DNB Community Medicine: Admissions, Medical Colleges, Fee, Eligibility Criteria details here

Written by Chhavi Published On 2022-11-05T18:06:17+05:30 | Updated On 16 Dec 2023 12:05 PM IST

DNB Community Medicine or Diplomate of National Board in Community Medicine also known as DNB in Community 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 health of the members of a community, municipality, or region. It deals with the study of the history of a particular disease in a certain population, the influence of the environment on health and the prevention of a particular disease that spread at the community level.

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 Associated Hospital Government Medical College- Jammu and Kashmir, St. Stephen`s Hospital- Delhi 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.

The fee for pursuing DNB (Community Medicine) from accredited institutes/hospitals is Rs. 1,25,000 to Rs 2,40,000 per year.

After completion of their respective course, doctors can either join the job market or pursue a super-specialization course where DNB Community Medicine is a feeder qualification. Candidates can take reputed jobs at positions as Senior residents, Junior Consultants, Consultants etc. with an approximate salary range of Rs. 8,00,000 - Rs. 25,00,000 per year.

DNB is equivalent to MD/MS/DM/MCh degrees awarded respectively in medical and surgical super specialties. The list of recognized qualifications awarded by the Board 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.

The Diplomate of National Board in broad-specialty qualifications and super specialty qualifications when granted in a medical institution with the 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-specialty 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.

What is DNB in Community Medicine?

Diplomate of National Board in Community Medicine, also known as DNB (Community Medicine) or DNB in Community Medicine is a three-year postgraduate programme that candidates can pursue after completing MBBS.

Community Medicine is the branch of medical science concerned with the health of populations. It aims to protect and promote the health and well-being of communities and populations through Primary Health Care approach.

The National Board of Examinations (NBE) has released a curriculum for DNB in Community Medicine.

The curriculum governs the education and training of DNBs in Community Medicine.

PG education intends to create specialists who can contribute to high-quality health care and advances in science through research and training.

The required training done by a postgraduate specialist in the field of Community Medicine would help the specialist recognize the community's health needs. The student should be competent to handle medical problems effectively and should be aware of the recent advances in their speciality.

The candidate should be a highly competent specialist in Community Medicine possessing a broad range of skills that will enable her/him to practice Community Medicine independently. The PG candidate should also acquire the basic skills in teaching medical/para-medical students.

The candidate is also expected to know the principles of research methodology and modes of the consulting library. The candidate should regularly attend conferences, workshops, and CMEs to upgrade her/ his knowledge.

Course Highlights

Here are some of the course highlights of DNB in Community Medicine

Name of Course	DNB in Community Medicine
Level	Postgraduate
Duration of Course	Three years
Course Mode	Full Time
Minimum Academic Requirement	MBBS degree obtained from any college/university recognized by the Medical Council of India (now NMC)
Admission Process / Entrance Process / Entrance Modalities	Entrance Exam (NEET PG)
Course Fees	Rs. 1,25,000 to Rs 2,40,000 per year
Average Salary	Rs. 8,00,000 - Rs. 25,00,000 per year

Eligibility Criteria

The eligibility criteria for DNB in Community Medicine are defined as the set of rules or minimum prerequisites that aspirants must meet in order to be eligible for admission, which includes:

Candidates must be in possession of an undergraduate MBBS degree from any college/university recognized by the Medical Council of India (MCI) now NMC.

Candidates should have done a compulsory rotating internship of one year in a teaching institution or other institution which is recognized by the Medical Council of India (MCI) now NMC.

The candidate must have obtained permanent registration of any State Medical Council to be eligible for admission.

The medical college's recognition cut-off dates for the MBBS Degree courses and compulsory rotatory Internship shall be as prescribed by the Medical Council of India (now NMC).

Candidates who have passed the final examination, leading to the award of a Post Graduate Degree (MD/MS) from an Indian University, which is duly recognized as per provisions of the National Medical Commission (NMC) Act, 2019 and the first schedule of the IMC Act can apply for the DNB Final examination in the same broad specialty.

Admission Process

The admission process contains a few steps to be followed in order by the candidates for admission to DNB in Community Medicine. Candidates can view the complete admission process for DNB in Community Medicine mentioned below:

The NEET PG or National Eligibility Entrance Test for Post Graduate is a national-level master's level examination conducted by the NBE for admission to MD/MS/PG Diploma Courses.
The requirement of eligibility criteria for participation in counselling towards PG seat allotment conducted by the concerned counselling authority shall be in lieu of the Post Graduate Medical Education Regulations (as per the latest amendment) notified by the MCI (now NMC) with prior approval of MoHFW.

S.No.	Category	Eligibility Criteria
1.	General	50th Percentile
2.	SC/ST/OBC (Including PWD of SC/ST/OBC)	40th Percentile
3.	UR PWD	45th Percentile

Fees Structure

The fee structure for DNB in Community Medicine varies from accredited institute/hospital to hospital. The fee is generally less for Government Institutes and more for private institutes. The average fee structure for DNB in Community Medicine is Rs. 1,25,000 to Rs 2,40,000 per year.

Colleges offering DNB in Community Medicine

Various accredited institutes/hospitals across India offer courses for pursuing DNB (Community Medicine).

As per the National Board of Examinations website, the following accredited institutes/hospitals are offering DNB (Community Medicine) courses for the academic year 2022-23.

Hospital/Institute	Specialty	No. of Accredited Seat(s) (Broad/Super/Fellowship)
Associated Hospital Government Medical College Kanthbagh Baramulla Jammu and Kashmir-193101	Community Medicine	2
Associated Hospital Government Medical College Nh1a , Kathua, Jammu and Kashmir Jammu and Kashmir-184104	Community Medicine	2
Government Medical College and Associated Hospital Janglat Mandi, Anantnag Jammu and Kashmir-192101	Community Medicine	3
St. Stephen`s Hospital Tees Hazari, New Delhi Delhi-110054	Community Medicine	1

Syllabus

A DNB in Community Medicine is a three years specialization course which provides training in the stream of Community Medicine.

The course content for DNB in Community Medicine is given in the NBE Curriculum released by National Board of Examinations, which can be assessed through the link mentioned below:

DNB Community Medicine in India: Check out NBE released Curriculum

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

Career Options

After completing a DNB in Community 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 (Community Medicine), Junior Consultant, Senior Consultant (Community Medicine), Consultant Community Medicine Specialist, etc.

Courses After DNB in Community Medicine Course

DNB in Community Medicine is a specialization course that can be pursued after finishing MBBS. After pursuing a specialization in DNB (Community Medicine), a candidate could also pursue super specialization courses recognized by NMC, where DNB (Community Medicine) is a feeder qualification.

Frequently Asked Questions (FAQs) – DNB in Community Medicine Course

Question: What is a DNB in Community Medicine?

Answer: DNB Community Medicine or Diplomate of National Board in Community Medicine also known as DNB in Community Medicine is a Postgraduate level course for doctors in India that is done by them after completion of their MBBS.

Question: Is DNB in Community Medicine equivalent to MD in Community Medicine?

Answer: DNB in Community Medicine is equivalent to MD in Community 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 Community Medicine?

Answer: DNB in Community Medicine is a postgraduate programme of three years.

Question: What is the eligibility of a DNB in Community 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 Community Medicine?

Answer: DNB in Community Medicine offers candidates various employment opportunities and career prospects.

Question: What is the average salary for a DNB in Community Medicine postgraduate candidate?

Answer: The DNB in Community Medicine candidate's average salary is between Rs. 8,00,000 - Rs. 25,00,000 per year depending on the experience.

Question: Are DNB Community Medicine and MD Community 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.

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Chhavi

BA in Journalism and Mass Communication

Chhavi Arora, a Graphic Designer, completed Bachelor of Arts in Journalism and Mass Communication from GGSIPU'22