AIIMS Medicine Syllabus – Part I
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:
- Understand the various manifestations of infectious and non-infectious diseases.
- Understand the basic principle of history taking and clinical examinations.
- Elicit a detailed history, perform a thorough physical examination including mental status
- examination and examination of an unconscious patient.
- Correlate the clinical symptoms and physical signs to make a provisional anatomical, physiological, etiopathological diagnosis along with the functional disability and suggest relevant investigation.
- Interpret reasonably the relevant investigations.
- 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.
- 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.
- 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
? 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
? 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
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