 1.Occupational

hazards.

2.Principles of control.

3.General principles of

occupational disease

prevention.

1. Classify various diseases


occupations.

2. Determine preventive


various diseases associated

with different occupations.

3. Demonstrate use of



human health


improve the problem

44

personal protective equipment

in workers

64 1.Organization of

occupational health

services.

2.Health Insurance

and Social Security

Schemes

1.Enlist different organization

working for protection of

workers at different

occupations.

2.Interpret the role of social

security and its schemes for

protection and compensation

of workers in Pakistan.



human health


improve the problem


of social security for workers

Arthropods and their Public Health Importance 65 1.Common arthropod

borne diseases

2. Control of

arthropods of medical

importance.

3.Insecticides and

their public health

importance

1. Describe all types of

arthropods of medical

importance, their life cycle,

mode of transmission and

epidemiological determinants

for causation of disease in

human being.

2. Apply levels of prevention

for control and prevention of

disease, in accordance with

WHO and Government of

Pakistan.



for prevention of arthropods

borne diseases.


different factors responsible

for vector borne diseases.




vector borne diseases

R

O

L

E

P

L

A

Y

Parasitic Diseases of Public Health Importance 66

Prevention and control

of Parasitic diseases of

public health

importance

1. Interpret all types of

parasitic diseases of medical

importance, their life cycle,

mode of transmission and

epidemiological determinants

for causation of disease in

human being.

2. Apply levels of prevention

for control and prevention of

disease, in accordance with


Pakistan.

3. Demonstrate mothers

regarding deworming of their

children.



for prevention of parasitic

diseases in any age group.


different factors responsible

for Parasitic diseases.




parasitic diseases

R

O

L

E

P

L

A

Y

67 Snake bite

1. Diagnose the type of snake

bite form wound and effect of

snake venom.

2. Manage the patient with

snake bite.

3. Apply level of prevention

for prevention of snake bite.

4. Demonstrate community

regarding importance and use

of personal protective


snake bite.

Demonstrate the strategies

used for prevention and

treatment of snake bite

R

O

L

E

P

L

A

Y

45

Mental Health 68 1.Concept.

2.Common mental

health problems, their

causes, prevention and

control.

3.Juvenile delinquency

1. Interpret the

epidemiological factors

responsible for causation of

mental health problem.


for prevention of mental

health problem in accordance

with WHO and Government

of Pakistan at Primary health

care level.

3. Interpret any program run


for prevention of mental

health.

4. Construct suggestion for

prevention of juvenile

delinquency.




mental health problems and

its solution

R

O

L

E

P

L

A

Y

Behavioral Sciences and Lifestyle 69 1. Concept, attitudes,

health and illness

behavior.

2.Drug abuse,

addiction and smoking

1. Interpret the

epidemiological factors

responsible for causation of

behavioral problem.


for prevention of behavioral

problem in accordance with


Pakistan at Primary health

care level.

3. Interpret any program run


for prevention of behavioral

problem.

4.Demonstrate the community

regarding hazards of smoking

and drug addiction.




Behavioral disorders with

impact on life style and its

solution

R

O

L

E

P

L

A

Y

70 Child abuse and child

labor

1. Differentiate between child

abuse and child labor.

2. Discuss the effort of

Government of Pakistan for

protection of child abuse and

child labor.


for prevention of child abuse

and child labor in accordance

with Government of Pakistan.




Child abuse and its solution

R

O

L

E

P

L

A

Y

71 Role of physical

exercise in health and

disease.

1. Analyze the importance of

physical exercise on health for

prevention of diseases.

2. Demonstrate the health


encourage physical activity in

different age group and

different settings of

population.



session for Importance of

physical exercise and

prevention of Ill health /

rehabilitation

R

O

L

E

P

L

A

Y

46

Information, Education and Communication (IEC) 72 1.Concept. Aims and

objectives

2.Approaches used in

public health

3.Contents,

4. Principles and

stages of health

education

5.Communication

methods, barriers and

skills in health

education

6.Planning, organizing

and evaluating a

health education

programme

7.Social marketing

1. Develop a plan for health

education on different

community health related

problems for different

community settings and at

primary health care level.

2. Justify health education

messages for different ages

group for different

community settings (Rural

and Urban).

3. Arrange community health

awareness program (regarding

common health related issues)

in rural and urban area.

4. Propose suitable method of

social marketing in

communities of rural and

urban settings.

5. Evaluate role of different

NGOs on creation of

awareness and social

marketing.

Demonstrate the construction

of good health message

Professionalism during

health education session for

adoption of healthy life style

R

O

L

E

P

L

A

Y

Disaster 73 Definition,

classification, (natural

disasters like

earthquake, floods.

1. Classify different types of

disaster.

2. Interpret epidemiological

determinants in disaster.


types of disaster and impact

on health

A

S

S

I

G

N

M

E

N

T

74 Epidemic of

communicable

diseases,

1. Recognize epidemic and its

prevention during and post

disaster era.

2. Recommend proper

vaccination require during

different disasters.

Explain the reasons for

epidemic during disaster


health education session/

treatment for victims of

disaster

R

O

L

E

P

L

A

Y

75 Manmade disasters.

(Accidents, thermo

nuclear warfare),


1. Design a plan for health

education regarding

prevention of manmade

disaster.

2. Describe epidemiological

surveillance and disease

control guidelines during

disaster formulated by







disaster

R

O

L

E

P

L

A

Y

76 Magnitude and effects

of disaster and public

health consequences

1. Conclude importance of

disaster impact, response,

Field care and Triage.

2. Organize plan to overcome

public health consequences in

post disaster phase.






disaster

R

O

L

E

P

L

A

47

Y

77 Disaster: preparedness

and management

Interpret different phases

regarding Disaster:

preparedness and

management set by


Demonstrate all phases of

disaster preparedness

R

O

L

E

P

L

A

Y

Medical Ethics 78 1.Background

concepts and

components

2. National

recommended

guidelines.

1. Describe concepts and

importance of medical ethics

and professionalism in

practical life.

2.Interpret national

recommended guidelines

regarding biomedical ethics

(research and patient care)

3. Compare behavior of

doctors in different situations

regarding medical ethics

(story telling).

4. Justify own behavior

during interaction with

patients in different situation.

Demonstrate the proper

knowledge and effective

communication with honesty

and passion for patients

during their illness and

management / for prevention

of diseases in the community

R

O

L

E

P

L

A

Y

Practicals & Field Training 79 Visit to BHU / RHC

Qadir Pur Rawan

& Jahangir Abad

Multan

1.Analyze the structure and

function of the organization

2.Interpret the elements of

primary health care.

3.Evaluate the elements of


4.Practice & observe the

vaccinations of children.

5.Demonstrate mothers /

accompanying persons

regarding vaccination, breast

feeding, ORS preparation,

hand washing etc.

6.Practice and observe family

planning advices, antenatal,

natal and post-natal services

provided to mothers.

7. Demonstrate clients

regarding family planning and

antenatal care.

8.Demonstrate and practice

regarding T.B dot to patients

and their relatives.

9.Evaluate Public health

programs and services

provided at the place.

Able to provide primary

health care to the community

at BHU/RHC

R

O

L

E

P

L

A

Y

80 Visit to NGO

EDHI HOME

1.Assess the working

2.Recognize their financial

resources

3.Critique their working

regarding provision of health

care services.

Able to work in NGO

Demonstrate the problems

and their solutions for

improvement in the working

of NGO

48

81 Visit to Primary

school to assess the

nutritional status of

school children

1.Interpret the elements of

school health services.

2.Evaluate the elements of

school health services.

3.Observe the health care

facilities provided to students.

4.Demonstrate teachers

regarding early detection of

health problems in students.

5. Demonstrate students

regarding adoption of healthy

life style.

6.Assess nutritional status of

the children.

7.Discuss health issues of the

students and their remedial

measure with help of teaching

faculty.

8.Demonstrate students

regarding prevention of

communicable & non

communicable diseases.


for provision of school

health services

Demonstrate the

improvement in school

health services and role

played by teachers for early

identification of students’

health problems

82 Visit to MCH

reproductive health

center to observe the

organization and

function of the center

and demonstrate

counseling skill in one

of the following.

1. Nutritional

counseling for

children, pregnant and

lactating women.

2.Antenatal Care

3.Family planning

services

4.Immunization,

others



2. Interpret the elements of


3. Evaluate the elements of


4. Practice & observe the

vaccinations of children.

5.Demonstrate mothers /

accompanying persons

regarding vaccination, breast

feeding, ORS preparation,

hand washing etc.

6.Practice and observe family

planning advices, antenatal,

natal and post-natal services

provided to mothers.

7. Demonstrate clients

regarding family planning and

antenatal care.

8.Demonstrate and practice

regarding T.B dot to patients

and their relatives.

9.Evaluate Public health

programs and services

provided at the place.





solution

Demonstrate the intersectoral

collaboration for prevention

of MCH

83 Visit to a hospital to

see the hospital waste

disposal.



2.Assess the hospital waste

management according to the

laid down procedure as given

by WHO and Government of

Pakistan.

3.Assess the staff (involved in

hospital waste management)

regarding use of personal

protective measures.

4. Discuss the preventive


during hospital waste

management.

Demonstrate the personal

protective measures and

prevention from diseases.

Effectively communicate

health workers for

improvement of the services.

49

strategies of diseases spread

through hospital waste.

84 Visit to an industry 1.Analyze the structure and

function of the organization.

2.Assess the health-related

issues and their preventive

measures among workers of

the industry.

3.Evaluate the provision of

health services being provided

to the workers for treatment

and prevention of diseases by

social security.

4. Judge the use of personal

protective measures among

the workers.

5. Evaluate the risk to the

worker at specific work place

and its remedial measure.

6.Analyze the behavior of

employer with employee.


for prevention of industrial

hazards

Demonstrate the role of PPE

used by workers

85 Visit to a physical/

mental/social

rehabilitation center


function of the organization.

2.Assess the health-related

issues and their preventive

measures among personnel of

the that place (Blind School,

special education school).

3.Evaluate the provision of

health services being provided

to the personnel for treatment

and prevention of diseases by

in charge rehabilitation center.

4. Evaluate the methods of

rehabilitation center at that

place.




mental health problems


methods of rehabilitation at

different stages of physically

handicapped

Skills Development Lab 86 Water purification at

domestic level.

1.Analyze the methods used

for purification of water at

domestic level.

2.Demonstrate the community

to select water purification

method at domestic level.

3.Enable the community to

use the proper method

according to their resources.

Demonstrate the methods of

purification

87 Contraceptives.

1.Describe the method used

for contraception according to

age and sex.

2.Decide the method used for

contraception according to

age and sex.

3.Diagnose the complication

of contraceptive methods.

4.Recommend suggestions for

use of contraception.

5. Encourage clients for

selection of proper

contraceptive according to

GATHER Technique.

Demonstrate how to apply

GATHER technique


adoption of methods by

couples

50

88 Vaccination including

the cold chain.

1.Describe the various

vaccines used in EPI

schedule.

2.Conclude the steps of cold

chain from manufacture to

consumer.

3. Identify the problems

during transport and storage

of vaccines.

4. Decide the use of vaccine

according to VVM (vaccine

vial monitor)

5.Practice each vaccine

regarding selection of dose,

site, route and procedure of

administration.

6. Analyze the side effects of

vaccines.

7.Propose vaccination plans

of drop outs/ missed.

8.Educate the mothers/

accompanying person

regarding of children

Demonstrate how child is

vaccinated

Develop the plan of

vaccination for normal / drop

out child

Demonstrate the professional

behavior by compelling

mother to complete the

schedule

Demonstrate the ability to

maintain cold chain

both at the center and in the

field

89 Oral rehydration

solution.

1.Interpret the importance of

ORS.

2.Demonstrate the mothers

regarding importance and

preparation of ORS.

3.Select plan for use of ORS

according to clinical condition

of the child as recommended

in IMNCI.

4. Practice hands on

preparation of commercial

and homemade ORS.

Demonstrate the ability how

ORS is prepared

Develop the plan of

rehydration of the child both

for normal / dehydrated child

Demonstrate the professional

behavior by compelling

mother to rehydrate the child

51

W.e.f.: 15th

March, 2021 to 4th

December, 2021

Day /

Time

8:30-09:20 09:20–

10-10

10:10–

11:00

11:00–

11:50

11:50

–

12:10

12:10

–

01:00

01:00

–

01:50

01:50

–

02:40

Monday Test /

Discussion

Test /

Discussio

n

Lecture

Ophthalmolo

gy

Lecture

Pathology Break Clinic

al

Clinic

al

Clinic

al

Tuesday Lecture

Ophthalmolo

gy

Lecture

ENT

Practical

Batch-A

Patho

Batch-B

C.M.

Lecture


al

Clinic

al

Clinic

al

Wednesd

ay

Lecture

Pathology

Lecture

Communi

ty

Medicine

Practical

Batch-B

Patho

Batch-A

C.M.

SDL Break Clinic

al

Clinic

al

Clinic

al

Thursday Test /

Discussion

Test /

Discussio

n

Lecture

Community

Medicine

Lecture


al

Clinic

al

Clinic

al

Friday 8:30-09:30 09:30–

10-30

10:30–11:30 11:30–

12:30

--------

--

--------

--

--------

--

--------

--

Lecture

Community

Medicine

Lecture

Peads

Lecture

Research

Community

Medicine

Lecture

Gynae/O

bs.

--------

--

--------

--

--------

--

--------

--

Saturday Lecture ENT Lecture

Pathology

Lecture

Surgery

Lecture

Medicine Break Clinic

al

Clinic

al

Clinic

al

*Note: Self Directed Learning (Every Wednesday) would be monitored by the

Department, that will be conducting test on Thursday

ANNUAL TIMETABLE

52

Sr.

# Date Subject

Name of

Facilitator

Assessment

Tool Topic

1. 29-03-

2021

Community

Medicine All staff of

Community Medicine MCQs,SEQs

Biostatistics. Introduction.

Types of data, Introduction

Reproductive Health,

concepts and demographic

principles and process

2. 12-04-

2021

Community



Primary health care, Antenatal care, Censes and Types

3. 26-04-

2021

Community



Normal distribution, Level of

prevention, Post natal care,

Demographic transition, trap

and implication of high

population growth

4. 10-05-

2021

Community



Demographic transition,

Implication of high population

growth, levels of prevention

5. 24-05-

2021

Community



Standard error. Confidence

Interval Mode of interventions,

Social mobilization and

urbanization, Growth

monitoring

6. 07-06-

2021

Community



Epidemiological methods

EPI

Non probability sampling

Child care

7. 21-06-

2021

Community



Diphtheria

Health care system of Pakistan

Epidemiological transition

Universal health coverage

MCH care

8. 05-07-

2021

Community



Introduction to family planning

International health care system

Health Management

Information System-1

Contraceptive methods

Hospital waste management

ASSESSMENT SCHEDULE

53

9. 19-07-

2021

Community



Epidemiological Methods

planning and management

maternal mortality Chi-square

test

10. 05-08-

2021

Community



Dengue Syndrome -1

Abortion

Health education

Disaster screening , terminal

methods

11. 23-08-

2021

Community



Tuberculosis

Sample size calculation

blindness occupational health

Geriatrics

12. 06-09-

2021

Community



Malaria, Natural history of

diseases, Diabetes cancer

Analysis of data

Occupational diseases

13. 20-09-

2021

Community



Prevention of occupational

diseases

Viral hepatitis sickness

Absenteeism

Medical ethics

Polio myelitis

14. 04-10-

2021

Community



Air introduction, measles,

mumps, rubella, air pollution,

chicken pox, whooping cough

and cholera

15. 18-10-

2021

Community



Ventilation, international

Health, Tetanus, Mental

Health, Rabies

16. 01-11-

2021

Community



Noise, Sampling Techniques,

Mental Health, Rabies

17. 15-11-

2021

Community



Accidents and Injuries, EPI,

Hypertension, Hospital Waste

Management, Emerging

Disease, (COVID-19)

18. 29-11-

2021

Community



Vaccines, EPI, Obesity, Viral

Hepatitis, Effects of Vibration

54

4

th Year MBBS (Session 2021-2022)

GROUPS

Sr.# Roll No. Batch

1 1-95 Batch-A

2 96-202 Batch-B

PRACTICAL

Sr.# Days Pathology Community Medicine

1 Tuesday Batch-A Batch-B

2 Wednesday Batch-B Batch-A

BATCHES ALLOCATIONS

55

CLINICAL GROUPS

Sr.# Roll No. Groups

1 1-30 Group-1

2 31-62 Group-2

3 64-95 Group-3

4 96-128 Group-4

5 129-165 Group-5

6 166-202 Group-6

CLINICAL ROTATION GROUPS

Sr.# Date Eye ENT Surgery Medicine Gynae &

Obs. Peadiatrics

1 22

nd Feb, 2021 to 13

th

April, 2021 Group-1 Group-2 Group-3 Group-4 Group-5 Group-6

2 17

th May, 2021 to 26

th

June, 2021 Group-2 Group-3 Group-4 Group-5 Group-6 Group-1

3 28

th June, 2021 to 7

th

August, 2021 Group-3 Group-4 Group-5 Group-6 Group-1 Group-2

4 9

th August, 2021 to

18th September, 2021

Group-4 Group-5 Group-6 Group-1 Group-2 Group-3

5 20

th September, 2021

to 30th October, 2021

Group-5 Group-6 Group-1 Group-2 Group-3 Group-4

6 1

st November, 2021 to

11 December, 2021 Group-6 Group-1 Group-2 Group-3 Group-4 Group-5

56

Rules and Regulations Laboratories:

Students must wear white overall in the Laboratory.

Students must wear face masks in the Laboratory.

Students must wear gloves before starting the practical and remove them after ending the

procedure.

Students must be trained about the usage of any instrument or machine before using it on

a patient.

Students must have their log books at the start of session and they must keep them safe

and maintain the record timely.

Students must submit their log books at the end of the session to the relevant Head of

Department.

Students should not use mobile phones in the Laboratory.

Students should never perform any procedure alone. The Demonstrators and the assistant

must be there with the student.

Always keep your hands at a safe distance from sharp instruments.

Unnecessary talking is not allowed in the Laboratory.

No student is allowed to leave the Laboratory without the permission of Supervisor.

No game of any sort is allowed to be played during the clinical/ward.

Any student breaking or damaging any property of the institution shall be required to pay

the cost of repair or replacement.

Students must demonstrate Professionalism and Medical Ethics.

PRACTICAL PRE-REQUISITES

57

BOOKS RECOMMENDED (Latest Edition)

1. 1. Parks text book of Community Medicine (25 th ed)

2. Irfan, Ilyas Ansari text book of Community Medicine (8 th ed)

3. Last, Maxie Rozanai text book of Community Medicine

4. Medical Statistics by R. Turkwood (2 nd ed)

5. Online journals and reading materials through HEC Digital

Library Facility

LEARNING RESOURCES

4th Year MBBS- Community Medicine - Multan Medical ...

Documents

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