| Program Description |
MD. PSYCHIATRY
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.
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/paramedical
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.
Goal
The candidates are expected to attain a high degree of proficiency both in the theoretical and
practical aspects of psychiatry and related disciplines.
The goals of postgraduate training course would be to train a MBBS doctor who will:
Practice efficiently and effectively the speciality, backed by scientific knowledge and skill
base. Exercise empathy and a caring attitude and maintain high ethical standards. Continue to
evince keen interest in continuing education in the speciality irrespective of whether he is in a
teaching institution or is a practicing psychiatrist. Be a motivated ‘teacher’ – defined as a
specialist keen to share his knowledge and skills with a colleague or a junior or any learner.
Objectives
By the end of the course, the student should have acquired knowledge (cognitive domain),
professionalism (affective domain) and skills (psychomotor domain) as given below:
A. Cognitive domain: By the end of the course, the student should demonstrate
knowledge in the following:
1. General topics:
a) The student should be able to demonstrate knowledge of basic sciences (Anatomy,
Physiology, Biochemistry, Microbiology, Pathology and Pharmacology) as applied to
Psychiatry.
b) The student should be able to explain etiology, assessment. Classification and
management and prognosis of various psychiatric disorders (including psychiatric
sub-specialties), and Neuroanatomy, Neurophysiology, Neuroimaging,
Electrophysiology, Phychoneuroendocrinology, Psychoneuroimmunology,
Chronobiology and Neurogenetics.
c) Acquire knowledge of delirium, dementia, amnestic & other cognitive disorders and
mental disorders due to a general medical condition.
d) The student should be able to explain follow-up care of person suffering from chronic
relapsing psychiatric ailments.
e) The student should acquire knowledge of emergency measures in acute crisis arising
out of various psychiatric illnesses including drug detoxification and withdrawal.
f) The student should acquire knowledge of pharmacokinetics & pharmacodynamics of
drugs involved in psychiatric management of patients.
g) The student should acquire knowledge of (a) normal child development and
adolescence, mental retardation in children (b) learning & associated disorders and
their management.
h) The student should acquire knowledge and be able to explain mechanisms for
rehabilitation of psychiatric patients.
i) The student should acquire knowledge of substance related disorders and their
management.
j) The student should acquire knowledge of psychotic disorders, mood disorders, and
anxiety disorders and their management.
k) The student should acquire knowledge of sexual and gender identity disorders and
their management.
l) The student should acquire knowledge of eating disorders and sleep disorders and
their management.
m) The student should be conversant with recent advances in Psychiatry.
n) The student should be conversant with routine bedside diagnostic and therapeutic
procedures and acquire knowledge of latest diagnostics and therapeutics procedures
available.
o) The student should be conversant with various policy related aspects of Psychiatric
practice in India (e.g. Mental Health Care Act, National Health Mental Health
Programmes, Rights of Persons with Disability etc.).
p) The student should be conversant with research methodologies.
B. Affective Domain:
1. The student should be able to function as a part of a team, develop an attitude of
cooperation with colleagues, and interact with the patient and the clinician or other
colleagues to provide the best possible diagnosis or opinion.
2. The student should always adopt ethical principles and maintain proper etiquette in
dealings with patients, relatives and other health personnel
3. The student should demonstrate respect for the rights of the patient including the right
to information and second opinion.
4. The student should develop communication skills to prepare reports and professional
opinion as well as to interact with patients, relatives, peers and paramedical staff, and
for effective teaching.
C. Psychomotor domain
At the end of the course, the student should acquire the following clinical skills and be able to
become an expert in good history taking, physical examination, mental state examination, and
able to establish rapport and counsel family members and patients on scientific basis. Choose
the required investigations for both short and long term management.
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