| Program Description |
MD. GENERAL MEDICINE
Goal
The goal of postgraduate medical education shall be to produce a competent specialist and / or a medical teacher as stated in the Post Graduate Medical Education Regulations 2000 and its amendments thereof [May2018]
(i) Who shall recognize the health needs of the community, and carry out professional obligations ethically and in keeping with the objectives of the national health policy.
(ii) Who shall have mastered most of the competencies, pertaining to the specialty, that are required to be practiced at the secondary and the tertiary levels of the health care delivery system.
(iii) Who shall be aware of the contemporary advances and developments in the discipline concerned.
(iv) Who shall have acquired a spirit of scientific inquiry and is oriented to the principles of research methodology and epidemiology, and
(v) Who shall have acquired the basic skills in teaching of the medical and paramedical professionals.
General Objectives
At the end of the postgraduate training in the discipline concerned the student shall be able to:
(i) Recognize the importance of the concerned specialty in the context of the health need of the community and the national priorities in the health sector.
(ii) Practice the specialty concerned ethically and in step with the principles of primary health care.
(iii) Demonstrate sufficient understanding of the basic sciences relevant to the concerned specialty.
(iv) Identify social, economic, environmental, biological and emotional determinants of health in a given case, and take them into account while planning therapeutic, rehabilitative, preventive and promotive measures/strategies.
(v) Diagnose and manage majority of the conditions in the specialty concerned on the basis of clinical assessment, and appropriately selected and conducted investigations.
(vi) Plan and advice measures for the prevention and rehabilitation of patients suffering from disease and disability related to the specialty.
(vii) Demonstrate skills in documentation of individual case details as well as morbidity and mortality data relevant to the assigned situation.
(viii) Demonstrate empathy and humane approach towards patients and their families and exhibit interpersonal behaviour in accordance with the societal norms and expectations.
(ix) Play the assigned role in the implementation of national health programs, effectively and responsibly.
(x) Organize and supervise the chosen/assigned health care services demonstrating adequate managerial skills in the clinic/hospital or the field situation.
(xi) Develop skills as a self-directed learner; recognize continuing educational needs, select and use appropriate learning resources.
(xii) Demonstrate competence in basic concept of research methodology and epidemiology, and be able to critically analyse relevant published research literature.
(xiii) Develop skills in using educational methods and techniques as applicable to the teaching of medical/nursing students, general physicians and paramedical health workers.
(xiv) Function as an effective leader of a team engaged in health care, research or training.
Statement of the Competencies
Keeping in view the general objectives of postgraduate training, each discipline shall aim at development of specific competencies, which shall be defined and spelt out in clear terms. Each department shall produce a statement and bring it to the notice of the trainees in the beginning of the program so that he or she can direct the efforts towards the attainment of these competencies.
Components of the PG Curriculum
The major components of the PG curriculum shall be:
• Theoretical knowledge
• Practical/clinical Skills
• Training in writing thesis/research articles
• Attitudes, including communication.
• Training in research methodology, medical ethics & medicolegal aspects
• Teaching skills to the undergraduates, juniors and support teams.
Preamble:
The purpose of PG education is to create specialists who would provide high quality
health care and advance the cause of science through research & training.
The competency based training programme aims to produce a post-graduate student who
after undergoing the required training should be able to deal effectively with the needs of
the community and should be competent to handle all problems related to his/her
specialty including recent advances. The student should also acquire skill in teaching of
medical/para-medical students in the subject that he/she has received his/her training. He
She should be aware of his/her limitations. The student is also expected to know the
principles of research methodology and modes of accessing literature.
SUBJECT SPECIFIC OBJECTIVES
The postgraduate training should enable the student to:
1. Practice efficiently internal medicine specialty, backed by scientific knowledge
including basic sciences and skills.
2. Diagnose and manage majority of conditions in his specialty (clinically and with
the help of relevant investigations
3. Exercise empathy and a caring attitude and maintain professional integrity,
honesty and high ethical standards
4. Plan and deliver comprehensive treatment using the principles of rational drug
therapy
5. Plan and advise measures for the prevention and rehabilitation of patients
belonging to his specialty;
6. Manage emergencies efficiently by providing Basic Life Support (BLS) and
Advanced Life Support (ALS) in emergency situations
7. Recognize conditions that may be outside the area of the specialty/ competence
and refer them to an appropriate specialist
8. Demonstrate skills in documentation of case details including epidemiological
data
9. Play the assigned role in the implementation of National Health Programs
10. Demonstrate competence in basic concepts of research methodology and clinical
epidemiology; and preventive aspects of various disease states
11. Be a motivated ‘teacher’ - defined as one keen to share knowledge and skills with
a colleague or a junior or any learner
12. Continue to evince keen interest in continuing education irrespective of whether
he/she is in a teaching institution or is practicing and use appropriate learning
resources
13. Be well versed with his medico-legal responsibilities
14. Undertake audit, use information technology tools and carry out research - both
basic and clinical, with the aim of publishing the work and presenting the work at
scientific forums.
15. The student should be able to recognize the mental condition characterized by self
absorption and reduced ability to respond to the outside world (e.g. Autism),
abnormal functioning in social interaction with or without repetitive behaviour
and/or poor communications, etc.
The intended outcome of a competency based program is a consultant specialist who can
practice medicine at a defined level of competency in different practice settings. i.e.
ambulatory (outpatient), inpatient, intensive care and emergency medicine.
No limit can be fixed and no fixed number of topics can be prescribed as course contents.
The student is expected to know his subject in depth; however, emphasis should be on the
diseases/health problems most prevalent in that area. Knowledge of recent advances and
basic sciences as applicable to his/her specialty should get high priority. Competence in
skills commensurate with the specialty (actual hands-on training) must be ensured.
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