DNB Physiology in India: Check out NBE released curriculum

The National Board of Examinations (NBE) has released the Curriculum for DNB Physiology. 

I. PROGRAMME GOAL AND OBJECTIVES:

1. Programme Goal 

The postgraduate course in the subject of Physiology should enable a medical graduate to be

• A competent Physiologist

• A good medical teacher in Physiology practicing the required skills of teaching

2. Programme Objectives

At the end of the course a Postgraduate student in Physiology should be able to:

• Demonstrate comprehensive knowledge and understanding of general and systemic physiology.

• Comprehend and understand physiological basis of health and disease affecting various organs systems.

• Select and use appropriate teaching techniques and resources.

• Critically evaluate published journal literature and to effectively use the library facilities including computer, CD ROM and satellite search.

• Carry out relevant research.

• Function as an effective member of a teaching team or research team.

• Carry out professional obligations ethically and keeping in view the national health policy. 

II. SYLLABUS:

1. Primary (Part-I)

Paper I be titled as "General Physiology including history of Physiology"

Final (Part II) Paper III "Systemic Physiology (iii) including recent advances.

2. Under the Head of Syllabus (Part I) against Paper I at the end add –"History ofPhysiology".

3. Against Paper II at the end add "Comparative Physiology"

4. Under the Caption Part II Final: against Paper II add "E titled "Behavioral Physiology with Yoga, Meditation"

5. Practical Training 

Animal Experiment

i. Amphibian

• Free load and after load.

• Effect of continuous repeated stimulation (study of phenomena of Fatigue).

• Length of tension diagrams.

• Properties of cardiac muscle – Long refractory period, All or None Law.

• Extrasystole and compensatory pause, Beneficial effect.

• Regulation of Heart, Vagus dissection and effect of vagal stimulation.

• Actions of acetyl chlorine, adrenaline and nicotine on heart.

• Perfusion of isolated frogs heart-role of sodium, potassium, calcium ions.

ii. Mammalian    

• General management of Mammalian experiments.

• Recording of Blood pleasure and respiration on dogs and also the effects of various factors.

• Recording of effect of stimulation of vagus nerve on blood pressure and respiration in the dog.

• Stimulation of central and peripheral end of vagus on arterial pressure after vagotomy.

• Effect of drug-adrenaline and acetylcholine on blood pressure and respiration in the dog.

• Intestinal movement and tone.

• Effect of adrenaline on intestinal movement and tone.

• Occlusion of carotid arteries on blood pressure and respiration.

• Stimulation of splanchnic nerve (distal end) on arterial pressure

Human Physiology

i. Clinical Physiology

• Elementary principles of clinical examination.

• Methods of Inspection/Palpation/Percussion/auscultation.

• Plan of conduction and scheme of recording.

• General examination.

ii. Cardiovascular system

• Clinical examination of circulatory system.

• Examination of pulse, blood vessels and measurements of blood pressure.

iii. Respiratory system

• Clinical examination of respiratory system.

iv. Abdominal system

• Clinical examination of Abdomen

v. Central Nervous system

• Clinical examination of the nervous system and its physiological basis.

• Examination of higher mental functions.

• Clinical examinations of the special senses including cranial nerves.

• Tests of Hearing and Deafness.

• Motor functions.

• Reflex functions.

• Sensory functions.

vi. Ophthalmology

• Clinical examination of the eye and papillary reflex.

• Visual acuity.

• Perimetery.

• Accommodation.

• Color vision and color blindness.

• Fundoscopy. 

Laboratory Procedures

i. Haematology

• Haemocytometory.

• Determination of reticulocyte count, platelet count WBC count, RBC count, Eosionphill count in normal and diseased state.

• Differential count of WBC.

• Blood grouping and Cross matching.

• Determination of Beeding time and Clotting time.

• Haemolysis and Fragility tests.

ii. Cardiovasuclar system

• Electrocardiography – ECG and its interpretation.

iii. Respiratory system

• Spirometery

• Assessment of ventilator functions.

• Alveolar air, breath holding and endurance tests.

• Recording of lung functions tests by computerized or electronic spirometer.

• Sthethography. 

iv. Reproductive system

• Methods to determine ovulation time by Basal body temperature chart,cervical smear and vaginal smear.

• Pregnancy diagnostic tests Immunological test.

• Sperm count.

v. Nerve muscle physiology

• Ergography

• Recording of EMG – nerve conduction both sensory and motor.

vi. Others

• Construction of dietary chart for growing children, hypertensive patients,

Diabetic mellitus patients.

• Test for physical fitness

 Lab Harvard step test.

• Bicycle Ergometry

 Treadmill protocols leading to determination of vo 2 max.

 Cardio respiratory response to whole body exercise.

Clinical Biochemistry

i. Estimation of normal and abnormal constituents of urine.

ii. Estimation of Blood sugar.

iii. Estimation of Serum calcium

iv. Kidney function test.

v. Liver function test.

vi. Gastric function tests (excluding fractional test meal).

vii. Glucose tolerance test

III. RECOMMENDED TEXT BOOKS AND JOURNALS

Under the caption recommending reading the following be added:

1. TEXT BOOKS

• Keele, Samson and Wright's Applied Physiology.

• Best and Taylor – Physiological basis for medical practice.

• Guyton – Text book of Medical Physiology.

• Ganong – Review of Medical Physiology.

• Cambeell, Clinical Physiology.

• P F Backer – Recent advances in Physiology.

• Vernon – B Mount Castle, Medical Physiology Vol I and II.

• Carl J wiggers – Physiology in Health and Disease.

• Williams Text of Endocrinology.

• West and Todd Text Book of Biochemistry and Physiology.

• Harper's Biochemistry.

• Duncon – Disease of Metabolism.

• John Field H W Magou – Hand Book of Neuro Physiology.

• Carpenter, Neurophysiology

• Wallance O Fen Handbook of Respiratory Physiology.

• Prosser – Experimental Physiology.

• Prosser – Comparative Animal Physiology, Mannual.

• Wintrobe's – Clinical Haematology.

• Kelmen – Applied Cardiovascular Physiology.

• Brown, Cell signaling, Biology and Medicine of Signal transudation.

• Byrne – Introduction of Memberane Transport and Bioelectricity.

• Sudarasky – Patho physiology of the nervous system. 

2. JOURNALS:

• By American Physiological Society – Journal of Applied Physiology, Physiological Reviews, Annual Review of Physiology, Advances in Physiological Education and Recent advances in Physiology.

• British Publication – Journal of Physiology.

• Association of Physiologist and Pharmacologists of India – Indian Journal of Physiologists.

• Indian Counsil of Medical Research – Indian Journal of Medical Research