| Program Description |
MD. RESPIRATORY 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.
The purpose of PG in Respiratory Medicine is to create specialists who would be able to
provide high quality health care with cofidence and advance the respiratory medical science
through research & training.
The person shall be abreast with the recent advances and developments in the specialty of
Respiratory Medicine. It is expected that the person will develop a spirit of enquiry and get
oriented to apply recent advances and medical evidence to the practice of Respiratory
Medicine. And to learn the fundamentals of Research Methodology. The syllabus to be
covered during post graduate training in Respiratory Medicine is designed to develop a
sound and scientific foundation. It is intended to serve as a guide to impart basic knowledge
and develop skills.
PGs should become good consultants, good teachers and good human beings who practise
ethics, who will have passion for all living beings and being Respiratory Medicine physician
will take care of ecosystem.
SUBJECT SPECIFIC OBJECTIVES
The primary goal of the MD course in Respiratory Medicine is to produce post graduate
clinicians able to provide health care in the field of Respiratory medicine. It is expected that a
physician qualified in Pulmonary Medicine at the end of the course should be able to
diagnose and treat pulmonary diseases, take preventive and curative steps for these diseases
in the community at all levels of health care and qualify as a consultant. Equally important
aspect is to make them talented teachers who would teach other students with great interest,
dedication and deep knowledge. Apart from this the course should produce medical scientists
in future by creating interest in research and publications.
The objective of PG Respiratory Medicine course is to give appropriate treatment , good
teaching, research will also include humane approach to the needy may be patients, animals,
plants to save environment and save our living globe. Environment plays very important role
in environmental lung diseases including air pollution, high attitude and diving health
aspects.
Each student should obtain proficiency in the following domains during the period of
training:
1. Theoretical knowledge of different aspects of Pulmonary Medicine including the
status in health and disease.
2. Acquire clinical skills.
3. Acquire practical skills.
4. Acquire Art of teaching.
5. Management of emergencies including intensive care.
6. Preparation of Dissertation / thesis as per MCI guidelines.
These involve patient management in the outpatient, inpatient and emergency situations, case
presentations, didactic lectures, seminars, journal reviews, clinico-patholgical conferences
and mortality review meetings and working in the laboratories.
SUBJECT SPECIFIC COMPETENCIES
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
At the end of the MD course in Pulmonary Medicine, the students should be able to:
1. Demonstrate sound knowledge of common pulmonary diseases, etiology,
pathogenesis, their clinical manifestations, including emergent situations and of
investigative procedures to confirm their diagnosis. A comprehensive knowledge of
epidemiological aspects of pulmonary diseases should be acquired.
2. Demonstrate comprehensive knowledge of various modes of therapy used in
treatment of pulmonary diseases.
3. Describe the mode of action of commonly used drugs, their doses, side-effects /
toxicity, indications and contra-indications and interactions, generic and trade names
and their rationale use.
4. Describe commonly used modes of management including medical and surgical
procedures available for treatment of various diseases and to offer a comprehensive
plan of management inclusive of National Tuberculosis Elimination Programme
(NTEP).
5. Manage common pulmonary emergencies and understand the basic of intensive care
in patients with pulmonary diseases.
6. Practice the field of pulmonary medicine ethically and assiduously, show empathy
and adopt a humane approach towards patients and their families.
7. Recognize the national priorities in pulmonary medicine and play an important role in
the implementation of National Health Programmes including tuberculosis.
8. Demonstrate competence in medical management.
9. Should inculcate good reading habits and develop ability to search medical literature
and develop basic concept of medical research.
B. Affective Domain:
1. 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. Always adopt ethical principles and maintain proper etiquette in dealings with
patients, relatives and other health personnel and to respect the rights of the patient
including the right to information and second opinion.
3. Develop communication skills to word reports and professional opinion as well as to
interact with patients, relatives, peers and paramedical staff, and for effective teaching
and develop qualities of an ideal teacher.
C. Psychomotor Domain:
At the end of the course, the student should acquire following clinical skills and be able
to:
1. Interview the patient, elicit relevant and correct information and describe the history
in chronological order.
2. Conduct clinical examination, elicit and interpret clinical findings and diagnose
common pulmonary disorders and emergencies.
3. perform simple, routine investigative and office procedures required for making the
bedside diagnosis, especially sputum collection and examination for etiologic
organisms especially Acid Fast Bacilli (AFB), interpretation of the chest x-rays and
lung function tests.
4. Interpret and manage various blood gases abnormalities in various pulmonary
diseases.
5. Develop management plans for various pulmonary diseases.
6. Assist in the performance of common procedures, like bronchoscopic examination,
pleural aspiration and biopsy, pulmonary physiotherapy, endotracheal intubation and
pneumo-thoracic drainage / aspiration etc.
7. Recognize emergency situations in intensive care, respond to these appropriately and
perform basic critical care monitoring and therapeutic procedures.
8. Collect, compile, analyse, interpret, discuss and present research data.
9. Teach pulmonary medicine to undergraduate and postgraduate students.
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