DNB Family Medicine: Admissions, Medical Colleges, Fee, Eligibility Criteria Details Here
DNB Family Medicine or Diplomate of National Board in Family Medicine also known as DNB in Family Medicine is a Postgraduate level course for doctors in India that is done by them after completion of their MBBS. The duration of this postgraduate course is 3 years, and it focuses on the study of various concepts related to the field of holistic well-being of each family member with emphasis on preventive diagnosis and treatment, including lifestyle modifications.
The course is a full-time course pursued at various accredited institutes/hospitals across the country. Some of the top accredited institutes/hospitals offering this course are- Apollomedics Superspeciality Hospital - Lucknow, Artemis Health Institute- Gurgaon, Bangalore Baptist Hospital- Banglore, and more.
Admission to this course is done through the NEET PG Entrance exam conducted by the National Board of Examinations, followed by counselling based on the scores of the exam that is conducted by DGHS/MCC/State Authorities.
1. Broad topics to be covered under three-year training
Syllabus: Body of knowledge for family medicine disciplineFor clinical topics approach, evaluation, diagnosis, and management of common clinical conditions is implied, depending upon the morbidity profile and demography of the population. Focus should be on learning the current standard clinical guidelines and their application to practice within the context and setting of Family Medicine Specialty. | ||
FM1 | Family medicine specialty | a. Who is a Family Physician? b. What is Family Medicine? c. The history and development of Family Medicine d. The philosophy of Family Medicine e. The principles of Family Medicine f. Career-options in Family Medicine |
FM2 | The principles of Family Medicine | The nine principles of Family Medicine, described by Dr. Ian McWhinnie, are: a. The family physician is committed to the person rather than to a particular body of knowledge, group of diseases, or distinctive technique. b. The family physician seeks to understand the context of illness c. The family physician sees every contact with his/her patient as an opportunity for prevention or health education. d. The family physician views his practice as a population at risk. e. The family physician sees himself as part of a community-wide network of supportive and health care networks. f. The family physician shares the same habitat as his patients. g. The family physician sees patients at the clinic, at home, and in the hospital. h. The family physician attaches importance to the subjective aspects of medicine. i. The family physician is a manager of resources. |
FM3 | Physician competency framework | a. Medical Expert b. Communicator c. Collaborator d. Leader e. Health advocate f. Scholar g. Professional |
FM4 | Core family physician competencies | a. Attitudes and behavior of a good doctor b. Ethical approach c. Communication and consultation d. Data gathering and interpretation e. Clinical examination and procedural skills f. Decision making g. Clinical management h. Managing medical complexity i. Working within teams j. Continuous improvement of quality of care |
FM5 | Foundational concepts | a. First contact care b. Whole person care c. Person-centered care d. Family-centered care e. Community-oriented care f. Life cycle care g. Ecology of care h. Continuity of care i. Comprehensive care j. Epidemiology of illness k. Medical generalist l. Managing complexity m. Care of multimorbidity n. Long term care o. Clinical prevention p. Home Care |
FM6 | Consultation & counseling in family medicine | a. Conducting a collaborative consultation b. Communication skills in the consultation including listening skills c. Facilitation skills in the consultation d. Competently communicating bad news and dealing with conflicting situations e. Principles and practice of effective education, reliable reassurance, competent counseling, and gentle guidance | |
FM7 | Approach to patient care: distinction of family medicine | a. Patient centeredness b. Managing common undifferentiated medical problems c. Dealing with early presentations of involved health problems d. Whole person care e. The holistic, comprehensive, three-stage assessment (clinical, individual and contextual) and care of patients f. Prevention, promotion and relevant screening g. Promotion of a healthy lifestyle and practice of lifestyle medicine h. Managing Different forms of difficult patients i. Application of current clinical practice guidelines j. Rational prescribing and prescription writing k. Managing personal and professional boundaries l. Facilitating of multidisciplinary and multi- professional team care of patients m. The rights and responsibilities of patients n. The doctor-patient relationship in the community setting o. Responsible referring | |
FM8 | Family care | a. What is a family? b. Family types c. The family life cycle d. What are the functions of a family? e. Family health - what is a healthy family? f. Family structure assessment (genogram and extended genogram, Etc.) g. Family function assessment (family APGAR, family circle, family eco-map, Etc.) h. Family resources assessment ("SCREEMS" eco- map, as above) i. Family dynamics - ideal and abnormal or dysfunctiona l j. Family-oriented primary care k. The "family-at-risk." l. The family in the Three-stage assessment m. Involving the family as a team in the diagnoses, therapeutic planning, and management of disease and dis-ease n. Caring for and with a family with a differently- abled child or adult o. How to conduct a family conference p. How to do family therapy q. Sexual health and counseling r. Pre-marital and marital counseling s. Home-based care t. Care of carer (family member) | |
FM9 | Role of family physicians in public health | a. Population based health management b. Concept of health and disease, primary health care, and its implementation, principles of Epidemiology, and epidemiological methods. c. Epidemiology of communicable diseases, hospital-acquired infections, emerging and reemerging infectious diseases, epidemiology of chronic non-communicable diseases and conditions. d. Environment and health, basic principles of household waste management, sanitation, safety, and availability of drinking water. e. Health care of the community, health services at the center, state and district levels National health programs and policies f. Demography and family planning g. Health information and basic medical statistics, health education h. Principles of health education and methods i. National Health insurance schemes and other private schemes j. School health programs k. Management of epidemics and national disasters l. Ayushman Bharat Program m. Health and Wellness Centers n. Health policy development in India | |
FM10 | National Health Programs | Reproductive, Maternal, Neonatal, Child and Adolescent Healtha. a.Janani Shishu Suraksha Karyakaram (JSSK) b. RashtriyaKishorSwasthyaKaryakram(RKSK) c. Rashtriya Bal SwasthyaKaryakram (RBSK) d. Universal ImmunisationProgramme e. Mission Indradhanush / Intensified Misson Indradhanush f. Janani Suraksha Yojana (JSY) g. Pradhan Mantri Surakshit Matritva Abhiyan (PMSMA) h. Navjaat Shishu Suraksha Karyakram (NSSK) National Nutritional Program a. National Programme for Family planning National Iodine Deficiency Disorders Control Programme b. MAA (Mothers' Absolute Affection) Programme for Infant and Young Child Feeding c. National Programme for Prevention and Control of Fluorosis (NPPCF) d. National Iron Plus Initiative for Anaemia Control e. National Vitamin a Prophylaxis Program f. Integrated Child Development Services (ICDS) g. Mid-Day Meal Programme Communicable Diseases a. Integrated Disease Surveillance Programme (IDSP) b. Revised National Tuberculosis Control Programme (RNTCP) c. National Leprosy Eradication Programme (NLEP) d. National Vector Borne Disease Control Programme e. National AIDS Control Programme (NACP) f. Pulse Polio Programme g. National Viral Hepatitis Control Program h. National Rabies Control Programme i. National Programme on Containment of Anti- Microbial Resistance (AMR)Non-Communicable Diseasesa. National Tobacco Control Programme (NTCP) b. National Programme for Prevention and Control of Cancer, Diabetes, Cardiovascular Diseases & Stroke (NPCDCS) c. National Programme for Control Treatment of Occupational Diseases d. National Programme for Prevention and Control of Deafness (NPPCD) e. National Mental Health Programme f. National Programme for Control of Blindness& Visual Impairment g. Pradhan Mantri National Dialysis Programme h. National Programme for the Health Care for the Elderly (NPHCE) i. National Programme for Prevention & Management of Burn Injuries (NPPMBI) j. National Oral Health program Health System Strengthening Programs a. Ayushman Bharat Yojana b. Pradhan MantriSwasthya Suraksha Yojana (PMSSY) c. LaQshya' program (Labor Room Quality Improvement Initiative) d. National Health Mission |
National Health Programs | Reproductive, Maternal, Neonatal, Child and Adolescent Health a. Janani Shishu Suraksha Karyakaram (JSSK) b. RashtriyaKishorSwasthyaKaryakram(RKSK) c. Rashtriya Bal SwasthyaKaryakram (RBSK) d. Universal ImmunisationProgramme e. Mission Indradhanush / Intensified Misson Indradhanush f. Janani Suraksha Yojana (JSY) g. Pradhan Mantri Surakshit Matritva Abhiyan (PMSMA) h. Navjaat Shishu Suraksha Karyakram (NSSK) | ||
National Nutritional Program a. National Iodine Deficiency Disorders Control Programme b. MAA (Mothers' Absolute Affection) Programme for Infant and Young Child Feeding c. National Programme for Prevention and Control of Fluorosis (NPPCF) d. National Iron Plus Initiative for Anaemia Control e. National Vitamin a Prophylaxis Program f. Integrated Child Development Services (ICDS) g. Mid-Day Meal Programme Communicable Diseases a. Integrated Disease Surveillance Programme (IDSP) b. Revised National Tuberculosis Control Programme (RNTCP) c. National Leprosy Eradication Programme (NLEP) d. National Vector Borne Disease Control Programme e. National AIDS Control Programme (NACP) f. Pulse Polio Programme g. National Viral Hepatitis Control Program h. National Rabies Control Programme i. National Programme on Containment of Anti- Microbial Resistance (AMR) Non-Communicable Diseasesa. a. National Tobacco Control Programme (NTCP) b. National Programme for Prevention and Control of Cancer, Diabetes, Cardiovascular Diseases & Stroke (NPCDCS) c. National Programme for Control Treatment of Occupational Diseases d. National Programme for Prevention and Control of Deafness (NPPCD) e. National Mental Health Programme f. National Programme for Control of Blindness& Visual Impairment g. Pradhan Mantri National Dialysis Programme h. National Programme for the Health Care for the Elderly (NPHCE) | |||
FM11 | Primary care and Universal Health Coverage | a. Family medicine and primary care b. Historical evolution of primary health care c. Health care teams in primary care d. Universal Health Coverage e. Health Insurance and Healthcare financing f. Alma Ata Declaration 1978 g. 2018 Asthana Declaration on Primary Health Care h. WHO and Global Health? i. SDG – Sustainable Development Goals 2030 j. Global Health and International Healthcare Delivery Models – UK, USA, Brazil, South Africa, Sri Lanka, Cuba, Thailand, Nepal k. Indian Healthcare Delivery Models -Best practices fromstates l. Comprehensive Vs. Selective Primary Care m. Principles of Community Oriented Primary Care (COPC) |
FM12 | Rural Generalist | a. Expert medical care in rural contexts (Multidisciplinary competent skills practice and care) b. The provision of comprehensive primary care to the rural population. c. Provision of secondary care to the rural population d. Response to medical emergencies in rural and remote locations. e. Population-based approach f. Care provision to culturally diverse communities g. The practice of medicine within an ethical, intellectual, and professional framework |
h. Safe medical care in geographical and professional isolation i. EmOC & LSAS (Community Setting - longitudinal integration) |
FM13 | Personal care | a. Person of the Physician b. Personal Life Goals c. Personal Management d. Personal growth and development e. Continuous professional development f. Personal wholeness and health and well-being g. Management of tress h. Preventing and dealing with burn-out i. The family physician's family health and wholeness j. The family physician's lifestyle to be healthy k. Personal finance management and financial success |
FM14 | Leadership and Primary Care Teams | a. Family physician as a leader b. Leadership principles and practices (styles) c. Principles of teamwork d. Team formation and functioning and facilitating e. Conflict management f. Working as a team (with/at the PHC and with/at the CHC and with the ward-based outreach teams and with the home-care teams) g. Multidisciplinary, multi-professional approach to healthcare, including with government and non-governmental agencies h. Working with other agencies i. Teaching and training the team for optimal, effective and efficient service j. Management principles and methods, including the management cycle (of doing a situational analysis, setting objectives, assessing, planning, implementing, evaluating, recording) - applied to the team and the services rendered, Etc. k. Stewardship and mutual accountability and productivity l. Continuous training and support of and working with community health workers (like the ANM/VHN/ASHA workers, and others) |
m. Facilitating continuous, mutual education and learning with other healthcare workers and professionals n. How to conduct morbidity and mortality (M+M) meetings o. How to deal with a medical mistake or unethical behavior of a colleague or healthcare worker or with an impaired health practitioner p. Relevant healthcare legislation | |||
FM15 | Practice Management | a. Management principles (broad and applied) b. Establishing a new practice or clinical facility c. Managing a busy clinic - strategies d. Record-keeping e. Cost-effective care and management f. Medicolegal aspects of family medicine g. Quality, standards, and accreditation h. Quality Improvement Cycle i. Quality assurance (QA)/ Quality improvement (QI) j. Audit (clinical and practice and financial) k. Legal framework compliances of practice l. How to maintain and aesthetically beautify the physical facilities (inside and outside) and the physical and ambient surroundings (e.g., flower- garden, vegetable garden, birdbaths, trees, Etc.) m. Budgeting and financial management n. How to do a stock inventory at CHC level o. How to manage human resources (people), material (equipment and information), minutes (time), money, meetings, medicines, myself, my family, Etc. p. Data interpretation of what is being reported by the Data Entry Officer (DEO) q. How to stimulate and facilitate organizational development (both on health service and health facility levels) | |
FM16 | Digital healthcare and Information Technology | a. Electronic Health Record b. Telemedicine and digital health c. Use of electronic devices for practice support and enhancement d. Professional use of social media e. Electronic communication f. Information technology and health promotion g. Big data and population health h. Healthcare automation i. Artificial Intelligence | |
FM17 | Family medicine and allied sciences | a. Basic human anthropology, psychology, pneumatology, and sociology within the context of healthcare | |
FM18 | Wellness: Prevention, Diet, Nutrition, and Exercise | a. Concept of wellness b. Concept of Prevention c. Health screening d. Preventive health checkup e. Immunization f. Chemoprophylaxis g. Age-specific prevention guidelines h. Injury prevention i. Principles of nutrition j. Calorie calculation k. Diet advises during sickness l. Diet for chronic diseases m. Human physiology and principles of exercise n. Types of exercise o. Exercise prescription p. Prevention and treatment of Malnutrition q. Obesity and weight management r. Smoking cessation s. Alcohol dependence management |
FM19 | Care of New born | a. Screening for high-risk neonates b. Neonatal Resuscitation c. Newborn Care d. Common neonatal problems e. Dealing with congenital anomalies f. Breastfeeding and weaning g. Well baby clinic h. Immunization i. Normal development, Developmental Delay | |
FM20 | Care of Child | a. Growth Monitoring and malnutrition b. Optimal use of the Road-To-Health-Card (RTHC) c. Vitamin deficiency diseases d. Common pediatric illnesses like infectious diseases, asthma, Etc. e. Behavioral disorders, mental retardation, learning disabilities, child abuse issues, f. Sudden infant death syndrome (SIDS), g. Genetic disorders, h. School health program i. National Immunization Program. j. Integrated Management of Childhood and Neonatal Illnesses (IMNCI) Guidelines k. Common Pediatric emergencies | |
FM21 | Adolescent Health | a. Consultation with adolescent b. Puberty and adolescence: male & female c. Adolescent and the law d. Behavior problems /stress/psychosocial problems/nutrition and exercise e. Diagnosis and management of substance abuse f. Eating disorder g. Reproductive and sexual health h. Immunization in adolescents i. Gadget addiction j. Adolescent contraception k. Menstrual hygiene l. Early marriage m. Gender identity issues |
FM22 | Women's Health | a. Physiology of menstruation and its deviations b. Menstrual problems: Premenstrual syndrome, Dysmenorrhea, Abnormal uterine bleeding, post-coital bleeding, and intermenstrual bleeding; primary and secondary Amenorrhea c. Common disorders of uterus and ovary including fibroid uterus, genital prolapse, ovarian tumors, polycystic ovarian disease d. Vaginal discharge, Pelvic infection, Sexually Transmitted Diseases Infections e. Pelvic mass, screening and early detection of genital tract malignancy, f. Preconception counseling, Contraception, Infertility g. Approach to: Breast pain, breast lumps, Galactorrhea and nipple discharge, Hirsutism, Dyspareunia, Pelvic pain h. Menopause, Complications of menopause, Hormone Replacement therapy, post- menopausal bleeding, Incontinence, Vaginal prolapse i. Medically Unexplained Symptoms |
j. Domestic & intimate partner violence and abuse k. Gender identity issues | ||
FM23 | Pregnancy and Maternal Health | a. Preconception counseling b. Physiological changes in pregnancy, Antenatal Care, normal labor & postnatal care c. Medications during pregnancy d. Abortion e. Common problems during pregnancy including hyperemesis gravidarum, urinary tract infections, low backache f. Basic Antenatal care including health education, nutritional guidance, immunization g. SBA – Skill Birth Attendant competencies h. High-risk pregnancy & medical diseases in pregnancy: identification, management, and appropriate referrals i. EmOC: Emergency Obstetrical Skills (a) Basic EmOC (b) Comprehensive EmOC (longitudinal integration) j. LSAS: Life Saving Anesthesia Skills for EmOC (longitudinal integration) k. Counseling the mother and the family l. Postnatal care and puerperal problems m. Breastfeeding n. Medicolegal issues related to women's health |
FM24 | General Medical Care | a. Initial management of all symptoms/health problems b. Undifferentiated presentations, c. Recognition, assessment, management, follow- up of common medical conditions in an adult man/woman in the community, d. Prevention and health promotion, knowledge of Diagnostic methods, interpretation of results and Referral criteria |
FM25 | Infectious Diseases | Tropical diseases and common infections a. Including viral, bacterial, rickettsia, mycobacterial, protozoal, Etc. b. Example malaria, filariasis, rabies, leptospirosis, dengue fever, enteric fever, hepatitis, poliomyelitis, meningitis, encephalitis, HIV/AIDS, sexually transmitted infections, common fungal infections, skin infections, varicella, herpes zoster, rickettsia, measles, mumps, tetanus, Chikungunya fever, newer emerging infections (avian influenza and Zika virus) c. Sepsis, tuberculosis, HIV / AIDS, malaria, enteric fever, UTI, leptospirosis, rickettsia fevers, tetanus, STDs, leprosy, kala-azar, fever of unknown origin, infective endocarditis | |
FM26 | Common Cardiovascular Problems | a. Approach to a patient presenting with chest pain (ischemic heart disease, ACS, post-myocardial infarction management/rehabilitation) b. Approach to a patient presenting with syncope c. Approach to a patient presenting with palpitations (dysrhythmias) d. Approach to a patient with breathlessness (cardiac failure, acute pulmonary edema) e. Approach to a patient with edema f. Approach to a patient with hypertension and dyslipidemia g. Common congenital heart diseases h. Others: acute rheumatic fever, rheumatic heart disease, infective endocarditis, cardiomyopathy, peripheral vascular disease |
FM27 | Common Respiratory Problems | a. Approach to cough b. Approach to a patient with a running nose - allergic disorders c. Approach to a patient presenting with difficulty in breathing (asthma, pneumonia, COPD, management of acute exacerbation of bronchial asthma and COPD, interstitial lung disease, sarcoidosis d. Approach to a patient presenting with tuberculosis and other infections (empyema, bronchiectasis, lung abscess, pleural effusion) e. Approach to a patient presenting with occupational lung diseases f. Approach to a patient presenting with sleep apnoea g. Diagnostic methods in pulmonary medicine, principles of the pulmonary function tests h. Bronchodilators and steroids in respiratory medicine i. Malignancies in lung j. Smoking cessation | |
FM28 | Common Gastrointestinal Problems | a. Approach to a patient presenting with dyspepsia, GERD, diarrhea, irritable bowel syndrome, b. Approach to a patient presenting with acute and chronic abdominal pain: cholecystitis, pancreatitis, peptic ulcer disease, non-ulcer dyspepsia, gastritis c. Approach to a patient presenting with jaundice d. Hepatitis, liver failure, cirrhosis of the liver, hepatic encephalopathy e. Approach to a patient presenting with diarrhea: Infective causes, inflammatory bowel disease, irritable bowel syndrome, malabsorption, food poisoning, parasitology including amebiasis/ giardiasis/worm infestations, and investigations in gastrointestinal diseases) f. Approach to a patient presenting with constipation g. Approach to a patient presenting with ascites – tuberculous abdomen and various other etiologies h. Patient presenting with hematemesis – Variceal and non-variceal bleeding i. When to refer for investigations – GI scopies, USG | |
FM29 | Common Neurological Problems | a. Approach to a patient presenting with a neurological deficit (Cerebrovascular accidents, stroke, TIA, paraplegia, quadriplegia) b. Approach to a patient presenting with headache (primary and secondary causes - meningitis, encephalitis, ICSOLs) c. Approach to a patient presenting with seizures d. Approach to a patient presenting with movement disorders – Parkinsonism other disorders presenting with tremors e. Approach to a patient presenting with peripheral neuropathy, cranial neuropathy |
f. Approach to a patient presenting with muscle disorders – myopathies g. Approach to a patient with memory loss h. Patient presenting with dizziness | ||
FM30 | Poisoning and Bites | a. Poisoning (general emergency measures, poisoning caused by paracetamol, organophosphorus compounds, alcohol, kerosene, barbiturates, corrosives, insecticides, organophosphorus compounds, carbon monoxide, sedatives, phosphide) b. Bites: snakebite, scorpion sting, and other insect and animal bites) |
FM31 | Common Hematological Problems | a. Approach to a patient with anemia (iron deficiency, B12 deficiency, folic acid Hemoglobinopathies, and others; geographical differentiation) b. Approach to a patient with polycythemia c. Approach to a patient with thrombocytopenia d. Approach to a patient with bleeding disorders Hemophilia and others e. Approach to a patient with hematological malignancies f. Interpretation of lab investigations g. Principles of anticoagulation |
FM32 | Common cancers | a. Cancer screening b. Cervical c. Breast d. Prostate e. Lung f. Hematological g. Gastro-intestinal h. Head and neck |
FM33 | Common Connective Tissue Disorders | a. Approach to a young patient presenting with joint pain: SLE, polymyalgia rheumatica, polymyositis, inflammatory arthritis, mixed connective tissue disorders), rheumatoid arthritis, mono-arthritis, ankylosing spondylitis, vasculitis, reactive arthritis." b. Approach to joint pain in the elderly: osteoarthritis c. Approach to a patient with back pain – ankylosing spondylitis |
FM34 | Common Renal Problems | a. Approach to a patient presenting with dysuria (urinary tract infections, pyelonephritis, genitourinary infections) b. Approach to a patient presenting with hematuria (glomerulonephritis, calculi, and others) c. Approach to a patient presenting with edema (acute renal failure, chronic renal failure, nephrotic syndrome, nephrotic syndrome) d. Interpretation and management of electrolyte imbalances e. Renal replacement therapy f. Diabetic nephropathy |
FM35 | Metabolic and Endocrine Diseases | a. Diabetes b. Thyroid diseases c. Growth and developmen t d. Metabolic Syndrome e. Dyslipidemia f. Obesity g. Osteoporosis h. Vitamin D deficiency i. Common endocrine diseases related to pancreas, pituitary and adrenal glands |
FM36 | Skin Related Problems | a. Diagnosis of Infectious skin conditions and management: Viral infections: molluscum contagiosum, viral warts, pityriasis rosea, herpes zoster, herpes simplex, viral exanthems, hand-foot and mouth disease, recognition of viral hemorrhagic fevers and danger signs, Varicella, Measles b. Bacterial: Impetigo, TB, Leprosy, Cellulitis, Infestation: scabies, lice, insect bites c. Fungal and yeast infections: Candida, pityriasis versicolor, tinea skin diseases associated with HIV infections d. Diagnosis of Non-Infectious skin conditions and management: Acute contact dermatitis, Psoriasis, Chronic leg ulcers, Generalized pruritus, Angioedema / Anaphylaxis, Acne, Alopecia, Vitiligo, Eczema e. Diagnosis of Nutritional disorders causing skin lesions and management f. Skin tumors: Premalignant lesions in the skin: like solar keratosis, Bowen's disease g. Malignant lesions like basal cell cancer, squamous cell cancer, Malignant melanoma | |
FM37 | Occupational Health | a. Medical fitness b. Pre-employment health checkup c. Sickness certification d. High-risk occupations and medical fitness certification e. Sports fitness certification f. Basic ergonomics and office health g. Stress Management h. Factory Health i. Legislations related to occupational health |
FM38 | Mental Health | a. Recognition, management and appropriate referral of depression and anxiety states b. Recognition, Basic Management and appropriate referral of patients with psychosis c. Follow-up care of patients with psychosis d. Care of patients with unexplained symptoms without an organic basis e. Care of patients undergoing bereavement, social and family stress f. Assessment of suicide risk g. Diagnosis, detoxification and team-based management of patients with substance abuse h. Recognition and management of patients in delirium i. Recognition, referral and follow up of patients with dementia j. Recognition, referral and follow up of patients with developmental disorders k. Recognition, basic management and appropriate referral of patients with personality disorders, eating disorders and behavioral disorders in children and adolescents, l. Basic principles of psychotherapy, rational use of psychotherapeutic medication) |
FM39 | Emergency & Urgent Care | a. Knowledge for lifesaving procedures: Medical, Obstetric, Pediatric, including neonatal resuscitation, Surgical, and trauma b. Acutely dyspneic patient c. Shock |
d. Cardiac arrest e. Loss of consciousness f. Seizures g. Epistaxis h. Acute gastrointestinal emergencies i. Trauma and poly-trauma, including road traffic accidents, sexual assault, victims of violence, mass casualty, drowning, and near-drowning. j. Hemoptysis k. Acute burns l. Acute musculoskeletal disorders including fractures, sprains, dislocations and compartment syndromes m. Life-Saving Anesthesia Care (LSAS) for EmOC (Emergency setting- (longitudinal integration) n. Common poisonings, animal bites, and stings, o. Environmental disasters (floods, earthquakes, Etc.) p. Acute urinary system disorders including retention and anuria, q. Psychiatric emergencies r. Disaster management |
FM40 | General Surgical Care | a. Diagnosis and initial management of Common Surgical problems b. Experience and expertise should be gained in recognizing and appropriate evaluation and initial management of the following common conditions. · Head Injury · Burns and wounds, ulcers, bedsores · Lumps in neck, breast, groin, abscess and small bumps elsewhere in the body · Upper GI bleed, rectal bleed, hematemesis, and Malena, · Abdominal pain · Dysphagia, nausea, vomiting · Peptic ulcer, GOERD, gastritis · Disorders of gall bladder and pancreas · Intestinal obstruction, specific and nonspecific infections · Abdominal mass · Leg Ulcers, varicose veins, · Diabetic foot |
· In-growing toenails · Perianal problems, pilonidal abscess/sinus, phimosis, paraphimosis, · Rectal pain, rectal prolapse · Hernia, inguinoscrotal swellings, hydrocoele, · Diseases of breast, Breast infections, hematoma, abscess, lumps, mastalgia, and cellulitis · Peripheral vascular disease · Prostate disease, renal and genitor-urinary tract disorders; LUTS, Management of obstructive uropathy c. Red flags - identification stabilization and treatment and referral of shock, electrolyte and fluid requirements, blood transfusion, d. Suture methods and materials, universal precautions. e. Life-Saving Anesthesia Care (LSAS) for EmOC (OT setting- longitudinal integration) | ||
FM41 | Oro Dental Care | a. Recognition, assessment, management, follow- up of common oral dental conditions |
FM42 | Care of Ear Nose and Throat | a. The algorithmic approach of ENT problems: Epistaxis, ear pain, ear discharge, hearing loss, vertigo, nasal discharge, loss of smell, hoarse of voice, Tinnitus, Dysphagia, Aphthous Ulcer. To identify and refer if red flags are present. b. Recognition, assessment, management, appropriate referral and follow-up of common ENT conditions: Acute bacterial pharyngitis, Acute & Chronic Rhinitis, Acute & Chronic Sinusitis, c. Acute & Chronic Tonsillitis, Quinsy d. Adenoiditis/adenoid hypertrophy with eustachian tube dysfunction/OMe, Acute Otitis Media, Chronic (safe and unsafe) otitis media, Otitis externa, Fungal infections of the ear, e. Mastoiditis, Otitis externa, Fungal /bacterial infections of the ear, - perichondritis/ seroma/hematoma of the pinna. Mastoiditis, Nasal Polyps f. Tuning fork tests g. Management of Bell's palsy h. Nasal polyps i. Deviated nasal septum j. Emergency tracheostomy kit | |
FM43 | Care of Eye | a. The algorithmic approach of Eye problems: Red Eye, Itchy Eye, Swelling of Eye, Watering of Eye, Diminished vision. To identify and refer if red flags b. Recognition, assessment, management, appropriate referral, and follow-up of common Eye conditions: c. Redeye (Conjunctivitis, Corneal abrasions/ulcers, Uveitis, Glaucoma) d. Decreased vision (Refractiveory error, Cataract, Diabetic retinopathy, Retinal Detachment, optic neuritis, e. Lid disorders, Chalazion, Stye, Lagophthalmos f. Bitot's spots, Xerophthalmia, g. Pterygium, Phlycten, Episcleritis, Scleritis h. Diabetic retinopathy i. Foreign body in the eye j. Panophthalmitis/ Orbital Cellulitis k. Color blindness, Squint l. Congenital eye problem m. First-line management and referral protocols of eye emergencies n. Identification and referral of malignancies o. A national program for control of blindness and visual impairment (NPCBVI) |
FM44 | Care of Bones and Joints and Rehabilitative Care | a. Basic principles of physical and rehabilitative therapy b. Acute and Chronic joint pains - small joints, large joints, Arthroscopy c. Acute and Chronic backache d. Acute/Chronic neck pain e. Shoulder pain f. Myofascial pain syndrome g. Fractures and dislocations – early management and referral h. Arthritis: Osteoarthritis, RA, Gout, Periarthritis of the shoulder, Etc. i. Infections: septic Arthritis, osteomyelitis, Tuberculosis j. Synovitis, fasciitis, tendinopathies k. Sports injuries l. Bony tumors m. Management of ganglion n. Congenital deformities o. Assessment and management of patients with disabilities p. Principles of Community based rehabilitation q. Pressure ulcers prevention and management r. Disability terminology- Impairment, activity limitation and participation restriction s. Legislation and rights of people with disabilities | |
FM45 | Pain and Anesthesia Care | a. Overview of anesthesia: b. Equipment's c. Pre-anesthetic assessment of patient- (risk assessment asa grade 1-5 classify according to grades 1-3 can be done by a family physician) d. Types of Anesthesia and details on each modality- local anesthesia, e. Regional anesthesia including field, digital, ankle, wrist and penile block, endotracheal intubation Intravenous sedation, f. Monitoring patient while under anesthesia care and follow up, red flags for referral, adverse events in anesthesia, Awake analgesics g. Life-Saving Anesthesia Care (LSAS) for EmOC (longitudinal integration) | |
FM46 | Care of the Elderly | a. Common health problems and diseases in the old age & their management e.g., vascular, musculoskeletal, oncological, psychological, neurological, hearing and vision problems b. Comprehensive assessment of elderly c. General principles of elder care d. Geriatric syndromes - falls & fractures incontinence, constipation, delirium, dementia, aches, and pains in elderly e. Prescribing in elderly f. Palliation & management of terminally ill patients g. Rehabilitation in elderly h. Communication skills in bereavement, problems of the family after the death i. Caregiver support, j. Care of elderly, social and psychological problems in the elderly | |
FM47 | Palliative Care | a. Principles of palliative care b. Physical care c. Essential palliative care medications & Psychosocial and spiritual care d. Terminal illness and end-of-life care e. Nursing care communication f. Ethical aspects of care g. Integrated care and network with other healthcare providers h. Teamwork i. Selfcare j. Recognition, assessment, management, follow- up of common medical conditions in a terminally ill patient k. Home-based care l. Stroke rehabilitation m. Cardiovascular rehabilitation n. Post-trauma rehabilitation o. Musculoskeletal diseases p. Pain management |
After completing a DNB in Family Medicine, candidates will get employment opportunities in Government as well as in the Private sector.
In the Government sector, candidates have various options to choose from, including Registrar, Senior Resident, Demonstrator, Tutor, etc.
While in the Private sector the options include Resident Doctor, Consultant, Visiting Consultant (Family Medicine), Junior Consultant, Senior Consultant (Family Medicine), Consultant Family Medicine Specialist, etc.
Courses After DNB in Family Medicine Course
DNB in Family Medicine is a specialization course that can be pursued after finishing MBBS. After pursuing a specialization in DNB (Family Medicine), a candidate could also pursue super specialization courses recognized by NMC, where DNB (Family Medicine) is a feeder qualification.
Frequently Asked Questions (FAQs) – DNB in Family Medicine Course
Question: What is a DNB in Family Medicine?
Answer: DNB Family Medicine or Diplomate of National Board in Family Medicine also known as DNB in Family Medicine is a Postgraduate level course for doctors in India that is done by them after completion of their MBBS.
Question: Is DNB in Family Medicine equivalent to MD in Family Medicine?
Answer: DNB in Family Medicine is equivalent to MD in Family Medicine, the list of recognized qualifications awarded by NBE in various broad and super specialties as approved by the Government of India are included in the first schedule of the Indian Medical Council Act, 1956.
Question: What is the duration of a DNB in Family Medicine?
Answer: DNB in Family Medicine is a postgraduate programme of three years.
Question: What is the eligibility of a DNB in Family Medicine?
Answer: Candidates must be in possession of an undergraduate MBBS degree from any college/university recognized by the Medical Council of India (now NMC).
Question: What is the scope of a DNB in Family Medicine?
Answer: DNB in Family Medicine offers candidates various employment opportunities and career prospects.
Question: What is the average salary for a DNB in Family Medicine postgraduate candidate?
Answer: The DNB in Family Medicine candidate's average salary is between Rs. 7,00,000 - Rs. 18,00,000 per year depending on the experience.
Question: Are DNB Family Medicine and MD Family Medicine equivalent for pursuing teaching jobs?
Answer: The Diplomate of National Board in broad-speciality qualifications and super speciality qualifications when granted in a medical institution with attached hospital or in a hospital with the strength of five hundred or more beds, by the National Board of Examinations, shall be equivalent in all respects to the corresponding postgraduate qualification and the super-speciality qualification granted under the Act, but in all other cases, senior residency in a medical college for an additional period of one year shall be required for such qualification to be equivalent for the purposes of teaching also.
Question: Is DNB Family Medicine Recognised by MCI?
Answer: DNB family medicine, awarded by the National Board of Examination (NBE) is a MCI recognized qualification since 1983, the year; NBE came into existence through an amendment in the MCI act.
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