AIIMS Medicine Syllabus

AIIMS Medicine Syllabus – Part I

 

OBJECTIVES

The goal of the undergraduate training in general medicine is to provide such knowledge, skills and

behavioral attribute that may enable the graduating physician to function effectively as a Primary Care

Physician in a community setting. At the end of training, each student must be able to:

  1. Understand the various manifestations of infectious and non-infectious diseases.
  2. Understand the basic principle of history taking and clinical examinations.
  3. Elicit a detailed history, perform a thorough physical examination including mental status
  4. examination and examination of an unconscious patient.
  5. Correlate the clinical symptoms and physical signs to make a provisional anatomical, physiological, etiopathological diagnosis along with the functional disability and suggest relevant investigation.
  6. Interpret reasonably the relevant investigations.
  7. Professionally present and discuss the principles involved in the management of the patient, initiate first line management and outline short-term and long term management.
  8. Manage acute medical emergencies like acute myocardial infarction, acute pulmonary oedema, acute anaphylactic and hypovolumic shock, status asthmaticus, tension pneumothorax, status epilepticus, hyperpyrexia, haemoptysis, gastro-intestinal bleeding, diabetic coma, electric shock, drowning, snake bites, common poisoning etc.
  9. Acquire the skills to perform minor procedure under supervision like – IV cannulation, insertion of nasogastric tube, urinary bladder catherisation, use of peak flow meter, doing an ECG etc.

COURSE CONTENT General

?        The ‘art’ and ‘science’ of Medicine

?        Principles of medical ethics

?        Clinical diagnostic reasoning

?        Principles of prevention of disease

?        Clinical genetics – common types, clinical presentation, investigation and prevention of genetic diseases and genetic counseling

?        Medical disorders during pregnancy

?        Principles of Geriatric Medicine O Normal ageing

O Clinical assessment of frail elderly,

O Decisions about investigations and rehabilitation O Major manifestations of disease in elderly

?        Care of terminally ill/dying patient

Clinical Pharmacology

?        Principles of drug therapy

?        Adverse drug reactions

?        Drug interactions

?        Monitoring drug therapy

?        Writing a drug prescription

Nutritional and metabolic disorders

?        Nutritional assessment & needs

?        Nutritional & metabolic disorders O Protein energy malnutrition O Obesity

?        Vitamin and mineral deficiency & excess

?        Diet therapy including parenteral nutrition therapy

Water, electrolyte and acid-base imbalance

?        Water and electrolyte physiology

?        Acid-base disorders

?        Fluid and electrolyte disturbances

Critical care Medicine

?        Physiology of the critically ill patient

?        Major manifestations of critical illness O Circulatory failure: shock

O Respiratory failure O Renal failure

O Coma O Sepsis

O Disseminated intravascular coagulation

?        General principles of critical care management

?        Scoring systems in critical care

?        Outcome and costs of intensive care

Pain management and palliative care

?        General principles of pain

?        Assessment and treatment of pain

?        Palliative care

Medical Psychiatry

?        Classification of psychiatric disorders

?        Aetiological factors in psychiatric disorders

?        The clinical interview and mental state examination

?        Major manifestations of psychiatric illness O Disturbed and aggressive behavior

O Delusions and hallucinations O Depressive Symptoms O Anxiety symptoms O Deliberate self-harm and suicidal ideation O Alcohol misuse and withdrawal O Misuse of drugs other than alcohol

O Medically unexplained physical symptoms and functional somatic syndromes O Psychiatric and psychological aspects of chronic and progressive disease

?        Clinical syndromes

O Organic brain syndromes O Substance abuse

–          Alcohol

–          Drugs

O Bipolar disorders O Depressive disorders O Schizophrenia

?        Treatments used in psychiatry O Psychological treatments O Physical treatments

?        Neurotic, stress-related and somatoform disorders O Anxiety

O Obsessive compulsive disorders O Dissociative disorders

?        Sleep disorders

?        Legal aspects of psychiatry

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