Basic Information of the Curriculum
Objective of the course:
To produce medical assistant with required knowledge, skill and attitude to provide preventive, promotive and first line curative care to the community.
1.1.Name of the Course :” Medical Assistant Training Course”
1.2.Duration of the Course :Three years plus one year internship.
1.3.The academic session will start from the month of January or July.
1.4.Medium of instruction and examination: English.
1.5.Selection of students :
Following are the requisites for admission into the MATS
- SSC Pass or equivalent as per Govt. decision.
- Science with Biology.
- GPA and others criteria and conditions as per Govt. decision.
- The Course is divided into three parts :
- 1st Year- 12 months
- 2nd Year- 12 months
- 3rd Year- 12 months
1.6.1 Duration of 1st year is twelve months.
The following four basic subjects will be taught-
- Basic English.
- Basic Computer Science.
- Basic Community Health & Medical Ethics.
- Basic Anatomy & Physiology.
1.6.2 Duration of 2nd year is twelve months.
The following two basic subjects will be taught-
- Basic Pharmacology.
- Basic Pathology & Microbiology.
NB: Clinical teaching (Indoor, Outdoor)on Basic Medicine & Paediatrics, Basic Surgery and Basic Obstetrics & Gynaecology will start at 2nd year. Classes of Basic Community Medicine & Health Management will also start from 2nd year.
1.6.3 Duration of 3rd year is twelve months.
The following four basic subjects will be taught-
- Basic Medicine &
- Basic Surgery.
- Basic Obstetrics & Gynaecology.
- Basic Community Medicine & Health Management.
1.7 Subject wise Hour Distribution :
1st Year
| Subjects | Lecture | Tutorial | Practical | Field visit | Total |
| Basic English | 60
(40+20) |
90
(70+20) |
20 | 170 | |
| Basic Computer Science | 30 | 100 | 130 | ||
| Basic Community Health & Medical Ethics | 90
(75 + 15) |
90
(75 + 15) |
60 | 240 | |
| Basic Anatomy & Physiology | 100
(50+50) |
100
(50+50) |
200 | ||
| Total | 280 | 180 | 220 | 60 | 740 |
NB: Student computer ratio should be at least 1:10. Basic Computer science teaching should be imparted by qualified diploma holder persons or at least one year certificate holder on computer science from a recognized institute. Basic English will be taught by English teacher who have capability of communicative English.
2nd Year
| Subjects | Lecture | Tutorial | Practical | Field visit | Total |
| Basic Pathology & Microbiology | 60 | 136 | 42 | 238 | |
| Basic Pharmacology | 59 | 59 | 10 | 10 | 138 |
| Basic Community Medicine & Health Management (Group A & B) | 72 | 72 | 75 | 219 | |
| Total | 191 | 267 | 52 | 85 | 595 |
| Clinical/Ward/Bed side Teaching | 200 | ||||
| Grand Total | 795 | ||||
3rdYear
| Subjects | Lecture | Practical/ Clinical/ Ward/ Bed side Teaching/ Indoor/ Outdoor/Emergency | Clinical teaching at UHC (Indoor, Outdoor, Emergency) | Total |
| Basic Medicine & Paediatrics | 120 | 210 | 15 x 3 | 330 |
| Basic Surgery | 80 | 120 | 200 | |
| Basic Gynaecology & Obstetrics | 80 | 120 | 200 | |
| Basic Community Medicine & Health Management (Group C & D) | 55 | 65 (Practical -10 & Tutorial-55) | 120 | |
| Total | 335 | 515 | 45 | 850 |
Completion certificate from all four units will be mandatory criteria to be eligible to seat for the final faculty examination.
1.8 Faculty Examination:
- There will be three faculty examinations after 1st year, after 2nd year and after 3rd year
1st year final : Conducted by faculty
2nd year final : Conducted by faculty.
3rd year final : Conducted by faculty.
Regarding class attendance – 75% will be considered as pre-requisite for form fill up for faculty examinations.
Completion of card and field visit will be considered as pre-requisite for form fill up for faculty examinations.
- After every One Year there will be faculty examination.
- The examinations will be conducted in English.
- Students who will not pass 1st year final faculty examination, will be allowed to attend academic activities of 2nd year but not be allowed to appear 2nd year final faculty examination before passing 1st year final faculty examination.
- Students who will not pass 2nd year final faculty examination will be allowed to attend academic activities of 3rd year but will not be allowed to appear 3rd year final faculty examination without passing 2nd year final faculty examination.
- Respective institution will be the place of examination if it is approved by SMFB.
- Certificate for examinations-
The principal of the institution in which a candidate has undergone the course shall submit on behalf of every candidate, a certificate showing the number of lectures and practical classes taken and number attended by the respective students. 75% attendance in each subject, both in lecturers and practical classes, field visit, clinical class is mandatory.
- Arrangement for examinations-
All arrangements supervision etc. shall be made under the order of the state Medical Faculty with co-ordination of respective principals
- Application for examination-
Every candidate for three faculty examinations shall apply through the Head of the institute to the Secretary, State Medical Faculty of Bangladesh in prescribed forms available in the office of the institution (which will be supplied by Faculty) along with requisite four weeks before the commencement of examinations.
- Examination fees-
For each candidate the examination fees shall be submitted as per faculty decision.
- The centre fees shall be retained in the centre and be utilized to pay the remuneration ‘to presiding officer, hall superintendent, invigilators, clerks, bearers and sweepers etc. selected for the purpose of examinations. Remuneration of examiners will be paid by the state Medical Faculty of Bangladesh, examination scripts working papers etc. will be supplied by the Faculty.
- The fees paid by candidates who fail to pass or present themselves for the examinations shall not be refunded or carried over for a subsequent examination.
- Hours of examination: The hours of examination for written papers shall be 3 hours for each paper.
- The time tables of oral and practical, clinical examination showing the dates, times and place of examination will be notified by the secretary of the state medical Faculty of Bangladesh.
- For passing any examination (i.e. 1st, 2nd& 3rd year final faculty) an examinee is required to obtain 50% marks in written paper for each subject and 50% marks in oral -practical examinations.
- The examinees are required to pass separately in theoretical paper and in oral, practical/c1inicals.
- Board of Examiners for 1st year, 2nd year & 3rd year faculty examinations shall be appointed by the Faculty. There will be examiners for each subject. The internal examiner shall be the teacher of respective subject from the same institute while the· external examiner should be a teacher of same subject from another Medical Assistants Training School/medical institute.
- After the completion of examinations, the marks shall be submitted by the Principal of the respective institution within ten (10) days to the Secretary of State Medical Faculty. The Secretary, state Medical Faculty will publish the result of the successful candidates within further ten (10) days.
- For developing written question Short Answer Question (SAQ) will be chosen.
- Question setting, moderation, printing, distribution, tabulation, result publishing will be as per faculty rules, guidelines and instruction.
- The oral and practical examinations of each paper shall be conducted by two examiners jointly. The external examiner preferably is a teacher of the respective subject from another Institute.
- One of the examiners of the subject shall visit the examination hall when the written examination is being held.
- Examiners and examinees will follow the code of conduct of SMFB in examination halls.
1.9 Subject wise Marks Distribution
1st Year
| Subjects | Marks for
Written |
Marks for
Oral |
Marks for
Practical |
Total Marks |
| Basic English Course. | 50 | 25 | 25 | 100 |
| Basic Computer Science | 50 | 50 | 100 | |
| Basic Community Health & Medical Ethics | 100
(75+25) |
50 | 50 | 200 |
| Basic Anatomy & Physiology | 100
(50+50) |
50 | 50 | 200 |
| Total = | 300 | 125 | 175 | 600 |
2nd Year
| Subjects | Marks for
Written |
Marks for
Oral |
Marks for
Practical |
Total Marks |
| Basic Pathology & Microbiology | 100 | 50 | 50 | 200 |
| Basic Pharmacology | 100 | 50 | 50 | 200 |
| Total | 200 | 100 | 100 | 400 |
3rd Year
| Subjects | Marks for
Written |
Marks for
Oral |
Marks for
Clinical/Practical |
Total Marks |
| Basic Medicine &Paediatrics | 100 | 50 | 50 | 200 |
| Basic Surgery | 100 | 50 | 50 | 200 |
| Basic Gynaecology& Obstetrics | 100 | 50 | 50 | 200 |
| Basic Community Medicine & Health Management | 100 | 50 | 50 | 200 |
| Total | 400 | 200 | 200 | 800 |
1.10 Internship :
Duration – 12 months
- 9 months- at General/Sadar hospital or any equivalent hospital
- 3 months- at Upazila Health Complex
Each student after successful completion of 3rd year final faculty examination will go under 12 month compulsory internship. 9 months at General/Sadar hospital or any equivalent hospital and 3 months at Upazila Health Complex
After successful completion of 12 months rotator internship he/she will get permanent registration.
1.11 How to use this curriculum :
This curriculum is meant for the guidance of three groups for people :
- Students to guide them in what to learn and how to learn
- Teachers to guide them in what to teach and how to teach
- Examiners to guide them in what to evaluated and how to evaluated
It will be meaningful only if above groups succeed in discharging their responsibilities relating their role properly.
As there is no standard text books for the Medical Assistants the teachers must prepare their lesson plan having learning objectives, subject-content, teaching methods and methods of evaluation and list of resource materials. The whole instruction design or lesson plan should be set as per time allocation.
1st YEAR
- Basic English Language Course
| Contents | Expected hours /days | Assessment |
| Part –I
a. Subjects & predicate b. Part of speech- § Noun & its classification § Pronoun & its classification § Adjective & its classification § Verb-Adverb § Article § Tense § Conjugation § Preposition § Punctuation (capitalization, fragment, end, comma, semi colon, colon, hyphen, underlining) § Spelling § Wrong words c. Translation (Bengali to English, English to Bengali), short story writing, technical description, comprehension. d. Paragraph writing, application writing, letter writing, report writing, summary writing. Group discussion with special emphasis on present and future problems relating conversation to population and family planning, food and nutrition, environment and pollution. |
L-40 hrs
T-70 hrs |
Written
Viva |
| Part -II
Communicative English § Reading skill § Writing skill § Listening skill § Conversations skill |
L-20 hrs
T-40 hrs |
Written – SAQ communicative
Oral/Practical |
- Basic Computer Science
| Detailed Contents :
Relevant Instruction for Practical : § Information Technology – its concept and scope § Computers for information storage, information seeking, information processing and information transmission § Elements of computer system – computer hardware and software: data -numeric data, alpha numeric data; contents of program, processing. § Computer organization, block diagram of a computer, CPU, memory. § Input devices; keyboard, mouse etc; output devices; VDU and printer, scanner, plotter. § Electrical requirements, inter-connections between units, connectors and cables. § Secondary storage; magnetic disks-tracks and sectors, optical disk (CD and DVD Memory), primary and secondary memory: RAM, ROM, PROM etc. § Capacity; device controllers, serial port, parallel port system bus 47 § Exercises on file opening and closing; memory management; device management and input-output (I/O) management with respect of windows. § Installation concept and precautions to be observed while installing the system and software. § Introduction about operating systems such as MS-DOS and Windows. § Special features, various commands of MS word and MS- Excel, PowerPoint. § About the internet-server types, connectivity (TCOP/IP, shell); applications of internet like: e-mail and browsing. § Various Browsers like WWW (World Wide Web); hyperlinks; HTTP (Hyper Text Transfer Protocol); FTP (File Transfer Protocol). Basic of Networking -LAN, WAN, Topologies. |
Total
L-30 hrs. |
Written
Viva Practical |
| Detailed Contents :
§ Identify various components of a computer and list their functions. § Identification of various parts of a computer and peripherals. § Practice installing a computer system by giving connection and loading the system software and application software. § Installation of DOS and simple exercises on TYPE, REN, DEL, CD, MD, COPY, TREE, BACKUP commands. § Exercises on entering text and data (Typing Practice). § Installation of Windows 98 or 2000 etc. § Features of windows as an operating system. § Start § Shutdown and restore. § Creating and operating on the icons. § Opening, closing and sizing the windows. § Using elementary job commands like – creating, saving, modifying, finding and deleting a file. § Creating and operating on a folder. § Changing setting like, date, time color (back ground and foreground) § Using short cuts, using on-line help. MS-WORD § File Management § Opening, creating and saving a document, locating files, copying contents in some different file (s), protecting files, giving password protection for a file. § Page set up : Setting margins, tab setting, ruler, indenting § Editing a document : Entering text, cut, copy, paste using tool-bars Formatting a document: Using different fonts, changing font size and colour, changing the appearance through bold/italic/underlines, highlighting a text, changing case, using subscript and superscript using different underline methods, aligning of text in document, inserting bullets and numbering. |
P-30 hrs | Written
Viva Practical |
| Detailed Contents :
§ Formatting paragraph, inserting page breaks and column breaks. § Use of headers footers: Inserting footnote, end note, use of comments. § Inserting date, time, special symbols, importing graphic images, drawing tools. § Tables and Borders: Creating a table, formatting cells, use of different border styles, shading in tables, merging of cells, partition of cells, inserting and deleting row in a table. § Print preview, zoom, page set-up, printing options. § Using Find, Replace options. § Using Tools like: Spell checker, help, use of macros, mail merge, thesaurus word content and statistics, printing envelops and labels. § Using shapes and drawing toolbar. § Working with more than one window in MS Word. § How to change the version of the document from one window to another. § Conversion between different text editors, software and MS word. § MS -Excel : Starting excel, open worksheet, enter, edit, data, formulas to calculate values, format data, create chart, printing chart, save worksheet, switching from another spread sheet § Menu Commands : Create, format charts, organize, manage data, solving problem by analyzing data, and exchange with other applications. Programming with MS Excel, getting information while working. § Work Books : Managing workbooks (create, open, close, save) working in work books, selecting the cells, choosing commands, data entry techniques, formula creation and links, controlling calculations, working with arrays. § Editing a worksheet, copying, moving cells, pasting, inserting, deletion cells, rows, columns, find and replace text, numbers of cells, formatting worksheet. |
P-30 hrs. | Written
Viva Practical |
| Detailed Contents :
§ Creating a chart : Working with chart types, changing data in chart, formatting a chart, use chart to analyze data § Using a list to organize data, sorting and filtering data in list § Retrieve data with MS-Query: Create a pivot table, customizing a pivot table. Statistical analysis of data. § Customize MS-Excel : How to change view of worksheet, outlining a worksheet; customize work space, using templates to create default workbooks, protecting work. § Exchange data with other application: linking and embedding, embedding objects, linking to other applications, import, export document PowerPoint : § Making Slide § Slide Projection Internet and its applications : § Log-in to internet § Navigation for information seeking on internet § Browsing and down loading of information from internet § Sending and receiving e-mail § Creating a message § Creating and address book § Attaching a file with e-mail message § Receiving a message § Deleting message |
P-25 hrs
P-15 hrs |
Written
Viva Practical |
- Basic Community Health & Medical Ethics
| 1. Introduction to Community Health
i. Health : Definition and determinants of Health ii. Disease : Definition, agents of diseases, Interaction between “host, agent and environment” iii. Define : Medicine, Hygiene, Public Health, Preventive Medicine, Social Medicine iv. Community: Definition, comprehensive health team. |
L-7 hrs
Tutorial/ group discussion – 7 hrs |
Written
Viva |
| Community Health –
Definition, components, community health care system Primary Health Care (PHC)- Definition, principles, components, concept of ‘health for all (HFA)’ |
L-7 hrs
Tutorial/ group discussion – 7 hrs |
Written
Viva |
| 2. Environmental Health
a. Introduction b. Water c. Human excreta/waste d. Air e. Insects of Medical importance f. Personal Hygiene |
L-12 hrs
T-12 hrs Visit-10 hrs |
Written
Viva Practical demonstration by students |
| 3. Introduction to Epidemiology & Demography
§ Concept of Epidemiology & its uses § Definition of incidence & prevalence § Definition and components of Demography § Population trends and problems and its impact in Bangladesh |
L-5 hrs
T-5 hrs |
NOTE: Field visit should be completed after completion of the specific topic and should take place under supervision of concerned teacher and the total process will be supervised by the principal of the institute.
| 4. Food & Nutrition a. Concept of food & nutrition
b. Proximate Principle of food c. Sources, requirements & functions of different kinds of foods d. Concept of ‘balanced diet’ |
L-5 hrs
T-5 hrs Visit-10 hrs |
Written
Viva Practical demonstration by students |
| 5. Maternal & Child Health and Family Planning ;
a. MCH § Concepts of MCH & reproductive health § Causes of Maternal & infant mortality § Prevention of Maternal & infant mortality § Breast feeding § EPI b. Family Planning : § Definition of Family Planning § Contraception & its methods (Types, Merits & demerits) § Importance of Family Planning in context of Bangladesh |
L-10 hrs
T-10 hrs Visit-10 |
|
| 6. Behavioural Science
a. Concepts & component of behavioural science b. Human interpersonal communication |
L-6 hrs
T-6 hrs Visit-8 hrs |
Written
Viva |
| 7. Health Education
a. Concept, Principles & Methods of Health Education |
L-6 hrs
T-6 hrs Visit-8 hrs |
Written
Viva |
| 8. Mental Health
a. Concepts of mental Health b. Factors causing mental illness |
L-6 hrs
T-6 hrs |
Written
Viva |
| 9. Occupational Health
a. Definition b. Common occupational health problems at rural level c. Prevention of occupational problems |
Lec- 3hrs
Tuto-3 hrs Visit-6 hrs |
Written
Viva |
| 10. Introduction to Bangladesh Health Service
a. Organogram of Bangladesh Health Services with emphasis to Upazila & below b. Job description of UHFPO, MO, RMO, UFPO, MA, FWV, FPA, FWA, HA and other field staff c. Organization chain of supervision from upazila & below |
Lec- 8hrs
Tuto-8 hrs Visit-16 hrs |
Written
Viva |
| 11. Medical Ethics
1. Medical ethics, Geneva Declaration 2. Central areas of health ethics § The health care providers and patient relationship § Fairness and equity § Specific health issue 3. Components of Health service provider & patient relationship – § Patient autonomy § Informed consent 4. Medical Etiquette 5. Professional infamous conduct 6. Professional secrecy 7. Negligence 8. Mal practices (Professional Negligence) 9. Criminal mal practices or criminal professional negligence 10. Patient rights |
L-15 hrs
L-15 hrs |
Written
Viva |
- Basic Anatomy & Physiology
| 1. General Body Structure
a. Anatomical Positions b. Cell c. Tissue d. System |
Total-24 hours
Lec.- 12 hrs. Demo-12 hrs |
Written SAQ
Oral + Practical |
| 2. Body Fluids
a. Types of fluid b. Intake & output of fluid Blood & Lymphatic System a. Blood & It’s cells b. Lymph & lymph nodes |
Total-18 hours
Lec.- 9 hrs. Demo–9 hrs |
Written
(SAQ) Oral + Practical |
| 3. Cardio-vascular system
a. Heart and it’s parts b. Main Vessels c. Blood pressure |
Total-20 hours
Lec.- 10 hrs. Demo–10 hrs |
Written
(SAQ) Oral + Practical |
| 4. Respiratory System
a. Parts of respiratory Tract b. Para nasal Sinuses c. Respiration |
Total-16 hours
Lec.- 8 hrs. Demo–8 hrs |
Written
(SAQ) Oral + Practical |
| 5. Digestive System
a. Regions of abdomen b. Parts of Alimentary Tract c. Surface Marking 6. Digestion & Metabolism a. Digestive juices functions b. Metabolism of CHO, Fat & Protein |
Total-24 hours
Lec.- 12 hrs. Demo–12 hrs Total-18 hrs Lec.- 9 hrs. Demo–9 hrs |
Written
(SAQ) Oral + Practical Written (SAQ) Oral + Practical |
| 7. Skin & Musculo-skeletal System
8. URO-Genital System a. Parts of the Urinary tract b. Parts of the genital tract c. Menstrual Cycle |
Total-24 hours
Lec.- 12 hrs. Demo–12 hrs Total-22 hrs Lec.- 11 hrs. Demo–11 hrs |
Written
(SAQ) Oral + Practical Written (SAQ) Oral + Practical |
| 9. Nervous System
a. Brain & its parts b. Central & Peripheral Nervous system c. Functions of Cranial nerves d. Eyes & Ear |
Total-20 hours
Lec.- 10 hrs. Demo–10 hrs |
Written
(SAQ) Oral + Practical |
| 10. Endocrine system
a. Endocrine Glands b. Different hormones & their functions |
Total-14 hrs
Lec.- 7 hrs. Demo–7 hrs |
Written
(SAQ) Oral + Practical |
2nd YEAR
- Basic Pathology & Microbiology
| Contents | Expected hours /days | Assessment |
| Microbiology
Introduction Definition Classification Sterilization Bacteriology Definition Classification Mode of infection |
Lec-1hr
Tut-1hr Prac-1hr Lec-2hr Tut-21hr Prac-2hr Lec-2hr Tut-21hr |
Post session
Written(SAQ) Viva & Practical |
| Diseases produced by the following common bacteria:
· Staphylococcus · Streptococcus · Pneumococcus |
Lec-3hr
Tut-3hr Prac-3hr |
-Do- |
| · Gonococcus
· Meningococcal |
Lec-2hr
Tut-2hr Prac-2hr |
-Do- |
| · Vibrio | Lec-1hr
Tut-1hr Prac-1hr |
-Do- |
| · E.coli
· Salmonella · Sheila |
Lec-3hr
Tut-3hr Prac-3hr |
-Do- |
| · M.Tuberculus
· M.Leprae · C. Diptheria |
Lec-4hr
Tut-4hr Prac-4hr |
Post session
Written(SAQ) Viva & Practical |
| Virology
Definition, classification. List the medical importance virus, their spread and the diseases produced by them (including emerging and remerging virus) and their special importance to: |
Lec-1hr
Tut-1hr Prac-1hr |
-Do- |
| · Measls virus
· Influenza virus · Varicella virus · Herpes virus |
Lec-2hr
Tut-2hr Prac-2hr |
-Do- |
| · Poliomyelitis
· Rota virus |
Lec-2hr
Tut-2hr Prac-2hr |
-Do- |
| · Hepatitis viruses | Lec-2hr
Tut-2hr Prac-2hr |
-Do- |
| · Dengue virus
· Rabies virus |
Lec-2hr
Tut-2hr Prac-2hr |
-Do- |
| · HIV virus
· Flu viruses |
Lec-2hr
Tut-2hr Prac-2hr |
-Do- |
| Mycology
Definition, classification of fungus, common superficial fungus and diseases produced by them |
Lec-2hr
Tut-2hr Prac-2hr |
-Do- |
| Parasitology
Introduction Classification Mode of infection |
Lec-2hr Tut- 4hr | Post session
Written(SAQ) Viva & Practical |
| Name of disease produced by the following common parasites:
· Entamoeba histolytica · Malairial parasites |
Lec-2hr
Tut-2hr Prac-1hr |
-Do- |
| · Giardia Lambia
· Trichomonus vaganalis |
Lec-1hr
Tut-2hr Prac-1hr |
-Do- |
| · Leishmania Donovani | Lec-1hr
Tut-2hr Prac-1hr |
-Do- |
| · A.L
· A.D · E.V · T.T |
Lec-2hr
Tut-4hr Prac-2hr |
-Do- |
| · Wuchereiabancrofti (micro filarial) | Lec-1hr
Tut-2hr Prac-1hr |
-Do- |
| Clinical Laboratory :
· Blood |
Tut-6hrs
Prac-12hrs |
Post session
Written (SAQ) Viva & Practical |
| · Urine : | Tut-6hrs
Prac-12hrs |
-Do- |
| · Stool : | Tut-6hrs
Prac-12hrs |
-Do- |
- Basic Pharmacology
| Contents | Expected hours /days | Assessment |
| 1. Basic Concept of Pharmacology
|
Lec-8hrs
Tutorial & Practical-8hrs Visit (hospital dispensary)-4hrs Lec-6hrs Tuto-6hrs |
Post Session Written Test and Viva |
| 2. Essential drugs in groups.
i. Antiseptic /Disinfectant – Gention violet – Acriflavin – Potasium Permanganate – Chlorhexidine ii. Analgesic, Anti Pyreticand Non SteriodalAnti inflammatory drugs – Asprin – Paracetamol – Pethidine iii. Anti spasmodic – Atropine – Hyocine N-Butyl Bromide iv. Antacid – Aluminium Hydroxide – Magnesium Hydroxide – Magnesium Trisilicate v. Haematinics- – Ferrous sulphate – Folic Acid vi. Anti-Helminthic – Mebendazole – Albendazole – Pyrental pamoate vii. Anti-Malarial – Chlorqnine – Quinine – Sulphadoxine +Pyrimethamine viii. Anti Amoebic – Metronidazole ix. Electolyte and 1/V fluids – O.R.S – I/V fluid of various strength (Dextrose aqua/Dextrose saline/Cholera saline) x. Bronchodilators- salbutamol, aminophylline xi- Diuretics – Frusemide – Thiazide xii. Antipsychotic drug – Chlorpromzine xiii. Hypnotic and Sedative – Phenobaribitone Diazepam xiv. Antimicrobial – Phenoxymethyl Penicilline – Procanie Penicilline – Ampicillin – Amoxicillin – Cloxacillin – Tetracycline – Co-Trimoxazole, – Ciprofloxacin xv. Anti-Histamines – Chlorpheniramine – Pro methazine HCI xvi. Anti-Scabics – Benzyl-benzoate – Tetmosol xvii. Anti-Fungal – Benzoic Acid+Salicylic Acid – Griseofulvin xviii. Local Anesthetics – Lignocaine 2% with or without adrenaline xix. Hypotensive – Methyldopa, amlodipine – Propanolol, atenolol xx. Ecbolic – Ergometrin – Oxytocin xxi. Contraceptives – Oral contraceptives – Emergency pill xxii. Vaccines – BCG – DPT – TT – Polio – Measles – Hepatitis B vaccine – Influenza vaccines xxiii. Vitamins and trace elements – Vit-A – Vit-B Complex – Vit-C – Vit-D – Vit-E – Zinc xxiv. Cortico-Steroid – Dexamethasone – Prednisolone |
Lec-45hrs
Tuto-45hrs
|
|
| 3. Prescription Writing
4. Preparation of ORS |
10 hours | Post session written and viva |
- Basic Community Medicine & Health Management (Group A & B)
- Classes will be started from the beginning of 2nd year and summative examination will be held at the end of 3rd
Group A
| Contents | Expected hours /days | Assessment |
| 1. Introduction to Community Medicine :
1. Definitions 2. Communicable Diseases. |
Lec-6hrs
Tuto-6hrs |
Post session
Written (SAQ) Viva |
| 2. Contact Diseases
Scabies, ring worm, candidiasis (Oral & Vaginal), Conjunctivitis |
Lec-3hrs
Tuto-3hrs Visit-3hrs |
Post session
Written (SAQ) Viva & Diagnosis and management of cases in Ward + community |
| 3. Sexually transmitted disease (STD)
Trichomoniasis, gonorrhoea, syphilis, AIDS
|
Lec-3hrs
Tuto-3hrs Visit-4hrs |
Post session
Written (SAQ) Viva & Diagnosis and management of cases in Ward + community |
| 4. Diseases from animals (Zoonosis)
Rabies. |
Lec-2hrs
Tuto-2hrs Visit-4hrs |
-Do- |
| 5. Faecal & water borne Disease : (Exclusive Helminthiasis)-
Diarrhoeal diseases Dysenteries Cholera Typhoid Food poisoning Poliomyelities, Viral hepatitis (A & E) |
Lec-8hrs
Tuto-8hrs Visit-8hrs |
-Do- |
| Arsenicosis | Lec-6hrs
Tuto-6hrs Visit-6hrs |
Post session
Written (SAQ) Viva & Diagnosis of management of cases in Ward + community |
| 6. Helminthiasis
Hookworm, Ascariasis, Enterobiasis Stronglyloidiasis Trichuriasis Taeniasis |
Lec-8hrs
Tuto-8hrs Visit-8hrs |
Post session
Written (SAQ) Viva & Diagnosis of management of cases in Ward + community |
| 7. Infectious diseases
Respiratory Tract infection (ARI), Pneumonia, meningitis, chicken pox, common cold, Influenza , Mumps, Swine flu. EPI activities: BCG, DPT, OPV, Measles, TT, Hepatitis B, Hib. |
Lec-8hrs
Tuto-8hrs Visit-8hrs |
-Do- |
| 8. Vector Borne Disease :
Malaria Dengue Filaria Kala-azar |
Lec-6hrs
Tuto-6hrs Visit-6hrs |
Post session
Written (SAQ) Viva & Diagnosis of management of cases in Ward + community |
| 9. Chronic infections diseases :
Tuberculosis Leprosy |
Lec-3hrs
Tuto-3hrs Visit-4hrs |
-Do- |
| 10. General principle of management | Lec-8hrs
Tuto-8hrs |
Post session
Written (SAQ) Viva & Observing activities in organization of team performing task |
| 11. Administration : Public Health
a) Principles of administration b) Collection, compilation, interpretation, presentation & use of health data. c) Preparation of different registers and ledgers as per Govt. Performa: d) technique of official correspondences e) Medical record keeping |
Lec-3hrs
Tuto-3hrs Visit-8hrs |
Post session
Written(SAQ) Viva & Observing activities in organization of team performing task |
Group: B
| 12. Supervision
a) Purpose & functions of supervision b) Qualities of a good supervisor c) Requirements and methods of supervision |
Lec-2hrs
Tuto-2hrs Visit-4hrs |
Post session
Written (SAQ) Viva & Observing activities in organization of team performing task |
| 13. Health team & leadership
a) Composition and function of health team b) How to establish good relations with community people |
Lec-2hrs
Tuto-2hrs Visit-4hrs |
-Do- |
| 14. Communication Skill
1. Definition, Purpose & major elements 2. Types & methods 3. Barriers |
Lec-2hrs
Tuto-2hrs Visit-4hrs |
-Do- |
| 15. Primary Health Care:
a. Concept of Health for all by the year of 2000 AD. b. Concept of Primary Health care c. Level of health care in context of Bangladesh d. Components & principles of PHC e. Community Health Problems f. Community participation & integrated approach of PHC |
Lec-2hrs
Tuto-2hrs Visit-4hrs |
Post session
Written (SAQ) Viva & Observing activities in organization of team performing task |
| 16. HPSP & HNP-SP services
Description, component |
Lec-3hrs
Tuto-3hrs |
-DO- |
3rd YEAR
- Basic Medicine & Paediatrics
| Contents | Expected hours /days | Assessment |
| Part- I
A. Examination of Patient : 1. Clinical Examination of: a) Adult case b) Children case |
Bed side
Clinical class 12 Hrs Visit-6hrs |
Practical examination with patient (Adult cases & children case)
& viva Written (SAQ) |
| 2. Examination of Emergency cases & first aid
|
Lec-12hrs
Visit-6hrs |
Written (SAQ)
Practical & Viva |
| 3. Differential diagnosis of common complaint
Fever Cough, Oedema Skin rash Dyspnoea, Red eye, Abdominal pain Ear ache Throat pain |
Lec-4 hrs.
Visit-6hrs |
Written (SAQ)
Practical & Viva |
| Part – II
Patient Care : 1. Introduction to the concept of general patient care 2. Practical General care |
Lec-4 hrs
Visit-8 hrs |
Practical
& Viva Written (SAQ) |
| 3. General Procedures | Lec-12 hrs | Practical
& Viva Written (SAQ) |
| Part III
Diseases & Medical Emergency:
A. Diseases to be studied : Stomatitis & mouth ulcer, peptic ulcer, Enteric fever, Cirrhosis of liver, Bronchitis, Bronchial Asthma, Pneumonia, Status asthmaticus, Pulmonary Tuberculosis, Pleural effusion, Hypertension, Congestive cardiac failure, Ischemic heart diseases, Malaria*, Anaemia& other common blood disorders,, Rheumatoid arthritis, Headache, Diabetes Mellitus, Goitre, Hysteria, Malnutrition, Vitamin deficiencies |
Lec-25 hrs
Visit-800 hrs. (in 2 years) |
Written (SAQ)
Practical & Viva |
| B. Medical Emergencies :
a) Snake bite, dog bite, b) Drowning c) Convulsion, Status asthmaticus, Shock, Poisoning (Kerosene, Datura, Sleeping pills, Insecticide) |
Lec-6 hrs.
Visit-8 hrs. |
Written (SAQ)
Viva & Practical Demonstration |
| Part IV
Child Care : A. Growth : Child Development and infant feeding |
Lec-4 hrs
Tuto-6 hrs Visit-8 hrs |
Written (SAQ)
Viva & Practical |
| B. Pattern of child hood diseases :
|
Lec-12 hrs
Tuto-4 hrs Visit-4 hrs |
Written (SAQ)
Viva & Practical |
| C. Paediatric emergencies :
Hyperpyrexia, Dehydration, Convulsions, Poisoning, Surgical emergencies, acute abdominal distension
|
Lec-25 hrs
Tuto-4 hrs Visit-4 hrs |
Written (SAQ)
Viva & Practical |
| D. Common diseases of childhood :
Diphtheria, ARI* (Tonsillitis, Otitis media, pneumonia), whooping cough, Childhood tuberculosis, Bronchial asthma, Measles, Mumps, Diarrhoeal diseases and Dehydration*, Anaemia, Congenital heart disease, Urinary tract infection, Nephritis, Rheumatic fever, Rheumatoid arthritis, Nephrotic syndrome, Meningitis, Malnutrition*, Hypothermic, Goitre, Malaria*, Dengue* |
Lec-25 hrs
Visit-120 hrs |
Written (SAQ)
Viva & Practical Clinical assessment |
- Basic Surgery
| Contents | Expected hours /days | Assessment |
| 1. General Surgery Infection:
Abscess, Tumour, Carbuncle, Cellulites, Ulcer, Tetanus, Gangrene, wounds and its Types |
Lec-8 hrs
Visit-10 hrs |
Written (SAQ)
Viva & Case presentation |
| 2. Regional Surgery.
a) Relating to thorax · Breast lump · Breast Abscess b) Relating to abdomen · Causes of acute abdomen c) Relating to rectum and anal canal · Haemorrhoids · Anal fissure · Anal Fistula d) Relating to pelvis and perineum · Causes of acute and chronic retention of urine · Hematuria · Causes of inguino- scrotal swelling |
Lec- 10 hrs.
Pr-18 hrs |
Written (SAQ)
Viva & Case presentation |
| e) Relating to Eye and E.N.T
· Conjunctivitis · Stye, Chalazion · Foreign body in Ear · Wax · Causes of Epistaxis · Causes of sore throat · Acute tonsillitis |
Lec-5 hrs
Visit- 10 hrs |
Written (SAQ)
Viva & Practical |
| f) Relating to teeth
· Gingivitis · Caries teeth |
Lec-10 hrs
Visit- 4 hrs |
Written (SAQ)
Viva & Practical |
| 3. Surgical Emergency and Traumatology
· Wound · Haemorrhage · Shock |
Lec- 10 hrs.
Visit- 20 hrs Lec- 12 hrs. Visit- 4 hrs |
Written (SAQ) Viva & Case Presentation |
| · Burn
– Types, Causes – Complication – Determination – Percentage of burn |
Lec-10 hrs
Visit-10 hrs |
Written (SAQ) Viva & Case Presentation |
| · Fracture and dislocation
– Definition,Types,Sign symptoms and complications |
Lec-5 hrs
Pr -20 hrs |
Written (SAQ) Viva & Case Presentation |
| – Acute abdomen
– Acute appendicitis – Acute Cholecystitis – Acute Cholithiasis – Acute exacerbation of Chronic D.U – Acute hematemesis – Perforation of hollow viscous – Intestinal obstruction of different types |
Lec- 10 hrs.
Pr -30 hrs |
Viva & Case Presentation
Written (SAQ) |
Practical Skill
The following procedures should be performed by the student as indicated. This is done during emergency department/ outdoor rosters/hospital indoor practice:
| Items | To perform by the students | |
| 1. Skin and subcutaneous tissues | · Wound toilet
· Superficial simple wound suture & stitch removal · Dressing and wound bandaging · Drain superficial abscess |
Viva & Practical demonstration
Written (SAQ) |
| 2. Musculo-skeletal | · Apply arm sling and immobilization the injured part | |
| 3. Circulatory system | · Give I/V fluids
· I/M Injection · External cardiac massage |
|
| 4. Respiratory System | · Give artificial respiratory by mouth to mouth
· Oropharyngial suctions |
|
| 5. Digestive system | · Introduce nasogastric tube | |
| 6. Urinary system | · Introduce male & female urethral catheter | |
| 7. Anaesthetics | · Introduction of local anaesthetics during wound stitching |
The M/A students should recognise/give first-line management/refer the following conditions:
- Road traffic accident with unconsciousness
- Road traffic accident with vomiting
- Facial, Maxillary and mandible injuries
- Served muscle, served tendon
- Crush injuries of the thorax
- Penetrating wounds of thorax and abdomen
- Injuries involving pelvic and perineal region
- Spinal and head injuries
- Acute abdomen
- Fracture and dislocation
- Lacerated and crush injuries, gunshot injuries
- Basic Gynaecology & Obstetrics
| Contents | Expected hours /days | Assessment |
|
Section -1
1. Normal Pregancy : – Gravida – Primipara – Multipara – L.M.P – E.D.D |
Lec-4 hrs
Visit-6 hrs |
Written (SAQ)
Viva & Clinical Practical |
|
2. Labour :
– Definition – Onset of labour – Stages of labour – Progress of labour |
Lec-4 hrs
Visit- 8 hrs |
Written (SAQ)
Viva & Clinical Practical |
|
4. Obstetrical examination : – History Sign & Symptoms General examination – Par –abdominal examination |
Lec-2 hrs
P- 8hrs |
Written (SAQ)
Viva & Clinical Practical |
|
4. Conduction of labour |
Lec-4 hrs | Written (SAQ)
Viva & Clinical Practical |
|
Section -2
1. Organization and function of antenatal clinic a) Health education to women b) Hb% measurement by shahlis method c) Urine sugar & albumin by heat coagulation method d) Blood pressure measurement. e) Body weight measurement f) Immunization against Tetanus g) Treatment of minor ailments (Section-3) h) Treatment of anaemia and vitamin deficiency i) High-risk patients : |
Lec-2 hrs
Outdoor-12hrs Lec-2 hrs |
Written (SAQ)
Viva & Clinical Practical Written (SAQ) Viva & Clinical Practical |
|
Section- 3
1. Common conditions related to pregnancy & their managements |
Lec-12 hrs
Visit- 8 hrs |
Written (SAQ)
Viva & Clinical Practical |
| 2. General disease in Pregnancy | Lec-4 hrs
Visit- 8 hrs |
Written (SAQ)
Viva & Clinical Practical |
| 3. High Risk Patients | Lec-12 hrs
Visit-4 hrs Lec-12 hrs Visit- 4 hrs |
Written (SAQ)
Viva & Clinical Practical |
| 4. Health of mother & Newborn | Lec-12 hrs
Visit-6 hrs Lec-2 hrs Visit-8 hrs |
Written (SAQ)
Viva & Clinical Practical Written (SAQ) Viva & Practical |
| 5. Family Planning | Lec-6 hrs Visit- 6 hrs | Written (SAQ)
Viva & Practical |
- Basic Community Medicine & Health Management (Group-C & D)
Group- C
| Contents | Expected hours /days | Assessment |
| 1. Non communicable Disease of public health importance
a. Hypertension b. Diabetes c. Bronchial Asthma d. Ischemic heart disease e. Rheumatic fever f. Cancer g. Drowning h. Snake bite i. Injury |
Lec-10hrs
Tuto-10hrs Visit-10hrs |
Post session
Written (SAQ) Viva & Observing activities in organization of team performing task |
Group- D
| 1. : Promotive, preventive and community issues of the health problems related to Medicine. | Lec-15hrs
Tuto-15hrs |
Post session
Written (SAQ) Viva |
| 2. : Promotive, preventive and community issues of the health problems related to Surgery. | Lec-15hrs
Tuto-15hrs |
Post session
Written (SAQ) Viva |
| 3. : Promotive, preventive and community issues of the health problems related to Gynaecology and Obstetrics. | Lec-15hrs
Tuto-15hrs |
Post session
Written (SAQ) Viva |
Internship
Each student after successful completion of 3rd year final faculty examination will go under 12 month compulsory internship. 9 months at General/Sadar hospital or any equivalent hospital and 3 months at Upazila Health Complex
Duration – 12 months
- 9 months at General/Sadar hospital or any equivalent hospital. Interns to take completion certificate from the consultants and hospital authority
- 3 months at Upazila Health Complex. Interns to take completion certificate from the UHFPO
After successful completion of 12 months rotator internship he/she will get permanent registration.