ZPPD Curriculum 2014 I

CURRICULUM
FOR
MEDICAL COURSE
2014
VOLUME 1
FACULTY OF MEDICINE
UNIVERSITY OF JAFFNA
Page 2
Medical Curriculum 2013
Table of Contents
LIST OF FIGURES ...................................................................................................................... 6
CHAPTER 1 ................................................................................................................................... 8
INTRODUCTION ......................................................................................................................... 8
CHAPTER 2 .................................................................................................................................. 10
GENERAL CONSIDERATIONS ................................................................................................. 10
CHAPTER 3 ................................................................................................................................ 11
VISION, MISSION AND OUTCOME OF THE MEDICAL COURSE ....................... 11
3.1.
Vision ...........................................................................................................................................11
3.2.
Mission .........................................................................................................................................11
3.3.
Outcomes of the Medical Course .................................................................................................11
CHAPTER 4 ................................................................................................................................ 12
COURSE STRUCTURE........................................................................................................... 12
4.1. Introduction .......................................................................................................................................12
4.2. Pre-clinical Course [Terms 1 to 4] ....................................................................................................12
4.3. Para-clinical Course [Terms 5 to 10] ................................................................................................16
4.4. Clinical Course ..................................................................................................................................16
4.5. Teaching / Learning activities ...........................................................................................................17
4.6. Problem based learning .....................................................................................................................17
4.7. Student Activities. ..............................................................................................................................19
4.8. Student Attendance ...........................................................................................................................19
4.9. Contribution of Subjects to Curriculum Outcomes ..........................................................................21
Page 1
Course Structure
Faculty of Medicine, UOJ

CHAPTER 5 ................................................................................................................................ 22
COURSE DETAILS ................................................................................................................... 22
5.1. Introductory Course ......................................................................................................................... 22
5.2. IT Co Module for Medical Course ................................................................................................... 24
5.2.1. Course Description ............................................................................................................................ 24
5.2.2. Syllabus of the Co Module ................................................................................................................ 25
5.2.3. Evaluation and Marking Scheme ....................................................................................................... 26
5.3. English Co-module for Medical Course ........................................................................................... 28
5.3.2. Syllabus of the co-module ................................................................................................................. 29
5.3.3. References ......................................................................................................................................... 30
5.3.4. Evaluation and Marking Scheme ....................................................................................................... 30
5.4. Personnel Professional Development Stream ................................................................................... 32
5.4.2. Detail Syllabus .................................................................................................................................. 33
5.4.3. References ......................................................................................................................................... 36
5.4.4. Evaluation.......................................................................................................................................... 37
5.5. Anatomy ........................................................................................................................................... 38
5.5.2. Detailed syllabus ............................................................................................................................... 39
5.5.3. References ......................................................................................................................................... 47
5.5.4. Evaluation.......................................................................................................................................... 48
5.6. Biochemistry ..................................................................................................................................... 49
5.6.2. Detailed Syllabus ............................................................................................................................... 50
5.6.3.References .......................................................................................................................................... 56
5.6.4. Evaluation.......................................................................................................................................... 57
5.7. Physiology ......................................................................................................................................... 58
5.7.2. Detailed Syllabus ............................................................................................................................... 59
5.7.3. Reference ........................................................................................................................................... 65
5.7.4. Evaluation.......................................................................................................................................... 65
5.8. Synchronization Table of Main Preclinical Subjects ....................................................................... 66
5.9. Summary of Hours Needed for Preclinical Course .......................................................................... 68
5.9. Medical Sociology ............................................................................................................................. 69
5.9.3. References ......................................................................................................................................... 73
5.9.4. Evaluation.......................................................................................................................................... 75
Page 2
General aspects

5.10. Microbiology ....................................................................................................................................76
5.10.1. Course Description .......................................................................................................................... 76
5.10.2. Detailed Syllabus ............................................................................................................................. 77
5.10.3. References ....................................................................................................................................... 80
5.10.4. Evaluation ........................................................................................................................................ 81
5.11.Parasitology ......................................................................................................................................82
5.11.3. References: ...................................................................................................................................... 85
5.11.4. Evaluation of Parasitology............................................................................................................... 85
5.12. Community and Family Medicine ...................................................................................................86
5.12.3. References: ...................................................................................................................................... 94
5.12.4. Evaluation ........................................................................................................................................ 95
5.13. Forensic Medicine ............................................................................................................................96
5.13.3. References ..................................................................................................................................... 100
5.13.4.Evaluation ....................................................................................................................................... 101
5.14. Pathology .......................................................................................................................................102
5.14.1. Course Description ........................................................................................................................ 102
5.14.2. Detailed Syllabus ........................................................................................................................... 103
5.14.3. References ..................................................................................................................................... 109
5.14.4. Evaluation ...................................................................................................................................... 109
5.15. Pharmacology ................................................................................................................................110
1.15.2.
Detailed Syllabus ..................................................................................................................... 111
7.9.2. References ....................................................................................................................................... 117
7.9.3. Evaluation ........................................................................................................................................ 118
5.16. Psychiatry ......................................................................................................................................119
5.16.3. References ..................................................................................................................................... 122
5.16.4. Evaluation ...................................................................................................................................... 122
5.17. Medicine ........................................................................................................................................123
5.17.3. References ..................................................................................................................................... 125
5.17.4. Evaluation ...................................................................................................................................... 126
5.18. Obstetrics and Gynaecology ..........................................................................................................127
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Course Structure

5.19.3. References ..................................................................................................................................... 128
5.19.4. Evaluation...................................................................................................................................... 129
5.19. Paediatrics .................................................................................................................................... 130
5.19.3. References ..................................................................................................................................... 133
5.19.4. Evaluation...................................................................................................................................... 134
5.20. Surgery ......................................................................................................................................... 135
5.20.3. References ..................................................................................................................................... 141
5.20.4. Evaluation...................................................................................................................................... 142
5.21. Synchronization Table for Para Clinical and Clinical Subjects .................................................. 143
5.21.1. Synchronization- Phase II.............................................................................................................. 143
5.21.2. Synchronization- Phase III ............................................................................................................ 146
5.22. Hours Needed for Para-clinical courses ....................................................................................... 149
5.23. Total Hours of the Course ............................................................................................................ 150
CHAPTER 6 ............................................................................................................................. 151

EVALUATION PROCEDURES AND AWARD OF DEGREE .................................. 151
6.1.
In-course assessment ................................................................................................................. 151
6.2.
End-of-course Examination ...................................................................................................... 151
6.2.1.
Eligibility to Sit for the First Examination for Medical Degrees ............................................. 151
6.2.2.
Eligibility to Sit for the Part I of the Second Examination ...................................................... 152
6.2.3.
Eligibility to Sit for the Part II of the Second Examination ..................................................... 152
6.2.4.
Eligibility to Sit for the Final Examination for Medical Degrees ............................................ 152
6.2.5.
Attempts and Excuses .............................................................................................................. 153
6.3.
Summary of the Scheme of Evaluation .................................................................................... 154
6.3.1.
Summary of the Scheme of Evaluation at the First Attempt .................................................... 154
6.3.2.
Summary of the Scheme of Evaluation at the Subsequent Attempts ....................................... 155
6.4.
Award of Pass, Fail, Distinctions and Class ............................................................................. 156
6.4.1.
Award of Pass in a Subject ...................................................................................................... 156
6.4.2.
Award of Fail and Referred in an examination ........................................................................ 156
6.4.3.
Award of Pass and Class Honours ........................................................................................... 157
6.4.4.
Award of Distinction................................................................................................................ 157
6.5.
Releasing Results ...................................................................................................................... 157
6.6.
Award of Bachelor of Medical Science [BMSc] ....................................................................... 157
Page 4
General aspects
Page 5
Course Structure
List of Figures
Academic Calendar
Overview of the curriculum
Page 6
General aspects
Page 7
Course Structure
Chapter 1
Introduction
The Jaffna campus of the University of Sri Lanka was established under the University of Sri
Lanka Act number 1 of 1972. It became an autonomous University when the Universities
Act No. 16 of 1978 was passed in Parliament. Faculty of Medicine was established in Jaffna on
8th of October 1978.
The Faculty of Medicine developed its curriculum through the
Curriculum Committee for the course in medicine during the early years. The curriculum
underwent ad hog changes as and when need arose.
The curriculum of the Medical study program was revised completely during the
workshops conducted in 2007 and 2009 under QEF grant of the IRQUE project of the
World Bank and in 2011 with the help of Jaffna Medical Faculty Overseas Alumni.
Synchronization of the subjects started with the revision and is being improved year after
year leading towards the target of Integrated Spiral Curriculum. It was also decided to
move towards changing the traditional teaching / learning methods to SPICES as far as
possible and to improve assessment methods to be more structured and objective. It was
decided at the 276th meeting of the Faculty Board on 29.08.2012 to reduce the number of
terms in phase III from four to three. At the workshop held on Problem Based Learning by
the Medical Education Unit in October 2012 it was decided to introduce a few PBLs in
2013 and to introduce them to the curriculum based on the outcome.
Traditional
Teaching
SPICES
Teaching/Learning
Teacher Centred
Student centred
Information gathering
Problem based
Discipline based
Integrated
Hospital based
Community based
Uniform
Electives
Apprentice based
Systematic
Page 8
General aspects
Page 9
Course Structure
Chapter 2
GENERAL CONSIDERATIONS
Degrees awarded- Bachelor of Medical Sciences [BMSc]and Bachelor of Medicine
and Bachelor of Surgery [MBBS] (Jaffna)
University awarding the degree - University of Jaffna, Sri Lanka.
Admission to Undergraduate Course - The University Grants Commission of Sri Lanka
selects students for all medical schools in Sri Lanka on the basis of their performance in
the G.C.E (A/L) examination held by the Department of Examination, Sri Lanka.
125 students are admitted each year to the Jaffna Medical Faculty.
Obligation of the Curriculum - The curriculum is guided by the Subject Benchmark Statement in
Medicine, published by the CVCD and the Prescribed Standards for Undergraduate
Medical Educationof the Sri Lanka Medical Council.
Medium of instruction - The course is conducted entirely in English.
Duration of the entire course is five years followed by one year of Internship. Each
academic year consists of three terms of ten to thirteen weeks each for activities in the
Faculty. End of each term will be determined by completion of the teaching / learning activities
allocated for that term. Clinical teaching at the Teaching Hospital is a continuous process with
short breaks only.
Lectures and Practical classes are conducted in the Faculty and in the clinical lecture hall
at the Medical Students Hostel. About 95% of the clinical course is conducted at the
Teaching Hospital, Jaffna. Base Hospital, Thellippalai which is about 16 kilometres from the
Faculty and the Chest Clinic, Jaffna are regular teaching facilities for psychiatry and chest
diseases respectively. Preventive aspects are taught in the Community Medicine Project area in
theNallur MOH area. The students are encouraged to go to wider areas for community
programs.
Senior teachers from other Medical Faculties and consultants from Government
Hospitals are invited to serve as external examiners for all end-of-course
examinations.
Page 10
General aspects
Chapter 3
Vision, Mission and Outcome of the Medical Course

3.1.
Vision
To be a leading centre of excellence in teaching learning, research and scholarship in the

field of medicine
3.2.
Mission
To be a leading centre of excellence which produces intellectual, competent,

compassionate and dedicated health care professionals to meet the emerging needs of the
local, national and international community
3.3.
Outcomes of the Medical Course
At the end of the MBBS course the graduate should be able to:
1. Apply basic and behavioural sciences knowledge in solving individual and population
health issues.
2. Demonstrate communication, clinical and procedural skills in patient care.
3. Investigate, diagnose and manage common clinical problems and emergencies.
4. Promote individual and population health and institute preventive measures.
5. Utilise IT skills and record keeping skills necessary for medical practice.
6. Demonstrate leadership qualities, administrative skills and management skills.
7. Perform medico legal procedures and provide expertise to the court of Law.
8. Demonstrate self learning and continuous professional development.
9.
Apply the principles of ethical practice in personal and professional life.
10. Educate peers and other members of the health care team.
11. Perform critical appraisal of research literature, practice evidence based medicine and
conduct research.
12. Enhance public health through promotion of peace and prevention of violence.
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Course Structure
Chapter 4
Course Structure
4.1. Introduction
The course is divided into four phases and each phase is completed with an end of course
examination. The Pre-clinical course, conducted during Phase I, provides learning of
structure and function of the human body and introduces their application to clinical and
community aspects. During Phase II, students go for clinical courses at the Teaching
Hospital in the mornings and for Para-clinical course in the afternoons at the Faculty. The
Para-clinical subjects deal with abnormal structure and function in disease states and their
application in clinical situations and prevention and control of diseases. Phase II will end
with the Part I of the Second Examination for Medical Degrees. Phase III goes on with
clinical courses in the mornings and Para-Clinical courses in the afternoons and ends with
Part II of the Second Examination for Medical Degrees. Phase IV comprises Clinical
courses exclusively. There will be a 4 week elective appointment and an OSCE on clinical
subjects before starting the Professorial appointments.
4.2. Pre-clinical Course [Terms 1 to 4]

It comprises of an Introductory Period of 8 weeks and four terms of 10-13 weeks duration.
The First Examination for Medical Degrees is conducted at the end of this phase. The
examination is held twice a year. It is a bar examination: the students proceed to Phase II
only after passing the First Examination for Medical Degrees.
The introductory course is designed for new comers to facilitate understanding of the
university set up and to acclimatize them to the University environment by way of lectures,
group work, visits and training in first aid. The English Co-module is conducted to enable
the students to follow the course of Medicine in English Medium for students identified at
the screening test on admission. The course in English is completed during the
introductory period. The Co-module in IT commences with the introductory course and
continues until the end of the first term.
The course in Personal Professional Development Stream [PPDS] is divided into two parts.
The first part is conducted intensively during the introductory period and will continue up
to the end of the term 2. The students are also given exposure to Community perspectives
by the Department of Community and Family Medicine during the terms 2 and 3.
The main subjects of the Pre-clinical Course are Anatomy, Biochemistry and Physiology.
These subjects will be conducted during the 4 terms of the pre-clinical course. They are
synchronized as far as possible to facilitate understanding and correlation by the students.
The students should have the following to be admitted to sit the first examination for
medical degrees.
1. Pass in English (equal to level 6 in UTEL)
2. Pass in IT examination
3. Pass in PPDS part I
Page 12
Course structure
Page 13
Course Structure
Academic Calendar
Nov
Dec
Jan
Mar
Apr
May
June
july
Phase I - Pre clinical

Term 2 [12 w]
Phase II
Term 6
Phase II
Pre-Professorial
Term7
Year 4
Phase III
Pre-Professorial
Term 10
Term 9
Year 5
Elective
OSCE
First E1
Professorial 1
E2
Phase II
Clinical Rotations
P1 E1
Sept
Phase II
Pre-Professorial clinical rotations
Term 5
Phase III
Term 8
P1 E2
Phase III
Clinical Rotations
Part 2 E1
Phase IV
Professorial 3
Professorial 2
Medico,s week
Year 3
Term 4 [10 w]
Aug
Term 3 [13 w]
Phase I ctd.
Christmus holidays
Year 2
Feb

Term 1 [11 w]
New year Holidays
Oct
Year 1 Phase I - Pre clinical

Introductory [8w]
P2 E2
Professorial 4
Professorial 5
Year 6
Final E2
Final E1
Oct
Nov
Dec
Jan
Feb
Mar
Apr
Page 14
Course structure
May
June
July
Aug
Sept
Over View of the Curriculum

Year 1
Phase I
Year 2
Year 3
Phase II
Year 4
Phase III
Introductory Period (English and IT)

Personel Professional Development Stream
Medical Sociology
Anatomy
Biochemistory
First Examination
Physiology
Microbiology
Second Examination (Part I)
Parasitology
Community Medicine and Family Medicine
Forensic Medicine
Pathology
Pharmacology
Psychiarty
Medicine
Paediatrics
Surgery
Pre-Professorial Clinical rotations
Year 5
Phase IV
Qualifying Examination
Second Examination (Part II)
Elective appointments
Final Examination
Professorial appointmentsMedicine, Obstetrics &
gynaecology, Paediatrics,
Psychiatry and Surgery
Page 15
Course Structure
4.3. Para-clinical Course [Terms 5 to 10]

Students enter the para-clinical course after completing the pre-clinical course. The
course is conducted in the afternoons as the students go for clinical course in the mornings.
Courses in Microbiology and Parasitology are completed by the end of term 7 and the part I of
the Second Examination is conducted for these subjects. Courses in Community Medicine,
Forensic Medicine, Pathology and Pharmacology are commenced in term 5 and continue up to
term 10. The part II of the Second Examination for Medical Degrees will be conducted at the
end of the term 10. A short course in Medical Sociology is conducted during the terms 5to 10
with further learning of Sociological aspects during students involvement with the Society
and evaluated after the part II of the second examination. In addition, lectures in Medicine,
Paediatrics, Psychiatry and Surgery will also be conducted during terms 5 to 10 to synchronize
with para-clinical subjects and to permit full clinical teaching during the Phase IV. Further,
the second part of PPDS is conducted from term 5 to term 10.
4.4. Clinical Course

The clinical course starts during the Phase II but introduction to clinical situations are
provided in Phase I in the form of applied anatomy and clinical demonstrations and applied
physiology with the objective of showing the relevance of basic sciences for clinical practice.
They go to the teaching Hospital for clinical studies in the morning and attend the para-clinical
studies in the afternoons during Phases II and III. Students spend the entire day in the hospital
during the professorial studies in the Phase IV.
The course starts with one week of introductory program. Then the students are posted for the
first appointment in Medicine of 8 weeks and Surgery of 4 weeks. This is followed by 4 week
appointments in Paediatrics and Obstetrics & Gynaecology followed by one week
appointments in Blood Bank, Venereology, Neurology and Oromaxillary surgery and two
week appointments in Chest medicine, Radiology, Clinical Pathology, and Dermatology.
Students are then posted to second appointment in Surgery of six weeks followed by four
week appointment in Orthopaedics, eight week appointment in Community Medicine and 2
week appointment in Psychiatry. Students are posted to second Paediatrics and second
Obstetrics & Gynaecology and Forensic Medicine of four weeks and two week appointments
in Otolaryngology [ENT], Ophthalmology, Oncology, Family Medicine Centre and
Cardiology. Anaesthesia & Intensive Care is given 3 weeks.
Finally they go for the second appoint in Medicine for 8 weeks and third appointment in
Surgery for six weeks. At the end of all the pre-professorial clerkships, the students are taken
on an educational tour of two weeks to visit important national institutions related to health
and at the same time they will visit other Faculties of Medicine to improve social harmony.
At the end of all these rotations the students are sent for elective appointments of four
weeks. Finally they go for eight weeks of professorial appointments in Medicine, Surgery,
Paediatrics and Obstetrics & Gynaecology and Psychiatry.
Page 16
Introductory course

The students should have the following to be admitted to the professorial appointments:
Completed the Second Examination for Medical Degrees.
Completed all pre-professorial appointments.
Passed the examination in Sociology.
Passed the examination in second part of PPDS.
All the major appointments and most of the short appointments are held in the
Teaching Hospital. They will have to go to the Chest Clinic at Pannai, Psychiatric unit at BH
Tellipallai and many other institutions as need arise.
More appointments will be included as new units are developed in the Teaching
hospital. However, patients related to all subspecialties are exposed to students as those
patients are managed in Medical or Surgical Units if no special unit is available.
4.5. Teaching / Learning activities

A flexible schedule of teaching/learning activities will be used. The teaching sessions will be
arranged to synchronize the subjects as far as possible to facilitate better understanding. The
course coordinators [pre, para and clinical coordinators] will meet the persons in charge for
teaching of the relevant subjects regularly, preferably weekly, and plan the teaching sessions
of each week. Clinical significance of the basic sciences will be taught in phase1 and basic
sciences will be revisited during clinical teaching. Teaching / Learning activities of each
subject are described with detail syllabus of each subject in Section 5.
All examinations are conducted by the Teachers in the Faculty, Extended Faculty, Consultants
from other hospitals and Teachers from other Faculties in the Island. The MCQ for the final
examination is set by a combined panel of examiners from all Medical Faculties. The marks
of this MCQ and Clinical examination are computed to prepare the common merit list of the
graduates from all Faculties of Medicine in the Island.
4.6. Problem based learning

Problem based learning is defined as active learning stimulated by, and focused around a
clinical, community or scientific problem. This is a small group activity. Students are given a
problem commonly as a clinical scenario and they learn the knowledge necessary and use this
to solve the problem. The process will be facilitated by Tutors/ Facilitators.
Aims of introducing problem based learning in the curriculum
1. Increase student centered learning activities in the curriculum.
2. Increase opportunities of vertical and horizontal integration within subjects at each
level of the curriculum.
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Course Structure

3. Develop students competencies such as Deep Approach to Learning, Dealing with unfamiliar
situations, Critical thinking, Adopting holistic approach, Empathetic outlook, Appreciation to
different views, Working in teams, Reflective practice and Self directed learning.
Proposed Entry points of Problem based learning in the curricula

System
PPDS
Cardiovascular system
Respiratory system
Reproductory system
Nervous system
Nutrition
Parasitic diseases
Community and Public health
Ethical and social issues
Entry point
Introductory term
Phase 1 T2, Phase II T7
Phase 1 T2, Phase III T8
Phase 1 T3, Phase III T9
Phase 1 T4, Phase III T 10
Phase 1 T3, phase II T5, phase III T10
Phase II T7
Phase III T10
Phase III T 10
Time for problem based learning sessions will be taken from the relevant lecture time during the
relevant periods. Lectures for the areas covered by problem based learning will be reduced and
conducted only on a needs basis.
Designated roles
Phase coordinators
The role of phase coordinators are defined as follows: Provide broad purpose and plan for the
block/system in coordination with resource people, Monitor the development and implementation of
objectives of the block / system, Arrange and follow up production schedules of health problems and
time limits, Coordinate in implementing professional skills & community Health aspects in relation to
the health problems, Function as a liaison in student assessment involving the system and Coordinate
formative assessment for the system and provide feedback.
PBL coordinators
The role of PBL coordinators are defined as follows: Meet deadlines for preparation and completion of
problems, Agree with resource persons on scope of objectives and learning materials, Work with
Medical Education Unit for problem flow, design, agreeing on production deadlines, Conduct tutor
briefing sessions, Plan resource sessions, Coordinate review sessions, and Collect feedback from
facilitator and students.
Tutor/ Facilitator
The facilitator plays the major part and the roles are defined as follows: Attend facilitator briefing
sessions, Keep to schedules, Direct tutorials in terms of main concepts of the problem, Promote critical
thinking and problem solving, Encourage self-directed learning by identifying and giving
Page 18
Introductory course

responsibilities to their individual students, Identify difficulties of individual students and provide early
feed-back and Promote feed-back for review of problems from tutorial experience.
Assessment
The learning objectives of the problem based learning will be assessed in the assessments already in
practiced along with the other syllabus.
4.7. Student Activities.

The students are encouraged to engage in a variety of student activities to develop their
soft skills and to engage in recreation. The activities could be religious, cultural, social or
social welfare in nature. These activities should be undertaken through appropriate student
bodies with the prior approval of the student councillor, Senior Treasurer, the Dean and the
Vice Chancellor according to the University rules and regulations.
The students are expected to elect their representatives at various levels such as small
group, a batch or the entire student body in order to facilitate or organize academic activities
and look after the needs and welfare of the students.
4.8. Student Attendance

Student attendance will be marked in all teaching sessions.
Pre-clinical Course:
The attendance will be evaluated at the end of terms 3 and 4. The students should have
80 % attendance in all teaching/learning activities of all subjects including PPDS I. Students
whose attendance is found to be inadequate will be instructed to follow the course with the
subsequent batch. If such student fails to show 80 % attendance in the repeated period, that
student will be referred to a special committee of three Senior Teachers to analyse the problem
of the student and to suggest appropriate course of action. The suggestion will be placed
before the Faculty and the Senate for final decision. All students who repeat the course will
lose eligibility for class at the First Examination for Medical Degrees unless the Faculty Board
and the Senate accept the explanation given by the student as valid.
Para-clinical Course:
The attendance of the para-clinical courses will be evaluated at the end of the terms 7, and 10.
The students should have 80 % attendance in all teaching/learning activities of all subjects
including PPDS II. Students whose attendance is found to be inadequate will be instructed to
follow the course with the subsequent batch. If such student fails to show 80 % attendance in
the repeated period, that student will be referred to a special committee of three Senior
Teachers to analyse the problem of the student and to suggest appropriate course of action.
The suggestion will be placed before the Faculty and the Senate for final decision. All
students who repeat the course will lose eligibility for class at the first examination for
Page 19
Course Structure

medical degrees unless the Faculty Board and the Senate accept the explanation given by the
student as valid.
Clinical Course:
The attendance at the pre professorial clinical appointments will be assessed at the end
of the postings. Students with less than 90 % attendance in any clerkship and the absence up
to the balance 10 % not approved by the consultant, the student will have to repeat the
appointment with the same consultant if that consultant is agreeable or under another
consultant who will accept the student and sign the completion of the appointment.
The Clinical Coordinator will permit students to go over to professorial appointments
only on satisfactory completion of the prescribed pre-professorial appointments. Students who
fail to commence professorial appointments with the proper batch loose eligibility for class
unless the excuse given by the student is accepted by the Faculty and Senate as valid.
The attendance at the professorial appointments will be evaluated at the end of the
rotations and students with less than 90 % attendance and the absence for the balance 10 % not
approved by the consultant will be requested to follow the professorial course with the
subsequent batch without eligibility for class unless the excuse submitted by the student is
accepted by the Faculty board and the Senate as Valid.
Page 20
Introductory course
4.9. Contribution of Subjects to Curriculum Outcomes

Subjects
English
IT
PPDS
Anatomy
Biochemistry
Physiology
Sociology
Microbiology
Parasitology
Community and Family Medicine
Forensic Medicine
Pathology
Pharmacology
Psychiatry
Medicine
Obstetrics & Gynaecology
Paediatrics
Surgery
Student Activities
2
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OUTCOMES
5 6 7 8
10 11 12
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Outcomes of the Medical Course
At the end of the MBBS course the graduate should be able to:
1. Apply basic and behavioural sciences knowledge in solving individual and population
health issues
2. Demonstrate communication, clinical and procedural skills in patient care
3. Investigate, diagnose and manage common clinical problems and emergencies
4. Promote individual and population health and institute preventive measures
5. Utilize IT skills and record keeping skills necessary for medical practice
6. Demonstrate leadership qualities, administrative skills and management skills
7. Perform medico legal procedures and provide expertise to the court of Law.
8. Demonstrate self learning and continuous professional development.
9. Apply the principles of ethical practice in personal and professional life.
10. Educate peers and other members of the health care team.
11. Perform critical appraisal of research literature, practice evidence based medicine and
conduct research
12. Enhance public health through promotion of peace and prevention of violence.
Page 21
Course Structure
Chapter 5
Course Details
5.1. Introductory Course
[Person in Charge- Pre-Clinical Coordinator]
The program consists of lectures and visits to key areas related to University and the
Medical Course during the first eight weeks. This includes a full course of first aid. The first
aid course is aimed at introducing life saving skills at layman level at the onset for them to
keep it developing through the medical curriculum.
Hr Activity
Content / Topic
Person / Department
4
Welcome Address by key persons
Introductory- Dean
Group
work
Introduction to each other
Preclinical coordinator
Medical Curriculum
IT for education in the Faculty
Student welfare
Medical students and the community
Health Facilities in the University
Money Management
Recreation activities in the Faculty
MSU and Student activities
ITC
Sports in University
Status of an undergraduate
Student discipline
Introduction to Problem Based Learning
Examination Regulations
Carrier Prospects
University, health centre
Library
ITC, Faculty of Medicine
Teaching Hospital
First Aid
Post evaluation
Dean
IT coordinator
AR/ welfare
Dept. Community Medicine
UMO
Dept. Management
MSU
MSU
MSU
Dept. of Physical Education
Dean
Student Counsellor
Medical Education Unit
SAR Examination branch
Senior Academic
MSU
Snr. Assist. Librarian
MSU
MSU
St. John ambulance
1
1
1
1
1
2
2
1
1
2
1
1
1
1
2
2
2
2
3
14
2
Lecture
Lecture
Lecture
Lecture
Lecture
Lecture
Lecture
Lecture
Lecture
Visit
Lecture
Lecture
Lecture
Lecture
Lecture
Visit
Visit
Visit
Visit
Training
Page 22
Introductory course

Summary
Activity
Lectures
Visits
Group work
Training
Total
Hours
21
11
2
14
48
Page 23
Course Structure
5.2. IT Co Module for Medical Course

[Person in Charge- Head, Computer Unit through Pre-Clinical coordinator]
5.2.1. Course Description

The co-module in IT is expected to provide sufficient knowledge, skills and attitudes to
make use of the Information Technology for effective learning and practice of
medicine.
Specific Objectives
o Have basic understanding of the hardware of the computer system and their
functions.
o Be able to protect the computers from malware such as viruses.
o Be aware of computer ethics.
o Be able to protect themselves from harmful effects of using computers.
o Be able to do word processing to prepare documents such as notes, research
reports etc.
o Be able to use spreadsheet packages for their needs.
o Be able to develop databases regarding reference material, notes, patient details
etc for future retrieval.
o Be able to prepare and do effective presentations using computers.
o Be able to use statistical packages to do data analysis for their needs.
o Be able to use internet to perform literature search and electronic
communication.
o The teaching and learning activities include Lectures for theoretical aspects and
practical training for applications with close guidance.
The course contributes to the outcome no 5 of the curriculum.
Page 24
IT Co Module

5.2.2. Syllabus of the Co Module
Introductory Period
Introduction to IT (10 Hrs)
Basic concepts of IT and its Promises, Computer System, Characteristics of
2 Lecture Computer, Type of computers and its classifications, Data versus Information,
Units of measurement for capacity.
System Unit, Input devices and its functions, Output devices and its functions
1 Lecture and Secondary storage devices.
Application software - Tools for documentation and information management,
Electronic Medical Record Keeping(EMR), Medical Databases, Graphics
2 Lecture
packages, Statistical software, Computer Aided Design (CAD),
Communication softwares and etc.
Use of computer networks and communication services Web Browsing, e2 Lecture mail, Short message services, Downloading, Teleconferencing, Shared
resource, Telnet, E-Learning, E-Commerce, Portable works and etc
Challenges of Information Technology - Health, Ergonomics & the
3 Lecture Environment, Cyber Ethics, Threats and Safeguarding Computers and
Communications Systems
Advanced Techniques in Word Processing (15Hrs)
1 Practical (Revision) Introduction to Windows, GUI, File management
(Revision)Start with Microsoft Word, Working with Text, Formatting Pages,
1 Practical Formatting Characters and Paragraphs, using Indents, Tabs
1 Practical Working with Tables
1 Practical Automating Tasks
1 Practical Documents with Columns and Art
6 Practical Documentation of project reports/thesis
2 Practical Creating simple web pages
2 Practical Mail merge, Previewing and Printing Documents.
Presentation Techniques (7 Hrs)
2 Practical Creating a Presentation , Applying and Modifying Design Templates
Viewing and Changing Presentation Colours, Editing a Presentation, Adding
2 Practical
and Modifying Slide Text
1 Practical Inserting Information into PowerPoint, Drawing and Modifying Shapes
Creating a Multimedia Presentation ,Printing a Presentation ,Setting Up and
2 Practical
Delivering a Slide Show
Page 25
IT Co Module
Term 1
Application of Statistical packages (28 Hrs)
8 Practical Use of Excel for statistical work
2 Practical Use of R (Open Source package) for statistical work
Use of Social science packages like SPSS
Entering data, variable types, variable labels, value labels,

missing values.
Transforming data and creating new variables: recode,

compute, count.
File manipulations: sort file, split file, select cases, merge

files.
Drawing random samples.
Basic descriptive statistics: descriptive, frequencies, explore,

crosstabs.
18 Practical
Graphs : histogram, error bar, box-plot, bar chart, scatter etc.
Reading data into SPSS data files from outer sources: excel
files & text files.
Advanced statistical procedures such as: t-test, Chi-square,

regression etc.
Creating, editing and running procedures from the syntax

file.
Creating and editing output files.
Saving output files in different formats.
Summary
Activity
Lecture
Practical
Total
IT Co-module
Intro Term 1
10
0
22
28
32
28
Total
10
50
60
5.2.3. Evaluation and Marking Scheme

In-course assessment:
Practical (Advanced Techniques in Word Processing)
: 10%
Presentation (Presentation Techniques)
: 10%
Two Practicals (Application of Statistical packages) : 20%
End of course Examination
: 60%
Part I MCQ (40-50) Questions 01 hour
-30%
Part II- Practical 03 hours
-30%
Page 26
IT Co Module

The result will be Pass or Fail. Candidate must obtain 50 marks or above to pass. Below 50 is
fail.
A second examination will be conducted after 6 weeks from the release of results. In course
marks will be carried over to all subsequent attempts of the student.
The examiners and the date of examination will be approved by the Faculty Board and
the Senate. Arrangement of the Hall and appointment of Supervisors and Invigilators will be
done by the Assistant Registrar, Faculty of Medicine as for other examinations. A Pre-Results
Board shall be constituted as follows by the dean when the marks are ready
Dean- Chairman
Examiner of the co module
The results will be released to students after approval by the Faculty Board subject to
confirmation by the senate. The results will be submitted to the senate with the results of the
Second MBBS examination.
Page 27
IT Co Module
5.3. English Co-module for Medical Course

[Person in Charge- Head, ELTU through Pre-Clinical Coordinator]
5.3.1. Course
Description
This Co-Module in ESL aims to enhance the communicative competence in all the four
language skills (reading, listening, writing and speaking) of the students of the Faculty of
Medicine to follow their course in medicine and in their profession afterwards. The duration of
the course will be 90 hours. This is a co module which each student should pass before sitting
for the First Examination for Medical Degrees. Teaching learning sessions are interactive
where students must actively participate and perform. The IT laboratory at the Faculty will be
used wherever possible to provide computer based teaching and the program will be available
in the IT laboratory for self learning of the students.
It contributes to outcome no 2 of the curriculum.
At the end of the course the students are expected to achieve level 6 of the UTEL banding.
Objectives:
At the end of this portion of the Co-Module, the participants will be able to:
a) Write down the main idea and supporting details of a spoken text of low intermediate
to high intermediate level of difficulty
b) Identify the sequence of a process from an audio script
c) Identify and reflect on the speakers opinion
d) Speak about him/her, his/her background and on familiar topics such as ambitions,
leisure activities, culture etc. using simple/complex language.
e) Direct a person to a known destination
f) Gather information using yes/no and wh-questions
g) Deliver short speeches of about 2-3 minutes length on discipline related topics
h) Get the gist of a short text
i) Identify the flow of a text
j) Find answers to questions on specific and detailed information based on a text
k) Find the meaning of a word using the contextual clues
l) Differentiate the main idea from the supporting details
m) List causes and their effects from a reading passage
n) Write compound and complex sentences
o) Describe given topics like home-front. Likes and dislikes, environmental health,
common epidemics, non-communicable diseases etc.
p) Describe graphs
q) Summarise short/long texts
Page 28
English Co Module

5.3.2. Syllabus of the co-module
Hrs.
02
02
04
02
03
02
04
02
02
02
06
Skill (General)
Reading
Reading
Reading
Reading
Reading
Reading
Reading
Reading
Reading
Reading
Speech
03
03
08
Speech
Speech
Speech
01
01
03
02
02
04
02
02
03
04
04
03
03
04
04
03
Listening
Listening
Listening
Listening
Listening
Listening
Listening
Writing
Writing
Writing
Writing
Writing
Writing
Writing
Writing
Writing
Skill(Specific)
Understanding the general meaning of a short text

Understanding the functions of discourse markers
Answering simple questions, finding main ideas from complex texts
Inferring word meaning
Understanding the functions of simple passive structures and basic modals
Identifying implicit information
Separating main ideas and supporting ideas
Identifying cohesion
Understanding cause and effect and comparison and contrast
Extract important information from complex texts
Speak about him/her, his/her background and on familiar topics such as
ambitions, leisure activities, culture etc. using simple/complex language.
Direct a person to a known destination
Gather information using yes/no and wh-questions
Deliver short speeches of about 2-3 minutes length on discipline related
topics
Understanding simple information: instructions and statements
Recognising sequence markers
Identifying main ideas and key ideas
Understanding simple explanations and descriptions
Understanding instruction of a process: e.g. Experiments
Differentiating main and supporting ideas and taking notes.
Understanding opinions and draw inferences
Combining simple sentences
Writing short descriptions on familiar topics
Transfer of information-from graphic to text and vice-versa
Note taking
Using relative clauses
Describing processes using sequence markers
Expressing cause and effect and comparison and contrast
Summarising short texts
Summarising longer texts
Page 29
English Co Module

Summary
Activity
Reading
Writing
Speech
Listening
Total
Intro
25
30
20
15
90
5.3.3. References
1. Mc Whorter, K.T. & Mc Whorter, S. Active Reading Skills. Pearson/Longman, 2007.
2. De Silva, J.H. & Feez, S. Developing Writing Skills, Book 1Phoenix Education, 2004.
3. Nation, I.S.P. & Newton, J. Teaching ESL/EFL Listening and Speaking. Routledge,
2009.
4. Malarcher, C. Developing Listening Skills 3. Grass Root Press, 2012
5. Bavani,G. English for Medicine. Faculty of Medicine,University of Jaffna.(2010)
5.3.4. Evaluation and Marking Scheme

Components
Reading
Writing
Listening
Speaking
30%
40%
15%
15%
A placement test will be administered at the beginning of the course and the students will
be grouped for instruction according to the marks they score in the test.
Those who score above a cut of point at this examination will be exempted from attending
the classes and the end of course examination. However, if the students wish to follow,
they will be allowed to do so. The cut-off point will be decided each year.
After the completion of the 90 hour instruction, end of course examination will be held.
The components to be evaluated will be as stated above in the syllabus.
A repeat examination will be held after six weeks from the date of the end of course
examination
Page 30
English Co Module
The examiners and the date of examination will be approved by the Faculty Board
and the Senate.
Arrangement of the Hall and appointment of Supervisors and Invigilators will be
done by the Assistant Registrar, Faculty of Medicine as for other examinations.
A Pre-Results Board shall be constituted as follows by the dean when the marks are
ready:
Dean - Chairman
Examiner of the co module
confirmation by the senate.
The candidates scoring above 50 marks will be declared as pass and others will be
failures at the examination.
Page 31
English Co Module
5.4. Personnel Professional Development Stream

[Person in Charge- Coordinator for PPDS]

The aim of the course in PPDS is to develop personnel skills and personality of the students
with a view to improve their learning abilities during the studentship and afterwards for
continuous professional development and improve the quality of the service provided. At the
end of the course the students should be able to,
Be skilled in listening, reading, speaking and writing.
Be skilled in learning, keeping relevant material in memory and solving problems.
Communicate effectively with superiors, subordinates, colleagues, patients and the

society.
Behave respectfully and ethically in the society.
Develop and maintain good relationships.
Teach and practice sexuality in appropriate manner.
Identify and manage conflict efficiently.
Identify, cope and help others to cope with stress.
Perceive emotions of self and others and respond in appropriate manner.
Be motivated to deliver good health care.
Engage in continuous learning.
Empathize with others.
Be an effective leader.
Be assertive.
Search for truth

The Course will be conducted by visiting staff and staffs of the Faculty. The teaching learning
activities include discussions and group activities.
Students are evaluated by end of course assessments during Phase I at the end of term 2 and
Phase III at the end of term 10. A second examination will be conducted at the end of term 3
and 6 weeks later respectively. The students will be permitted to appear at the First
examination for Medical Degrees and enter the Professorial appointments only if they qualify
at the respective examination in PPDS. The students who fail to pass the examination in
PPDS will be placed with the subsequent batch without eligibility for class at the respective
examination for medical degrees. Behavioural assessment will be conducted by survey done
among the hospital staff during phase II and Phase III, initially as pilot study and marks will
be allocated in due course.
The students should have 80% attendance to be permitted to sit the examination in PPDS.
Students without necessary attendance will have to follow the course with subsequent batch
without eligibility for class at the respective examination for Medical Degrees.
Page 32
PPDS

5.4.2. Detail Syllabus
Introductory Period
2
1
1
1
1
2
2
2
2
1
2
2
2
2
4
2
2
2
2
2
2
3
3
3
2
Discussion/group work
Discussion / Practical
Discussion / Roll play
Attitudes of young adults and adolescents

Introduction to communication skills
Relationships and skills
Personality Development
Learning Skills
Parenting
Time management
Introduction to Ethics
Introduction to human sexuality
Stress factors
Writing skills
Reading skills
Habits and Discipline
Coping with Stress
Relaxation Techniques
Meditation
Listening skills
Issues related gender and sex
Human needs
Group Dynamic
Team
Coping with different personalities
Enhancing Personality
Inter-Personal Communication
Intelligence Definition, classification
2
3
2
3
2
2
3

Mass Communication
Anger & Aggression
Gender Psychology
Conflict management
Discrimination & neutrality
Cooperation
Assertiveness
Page 33
PPDS

Term 1
2
2
2
2
2
2

Problem solving skills

Negotiation & Mediation
Habits and Highly Effective People
Human behavior
Perception
Leadership
2
2
2
2
2
2
2
2
Introduction anxiety
Moral Judgment and Behavior
Active Listening
Establishing intimate relationships
Empathy
Inner search for self
Achievement
Mixed emotions & Fickle emotions
Term 2
Summary of Phase I
Activity
Discussion/Group
work
Discussion/Role play
Total
Intro
Term
1
Term
2
Term
Total
3
46
16
70
22
68
4
12
0
16
26
96
Page 34
PPDS

Term 5
2
2
2
2
2
2
2
Medical ethics
Emotions
Motivation
Learning and Memory
Doctor patient relationship
Stress management Before, During & Aftermath
Developing Social support systems for Stress
management
Introduction to Intervention Models for Stress
Term 6
2
2
2
2
2
Enhancing Personality
Stereotypes and prejudice
Gender equality
Enhancing Memory
Intelligence Tests, Emotional intelligence
2
2
2
Enhancing motivation and emotion

Anger management
Meditation
Term 7
2
2
2
2
2
Time management
Dynamic of popularity
Group attraction
Love
MemoryEnhancement techniques
2
2
2
2
Group dynamic
Social ethics
Essential Personal Skills
Stress and adaptation
Term 9
2
2
2
2
2
Continuing medical education

Enhancing communication skills
Dealing with difficult situation
Coping with loss
Coping with loss
Page 35
PPDS

Term 10
2
2
2
2
Changing behavior - Individual

Changing behavior Health professional
Boundaries and Barriers
Cooperation
Summary of Phase II & III

Personnel Professional Development Stream II
Term Term Term Term Term Term
5
6
7
8
9
10
Discussion/Group
work
16
16
18
10
8
Discussion/Roleplay
0
0
0
0
0
Total
16
16
18
0
10
8
Total
68
0
68
5.4.3. References
1. The Practice of Behavioural and cognitive Therapy.
University press.
R.Drumond, Cambridge
2. Introduction to Counselling & Guidance. Robert L.Gibson and Marianne H Mitchelkl.

Prentice Hall of India, India
3. I am OK-You are OK. By Thomas A, Harris M.D, New York: Avon, 2004.
4. Tomorrows Doctors.Published by General Medical Council, UK.
5. Organizational Behaviour. Stephen Robbins and Timothy A. Judge, 13th edition,
Printice Hall, 2008.
6. Management. Richaerd L. Daft. 8th Edition, South- Western College, 2007
7. Principles of Management and Administration. D.Chandra Bose, Printice Hall of India,
2004.
8. Management: Meeting and Exceeding customer expectations. Warren. R. Plunkett,
Raymond F. Attner and Gemmy S. Allen, South Western College, 2007
9. Counseling and communication skills for medical and health practitioners. Edited by
Rowen Bayne, Paula Nicolson and Ian Horton. Wiley-Blackwell, 1998.
Page 36
PPDS

5.4.4. Evaluation
PPDS
Type of Examination
1
2
Distribution
of MarksFirst
examination
Distribution
of Markssubsequent
examinations
100
100
4 SEQ - 2 hours
100
100
4 SEQ - 2 hours
Phase I
Examination
Phase III
Examination
Details of evaluation
No. of hrs No. of
question etc.
Phase I Examination:
The first examination will be conducted at the end of term 2.

A second examination will be conducted at the end of the term 3.
Phase III Examination:
The first examination will be conducted at the term 9.

A second examination will be conducted at the end of the term 10.
Releasing of Results:
The examiners and the date of examination will be approved by the Faculty Board
and the Senate.
Arrangement of the Hall and appointment of Supervisors and Invigilators will be
done by the Assistant Registrar, Faculty of Medicine as for other examinations.
A Pre-Results Board shall be constituted as follows by the dean when the marks are
ready:
Dean- Chairman
Preclinical/ Para-clinical coordinator
PPDS coordinator
confirmation by the senate.
The candidates scoring above 50 marks will be declared as pass and others will be
failures at the examination.
Page 37
PPDS
5.5. Anatomy
[Person in Charge- Head / Anatomy]

The aim of the course is to develop adequate knowledge in gross and microscopic structure
and, development of the human body to correlate with the clinical manifestations. At the end
of the course the students should be able to,
Discuss the muscles of the body with regard to their attachments, actions, blood and
nerve supply and abnormalities due to injury.
Describe the bones with regard to ossification, muscles attached, joints and
movements. Outline the forensic significance of bones.
Describe each organ with regard to location, relations, blood supply, nerve supply and
lymphatic drainage and relate them to clinical conditions.
Surface mark the important organs and structures.
Relate the anatomical basis of clinical presentation of relevant conditions.
Describe the microscopic structure of tissues and organs in relation to their functions
and identify them under the microscope.
Describe the development of organs and systems of the body and correlate them to
adult structure and discuss the developmental malformations.
Describe the genetic basis of diseases.
Teaching-learning activities include lectures, cadaveric dissection, histology practicals,
discussion of applied aspects and tutorials. Students are encouraged to use prosected
specimens and plastic models in the anatomy museum to understand the gross structure of the
human body. A dissection guide is given to students as a guide for the dissection.
The students are guided in a sequence to facilitate proper understanding of anatomy. The
embryology is taught first through lectures and tutorials with the help of pictures and plastic
models. The dissection is preceded by lecture/discussion of important aspects of the
dissection to be carried out. The students then dissect in groups with the help of dissection
guide given to them well in advance, text books and atlas as a group work. Lecturers and / or
demonstrators guide the dissection. There will be a short discussion at the end of each days
dissection. At the same time lecture on histology of the same system/organ is delivered. It is
followed by practical class on the same day: difficult slides are demonstrated using multiviewer binocular microscope. Finally experts are invited to conduct discussions on applied
anatomy including radiological anatomy.
In-course assessments are conducted at the end of teaching-learning of each region of the body
in all components of Anatomy by way of essay, MCQ and OSPE examinations. In addition an
oral examination which carries no marks to the final examination may be conducted at the end
of each term.
Page 38
Anatomy

The subject contributes to outcome number 1, 2, 6, 8, 9 and 10 of the curriculum.
5.5.2. Detailed syllabus
Term 1
General Anatomy Lectures
1
1
1
1
1
2
3x2
lecture
lecture
lecture
lecture
lecture
lecture
Tutorial
1. Skin and fascia

2. Muscles
3. Cartilage and bones
4. Joints
5. Lymphatic and vascular system
6,7. Nervous system
General anatomy
Gross Anatomy - Upper limb

9
Lecture/ Discussion
6
6
3
Dissection
Dissection
Dissection
9
3
6
6
6
Dissection
Dissection
Dissection
Dissection
Dissection
6
9
9x2
Dissection
Lecture
Tutorials
Introduction to dissection, Ethics in

Anatomy, Pre-dissection
Introduction, Pectoral region and osteology
of the upper limb
Axilla and its contents
Front of arm and cubital region
Superficial Dissection of back of trunk,
scapular region and back of arm
Joints of shoulder girdle
Back of fore arm and hand
Front of the forearm and hand
Joints of upper limb
Summary of the Muscles, Nerves, Blood
vessels and lymphatics of upper limb
Applied Anatomy
Post dissection
Histology
1
Lecture
2x2
Practical
1
1
2x2
1
I.5x2
1
2x2
Lecture
Lecture
Practical
Lecture
Practical
Lecture
Practical
Cell membrane, nucleus, cytoplasm,

organelles and their functions
Use of microscope, embalming of body,
museum mounting, and paraffin wax
techniques
Cell division and cell cycle
3.Staining techniques
Staining techniques
4. Skin
Skin
4,5.Covering epithelium
Covering epithelium
Page 39
Anatomy

1
2x2
1
1.5x2
1
2x2
1
2x2
1
2x2
5x2
Lecture
Practical
Lecture
Practical
Lecture
Practical
Lecture
Practical
Lecture
Practical
Tutorials
6. Glandular epithelium
Glandular epithelium
7. Muscles
Muscles
8. Connective tissue
Connective tissue
9. Cartilage and bone
Cartilage and bone
10. Nervous tissue
Nervous tissue
Histology
Embryology
1
Lecture
1
1
1
Lecture
Lecture
Lecture
2
1
1
2
1
5x2
Lecture
Lecture
Lecture
Lecture
Lecture
Tutorials
I.Introduction to embryology and

Gametogenesis
2. Menstrual cycle, ovulation and
Implantation
3.Bilaminor & trilaminar germ discs
4. Embryonic period
5,6. Placentation, fetal membranes and
twining
7. Fetal period
8. Development of skin
9,10. Development of skeletal system
11. Development of Muscular system
Embryology
Medical Genetics
2
Lecture
1
Lecture
1.5x2 Tutorial
In Course Assessment1
written
In Course Assessment1
OSPE
1,2.Introduction to Medical Genetics, Genes,

and Genetic variations in human
3.Techniques used in the DNA analysis and
their Applications
Medical Genetics
Page 40
Anatomy
Term 2
Gross Anatomy - Thorax
6
9
6
6
6
6
3
6
6x2
Lecture/ Discussion
Dissection
Dissection
Dissection
Dissection
Dissection
Dissection
Lecture
Tutorials
Predissection
Chest wall, osteology of the Thorax
Pleura and lungs
Superior mediastinum and its contents
Middle mediastinum
Posterior mediastinum
Joints of the thorax
Applied Anatomy
Post dissection
Lower limb
8
9
Lecture/ Discussion
Dissection
9
9
3
Dissection
Dissection
Dissection
Dissection
Dissection
Dissection
Dissection
8
8x2
Lecture
Tutorials
Predissection, osteology of the Lower limb

Anterior and medial aspects of the thigh
Gluteal region and posterior aspect of the
thigh
Hip joint, Popliteal fossa and back of the leg
Knee joint
Anterior and lateral aspects of the leg and
dorsum of the foot
Sole of the foot
Tibiofibular joints, ankle joint, and joints of
the foot
Summary of nerves, blood vessels and
lymphatics of the lower limb
Applied Anatomy
Post dissection
Histology
1
1.5x2
2
1.5x2
1
1.5x2
2x2
Lecture
Practical
Lecture
Practical
Lecture
Practical
Tutorial
1. Immune system
Immune system
2,3. Respiratory system
Respiratory system
4. Cardiovascular system
Histology
Page 41
Anatomy

Embryology
1
1
Lecture
Lecture
4
3x2
Lecture
Tutorial
1. Development of body cavities, diaphragm

and serous membranes
2. Development of Respiratory system
3,4,5,6. Development of cardiovascular
system
Embryology
Medical Genetics
1
Lecture
4.Chromosomes and cytogenetic analysis
5,6.Abnormalities in chromosome number and

2
Lecture
chromosome structure
1.5x2 Tutorial
Medical Genetics
2
In Course Assessment- written
2
In Course Assessment- OSPE
Term 3.
Gross Anatomy - Abdomen
7
Lecture /
Discussion
6
6
3
6
9
6
6
6
6
6
10
7x2
Dissection
Dissection
Dissection
Dissection
Dissection
Dissection
Dissection
Dissection
Dissection
Dissection
Lecture
Tutorial
Pre Dissection
Anterior abdominal wall, planes and subdivision, osteology
of the abdomen and pelvis
Inguinal canal
External genitalia
Abdominal cavity and peritoneum
Stomach, small intestine and large intestine
Liver and biliary apparatus
Duodenum, Pancreas, and spleen
Kidneys, ureters and suprarenal glands
Posterior abdominal wall, diaphragm and lumbar plexus
Vessels and nerves of abdomen
Applied Anatomy
Post Dissection
Pelvis and Perineum

6
6
6
3
6
Lecture /
Discussion
Dissection
Dissection
Dissection
Dissection
Pre Dissection
Pelvic viscera
Pelvic blood vessels and nerves
Pelvic musculature
Perineum
Page 42
Anatomy

9
6x2
Lecture
Tutorial
Applied Anatomy
Post dissection
Histology
2
4x2
1
1.5 x2
2
2x2
1
1.5x2
1
2x2
2
4x2
5x2
Lecture
Practical
Lecture
Practical
Lecture
Practical
Lecture
Practical
Lecture
Practical
Lecture
Practical
Tutorial
1,2. Gastrointestinal system

Gastrointestinal system
3.Glands associated with Gastrointestinal system
Glands associated with Gastrointestinal system
4,5 Endocrine system
Endocrine system
6.Urinary system
Urinary system
7. Male reproductive system
Male reproductive system
8,9.Female reproductive system
Female reproductive system
Histology
Embryology
3
Lecture
1,2,3. Development of Digestive system
Lecture
3
1
3x2
Lecture
Lecture
Tutorial
4. Development of urinary system

5,6,7. Development of Male and female reproductive
systems
8. Development of central nervous system ( spinal cord )
Embryology
Medical Genetics
1
Lecture
2
Lecture
1.5x2 Tutorial
7 Special topics on medical genetics including

Consanguinity, Paternity testing & forensic uses of DNA,
Dermatoglyphics
8,9.Inheritance patterns
Medical Genetics
Page 43
Anatomy
Neuroanatomy- 1
1
1
1
1
1
1
1
2x2
1
1
1. Introduction
lecture
2. Development and Histogenesis
lecture
3. Cell elements - neurons, neuroglia
lecture
4. Peripheral and autonomic nervous sysms
lecture
5. Reflex arc
lecture
Lecture
6. Meninges and CSF
7. Spinal cord
lecture
Neuroanatomy
Tutorial
In Course Assessment- OSPE
Term-4
Gross Anatomy - Head and neck
10
Lecture/ Discussion
6
6
6
6
6
6
Dissection
Dissection
Dissection
Dissection
Dissection
Dissection
Dissection
Dissection
6
6
Dissection
Dissection
6
3
3
6
3
3
Dissection
Dissection
Dissection
Dissection
Dissection
Dissection
Lectures
10
10x2
6
Lecture
Tutorial
Lecture
Pre Dissection
Posterior triangle of the neck, Osteology of
Head and Neck
Anterior triangle of the neck
F ace and scalp
Cranial cavity
Orbit and lachrymal apparatus
Parotid gland
Infratemporal region and temperomandibular
joint
Submandibular region and deep structures of
the neck
Deep structures of the back of the neck and
the trunk
Muscles and fasciae of the head and neck
Nerves, blood vessels and lymphatics of head
and neck
Nasal cavity
Oral cavity
Soft palate, pharynx and larynx
Eye
Ear
Anatomy of special structures- eye, ear, nasal
cavity , oral cavity , pharynx , larynx
Applied Anatomy
Post dissection
Radiology
Page 44
Anatomy

Histology
I
2x2
1
1.5
x2
1x2
Lecture
Practical
Lecture
1. Central Nervous System

Central Nervous System
2. Special sense organs
Practical
Tutorial
Special sense organs

Histology
Embryology
1
1
1
Lecture
Lecture
Lecture
2
1
1
3x2
Lecture
Lecture
Lecture
Tutorial
1. Pharyngeal arches , pouches, clefts and

their derivatives
2. Development of tongue & thyroid gland
3. Development of face, nasal cavity & palate
4,5. Development of central nervous system
(Brain)
6. Development of Ear
7. Development of Eye
Embryology
Medical Genetics
1
Lecture
2
Lecture
1.5x2 Tutorial
10. Summary of Congenital anomalies/birth

defects
11,12.Special topics on medical genetics
including Cancer, pharmacogenetics,
prevention of genetic diseases
Medical Genetics
Neuroanatomy - 2
1
1
1
1
1
1
1
1
1
1
1
1
12
4x2
Lecture
Lecture
Lecture
Lecture
Lecture
Lecture
Lecture
Lecture
Lecture
Lecture
Lecture
Lecture
Dissection
Tutorial
8. Brain stem
9. Cranial nerves nuclei
10. Reticular formation of brain stem
11. Eye movements
12. Cerebellum
13. Cerebral hemisphere
14. Blood supply to brain
15. Ventricular system of brain
16. Diencephalon
17. Olfactory and optic path way
18. Limbic system
19. Basal ganglia and internal capsule
Brain
Neuroanatomy
Page 45
Anatomy

1
1

In Course AssessmentOSPE
Summary
Anatomy
Activity
Lectures
General Anatomy
Gross Anatomy
Applied anatomy
Pre Dissection
Histology
Embryology
Neuroanatomy lectures
Radiology
Genetics
Total Lectures
Practical
Dissection
Neuroanatomy
Histology
Total Practical
Tutorial
Genral Anatomy
Histology
Embryology
Post Dissection
Neuroanatomy
Genetics .
Total Tutorial
In Course Assessment
Total Hours
Term I
Term II
Term III
Term IV
Total
7
0
9
9
10
11
0
0
3
49
0
0
14
14
4
6
0
0
3
41
0
0
19
13
9
8
7
0
3
59
0
6
10
10
2
7
12
6
3
56
7
6
52
46
25
32
19
6
12
205
51
0
17
68
93
0
4.5
97.5
84
0
15
99
81
12
3.5
96.5
309
12
40
361
3
5
5
9
0
1.5
23.5
2
142.5
0
2
3
14
0
1.5
20.5
4
163
0
5
3
13
2
1.5
24.5
2
181.5
0
1
3
10
4
1.5
19.5
3
175
3
13
14
46
6
6
88
11
662
Page 46
Anatomy

5.5.3. References
Textbooks[Latest Editions]
1. Last's Anatomy: Regional and Applied. Chummy S Sinnatamby, 12th edition, Edinburgh:
Churchill Livingstone.2011.
2. Grants atlas of Anatomy. Anne M R Agur, 12th
Williams & Wilkins, 2009.
edition, Philadelphia: Lippincott
3. Clinical Anatomy. Harold Ellis. 12th edition, Oxford: Blackwells, 2010.

4. Wheaters Functional Histology. 5th edition, Edinburgh: Churchill Livingstone, 2006.
5. Langmans Medical Embryology. 11th Edition, edited by T W Sadler.
a: Lippincott
6. Text book of Human Neuro Anatomy. Inderber Singh, 8th edition, New Delhi: Jaypee,
2009.
7. ABC of clinical Genetics. Helen M. Kinston. 3rd Edition, UK BMJ books, 2002.
Reference Books[Latest Editions]
1. Clinically oriented anatomy.
Keith L Moore, 6th edition, Philadelphia: Lippincott
2. Basic Histology. L Carlos Junqueira, 11th Edition. New York: McGraw Hill, 2006
3. Clinical Anatomy by regions. Richard S Snell. 8th edition, Philadelphia: Lippincott
4. Grays anatomy for students.
Livingstone, 2010.
2nd editions Richard L Drake, Philadelphia: Churchill
5. Human Anatomy. B D Chaurasia, 5th edition, New Delhi: CBS Publishers, 2010.
Page 47
Anatomy

5.5.4. Evaluation
Anatomy
Type of Examination
Distribution
of MarksFirst
examination
Incourse
Assessment
End of course:
20
80
2.1
M.C.Q.
25
2.2
Essay
Gross Spots
25
2.3
2.4
2.5
Histology spots
Viva
10
10
10
Distribution
Details of evaluationof Marksduration, number of
subsequent
questions. ect.
examinations
5 assessments of 2 hour
duration and Spot
examination
100
40 Multiple response and
20 single response
30
questions 3 hrs
10 SEQs 3 hrs
30
Gross Anatomy- 20 x 2
10
min
Histology 20 x 2 min
10
10 min / student
20
Page 48
Anatomy
Qualifying
pass marks
(%)
40% in
Essay &
M.C.Q.
5.6. Biochemistry
[Person in Charge- Head Biochemistry]

The aim of the course in Biochemistry is to develop basic knowledge of normal biochemical
processes in the body, biochemical aspects of nutrients and nutrition, develop basic
understanding of changes in biochemical processes in disease, develop skills in performing
biochemical investigations to identify the above changes, develop awareness in biomedical
research and to prepare and conduct seminar. At the end of the course the students should be
able to,
Describe the biochemical basis of acid base balance and the buffers in the body fluids.
Describe the structure and function of bio-molecules of the body and outline the causes
and conditions that cause alterations in them.
Describe the structure and kinetic properties of the enzymes and explain the alterations
in the properties and levels in disease conditions. Clinical applications of enzyme
inhibition, application of certain enzymes and enzyme inhibitors in management of
patients.
Describe the functions and metabolism of haemoglobin and mention the causes and
conditions leading to abnormalities of haemoglobin metabolism and perform tests to
identify them.
Describe the metabolism of carbohydrates, lipids, eicosanoids, amino acids and
proteins and explain the effects of under nutrition and over nutrition, foods that provide
essential nutrients and dietary advice for patients.
Describe the mechanism of removal of toxic substances and their implication on blood
levels of hormones and drugs.
Describe inheritance and molecular basis of hereditary diseases and molecular
techniques in medicine and its uses in Forensic Medicine.
Analyze urine for normal constituents and abnormal constituents and analyze serum
for indicators of disease.
Perform simple laboratory research in relation to medical problems and report it.
Prepare and present short seminar on current bio-medical problems.
Be interested in continuous education to understand the biochemical basis of disease
processes and the biochemical tests performed to diagnose them
Teaching-learning activities include lectures, practical and tutorial classes. The tutorial
classes are a mixture of traditional tutorials and modified small group discussions. The
practical classes include a few demonstrations and more experiments performed by individual
students. All teaching-learning activities are designed to stimulate student participation and
promote individual and group learning. A complete notes prepared by the department and the
power point presentations prepared for lectures are given to students as teaching material.
Page 49
Biochemistry

A research project is given to students to be performed singly or in groups in any
discipline of their interest with a senior teacher as supervisor. Students are also given a pool
of topics from which students select one topic of interest and make a presentation in seminar.
The assessment methods involve in-course and end of course assessments. The incourse assessments include marks given to research project, seminar and examinations
conducted during the course. Formative assessments are conducted at the end of each section
or as surprise class tests. After each examination, the answers are discusses with the students.
5.6.2. Detailed Syllabus
Term 1
pH and buffers
1
1
3x2
1x2
Lecture
Lecture
Practical
Tutorial
1. Buffers and buffering action.

2. Dissociation constant and buffering action
pH and buffers
pH and buffers
Chemistry of carbohydrates
1
1
1
1
3x2
2x2
Lecture
Lecture
Lecture
Lecture
Practical
Tutorial
1. General introduction to carbohydrates & classification.

2. Important monosaccharides and derivatives.
3. Disaccharides and identification of carbohydrates.
4. Homopolysaccharides & hetropolysaccharides.
Qualitative analysis of carbohydrates
Carbohydrates
Chemistry of Lipids
1
1
1
1
3x2
2x1
Lecture
Lecture
Lecture
Lecture
Practical
Tutorial
1. General introduction to fats.

2. Component of lipids.
3. Phospholipids.
4. Sterols & lipid storage disease
Qualitative analysis of lipids- 2x2h
Lipids
Movement of substances across membrane

1.Micro and macro elements of the body membranes and
1
Lecture
membrane structure.
1 Lecture 2. Movement of substances by different mechanism.
1 Lecture 3. Different transporters.
Chemistry of amino acids and proteins
1
1
1
1
1
Lecture
Lecture
Lecture
Lecture
Lecture
1. Introduction. Structure and chemistry of amino acids

2. Ionization properties of amino acids.
3. Structure of protein, insulin, -keratin & -keratin.
4. Collagen synthesis & degradation
5. Elastin, fibronectin, laminine & muscle protein.
Page 50
Biochemistry

1x2
1
1
3x2
3x2
3x2
1x2
Tutorial
Lecture
Lecture
Practical
Practical
Practical
Tutorial
Amino acids
6 Plasma proteins, their origin
7 Plasma proteins separation.
Qualitative analysis of proteins
Serum electrophoresis
Estimation of serum proteins
Proteins
Enzymes
1 Lecture 1. General properties of enzymes & mechanism of enzyme action
1 Lecture 2. Factors affecting the enzyme catalyzed reactions.
1 Lecture 3. Enzymes activators, inactivators and inhibitors
1 Lecture 4. Enzyme inhibition
1 Lecture 5. Isoenzymes, protective enzymes
3x2 Practical Determination of Serum amylase activity
1x2 Tutorial Enzymes
Gene expression and the protein synthesis (12 hours)

1
Lecture
Lecture
1
1
1x2
1
1
1
1
1
1x2
Lecture
Lecture
Tutorial
Lecture
Lecture
Lecture
Lecture
Lecture
Tutorial
Lecture
Gene expression and the protein synthesis

1. General introduction to nucleic acids. Nucleosides, nucleotides
and nucleotide derivatives
2. Structure of DNA
3. Organization of DNA. Gene and chromosome
Nucleic acids
4. Organization of DNA. Gene and chromosome continuation
5. Information transfer: DNA Replication
6. Information transfer: DNA transcription
7. Information transfer: Regulation of gene expression
8. Information transfer: Translation
Gene
9. Information transfer: Post-translational modification of proteins
2 Lecture 10, 11. DNA Mutation and repair

1 Lecture 12. Introduction to molecular basis of cancer
Chromasomal Abnormalities (4)
1 Lecture 1. Chromosomal anomalies
1 Lecture 2. Chromosomal anomalies conti..
1 Lecture 3. Chromosomal anomalies conti..
1 Lecture 4. Chromosomal anomalies conti
1x2 Tutorial Chromosomes
Page 51
Biochemistry
Term 2
Immunoglobulins
1 Lecture 1. Types of immunity
1 Lecture 2. Antibody formation polyclonal antibodies
1 Lecture 3. Structure and function of immunoglobulin
1 Lecture 4. Autoimmune diseases, immuno malignancy
1x2 Tutorial Immunoglobulins
Vitamins
1 Lecture 1. Vitamin A
1 Lecture 2. Vitamin D
1 Lecture 3. Vitamin D, E and K and Thiamine
1 Lecture 4. Riboflavin, Nicotinic acid and Pyridoxal phosphate
1 Lecture 5. Folic acid
1 Lecture 6. Vitamin B12
1 Lecture 7. Biotin, Pantothenic acid and Vitamin C
3x2 Practical Estimation of Urinary excretion of Vitamin C
Vitamins
2x2 Tutorial
Iron metabolism
1 Lecture Composition of human body micro and macro elements
1
1
Lecture
Lecture
Iron
Iron deficiency anaemia
Haemoglobin
1
1
1
1
1
1
1
1
1
4x2
2x2
Lecture
Lecture
Lecture
Lecture
Lecture
Lecture
Lecture
Lecture
Lecture
Practical
Tutorial
1. Haemoglobin structure, etc.

2. Oxygen dissociation curve
3. Synthesis of haemoglobin
4. Synthesis of haemoglobin and porphyrias
5. Catabolism of haemoglobin
6. Hyper bilirubinemias
7. Hyperbilirubinemias
8. Haemoglobinopathies
9. Haemoglobinopathies
Bile and blood and Estimation of serum bilirubin level

Haemoglobin
Biological oxido-reduction
1 Lecture 1. Oxido-reduction steps & mitochondria
1 Lecture 2. Chemi-osmotic hypothesis of oxido- reduction
1 Lecture 3. Effect of ionophores, inhibitor, etc.
1 Lecture 4. Other uses of oxygen in the body.
1x2 Tutorial
Page 52
Biochemistry

Mineral metabolism
1
1
1
1
Lecture
Lecture
Lecture
Lecture
1. Iodine
2. Thyroid hormone
3. Test for thyroid function
4. Calcium, zinc
5Copper, chromium, fluorine, selenium, manganese,
1 Lecture magnesium
3x2 Practical Estimation of serum calcium
3x2 Tutorial Mineral metabolism
Incourse Assessment
Term 3
Digestion and absorption
1
Lecture 1. Digestion in the oral cavity
1
Lecture 2. Gastric digestion, control of gastric secretion
1
Lecture 3. Intestinal digestion, hormonal control, Bile
1
Lecture 4. Carbohydrate, protein, lipid digestion and absorption
1x2 Tutorial
Carbohydrate Metabolism
1
Lecture 1. Introduction to Metabolism
1
Lecture 2. Glycolysis and energetics
1
Lecture 3. Tri carboxylic acid cycle
1
Lecture 4. Control of Glycolysis and Tri carboxylic acid cycle
1
Lecture 5. Hexose Mono phosphate pathway and significance
1
Lecture 6. Metabolism of fructose and galactose
1
Lecture 7. Glycogenolysis and glycogenesis
1
Lecture 8. Control of glycogenolysis and glycogenesis
1
Lecture 9. Gluconeogenesis, alcohol metabolism and lactic acidosis
10. Blood glucose maintenance and role of hormones in blood
1
Lecture glucose maintenance, Diabetes
11. Measurement of blood glucose, glucose tolerance test and
abnormal glucose tolerance curves
1
Lecture
3x2 Practical Estimation of blood glucose level
1
Lecture 12. Glycogen storage diseases
4x2 Tutorial
Lipid Metabolism
1
Lecture 1. Blood lipids and transport of lipids
1
Lecture 2. Metabolism of blood lipids
1
Lecture 3. Metabolism of blood lipids
1
Lecture 4. Roles of liver and adipose tissues in lipid metabolism
1
Lecture 5. Metabolism of fatty acids
Page 53
Biochemistry

1
Lecture
1
Lecture
1
Lecture
1
Lecture
3x2 Practical
1
Lecture
3x2 Tutorial
Eicosanoids
6. Control of fatty acid metabolism

7. Metabolism of ketone bodies
8. Metabolism of cholesterol
9. Cholesterol homeostasis
Estimation of serum cholesterol level
10. Errors in lipid metabolism
1
Lecture 1. General aspects of eicosanoids
1
Lecture 2. Biochemical functions of eicosanoids
Amino acid Metabolism (6 Hours)
1
Lecture 1. Amino acid pool and essential and non-essential amino acids
2. Transamination, amino acid oxidases and deamination
1
Lecture reactions
3x2 Practical Estimation of serum urea
1
Lecture 3. Metabolism of ammonia in the body
1
Lecture 4. Biochemical importance of amino acid derivatives
1
Lecture 5. One carbon pool
1
Lecture 6. Molecular diseases in amino acid metabolism
3x2 Practical Analysis of normal constituents in urine
3x2 Practical Analysis of abnormal constituents in urine
2x2 Tutorial
Serum enzymes of diagnostic value (3 Hours)
1
Lecture 1. Plasma specific enzymes
1
Lecture 2. Plasma non-specific enzymes
3. Alteration in enzymes and proteins in myocardial infarction,
1
Lecture liver disease, bone disease and muscle diseases
3x2 Practical Estimation serum AST
3x2 Practical Estimation of ALT
Incourse Assessment
Principles of Nutrition
1
1. Principles of nutrition and nutrient requirements
Lecture
1
2. Energy requirements
Lecture
1
3. Energy requirements
Lecture
1
4. Energy requirement calculations
Lecture
1
5. Requirements of carbohydrates , fats and proteins
Lecture
1
6. Requirements of proteins and calculation, supplementary
action
Lecture
1
7. Quality of proteins
Lecture
1
8. Nutritional requirements for infants, weaning food, preschool
children and school going children
Lecture
1
Lecture
9. Nutrition for adolescents and adults

Page 54
Biochemistry

1
10. Nutrition for adolescent and adult pregnant mothers
Lecture
1
11. Nutrition requirement for lactating mothers
Lecture
1
12. Nutrition requirements of adults
Lecture
1
13. Nutrition for sportsmen
Lecture
1
14. Malnutrition
Lecture
2x2 Tutorial Nutrition
Food of plant and animal origin
1
1. Milk from different animals consumed by man
Lecture
1
2. Preserving milk
Lecture
1
3. Milk products
Lecture
1
4. Egg ,meat , fish and fish products
Lecture
1
5. Cereal and preservation of cereals
Lecture
1
6. Legumes and ant nutritive factors
Lecture
1
7. Roots and tubers, vegetables
Lecture
1
8. Nuts, oils, fibers, foods and cancer
Lecture
2x2 Tutorial Foods
6
Research Methodology lectures
Lecture
17x3 Research Laboratory Research
18 Research Report writing
Term 4
Nucleic acid metabolism
1. Biosynthesis of purines and pyrimidines
1
Lecture
2. Purine salvage pathway
1
Lecture
3. Hyperuricemia and secondary causes
1
Lecture
Nucleic Acid Metabolism
1x2
Tutorial
Molecular Techniques in Medicine (5 Hours)
1. Tools in Molecular medicine
1
Lecture
2. Cloning, stem cells, gene therapy
1
Lecture
3. Genetically engineered insulin, blotting techniques
1
Lecture
4. RFLP, DNA microarray, PCR, prenatal diagnosis and
1
Lecture
genetic counselling
1
1x2
2
1
8
20
Lecture
Tutorial
Lecture
Seminar
Seminar
5. DNA finger printing and applications

Molecular Techniques in Medicine
Instruction on preparation of seminar Presedntation
Preparation
10 minute Presentation & 5 minute discussion / student
Page 55
Biochemistry
Summary
Activity
Lecture
Practical
Tutorial
Seminar
Presentation
Research
In-Course
Assessment
Total
Biochemistry
Term Term Term
1
2
3
42
32
65
21
10
21
10
9
14
Term
Total
4
10
149
0
52
2
35
0
0
0
0
0
69
28
0
28
69
2
75
1
52
2
171
1
41
6
339
5.6.3.References
Textbooks[Latest Editions]
1. Harpers Illustrated Biochemistry. Robert K Muray, Daryl K. Granner and Victor W
Rodwell, 27th edition, Boston: Mc Graw Hill, 2009.
2. Biochemistry-A Case Oriented Approach. Montgomery. T. W Conway, A. A Spector and
D Chapell, 6th edition, edited by Rex Montgomery, Mosby Publishers, 1996.
3. Text Book of Biochemistry with Clinical Correlations. Delvin, T. M. 6th edition,WileyEliss Publication, 2010.
4. Marks Basic Medical Biochemistry: A Clinical Approach. Smith, C., Marks, A. and
Libeberman, M. 2nd edition, Philadelphia: Lippincott Williams & Wilkins, 2008.
5. Lippincotts Illustrated Reviews- Biochemistry. Champe, P.C., Harvey, R. A. and Ferrier,
D. R, 4th edition, Philadelphia: Lippincott Williams & Wilkins, 2007.
6. Biochemistry. Berg, T., Tymoczo, J. L. and Stryer, L.W. H., 6th edition,
Freeman and Company, 2008.
New York:
Reference Books[Latest Editions]

1. Scientific Foundations of Biochemistry in Clinical Practice. Williams, D.L and Marks, V.
Butterworth Heinemann, 1994.
2. Medical Biochemistry. Bhagavan, N. V, 4th edition, Academic Press (An Imprint Elsevier)
2001.
Page 56
Biochemistry

3. Scientific foundations of biochemistry for Medical students. Vasudevan DM Sreekumari S,
5th Edition, Jaypee Brothers Medical Publishers (P) Ltd, New Delhi. 2007
4. Textbook of Medical Biochemistry. Chatterjea MN Rana Shinde, 7 th Edition, Jaypee
Brothers Medical Publishers (P) Ltd, New Delhi. 2007
Web Sites
1. http://www.annualreviews.org/
2. http://www.lipidsonline.org/
5.6.4. Evaluation
Details of
Distribution
evaluationof Marksduration,
subsequent
number of
examinations
questions. ect.
5 Assessments
each of 1Hr
duration and
Seminar
Type of Examination
Distribution
of MarksFirst
examination
In course
Assessment
20
2
3
Research Project
End of the Course
10
70
100
3.1 MCQ
25
40
3.2 Essay
25
40
3.3 Practical
3.4 Viva
10
10
10
10
60 questions
3Hrs duration
6 questions 3Hrs duration
45 minutes
10 min/student
Qualifying
pass marks
(%)
40% in
Theory
Page 57
Biochemistry
5.7. Physiology
[Person in Charge- Head Physiology]

The aim of the course is to develop basic understanding of the functions of the body and their
applications in management of patients and to develop skills in assessing the functions of systems of
the body and basic clinical examination. At the end of the course the students should be able to,
Describe the basic principles of homeostasis, water and electrolyte balance, acid base balance,
energy balance and temperature regulation.
Describe the role of various systems of the body, how they function, the mechanisms that regulate
them and the factors that alter the functions.
Outline how pathological factors interfere with the functions of these systems and how altered
functions of these systems cause disease.
Describe the physiological basis of various tests used to assess the functions of these systems and
interpret the results obtained.
Mention the names of common chemical agents that alter the functions of these systems and
outline the mechanism of their actions.
Investigate blood for, haemoglobin concentration, red cell count, white cell count, differential
count, bleeding time and clotting time, blood groups and packed cell volume.
Feel arterial pulse and recognize rate, regularity and volume of the pulse, measure blood pressure,
identify normal heart sounds, identify waves and intervals in normal E.C.G, measure lung
volumes, pulmonary ventilation, record respiratory movements, analyze alveolar air, perform
artificial respiration and cardiac massage, measure metabolic rate, body temperature, urine flow,
specific gravity of urine, and examine basic sensory, motor functions and special sensations.
Having attained the knowledge and skills mentioned above, the student should view man as a
whole organism and not a collection of systems, apply the knowledge and skills in understanding
and managing patient problems and keep on continued study of Physiology.
The teaching learning activities include lecture discussions, practical classes, tutorials and
clinical demonstrations. Lecture discussions will be delivered by the departmental staff where students
are informed of the topics well in time and are expected to read up based on the objectives given to
them at the beginning of the course as a book. Practical classes will be conducted in the laboratory
with the aim of developing basic skills related to Physiology and to demonstrate important
physiological principles. Tutorials will be in different forms such as free oral question-answer
sessions, answer writing sessions, sessions for students to clear their doubts and so on as requested by
the students. Clinical demonstrations are conducted to illustrate clinical significance of pre-clinical
learning by bringing selected patients from the Teaching Hospital or showing relevant video clips and
demonstrating the clinical application of the basic sciences at the end of each section. All these
activities will be interactive encouraging student participation and performance instead of simple
delivery of information.
The Clinical Departments of the Faculty will be conducting the clinical
Page 58
Physiology

demonstrations and, if need arises, consultants from the Teaching Hospital will be invited as Visiting
Lecturers. In addition, video shows on functions of various systems are shown to illustrate their
structure and function.
Further, there will be formative evaluations at the end of or during the course of each section or
system. The marks of in-course assessments conducted at the end of each term will be given to students
and the answers will be discussed with the students. The students are given detailed objectives for the
course in physiology and guides for each practical class developed by the department as teaching
material.
Term 1
BODY FLUIDS
1 Lecture
1 Lecture
3x2 Practical
1.Homeostasis and Organ Systems

2.Body composition
Anthropological measurements and estimation of body fat
Lecture
3.Body fluid compartments, estimation and Composition of body

fluids
2
1
1
Lecture
Lecture
Lecture
4,5.Mechanisms of membrane transport and osmosis

6.Tissue fluid formation and Mechanisms of Oedema
7.Fluid and Electrolyte Balance and their control
3x2
0.5
1x3
2x2
Practical
Video
Clinical
Tutorial
Osmotic Fragility
Structure and function of cell
Clinical demonstration for body fluids-surgery, medicine
Body fluids
EXCITABLE TISSUE NERVE & MUSCLE

1
1
1
1
1
1
3x2
Lecture
Lecture
Lecture
Lecture
Lecture
Lecture
Practical
1.Membrane Potential
2. Action Potential and impulse
3.Spread of impulse and classification of nerves
4.Synaptic transmission
5.Electrical and Mechanical Properties of Skeletal Muscle
6.Muscle structure, Molecular Basis of contraction
Reaction time and EMG, nerve conduction
1
1
1
1x3
0.5
Lecture
Lecture
Lecture
Clinical
Video
7.Cardiac and Smooth Muscle

8.Autonomic Nervous System
9.Pharmacology of ANS
Demonstration of diseases of nerves and muscles
Autonomic nervous system
3x2 Tutorials
Excitable tissue
BLOOD
Page 59
Physiology

1
Lecture
1.General Physical properties - blood and plasma
3x2
0.5
1
3x2
1
1
3x2
Practical
Video
Lecture
Practical
Lecture
Lecture
Practical
ESR and PCV

Blood
2.Blood volume and its regulation
WBC count
3.Red cell-structure and function, haemopoisis
4.Fate of redcells and Anaemias
RBC count
Hb Measurement, PCV (capillary tube) and Haematological
indeceases
3x2 Practical
1
1
3x2
1
3x2
1
1
Lecture
Lecture
Practical
Lecture
Practical
Video
Lecture
5.Thrombocytes
6.Hemostasis, coagulation and anticoagulants
Bleeding time, Clotting time
7.Leucocytes
Differential count
Immune system, active barriors
9.Defense reactions- innate immunity, humeral immunity
Lecture
10. Cellular immunity, activation of immune system,

hypersensitivity
1
3x2
1
1x3
Lecture
Practical
Lecture
Clinical
3x2 Tutorials
2 Exam
11.Blood groups, ABO system

Blood grouping
12.Rh group, Principles of blood transfusion

Clinical demonstration for blood-haematologist
Blood
Incourse assessment
Term 2
RESPIRATION
1
Lecture
1.Design of respiratory system, Upper Respiratory Tract
2
3x2
1
1
3x2
Lecture
Practical
Video
Lecture
Practical
2,3.Mechanics of Breathing, lung volumes and capacities
1
1
1
Lecture
Lecture
Lecture
5.Gas exchange in lungs

6.Oxygen Transport
7. Hypoxia, cyanosis
Lecture
Lecture
8.Carbon Dioxide Transport, Hypocapnoea/hypercapnoea, neural

regulation of Respiration
9. Chemical control of respiration
Graphic recording of respiration

Respiration, Biological adaptations
4. Ventilation, dead space and Ventilation /perfusion ratio
Spirometry- lung volumes, capacities and ventilation
Page 60
Physiology

3x2
1
3x2
1
3x2
1x3
3x2
Practical
Lecture
Practical
Lecture
Practical
Clinical
Tutorial
Chemical control of respiration

10.Respiratory Adjustments to exercise
Effect of exercise on ventilation
11.Respiratory adjustments- Altitude and pH
Lung function test

Clinical demonstration for respiratory system- medicine
Respiratory system
HEART AND CIRCULATION

1 Video
Heart & circulation, Structure and function of heart
1 Lecture
2 Lecture
2x2 Demo
2
Lecture
1
1
1
1
3x2
1
1
3x2
1
1
3x2
3x2
1
Lecture
Lecture
Lecture
Video
Practical
Lecture
Lecture
Practical
Lecture
Lecture
Practical
Practical
Lecture
1
3x2
1
3x2
1x3
3x2
5x2
2
Lecture
Practical
Lecture
Practical
Clinical
Practical
Tutorial
Exam
1. Introduction and Properties of Cardiac Muscle

2,3. Electrophysiology of Heart, recording and uses of ECG
Recording ECG
4,5.Cardiac Cycle- mechanical and pressure changes & Heart
Sounds
6. Cardiac Output, Cardiac Index
7. Cardiac Work, Metabolism
8. Blood Vessels, Vascular Pulsation
Arteries- Myocardial infarction, Vein & Vein disorders
Measurement of Blood pressure
8. Blood Pressure, Maintenance

9. Regulation of Blood Pressure
Postural changes on Blood pressure
10.Pulmonary, Splanchnic Circulation
11. Cerebral, Coronary and Cutaneous Circulation
Ischemic pain
Plethesmography
12. Placental and Fetal Circulation
13. Cardiovascular Adjustments in Exercise, Haemorrhage,
Shock
Effects of exercise of Blood pressure
14. Drugs on Cardiovascular System
Examination of CVS
Clinical demonstration for CVS- Medicine
CPR- cardiopulmonary resuscitation- surgery
CVS
Incourse assessment
Page 61
Physiology
Term 3
GASTRO INTESTINAL PHYSIOLOGY
1
2
2
Lecture
Lecture
1. General Organization, Overview of Control Mechanisms of

GIT
2. Mastication, Salivation & Deglutition
Lecture
3,4. Gastric Functions- secretion, movements, emptying, their

control and peptic ulcer
5. Pancreas, Liver and Small Intestinal function- propagation,

1 Lecture
mixing, absorption and their control
1 Lecture
6. Large Intestinal function and their control
1 Lecture
7. Defecation Mechanisms and Disorders
1x3 Clinical
Clinical demonstration for GIT-surgery
3x2 Tutorial
Gastrointestinal physiology
ENDOCRINOLOGY
1 Lecture
1.General principles of endocrinology
2 Lecture
2,3. Islets of Langerhans
2 Lecture
4,5. Thyroid
1 Lecture
6. Parathyroid and Calcium Homeostasis
0.5 Video
Bone, cartilage and Joints
1 Lecture
7. Adrenal Medulla
1 Lecture
8. Adrenal Cortex
1 Lecture
9. Neurohypophysis
1 Lecture
10. Adenohypophysis
1 Lecture
11. Local Hormones, Pineal gland and Thymus
1x3 Clinical
4x2 Tutorial
Clinical demonstration of endocrine abnormalities- surgery,

Medicine, Pediatrics
Endocrine Physiology
ENERGY BALANCE & TEMPERATURE REGULATION

1
1
3x2
1
Lecture
Lecture
Practical
Lecture
1. Energy Exchange, Body temperature
1
1
3x2
1x3
2x2
Lecture
Lecture
Practical
Clinical
Tutorial
4. Metabolic Rate- BMR

5. Energy Balance and its control
2. Temperature Regulation and fever

Body temperature measurement
3. Energy intake, expenditure, storage and Requirements
Measurement of metabolic rate

Clinical demonstration for EB and TR?
Energy balance, temp regulation
RENAL PHYSIOLOGY
1
2
1
Lecture
Lecture
Lecture
1. Introduction, Glomerular Function

2,3. Tubular Function , concentration of urine
4. Kidney and lungs in Acid Base and electrolyte Balance
Page 62
Physiology

3x2
1
1
1x3
2x2
Practical
Lecture
Lecture
Clinical
Tutorial
Diuresis
5. Micturition
6. Hemo Dialysis and Renal Function Test
Clinical demonstration for renal system- surgery, medicine
Renal function
REPRODUCTIVE PHYSIOLOGY
2 Clinical
Introduction to case senarios in Reproduction
1
1
1
3x2
1
1
1
1
Lecture
Lecture
Lecture
Practical
Lecture
Lecture
Lecture
Lecture
2 Clinical
3x2 Tutorial
2 Exam
1. Puberty
2. Male Gametogenesis, Endocrine functions of testis
3. Erection, ejaculation and physiology of sexual intercourse.
Sperm Count
4. Female Gametogenesis, Endocrine functions of Ovary
5. Menstrual Cycle and its control
6. Pregnancy, Parturition, Lactation
7. Fertility, Contraceptives
Demonstration of Clinical application of reproductive
physiology
Reproductive physiology
Incourse assessment
Term 4
NEUROPHYSIOLOGY
1
1
1
1
1
1
1
1
1
1
1
3x2
1
1
0.5
1
3
1
1
Lecture
Video
Lecture
Lecture
Lecture
Lecture
Lecture
Lecture
Lecture
Lecture
Lecture
Practical
Lecture
Lecture
Video
Lecture
Clinical
Lecture
Lecture
1. Introduction, Development and Over View

Development of foetus, reflex and conscious movement
2. Sensory system- receptor mechanism
3. Sensory system- sensory pathway
4 Pain and visceral sensation
5. Lower Motor system
6. Cortical Motor function
7. Cerebellum
8. Basal Ganglia
9. Thalamus and hypothalamus
10. Posture
Examination of peripheral Nervous system
11. Limbic system
12. Cerebral Cortex- Higher functions
Sleep
13. Sleep and arousal
Introduction to Clinical Scenarios in neurology
14. Eye structure and optics
15. Eye retina and nerves.
Page 63
Physiology

1 Lecture
16. Visual Field, Binocular Vision, Colour Vision
3x2 Practical
Examination of the visual system-1
1 Lecture
17. External, middle and internal ear
1 Lecture
18. Auditory pathway, deafness
1 Lecture
19. Vestibule.
1 Lecture
20. taste and smell
3x2 Practical
Test of hearing, taste and smell
3 Clinical
Demonstration of Clinical application of neorology
6x2 Tutorial
Neurophysiology
APPLIED PHYSIOLOGY
2 Lecture
Exercise Physiology
2 Lecture
Pain and Emergencies
2 Lecture
Acid base balance
2 Lecture
Physiology of elderly- Medicine
2 Lecture
Physiology of children- Paediatrics
2 Exam
Incourse assessment
Activity
Lecture
Practical
Clinical
Tutorial
Video
In course Assessments
Total
Physiology
Term 1 Term 2
27
26
27
38
3
2
14
8
2.5
3
2
2
75.5
79
Term 3
36
12
8
14
0
2
72
Page 64
Physiology
Term 4
30
9
6
6
1.5
2
54.5
Total
119
86
19
42
7
8
281

5.7.3. Reference
[Latest Editions]
1. An Introduction to Human Physiology. J.H.Green, 4th edition, Oxford: Oxford University
Press, 1976.
2. Review of Medical Physiology. William F Ganong, 22nd edition, Boston: McGraw Hill,
2005.
3. Textbook of Medical Physiology. Arthur C Guyton and John E Hall, 11th edition,
Philadelphia: Saunders, 2006.
4. Basic Clinical Physiology. J.H.Green, 3rd edition, Oxford: Oxford University Press, 1978.
5. SAMSON WRIGHTS Applied Physiology. Cyril A. Keele, Eric Neil and Norman Joels,
13th edition, Oxford: Oxford University Press, 1982.
6. Text book of Physiology. Donald Emslie-Smith, Colin R. Paterson, Thomas Scratcherd, and
Nicholas W. Read, 11th edition, Edinburgh: Churchill Livingstone, 1988.
7. Essentials of Medical Physiology. K. Sembulingam and Prema Sembulingam. New Delhi:
Jaypee Brothers, 2004.
5.7.4. Evaluation
Type of Examination
Distribution
of MarksFirst
examination
In course
Assessment:
20
End of the course
80
Distribution
of Markssubsequent
examinations
Details of
evaluationduration,
number of
questions. ect.
4 Assessment
per course each
of 1Hr duration
Qualifying
pass marks
(%)
100
2.1 MCQ
30
35
2.2 Essay
30
35
2.3 Practical
10
10
2.4 Viva
10
20
50 single
response & 30
multiple
response 3hrs
10 structured
questions-3 hrs
Assessment of
skills- 4 x 15
minutes
10 min /
student
40 % in
Essay &
MCQ
Page 65
Physiology
5.8. Synchronization Table of Main Preclinical Subjects

Term 1
Anatomy
Biochemistry
Physiology
General Anatomy Lectures
Dissection- Upper limb
Histology of cell and tissues
pH and buffers
Chemistry of carbohydrates
Chemistry of Lipids
Movement of substances across
membrane
General development of the

foetus
Chemistry of amino acids and proteins
Development of skin,
muscular system and skeletal
system
Enzymes
Gene expression and the protein
synthesis
Term 2
Biochemistry
Anatomy
Dissection- lower limb
[comparative learning with
upper limb]
Histology of Lymphatic
tissue
Development of body
cavities
Dissection- Thorax
Body fluids
Excitable tissue nerve

& muscle
Blood
Physiology
Immunoglobulin and immune reactions

Vitamins
Iron metabolism
Respiration
Haemoglobin
Development of Respiratory
system
Histology of Respiratory
system
Development of CVS
Histology of Cardiovascular
system
Mineral Metabolism
Page 66
Synchronization Phase I
Heart and circulation
Term 3
Biochemistry
Anatomy
Development of Digestive
system
Digestion and absorption
Dissection-Abdomen
Carbohydrate Metabolism
Histology of GIT &

associated glands
Histology of Endocrine
system
Lipid Metabolism
Development of urinary
system
Amino acid Metabolism
Dissection- Posterior
Abdominal wall
Principles of Nutrition
Histology of Urinary system

Development of genital
system
Food of plant and animal origin
Dissection-Pelvis
Development of pharyngeal
pouches, arches and clefts,
tongue, thyroid gland and
face
Dissection- Head and neck
Term 4
Biochemistry
Renal physiology
Physiology
Nucleic acid metabolism
Neurophysiology
Development of special sense

organs.
Dissection- Special senses
Energy balance &

Temperature regulation
Reproductive
physiology
Research
Anatomy
Gastrointestinal
physiology
Endocrine physiology
Eicosanoids
Serum enzymes of diagnostic value
Histology of Male and

female reproductive systems
Physiology
Molecular Techniques in Medicine
Histology of Special sense

organs
Development of CNS
Neuroanatomy dissection and
lectures
Seminar
Applied Physiology
Histology of CNS
Page 67
5.9. Summary of Hours Needed for Preclinical Course

Subject
Duration- weeks
Introductory
English
IT
PPDS
Community
Medicine
Anatomy
Biochemistry
Physiology
Total
Hours Available
Extra available
Intro
8
49
90
32
68
239
280
41
Term
1
11
Term
2
12
Term Term
3
4
13
10
28
12
16
0
142.5
75
75.5
333
385
52
10
163
52
79
320
420
100
13
182.5
171
72
438.5
455
16.5
Page 68
Total
49
90
60
96
0
169
41
54.5
264.5
350
85.5
23
657
339
281
1595
5.9. Medical Sociology

[Person in Charge- Head Sociology with Para Clinical coordinator]

This course is designed to provide medical students with a through multidisciplinary,
systematic and comparative knowledge on medical sociology. Medical Sociology explores the
interaction between health, society, culture and disease. The objective of the course is to train
medical students to analyze various aspects and complexities of health from a
multidisciplinary perspective to improve the health in their own society as well as other
societies at large. The students are encouraged to look for cultural, historical, environmental
and socio-economic roots of health problems. In order to achieve the defined goals students
will be introduced to four broader themes: Key concepts and approaches in medical
Sociology; research methods in medical sociology; health issues and health interventions.
The students are evaluated during the course by group presentation, term paper, quiz and final
examination based on structured essay questions at the end of the course. The term paper
submitted should NOT be more than 20 pages in length (typed and double spaced). Students
will select an area of medical sociology in which they are interested. They should discuss the
topic with primary instructor before commencing the writing.
The students should pass the examination to be permitted to professorial appointments.
Term 5
1 Lecture
3. History and Scope of Medical Sociology

3.1 The Growth& Development of Sociology in Public Health.
1. Introduction to Sociology
1.1 Definitions
1.2 Fields of Sociology in the Twenty-First
1.3 Key Concepts in Sociology
1.3.1 Society
3 Lecture
1.3.2 Community
1.3.3 Culture
1.3.4 Socialization
1.3.5 Social Stratification& Social Inequality: (Race, Ethnicity, Gender,
Class& Regional Disparities)
2. Social Institutions
2.1 Family
3 Lecture
2.2 Marriage
2.3 Bureaucratic Institutions
Page 69
Sociology

4. Health as Social Institutions
4.1 The Sociology of the Body
4.2 The Social Space of Illnesses, Culture and Illness Behavior
4.3 Culture and Healing System
4.4 Definition of Health
4.5 Dimension and Determinants of health
8 Lecture 4.6 Social Conditions of Disease
4.7 Health seeking Behavior
4.8 Social stigma
4.9 Hospital as Social Organization
4.10 Medical Pluralism
4.11 Health Behavior and Life Styles
4.12 Poverty and Health
5. Theoretical Approaches on Health
5.1 Bio-medical approach
5.2 Behavioral Approach
2 Lecture
5.3 Multiple risk factor Approach(Disease Ecology Model)
5.4 Post-modern approaches(Social Policy, Gender &Holistic approach)
8. Doctor-Patient relationship
8.1Patterns of doctor-patient relations
8.2 Patents Perspectives

2 Lecture 8.2 Male Physicians and Female Patients
8.3 Issues related to communication
8.4 Doctor-Patient Relations and New Technology
8.5 Issues related with Doctor-Patient Relationship
Term 6
6. Health Social Psychology
6.1 Introduction to Health Social Psychology
2 Lecture 6.2 Focusing areas
6.3 The biopsychosocial model
6.4 Some good and bad health Practices
9. Social Work and Physical healthcare
9.1 Social Work in Contemporary World
9.2 The emergence of social work as a profession
2 Lecture 9.3 Volunteering: A quest for the human spirit
9.4 Social Work: A Comprehensive Helping Profession
9.5 Social Work Practice with Families: Family dynamics, Family problems;
Family Therapy
Page 70
Sociology

17. Globalization, Consumption &Health
17.1 What isGlobalization?
17.2 Main Features of Globalization
2 Lecture 17.3 Globalization & food consumption
17.4 Fast Food Culture
17.5 Mechanisms of globalization of food
17.6 Impact on health
Term 7
12. HIV/AIDS Vulnerability
12.1 Trends and magnitude of the issue
2 Lecture
12.2 Socio-economic factors associated with HIV/AIDS
12.3 Empowerment of victims
16.1 Malaria, Dengue & Human Behavior
16.2 History
16.3 Human behavior relevant to malaria & Dengue control
2 Lecture
16.4 Human Behavior as risk factor for malaria&Dengue
16.5 Implication for control strategies
16.6 Research Issues
Term 8
7. Research Methods in Medical Sociology.
7.1 Qualitative Methods
7.2 Case Study Method
7.3 In-depth Interview
7.4 Qualitative data analysis& interpretation
7.5 Quantitative Techniques
7 Lecture
7.6 Questionnaire Method
7.7 3Content Analysis
7.8 Participatory Methods
7.9 PRA
7.10 RRA
7.11 Transect walk
Term 9
11. Suicide as public health problem
11.1 Suicide Trends in Sri Lanka
11.2 Causes of Suicide
11.3 Types of Suicide
2 Lecture
11.4 Mode of Suicide
11.5 Pockets of suicide
11.6 Gender and Suicide
11.7 Misconceptions about suicide
Page 71
Sociology

11.8 Prevention of Suicide
13.Alcoholism
13.1 Alcohol problems
2 Lecture 13.2 The impact of Alcoholism on social life
13.3 Social Aspects of Alcoholism
13.4 The prevention of Alcohol problems
18. Sociology of Violence & Conflict Management
18.1 Domestic Violence
3 Lecture 18.2 Child Abuse
18.3 Violence against women
18.4 Managing the violence
Term 10
15. Gender and Health
5. Wo e s Health
5. Me s Health
2 Lecture
15.3 Gender Roles and the Life Course
15.4 Gender Inequalities in Mortality
15.5 Gender Differences in Morbidity
14. Ageing & Health
14.1 The demography of Ageing
14.2Ageing in Sri Lanka
2 Lecture
14.3 Social gerontology and old age
14.4 Psychology of Ageing
14.5 Heath Care & long-term care
19. Health Care Reform, Policy and Disease Control Priorities in Developing
Countries
2 Lecture
19.1 Health challenges, health needs and health care practices of the world
19.2 Politics and Health Institutions
19.3 The Sri Lankan Health Care System: Issues and Challenges
+Summary
Lectures
Term Paper
Discussions
Presentation
Total
Term
5
19
0
0
0
19
Term
6
6
0
0
0
6
Term
7
4
0
0
0
4
Term
8
7
0
0
0
7
Page 72
Sociology
Term
9
7
0
0
0
7
Term
10
6
0
0
0
6
Total
49
0
0
0
49

5.9.3. References
Annandale, Ellen.1998. The Sociology of Health and Medicine: A Critical Introduction.
Cambridge: Polity Press.
Atchley, Robert C.2000. Social Forces and Ageing. New York: Wadsworth.
Cockerham, William C. (2011) Medical Sociology. 12th ed. Englewood Cliffs, NJ: Printice
Hall.
Cockerham, William C. (ed.) (2005) the Blackwell Companion to Medical Sociology.
London: Oxford
Cockerham, William C. Michael Glasser. (2001) Readings in Medical Sociology. 2nd edition,
Upper Saddle River: Prentice Hall.
David Armstrong. (1994).Outline of Sociology: As Applied to Medicine. 4th edition, Hodder
Arnold: London.
Doyal, Lesley.1995.What Makes Women Sick: Gender and the Political Economy of Health.
London: Macmillan.
Ort-Gomer, K.And M.A.Chesney.1997. Social Stress/ Strain in Heart Disease in
Women.Desmond.J. and Wenger,N.K(eds.), Women and Heart Disease.
Gillian Bendelow, Lynda Birke and Simon Williams (2003) Debating Biology: Sociological
Reflections on Health, Medicine and Society. Routledge: London.
Hannah Bradby. (2008). Medical Sociology: An introduction. Sage Publications: London.
Jonathan Gabe, Mike Bury and Marry Ann Elston. (2006)Key Concepts in Medical Sociology.
Sage Publication: London.
Karunatissa Athukorala (1998). Suicide Problem & Prevention. Graphic Land: Kandy.
Morales, Armando T. and Sheafor, Bradford. (2009). Social Work: A Profession of Many
Faces.11th edition. Bostgon, Mass. Allyn and Bacon.
Pence, Gregory E. (2007) Recreating Medicine: Ethical Issues at the frontiers of Medicine.
Lanham, MD: Rowman and Littlefield.
Peter Conrad. (2005) Sociology of health and illness, 7th editions. New York:Wadsworth
publishers.
Phil Brown. (2007) Perspectives in medical sociology 4th edition, Illinosis: Waveland Press.
Porter, Dorothy. (1997) Social Medicine and Medical Sociology in the Twentieth Century.
Welcome Institute for the History of Medicine: London.
Doyal, Lesley.1995.What Makes Women Sick: Gender and the Political Economy of Health.
London: Macmillan.
Page 73
Sociology

Ort-Gomer, K.And M.A.Chesney.1997. Social Stress/ Strain in Heart Disease in
Women.Desmond.J. and Wenger,N.K(eds.), Women and Heart Disease.
Gillian Bendelow, Lynda Birke and Simon Williams (2003) Debating Biology: Sociological
Reflections on Health, Medicine and Society. Routledge: London.
Hannah Bradby. (2008). Medical Sociology: An introduction. Sage Publications: London.
Jonathan Gabe, Mike Bury and Marry Ann Elston. (2006)Key Concepts in Medical Sociology.
Sage Publication: London.
Karunatissa Athukorala (1998). Suicide Problem & Prevention. Graphic Land: Kandy.
Morales, Armando T. and Sheafor, Bradford. (2009). Social Work: A Profession of Many
Faces.11th edition. Bostgon, Mass. Allyn and Bacon.
Pence, Gregory E. (2007) Recreating Medicine: Ethical Issues at the frontiers of Medicine.
Lanham, MD: Rowman and Littlefield.
Peter Conrad. (2005) Sociology of health and illness, 7th editions. New York:Wadsworth
publishers.
Phil Brown. (2007) Perspectives in medical sociology 4th edition, Illinosis: Waveland Press.
Porter, Dorothy. (1997) Social Medicine and Medical Sociology in the Twentieth Century.
Welcome Institute for the History of Medicine: London.
Journals on Health
American Journal of Public Health
Journal of the American Medical Association (JAMA)
Journal of the American Sociological Association (JASA)
Journal of Health and Social Behavior
Journal of Medicine International
Journal of Social Science and Medicine
Journal of Epidemiology and Community Health
Journal of Occupational Medicine
Journal of Gerontology
Journal of Social and Clinical Psychology
Reproductive matters
Culture, Medicine and Psychiatry: An International Journal of Comparative Cross- Cultural
Research
New England Journal of Medicine
ETHOS Journal of Psychological Anthropology
International Family Planning Perspective
WHO Publications
Sri Lankan Ministry of Health and Indigenous Medicine Publications
Page 74
Sociology

Useful websites
Human Development report: http://hdr.undp.org/reports/
SocioSite: Sociology of Health:http://www.sociosite.net
World health report: http://www.who.int/whr/en/
Bulletin of the world health organization: http://www.who.int/bulletin/en/
World development report: http://www.worldbank.org/reference/
Gender and health: http://www.id21.org/health/h9vb1g1.html
http://www.reproductiverights.org/pub_bo_wowsa.html
The American Sociological Association Medical Sociology:
http://dept.kent.edu/socilogy/asamedsoc/
Centers for Diseases Control and Prevention, Bioterrorism:
http://www.bt.cdc.gov
Doctor-Patient Interaction Internet Sites
Centre for Communication Programs, Johns Hopkins University.
http://www.jhuccp.org
Diversity Rx.
http://www.diversityrx.org
National Association of social workers (NASW)
www.socialworkers.org
Social Work--The New Social Worker Online--Magazine for Social work articles, social work
jobs, and more.
www.socialworker.com
Source for Social Work professional advice, inspiring stories
www.helpstartshere.org
5.9.4. Evaluation
In Course assessment
Group Presentation
Term Paper
Quiz
End of course Assessment
4 SEQ - 2 hours
40%
10%
20%
10%
60%
Page 75
Sociology
5.10. Microbiology
[Person in Charge- Teacher in charge of Microbiology]

The course is designed to provide basic knowledge of scientific basis of Microbiology
which includes General Microbiology, Bacteriology, Virology, Mycology, Immunology and
Clinical Microbiology in relation to pathogenesis, laboratory diagnosis, prevention and
treatment of infective diseases and basic practical skills in staining and microscopy relevant to
the diagnosis of bacterial infections.
At the end of the course in general microbiology the students should be able to,
Classify the Micro organisms & define the terminology commonly used in Medical
Microbiology
Describe the mechanisms of Bacterial infections
Describe the morphology & physiology of bacteria
Compare & contrast various sterilization, disinfection, antisepsis methods and describe
their practical uses
Compare & contrast the major antibacterial substances & describe the positive &
negative aspects of each
Outline the flow of bacterial genetic information & Resistance formation
At the end of the course in immunology the students should be able to,
State the Cells of immune system and their organization
Outline the antigen recognition and processing of antigens
Outline the HLA system
Classify the Immunoglobulins and state the structure, role in defense and disease
Describe the antigen-antibody (receptor) reactions: mechanisms, consequences
(Protective immunity disease, diagnostic use) different ways or detecting antigenantibody reaction agglutination, complement fixation, precipitation, ELISA, RIA
Immunoflourcence etc and their application in clinical practice.
Outline the immune response: Primary and secondary
Describe the immunopathology: Hypersensitivity: classification and mechanisms
Describe the immune reaction in relation to infective disease: preventionimmunization (active & passive), treatment, immunotherapy & diagnosis-serology,
antigen detection
At the end of the course in bacteriology the students should be able to,
Describe bacteria of medical significance with regard to pathogenicity and culture
requirements in relation to collection and transport of specimen
Discuss antigenic structure in relation to identification, pathogenecity and specific
prophylaxis
Describe the resistance to physical and chemical agents and antibiotic sensitivity
pattern
Page 76
Microbiology
Compare and contrast the methods of laboratory diagnosis
At the end of the course in mycology the students should be able to,
Describe the General properties, structure in relation to identification, growth,
antifungal drugs, and mechanisms of pathogenicity of medically important fungi
At the end of the course in clinical microbiology the students should be able to,
Describe the normal flora of human body in relation to collection of specimens,
interpretation of tests, endogenous infections and cross infections
Describe microbiological investigation of infective diseases and interpretation of
results with respect to the concepts of sensitivity, specificity, predictive value and
efficiency.
Describe the infections of CNS, RT, GIT and UR and STD in relation to epidemiology,
pathogenisis, collection of specimens, clinical presentation, diagnosis &preventive
measures
At the end of the course in virology the students should be able to,
Discuss the epidemiology (including transmission, seasonality [if applicable],
typical age group affected, etc), clinical manifestations, and laboratory diagnosis
(including specimen collection, tests commercially available, and the advantages
&disadvantages of those tests) of infection
The teaching &learning methods include lectures, practical classes, student
centered tutorials and video shows. Handouts are given to the students prior to the
lectures. The lectures are interactive with questions are asked during the lectures and
depending on the student response, topics are given to small group s of students to
prepare and deliver 5 minute presentation at the next lecture.
Students are evaluated by three different types (SEQ, MCQ, OSPE) of in course
assessments before the end course assessments.
Term 5
1
1
1
1
1
1
2
1x4
1x4
Lecture
Lecture
Lecture
Lecture
Lecture
Lecture
Lecture
Tutorial
Practical
General Microbiology
Morphology and Nature of Bacteria
Classification of Micro organisms
Growth and Nutrition of Bacteria
Mechanisms of Bacterial infection
Sterilization and disinfection
Bacterial genetics
Antimicrobial agents
General Microbiology
Microscopy
Page 77
Microbiology

1x4 Practical
1x4 Demonstration
1
1
1
1
1
1
1
1
1
1
1
1
1x4
Lecture
Lecture
Lecture
Lecture
Lecture
Lecture
Lecture
Lecture
Lecture
Lecture
Lecture
Lecture
Tutorial
Sterilization & disinfection

Gram staining
Basic and Applied Immunology
Innate and Acquired Immunity
Recognition and processing of antigens
Cells of the immune system and their organization
Immunoglobulins
Antigen Antibody reactions
Humeral antibody response
Cell mediated immunity
Cytokines and their role in the immune response
Hypersensitivity reactions
Auto immune diseases
Immuno-deficiency diseases
Immunization: Active & passive
Basic and Applied Immunology
Term 6
1
1
1
Lecture
Lecture
Lecture
Systematic Bacteriology
Staphylococcus
Streptococcus
Gram negative cocci
Lecture
Parvobacteriaceae(haemophilus, Brucella, Bordetella, Pasteurella,

Legionella, Yesinia)
Lecture
Enterobacteriaceae- (Salmonella, Shigella and other

Enterobacteriaceae)
1/2
1/2
1
1x4
Lecture
Lecture
Lecture
Tutorial
Lecture
Gram negative bacilli ( Pseudomonas )

Aerobic Gram positive bacilli- (Corynebacteria, Listeria)
Anaerobic Gram positive bacilli
Systematic Bacteriology
Curved Gram negative bacilli- (Vibrio, Helicobacter,
Campylobacter)
1/2
1
1
1x4
Lecture
Lecture
Lecture
Practical
Actinomycetes, Nocardia
Mycobacteria
Spirochaetes- (Treponemes, Leptospira and Borrelia)
Acid Fast staining
1/2
Lecture
Mycoplasma,Ureaplasma
Page 78
Microbiology

1
Lecture
1
1
1
1
1
1
Lecture
Lecture
Lecture
Lecture
Lecture
Lecture
Chlamydia and Rickettsiae

Mycology
Introduction to mycology- (General properties of fungi, medical
importance,culture and identification)
Superficial mycoses
Candida infections
Subcutanious mycoses
Systemic mycoses
Aspergilus, other Filamentous fungi and opportunistic infections
Demonstration of skin scrapings and KOH mount. Gram staining

1x4 Practical for fungi
1x4 Tutorial Mycology
Virology
1 Lecture General properties of viruses
1 Lecture Laboratory techniques in diagnostic virology
1 Lecture Pox,Adeno,Parvo ,Papova viruses
1 Lecture Herpes viruses
1 Lecture Retro viruses
1 Lecture Arbo viruses
1 Lecture Respiratory viral infections
1 Lecture Enteric viruses
1 Lecture Hepatitis viruses
1 Lecture Oncogenic viruses
1x4 Tutorial Virology
Demonstration of common serological tests (SAT, ELISA, Rapid
1x4 Practical methods)
Term 7
Clinical Microbiology
1
2
1
1x4
2
1
1
1
Lecture
Lecture
Lecture
Practical
Lecture
Lecture
Lecture
Lecture
Hospital Acquired Infections

Respiratory Infection
Antimicribial use in clinical practice
ABST
Anaerobic infections
UTI
CNS infections
Infective Endocarditis
Page 79
Microbiology

1
2
1
2
1
1
1
2
1
2x4
Lecture
Lecture
Lecture
Lecture
Lecture
Lecture
Lecture
Lecture
Lecture
Tutorial
Sepsis
STD
Infections in pregnancy , fetus and neonates
Gastrointestinal infections
Skin, wound and soft tissue infections
Collection and transport of specimens
Infections in the compromised host
Zoonotic diseases
Emerging infections
Clinical Microbiology
Sputum examination (Gram staining, culture and ABST) and

2x2 Practical demonstration of Pneumococci and Mycobacterium Tuberculosis
1x4
1x5
1x6
1x7
Practical
Practical
Practical
Practical
Demonstration of Lumbar puncture, collection of CSF, storage and

transport
Demonstration of collection of Blood, transport and culture
Demonstration of throat swab, transport and culture
Demonstration of urine collection, transport and culture
Summary
Lecture
Tutorial
Practical
Total
Term
5
20
2
3
25
Term
6
28
3
3
34
Term
7
21
2
7
30
Total
69
7
13
89
Credits
4.6
0.5
0.4
5.5
5.10.3. References
Textbooks
1. Medical Microbiology. Greenwood, D. Slack, R.C.B. and Peutherer, J.F. 16th edition,
Edinburgh: Churchill, Livingstone, 2004.
2. Review of Medical Microbiology and Immunology. Levinson, W and Jewetz, E., 9th
edition, New York: Appleton & Lange, 2006.
3. Medical Microbiology. Mims, C., Dockrell, H.M., Goering, V.R., Roitt, I., Wakelin, D.
and Zuckerman, M., 3rd edition, Edinburgh: Elsevier, 2004.
4. Human Virology. Leslie Collier and John Oxford, 3 rd edition, New York: Oxford
University press, 2006.
5. Notes on Medical Bacteriology. Sleigh, D.J. and Timbury, M.C, 5th edition, New York:
Churchill Livingstone, 1998.
Page 80
Microbiology

6. Roitts Essential Immunology. 10th edition, Massachusetts : Blackwells,2001
Reference Books
1. Principles and of Infectious Diseases Vol 1&2. Mandell, G.L., Bennett, J.E. and Dolin, R,
6thedition ,Philadelphia :Churchill Livingstone, 2005.
2. Text book of Microbiology. Ananthanarayanan, R. and Panikar, C.K., 6th edition, India:
Orient Longman Ltd, 2000.
3. Medical Microbiology. Murray, P.R., Rosenthal, K.S. and Pfaller, M.A, 5th edition,
Philadelphia: Elsevier, 2005.
4. Cellular and Molecular Immunology. . Abbas, A.K., Lichtman, A.H. and Pober J.S, 4th
edition, Philadelphia: W.B. Saunders Company, 2000.
5. Mahttp://www.immunizationinfo.org/
6. www.immunofacts.com
7. www.who.int/vaccines/
8. www.partnersforimmunization.org/
9. www.acpm.org/adult.htm
5.10.4. Evaluation
Type of Examination
1
2
2.1.
2.2.
2.3.
2.4.
In course
Assessment:
End of the course
MCQ
Essay
OSPE
Viva
Distribution
of MarksFirst
examination
Distribution
of Markssubsequent
examinations
Qualifying
pass marks
(%)
3 assessments- Essay,
MCQ and OSPE
20
80
30
30
10
10
No. of hrs No. of
question etc.
100
35
35
15
15
30 questions-1hr 30 min
4 questions-2hrs
1 Hour
10 min/ student
40 in
theory
Page 81
Microbiology
5.11.Parasitology
[Person in Charge- Person in Charge of Division of Parasitology]

The aim of the course is to develop basic knowledge and skill to identify the parasites,
diagnose the diseases caused by them, manage the patients, prevent and control parasitic
diseases. At the end of the course the students should be able to,
State the definitions and classification of parasites
Describe the geographical distribution, life cycle, morphology at different stages,

sources of infection and mode of transmission of each parasite with a view of prevention
and control of parasitic diseases.
Identify the parasites at different stages of life cycle, their vectors and hosts by
macroscopic or microscopic examination as appropriate.
List the organs or the systems affected by the parasites and describe the pathogenesis,
signs and symptoms
Describe the sample collection methods, transport and laboratory diagnosis of parasitic
diseases.
Perform stool examination for intestinal parasites and blood smear staining for malaria
and filarial parasites.
Outline treatment of parasitic illnesses and management of patients.
Describe the prevention and control of each parasitic illness
Describe the parasitic zoonotic diseases
Identify the medically important snakes and the basis of management of snake bite.
Motivated to use the knowledge and skills obtained in the subject to understand the
problems and management of their patients during clinical clerkships at the Teaching
Hospital.
The teaching / learning methods include lectures, practical classes, tutorials and modified
small group discussions. Students are encouraged to actively participate in the activities.
Handouts and copies of power point presentations are given to students as learning materials.
Students are evaluated by two in course assessments and end of course assessments.
Formative evaluations will be conducted frequently and the answers will be discussed with the
students.
Page 82
Parasitology

Term 6
Protozoa
1
1
1
1
1
1
3
Lecture
Lecture
Lecture
Practical
Practical
Practical
SGD
3
1
1
3
1
1
1
1
1
3
Lecture
Practical
Practical
Lecture
SGD
Lecture
Lecture
Lecture
Practical
Practical
SGD
Alimentary system
Amoebiasis
Amoebiasis + Balantidiasis
Giardiasis + Cryptosporidiosis
Use of microscope [4 groups 45 min each]
Amoebiasis [4 groups 45 min each]
Balantidiasis+ Giardiasis [4 groups 45 min each]
Diarrhoea - 4 groups
Blood and other organs
Malaria
Malaria (Demonstration) [4 groups 45 min each]
Malaria (staining) [4 groups 45 min each]
Malaria [4 groups]
Leishmaniasis
Trypanosomiasis
Toxoplasmosis
Leishmaniasis + Trypanosomiasis [4 x 45 min each]
Trypanosomiasis + Toxoplasmosis [4 x 45 min each]
Leismaniasis [4 groups]
Reproductive system
Trichomoniasis
Term 7
Helminthes
1
1
1
1
Lecture
Lecture
Lecture
Practical
3
1
1
1
3
1
SGD
Lecture
Lecture
Lecture
Practical
Lecture
Alimentary system
Ascariasis & Trichuriasis
Hookworm disease & Strongyloidiasis
Enterobiasis, Trichinellosis
Ascariasis & Trichuriasis + Hookworm disease+
Enterobiasis & Trichinellosis [4 groups 45 min each]
Nematodes
Adult cestodes
Hydatid disease & cysticercorsis
Larvae migrans
Adult cestodes + Hydatid disease [4 groups 45 min each]
GI tract Trematodes
Page 83
Parasitology
1
1
1
1
1
1
3
3
Lecture
Practical
Lecture
Lecture
Practical
Practical
SGD
SGD
1
1
1
1
3
1
1
1
3
Lecture
Lecture
Lecture
Practical
SGD
Lecture
Lecture
Practical
SGD
Blood & Lymphatic system

Schistosomiasis + Other trematode
Trematodes
Lymphatic filariasis
Lymphatic filariasis + Tropical Pulmonary eosinophilia
Filariasis
Stool examination
Nematodes
Cestodes & Trematodes
Arthropods
Mosquitoes
Mosquito control
Flies+ Myasis
Mosquitoes + Flies [4 groups 45 min each]
Mosquitoes + Mosquito control
Scabies+ Typhus mite
Lice+ Fleas + Ticks
Scabies + Lice+ Fleas + Ticks [4 groups 45 min each]
Ectoparasites
Lecture
Lecture
Practical
SGD
Snakes
Snakes classification & identification
Snake bite treatment & management
Snakes [4 groups 45 min each]
Snake bite
Lecture
SGD
Zoonosis
Parasitic Zoonosis
Parasitic Zoonosis
1
1
1
3
1
3
Summary
Term 5
Lecture
SGD
Practical
Total
Term 6
10
3
7
20
Term 7
18
7
10
35
Page 84
Parasitology
Total
28
10
17
55

5.11.3. References:
Textbooks
1) Text book of Medical Parasitology. C K Jayaram Paniker, 6th edition, New Delhi: Jaypee
Brothers, 2007.
2) Parasitology (Protozology and Helminthology) in relation to clinical Medicine. Chatterjee,
K.D, 12th edition, Calcutta: Chatterjee medical publishers, 1980.
3) Basic Clinical Parasitology. Franklin A Neva, 6th edition, East Norwalk: Prentice Hall
International Inc, 1996.
4) Entomology for students of Medicine. Gordon R M and Lavoipierre M M J, Blackwells
Scientific Publications, 1978.
Reference Books
1) Mansons Tropical Diseases. Gordon Cook and Alimuddin Zumla, 21st edition, Saunders,
2002.
2) Toply and Wilsons Microbiology and Microbial Infections.Volume 5. 10th edition, ASM
Press, 2005.
5.11.4. Evaluation of Parasitology
Type of Examination
1
2
2.1.
2.2.
2.2.1
In course
Assessment:
End of the course

Essay
Practicals:
Stool
Examination
2.2.2 Spots
2.3. Viva
Distribution
of MarksFirst
examination
Distribution
of Markssubsequent
examinations
15
Details of evaluationNo. of hrs No. of

question etc.
2 Theory Papers + 2
Spots
85
50
100
60
4 questions-2hr
20
20
20 min/group
5
10
5
15
20 min/group
10 min/ student
Qualifying
pass marks
(%)
40%
Page 85
Parasitology
5.12. Community and Family Medicine

[Person in Charge- Head Community Medicine]

The objective of the course is to develop knowledge, skills and attitudes of the students to be
able to improve individual, family and community health and disease prevention. At the end
of the course the students should be able to,
Describe the health information systems.
Obtain and interpret the health statistics and demographic data with emphasis on trends.
Assess evidence with respect to validity and reliability and arrive at conclusions by way
of logical deductions.
Describe the epidemiology, prevention and control of the communicable and noncommunicable diseases.
Identify illnesses that are prevalent in the community and health issues of the
community and institute appropriate remedial and control measures.
Identify social factors in the society that affect health and implement preventive,
curative and rehabilitative measures at community and social level.
Describe the interaction between people and the environment in relation to health and
diseases and improve the interaction in a way to improve the health of the people while
preserving the nature.
Describe the factors that contribute to reproductive health and implement measures to
improve it through sex education, family planning and maternity and child health.
Exhibit leadership skills and work as a leader or a member of a team depending on the
situation.
Describe local and international health care strategies and systems.
Describe health promotion methods available for individuals, families and community,
implement them and evaluate the activities.
Describe the appropriate food and nutrition for all stages of life and disease conditions
and the importance of balance diet to maintain good health.
Develop food habits that promote the quality of life and health out of locally available
and affordable food.
Describe and practice ethical and legal issues relating to doctor-patient relationship,
interactions with other health professionals and with the society as a whole.
Develop, maintain and promote personnel characteristics and attitudes for a career as a
health professional.
The teaching / learning activities include lecture-discussions, tutorials, research,
seminar, family attachment, field activities, case studies, and visits to community health
institutions and attachment to primary health care institutions and administrative offices.
Page 86
The lecture-discussions vary from traditional lecture to working out solutions to

statistical and community problems. Tutorials are open discussions with students.
Research is undertaken by students singly or in small groups on any field of interest after
a series of lectures on research methodology. The research is supervised jointly by one
staff member of the Department of Community Medicine and a senior teacher or
professional relevant to the field of research.
With regard to seminar, students are expected to prepare 10 minute presentation on a
topic of their interest followed by a short question time. The assessment includes the
ability to answer questions.
With regard to family attachment, students in groups of two or three are allocated a
family in the Community Project Area [Nallur MOH area] that has health problems.
The students have to follow the progress of the family in health issues and submit a
report.
Note: Medical sociologist will assist/ supervise this activity in addition to the
Departmental staff. Students are expected to get guidance from the sociologist who
would be available in the Department for consultation and will accompany to the family
if needed.
For field activity, each student should identify a health related problem and carryout an
activity to solve it such as health education, environmental sanitation etc.
For case studies, students select three cases which are interesting to learn the health
system of Sri Lanka and seen by them during their clinical appointments and follow
them in the wards and at home to understand the impact of it. Finally they submit a
report on the observations that they made about the role of the health system in the
management of the selected cases. The three cases have to be from any three of the
following groups: malnourished child, a communicable disease, patient with chronic
illness, a pregnant mother with complication, or a case identified by a consultant.
Institutional visits are study tours organized by the department to big institutions of
health concerns like factories for occupational health demonstrations, orphanages and
institutions for differently abled children or persons. Students are given detailed
objectives for the visit of each institution.
Clinical attachments include attachment to primary health care institutions including
Family Health Centre at Divisional Hospital Kondavil. Students follow the Preventive
and MCH activities of the Health department in the project area and learn health
administration by posting to RDHS office and Directors office Teaching hospital
Jaffna, and a Divisional Hospital.
Continuous in course assessments are conducted during the course. Assessment of clinical
attachment includes log book, portfolio and health education. The research, family attachment
and case study are evaluated on the reports submitted by individual students at the end of the
work and a viva on the work they have done. Field activity is supervised by a staff member
and marked. The students are evaluated by MCQ after visiting various institutions.
Page 87

Phase 1
Term 2- Principles of Community Medicine
1
Lecture
Health care services

Definition of health; concepts of disease; determinants of
disease; disease
Lecture
Prevention at different levels; definition and components of

Primary Health Care
Lecture
Organizational structure of health delivery systems and

health manpower in Sri Lanka
Lecture
Burden of disease (Morbidity & Mortality)
Lecture
Statistics
Appropriate summary statistics and graphical methods for
describing a data set
1
1
Lecture
Lecture
Sociology
Family, structure & Function
Relationship between patient, family and community
Lecture
Social stratification, Social class & social mobility

Summary
10 Lectures
Term 3- Community Survey

4
6
2
1
Lecture
Visit
Seminar
Exam
Introduction to survey methods

Community visit for survey
Survey Findings
In-course assessment
Summary of Phase I
Activity
Lecture
Field visit
Seminar
Exam
Total
Term
1
Term
2
10
10
Term
3
4
6
2
1
13
Term
4
10
20
Page 88
Total
30
Phase II
Term 5
1
1
1
Lecture
Lecture
Lecture
Lecture
Lecture
1
2
1
Lecture
Lecture
Lecture
4
1
1
2
2
1
2
2
2
Demography 1
Definitions
Factors affecting size and composition of the population
Sources and collection of vital statistics
Statistics 1
Appropriate summary statistics and graphical methods for
describing a data set
Normal distribution
Basic Epidemiology 1
Concepts
Measures of morbidity and mortality
Certification of Death & its importance
Epidemiological study designs (descriptive, analytical,

Lecture
trials, and experiments)
Lecture
Surveillance
Child Care
Lecture
Child care- the need
Lecture
EPI
Lecture
Growth monitoring
Nutrition
Discussion Basic Nutrition
Lecture
Common nutritional problems
Lecture
Causes and prevention of Malnutrition
Lecture
Nutritional assessment
Term 6
1
2
1
Lecture
Lecture
Lecture
Reproductive Health1
Definition & concepts
Family health programme in Sri Lanka
Safe motherhood
Lecture
1
1
Lecture
Lecture
Environmental & Occupational Health 1

Sources and effects of environmental pollution & ,
prevention
Food safety and sanitation
Housing, water supply
1
1
Lecture
Lecture
Communicable Diseases
Epidemic, endemic, and pandemic diseases
Notification
Page 89

1
1
4
3
3
2
2
1
Lecture
Lecture
Lecture
Lecture
Lecture
Lecture
Lecture
Lecture
Investigation of an epidemic
Control and prevention of diarrhoeal diseases
Food borne diseases
Vector borne diseases
Air borne diseases
Sexually transmitted diseases
Zoonosis
Skin diseases
Term 7
1
2
Lecture
Lecture
Health Planning &Management 1

Health indicators
National health information systems
1
1
Lecture
Lecture
Health Economics 1
Introduction
Different models
1
1
1
Lecture
Lecture
Lecture
Health Education 1
Definition& concepts
Health belief model
Health education materials
1
2
Lecture
Lecture
Lecture
2
1
Lecture
Lecture
3
1
2
Lecture
Lecture
Lecture
1
1
1
1
Lecture
Lecture
Lecture
Lecture
Family Medicine 1
The principals of Family practice
Specific health problems related to stages in the individual
family life cycle
Concept of the doctor patient relationship in family
practice & process of consultation in primary medical care
Principles of patient management & prescribing
Patient compliance & factors that influence it
Basic Epidemiology-2
Determining factors in causation of disease
Quality of data
Concept of screening
Research 1
Types of research (qualitative and quantitative)
Stages in research project
Literature survey
Writing objectives
Page 90

1
1
1
1
5
Lecture
Lecture
Lecture
Lecture
Research
Writing references
Writing project proposal
Preparing questionnaire
Ethics in Research
Writing and submitting research proposal
Phase III
Term 8
Statistics-2
Confidence intervals
Sampling methods and Sample size calculation
Tests of statistical significance
2
3
4
Lecture
Lecture
Lecture
1
1
2
1
1
1
1
Lecture
Lecture
Lecture
Lecture
Lecture
Lecture
Lecture
1
1
1
60
Lecture
Lecture
Lecture
Research
Non Communicable Diseases

Disease surveillance
Prevention programmes
Diabetes
Cardio vascular diseases
Cancer
Mental health
Others
Research-2
Data Collection technique
Preparation of questionnaire
Writing research project report
Data collection, analysis and submission of the report
1
1
1
1
Lecture
Lecture
Lecture
Lecture
Statistics-3
Presentation of data
correlation coefficient and linear regression
standardization of mortality and morbidity statistics
Standardization of mortality and morbidity statistics
Lecture
Family Medicine- 2
Caring for an ill person in the home
Lecture
Medical records in family practice
Lecture
Management of terminally ill patient, death and

bereavement by the family physician
Lecture
Prescribing & writing prescriptions
Page 91
30
30
30
96
48
Elective Field activities

Student identify a health related problem and carryout an
Field
activity such as health education, environmental sanitation
activity
etc
Students select three cases seen by them during their clinical
appointments and follow them in the wards and at home and
submit a report about their progress. The three cases have
Case study to be from any three of the following groups: malnourished
child, a communicable disease, patient with chronic illness,
a pregnant mother with complication, or a case identified by
a consultant.
Students in groups of two or three are allocated 1 family.
Family
attachment They have to follow the progress and submit report.
Clinical attachment
Clinical
Community Medicine Clerkship- 22 visits
MOH/PU -2 weeks
Clinical
Term 9
2
1
1
3
2
1
2
1
1
1
1
Lecture
Lecture
Lecture
Lecture
Reproductive Health-2
Maternal and child health services
Prevention of maternal deaths
Nutrition and MCH
Family planning and fertility control
Lecture
Lecture
Lecture
Lecture
Lecture
Lecture
Lecture
Environmental & Occupational Health-2

Housing, water supply
Urbanization and industrialization
Disposal of refuse & excreta
Food and Drug control
Environmental laws and legislations
Disability
Substance abuse
Family Medicine- 3
Organization of a family practice
Management of Common conditions
Sexual problems in General Practice
Sexual problems in General Practice
2
10
1
2
Lecture
Lecture
Lecture
Panel
Discussion
Panel
Ethics and Legal implications related to patient care
Discussion
2
2
Workshop
Workshop
Prescribing & prescription writing

Writing medical certificates & certification of death
Page 92
2
1
1
1
Lecture
Lecture
Lecture
Lecture
Health Planning &Management-2

Planning process
Monitoring and evaluation of health programmes
Inspection and supervision
Evaluating health care quality
Term 10
Lecture
Lecture
Health Economics-2
Current health expenditure pattern in Sri Lanka
Future challenges in health financing
1
1
Lecture
Lecture
Health Education-2
Health promotion and COMBI
Health education programmes
1
1
1
1
Lecture
Lecture
Lecture
Lecture
Reproductive Health-3
Adolescent health
School health services
Gender issues
Well Woman Clinics
2
1
Lecture
Lecture
Environmental & Occupational Health-3

Occupational health
Disaster management
Lecture
Lecture
Health Planning &Management- 3

Administrative management in a institution
Financial management in a institution
Lecture
Lecture
Lecture
Lecture
Lecture
Special topics
Millennium Development Goals
Accidents
International health regulations
Problems of the elders & care
War and Public health
1
1
2
2
1
2
1
2
1
2x10 Tutorial
All topics
Page 93
Summary of Phase II and III

Lecture
Tutorial
Field work
Research
Seminar
Clinical
Total
Term
5
16
Term
6
19
Term
7
35
Term
8
23
0
90
5
0
Term
9
15
0
0
60
0
Term
10
31
0
0
0
0
16
19
35
118
75
31
Term
11
Total
31
170
10
10
0
90
0
65
8
8
288
49
631
5.12.3. References:
FIELD WORK
Hand out prepared by the Department of Community Medicine.

TEXT BOOKS [Students are advised to use the last edition]
1. Parks Textbook of preventive & social medicine. Park.K, 19th edition, Jabalpur:
Banarsidas Bhanot, 2007.
2. Practical epidemiology. Barker D J P. and Hall A J, 4th edition, Edinburgh: Churchill
Livingstone, 1991.
3. Lecture notes on epidemiology and Public health medicine. Richard Farmer and Ross
Lawrenson, 5th edition, Oxford: Blackwells publishing, 2004
4. Bradford Hills Principles of medical statistics. Austin Bradford Hill and Hill I D. New
Delhi: B I Publications, 1991
5. Statistics at square one. Swinscow T D V, London: British Medical Association, 1978.
6. Occupational Health An introductory course for Health workers. Herath H M S S D
(Ed). Sri Lanka: Ministry of Health, 1990
7. Survey methods in Community Medicine: Epidemiological studies, Programme
evaluation, clinical trials. Abrahamson J H. 4th edition, Edinburgh:
Churchill
Livingstone, 1990
8. Learning Research. Sivagnansundram C. 2nd edition. Jaffna: Published by author 2003
9. Lecture Notes in Family Medicine. Nandani de Silva, Colombo: Published by author,
2000.
Page 94

REFERENCE BOOKS
1. International Statistical Classification of Diseases and related Health Problems. 10th
Revision, Geneva: World Health Organization 1994. (ICD 10)
2. International Statistical Classification of Diseases 9th Revision, Geneva: World Health
Organization 1975. (ICD 9)
3. Oxford Text Book of Public Health 4th edition. Edited by Roger Detels et al. New York:
Oxford University, 2002.
4. Theory and Practice of Public Health. Hobson W. 5th Edition, Oxford: Oxford University
Press.1980.
5. Essentials of Family Medicine. 5th edition, Edited by: Slone DP et al, Philadelphia:
Lippincott, 2007.
6. SLMA guidelines and Information on vaccines. Sri Lanka Medical Association, Colombo,
2008.
5.12.4. Evaluation
Type of
Examination.
Phase I
Distribution
of MarksFirst
examination
Distribution
of MarksDetsails of Evaluation.
subsequent
examinations
Clerkship
Assessment
2
3
4
5
6
7
a) Attitude and
application (AA) (2)
b) Health education. (3)
c) A paper with
Structured Essay
Questions (SEQ) (5)
d) Portfolio Assessment
(5)
Project report and viva.
Report and field
assessment
Report and field
assessment
Report and field
assessment
15
Research Project.
15
Field activity
Case studies
Family study
End course written

paper.
Viva
Total
Qualifying
pass marks
(%)
40
70
3 hr, 6 questions.
10
100
30
100
20 min./student.
40 % for
each
component
40
Page 95
5.13. Forensic Medicine

[Person in Charge- Head Forensic Medicine]

The objective of the course in forensic medicine is to develop adequate knowledge, skills and
attitudes to enable the students to fulfill the medico-legal obligations. At the end of the course
the student should be able to,
Describe the basic forensic procedures, supervise them and interpret the result.
Describe the ethical issues in medical practice and the bodies that govern the
adherence to the ethical practices.
Perform postmortem, describe, identify and report ante mortem and post mortem
injuries
Describe, diagnose and report the causes of death.
Examine, Identify, diagnose and report victims of sexual offences/child abuse and all
kinds of abuses.
Give appropriate evidence in a court of law

The teaching / learning methods include lectures, tutorials, museum demonstrations and
clinical attachment. Evaluation is conducted at the end of the course.
The course contributes to outcome numbers 1and 6.
Term 5
Introduction
1
Lecture
Introduction to Forensic Medicine branches, scope and

the need
Lecture
1
1
1
Lecture
Lecture
Lecture
Legal system of Sri Lanka with special reference to

practice of medicine
Medico-legal services in Sri Lanka
Medico legal Duties of MOO
Reports MLEF/MLR
Medical Ethics
1
1
Lecture
Lecture
International code of medical ethics

Medical ethics in practice
Lecture
Lecture
Medical confidentiality, testamentary capacity, fitness

to plead, dying deposition and dying declaration
Consent to medical treatment
Lecture
Roles and responsibilities of a doctor in maintaining

relationships
Page 96
Forensic Medicine

1
1
1
1
Lecture
Lecture
Lecture
Lecture
Medical negligence
SLMC
Health care rights
Research Ethics
Lecture
2x4
Tutorial
Controversial Issues: abortion, euthanasia, death

penalty, cloning, HIV/AIDS, Organ transplantation
Medical Ethics
Term 6
Death and Postmortem
1
1
2
1
Lecture
Lecture
Lecture
Lecture
Lecture
1
1
2
Lecture
Lecture
Lecture
Lecture
1
2
1
Lecture
Lecture
Lecture
Lecture
1
2
1
1
1
1
3x4
Lecture
Lecture
Lecture
Lecture
Lecture
Lecture
Tutorial
Introduction to routine Autopsy and techniques

COD, mode of death and circumstances of Death
Sudden deaths/Natural deaths
Law of murder and homicide
Un-natural deaths - murder, homicide, accident and
suicide
Reports PM report and Medical certificates
Inquest
Medico legal aspects of death
Changes after death and Estimation of Time since
death
Postmortem artifacts
Identification of living and death
Investigation of a crime and Doctor at scene of crime
Body fluid and tissue analysis in forensic practice
including collection, packing and
Transport of specimens to laboratories.
Exhumation and excavation
Trace evidence
SIDS and Negative Autopsy
Forensic aspects of blood
Court procedure & Expert Testimony in Courts
Page 97
Forensic Medicine
Term 7
Injuries
1
2
1
1
2
1
2
3
1
2
1
2
1
1
2
1
Lecture
Lecture
Lecture
Lecture
Lecture
Lecture
Lecture
Lecture
Lecture
Lecture
Lecture
Lecture
Lecture
Lecture
Pathology and Pathophysiology of trauma

Introduction
Patterns of injuries
Time of injury
Firearm injuries
Explosive injuries
Drugs of addiction, alcohol and drunkenness
Transportation injuries
Explosive injuries
Thermal injuries
Electrical injuries
Head injuries
Sequalae and complications of injuries
Classification of injuries for legal purposes
Lecture
Regional Injuries
Thoracic Injuries, neck injuries, abdominal injuries,
injuries to spinal cord
Forensic radiology and Forensic Photography
Wounds & Injuries
Lecture
1
Lecture
2x4 Tutorial
3x4 Museum
48
Clinical
Wounds & Injuries

Clinical Appointment
Term 8
Asphyxia
1
1
1
1
1
1
1
1
1
1x2
Lecture
Lecture
Lecture
Lecture
Lecture
Lecture
Lecture
Lecture
Lecture
tutorial
Introduction
Drowning
Strangulation
Hanging
Throttling
Smothering
Chocking
Traumatic asphyxia
Auto-erotic asphyxia
Asphyxia
Page 98
Forensic Medicine
Term 9
3
1
1
2
2
1
1
2
1x4
Lecture
Lecture
Lecture
Lecture
Lecture
Lecture
Lecture
Lecture
tutorial
Sexual offences
Abortion
Infanticide
Child abuse
Torture and human rights violence
Mass disaster
Starvation & Neglect
Medical aspects of mental diseases
Sexual offenses and abuses
Poisoning
1
1
1
1
1
1
1
1
2
1x4
2x4
Lecture
Lecture
Lecture
Lecture
Lecture
Lecture
Lecture
Lecture
Lecture
tutorial
Museum
10
Tutorial
Introduction
Corrosive
Metallic
Agrochemical
Food
Plant
Cyanide
Irritants
Drug abuse
Poisoning
Poisoning
Revision tutorials
Summary
Lecture
Tutorial
Museum
Clinical
Total
Term
5
17
2
0
Term
6
24
3
0
Term
7
25
2
3
Term
8
9
1
0
Term
9
23
12
2
19
27
30
10
37
Total
98
20
5
48
171
Page 99
Forensic Medicine

5.13.3. References
1. Simpsons Forensic medicine. Richard Shepherd, 12 edition, London: Arnold, 2003.
2. Lecture notes on forensic medicine. Ree D.J, Oxford: Blachwells,1992.
3. Forensic Medicine & Medical Law. Hemamal Jayawardena, 2nd edition, Sri Lanka:
published by the author,2002.
4. Text book of clinical forensic medicine and forensic pathology. Niriellage Chandrasiri,
Galle: published by the author,1998.
5. The Medico-Legal aspects of injuries. Saravanapavananthan.N, Jaffna: Published by
the author, 1982.
6. Knights Forensic pathology. Pekka Saukko and Bernard Knight,
Arnold, 2004.
3rd
edition, London:
7. Forensic pathology: Practical aspects of criminal investigations. Dominic Dimaio and

Vincent J.M Dimaio, 2nd edition, London: CRC press, 2001.
8. Forensic medicine: a guide to principles. Gordon, H.A.Shapiro and S.D.Berson, 3rd
edition, Edinburg: Churchill Livingstone, 1988.
9. Forensic pathology: A handbook for pathologists. Fisher R S and Petty C S, London:
Castle house, 1980.
10. The pathology of trauma. Mason J.K and B.N Purdue, 3rd edition, Edinburgh : Hodder
Arnold, 2000.
11. Spitz and Fishers Medico legal investigation of death: Guidelines for the application
of pathology to crime investigation. Werner U, Spitz, Daniel J Spitz and Russell S
Fisher, 4th edition, USA: Charles C Thomas, 2006.
12. Medico Legal aspects of injuries. L.B.L.De Alwis, Colombo: L.B.L.De Alwis, 2007.
13. The principles and practice of medical jurisprudence. Alfred Swaine Taylor, Nabu
press, 2010.
14. The principles and practice of medical jurisprudence. A.W. Taylor, Edited by Thomas
Stevanson, Kessinger Pub, 2007.
15. Forensic pathology: A handbook for pathologists. Fisher R S and Petty C S, London:
Castle House, 1980.
Page 100
Forensic Medicine

5.13.4.Evaluation
Type of Examination
1
2
3
End of the course

Essay
Practicals
Viva
Distribution
of MarksFirst
examination
Distribution
of Markssubsequent
examinations
50
20
30
50
20
30
Details of
evaluation No.
of hrs No. of
question etc.
5 questions-3hr
10 spots x 3 min
10 min/ student
Qualifying
pass marks
(%)
40%
Page 101
Forensic Medicine
5.14. Pathology
[Person in Charge- Teacher in Charge of Division of Pathology]

The aim of the course is to develop sound understanding of causation of disease,
macroscopic and microscopic changes that occur in the organs and tissues in the body and to
be able to perform basic diagnostic tests and to interpret the advanced tests. At the end of the
course the students should be able to,
Describe the causative agents of cell injury, acute and chronic response of cells and
tissues to injurious agents and the processes and consequences of cell death.
Describe the normal and abnormal responses of plasma constituents to damage to

blood vessels and their consequences.
Identify the above reactions macroscopically and microscopically.
Describe the response of immune system to antigen and hypersensitivity.
Describe the causes of neoplasm, microscopic and macroscopic appearances, their

effects on the organs and tissues of the body and the principles of management of
patients with neoplasm.
Describe the environmental factors that cause pathological changes in the body and the
features of such changes.
Describe the factors that cause pathological changes, identify the changes
macroscopically and microscopically and correlate the clinical features of such
changes with regard to: cardiovascular system, respiratory system, alimentary system,
musculo-skeletal system, urinary system, endocrine system, reproductive system,
nervous system and lympho-reticulo-haematological system.
Correlate and understand the symptoms, signs, investigations, diagnosis, treatment and
follow up of the patients they see in various wards during the clinical rotations.
Outline the laboratory procedures for investigation of patients and reporting by the
pathologist.
The teaching / learning activities include lectures, tutorials, museum demonstrations and
histology slide demonstrations. Students are posted to the Pathology Laboratory of the
Teaching Hospital for 2 weeks in small groups to learn the laboratory procedures. Students
are evaluated by in-course and end of course assessments.
Page 102
Pathology

General Pathology
Term 5
1
1
3
1x6
Lecture
Lecture
Lecture
Tutorial
1
4
1x6
3
1x6
2
1x6
2
1x6
1
1x6
1
1x6
48
Lecture
Lecture
Tutorial
Lecture
Tutorial
Lecture
Tutorial
Lecture
Tutorial
Lecture
Tutorial
Lecture
Tutorial
Clinical
1
1
1
2
1
1
2
Introduction
Introduction to pathology
Necrosis and gangrene
Cell injury, adaptation and cell death
Cell injury, adaptation and cell death
Extracellular deposition- Calcification, Pigmentation,
Amyloidosis
Acute Inflammation
Acute Inflammation
Chronic Inflammation
Chronic Inflammation
Repair, Regeneration, wound healing
Repair, Regeneration and wound healing
Thrombosis and Embolism
Thrombosis and Embolism
Shock
Shock
Oedema and Congestion
Oedema and Congestion
2 weeks clinical posting
Neoplasm
Lecture Tumours- introduction and classification
Structure and effects of common benign and malignant
Lecture neoplasms
Lecture Spread of malignant tumours
Lecture Aetiology and incidence of tumours
Lecture Immunological aspects of neoplasia
Lecture Diagnosis of cancer
Tutorial Neoplasm
Term 6
1
1
1
Lecture
Lecture
Lecture
Disorders of immunity and immune response

Hypersensitivity reactions
Autoimmune disease
Immunology of tissue transplantation
Page 103
Pathology

1 Tutorial
3x2 Practical
Disorders of immunity and immune response

Histopathology
Clinical Pathology:
1 Lecture
Introduction to Clinical Pathology
1 Lecture
Blood - General considerations, examinations of blood films
1 Lecture
Enzymes in clinical medicine.
1 Lecture
Biopsy in clinical medicine, Collection of specimens
1
Biological rhythms and factors influencing biochemical
Lecture
values.
3x2 Demonstration Museum
Histopathology Slides
3x2 Practical
Systemic Pathology
Term 7
1
Lecture
Tutorial
Lecture
1
1
1
1
1
1
1
1
1
1
1
1
1
1
3x2
3x2
Lecture
Lecture
Tutorial
Lecture
Lecture
Tutorial
Lecture
Tutorial
Lecture
Lecture
Lecture
Tutorial
Lecture
Lecture
Demonstration
Practical
Environmental disease
Pneumoconiosis, Tobacco smoke, Injury by chemical agents
including alcohol, Injury by physical agents, Nutritional
disease
Environmental disease
Infectious diseases- nosocomial infection, clostridial
infections, HIV
Cardiovascular System:
Hypertensive heart disease.
Cardiac Failure (Congestive cardiac failure).
Cardiac Failure (Congestive cardiac failure).
Cor-pulmonale, Diseases of the pericardium
Ischemic Heart disease
Ischemic Heart disease
Rheumatic Heart disease, Infective Endocarditis
Rheumatic Heart disease, Infective Endocarditis
Cardiomyopathy
Miscellaneous Lesions- myocarditis, Tumours.
Congenital heart diseases
Arteriosclerosis, Atherosclerosis
Syphilis, Aneurysm, Varicose veins, Arteritis
Museum
Page 104
Pathology
Term 8
1
1
1
Lecture
Lecture
Lecture
Respiratory System:
Atelectasis
Obstructive lung disease- Asthma, Emphysema
Obstructive lung disease- Chronic bronchitis, Bronchiectasis
Restrictive lung disease- Acute lung injury and Acute

1 Lecture
Respiratory Distress Syndrome
Restrictive lung disease- Idiopathic pulmonary fibrosis,
Sarcoidosis, Hypersensitivity pneumonitis, Wegener's
1 Lecture
granulomatosis
Pulmonary thromboembolism, haemorrhage and infarction,
1 Lecture
Pulmonary hypertension and vascular sclerosis
2 Lecture
Infective lung disease
1 Lecture
Aspiration pneumonia
1 Lecture
Tuberculosis
1 Lecture
Lung abscess
1 Lecture
Occupational lung disease, Fungal and other infections
1 Lecture
Lung tumours
1 Lecture
Pleural lesions and lesions of the upper respiratory tract
3x2 Practical
Alimentary System:
Disease of the oral cavity and tongue, leukoplakia, Salivary
1 Lecture
gland diseases
1
1
1
1
1
Lecture
Lecture
Lecture
Disease of Oesophagus- Congenital Abnormalities,

Inflammatory conditions, carcinoma of the oesophagus
Gastritis and gastric ulceration
Tumours of the stomach
Lecture
Congenital abnormalities of Small and large Intestines,

Obstruction, Strangulation, Volvulus of Small Intestines
Lecture
Small Intestines - Diarrhoeal diseases, Malabsorption

syndrome and acute appendicitis
1
1
1
Lecture
Lecture
Lecture
Lecture
Diseases of the Large Intestines- Diverticular diseases,

Vascular disorders
Idiopathic inflammatory bowel disease
Tumours of the small and large intestines
Acute and chronic hepatitis, autoimmune hepatitis, Liver
abscess
Page 105
Pathology

1
1
1
1
1
1
1
1
6x2
6x2
6x2
Lecture
Lecture
Lecture
Lecture
Lecture
Lecture
Lecture
Lecture
Tutorial
Demonstration
Practical
Hepatic injury
Jaundice
Hepatic failure, Cirrhosis
Alcoholic Liver disease and Non-alcoholic fatty liver
Circulatory disorders of the liver, Tumours of the liver
Disorders of the gallbladder and the extra hepatic bile ducts
Liver function tests
Pancreatitis, Tumours of the pancreas
Museum
Term 9
1
1
Lecture
Lecture
1
1
Lecture
Lecture
Lecture
Musculo Skeletal System:

Normal histology of bones including Growth and Repair
Inflammation in bone
Metabolic disorders of bone including Osteoporosis and
Osteomalacia
Tumours.
Diseases of Joints
Myopathies and tumours of the muscles
1
4x2
3x2
3x2
2
1
1
1
1
1
1
1
Lecture
Tutorial
Demonstration Museum
Histopathology
Practical
Urinary System:
Glomerulonephritis
Lecture
Nephrotic syndrome
Lecture
Renal failure
Lecture
Kidney in systemic diseases
Lecture
Renal calculi, hydronephrosis
Lecture
Pyelonephritis
Lecture
Tumours and cystic disease of kidney.
Lecture
Pathological changes in the nephron, Renal function tests
Lecture
and Qualitative examination of urine
Acid - base, water and electrolyte balance

Lecture
10 Tutorial
Urinary System:
Page 106
Pathology

3x2 Practical
1
3
1
2
Lecture
Lecture
Lecture
Lecture
Lecture
1 Lecture
3x2 Practical
Endocrine disease
Pituitary gland and its disease
Thyroid- functional disease, Thyroiditis, neoplasms
Parathyroid and calcium metabolism
Adrenal gland- Cortex, Medulla
Pancreas- Diabetes mellitus and its complications, Islet cell
tumours, Multiple endocrine neoplasia
Laboratory diagnosis of endocrine diseases
Histopathology
Term 10
1
1
1
1
1
2
1
2
Lecture
Lecture
Lecture
Lecture
Lecture
Lecture
Lecture
Female genital system

Disease of the vulva and vagina
Disease of the cervix
Endometriosis, Dysfunctional uterine bleeding, Endometrial
hyperplasia
Tumours of the endometrium and myometrium
Tumours of the endometrium and myometrium
Disease of the ovaries
Trtophoblastic disease
Breast
Lecture
Male genital system
Lecture
Penile conditions, Scrotum, testis and epididimis
Nodular hyperplasia & Carcinoma of prostate
Lecture
Sexually transmitted disease
Lecture
Male and female genital system
6x2 Tutorial
3x2 Demonstration Museum- male and female genital system
Histopathology- male and female genital system
3x2 Practical
Nervous System:
CSF Formation and auto regulation of circulation,
1 Lecture
Hydrocephalus
Infections (Meningitis, Brain abscess)
1
1
1
1
1
1
1
Lecture
Lecture
Lecture
tutorial
Intracranial haemorrhage
Tumours
Page 107
Pathology
1
1
2
1
1
1
1
1
1
1
1
1
1
2
2
1
1
10
6x2
2
Lecture
Lecture
Lecture
Lecture
Lecture
Lecture
Lecture
Lecture
Lecture
Lecture
Lecture
Lecture
Lecture
Lecture
Lecture
Lecture
Lecture
Tutorial
Practical
Lecture
Lympho Reticular Tissue and haematological disorders

Diseases of Spleen, Splenomegaly, Atrophy of Spleen.
Hypersplenism
Diseases of Lymph node
Causes of Lymphadenopathy, Lymphomas
Diseases of Thymus, Causes of Hyperplasia /Hypoplasia,
Thymic tumours
Sites of formation of blood cells and their development
General discussion of anaemias
Iron deficiency anaemias
Megaloblastic anaemias
Aplastic anaemia
Haemolytic anaemia
Haemoglobinopathy
Polycythemia Vera
Types of leucocytes, production, function & leukemoid
reactions
Acute leukaemias
Chronic leukaemias
Malignant plasma cell proliferations, Myelosclerosis &
Myeloproliferative disorders
coagulation disorders
Lympho Reticular Tissue and haematological disorders
Histopathology
Skin
Summary
Lecture
Tutorial
Histopathology
Practical
Museum
Clinical
Total
Term
5
26
9
Term
6
8
1
Term
7
12
5
Term
8
34
6
Term
9
26
14
Term
10
38
17
6
3
3
3
9
9
9
6
9
3
35
18
23
58
55
67
Page 108
Pathology
Total
144
52
36
24
48
304

5.14.3. References
1. Robbins Basic Pathology. Kumar V., Abul K Abbas, Nelson Fausto and Richard
Mitchell., 8th edition, Saunders, 2007.
2. Oxford Text book of Pathology. McGee, J.O.D, Isaacson, P.G., Wright, N.A, Oxford:
Oxford University Press, 1992.
3. Muirs Text book of Pathology. Robin Reid[et-al], 14th edition, Hodder Arnold, 2006.
4. Walter and Israel General Pathology. Walter J.B., and Talbot I.C, 7th edition, New York:
5. Aids to Pathology. Michael F Dixon and Philip Quirke, 3rd edition, Edinburgh: Churchill
Livingstone, 1986.
6. Essential Hematology. Victor Hoffbrand, Paul Moss and John Pettit,Blackwells 5th edition,
2006.
7. Diagnostic Function tests in chemical pathology. Lascelles, P. T and Donaldson, D,
Springer, 1990.
5.14.4. Evaluation
Type of
Examination
1
2
3
4
5
End of the course

Essay
MCQ
Histo Pathology
Haematology
Practicals
Viva
Distribution
of MarksFirst
examination
Distribution
of MarksDetails of evaluation
subsequent
examinations
100
30
30
10
100
30
30
10
10 short questions- 3 hrs

60 questions, 3 hours
20 spots x 3 min each
10
10
20 spots x 3 min each
20
20
10 min/ student
Qualifying
pass marks
(%)
40 % in
Theory
Page 109
Pathology
5.15. Pharmacology
[Person in Charge- Head Pharmacology]

The aim of the course is to develop the knowledge of the properties of drugs, their mechanisms of
action, unwanted effects and their application to ameliorate the effects of disease. At the end of the
course the students should be able to;
Describe the principles of drug therapy.
Describe how drugs act and interact in disease and how evidence of therapeutic effect is
obtained and evaluated.
Develop a rational and critical attitude to drug therapy.
Develop the skill of prescription.
Outline the symptoms, signs and therapeutics of common diseases of all systems.
Apply the knowledge acquired about drugs in clinical situations.
Judge the benefits and risks of drugs before prescribing drugs in their carrier as a doctor.
Describe the ethical issues in prescribing and clinical trials.
Keep on updating their knowledge about pharmacotherapy.
Deliver the knowledge to peers, other members of the health care team, patients and the
public.
Develop as a competent healthcare professional.

Teaching / learning activities include lectures, bed side teaching, small group discussions and
interactive tutorials. Therapeutics lectures overlap with medicine giving clinical features of
important illnesses and the basis of managing them. The students are assessed by in-course and end
of course assessments.
Lectures are interactive and are open for discussion. In small group discussion students are expected
work as small team under the supervision of facilitator/ lecturer in small groups. Bed side teaching is
clinical oriented class conducted in the wards involving small group of students to demonstrate the
practical aspects of drug therapy. Tutorial are open discussions in small groups. Each student is
provided with a study guide by department of pharmacology and is expected to complete it during
their pre-professorial appointments.
Students are evaluated by in-course and end of course assessments. In-course assessment can be a
written examination, assignment, OSCE or viva voice and clinical oriented learning is evaluated by
study guide. End of course examination consists of written examination consist of essay, single best
and multiple choice questions, OSCE and viva voice.
Page 110
Pharmacology

Phase II
Term 5
2
3
1
2
2
1
1
1
1
1
Lecture
Lecture
Lecture
BST
Lecture
Lecture
Lecture
Lecture
Lecture
SGD
1 Lecture
2
1
1
1
1
1
1
Lecture
Lecture
Tutorials
Lecture
SGD
Lecture
SGD
General principles of pharmacology

Introduction to pharmacology
Pharmacokinetics
Clinical pharmacokinetics
Routes of drug administration
Pharmacodynamics
Dose response curve
Factors Influencing Drug Dosage and Response
Drug Interactions and Over the counter drugs
Compliance & Therapeutic Drug Monitoring
Prescription writing and evidence based
medicine
Essential drugs, drug regulation, drug
information
Adverse Drug Reactions
Drug development and clinical trials
General Pharmacology
Prenatal & Paediatric Pharmacology
Prescribing in children
Geriatric Pharmacology
Prescribing in elderly
Pharmacology
Pharmacology
Pharmacology
Pharmacology
Pharmacology
Pharmacology
Pharmacology
Pharmacology
Pharmacology
Pharmacology
Pharmacology
Pharmacology
Pharmacology
Term 6
Immunopharmacology
2
1
1
2
2
Lecture
Lecture
Lecture
Lecture
Lecture
1 Lecture
1 Lecture
1 Lecture
Immune modulators
Drugs Acting on Autonomic Nervous System
Cholinomimetics
Anticholinergics
Sympathomimetics
Sympatholytics
Antimicrobials
Introduction to Chemotherapy
Sulphonamides
Quinolones & Urinary Antiseptics
Pharmacology
Pharmacology
Pharmacology
Pharmacology
Pharmacology
Pharmacology
Pharmacology
Page 111
Pharmacology

2
1
1
1
1
2
1
2
2
1
1
Lecture
Lecture
Lecture
Lecture
Lecture
Lecture
Lecture
Lecture
Lecture
BST
BST
Beta Lactum Antibiotics

Aminoglycosides
Macrolides & Related Drugs
Tetracyclines
Chloramphenicol & Other Antibiotics
Antituberculosis Agents
Antiamoebic agents
Antimalarial Agents
Antiviral agents
Penicillin sensitivity test
Antiseptics & Disinfectants
Pharmacology
Pharmacology
Pharmacology
Pharmacology
Pharmacology
Pharmacology
Pharmacology
Pharmacology
Pharmacology
Term 7
2 Tutorial
1 Lecture
1 Lecture
Antimicrobials
Antifungal agents
Antihelminthic agents
Pharmacology
Pharmacology
Phase III
Term 8
2 Lecture
1 Lecture
Drugs Acting on Kidney

Renin-Angiotensin System & Related Drugs
Diuretics
Drugs Acting on Cardiovascular System
Pharmacology
Pharmacology
2 Lecture
Antianginal agents
Pharmacology
2 Lecture
Antihypertensive agents
Pharmacology
2 Lecture
Drugs used in Cardiac Failure
Pharmacology
1 Lecture
Antiarrhythmic agents
Pharmacology
1 Lecture
Antihyperlipidaemic agents
Pharmacology
1 Lecture
2 Lecture
2
1
2
2
Lecture
Lecture
Lecture
Lecture
Drugs Acting on Blood and Blood Forming

Organs
Haemopoietic Agents
Drugs Used in Coagulation Disorders
Disorders of Cardiovascular System
Cardiac Failure
Arrhythmias
Hypertension (systemic & pulmonary)
Coronary Artery Diseases
Page 112
Pharmacology
Pharmacology
Pharmacology
Medicine & Therapeutics

1
Lecture
Cardiac Arrest
Lecture
Rheumatic Fever
1
1
1
1
Lecture
Tutorial
Tutorial
Tutorial
Endocarditis
Angina & Myocardial Infarction
Hypertension
Cardiac Failure
Therapeutics
(Paediatrics)
1
2
Lecture
Lecture
Autacoids & Related drugs

Histamine and antagonist
Pharmacology
Non-Steroidal Anti-Inflammatory Agents & Drugs Pharmacology
Used in Rheumatoid Arthritis & Gout
1
1
Lecture
BST
Lecture
1
2
1
1
Lecture
Lecture
Lecture
Tutorial
1
1
1
1
Lecture
Lecture
Lecture
Lecture
Drugs Used in Bronchial Asthma

Drug delivery in bronchial asthma
Disorders Of Respiratory System
Bronchial Asthma & Chronic Obstructive Pulmonary
Diseases
Respiratory Failure
Tuberculosis
Pneumonia & Lung Abscess
Bronchial Asthma
Drugs Acting on Gastrointestinal Tract
Drugs used in Peptic Ulcer Disease
Pharmacology of Vomiting & Antiemetics
Laxatives
Antidiarrhoeal & Drugs Used in Inflammatory Bowel
Disease
1 Lecture
Disease Affecting Gastrointestinal Tract

Peptic Ulcer & Complications
1 Lecture
Hepatitis
2 Lecture
Liver Cirrhosis & Complications
1 Lecture
Haematemesis
1 Lecture
Typhoid fever, Cholera, Leptospirosis,

Brucellosis
Treatment of Amoebiasis
1 Tutorials
Peptic Ulcer
Lecture
Pharmacology

Pharmacology
Pharmacology
Pharmacology
Pharmacology
Medicine &
Therapeutics
Medicine &
Therapeutics
Medicine &
Therapeutics
Medicine &
Therapeutics
Medicine &
Therapeutics
Medicine &
Therapeutics
Page 113
Pharmacology

1 Tutorials
Liver Disease & Complications
1 SGD
Prescribing in hepatic impairment
2 In Course Assessment-1: General principles of pharmacology,
Antimicrobials, Drugs Acting on Autonomic Nervous System,
Drugs Acting on Kidney, Drugs acting on CVS, Drugs Acting
on Blood & Blood Forming Organs, Disorders of CVS,
Autocoids and related drugs
Term 9
3 Lecture
Rheumatology
Rheumatoid arthritis, Gout, SLE
2 Lecture
Nephrology
Acute Renal Failure
2 Lecture
Chronic Renal Failure
2 Lecture
Nephrotic Syndrome
1 Lecture
Acute Glomerular Nephritis
1 Lecture
Urinary Tract Infection
1 SGD
Prescribing in renal failure

Hormones & Related Drugs
Hypothalamic & Pituitary Hormones
Thyroid and & Antithyroid Drugs
Corticosteroids & Realated Drugs
Gonadal Hormones & Related Drugs
Contraceptives
1
1
2
2
1
Lecture
Lecture
Lecture
Lecture
Lecture
1 Lecture
Post-menopausal hormonal therapy
1 Lecture
Tocolytics and other drugs used in labour
2 Lecture
1 BST
1 Lecture
Insulin & Oral Hypoglycaemics

Insulin therapy
Drugs Affecting Calcium & Bone Metabolism
Endocrinology
Diabetes Mellitus
2 Lecture
2 Lecture
Disorders of Pituitary: Acromegaly,

Hypopituitarism, Diabetes Insipidus
Page 114
Pharmacology
Medicine &
Therapeutics
Medicine &
Therapeutics
Medicine &
Therapeutics
Medicine &
Therapeutics
Medicine &
Therapeutics
Medicine &
Therapeutics
Pharmacology
Pharmacology
Pharmacology
Pharmacology
Therapeutics
(Gyn&Obs)
Therapeutics
(Gyn&Obs)
Therapeutics
(Gyn&Obs)
Pharmacology
Pharmacology
Medicine &
Therapeutics
Medicine &
Therapeutics

2 Lecture
Disorders of Adrenals: Cushings Syndrome,

Addisons Disease, Pheochromocytoma
Medicine &
Therapeutics
2 Lecture
Disorders of Thyroid: Thyrotoxicosis,

Myxoedema
Disorders of Parathyroid: Hyper &
Hypoparathyroidism, Calcium Metabolism
Medicine &
Therapeutics
Medicine &
Therapeutics
Diabetes Mellitus
Thyroid Dysfunction
Toxicology
Heavy metals poisoning and Chelating agents
Mangement of poisoning
Pharmacology
Pharmacology
1 Lecture
1 Tutorial
1 Tutorial
1 Lecture
1 Lecture
Term 10
1 Lecture
Fluid & Electrolyte Balance

Intravenous fluids
Drugs Acting on Central Nervous System
Pharmacology of Central Nervous System
General Anaesthesia
Local Anaesthesia
Skeletal Muscle Relaxants
Opioids & Antagonists
Anticonvulsants
Drugs Used in Parkinsonism
Drugsed used in the treatment of Migraine
Miscellaneous CNS Drugs
Psychopharmacology
Hypnotics, Sedative & Anxiolytics
Antipsychotics & Mood Stabilisers
Antidepressants
Disorders of Central Nervous System
Chronic head ache & Migraine
1 Lecture
Epilepsy
1 Lecture
Parkinsonism
1 Lecture
Myasthenia Gravis
2 Lecture
Meningitis, Cerebral Abscess, Encephalitis,
1 BST
1
1
1
1
1
2
1
1
1
Lecture
Lecture
Lecture
Lecture
Lecture
Lecture
Lecture
Lecture
Lecture
1 Lecture
1 Lecture
1 Lecture
Pharmacology
Pharmacology
Pharmacology
Pharmacology
Pharmacology
Pharmacology
Pharmacology
Pharmacology
Pharmacology
Pharmacology
Pharmacology
Pharmacology
Medicine &
Therapeutics
Medicine &
Therapeutics
Medicine &
Therapeutics
Medicine &
Therapeutics
Medicine &
Therapeutics
Page 115
Pharmacology

1 Tutorial
1 Tutorial
1 SGD
2 Lecture
1 Lecture
1 Lecture
Epilepsy
Parkinsonism & Myasthenia Gravis
Prescribing in CNS disorders
Chemotherapy of Neopalstic Diseases
Drugs used in cancer chemotherapy
Miscellaneous
Therapeutic Gases
Life-Style Drugs, Drugs in Sports, Biopharmaceuticals & Gene Therapy, Stem Cell
Therapy
Pharmacology
Pharmacology
Pharmacology
2 In Course Assessment-2: Disorders of CVS, Autocoids and

related drugs, Disorders of respiratory system, Drugs acting on
GIT, Disease of GIT, Nephrology, Fluid and electrolytes,
Hormones & Related Drugs, Endocrinology, Micellaneous
Summary
Pharmacology
Lectures
Medicine
&Theraputics
Tutorial
SGD
BST
Demonstration
Seminar
Assessment
Total
Term
5
Term
6
Term
7
Term
8
Term
9
Term
10
Total
18
24
22
17
92
0
1
3
2
0
0
0
24
0
0
0
2
0
0
0
26
0
2
0
0
0
0
0
4
24
6
1
1
0
0
2
56
23
2
1
1
0
0
0
36
6
2
1
1
0
0
2
29
53
13
6
7
0
0
4
175
Page 116
Pharmacology

7.9.2. References
Text books:
1.
Clinical Pharmacology. B.N Bennett, and M.J.Brown, 10th edition, Edinburgh: Churchill
Livingstone, 2008.
2.
Basic and Clinical Pharmacology. B.G.Katzung, M. J., 12th edition, London: Churchil
Livingstone, 2011.
3.
Rang and Dales Pharmacology. 7th edition, London: Churchill Livingston, 2011.
4.
Clinical Medicine. Parveen Kumar and Michael Clark, 8th edition, Edinburgh: Elsevier, 2011.
5.
Davidsons principles & practice of medicine. 21st edition, Edited by Nicholas A. Boon [etal], Edinburgh: Churchill Livingstone, 2010.
6.
Foundations of Pharmacology for students of Medicine and Allied Health Sciences. R. L.
Jeyakody, 2009.
7.
British National Formulary 60th or latest volume, British Medical Association, UK.
8.
Sri Lankan Hospital Formulary-1994. Edited by R L Jayakody, Department of Pharmacology,
University of Colombo and the Ministry of Health, Sri Lanka.
Reference books.
1. Goodman & Gillmans the pharmacological basis for therapeutics. Laurence Brunton., John
Lazo., and Keith Parker, 12th edition, New York: McGraw Hill, 2010.
2. Graham Smith, D. G. and Aroson, J. K. Oxford Text Book of Clinical Pharmacology and
Drug Therapy, Oxford University Press, 3rd edition, Oxford, 2002.
3. The Sri Lankan Prescriber, University of Colombo and the Ministry of Health, Sri Lanka,
Colombo (Quarterly Publication).
4. Drugs and therapeutics Bulletin (DTB), Consumer Association (UK).
Page 117
Pharmacology

7.9.3. Evaluation
Pharmacology
Type of
Examination
Distribution
of MarksFirst
examination
Distribution
of Markssubsequent
examinations
In-course
1.1. assessment
10
1.2. Study Guide
20
20
End of the course

MCQ- Single
2.1 best
MCQ- Multiple
2.1.
Choice
70
15
80
15
15
15
2.2. Essay
20
30
2.3. OSCE
2.3. Viva
10
10
10
10
Page 118
Pharmacology
Details of Evaluation
2 in-course
assessments
Student has to redo
the sections scored
less than 50% in the
first attempt
Qualifying
pass marks
(%)
40%
30 questions, 1 hour
20 Questions, 1 hour
4 Questions
Pharmacology, 2
QuestionsTherapeutics,
3 hours
5 Stations
10 min / student
40% in
theory
5.16. Psychiatry
[Person in Charge- Head Psychiatry]

The aim of the course in psychiatry is to develop knowledge of normal human behaviour and
the abnormalities that can occur and to develop skills and attitudes to manage patients with
psychological problems. At the end of the course the students should be able to,
Understand the basic psychology of human behaviour.
Recognize the concept of mental health and psychosocial wellbeing.
Know the effects of psychosocial factors on psyche in normal and abnormal situations.
Describe the effects, side effects and toxic effects of drugs which modify the functions
of mind.
Understand, observe and apply the knowledge on psychopharmacology in clinical
scenarios.
Identify the abnormal state of mind.
Understand and use the words related to basic psychopathology.
Know the symptoms and signs of common mental illnesses.
Understand the concepts and basic classification of mental illness.
Learn good communications skills in normal settings and in approaching a person with
psychological problems or mental illnesses.
Take and compile a good psychiatric history.
Perform and present the mental state examination findings.
Recognize and diagnose common mental illnesses.
Design appropriate, individually tailored management plan for common mental
illnesses.
Identify the importance of rehabilitation in psychiatry and familiar with basic
rehabilitation principles.
Understand the psychology related to family and social dynamics.
Develop skills in dealing with family issues and educating the family members.
Recognize the effects of physical and mental illnesses on families and societies.
Recognize and acknowledge their limitations and make appropriate referrals.
Respect the humanitarian principles and patients rights.
The teaching learning activities include lectures, tutorials, presentations, group work, field
visits and clinical attachment. The first appointment is of 6 weeks duration during Phase II.
In addition to the training for psychiatric examination and basics of psychiatric illnesses, the
students will be exposed to ECT sessions, relaxation exercises, counselling sessions, and
Page 119
Medicine

management of aggressive / violent patients during the first appointment. The lectures will be
delivered during Phases II and III.
Students will be posted to Professorial appointment of 4 weeks during the Phase IV. The
students are expected to participate actively / assist in managing the patients. Each student is
expected to present at least one patient fully, use psychometric scales and develop professional
ethics and etiquettes. Students are assessed formatively at clinical presentations and by case
reports submitted. The formal evaluation is conducted at the end of the course.
Term 5
Introductory Course
1 Lecture
1
Lecture
1 Lecture
1 Lecture
1 Lecture
Patients as Persons- Understanding your patients in a broader

context (complaints, behavior, expectations, compliance and
beliefs)
Gathering information from patients- setting, empathizing,
questioning, exploring etc.
Therapeutic relationships
Handling emotionally taxing situations
Caring for your self-stress management
Term 6
3
2
3
2
4
2
4
1
1
1
1
2
4
1
1
Lecture
Lecture
Lecture
Lecture
Lecture
Lecture
Lecture
Basic Psychology [20 hrs]

perception, attention, concentration, memory
Intelligence, learning
Basic needs, Love and other needs, creativity
personality, self
Behaviour Psychology
Emotions, thoughts
Human Sexuality
Lecture
Lecture
Lecture
Lecture
Lecture
Lecture
Lecture
Lecture
Clinical Psychology [16 hrs]

Mind, conscious, unconscious
Developmental psychology
Defence mechanisms
Transference, counter transference
Communication skills
Basic Counselling Skills
Normal and abnormal
The concept of illness, help seeking behaviour
Page 120
Medicine

2 Lecture
1 Lecture
1 Lecture
Psychological sequale for physical illness

Problem solving skills
Anger Management skills
Term 7
2
2
2
2
2
Lecture
Lecture
Lecture
Lecture
Lecture
Basics in Family psychology and social psychology [10 hrs]

Family, types, Nuclear and extended family
Family hierarchy, Family dynamics
Family pathology
Community, community resources, social capital
Social pathology
Forensic Psychiatry [7 hrs]

1
1
1
1
1
1
1
Lecture
Lecture
Lecture
Lecture
Lecture
Lecture
Lecture
Fitness to plea, give informed consent and decision making

Mental health law in Sri Lanka
Rights of the Mentally ill
Psychiatry related to crimes
Risk assessment
Sexual deviant behaviours
Ethical principles
Phase III
Term 9
2
2
2
2
1
1
1
1
2
1
Lecture
Lecture
Lecture
Lecture
Lecture
Lecture
Lecture
Lecture
Lecture
Lecture
Adult Psychiatry [15 hrs]

Organic Psychiatry
Schizophrenia and related disorders
Affective disorders
Anxiety disorders
Somatoform disorders
Alcohol and substance related disorders
Trauma related conditions
Personality disorders
Deliberate self harming behaviours
Sexual disorders
Page 121
Medicine
Summary
Lecture
Clinical
Total
Term
5
5
Term
6
36
Term
7
0
Term
8
17
Term
9
15
Term
10
0
36
17
15
Total
73
336
409
5.16.3. References
1. Psychiatry: Oxford core texts. Michal.G.Gelder, Richard Mayou, John Geddes. 3rd edition,
Oxford: Oxford University Press, 2005.
2. Shorter Oxford Textbook of Psychiatry. Michal Gelder, Phillip Cowen, and Paul Harrison.
5th edition, Oxford: Oxford University Press, 2006.
3. Companion to psychiatric studies. 6th edition, edited by Eve C.Johnstone, C.P, L, Freeman
and A.k. Zealley, Edinburgh: Churchill Livingstone, 1998.
4. Introductory Text Book of Psychiatry. Nancy C Anderson & Donald W.Black. 4th edition,
American Psychiatric publishing, 2006.
5. Text Book of Psychiatry. Edited byLinford Rees, London: Arnold, 1997.
6. Oxford hand book of psychiatry. David Semole, [et-al], Oxford: Oxford University Press,
2005.
5.16.4. Evaluation
Type of Examination
1
2
3
3
6
7
End of the course

Essay
MCQ
Long Case
Short Case
Continuous
assessment
Total
Distribution
of MarksFirst
examination
Distribution
of MarksDetails of evaluation
subsequent
No. of hrs No. of question
examinations
etc.
25
25
25
15
10
25
25
25
15
10
100
100
Page 122
Medicine
8 questions-3hr
40 questions
1 case
2 cases
Qualifying
pass marks
(%)
45%
50%
50%
5.17. Medicine
[Person in Charge- Head Medicine]

The aim of the course is to further develop the knowledge, skills and attitude acquired in the
pre and para clinical courses to be able to cure illnesses, relief suffering, comfort patients who
come under care and to refer difficult patients for specialized treatment. At the end of the
Communicate with patients and family members and obtain a good history
Do a complete physical examination
Interpret the signs and symptoms and come to diagnosis or differential diagnosis.
Perform simple investigations in the side laboratory.
Perform basic therapeutic procedures in the ward.
Request relevant investigations and interpret the results.
Prescribe necessary treatment and manage patients or refer for specialized care.
Recognize the medical emergencies, manage and refer them to superiors / for
specialized treatment.
Provide appropriate advice to patients during the stay in ward and on discharge and
follow up the patients.
Notify the relevant diseases to appropriate authorities.
Communicate to the patient and relatives about the condition of the patient including
breaking bad news.
Practice medical ethics in day to day practice.
The teaching / learning activities include lectures in important topics during Phase II
and III along with Pharmacology, three clinical appointment in medicine of 8 weeks duration
each and two week appointments in various sub specialties. During the appointments the
students present cases and discuss them and do procedures according to a logbook produced
by the department and get signed by the superiors.
Page 123
Medicine

Term 8
Cardiovascular system - 02
1
Lecture
Lecture
Disorders of tmyocardium cardiopulmyopathy and

myocarditis
Disorders of pericardium Pericarditis, pericardial effusion
and constriction
Respiratory System -03

1
1
1
Lecture
Lecture
Lecture
1
1
1
1
1
Lecture
Lecture
Lecture
Lecture
Lecture
Ca bronchus
Occupational lung disease
Interstitial lung disease, eosinophilia
Gastroenterology - 05
Oesophagus GORD
Small intestine malabsorption
Large intestine dysenteries
IBD
Hepatitis & miscellaneous
Term 9
Nephrology - 03
3
Lecture
Acute pyelonephritis, RPGN, tubule interstial disease,

nephrolithiasis, cystic renal diseases
Term 10
Neurology - 05
1
2
1
1
Lecture
Lecture
Lecture
Lecture
Cerebrovascular disease
Extrapyramidal synd, syringomyelia, MND
Paraplegia
Peripheral neuropathy
Haematology 05
1
1
1
1
1
Lecture
Lecture
Lecture
Lecture
Lecture
Approach to a patient with anaemia

Myeloproliferative disorders
Lympho proliferative disorders
Myeloma and paraprotenamia
Approach to a patient with bleeding disorder
Page 124
Medicine
Summary
Lecture
Clinical
Total
Term
5
Term
6
Term
7
Term
8
10
Term
9
3
Term
10
10
10
10
Total
23
968
991
5.17.3. References
1. Clinical medicine. Parveen Kumar and Michael Clark, 6th edition, Edinburgh Elsevier,
2005.
2. Davidsons principles & practice of medicine. 20th edition, Edited by Nicholas A. Boon
[et-al], Edinburgh: Churchill Livingstone, 2006.
3. Chamberlains symptoms and signs in Clinical Medicine: An Introduction to Medical
Diagnosis. Colin Ogilvie and Christopher C Evans, 12th editon, Oxford: Butterworth, 1997.
4. Hutchisons clinical Methods.22nd edition, edited by Michael Swash, Edinburgh: W B
Saunders, 2007.
5. Clinical examination. Nicholas J Talley and Simon OConnor, 5th edition,
Edinburgh:
6. Oxford Text book of Medicine vol. I, II & III, 4th edition, edited by Weatherall D. J., T.M.
Cox and Warrel D. A, Oxford: Oxford University Press, 2005.
7. Harrisons principles of internal medicine Vol I & II. 16th edition, edited by Dennis
Kasper [et-al], New York: McGraw Hill, 2005.
8. Ministry of Healthcare & Nutrition National Guidelines, Sri Lanka, 2007.
Page 125
Medicine

5.17.4. Evaluation
Medicine
Type of Examination
1 In course
Assessment:
2
2.1.
2.2.
2.3.
End of course
MCQ
Essay
Clinicals
Distribution
of MarksFirst
examination
Distribution
of Markssubsequent
examinations
20
80
20
20
100
30
30
2.3.1 Long case
20
20
2.3.2 Short case
20
20
No. of hrs No. of
question etc.
a) Pre-professorial2.5x 2 = 5 marks
b) Professorial- 15
marks
Qualifying
pass marks
(%)
30 SBA questions- 10
marks 20 T/F
questions - 10 marks
10 SEQs -3hrs
45% in
theory
1 case 40 minutes for

history, examination
and investigations and
20 minutes for
discussion
4 cases 7.5x4 = 20
marks
50% in
clinical
examination
Continuous Assessment (20marks)

Pre professorial
First Observed history taking and examination
techniques 2.5 marks
Second Clinical examination - 2.5 marks
[Ethics & Communication skills also will be
evaluated]
During Professorial
1. Written exam MCQs, StQs & SEQs
2. 4 Short cases
3. Viva on emergency topics
-10 marks
OSCE
- 05 marks
Page 126
Medicine
5.18. Obstetrics and Gynaecology

[Person in Charge- Head Obstetrics and Gynaecology]

The aim of the course is to develop knowledge, skills and attitude necessary to manage basic
obstetric and gynaecological problems and refer complicated cases to specialized treatment
and/or assist the consultant in managing the cases referred. At the end of the course the
student should be able to,
Manage normal pregnancy and identify the complications during antenatal period,
labour and puerperium.
Start the management of emergency conditions and call for appropriate help to
continue the management.
Give health education to antenatal mothers in related topics.
Give appropriate family planning advice and perform IUCD insertions.
Diagnose and treat common Gynaecological conditions and refer others for specialized
treatment.
Obtain informed consent, prepare patients for Obstetric and Gynaecological surgeries,
assist in the surgeries, manage post operative patients and identify post operative
complications early.
Resuscitate a newborn
Identify neonatal problems early and refer to Paediatrician.
Follow standard ethical practice when dealing with obstetric and gynaecological
patients.
Maintain professional secrecy and give appropriate advice to patients and family
members.
The teaching / learning activities include ward classes during clinical appointments, small
group discussions and training skills based on log book prepared by the Department. The
SGDs are modified where students perform the discussions on patient histories and problems.
The final presentation is assessed by facilitator. When staff position improves, proper SGDs
will be conducted. Preparation of study guides and case scenarios are underway for teaching /
learning activities. There will be no formal lectures in this subject.
Students are evaluated at the end of first and second clinical appointments by way of viva for
continuous assessment. Formative evaluations are also conducted by viva and MCQ
examinations during the professorial appointment.
Page 127

There will be no lectures delivered. All teaching is to be done during clinical appointments.
Summary
Term
5
Lecture
Clinical
Total
Term
6
Term
7
Term
8
Term
9
Term
10
Term
11
Total
608
608
5.19.3. References
1. Ash Monga, Stephen Dobbs. Gynaecology by Ten Teachers. Nineteenth
Edition. Hodder Arnold London 2011.
2. Philip N.Baker, Louise C Kenny. Obstetrics by Ten Teachers. Nineteenth
Edition. Hodder Arnold London 2011.
3. S.Arulkumaran, V.Sivanesaratnam, A.Chatterjee, P.Kumar. Essentials of
Obstetrics. Second edition. New Delhi 2011.
4. S.Arulkumaran, V.Sivanesaratnam, A.Chatterjee, P.Kumar. Essentials of
Gynaecology. Second edition. New Delhi 2011.
Additional references:
1. D.Keith Edmonds. Dewhursts Te t ook of O stetri s & G nae olog .
Seventh Edition. Blackwell Publishing 2007.
2. MRCOG and Beyond Series. Second Edition. RCOG Press, London.
Page 128

5.19.4. Evaluation
Type of Examination
Distribution
of MarksFirst
examination
Distribution
of Markssubsequent
examinations
No. of hrs No. of
question etc.
In-course
End of course
1 Essay(3 hours)
90
20
100
20
2 MCQ
3 Viva Obs, gyn
20
10
20
20
40 Questions
10 + 10 min / student
4 Obstetric case
5 Gynaecological
case
20
20
20
20
30 min
30 min
Qualifying
pass marks
(%)
10
6 Questions [3in Obs, 3

in Gyn.]
45 % in
theory
50%
Page 129
5.19. Paediatrics
[Person in Charge- Head Paediatrics]

The aim of the course is to develop knowledge, skills and attitude needed for the care of
normal babies, babies at risk and managing children with various diseases. At the end of the
course students should be able to,
Demonstrate a sense of responsibility and kindness towards the patient.
Outline the problems of premature babies and babies at risk, investigations on such
babies and their management.
Describe the normal growth and development of children and the problems.
Communicate effectively with infants, children, adolescents and their families.
Describe the common illness and outline the less common diseases that affect children.
Obtain a history, examine sick children and arrive at a differential diagnosis.
Commence immediate management and refer patients with complications for specialized
treatment / assist management of such patients.
Identify abused children and outline the different aspects of child abuse and
management.
Manage paediatric emergencies.

The teaching / learning activities include lectures, small group discussions and clinical
attachments. In the wards, students are expected to clerk the patients allocated to them and
present at the ward classes. They are expected to complete logbooks in they must perform
simple ward procedures and observe difficult procedures and record them.
The students are assessed at presentations and by questioning before the end of each
appointment. Formal evaluation is conducted at the end of the course.
Term 5
1
2
1
1
1
1
Lecture
Lecture
Skill lab
Lecture
Lecture
Lecture
1
2
Lecture
SGD
Growth and development

Normal growth
Abnormal growth
Anthropometry
Normal development
Abnormal development
MDT, speech and visual problems
Nutrition
Healthy eating habits
Calorie counting
Page 130
Paediatrics

1
1
1
Lecture
Lecture
Lecture
Failure to thrive
Obesity
Micronutrient deficiency
Term 6
1
1
1
1
2
1
1
1
1
2
Lecture
Lecture
Lecture
Lecture
Lecture
Lecture
Lecture
Lecture
Lecture
PBL
Acyanotic heart disease
Cyanotic heart disease
Heart failure
Endocarditis
Acquired heart disease rheumatic fever,
Kawasaki disease
Infection/immunology
Sepsis and shock
PUO
Fever and hepatosplenomegaly
Immunodeficiency
Immunisation
Term 7
1
1
2
1
1
1
1
1
1
1
Respiratory system
Lecture
Wheezing in a child
Lecture
Bronchial asthma
PBL
Devices/modes of drug delivery in asthma
Lecture
Chronic cough
Lecture
Stridor in a child
Lecture
Infection
Hamatology/oncology
Lecture/PBL Anaemia
Lecture
Pancytopenia
Lecture
Malignancies
Lecture
Problems and emergencies in malignancies
Term 8
1
1
1
1
Lecture
Lecture
Lecture
Lecture
Neonatology
Definitions
Respiratory distress
Hypoglycaemia
Jaundice
Page 131
Paediatrics

1
1
1
1
2
Lecture
Lecture
Lecture
Lecture
Skill lab
Problems of prematurity
Neonatal seizures
Collapsed baby
Chromosomal abnormalities
Newborn resuscitation
Term 9
1
1
1
1
1
1
1
hour
Lecture
Lecture
Lecture
Lecture
Lecture
Lecture
Lecture
GIT and Liver

Vomiting in children
Abdominal pain
Diarrhoea- acute/chronic
Inflammatory bowel disease
Constipation
Fulminant hepatic failure
Portal hypertension
Musculoskeletal system
1
1
Lecture
Lecture
1
1
1
1
2
Lecture
Lecture
Lecture
SGD
SGD
JIA
Connective tissue diseases
Renal
Acute/chronic renal failure
Tubulopathy
Voiding dysfunction
UTI
Proteinuria /Haematuria
Term 10
1
1
1
1
1
1
1
Lecture
Lecture
Lecture
Lecture
Lecture
Lecture
SGD
1
1
Lecture
Lecture
Endocrine
Pituitary diseases
Hypo/hyperthyroid
Polyuria and polydipsia
Precocious puberty
Ambiguous genitalia
Calcium metabolism
Emergencies
Child psychiatry
Conduct disorder
Anxiety disorder
Page 132
Paediatrics

1
1
1
1
Lecture
Lecture
Lecture
Lecture
1
1
1
1
Lecture
Lecture
Lecture
SGD
Lecture
ADHD
Pervasive developmental problems
School problems
Eating disorders
Nervous system
Epilepsy
Floppy child
Altered conscious level
Developmental delay
Misc.
Child protection different aspects
1
1
Lecture
Lecture
Case conferences in abuse

Prescribing in children
Lecture
Research in children
Summary
Lecture
Skill lab
SGD/PBL
Clinical
Total
Term
5
10
1
2
Term
6
10
0
2
Term
7
9
0
2
Term
8
8
2
0
Term
9
12
0
3
Term
10
19
0
2
13
12
11
10
15
21
Total
68
3
11
632
714
5.19.3. References
1. Illustrated Textbook of Paediatrics. Tom Lissauer and Graham Clayden, 3rd edition,
Edinburgh: Mosby, 2007.
2. Nelson Textbook of Paediatrics. Richard E Behrman., Robert M Klieg man and Hal B
Jenson. 19th edition, Phildelphia: Saunders, 2007.
3. Forfar and Arnells Textbook of Paediatrics.6th edition, edited by Neil Mclntosh, Peter J
Helms., and Rosalind L Smyth, Edinburgh: Churchill Living stone, 2003.
4. Robreton, S. Textbook of Neonatology. 4th edition, Churchill Livingstone, 2005.
Page 133
Paediatrics

5. A manual of normal neonatal intensive care. N.R.C. Roberton, 5th edition, Hodder &
Arnold publication, 2004
6. From Birth to Five Years: Childrens Developmental Progress. Mary D. Sheridan,
edition, Routledge, 2007.
3rd
5.19.4. Evaluation
Type of Examination
1
2
3
4
5
In course
End of course
MCQ+SBA
Essay
OSCE
Long case
Short case
Distribution
of MarksFirst
examination
Distribution
of Markssubsequent
examinations
Qualifying
pass marks
(%)
10
90
20
20
10
20
20
100
20
20
10
25
25
Page 134
Paediatrics
eg. No. of hrs No. of
question etc.
20+30 questions-2hrs
6 questions-3hrs
15 items x 4 min
1 case
2 cases
45 % in
theory
50% in
clinical
5.20. Surgery
[Person in Charge- Head Surgery]

The aim of the course is to enable students to develop the knowledge, skills and attitude to identify
simple surgical problems and manage them. They should identify major problems and refer for
specialized treatment with proper precautions and manage them post operatively. At the end of the

Explain the general principles in surgery and utilize them in the management of
surgical patients.
Elicit, document and analyze clinical symptoms and signs; arrive at a list of differential
diagnosis for patients presenting with surgical problems.
Request necessary investigations to come to a diagnosis, interpret the results and assess
the patients condition
Outline the basic principles in diagnostic and therapeutic functions in imaging.
Analyze various treatment options and plan a course of management of the problem
and its complications.
Perform the procedures needed to be carried out in the wards.
Communicate to patients and relatives regarding the patients illness, its complications
treatment and get consent for surgery.
Follow up patients in the clinic with regard to assessment of improvement or
worsening of the problem and complications of surgical problems.
Identify the judicial cases and observe the activity taken by judicial medical officers.
Motivate the students in research, publication and presentation.
Exhibit moral values and ethical conduct when interacting with patients and their
families.
In short, the students should be able to work in a surgical ward as house officers after passing
out and as medical officers thereafter. They would also acquire the basic knowledge, skills and
attitudes that will be the foundation on which they can build up their post graduate training if
they opt to specialize in surgery.
Teaching and learning activities include lectures and clinical rotations. There will be 2 incourse assessments conducted during the course: at the end of second and third appointments.
The marks of in-course assessments will be a barrier to enter the professorial appointment if
not adequate and therefore the students who fail the examination should appear at subsequent
examinations and pass. The final examination will constitute of MCQs, SEQs and clinical
examination which includes long case, short cases OSCE and viva.
Page 135
Surgery

Term 5
Lecture
Lecture
Lecture
Lecture
Lecture
Lecture
Lecture
Video
3x4
3x4
Skill lab
Skills
lab
General principles
Perioperative care
Preoperative management, Assessment of Fitness for surgery,
Premedication, Consent for surgery and anaesthesia, Risk of
surgery and anaesthesia
Postoperative management critical care and pain management
Anaesthetic management postoperative monitoring, ventilation,
pain.
Nutritional support and fluid & electrolytes
Common postoperative complications- Bleeding, infections, SIRS,
MODS and ARDS
Haemorrhage and blood transfusion
Surgical techniques/technology
Surgical wounds-classification, management principles, healing,
scars, contractures
Surgical techniques - safe surgery, diathermy; Tourniquets in
operating theatre
Surgical procedures- minor procedures, day surgery, endoscopic
and laparoscopic surgery
Surgical procedures- minor procedures, day surgery
Various incisions, wound closure, sutures, basic surgical
instruments; principles of anastomosis
Emergency medicine and management of trauma
Initial assessment of the trauma patient-prehospital care, triage,
clinical assessment, resuscitation - ATLS
Lecture
Lecture
3x4
Skill lab
Management of unconscious patient-brain injury,

assessment/resuscitation - a coma patient
ATLS
Lecture
Traumatic wounds- management gunshot, blast, stab,

human/animal bites
Management of skin loss-skin graft, flaps
Traumatic oedema, compartment syndrome- pathogenesis,

management
1
Lecture
Abdominal trauma - Penetrating and blunt: assessment,

investigations, management, organ injuries
Lecture
Lecture
Chest trauma - blast/penetrating injury: initial life threatening and

later complications, assessment, investigations and management
Head, Spinal cord and Limp injury
Page 136
Surgery
TERM 6
1 Lecture
1 Lecture
1 Lecture
1 Lecture
1 Lecture
Principles of tissue transplantation

Surgical microbiology
Surgical microbiology - source of surgical infection; Special
infections - clostridia, mycobacteria; nosocomial infection;
Prevention of infection - asepsis, antisepsis
Antibiotic use common drugs, selection, resistance; Surgery in
Hepatitis and HIV carriers-blood borne viruses, universal
precautions, surgical precautions, immunization, management of
sharps injuries
Management and legal issues
Evidence based surgery, statistics, trials, research; Management
aspects- audit, clinical governance, medico legal aspects
Communication skills-psychological aspects, breaking bad news,
working in teams; Medical litigation-avoiding management errors,
ethics, medical negligence
TERM 7
3x4 Skills lab
3x4 Skills lab
Procedures - catheterization, IV canula insertion, chest drain

insertion
Procedures - catheterization, IV canula insertion, chest drain
insertion
TERM 8
Vascular diseases
1 Lecture Investigations
2 Lecture Problem oriented lecture on Acute and chronic limb ischaemia, Chronic
ulcers of the limb
1 Lecture Lower limb swelling
Thorax
1 Lecture Thorax- lung tumours, mediastinum- mediatinitis and mediastinal
tumours, pleura, diaphragmatic hernia
Acute Thoracic emergencies in surgical patients Hydropneumothorax,
1 Lecture Cardiac tamponade, Congenital or acquired diaphragmatic hernia,
Superior mediastinal obstruction
GIT
GIT- oesophagus
1 Lecture Congenital problem of oesophagus & diaphragm
Page 137
Surgery

2 Lecture Dysphagia GORD, Neoplasia Achalasia cardia, Hiatus Hernia,
strictures and oral causes
GIT- stomach and duodenum
2 Lecture Epigastric pain Peptic ulcer, Carcinoma stomach, Gastritis and Acute
& Chronic pancreatitis
1 Lecture Gastric outlet obstruction Adults and Paediatric age group (Congenital
pyloric Stenosis, Duodenal atresia, Annular pancreas, Lads band & ets)
Peritoneal cavity
1 Lecture Peritonitis and Abdominal and pelvic abscesses
The small intestine and large intestine
1 Lecture Intestinal obstruction Acute, sub-acute & chronic, paediatric causes
1 Lecture Appendix
Rectum and Anus
1 Lecture Rectal carcinoma, benign tumours
Anal conditions Painful and Painless Anal fissure, Anal carcinoma,
1 Lecture Incontinence of feces, Peri anal abscess, peri anal fistula, Rectal
prolapse
Bleeding PR Haemorrhoids / Colorectal carcinoma / Chronic
2 Lecture inflammatory bowel disease / Diverticulitis / Angiodysplasia / Upper GI
bleeding / Trauma
Hepatobiliary system and Pancreas
2 Lecture Obstructive Jaundice
1 Lecture Gall bladder: Gall stones and cholecystitis
1 Lecture Chronic pancreatitis
1 Lecture Carcinoma and endocrine tumours of the pancreas
1 Lecture Splenomegally, hypersplenism and splenectomy
Abdominal wall / Abdomen
2 Lecture Inguinal hernia and Ventral hernias
1 Lecture Different type of abdominal stomas and management Colostomy,
Iliostomy, Gastrostomy, Ureterostomy & etc
Differential diagnosis of RIF pain & Lump Acute appendicitis,
1 Lecture Ureteric colic, Mesenteric adenitis, Ilio-caecal TB, Amoebiasis of
caecum, Ectopic pregnancy, Tubo-ovarian mass, Twisted ovarian cyst,
Deep Intramuscular abscess, Psoas abscess, Aneurism
2 Lecture Hernias; the umbilicus
Page 138
Surgery
Term 9
1
1
1
1
Lecture
Lecture
Lecture
Lecture
Musculo-skeletal disorders
principles of management of Fractures and dislocations
Upper limb
Pelvis and lower limb
Infection of bone and joints
1 Lecture
Tumours of the musculoskeletal system, Chronic joint disorders

Children's orthopaedics - congenital disorders, disorders of growing
1 Lecture
skeleton
1 Lecture Sports injury - biomechanics, diagnosis, muscle injury, tendon,
ligaments, bursae, regions
1 Lecture The spine and vertebral column
1 Lecture CNS - intracranial tumours
Principles of oncology
epidemiology of common cancers
1 Lecture Screening programmes- breast, colon, prostate, cervix
Clinicopathological staging of cancer
2 Lecture Principles of treatment- surgery, RT,CT, hormone, immunotherapy,
Palliative care-pain, ect.
1 Lecture Head and neck tumours; Thyroid malignancy
1 Lecture Oesophageal and gastric malignancy
1 Lecture Colorectal malignancy
1 Lecture Breast malignancy
1 Lecture Prostate malignancy
Endocrines
1 Lecture Investigations of the endocrine system
1 Lecture Thyroid lump & differential diagnosis, Hyperthyroidism
1 Lecture Thyroid neoplasms
1 Lecture Parathyroid gland, hypo and hyper parathyroidism
1 Lecture Pheochromocytoma & MEN
TERM 10
1 Lecture
1 Lecture
Breast
The nipple and benign disease of the breast
Breast lump including malignancy & Differential diagnosis
Page 139
Surgery
1
1
1
1
Lecture
Lecture
Lecture
Lecture
1 Lecture
1 Lecture
1 Lecture
1 Lecture
1 Lecture
1 Lecture
1 Lecture
2 Lecture
Genito- Urinary system

LUTS
Haematuria
Congenital abnormalities
Urolithiasis
Urinary tract infection, Urinary fistulas and Diverticula of the
bladder
Uroepithelial tumours and renal malignancies
Bladder outflow obstruction- benign prostatic hyperplasia and
others
Carcinoma of the prostate
Penis: phymosis, paraphymosis, inflammation, carcinoma
Problems of the testis: torsion, varicocele, hydrocele and other
cysts, infection, tumours
Head and neck
Ulcers Oral cavity
Differential diagnosis of Neck lumps other than thyroid lump
EYE
4 Lectures Surgical problems of the eye

ENT
1 Lecture Upper airway obstruction and tracheostomy
1 Lecture Epistaxis
1 Lecture Acute otitis media and chronic suppurative otitis media
1 Lecture Sinusitis
1 Lecture Voice problems, Hearing impairment
1 Lecture
2 Lecture
Nasal obstruction: nasal polyps, septal deviation, tumours. Foreign

bodies: nose, ear, throat, airway
Principles of imaging and radiological diagnosis
Summary
Lecture
Skill lab
Video
Clinical
Total
Term
5
14
9
1
Term
6
5
0
0
Term
7
24
Term
8
31
0
0
Term
9
22
0
Term
10
27
0
31
22
27
Page 140
Surgery
Total
99
15
1
1088
1203

5.20.3. References
1.
Baily and Loves Short Text Book of Surgery.25th edition, Edited by R.C.G. Russell.,
N .L.Williams and Christopher J.K. Bulstrode, London: Hodder and Arnold, 2008.
2.
Scott An Aid to Clinical Surgery. 6th edition edited by Robin C .N Williamson and
Bruce P. Waxman, Edinburgh: Churchill Livingstone, 1998.
3.
An introduction to the symptoms and signs of surgical disease. Norman L Browse, 3 rd

edition, London: Edward Arnold, 1997.
4.
Hamilton Baileys Physical signs: Demonstrations of physical signs in Clinical surgery.

John S.P.Lumley, 18th edition, Oxford: Butterworth, 1997.
5.
Text book of surgery. David A. Macfarlane and Lewis P. Thomas, 5th edition,
Edinburgh: Churchill Livingstone, 1985.
6.
A short text book of surgery. Selwyn Taylor and Leonard Cotton. 5th ed. London:
Hodder and Stoughton, 1982.
7.
Lecture notes on general surgery. Harold Ellis., Sir Roy Y. Calne and Christopher
J.E.Watson, 10th edition, Oxford: Blackwell Scientific, 2002.
8.
A text book of surgical pathology. Illingworth and Dick, London: ELBS, Latest Edition.
9.
Outline of fractures. John Crawford Adams and David L.Hamblen, 11th edition, London:
10. Ward procedures in surgery. Gayan Ekanayake. Edited by Aloka Pathirana, Sri Lanka,
2008.
Page 141
Surgery

5.20.4. Evaluation
Type of Examination
Distribution
of MarksFirst
examination
10
No. of hrs No. of
question etc.
At the end of first and
second surgical
appointments. MCQ and
OSCE. 5 marks each
examination
90
100
20
15
25
20
40 questions-2hrs
10 questions-3.5 hrs
10 min / student
Clinical
Examination
4.1. Long case
4.2. Short case
20
20
20
20
1 case 1hr & 30 min

2-3 cases 20 min
4.3. OSCE
10
10
20x 1 minute stations
1
2
3
End of Course
Assessment
MCQ
Essay
Viva [instruments
and procedures]
Distribution
of Markssubsequent
examinations
Qualifying
pass marks
(%)
45 % in
theory
Page 142
Surgery
50% in
clinical
5.21. Synchronization Table for Para Clinical and Clinical Subjects

5.21.1. Synchronization- Phase II
Term 5
Basic &
applied
immunology
13hrs
Parasitology No lectures
General
microbiology
12hrs
PPDS
Sociology
Com.
Medicine
Forensic
Medicine
Pathology
Pharmacolo
gy
Paediatrics
Surgery
Psychiatry
Lectures/
discussions
16hrs
History &
scope of
Medical
sociology
01hr
Introduction
to sociology
03hrs
Social
institutions
03hrs
Health as
social
institutions
08hrs
Theoretical
approaches
on Health
02hr5
Doctorpatient
relationship
02hs
Demography
1 -03hrs
Statistics 104hrs
Introducti
on 05hrs
General
pathology
26hrs
General
principles of
Growth &
development
06hrs
General
principles
15hrs
Introductory
psychology
05hrs
Nutrition
06hrs
Emergency
medicine &
manageme
nt of
Trauma
09hrs
Basic
epidemiolog
y1 09hrs
Child care
05hrs
Nutrition
07hrs
Medical
Ethics
14hrs
Neoplasm
09hrs
Pharmacology
25hrs
Medicine No lectures
Microbiology
Page 143
Synchronization- Phase II and Phase III
Term 6
PPDS
Sociology
Com.
Medicine
Forensic
Medicin
e
Systemic
Protozoa Lectures/ Health
Reproductive Death &
microbiology 26hrs discussions social
Health 1post
16hrs
15hrs
psychology 04hrs
mortem
02hrs
27hrs
Social
work &
Environment
Physical
al &
healthcare Occupational
02hrs
health 103hrs
Communicable
Mycology
Globalisation,
consumption diseases
8hrs
& health 19hrs
Virology
02hrs
12hrs
Page 144
Pathology
Pharmacol
ogy
Paediatrics
Disorders
of
immunity
& immune
response
07hrs
Immunopharmacolo
gy 02hrs
CVS 06
hrs
Tissue
Infection &
Surgical
Immunology
microbiology
Clinical
pathology
11hrs
Antimicrobials
Drugs
acting on
ANS
05hrs
18hrs
Medicine No Lectures
Microbiolog Parasito
y
logy
06hrs
Surgery
transplantation
- 01hr
Psychiatry
Basic
psychology
20hrs
02hrs
Management
& legal
issues
02hrs
Clinical
psychology
- 16hrs
Term 7
Microbiolo
gy
Parasitology
Forensic
Medicine
Pathology
Pharmacol
ogy
Paediatrics
Clinical
Helminthes Lectures/
HIV/AIDS Health
Injuries
26hrs
discussions vulnerability planning &
30hrs
02hrs
18hrs
management
1 03hrs
Health
economics 1
02hrs
Environme
ntal
diseases
03hrs
Anti
protozoal &
anti
helminthics
04hrs
RS - 07hrs
Arthropods
13hrs
Health
Education 103hrs
Family
medicine
08hrs
Snakes
06hrs
Zoonosis
04hrs
Com.
Medicine
Malaria,
Dengue &
human
behavior
02hrs
Epidemiology
2 06hrs
Research 1
13hrs
Cardiovascular
system
20hrs
Surgery
Surgical
procedures
06hrs
Haematology
/ oncology
04hrs
Psychiatry No lectures
28hrs
Sociology
Medicine No lectures
microbiology
PPDS
Page 145
5.21.2. Synchronization- Phase III

Term 8
PPDS No lectures
Sociolog
Com.
y
Medicine
Research Statistics 2
methods
09hrs
in
medical
sociology
07hrs
Forensic
Medicine
Asphyxia
10hrs
Pathology
Pharmacology
Medicine
Paediatrics
Respiratory
system 20hrs
Drugs acting on
kidneys 03hrs
Drugs acting on
blood & blood
forming organs
03hrs
Drugs acting on
CVS 08hrs
Disorders of
cardiovascular
system 10hrs
Autacoids
&related drugs
06hrs
Disorders of
respiratory
system 07hrs
Drugs acting on
GIT 04hrs
Cardiovascular
system 02hrs
Neonatology
10hrs
Noncommunicable
Diseases 08hrs
Alimentary
system 38hrs
Family Medicine
2 6hrs
Research 2 3hrs
+ (60hrs) *
Statistics 3 4hrs
Elective field
activity 90hrs*
Disorders of
GIT 09hrs
* - not included in the lecture hours
Page 146
Surgery
Psychiatry
Vascular
diseases
04hrs
Basics in
family &
social
psychology
10hrs
Thorax
02hrs
GIT &
abdomen
25hrs
Forensic
psychiatry
07hrs
Respiratory
system 03hrs
Gastroenterology
05hrs
Term 9
PPDS
Sociology
Com.
Medicine
Lectures/
Suicide &
discussions public
10hrs
health
problem
02hrs
Reproductive
Alcoholism
Environmental
02hrs
Sociology
of
Violence
& conflict
management
02hrs
health 2
07hrs
&
occupational
health 209hrs
Family
medicine 3
21hrs
Health
planning &
management
2 05hrs
Forensic
Medicine
Sexual
offenses
14hrs
Pathology
Musculoskeletal
system
16hrs
Urinary
system
26hrs
Poisoning
13hrs
Endocrine
diseases
13hrs
Pharmacolog
y
Rheumatology
03hrs
Medicine
Nephrology
09hrs
Nephrology
03hrs
Hormones &
related drugs
14hrs
Endocrine
disorders
11rs
Toxicology
02hrs
Paediatrics
Surgery
Psychiatry
GIT & liver

07hrs
Musculoskeletal 9hrs
Adult
psychiatry
15hrs
Musculoskelet
al system
02hrs
Principles of
oncology
08hrs
Renal -06hrs
Endocrine
05hrs
Page 147
Term 10
Lectures/
discussions
08hrs
Gender &
Health - 02hrs
Com.
Medicine
Health economics 2
02hrs
Aging & health Health Education 2 02hrs

02hrs
Healthcare
reform, Policy
& disease
control
priorities in
developing
countries
02hrs
Reproductive health 3
04hrs
Environmental &
occupational health
3- 03hrs
Health planning &
management 3
04hrs
Special topics 07hrs
Tutorials 10hrs
Pathology
Pharmacology
Female genital
system 10hrs
Drugs acting on
CNS & Psychopharmacology
12hrs
Disorders of CNS
09hrs
Endocrine
07hrs
Fluid & electrolyte

balance 01hr
Psychiatry
06hrs
Male genital
system 15hrs
Nervous system
05hrs
Cancer
chemotherapy
02hrs
Lymphoreticular tissues
&haematologic
al disorders
38hrs
Miscellaneous
03hrs
Page 148
Medicine
Neurology
05hrs
Paediatrics
Nervous
system
04hrs
Miscellaneous
Haematology 04hrs
05hrs
Surgery
Breast
02hrs
Genitourinary
system
10hrs
Head &
neck
03hrs
Eye 04hrs
ENT
08hrs
Psychiatry No lectures
Sociology
Forensic Medicine No lectures
PPDS
5.22. Hours Needed for Para-clinical courses

Hours needed for Para-clinical course
Term
5
Term
6
Term
7
Term
8
Term
9
Sociology
PPDS
Microbiology
Parasitology
Community Medicine
Com Med Field, Res
Forensic Medicine
Pharmacology
Pathology
Psychiatry
Medicine
Obstetrics &
Gynaecology
19
16
25
0
28
6
16
35
20
26
7
0
7
10
6
8
32
27
26
18
36
0
30
150
10
56
58
17
10
42
19
24
35
5
0
4
18
28
49
30
5
30
4
23
0
0
37
36
55
15
3
29
67
0
10
49
68
88
69
188
155
123
175
256
73
23
Paediatrics
Surgery
Total
Available [12x5x4 Hr]
13
24
208
240
12
5
227
240
11
6
203
240
10
31
229
240
15
22
242
240
21
27
200
240
82
115
1464
Subject
Term
10
Total
Page 149
5.23. Total Hours of the Course

The course is very extensive and demanding. More clinical attachments are to be
added as more sub-specialties like neurosurgery, rheumatology etc. become
established in the Jaffna Teaching Hospital. The duration is five years and there is
very limited time for self study and recreation. The following table gives total
hours allocated for learning. Credits are calculated on the basis of 15 hours of
lectures and tutorials, 30 hours of practical, research, seminar and 45 hours of
clinical learning as equivalent of one credit.
Total for the course

Subject
Hours Credits
Introductory
50
English
60
4.0
IT
60
2.3
PPDS
138
9.2
Anatomy
656
40.8
Biochemistry
339
17.2
Physiology
281
0.0
Sociology
49
7.0
Microbiology
88
5.4
Parasitology
69
4.0
Community
Medicine
661
24.0
Forensic Medicine
171
10.2
Pathology
304
16.1
Pharmacology
175
10.5
Psychiatry
505
14.5
Medicine
1015
23.6
Obstetrics &
Gynaecology
Paediatrics
Surgery
Elective
Grand total
576
12.8
714
1203
192
7306
19.5
31.8
4.3
257.3
Page 150
Chapter 6
Evaluation Procedures and Award of Degree

Each subject will be evaluated by the respective department of study.
In-course
assessments and end-of-course examination are held. Three end-of-course examinations

are conducted: First Examination for Medical Degrees, Second Examination for Medical
Degrees and Final Examination for Medical Degrees. The First two examinations are bar
examinations. The students must pass all subjects to enter the next stage.
6.1. In-course assessment

Respective Departments will conduct in course assessment examinations during the course.
Students must attend all in-course assessment examinations. If any student absents at the
in-course assessment for valid reason, the department concerned may conduct another
examination either in written or oral form.
If students absent themselves for trivial
reasons, they will be given zero mark for that examination. A portion of the final marks of
the first attempt will be obtained from the in-course assessment marks.
6.2. End-of-course Examination

An examination is conducted at the end of each Phase. A second examination will be
conducted 6 weeks after releasing the results of the first examination. Each subject will be
examined separately. Integrated examinations could be evolved when integrated teaching
is introduced in due course. Each examination will have many components such as MCQ,
essay questions, practical, spot examination, viva and clinical examinations.
The
components may vary according to the nature of the subject. Attempts will be made to
make the evaluation objective by giving structured questions for theory and converting
conventional clinical and practical examinations into Objective Structured Clinical
Examinations and Objective Structured Practical Examinations.
6.2.1. Eligibility to Sit for the First Examination for Medical Degrees
The subjects are Anatomy, Biochemistry and Physiology.
The student must have valid registration in the University.
section 6.1.3.3).
The student must have passed the Information Technology examination (see
The student must have passed the English examination (see section 6.1.4.2).
The student must have passed PPDS examination for Phase I (see section
5.4.4.).
Page 151
Evaluation
The student must have at least 80% attendance practical and tutorial classes of
all the subjects.
The student must have completed the course in all subjects and should have
obtained the signature of each Head of each Department in the student record
book and the application form.
6.2.2. Eligibility to Sit for the Part I of the Second Examination
The subjects are Microbiology and Parasitology.
classes of the three subjects.
The student must have at least 80% attendance in practical and tutorial
The student must have completed the course in the two subjects and should
have obtained the signature of the Head of the Department in the student
record book and the application form.
6.2.3. Eligibility to Sit for the Part II of the Second Examination
The
subjects
are
Community
Medicine,
Forensic
Medicine,
PathologyandPharmacology.
5.4.4.).
classes of the four subjects.
The student must have passed PPDS examination for Phase III (see section
The student must have at least 80% attendance in practical and tutorial
The student must have completed the course in the subjects and should have
obtained the signature of each Head of each Department in the student
6.2.4. Eligibility to Sit for the Final Examination for Medical

Degrees
The subjects are Medicine, Obstetrics & gynaecology, Paediatrics,

Psychiatry and Surgery.
The student must have obtained pass marks in the assessment of the
Elective Appointment.
Page 152
Evaluation
The student must have 100% attendance in clinical component. Up to 10%

absenteeism in Clinical component could be acceptable with written
permission of the Consultant. The student should have at least 80%
attendance in other relevant components of all the subjects or the absence
should have been excused by the Faculty and the Senate.

The student must have completed the course in all the subjects and should
have obtained the signature of each Head of each Department in the student

The student should have passed the Sociology co-module examination.
6.2.5. Attempts and Excuses

The students must appear for the scheduled examinations.
The examination
scheduled immediately after the completion of the course shall be deemed to be the
first attempt. Students will be allowed to sit 4 scheduled attempts at the first
examination and 6 scheduled attempts at the other examinations. If any student
misses the scheduled examination for not fulfilling the above mentioned criteria or
for any other reason, the student will be deemed to have failed that
examinationunless the absence at the examination is excused by the Faculty and the
Senate. If any student happens to be unable to appear at the examination due to ill
health, the student should get examined by the UMO or a Consultant at the
Teaching Hospital or a Government Medical Officer if the student is in a faraway
place. The medical certificate should be duly certified by the UMO and submitted
to the Faculty within Two weeks. Medical certificates or any appeal of excuses
will not be accepted after releasing the results of the examination.
An additional grace chance may be granted under exceptional circumstances for
students who have not completed any examination within the stipulated number of
attempts if the appeal of the student is well supported by authenticated documents
and accepted by the Faculty Board and approved by the Senate.
Page 153
Evaluation
6.3. Summary of the Scheme of Evaluation

6.3.1.
Summary of the Scheme of Evaluation at the First Attempt

Clinical
Practical/
In
Practical/OSPE/
OSCE / Short
Research Viva Total
Long case/
Course Essay MCQ
Spot 1
Spot 2 case/
Gynaecology
Obstetrics
20
25
25
10
10
10
100
20
25
25
10
10
10
100
20
30
30
10
10
100
50
20
30
100
20
30
30
10
10
100
15
50
20
5
10
100
35
40
15
10
100
30
30
10
10
20
100
10
20
30
20
10
10
100
25
25
25
25
100
20
20
20
0
20
20
100
Theory
Subject
1
2
3
4
5
6
7
8
9
10
11
12
13
14
Anatomy
Biochemistry
Physiology
Forensic Medicine
Microbiology
Parasitology
Community Medicine
Pathology
Pharmacology
Psychiatry
Medicine
Obstetrics &
Gynaecology
Paediatrics
Surgery
10
20
20
10
10
20
15
20
20
10
10
Page 154
Evaluation
20
20
20
20
20
20
10
100
100
100
6.3.2.
Summary of the Scheme of Evaluation at the Subsequent Attempts
Clinical
Practical/
OSPE/ Practical/
Spot 1/
OSCE / Short
Research Viva Total
Long case/
Essay MCQ
Study
Spot 2 case/
Gynaecology
Obstetrics
guide
Theory
Subject
1
2
3
4
5
6
7
8
9
10
11
12
13
14
Anatomy
Biochemistry
Physiology
Forensic Medicine
Microbiology
Parasitology
Community Medicine
Pathology
Pharmacology
Psychiatry
Medicine
Obstetrics &
Gynaecology
Paediatrics
Surgery
30
40
35
50
35
60
70
30
30
25
30
30
40
35
20
20
20
20
20
25
35
30
30
25
30
10
10
10
20
15
20
10
10
20
10
10
10
10
25
20
25
20
20
20
25
20
25
20
20
10
20
30
15
15
30
20
10
100
100
100
100
100
100
100
100
100
100
100
20
100
100
100
Page 155
Evaluation
6.4. Award of Pass, Fail, Distinctions and Class

Each examination of the pre, para and clinical courses will be independent and the results
of one examination will not have any influence on the results of the other examinations and
the students will be awarded pass, class and distinctions for each examination separately.
6.4.1. Award of Pass in a Subject
The students should obtain the marks of 50% or above and obtain the qualifying
marks in the specified components to pass any subject.
Qualifying markis 40% in the theory component [MCQ and Essay] in each of the
pre-clinical and para-clinical subjects. Qualifying mark for the clinical subjects is,
45% in theory [MCQ and Essay] and 50% in clinical component [short case and
long case in Medicine, Surgery, Paediatrics and Psychiatry and Obstetric &
Gynaecological cases in Obstetrics & Gynaecology].
6.4.2. Award of Fail and Referred in an examination
Any student who fails to appear at any scheduled examination will be deemed to
have failed that examination [First and Final Examinations for medical degrees] or
part of the examination [Part I or Part II of the Second Examination for medical
degrees] unless an excuse is accepted by the Faculty Board and approved by the
Senate.
the entire examination irrespective of the marks obtained in other subjects.
the examination.
subject irrespective of the total marks obtained.
If any student obtains less than 25% in any one subject, the student will be failing
If any student obtains less than 50% in all subjects, the student will have failed in
If any student fails to obtain the qualifying marks, the student will fail in that
If the student passes one or more subjects and fails to pass in other subjects, the
student will be deemed to have referred in the unsuccessful subjects.
Page 156
Evaluation

6.4.3. Award of Pass and Class Honours
Pass will be awarded to students when they obtain pass marks in all subjects of the course.
Class Honours will be awarded to students only if they complete the course in the first
scheduled attempt and obtain average marks for that examination as follows:
Range of Marks
Award
50-59
Pass
60-64
Second Class Lower
65-69
Second Class Upper
70 or above
First Class
6.4.4. Award of Distinction

Distinctions in subjects will be awarded to students who got 70% or above in any subject if
they have got pass marks in all subjects of the examination at the first scheduled attempt.
6.5. Releasing Results

When the marks of all subjects of an examination are received by the Dean, a Pre-Result
Board will be convened by the Dean. The Pre-Result Board will comprise the relevant
Heads of Departments, all examiners who took part in that examination and the Assistant
Registrar. The marks will be analyzed and scrutinized and sent to the Examination branch
of the University. The students who obtain fail in subjects will be notified by the Dean,
subject to confirmation by the Result Board and the Senate. The date of notifying failures
will be the first day for counting 6 weeks to conduct the second examination.
The Vice Chancellor will convene a Result Board to finalize the results and submit the
result for confirmation by the Senate. The Result Board will scrutinize the marks again
and work out the distinctions, class honours, passes, failures and prizes.
6.6. Award of Bachelor of Medical Science [BMSc]

The degree of BMSc will be awarded to those students who wish to leave the
University after successful completion of the Second Examination for Medical Degrees.
The BMSc could be converted to MBBS provided the students return within a
period of 5 years from the date of award of BMSc and complete the MBBS within the
remaining period to make the maximum period of 10 years in the University.
Page 157
Evaluation

ZPPD Curriculum 2014 I

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CURRICULUM

Medical Curriculum 2013

Outcomes of the Medical Course .................................................................................................11

Faculty of Medicine, UOJ

Medical Curriculum 2013

Faculty of Medicine, UOJ

CHAPTER 6 ............................................................................................................................. 151

In-course assessment ................................................................................................................. 151

Releasing Results ...................................................................................................................... 157

Award of Bachelor of Medical Science [BMSc] ....................................................................... 157

Medical Curriculum 2013

Faculty of Medicine, UOJ

Overview of the curriculum

Medical Curriculum 2013

Faculty of Medicine, UOJ

The Faculty of Medicine developed its curriculum through the

Medical Curriculum 2013

Faculty of Medicine, UOJ

Medical Curriculum 2013

Vision, Mission and Outcome of the Medical Course

To be a leading centre of excellence in teaching learning, research and scholarship in the

To be a leading centre of excellence which produces intellectual, competent,

Outcomes of the Medical Course

Apply the principles of ethical practice in personal and professional life.

Faculty of Medicine, UOJ

4.2. Pre-clinical Course [Terms 1 to 4]

Medical Curriculum 2013

Faculty of Medicine, UOJ

Phase I - Pre clinical

Phase I - Pre clinical

New year Holidays

Year 1 Phase I - Pre clinical

Medical Curriculum 2013

Over View of the Curriculum

Introductory Period (English and IT)

Second Examination (Part II)

Faculty of Medicine, UOJ

4.3. Para-clinical Course [Terms 5 to 10]

4.4. Clinical Course

Medical Curriculum 2013

4.5. Teaching / Learning activities

4.6. Problem based learning

Faculty of Medicine, UOJ

Proposed Entry points of Problem based learning in the curricula

Medical Curriculum 2013

4.7. Student Activities.

4.8. Student Attendance

Faculty of Medicine, UOJ

Medical Curriculum 2013

4.9. Contribution of Subjects to Curriculum Outcomes

Outcomes of the Medical Course

Faculty of Medicine, UOJ

Welcome Address by key persons

Introduction to each other

Medical Curriculum 2013

Faculty of Medicine, UOJ

5.2. IT Co Module for Medical Course

5.2.1. Course Description

Medical Curriculum 2013

Faculty of Medicine, UOJ

Entering data, variable types, variable labels, value labels,

Transforming data and creating new variables: recode,

File manipulations: sort file, split file, select cases, merge