The document outlines the goals of the proposed undergraduate medical education program in India. The program aims to create "Indian Medical Graduates" with the necessary competencies to serve as primary care physicians for their communities in both urban and rural areas of the country. It defines key terms like goals, roles, and competencies. The curriculum will focus on developing competency-based learning and assessing students based on their demonstration of skills, knowledge, attitudes, and values across seven domains of competence like clinical skills and professionalism.
5. Proposed Graduate Medical Regulations
“Indian Medical Graduate” (IMG) possessing requisite
knowledge, skills, attitudes, values and responsiveness, so that
he or she may function appropriately and effectively as a
physician of first contact of the community while being
globally relevant.
6.
7. Learning objectives
Define goal, roles and competencies and explain the
relation with each other
Elaborate the principles of competency based learning
Be sensitized to the goals, roles and global
competencies developed by MCI
8. Definitions
Goal: A projected state of affairs that a person or system
plans to achieve
- Where do you want to go?
- What do you want to become?
9. Definitions
Competency:
The habitual and judicious use of
communication, knowledge, technical skills,
clinical reasoning, emotions, values, and
reflection in daily practice for the benefit of the
individualand community being served
- What should you be able to do?
Eg. Provide first aid to a trauma victim
10. Competencies
Specific, measurable competencies are identified
and guided by the needs of the community
Learners will work towards them until they are
achieved
Core competencies are identified prior to the
course commencement and the entire curriculum is
built around these competencies
11. Competency: An observable ability of a health
professional, integrating multiple components -
knowledge, skills, values and attitudes
Competent: Possessing the required abilities in all
domains in a certain context at a defined stage of
medical education or practice
Competence: Entails more than the possession of
knowledge, skills and attitudes. It requires you to apply
these abilities in the clinical environment to achieve
optimal results
12. The seven domains of competence
Clinical skills and patient care
Professionalism
Scientific and clinical Inquiry
Interpersonal and communication skills
Systems of health care
Continuous improvement of care through reflective practice
Medical knowledge
14. The present curriculum - Demerits
“Becomes a theoretician but not a clinician
He achieves high marks in exams
Targets a high rank in PG entrance exam
But fails to serve the need of community as a basic
family physician”
15. What is good in present curriculum?
Includes teaching 'something of everything'
It provides a comprehensive knowledge base
Time bound - so one can plan the future
Students will not remain under the impression that '
one day I will learn' which could be possible if it is
time free
Provides a wide knowledge base
Learners can build their practice
18. Teaching a resident to suture correctly
Identify differing suturing techniques
Identify when to use different techniques
Demonstrate various suturing techniques
19. Management of hypertension
1st year - be able to define blood pressure, and describe the
mechanisms involved in the regulation of blood pressure
2nd year - describe patho-physiological mechanisms and enlist
drugs for the treatment of high blood pressure + describe these
drugs
3rd year -decide appropriate line of treatment
4th year- appropriately manage a case of hypertension
20. If I can demonstrate satisfactory skills to wash vegetables, cut
vegetables, light the gas stove, keep vessels on stove, add oil
and spices, play with vessels on stove etc. then, there still
remains no guarantee that I would prepare a delicious sambar
which will satisfy the people to whom my preparation is being
served to.
21. The proposed undergraduate medical education program
is designed to create an “Indian Medical Graduate”. The
Indian medical graduate will have the necessary competencies
(knowledge, skills, and attitudes) to assume his or her role as a
health care provider to the people of India and the world.
The goals of the M.B.B.S. training program are to create
doctors - with requisite knowledge, skills, attitudes, values and
responsiveness, so that they may function appropriately and
effectively as a Basic Doctor, physicians of first contact for the
community in the primary care setting both in urban as well as
rural areas of our country.