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Implementation of cbme curriculum in pharmacology

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Implementation of cbme curriculum in pharmacology

  1. 1. IMPLEMENTATION OF CBME CURRICULUM IN PHARMACOLOGY Dr. Soni Assistant Professor Department of Pharmacology
  2. 2. Pharmacology current emphasis on • Integrated curriculum – Horizontal & Vertical and alignment • Interactive teaching methods • Shift from animal experiments/ dispensing pharmacy curriculum “applied” approach • Communication
  3. 3. Topic No. of competencies (85) No. of competencies require skill No. of skill that require certification K Pharmacology 64 4 NIL S Clinical pharmacy 4 4 NIL S Clinical pharmacology 8 8 4 S Experimental pharmacology 2 2 NIL C Communication pharmacology 7 5 NIL Pharmacology UG Curriculum
  4. 4. Skills that require certification Number COMPETENCY NUMBER REQUIREDTO CERTIFY P VERTICAL INTEGRATION HORIZONTAL INTEGRATION ASSESSMENT METHOD PH3.1 Write a rational, correct and legible generic prescription for a given condition and communicate the same to the patient 5 General Medicine ------- Skill station PH3.2 Perform and interpret a critical appraisal (audit) of a given prescription 3 --------- log book PH3.3 Perform a critical evaluation of the drug promotional literature 3 General Medicine --------- log book/ Skill station PH3.5 To prepare and explain a list of P- drugs for a given case/condition 3 General Medicine --------- log book
  5. 5. Log book 1 2 3 4 5 6 7 8 Competenc y no. addressed Name of activity Date completed: dd-mmyyyy Attempt at activity First or Only (F) Repeat (R) Remedial (Re) Rating Below (B) expectations Meets (M) expectations Exceeds (E) expectations OR Numerical Score Decision of faculty Completed (C) Repeat (R) Remedial (Re) Initial of faculty and date Feedback Received Initial of learner Prepared by faculty as per MCI guidelines (competency, attendance, assessment)
  6. 6. Subject Vertical integration Horizontal integration 1. Physiology 1 2. Microbiology 4 3. Community medicine 1 3 4. Forensic Medicine and Toxicology 15 10 5. Dermatology, Venereology and leprosy 12 6. Anesthesiology 8 7. Psychiatry 18 8. General Medicine 61 9. Pediatrics 9 10. General Surgery 1 11.Physical Medicine and Rehabilitation 2 12. Respiratory Medicine 4 13. Orthopaedics 1
  7. 7. Subjects Lecture hours Small group teaching / tutorials / integrated learning / practical (hours) Clinical Posting s Self directe d learnin g (hours) Total (hours) Pathology 80 138 - 12 230 Pharmacology 80 138 - 12 230 Microbiology 70 110 - 10 190 Community Medicine 20 30 - 10 60 Forensic Medicineand Toxicology 15 30 - 5 50 Clinical Subjects 75** - 540*** 615 Attitude, Ethics & Communication module (AETCOM)*** - 29 - 8 37 Sports and extracurricular activities - - - 28 28 Total - - - - 1440 Second professional teachinghours *At least 3 hours of clinical instruction each week must be allotted to training in clinical and procedural skill laboratories hours maybe distributed weekly or as a block in each posting based on institutional logistics. ***The clinical postings in the second professional shall be 15 hours per week (3 hrs per day from Monday to Friday ).
  8. 8. Major difference OLD NEW Teaching - Theory 120 80 Practical 144 138 Integration 36 SDL 12 Duration 1 ½ year 11 months IA Min 3, 35% eligibility 60 T & 20 P MIn 3, 50% to pass – 60T & 20P SA 2*100 – Theory 40 – Viva Practical - 80 2*100 – Theory Viva – 40 Practical – 80 Curriculum Theory, Practical and integration Theory, SGT, Integration, Skills, Communication and SDL
  9. 9. Internal Assessment 3rd semester 1st block End block examination (Theory + Practical) + MCQ, Viva, OSPE will be taken frequently after each major system completion 2nd block 4th semester 1st block 2nd block 5th semester 1st block 2nd block
  10. 10. Non core competencies in Theory Number Competency Integration PH1.30 Describe the mechanisms of action, types, doses, side effects, indications and contraindications of the antiarrhythmics General Medicine PH1.53 Describe heavy metal poisoning and chelating agents PH1.60 Describe and discuss Pharmacogenomics and Pharmacoeconomics PH1.61 Describe and discuss dietary supplements and nutraceuticals Non core competencies in clinical pharmacology Number Competency Integration PH3.6 Demonstrate how to optimize interaction with pharmaceutical representative to get authentic information on drugs
  11. 11. Skill requiring DOAP sessions Number Competency PH2.1 Demonstrate understanding of the use of various dosage forms (oral/local/parenteral; solid/liquid) PH2.2 Prepare oral rehydration solution from ORS packet and explain its use PH2.3 Demonstrate the appropriate setting up of an intravenous drip in a simulated environment PH2.4 Demonstrate the correct method of calculation of drug dosage in patients including those used in special situations PH4.1 Administer drugs through various routes in a simulated environment using mannequins
  12. 12. Skill competency requiring skill lab/skill station Number Competencies PH3.1 Write a rational, correct and legible generic prescription for a given condition and communicate the same to the patient PH3.2 Perform and interpret a critical appraisal (audit) of a given prescription PH3.3 Perform a critical evaluation of the drug promotional literature PH3.4 To recognize and report an adverse drug reaction PH3.5 To prepare and explain a list of P-drugs for a given case/condition PH3.6 Demonstrate how to optimize interaction with pharmaceutical representative to get authentic information on drugs PH3.7 Prepare a list of essential medicines for a healthcare facility PH3.8 Communicate effectively with a patient on the proper use of prescribed medication PH4.2 Demonstrate the effects of drugs on blood pressure (vasopressor and vaso-depressors with appropriate blockers) using computer aided learning
  13. 13. Skill competency requiring SGD No. Competencies PH5.1 Communicate with the patient with empathy and ethics on all aspects of drug use PH5.2 Communicate with the patient regarding optimal use of a) drug therapy, b) devices and c) storage of medicines PH5.3 Motivate patients with chronic diseases to adhere to the prescribed management by the health care provider PH5.4 Explain to the patient the relationship between cost of treatment and patient compliance PH5.5 Demonstrate an understanding of the caution in prescribing drugs likely to produce dependence and recommend the line of management PH5.6 Demonstrate ability to educate public & patients about various aspects of drug use including drug dependence and OTC drugs PH5.7 Demonstrate an understanding of the legal and ethical aspects of prescribing drugs
  14. 14. AETCOM Module No. competencies Hours 2.1 The foundations of communication - 2 5 2.2 The foundations of bioethics 2 2.3 Health care as a right 2 2.4 Working in a health care team 6 2.5 Bioethics continued – Case studies on patient autonomy and decision making 6 2.6 Bioethics continued: Case studies on autonomy and decision making 5 2.7 Bioethics continued: Case studies on autonomy and decision making 5 2.8 What does it mean to be family member of a sick patient? 6
  15. 15. Suggested topics for integration 1. Diabetes mellitus 2. Hypertension 3. Malaria 4. Tuberculosis 5. Anaemia 6. HIV
  16. 16. TaskAhead • Training of faculties –firstPriority • Formation of SLOs for each competency??? • Modules matching the competencyespecially for skills??? • Fittingthe content from 300 hrs to 230 hrs • Rapport with clinical department • Uniformity of all to match thenational standards
  17. 17. THANKYOU

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