DNB Community Medicine in India: Check out NBE released Curriculum
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The National Board of Examinations (NBE) has released the Curriculum for DNB Community Medicine.
I. OBJECTIVES OF THE PROGRAMME:
1. Programme Goal
i. Broad Goals:
To prepare a Planner, Manager, Solution -seeker, Researcher, Teacher, and Philosopher in health issues (specifically preventive, promotive, and rehabilitative health) of individual, family, community, nation, and cross-nations. The overall goal of the training programme is to produce a competent public health specialist who can function as a leader of a health team and is able to provide effective health care at the primary, secondary, and tertiary levels. The goal of postgraduate medical education shall be to produce specialists of Community Medicine who shall have the following competencies:
a. Recognize the health needs of the community and carry out professional obligations ethically and in keeping with the objectives of the national health policy.
b. Have the necessary abilities for the practice of Community Medicine
c. Be aware of the contemporary advances and developments in the discipline of Community Medicine.
d. Have a spirit of scientific enquiry and is oriented to the principles of research methodology and epidemiology.
e. Have the basic skills in the training of medical and paramedical professionals.
2. Programme Objectives
The objectives of the postgraduate degree training programme - in terms of knowledge and skills – are to enable a candidate to:
i. Lead team of health professionals for planning and managing community health problems effectively and proactively.
ii. Study critically and manage existing health programmes of all levels (local state, national) and suggest alternatives for achieving desired goals.
iii. Be proficient in human resource management along with materials (resources) and finance management for health schemes and health service implementation.
iv. Have global perspective of health scenario and be capable of understanding cultural and societal specific health needs, its implications, and its interventions.
v. Plan budget, execute and evaluate health problems of routine and emerging in nature.
vi. Have strong analytical abilities, comprehension skills, creativity, lateral thinking, and resourcefulness.
vii. Administer functions of big hospitals (Size > 500 beds).
viii. Function effectively as Industrial Health Officer.
ix. Conduct and guide research in various disciplines of health sciences, health management, health systems research, and operational research.
x. Impart undergraduate curriculum of university in the subject in terms of knowledge and skills to medical, nursing, and paramedical students.
xi. Work with consultants / full-time officer of national and international agencies (Govt. as well as Non-Govt.) working in the field of health.
xii. Identify and understand the changing health needs of the ever-changing community and organize relevant effective interventions for the amelioration of health problem.
xiii. Design need-based teaching and training programmes/ teaching materials for various categories of health professionals including its implementation and evaluation for the desired change in knowledge and skills.
xiv. Design need-based health–teaching and training programmes/teaching materials for the community at large for the desired change in health practice.
xv. Develop as a "Health – Philosopher."
3. General Objectives The general objectives of the training programme in Community Medicine will be to enable a candidate to be a:
i. Public Health specialist:
a. Define and manage the health problems of the community, which he/she serves. He/she should be able to organize epidemiological studies to identify health problems.
b. Plan, implement and evaluate various health programs in his/her area, especially National Health, Family Welfare, and disease control/ eradication programmes.
c. Select, train supervise, and manage various categories of health personnel working with him/her.
d. Organize health care services, routine and for special groups, and during periods of special needs such as disasters/calamities and epidemics.
e. Should update himself/ herself on the latest advances/ developments in the field of
ii. Public Health Teacher:
a. Plan and conduct an educational session/ programme. He/she will be able to draw up lesson plan with details of the educational objective, content, process, and essential inputs.
b. Assist in the development of curriculum, teaching and learning activities, and methods of evaluation
c. Assist in manpower planning and development. He/she should be able to participate in programmes for the selection, training, and supervision of various cadres of health personnel
4. Research
i. Plan and execute a research study including clinical trials.
ii. Use/Organize Biostatistical analysis using computers and softwares and prepare reports/papers.
iii. Critically evaluate research activities
iv. Make recommendations on policy and procedures A candidate upon successfully qualifying should be competent in the following areas:
a. Health policy, planning; leadership and management
b. Epidemiology and Biostatistics
c. Health Promotion and disease prevention
d. Documentation and dissemination
e. Behavioral Change Communication,
f. Research Methodology
g. Education technology
h. Public Health Management
i. Epidemiology
j. Health Team Leadership
k. Teaching and Training
Research-Specific Learning Objectives: In the area of
i. Public Health Management, he/she should be able to: -
a. Identify health problems of the community in the context of the sociocultural milieu
b. Prioritise health problems c. Identify threats to the environment
d. Identify groups which require special attention (elderly, adolescents, gender the poor, and other marginalized groups) including those facing occupational hazards
e. Set objectives, prepare an action plan, implement programmes, and monitor, supervise and evaluate them
f. Manage Health Information System and respond appropriately to the information gathered
g. Assess costs and carry out programme budgeting
h. Implement public health laws i. Initiate, implement and supervise National Health Programmes
j. Establish Surveillance System and respond to public health threats efficiently and effectively
k. Anticipate, prepare for and respond to disasters
l. Plan human resources development m.Manage logistics and materials effectively
n. Monitor and assure quality in programme implementation
ii. Epidemiology, he/she should be able to: -
a. Conduct epidemiological investigation of communicable, non-communicable and other diseases of public health importance and suggest appropriate solution
b. Use effectively the tools of epidemiology for understanding disease causation and determinants of diseases
iii. Health Team Leadership, he/she should be able to: -
a. Interact, communicate educate effectively persons from diverse backgrounds, areas, and preferences to promote healthy behavior through community participation
b. Explain scientific information to the public, decision-makers, and opinion leaders.
c. Nurture team spirit and harmonize activities of various members
d. Facilitate inter-sectoral coordination
e. Promote and establish partnerships
iv. Teaching and Training, he/she should be able to: -
a. Assess the learning needs of any given group (students, staff, or community)
b. Formulate learning objectives
c. Plan curriculum and prepare curriculum materials
d. Select and implement appropriate learning methods
e. Evaluate learning experiences
v. Research, he/she should be able to: -
a. Critically evaluate data, identify gaps in knowledge and formulate research questions
b. Design and implement Epidemiological and Health Systems Research studies
c. Analyze data and present findings
d. Effectively communicate findings and Public Health Information
e. Apply ethical principles to the collection, maintenance, use, and dissemination of data and information Post Graduate
5. Special Objectives:
At the end of the program student will:
i. Know the structure and functioning of the health system at the National and International levels and its historical perspectives.
ii. Know the principles of nutrition, maternal health, and family welfare and put the same into practice.
iii. Apply the principles of Epidemiology and Biostatistics to health practice including the design and implementation of health-related research studies and clinical preventive medicine trails.
iv. Know the principles of Communicable and Non-communicable diseases control and assist in the implementation of National Health programmes at a program level.
v. Identify the socio-cultural dimension in Health and disease and apply this knowledge in the design and implementation of an integrated Health and development program.
vi. Apply the principals of environmental and occupational health in the design of health programmes aimed at improving health status.
vii. Access specific health situations in a population, plan, organize, implement and evaluate programs aimed at improving health situations.
viii. Identify the health needs of the special groups within populations especially the aged, the disabled and the worker and to respond to that need.
ix. Know the principles of learning and apply this knowledge in facilitating the learning process in groups of people involved in health.
x. Relate his/her knowledge of curative medicine to the improvement of the health status of a given population.
xi. Identify the role of the Government, Private and Voluntary sector in health and understand the principles of innovations in health practices and research
Specific Learning Objectives:
i. Public Health Management, he/she should be able to: -
a. Identify health problems of the community in the context of the socio-economic - cultural milieu
b. Prioritize health problems
c. Identify threats to the environment
d. Identify groups which require special attention (elderly, adolescents, gender, the poor, and other marginalized groups) including those facing occupational hazards
e. Set objectives; prepare action plan; implement programmes; and monitor, supervise and evaluate them
f. Manage Health Information System and respond appropriately to the information gathered
g. Assess costs, plan, implement, and supervise budget and alternative health options
h. Understand and Implement public health laws
i. Initiate, implement and supervise National Health Programmes
j. Establish Surveillance System and respond to public health threats effectively and efficiently
k. Anticipate, prepare for and respond to disasters
l. Plan health manpower development, logistics and materials management. m.Study quality assurance and medical audit (14) Understand basics of hospital management
n. Epidemiology, he/she should be able to: -
o. Conduct epidemiological investigation of communicable, non-communicable, and other phenomena of public health importance and suggest appropriate solution.
p. Use effectively the tools of epidemiology for understanding disease distribution and determinants of diseases. In the area of
ii. Health Team Leadership, he/she should be able to: -
a. Understand the structure and organizational behavior
b. Interact, communicate, educate effectively to persons from diverse backgrounds, ages, and gender to promote healthy behaviour through community involvement.
c. Explain scientific information to decision-makers and opinion leaders and the general public.
d. Facilitate inter-sectoral coordination
e. Promote and establish partnerships - partnering with the community, Panchayati Raj Instiutions, public-private partnerships, NGOs, and corporate sector
iii. Teaching and Training, he/she should be able to: -
a. Assess the learning needs of any given group.
b. Formulate learning objectives.
c. Plan curriculum and prepare curriculum materials.
d. Select and implement appropriate learning methods.
e. Evaluate learning experiences.
iv. Research, he/she should be able to: -
a. Critically evaluate data, identify gaps in knowledge and formulate research questions
b. Design and implement Epidemiological and Health Systems research studies
c. Design and implement qualitative research methods, when appropriate
d. Analyze data and present findings
e. Effectively document and disseminate findings
f. Apply ethical principles to the collection, maintenance, use, and dissemination of data and information
6. Scope of Training: The following skills and capacities required to achieve above objectives:
i. General public health Skills: The postgraduate student should be able to:
a. Elicit the clinic-psychosocial history to describe the agent, host and environmental factors that determine and influence health;
b. Recognize and assist in the management of common health problems of the community;
c. Apply principles of epidemiology in carrying out epidemiological studies in the community;
d. Work as a team member in rendering health care;
e. Carry out health education effectively for the community.
ii. Laboratory and diagnostic skills:
a. Water testing
b. Stool testing
c. Identification of vectors and microbiological tests for proper diagnosis
iii. Communication Skills: Able to communicate with the family, community, and government and non-government organizations; able to organize health education program in the community, generate community participation, etc.
iv. Problem Solving skills: RCH, Communicable and Non-Communicable diseases (including social problems) at the family and community level.
v. Health care delivery skills: Skills required to deliver Reproductive and Child Health at the community level; a minimum of 5-10 families to followed for a year to study various family dynamics aiming at educating and improving the health of family members;
vi. Epidemiological, Statistical, and Analytical skills: Conduction of survey or study; analysis and interpretation of results
II.TEACHING AND TRAINING ACTIVITIES:
The fundamental components of the teaching programme should include:
1. Case presentations & discussion- once a week
2. Seminar – Once a week
3. Journal club- Once a week
4. Grand round presentation (by rotation departments and subspecialties)- once a week
5. Faculty lecture teaching- Once a month
6. Clinical Audit-Once a Month
7. A poster and have one oral presentation at least once during their training period in a recognized conference.
The rounds should include bedside sessions, file rounds & documentation of case history and examination, progress notes, round discussions, investigations, and management plan) interesting and difficult case unit discussions. The training program would focus on knowledge, skills, and attitudes (behavior), all essential components of education. It is being divided into theoretical, clinical and practical in all aspects of the delivery of rehabilitative care, including the methodology of research and teaching.
i. Theoretical: The theoretical knowledge would be imparted to the candidates through discussions, journal clubs, symposia, and seminars. The students are exposed to recent advances through discussions in journal clubs. These are considered necessary in view of inadequate exposure to the subject in the undergraduate curriculum.
ii. Symposia: Trainees would be required to present a minimum of 20 topics based on the curriculum in a period of three years to the combined class of teachers and students. A free discussion would be encouraged in these symposia. The topics of the symposia would be given to the trainees with the dates for presentation.
iii. Clinical: The trainee would be attached to a faculty member to be able to pick up methods of history taking, examination, prescription writing, and management in rehabilitation practice.
iv. Bedside: The trainee would work up cases, and learn the management of cases by a discussion with the faculty of the department.
v. Journal Clubs: This would be a weekly academic exercise. A list of suggested Journals is given towards the end of this document. The candidate would summarize and discuss the scientific article critically. A faculty member will suggest the article and moderate the discussion, with participation by other faculty members and resident doctors. The contributions made by the article in furtherance of the scientific knowledge and limitations, if any, will be highlighted. vi.Research: The student would carry out the research project and write a thesis/ dissertation in accordance with NBE guidelines. He/ she would also be given exposure to partake in the research projects going on in the departments to learn their planning, methodology, and execution so as to learn various aspects of research.
III. SYLLABUS:
Students will be posted to learn organization and administration of hospital services and understand the system used for the collection, recording, and reporting of hospital statistics, inventory control of medical stores, hospital laundry, hospital dietary, CSSD, ensuring the quality of health care, clientele satisfaction, hospital infection control, medical audit.
1. Subject-Specific Theoretical Competencies:
i. History of Public Health and Preventive and Social Medicine
ii. History of different systems of Medicine
iii. Public health events - Sanitary awakening, germ theory of disease, rise of Public health in various countries
iv. Primary Health
2. Core Concepts in Public Health:
i. Definition of health; appreciation of health as a relative concept; determinants of health.
ii. Characteristics of agent, host, and environmental factors in health and disease and the multifactorial etiology of disease.
iii. Understanding of various levels of prevention with appropriate examples.
iv. Indices used in the measurement of health.
v. Health situation in India: demography, mortality and morbidity profile and the existing health facilities in health services.
vi. Difficulties in the measurement of health.
vii. National Health Policy
3. Community Medicine:
i. Concept of Health & Disease
ii. History of medicine, the evolution of public health, alternative systems of medicine Definition and concepts of public health
iii. Definition of health, holistic concepts of health including the concept of spiritual health, appreciation of health as a relative concept, determinants of health
iv. Characteristics of agent, host, and environmental factors in health and disease and the multifactorial etiology of disease Understanding the natural history of disease and application of interventions at various levels of prevention Health indicators
v. Health profile of India
vi. Concept of rehabilitation, its types, and techniques
vii. Social and Behavioural Sciences
viii. Clinico- social, cultural, and demographic evolution of the individual, family, and community Humanities and Community Medicine Social organizations with special reference to family Religion, its evolution as a special instance of the evolution of social institutions ix. Major tenets of the common religions in India & their influence on health & disease
x. Assessment of barriers to good health and health seeking behavior
xi. Methodology in social research (Attitude surveys, Questionnaires, Interviews)
xii. Health economics
xiii. Social security in India Culture and its impact on health Customs, taboos and mores Medical social worker
xiv. Doctor-patient relationship
xv. Social problems e.g. child abuse, juvenile delinquency, drug addiction, alcoholism, marital maladjustment, domestic violence, suicide, and attempted suicide,
xvi. Problems of the old, caste system
xvii. Psychology and its concepts The Psycho analytic theory Human personality, its foundations, development and organization xviii. Development of child and its impact on its personality Psychological testspersonality tests, intelligence tests Group dynamics
xix. Hospital psychology
4. Epidemiology:
i. Use of epidemiological tools to make a community diagnosis of the health situation in order to formulate appropriate intervention measures.
ii. Epidemiology - definition, concept, and role in health and disease.
iii. Definition of the terms used in describing disease transmission and control.
iv. Natural history of a disease and its application in planning intervention.
v. Modes of transmission and measures for prevention and control of the communicable and non-communicable disease.
vi. Principal sources of epidemiological data.
vii. Definition, calculation, and interpretation of the measures of frequency of diseases and mortality.
viii. Need and uses of screening tests.
ix. Accuracy and clinical value of diagnostic and screening tests (sensitivity, specificity, & predictive values).
x. Epidemiology of communicable and non-communicable diseases of public health importance and their control.
xi. Epidemiological basis of national health programmes.
xii. Awareness of programmes for the control of non-communicable diseases.
xiii. Awareness of programmes for the control of communicable diseases.
(a) Planning and investigation of an epidemic of communicable diseases in a community setting.
(b) Institution of control measures and evaluation of the effectiveness of these measures.
xiv. Various types of epidemiological study designs.
xv. Planning an intervention programme with community participation based on the community diagnosis.
xvi. Applications of computers in epidemiology.
xvii. Critical evaluation of published research.
5. Epidemiology of Specific Diseases:
i. Extent of the problem, epidemiology, and natural history of the disease.
ii. Relative public health importance of a particular disease in a given area.
iii. Influence of social, cultural, and ecological factors on the epidemiology of the disease.
iv. Control of communicable and non-communicable disease by:
a. Diagnosing and treating a case and in doing so demonstrate skills in:
b. Clinical methods
c. Use of essential laboratory techniques
d. Selection of appropriate treatment regimes
e. Follow-up of cases.
v. Principles of planning, implementing, and evaluating control measures for the diseases at the community level bearing in mind the relative importance of the disease.
vi. Institution of programmes for the education of individuals and communities.
vii. Investigating a disease epidemic.
viii. Knowledge of the National Health Programmes.
ix. Level of awareness of causation and prevention of diseases amongst individuals and communities.
6. Entomology:
i. Role of vectors in the causation of diseases.
ii. Steps in management of a case of insecticide toxicity.
iii. Identifying features of and mode of transmission of vector-borne diseases.
iv. Methods of vector control with advantages and limitations of each.
v. Mode of action, dose, and application cycle of commonly used insecticides.
7. Principles and Practice of Information, Education, and Communication:
i. Principles of IEC Health Education
a. Objectives of Health Education b. Content of Health Education
ii. Communication Skills, Principles of Communication
a. Communication barrier
b. Body Language and non-verbal communication
iii. The use of Media for IEC
iv. Practice (Methods) of IEC and its application in Community Health
v. Evaluation of the impact of IEC program
8. Biostatistics:
i. The scope and use of Biostatistics
ii. Collection, classification, and presentation of statistical data
iii. Analysis and interpretation of data.
iv. Obtaining information, computing indices (rates and ratio), and making comparisons.
v. Apply statistical methods in designing of studies
vi. Choosing of appropriate sampling methods and sample size.
vii. Applying the suitable test of significance and Use of statistical tables.
9. Health Statistics
i. Introduction of the Role of statistics in Public Health
ii. Collection of data
iii. Sampling in Public Health
iv. Statistical classification of health data
v. Handling and processing of statistical information
vi. Analysis of demographic data o Measurement of morbidity, mortality, and fertility
vii. Standardization of rates and standard indices
viii. Life tables
ix. Statistical techniques of evaluation in Public Health Descriptive Statistics
x. Introduction to biostatistics- aim, and scope
xi. Collection of data- basic ideas
xii. Presentation of data- tabulation, diagram, and graphs
xiii. Measures of central tendency and dispersion
o Normal distribution
xiv. Elementary idea of skewness
xv. Concepts of correlation and regression Statistical inferences
o Elementary idea of probability
xvi. Sampling techniques
xvii. Test of Significance-Chi Square, t-test, z-test, ANOVA
xviii. Basic idea of testing of hypothesis
xix. Advanced statistical techniques, multivariate regression analysis, statistical models, understanding of survival analysis
xx. Use of Epi info, SPSS/ other computer software Special topics in Biostatistics
xxi. Clinical Trials-Aim and scope, general principles, use of controls, final presentation of results-discussion of some well-known clinical trials
xxii. Prophylactic Trials-Assessment by time trends and geographical comparison, controlled prophylactic trials, discussion of some well-known clinical trails
xxiii. Retrospective and prospective studies and follow-up studies, discussion of important studies
xxiv. Field studies, prevalence surveys, guiding principles for data collection
10. Health Planning and Public Health Administration:
i. Explain the terms: public health, public health administration, regionalisation, comprehensive health care, primary health care, delivery of health care, planning, management, evaluation, National Health Policy, Development of Health Services in India, and various committee reports.
ii. Components of healthcare delivery
a. Describe the salient features of the National Health Policy concerning:
• Provision of Medical Care;
• Primary Health Care and Health for All;
• Health Manpower Development;
• Planned Development of Health Care Facilities;
• Encouragement of Indigenous Systems of Medicine.
b. Explain the process of health planning in India by demonstrating awareness of various important milestones in the history of health planning including various committees and their recommendations.
c. The health systems and health infrastructure at Centre, state district, and block levels. The inter-relationship between community development block and primary health centre. The organization, function, and staffing pattern of the community health centre, primary health centre, rural health centre, sub-centre, etc.
d. The job descriptions of health supervisor (male and female); health workers; village health guide; anganwadi workers; traditional birth attendants.
e. The activities of the health team at the primary health centre, Community health centre, and district hospital.
f. Organogram of the health care system –Public and private
11. Health Management:
i. Familiarity with management techniques: define and explain principles of management;
a. Introduction to Management: Principles & Techniques
b. Financial Management in Healthcare
c. Human Resources in Health Organizations
d. Health Management Information Systems
e. Organizational Behaviors
f. Management of district/state health systems
g. Operations Research
h. Resource Management
ii. Organizational Leadership
Iii. Components of health care delivery.
a. Appreciate the need for International Health Regulations and Disease surveillance.
b. Be aware of the constitutional provisions for health in India.
c. Enumerate the major divisions of responsibilities and functions (concerning health) of the union, local, and the state governments
d. Organizations: Appreciate the role of national, and international voluntary agencies in health care delivery like WHO, UNICEF, UNDP, World Bank, IMA, Indian Public Health Association, Indian Association of Preventive and Social medicine, etc. Organization structure of these organizations
e. Explain general principles of health economics and various techniques of health management e.g., cost-effectiveness, cost-benefit, etc.
12. Nutrition:
i. Nutritional problems of the country; Role of nutrition in Health and Disease.
ii. Common sources of various nutrients and special nutritional requirement according to age, sex, activity, and physiological conditions
iii. Nutritional assessment of individual, families, and the community by selecting and using appropriate methods such as: anthropometry, clinical, dietary, and laboratory techniques
iv. Compare recommended allowances of individual and families with actual intake.
v. Plan and recommend a suitable diet for the individuals and families bearing in mind local availability of foods, economic status, etc
vi. Common nutritional disorders: protein-energy malnutrition, Vitamin A deficiency, anemia, iodine deficiency disorders, fluorosis, food toxin diseases, and their control and management.
vii. National Nutritional Policy.
viii. National programmes in nutrition and their evaluation
ix. Food adulteration: prevention and control.
x. Applied Nutrition
xi. Nutrients, common sources, and their requirement according to age, sex, activity, and physiological conditions
xii. Balanced diet, Prudent diet
xiii. Techniques of nutritional assessment of the individual, family, and the community
xiv. Plan and recommend a suitable diet for the individuals and families as per local availability of foods and economic status etc.
xv. Common nutritional disorders, specific nutrient deficiency disorders, disorders related to toxins in food; their control and management
xvi. Food fortification, additives, and adulteration, food hygiene Social and cultural factors in nutrition and health Food and economics
xvii. Important National nutritional programmes
xviii. National Nutrition Policy
xix. Nutritional surveillance, education, and rehabilitation
xx. Role of diet in specific diseases like coronary heart disease, diabetes, obesity, etc.
xxi. Food and legislation
xxii. Future trends in nutrition
13. Environmental Sanitation:
i. Awareness of the relation of the Environment to Health.
ii. Awareness of the concept of safe and wholesome water.
iii. Awareness of the requirements of sanitary sources of water.
iv. Understanding the methods of purification of water on a small scale with stress on chlorination of water
v. Various biological standards.
vi. Concepts of safe disposal of human excreta.
vii. Physical, and chemical standards; tests for assessing the quality of water.
viii. Disposal of solid waste, liquid wastes both in the context of urban and rural conditions in the community.
ix. Problems in the disposal of refuse, sullage, and sewage
x. Sources, health hazards, and control of environmental pollution.
xi. Influence of physical factors – like heat, humidity, cold, radiation, and noise – on the health of the individual and community.
xii. Standards of housing and the effect of poor housing on health.
xiii. Climate Change and Public Health
14. Tropical Medicine;
Principles of tropical medicine, Infectious and non-Infectious of the tropical region, Disease Epidemiology; e.g., Small Pox, Chicken Pox, Measles, Mumps; Rubella, Diphtheria, Pertussis, Influenza, Tuberculosis, ARI, etc.; Poliomyelitis, Hepatitis, Food Poisoning; Cholera, Enteric Fevers, Amoebiasis, Worm Infestations, etc.; Malaria, Filaria, Dengue, and others; Brucellosis, Rickettsial Diseases, Parasitic infestations; Surface Infectious Diseases of Public Health Importance; NonInfectious Diseases of Public Health Importance; Cardiovascular diseases, diabetes, blindness, accidents, cancers; Emerging and reemerging disease
15. Communicable diseases:
i. Intestinal infections: Poliomyelitis, viral hepatitis, diarrhea, cholera, helminthiasis, typhoid fever, etc.
ii. Respiratory infections: Acute respiratory infections, measles, mumps, rubella, influenza, diptheria, whooping cough, tuberculosis, etc.
iii. Vector-borne infections: Malaria, filariasis, kala-azar, dengue, yellow fever, etc.
iv. Surface infections: Sexually transmitted diseases, HIV & AIDS, tetanus, leprosy, scabies, pediculosis etc.
v. Zoonosis: Rabies, japanese encephalitis, plague, kyasanur forest disease, leptospirosis, brucellosis, anthrax, other viral/bacterial/ parasitic/ rickettsial zoonoses, etc.
16. Non-communicable and lifestyle diseases- Non-communicable and lifestyle diseases including obesity and cancers Coronary artery disease, hypertension, stroke, obesity, diabetes, rheumatic heart disease, blindness, cancers, accidents, etc. Above diseases to be studied in detail under the following subheads:
i. Extent of problem, epidemiology, and natural history of the disease
ii. Public health importance of particular disease in the local area
iii. Influence of social, cultural, and ecological factors on the epidmiology of particular disease
iv. Diagnosing disease by clinical methods, using essential laboratory techniques at the primary care level
v. Treatment of a case, as per National Programme guidelines and also follow-up of the case
vi. National Health Programme for a particular disease
vii. Understand the principles of control of an epidemic
viii. Training of health workers in disease surveillance, control, treatment, and health education
ix. Management information system in a particular disease
x. New/ emerging diseases and health-related problems
17. Reproductive and Child Health:
i. Current status of reproductive and child health
ii. Screening of high-risk groups and common health problems
iii. Local customs and practices during pregnancy, lactation, child-rearing, and child-feeding practices including complementary feeding
iv. Breastfeeding and its importance v. Indicators of RCH
vi. Causes of perinatal/infant/maternal mortality and measures for reduction of the same Essential obstetric care, emergency obstetric care
vii. Essential newborn care
viii. Reproductive child health (RCH) components, including child survival and safe motherhood, universal immunization programme, integrated child development services scheme (ICDS), integrated management of neonatal and childhood illness (IMNCI) and other existing programmes
ix. Organization, implementation, and evaluation of reproductive and child health program components
x. Various family planning methods, their advantages, and shortcomings Medical termination of pregnancy and Act (MTP Act)
xi. Adolescent health Handicapped Child Gender issues and women empowerment Organizations, technical and operational aspects of the National Family Welfare Programme
18. Maternal Health, Child Health, and Family Welfare (Rch):
i. Common Maternal and child health problems at an individual level
a. Antenatal Care
b. Risk Approach
c. Antenatal visits
d. Preventive services
e. Intranatal Care
f. Postnatal Care
g. Care of the mother
h. Child Health Problems
i. Low Birth Weight
j. Growth and Development
k. Childhood Infections
l. Care of the infant
ii. Genetics and Health
a. Common genetic problems
b. Management of Genetic Problems
c. Preventive and Social Measures in Genetics
iii. Structure of MCH and Family Welfare services in India
a. Problems of Maternal Health in India
b. Delivery of Maternal and Child Health Services
c. Trends in the MCH services
d. MCH-related programmes in India eg. RCH, CSSM, ICDS
e. Family Planning
f. Methods of family planning
g. Indicators of MCH care
iv. Social Paediatrics
a. Juvenile Delinquency
b. Child Abuse
c. Child Labour
d. Street Children
e. Child Guidance Clinic
f. Child Marriage
g. Child Placement
19. Health Care of the Aged and The Disabled:
i. Community Geriatrics
a. Implications of demographic charges in the Indian Population
b. Health Problems of the aged
c. Preventive Health Services for the aged
ii. The Disabled and Rehabilitation Problem of disabled in the country
a. Types of disabilities and their management
b. Rehabilitation of the disabled
c. Community Based Rehabilitation
d. Health Care of Tribal people
20. Demography and Family Planning:
i. Definition of demography and its relation to Community Health
ii. Stages of the demographic cycle and their impact on the population.
iii. Definition, calculation, and interpretation of demographic indices like birth rate, death rate, growth rate, and fertility rates.
iv. Reasons for rapid population growth in the world, especially in India
v. Need for population control measures and the National Population Policy.
vi. Identify and describe the different family planning methods and their advantages and shortcomings.
vii. Principles of Counselling; Client satisfaction.
viii. Medical Termination of Pregnancy Act.
ix. Organisational, technical and operational aspects of the National Family Welfare Programme and participation in the implementation of the Programme. Target Free Approach.
x. Give guidelines for MTP and infertility services.
xi. Recent advances in contraception.
xii. National Population Policies.
21. Demography and Vital Statistics:
i. Concepts of demography, demographic cycle, vital statistics
ii. Definition, calculation, and interpretation of various demographic indices
o Declining sex ratio and its social implication
iii. Population explosion, population dynamics of India o Population control
iv. National population policy
o Sources of vital statistics like census, SRS, NFHS, NSSO, etc.
22. Socio-Cultural Dimension in Health:
i. Principles of Sociology and the Behavioral Sciences
a. Concepts of Sociology and Behavioral Sciences
b. Influence of Social and Cultural Factors on Health and Disease
c. Social Structures and Social Organisation
ii. Principles of Social Psychology
a. Principles of psychology
b. Principles of behavioral sciences
c. Principles of social anthropology
iii.Application of Sociology in Health and Development
a. Social Problems in Health and Disease
b. Use of Sociology in addressing problems in Health and Disease
iv. Epidemiology of Road Traffic Injuries, Fall Related injuries, Drowning, Fire Related Injuries, Natural and Man Made and prevention and control.
23. Sociology:
i. Conduction of a socio-cultural evaluation of the individual in relation to social, economic, and cultural aspects; educational and residential background; attitude to health, disease, and to health services; the individual's family and community.
ii. Concept of Family, Types of family, Functions of family
iii. Assessment of barriers in health and identification of obstacles to good health, recovery from sickness, and to leading a socially and economically productive life.
iv. Development of a good doctor-patient relationship, public relations, and community participation for health sectors.
v. Identification of social factors related to health and disease in the context of urban and rural societies.
vi. Impact of urbanization on health and disease.
24. Education Technology:
i. General principles of teaching/learning, methods of instructions, methods of evaluation
ii. Various teaching aids (including a.v.aids) and skills to use them correctly.
iii. Behavioral change communication strategy - Health Education
25. Mental Health:
i. Public health importance of mental health
ii. Public health approach to mental health problems: types, diagnosis, and management of mental health problems in the community.
26. Community Mental Health:
i. Principles of Mental Health
a. Types
b. Causes and Warning signals of Mental Illness
c. Preventive aspects of mental health and positive psychology
ii. The Approach to Mental Health Problems in a Community Primary Health Care
a. Approach to mental health problems b. Mental Health Services in the country
c. Mental health Act, Policy and other Recent advances
27. Newer vaccines:
i. New screening/diagnostic methods applicable to public health problems
ii. Role of Genetics in Community Health and Genetic Counseling at Primary Care Level.
28. School Health:
i. Problems of school and adolescents; Objectives of the School Health Programme.
ii. Activities of the Programmes like:
a. Carrying out periodic medical examination of the children and the teachers.
b. Immunisation of the children in the school.
c. Health Education
d. Mid-day meals.
iii. Obtaining participation of the teachers in the school health programme including maintenance of records; defining healthful practices; early detection of abnormalities.
iv. Organization, implementation, supervision, and evaluation of the School Health Programme. Adolescent Health: Needs, Adolescent Health Scenario, Newer Initiatives under RCHII for Adolescent Health.
v. Older persons: Health Problems, Services and Programs, National Policy on older persons
vi. Disadvantaged and marginalized Groups: Health Problems, Services and Programs. The health of Person with Disability: Welfare and Rehabilitation scheme for hearing, locomotor, visual, mental disability.
29. Occupational Health:
i. Management Occupational Health
ii. Relate the history of symptoms with specific occupations including agriculture-related occupation Asbestos and other fibers, coal workers' lung diseases, silicosis, health significance of metal exposures,
iii. Diseases associated with exposure to chemical substances, multiple chemical sensitivities,
iv. Pulmonary responses to gases and particles, pesticides,
v. Illness due to thermal extremes,
vi. Ionizing radiations, non-ionizing radiations,
vii. Effects of the physical environment- noise, vibration, work-related musculoskeletal disorders Employees State Insurance (ESI) scheme
viii. Concepts of ergonomics
ix. Diagnostic criteria of various occupation-related diseases Industrial Hygiene Surveillance, monitoring and screening in occupational health
x. Occupational problems of special working groups Occupational safety and health standards Legislations related to occupational health Information
xi. Relate the history of symptoms with the specific occupation including agriculture.
xii. Identification of the physical, chemical, and biological hazards to which workers are exposed to while working in a specific occupational environment.
xiii. Diagnostic criteria of various occupational diseases.
xiv. Preventive measures against these diseases including accident prevention.
xv. Various legislations in relation to occupational health.
xvi. Employees State Insurance Scheme.
30. Urban health:
i. Common health problems (Medical, Social, Environmental, Economic, Psychological) of urban slum dwellers.
ii. Organisation of health services for slum dwellers.
iii. Organisation of health services in urban areas.
iv. Urban Health: Common Health Problems of urban slum dwellers, orphan, street children and homeless; Organization of health services, the concept of clean city
31. Healthcare in India:
i. Health care delivery system in India
ii. Concepts of primary health care and comprehensive health care.
iii. Health profile of India
iv. Evolution of health care delivery system in India
v. Health care delivery in India and infrastructure at the primary, secondary, and tertiary care level
vi. Job responsibilities of different categories of workers in the health system
vii. Voluntary health agencies working in India Pattern of health care services in certain south Asian and western countries Health insurance
viii. Health planning, management, and administration
ix. Concepts of planning, management, public health administration
x. Components of planning a health activity
xi. Classification and understanding of various qualitative and quantitative health management techniques
xii. Overview of administration at the village, block, district, state, and center level in India Organizational Concept Organizational behavior Time, material and personnel management Integrated disease surveillance project (IDSP)
xiii. Health-related Millennium Development Goals and Sustainable Development Goals Operational research
xiv. National Health Policy and National Rural Health Mission
xv. Concepts of health economics in health planning and management
xvi. Concepts, scope, and methods of Health Audit
xvii. Role of Planning Commission and five year plans in the development of the health sector in India Various health committees of Govt. of India and their important recommendations
xviii. Public health administration of the future
xix. Research in administration, operational & action-oriented research
xx. New concepts in public health administration
xxi. Principles of hospital administration xxii. Medical audit, quality assurance, quality improvement, and client satisfaction
xxiii. Alternative approaches to planning Importance of hospital records, their retrieval, International classification of diseases, medical certification of death
xxiv. Public Health Legislation Birth and death registration act, PFA act, MTP act, CPA, Child Labor act, PNDT act,
xxv. Transplantation of human organ act in India etc.
xxvi. Other public health legislations
32. Advances and Topics of Current Interest:
i. Rational drug policy, Nutrition Policy, Health Policy, Population Policy
ii. Computers in Public Health
iii. Agricultural Medicine and Plantation Health
iv. Introduction to Counseling and behavior change
v. Community Ophthalmology vi. Qualitative Research and Operational Research
vii. Disaster Management and Public health emergencies
viii. Nosocomial Infection and Hospital Infection Control
ix. Newer technology uses, WhatsApp, Facebook, Tele-public health,
33. National Health Programmes- The origin, historical development, interventions, current state and critique of the different National Health Programmes like:
i. National Family Welfare Programme (NFWP)
ii. National Tuberculosis Control Programme
iii. National Leprosy Eradication Programme
iv. National Diarrhoeal Diseases Control Programme
v. National Malaria Eradication Programme
vi. National Filariasis Control Programme
vii. National Acute Respiratory Infections (ARI) Control Programme
viii. National AIDS Control Programme
ix. National Guinea Worm Eradication Programme
x. National Kala Azar Control Programme
xi. National Japanese Encephalitis (JE) Control Programme
xii. National Iodine Deficiency Disorders (IDD) Programme
xiii. National Programme for the Control of Blindness
xiv. National Cancer Control Programme
xv. National Mental Health Programme
xvi. National Diabetes Control Programme
xvii. Child Survival and Safe Motherhood (CSSM)
xviii. Reproductive Child Health (RCH)
xix. Universal Immunization Programme (UIP)
xx. National Water Supply and Sanitation Programme
xxi. Minimum Needs Programme
xxii. National Health Mission
xxiii. The implementation of NHPS at a programme level and in the community
34. International Health:
i. International organizations, conventions, and treaties
ii. International Health Regulations (IHR)
35. Field posting and work:
i. Posting at Urban and Rural Health Training Centres for a period of one year.
ii. Posting in the hospital for exposure to clinical departments namely Pediatrics, Gynaecology and Obstetrics, Medicine, and Surgery for one month each.
iii. Wherever possible work attachment at the District Health Office and Directorate of Health Services
iv. Short duration posting in various camps, melas, public health emergencies, Investigation of epidemics, implementation of National Health Programmes
v. Visits to various institution of Public Health Importance and related development organizations.
vi. Exposure to hospital and healthcare system administration at the district level or higher level wherever possible
36. Postings: The postgraduate students are to be posted in Urban Health Centre/ Rural Health Centre / other departments in the hospital:
i. UHC: Minimum 1 month per year
ii. RHTC: Minimum 2 months per year
iii. Other Departments: 3 months in 3rd year (Extra Mural postings) (Internal Medicine with allied specialties, Pediatrics, Gynae/Obst/PPU including labour room duties, Microbiology, Pathology, Biochemistry, Psychiatry, Surgery, Dermatology including STD Clinic, Blood Bank, Casualty, CHC, CDPO, MS/Hospital Administration, Dietary, Physiotherapy & Occupational therapy, Civil Surgeon Office). During the posting at UHC & RHTC the residents will work directly under the supervision of an MOH cum Assistant Professor. PG student will be acquiring skills of Family Physician / Community Physician/hospital administration during their posting at respective centre. Posting at RHTC will be residential.
37. Other areas in which knowledge is to be acquired:
i. Biostatistics, Research Methodology, and Clinical Epidemiology
ii. Ethics
iii. Medico-legal aspects relevant to the discipline
iv. Health Policy issues as may be applicable to the discipline
IV. COMPETENCIES:
1. General Skills-The postgraduate student should be able to:
i. Elicit the clinico-social history to describe the agent, host, and environmental factors that determine and influence health.
ii. Recognise and assist in the management of common health problems of the community.
iii. Apply principles of epidemiology in carrying out epidemiological studies in the community.
iv. Work a team member in rendering health care.
v. Carry out health education effectively for the community.
2. Skills in Relation to Specific Topics
i. Communication The student should be able to communicate effectively with family members at home; patients at clinics or at homes; individuals, family, or a group for health educational; peers at scientific forums.
ii. Team activity Work as a member of the health team; in planning and carrying out fieldwork like school health.
iii. Environmental sanitation; Collect water samples for microbiological evaluation; chlorination of water; estimate the chlorine demand of water; estimate the residual chlorine of water; insecticides: their proper storage and use in the control of vectors
iv. Communicable and Non-communicable diseases (including social problems)
a. Eliciting clinco-social history and examining the patient for diagnosis and treatment.
b. Collection of appropriate material for microbiological, pathological, or biochemical tests.
c. Fixing, staining, and examining smears – peripheral blood smear for malaria and filariasis, sputum for AFB; Hb estimation; urine and stool examination.
d. Assessing the severity and/or classifying dehydration in diarrhoea, and upper respiratory tract infection.
e. Adequate and appropriate treatment and follow-up of leprosy, malaria, filariasis, and rabies.
f. Advice on the prevention and prophylaxis of common diseases like vaccine-preventable diseases, tetanus, malaria, filariasis, rabies, cholera, typhoid, and intestinal parasites.
g. Use of proper screening methods in early diagnosis of common diseases.
h. Take necessary steps in disease outbreak/epidemics/natural disasters – investigation of epidemic, food poisoning; notification; organizing medical care following disasters.
v. Reproductive and Child Health
a. Antenatal – examination of the mother; application of the risk approach in antenatal care.
b. Intranatal – conducting a normal delivery; early recognition of danger signals in intranatal period; referral of cases requiring special care.
c. Postnatal – assessment of the mother and newborn, advice about appropriate family planning method; promotion of breastfeeding; advice on weaning.
d. Assessment of growth and development of the child – use of 'road to health' card; recording important anthropometric assessments of the child; giving immunisation to the child; identifying the high-risk infant.
vi. Statistics
a. Choose the proper sample, sampling method, and sample size.
b. Apply appropriate tests of significance to make a correct inference
vii. Nutrition
a. Conducting a diet survey.
b. Community survey and clinical diagnosis of nutritional deficiencies: Vitamin A deficiency, iodine deficiency, malnutrition.
c. Making recommendations regarding diet.
viii. Occupational Health
a. Inspection of work sites
b. Recommendation in improving work sites.
c. Medical examination of workers.
ix. Health Care of the Community
a. Ensuring community participation in health care.
b. Arranging intersectoral coordination where necessary
c. Working in liaison with other agencies involved in health care in various National Health Programmes.
x. Health Management
a. Be an effective team leader.
b. Guide and train workers.
c. Supervision of workers and programmes.
xi. Family Planning: Counselling on appropriate methods
xii. Organize, Implement, Supervise & Evaluate National Programmes.
xiii. Managerial Skills
xiv. Teaching Skills The following skills will be specifically acquired during the entire tenure:
• Skills relate to Public Health Familiarization with the organization & functioning of the following establishments:
• Water supply system
• Sewage system o Slaughter house
• Catering establishment
• Food processing plant
• Milk plant
o Solid waste disposal system
• State public health laboratory Familiarization with techniques and ability to interpret data in relation to the following:
• Surveillance of drinking water quality
• Analysis of sewage
• Analysis of milk Assessment of pesticide & other toxins in the environment Familarization with the food adulteration act
• Familiarization with Health Legislation in India
3. Skills as Community Physician:
i. Ability to identify local health needs of community.
ii. Ability to demonstrate leadership qualities & function as an effective team leader.
iii. Ability to make community diagnosis including the application of Rapid assessment techniques
iv. Ability to organize health camps.
v. Ability to organize health surveys & ongoing comprehensive health delivery programme. The ability for effective liaison with PRIs & local opinion leaders, mustering of local resources, advocacy & mobilization of administration & political will for health care programmes.
vi. Skills as Family Physician
vii. Diagnosis & management of common illness.
viii. Diagnosis & management of chronic diseases & disabilities including rehabilitation. Nutritional assessment & nutritional therapy.
ix. Family planning practices.
x. Diagnosis & management of Pediatric, Geriatric, Gynecological illness with special emphasis on RCH & integrated management of childhood illness.
xi. Perform all immunization procedures.
xii. Ability to organize & conduct MCH services including antenatal clinic, intranatal & postnatal care, care of newborn, growth monitoring & care of toddler.
xiii. Conduct / attend 20 normal deliveries & 5 abnormal deliveries.
4. Skills of Occupational Health:
i. Familiarisation with measurement of relative humidity, temperature, thermal comforts & ventilation, noise levels, air pollution, lead exposure estimation, and light level estimation. Familiarisation with the organization & functioning of the ESI system.
ii. Conduct of pre-placement & periodic medical examination.
iii. Identification of specific health hazards in occupational environment.
iv. Skills of Communicable Disease Control
5. Other Areas:
i. Investigation of an outbreak.
ii. Investigation of episode of food poisoning.
iii. Diagnosis & management of zoonotic diseases.
iv. Familiarisation with organization & functioning of
a. Rabies clinic
b. Immunization clinic
c. STD clinic
d. Leprosy clinic
e. TB/DOTS Centre
f. National vector-borne diseases control programme
g. IPPI & AFP surveillance
h. Case management of diarrhoea & preparation of ORS
i. Case management of ARI
j. Functioning of isolation/ quarantine unit/ APHO
v. Family Planning skills
vi. Ability to propagate planned parenthood & small family norm as per national guidelines (GOI) by
a. Counselling, motivation & IEC.
b. Administer appropriate method of contraception by cafeteria approach.
c. Assess gaps / unmet needs in family planning services in the community under care.
d. Ability to perform/ assist Tubectomy by using conventional / laproscopic method (min 5) Ability to perform/ assist vasectomy by using latest techniques (min 3).
vii. Ability to insert IUCDs (min 10).
viii. Ability to perform/ assist in MTPs (min 5)
ix. Ability to perform/ assist in menstrual regulation techniques (min 5).
6. Skills of Hospital Administration: Familiarisation with working of large multispecialty hospital with special reference to the following departments: -
i. Layout of OPDs
o CSSD
ii. Laundry o Catering
iii. Biomedical waste management
iv. Other departments / labs / OTs
v. Familiarisation with the functioning of the Medical Record Department
vi. Inventory control
vii. HR management
viii. Familiarisation with functioning of the infection control committee
ix. Disinfection procedures with special reference to OTs & isolation wards.
7. Skills of Research Methodology
i. including application of Statistical Methods Planning & execution of 1 short hospital-based epidemiological (analytical) study other than thesis work.
ii. Planning & execution of 1 short field-based / KAP study
iii. Critical appraisal of 10 published research papers/projects duly evaluated.
iv. Ability to apply biostatistical procedure including sampling & tests of significance.
v. Ability to perform epidemiological, biostat & public health exercises duly evaluated (min 10 each).
8. Communication Skills:
i. Ability to utilize all known modes of IEC in order to:
ii. To generate the desired level of awareness in the community on common health issues
iii. To render health education to specified groups/individuals on specific health issues.
iv. Mobilise community participation regarding health programmes in hand.
v. Mobilise political & administrative will & demolish communication barrier regarding ongoing health programme.
vi. Prepare IEC material using local resources.
9. Skills related to Health Care Delivery to Community
i. Familiarization with the functioning & infrastructure of SC, SHC, PHC, CHC.
ii. Familiarization with Urban Health Care delivery system models. Planning & evaluation of health programme (min 2).
iii. Organization of health services for camps, fairs, prisons, orphanages, urban slums, migratory population & other special circumstances.
iv. Planning & organization of health aspects of disaster management.
v. Planning & organization of school health Documentation & record keeping for delivery of comprehensive family health care (RHC & UHC).
vi. Familiarization with MIS in primary health care.
10. Skills related to Applied Microbiology, Pathology & Radiology
i. Microbiology
a. Familiarization with organization & functioning of Microbiology lab, diagnostic equipment & biosafety procedures.
b. Ability to perform staining procedures (10 each), JSB stain, Niesser stain, Gram's stain, Z-N staining, Leishman stain, and other staining procedures.
c. Ability to make thin & thick blood smear. o Ability to identify helminthic ova/ larvae.
d. Familiarization with procedures for-
• VDRL & other tests for STDs
• Weil-Felix test
• Widal test & other tests for enteric fever
• Examination of throat swab
• ELISA & other tests for HIV
• Other common tests for viral infection
e. Blood culture & other culture procedures
f. Collection, preservation & transportation of samples for microbiological examination.
g. Bacteriological examination of water.
ii. Pathology
a. Familiarization with organization & functioning of the Pathology lab including diagnostic equipments.
b. Ability to perform the following tests-
• Routine Haemogram
• Routine urine examination
• Routine stool examination
• Familiarization with Histopathological procedures
• Familiarization with cytological procedures including FNAC & pap smear.
• Biochemistry
• Organization & functioning of the Biochemistry lab & familiarization with diagnostic equipments.
iii. Radiology
a. Familiarization with protection against radiation exposure.
b. Interpretation of skiagrams related to common diseases of the chest and occupational exposures.
11. Other skills
i. Computer Skills
ii. Knowledge & skill to use a. Microsoft Word
b. Microsoft Excel
c. Spreadsheet
d. Calculations
e. Graphs
f. Microsoft PowerPoint
g. SPSS
h. Epi info
i. Internet surfing
j. Familiarization with relevant databases eg Popline, Medline, Pubmed, Cochrane review Pedagogical Skills
iii. Familiarization with pedagogical techniques in order to perform:
a. Curriculum development
b. Framing of lesson plan
o Use of evaluation techniques
c. Microteaching, lectures, group discussion, workshops, seminars, etc.
d. Public Health Administration Skills
e. Familiarisation with the administrative setup & functioning of the health system in India (National, State & District levels).
iv. Familiarisation with methods of financial management, practice & procedure.
v. Familiarisation with techniques of human resource management.
vi. Familiarisation with creating, implementation & monitoring of routine MIS of the health system.
vii. Ability to identify need for change & to make strategic & structural changes in clinic, community services, health system & health policies.
viii. Ability to play an advocacy role in the District Planning Committees & Panchayat Samiti & Zila Parishad.
ix. Familiarisation with the administrative, executive & legislative setup of nation & state. Organization & Conduct of health camps.
x. Evaluation of National Health Programmes.
xi. Familiarisation with legislation pertaining to health.
xii. Familiarisation with administrative setup, functions, powers & operations of:
a. Municipal Corporation
b. Pollution Control Board
c. Census
d. SRS
e. Registrar Births & Deaths
f. NSSO
g. ICMR
h. IMA
i. NGOs
j. Other bodies of significance to health
k. Social welfare agencies
l. International agencies m.National Polio Surveillance Project
n. Other health agencies – Railways, Armed Forces, etc.
12. Job Responsibilities
i. Health education campaigns in the community
ii. School health programme Organization of various health camps
iii. Organize Demonstrations / family study / problem- based -learning for undergraduate students
iv. Conduct of field visits
v. Prepare settings for training under the supervision and guidance of a teacher to impart skill-based training to undergraduates in the community
vi. To become part of a resident and internship training programme in the community setting
vii. Participation in national health programmes
viii. Function as MO in UHC, RHC
ix. Function as MO in UHC, RHC
V. Log book:
A candidate shall maintain a log book of operations (assisted/performed) during the training period, certified by the concerned postgraduate teacher / Head of the department / senior consultant. This log book shall be made available to the board of examiners for their perusal at the time of the final examination. The logbook should show evidence that the before-mentioned subjects were covered (with dates and the name of teacher(s) The candidate will maintain the record of all academic activities undertaken by him/her in the log book.
1. Personal profile of the candidate
2. Educational qualification/Professional data
3. Record of case histories
4. Procedures learnt
5. Record of case Demonstration/Presentations
6. Every candidate, at the time of the practical examination, will be required to produce a performance record (log book) containing details of the work done by him/her during the entire period of training as per the requirements of the log book. It should be duly certified by the supervisor as work done by the candidate and countersigned by the administrative Head of the Institution.
7. In the absence of the production of log book, the result will not be declared.
VI. Recommended Text Books and Journals:
Core books
1. Maxcy-Rosenau-last Public Health & Preventive Medicine: Wallace RB
2. Textbook of Community Medicine: Sunder Lal, Adarsh & Pankaj
3. Park's Textbook of Preventive & Social Medicine
4. National Health Programmes of India: National Policies and legislation related to health. J.Kishore
5. Epidemiology in Medical Practice: Barker DJP
6. Biostatistics: A foundation for Analysis in the Health Sciences: Daniel WW
Reference Books
1. Oxford Textbook of Public Health: Detels R, McEwen J, Beaglehold R
2. Control of Communicable Diseases in Man: Benenson AS
3. Manson's Tropical Diseases: Cook G, Zumla A
4. Hunter's Diseases of Occupations: Baxter PJ, Admas PH
5. Hunters Tropical Medicine and emerging infectious diseases: Strickland GT
6. A Dictionary of Public Health. J Kishore
7. Clinical Epidemiology- the Essentials: Fletcher
8. Epidemiology and Management for Health Care for all: Sathe PV, Sathe AP
9. Training modules of various national & international institutes and national health programmes
10. Maxy Roseman John M.Last, Maxcy-Roseman Public Health and Preventive Medicine, Appleton-Centrury-Crofts, Newyouk
11. Hobson W, The Theory and Practice of Public Health, Oxford Med.
12. Publication
13. Barker D J P, Practical Epidemiology, Churchill Livingstone
14. Park J E & K Park, Text Book of P & S.M., M/s Banarsidasm Bhanot, Jabalpur
15. Mahajan B K and M/C.Gupta, Text Book of P & S.M., Jaypee Publications
16. Bradford Hill, Principles of Medial Statistics, The Lancet Ltd. No.7 Adam Street, Adelphine, London, 1967
17. Mac, Mahon & Pugh, Epidemiology-Principles and Methods, Little Brown and Co.Boston, U.S.A.
18. Hunter's Diseases of Occupations, Edited by P.A.B.Raffle, P.H.Adams,
19. P.J.Baxter and W.R.Lee Edward Arnold Publishers (1994), Great Britain.
20. Text book of PSM : A P Kulkarni and Dr. Baride
21. Text Book of Infection Diseases : Christae
22. Statistics : K.Vishvesh Rao
23. Medical Entomology: A. K.Hati
24. Oxford Text Book of by Public Health: Holland & Detel Journals
25. Kirkwood B R, Essential of Medical Statistics for Medical students, 1 st Ed.Oxford: Blackwell Scientific Publications 1988.
26. Mahajan B K, Methods in Bio statistics for medical students, 5 th Ed. New Delhi, Jaypee Brothers Medical Publishers, 1989
27. Raveendran B Gitanjali, A Practical Approach to PG dissertation, New Delhi, J P Publication, 1998
28. Practical & Viva in Community Medicine. J Kishore 2017
29. Multiple Choice Questions in Preventive & Social Medicine: GPI Singh & Sarit Sharma
30. Preventive Paediatrics: O.P.Gha
31. An introduction to sociology: Bhusan and Sachdeva
32. Hunter (Donald), Diseases of the Occupations, 6 th edition, Hodder and stooughton (1978)
33. Government of India, Ministry of HRD, Occupational Health : issues of women in the unrecognized sector, New Delhi (1988)
34. Plunkett (E.R), Handbook of Industrial Toxicology, 3 rd Edition, Arnold Publishers, USA (1987)
i. Patric Kinnersly (1979), The Hazards of Work, how to fight them, Pluto Press U.K.
ii. WHO (1986) Geneva, Early detection of Occupational Disease
iii. Hunter's Diseases of Occupations, Edicted by P.A.B. Raffle, P.H.Adams,
iv. P.J.Baxter and W.R.Lee Edward Arnold Publishers (1994), Great Britain
v. Carl Zenz (1994), Occup15. Carl Zenz (1994), Occupational Medicine, 3 rd Edition Mosby, U.S.A.
vi. ILO Publications Geneva, Encycloperia of Occupational Health and Safety, (1983) 3rd Edition Vol.122.
Committee Reports and policy documents- Medical Education and health policy:
1. Bhore Committee Report (1946) Health Survey and Development Committee, Govt.of India, Delhi.
2. Mudaliar Committee Report (1961) Health Survey and Planning Committee, Govt. of India, Delhi
3. Shrivastav Report (1974), Health Services and Medical Education – A programme for immediate action, Group on Medical Education and Support Manpower, Ministry of Health and Family Welfare, Govt.of India, New Delhi.
4. ICSSR/JCMR (1981), Health for All- An alternative strategy – Report of a Joint study group of ICSSR/ICMR, Indian Institute of Education, Pune.
5. National Health Policy, (1982) Ministry of Health and Family Welfare, Government of India, New Delhi.
6. Compendium of Recommendations of various committees on Health and Development (1943-1975), Central Bureau of Health Intelligence (1985) Directorate General of Health Services, Ministry of Health and Family Planning, New Delhi.
7. Bajaj, J.S. etal (1990) Draft National Education Policy for Health Sciences,
8. I.J.M.E. Vol.29, No.1 & 2 (Jan-August 1990)
9. Epidemiology and Health Management: By Dr.P.V.Sathe
Journals
1. Indian journal of community medicine
2. Indian journal of preventive and social medicine
3. American journal of epidemiology
4. British journal of epidemiology
5. Lancet
6. Health and populations- perspectives and issues
7. NTI Bulletin Journal of communicable diseases (NICD)
8. WHO Bulletin WHO technical reports series
9. Emerging infectious diseases CD alerts (NICD)
10. Nutrition news (National institute of nutrition)
11. The Journal of Family Welfare
12. International family planning perspectives
13. Indian Journal of Public Health
14. Indian Journal of Youth and Adolescent Health
15. Social Medicine
16. IAPSM Punjab Bulletin
17. Indian Journal of Community Health
18. Journal of Communicable Diseases
19. Indian Journal of Medical and Child Health
20. Indian Journal of Occupational Health and Industrial Medicine
21. Indian Journal of Medical Research
22. National Medical Journal of India
23. Indian Journal of Malariology
24. Indian Journal of Medical Education
25. Journal of Indian Medical Association
26. Journals of Medicine, Paediatrics, OBG, Skin & STD, Leprosy, Tuberculosis & Chest Diseases (For Reference)
International Journals
1. WHO Publications – All
2. Journal of Epidemiology & Community Health
3. Tropical Diseases Bulletin
4. Vaccine
5. American Journal of Public Health
6. Lancet
7. New England Journal of Medicine
8. International Journal of Preventive, Curative and Community Medicine,
9. Epidemiology International
10. International Journal of Healthcare Education and Medical Informatics
Useful Websites
1. www.icmr.nic.in
2. www.mohfw.nic.in
3. www.nacoonline.org
4. www.npspindia.org
5. www.tbcindia.org
6. www.iapsm.org.in
7. www.iphaonline.org
8. www.who.int
9. www.whoindia.org
10. www.cdc.gov
11. www.unicef.org
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