Comprehensive Overview of GMER 2024 and Competency-Based Medical Education Curriculum

Comprehensive Overview of GMER 2024 and Competency-Based Medical Education Curriculum

• 1.
  Thanks Acknowledgments NMC EXECUTIVE COMMITTEEON FDP • Dr. Aruna Vanikar, President UGMEB, Chairperson EC-FDP, NMC New Delhi • Dr. Vijayendra Kumar, Member UGMEB, Co-Chair EC-FDP • Dr. Praveen R Singh, Assistant Dean, Professor Anatomy & Convener, NC PSMC Karamsad, Convener EC-FDP • Dr. Dinesh K Badyal, Vice-Principal, Professor Pharmacology, Convener NC CMC Ludhiana, Member EC-FDP • Dr. Sunita Vagha, Dean, faculty of Medicine & Prof. & Head Pathology Datta Meghe IMS, Sawangi, Wardha, Member EC-FDP • Dr. Praveen Iyer, Professor (Addl) Anatomy and Convener NC Seth GSMC & KEMH, Mumbai, Member EC-FDP • Dr. Pankaj Shah, Prof. & Head Community Medicine and Co-Convener NC SRMC & RI, Chennai, Member EC-FDP • Col. (Dr.) Naveen Chaudhary, Offg Senior Consultant, Academic Cell, UGMEB. Coordinator EC-FDP • This learning resource material is to aid the resource faculty to conduct the sessions in the course and they are encouraged to use creativity, activities to engage participants and achieve the learning objectives of the session. DO NOT share this material outside MEU/CC/NC/RC group, to any other group, or WhatsApp
• 2.
  Prof. Dr. HironmoyRoy MD, MBA, ACME, FAIMER, PGDipME, MHPE Dept. of Anatomy, IPGME&R The Graduate Medical Education Regulation
• 3.
  Main source: NMC website https:// www.nmc.org.in/wp-content/uploads/2026/02/12bCompeten cyBasedMedicalEducationCBMECurriculum12092024.pdf Competencybased UG curriculum for the Indian Medical Graduate. Vol 1. available at https:// www.nmc.org.in/wp-content/uploads/2020/01/UG-Curriculu m-Vol-I.pdf
• 5.
  Objectives  What isGMER?  What is mentioned in GMER 2024?  What is expected from participants of this training programme?
• 6.
  The evolution ofGMER….. 1997 2018 2019 2023 2024
• 7.
  2024 https:// www.nmc.org.in/wp-content/uploads/2026/02/12bCompetencyBasedMedicalEducationCBMECurriculum12092 024.pdf 2024
• 8.
  Foundation course Early Clinical exposure Family Adoption Programme Skill lab Based training Electives CBME Integrated teaching AETCOM
• 10.
  The undergraduate medicaleducation program is designed with a goal to create an "Indian Medical Graduate" (IMG) possessing requisite knowledge, skills, attitudes, values and responsiveness, so that she or he may function appropriately and effectively as a physician of first contact of the community while being globally relevant.
• 12.
  ROLES of IMG C3L2PR •Clinician • Communicator • Critical thinker • Leader & member of Health care team • Life long Learner • Professional • Researcher
• 13.
  Sec 1. Wholecalendar
• 14.
  https:// www.nmc.org.in/wp-content/uploads/2026/02/12bCompetencyBasedMedicalEducationCBMECurriculum12092 024.pdf 2024 Academic phases 4.5+1 yr
• 15.
  Jan Feb MarApr May June July Aug Sep Oct Nov Dec Phase 1 start Phase 1 Exam & Result Phase 2 start Phase 2 Exam & result Phase 3/1 start Phase 3 exam & Result Phase 3/2 start Phase 2 Exam & result NeXT-1 CRMI start CRMI ends NeXT -2 Exam & result in same month
• 16.
  Jan Feb MarApr May June July Aug Sep Oct Nov Dec Phase 1 start Phase 1 Exam & Result Phase 2 start Phase 2 Exam & result Phase 3/1 start Phase 3 exam & Result Phase 3/2 start Phase 2 Exam & result NeXT-1 CRMI start CRMI ends NeXT -2 Possibility of NeXT
• 17.
  Sec 2. TLprocess
• 18.
  0 12m Ana Phy Bchm UE Com MedFAP per student 3-5 family visit 2 wk FC ECE AETCOM Pandemic module Alignment- integration Ana Phy Bchm Phase 1 MBBS +
• 19.
  Ana- 2 Phy- 2 Bichm-1 AETCOM
• 21.
  Foundation course FC- 80hrs Sports- 10 hrs
• 22.
  Jan Feb MarApr May June July Aug Sep Oct Nov Dec Phase 1 start Phase 1 Exam & Result Phase 2 start Phase 2 Exam & result Phase 3/1 start Phase 3 exam & Result Phase 3/2 start Phase 2 Exam & result NeXT-1 CRMI start CRMI ends NeXT -2
• 23.
  Jan Feb MarApr May June July Aug Sep Oct Nov Dec Phase 1 start Phase 1 Exam & Result Phase 2 start Phase 2 Exam & result Phase 3/1 start Phase 3 exam & Result Phase 3/2 start Phase 2 Exam & result NeXT-1 CRMI start CRMI ends NeXT -2
• 24.
   FC (includingSports)= 90 hrs*  2 weeks span as a whole/ last 2 hrs everyday x continue 1.5 months  Teaching material institute  Teaching resource person institute  75% attendance mandatory  No core subject teaching during this time *Ref. Annexure 5, p53, GMER 2024 When the classes would be? Who will take the sessions?
• 25.
  To Orient thelearner to:  The medical profession and the physician's role in society  The MBBS programme  Alternate health systems  Medical ethics, attitudes and professionalism  Health care system, its delivery and visits to health centers  National health programmes and policies  Universal precautions and vaccinations  Patient safety and biohazard safety  Principles of primary care(general and community based care)  Mental Health  The academic ambience How will be the foundation……
• 26.
  Enable the learnerto acquire enhanced skills in:  Language  Interpersonal relationships  Communication emphasis on clinico-laboratory communication  Learning including self-directed learning  Time management  Stress management, Mental Health  Use of information technology, and artificial intelligence
• 27.
  Train the learnerto provide: • First-aid • Basic /cardiopulmonary/emergency life support + In addition to the above, learners maybe enrolled in one of the following programmes which will be run concurrently: • Local language programme • English language programme • Computer skills
• 28.
  Every college shallarrange for a meeting with parents/ wards of all students and records of the same shall be made available to UGMEB of NMC. P T M p34 GMER
• 29.
  Mentor-mentee programme p34 GMER
• 30.
  2026: 3
• 31.
  2026: 3 2027: 3
• 32.
  2026: 3 2027: 3 2028:3
• 33.
  2026: 3 2027: 3 2028:3 2029: 3
• 34.
  2026: 3 2027: 3 2028:3 2029: 3 2030: 3 Academic Sibling relationship
• 35.
  “Early” Clinical Exposure
• 38.
  Teaching hours For Phase1, 2, 3 (part 1) Phase 2 (part 2) 12 months 52 weeks For TL= 39 weeks (Excluded- 13 weeks: Preliminary/ University examinations and results: 9 weeks, vacations: 2 weeks, public holidays: 2 weeks) Total hour= 39 weeks x 39 hours = 1521 18 months 78 weeks For TL= 62 weeks Excluded 16 weeks for Prelim / University Exam & Results: 10 weeks, Vacation: 3 weeks, Public Holidays: 3 weeks) Total hour= 62 x 39 hrs= 2418 hrs (Clinical Postings: 15 hours/ week Phase II onwards)
• 39.
  Lecture max 2hrs 2/3rd of daily hour= Practical/ SGT The learning process shall include clinical experiences, problem- oriented approach, case studies and community health care activities. Teaching hours
• 40.
  Phase 1 Anatomy PhysioBiochm including molecular biology Foundation course including Sports & Extracurricular activities CM + FAP ECE AETCOM 0 100 200 300 400 500 600 700 Lecture Practical SDL Undecided 39 wk x 39 hr Ana/Phy/ Biochm Ana/Phy/ Biochm 64 27 26 620 445 249 90
• 41.
  0 12m Patho Micro Pharma UE Com Medincluding FAP FMT Gen Med, Gen Surg, OBG AETCOM Pandemic module Alignment- integration Patho Micro Pharma Phase 2 MBBS +
• 42.
  Patho M icro Pharm a C M + FA P FM T Clinical Subjects Sports, Yoga A ETC O M 0 100 200 300 400 500 600 LecturePrcatical SDL Clinical posting Undecided Phase 2 teaching hour 39 wk x 39 hr
• 43.
  Micro-2 Pharma-3 Patho-2 AETCOM
• 44.
  Learner-Doctor Learner-doctor method ofclinical training (Clinical Clerkship)
• 45.
  Goal: To providelearners with experience in:  Longitudinal patient care,  Being part of the health care team,  Hands-on care of patients in outpatient and in-patient setting.
• 47.
  0 12m FMT CM Ophtha ENT UE Medicine &allied subjects Surgery & allied subjects, OBG, Paedia AETCOM Pandemic module Alignment- integration Phase 3 (Part 1) MBBS FMT CM Ophtha ENT +
• 48.
  Elective CM +FAP FM T(w ith PM ) Clinical postings Eye EN T G en M ed G en Surg O BG Paedia AETCO M 0 100 200 300 400 500 600 Lecture PrcaticalSDL Clinical posting Undecided Phase 3/1 39 wk x 39 hr
• 49.
  AETCOM CM-2 FMT-2 Eye -1 ENT-1
• 50.
  Phase 1 Phase2 Phase 3/1 0 10 20 30 40 Lecture Practical/Field visit SDL 4v x 6h 4v x 6h 6v x 6h Family Adoption Programme 75% attendance mandatory to be sent up In respective Prof
• 51.
  Skill training &Skill lab
• 52.
  Certifiable competencies https://www.nmc.org.in/wp-content/uploads/2020/08/Skill-Module_23.12.2019.pdf 54
• 54.
  0 18m Med &all. Surg. & all. OBG Paedia UE AETCOM Pandemic module Alignment- integration Phase 3 (Part 2) MBBS Med Surg OBG Paedia +
• 55.
  3rd Prof Part 1 Exam 3rd Prof Part 2 Start 15d 15 d Electives 3rd Prof/1 3rd Prof/2 E R 75% attendance mandatory to be sent up In Phase 3/2 exam (NeXT)
• 56.
  Topics of elective p35,GMER 2024
• 58.
  AETCOM Med-2 Surg-3 OBG-3 Paedia-1
• 59.
  Minimum 20% Of teachinghour in each phase Alignment and integration (AIT) teaching
• 60.
  1. Anaemia 2. IHD 3.DM 4. TB 5. HTN 6. Thyroid disorders
• 62.
  NExT
• 63.
  Gen M ed Skin Psy Radiodiag Gen Surg O rtho Anesthesia O BG Paedia Clinical posting (3h/d) AETCO M 0 200 400 600 800 1000 1200 1400 Lecture PrcaticalSDL Undecided Phase 3/2 62 wk x 39 hr 335 40 40 26 273 100 26 260 65 1201 52
• 64.
  Phaee 1 Phase2 Phase 3/1 Phase 3/2 0 10 20 30 40 50 60 AETCOM teaching Lecture Practical SDL AETCOM to teach in practical/SGT Only in phase 3/2, lecture component added 75% attendance mandatory to be sent up In respective Prof
• 65.
  Ana Phy Bio Patho Micro Pharm a CM (+FAP) FMT(+PM) Eye ENT Gen Med & allied Gen Surg & allied OBG Clinical postings New Elem ents 620 445 249 260228 260 309 165 100 100 595 485 320 2394 451 All subject teaching hours comparison
• 66.
  Elective G en M ed G en Surg O BG Paedia Com M ed O rtho EN T Eye Psy RD Skin Anaesth 0 5 10 15 20 25 Phase 2 Phase3/1 Phase 3/2 Clinical posting (week) wk
• 68.
  Sec 3. Assessment Conditions& Criteria
• 69.
  Teaching learning andassessment may be carried out using bilingual mode (Assamese, Bangla, Gujarati, Hindi, Kannada, Malayalam, Marathi, Odiya, Punjabi, Tamil, and Telugu) along with English language.
• 70.
  Sec 3.1. Sentup criteria
• 71.
  Exam, Supplementary exam& other conditions Eligibility for Univ. exam:- A. Requisite attendance B. Requisite IA marks C. Certifiable competencies achieved
• 72.
  Attendance attendance- 75% intheory + 80% in practical In multi-phasic subjects- in each phase 75% (th) + 80% (pr) In AETCOM classes- 75% In FAP- 80%
• 73.
  Attendance  If anexamination comprises more than one subject (for e.g., General Surgery and allied branches), the candidate must have a minimum of 75% attendance in each subject including its allied branches, and 80% attendance in each clinical posting.  Learners who do not have at least 75% attendance in the electives will not be eligible for the Third Professional - Part II examination/ NExT
• 74.
  Internal assessment  Itshall be based on day-to-day assessment. For subjects taught in more than one phase, there shall be IA in every phase in which the subject is taught.  Both- Subjective & Objective
• 75.
   Regular periodicexaminations  For Phase 1 & 2  minimum 3 IA exam (including Pre-university)  For Phase 3 minimum 2 IA exam (including Pre-university)  Multiphasic subject  multiphasic IA parts  Log book (including required skill certifications) to be assessed and marks given from 10-20% in internal assessment. How frequent would be the IA exam?
• 76.
  Internal assessment  Internalassessment shall NOT be added to summative assessment.  However, internal assessment marks in absolute marks should be displayed under a separate column in a detailed marks card.
• 77.
  Internal assessment  Itshall relate to different ways in which learners participate in the learning process including ………  assignments,  preparation for seminar,  clinical case presentation,  preparation of clinical case for discussion,  clinical case study/ problem solving exercise,  participation in project for health care in the community, Quiz,  Certification of competencies,  museum study, log books,  SDL skills etc.
• 78.
  IA marks….  Theinternal assessment marks------ In general for all subjects - 100 theory + 100 Practical (Gen Med, Gen Surg, OBG- 200 theory + 200 practical)
• 79.
  IA plan formultiphasic subjects….. Phase I Phase II Phase III part 1 Phase III part 2 Final cumulative marks Gen Med 50 marks 50 marks 100 marks (GM- 75, Psy-13, Derma- 12) 200 theory 200 practical Gen Surg 25 marks 25 marks 150 (GS-75, Ortho-50, Anesth- 13, RD- 12) 200 theory 200 practical FMT 25 marks 75 marks 100 theory 100 practical Com Med 25 marks 25 marks 50 marks 100 theory 100 practical Eye 25 marks 75 marks 100 theory 100 practical ENT 25 marks 75 marks 100 theory 100 practical
• 80.
  Zone
• 81.
  IA theory IAPractical Aggregate Min 40% Min 40% Min 50% IA Pass marks
• 82.
  The results ofinternal assessment should be intimated to students at least once in 3 months and as and when a student wants to see the results. Shall we show the result of IA exam?
• 83.
  Certifiable competencies -54 Vide - Table 11 (GMER 2019): Certifiable Procedural Skills: Skill training module. https://www.nmc.org.in/wp-content/uploads/2020/08/Skill-Module_23.12.2019.pdf
• 85.
  Any Remedy, forwho cannot? During the course: If either of the three is less…..Internal assessment (IA) or attendance is less or/and certifiable competencies not achieved and marked in log book in quarterly/ six monthly monitoring….  the students/parents must be intimated about the possibility of being detained much before the final university examination, so that there is sufficient time for remedial measures. (Interim warning)
• 86.
   Attendance shortage Remedial classes  Attendance okay, but, Marks shortage  Re-exam  Certifiable competency not achieved  Re-learn & re-take Whichever is in shortage, make-up it & get sent up
• 87.
  A T TE N D A N C E IA MARKS 50% 60% Eligible Sent-up Remedial measures Remedial measures No to Regular exam.Re-remedial classes between Univ Exam & Supple exam. If satisfies criteria afterwards, then can appear in Supple exam. Detain
• 89.
  At the endof phase:  Remedial classes can be planned for students who have attendance 60% or above  Classes may be arranged for those who have missed regular classes on genuine grounds, thus ensuring that all certifiable competencies are achieved.  However; they may appear for Supplementary examination provided they attend the remedial classes organised between the Regular & supple exam. But they would to have 60%+ attendance to be eligible to attain the classes.
• 92.
  Sec 3.2. TheExam
• 93.
   Exam inthe last month of the phase  Exam & Result in same month  Supplementary exam within 8 weeks of declaration of result of the regular exam University Exam, Supplementary exam & other conditions
• 94.
  If the studentfails in the supplementary examination in phase 1 of MBBS, the student goes to the junior batch for teaching learning as well as for university examinations. There shall be no supplementary batches. Is it re-admission?? Is it afresh IA & attendance??
• 95.
  Attempts & chance:- Appear= Attempt  Partially appear= attempt  Non sent up= no attempt  Sent up but absent in exam= No attempt
• 96.
  4 attempts /4 years for Phase 1 OR Total 10 years for MBBS
• 97.
  ?? ??
• 98.
  Not passed phase1 No class to Phase 2 Not passed phase 2 Allowed class to Phase 3(1) But, no exam to Phase 3(1) Not passed phase 3 (1) Allowed class to Phase 3(2) But, no exam to Phase 3(2)
• 99.
  Sec 4. Assessmenttools