| Program Description |
MD. DERMATOLOGY
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.
I. GOALS
The goals of post graduate teaching is to train a MBBS doctor who will,
1. Practice efficiently, effectively backed by evidence based scientific knowledge and
skills while maintaining high ethical standards
2. Exercise empathy and a caring attitude towards patients of all socio-economic strata
3. Be a constant learner updating recent advances in the field of his/ her specialty
4. Be a motivated teacher sharing his/ her knowledge and skills with a colleague or a
junior or a learner, as well as acquire basic skills in teaching medical/para-medical
students.
5. Constantly take on research work related to his/ her specialty and contribute to
the existing scientific knowledge by publishing in scientific journals and
presenting papers in various scientific meets
6. Actively participate in the National health programs related to his/ her specialty
7. Actively participate in the education of general population to remove myths and
stigma associated with certain skin diseases and be able to be able to counsel
patients and relatives in infectious diseases like HIV/AIDS, STDs, cutaneous
tuberculosis, leprosy and any event of serious illness or death.
II. OBJECTIVES
At the end of the course in Dermatology, Venereology and Leprosy, the student should
demonstrate the following knowledge and skills to accomplish above mentioned goals.
A. Knowledge (Cognitive domain)
1. Understanding of relevant basic sciences (Anatomy, Physiology,
Biochemistry, Microbiology, Pathology and Pharmacology)
2. Describe structure, functions and development of human skin.
3. Describe ultrastructural aspects of epidermis, epidermal appendages,
dermoepidermal junction, dermis, and sub-cutis.
4. Describe basic pathologic patterns and reactions of skin.
5. In depth knowledge of history, epidemiology, etiology, pathogenesis,
histopathology, differential diagnosis, general principles of diagnosis and
management, control and prevention of dermatological conditions including
leprosy, sexually transmitted infections and malignancies in adults and
children
6. Pharmacology of topical preparations and systemic drugs used in
Dermatology, Venereology and Leprosy
7. Various therapeutic options (both medical and surgical) available for a given
disease and selection of appropriate therapy after discussing the same with
patients and / or their relatives while considering the socio-economic,
environmental and emotional determinants
8. Acquire knowledge of the basics of laser operation and precautions which
needs to be taken.
9. Recognition of skin signs of systemic diseases and referring the patients to
proper specialists
10. Knowledge of information technology tools, and research methods and
techniques
B. Skills (Psychomotor domain)
1. Elicitation of relevant and correct clinical history and presenting it in a
chronological order
2. Complete clinical examination and demonstration of diagnostic clinical signs or
tests that will help in arriving at the correct diagnosis of dermatoses and
emergencies
3. Write a complete case record with meaningful progress notes, a proper discharge
summary with relevant details, and an appropriate referral note to other
specialists or secondary or tertiary health care centers
4. Informing efficiently and quickly, the relevant details of an emergency case to
seniors or other specialists
5. Simple slide laboratory procedures or tests that are necessary to make bedside
diagnosis
6. Appropriate and judicious use of laboratory tests to confirm the diagnosis
7. Be able to plan and deliver comprehensive treatment for diseases using principles of
rational drug therapy.
8. Be able to plan and advice measures for the prevention of infectious disease.
9. Be able to plan rehabilitation of patient suffering from chronic illness and disability
and those with special needs like leprosy.
10. Be able to analyze and interpret histopathology slides.
11. Method of application of various topical preparations and compresses used in the
treatment of common dermatoses
12. Fluid and electrolyte replacement therapy, and blood transfusion
13. Emergency procedures like, securing airway (intubation), intravenous access (IV
canula/ Venesection/ Central line), Basic and advanced life support
14. Clinical and laboratory monitoring of patients for progression of disease, response
to therapy and adverse effects of therapy
15. Common dermatosurgical, laser and cosmetic dermatological procedures
C. Human values, Ethical practice and Communication skills (Affective domain)
1. Delivery of health care irrespective of socio-economic status, race, religion or
caste of the patient
2. Practice of ethical principles in all aspects of his/ her profession
3. Preservation of professional dignity, honesty and integrity
4. To exercise empathy towards patients and their relatives, and behave in front of
them appropriately
5. Follow high moral and ethical standards while carrying out research on humans or
animals
6. Develop communication skills to convince the patients and/ or their relatives
regarding the prognosis of the disease, available treatment options, and their out
come
7. Communicate efficiently about a bad news to the patient or family members
8. Listen and respond patiently to all the queries of patients regarding the disease
and its management
9. Respect the rights and privileges of patients including right to information and
right to seek second opinion
10. Be humble enough to accept the limitations of one’s knowledge and skills, and ask
for help from colleagues when needed
11. Develop leadership qualities to provide congenial working environment and get
the best out of team.
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