The document discusses the goals, roles, and competencies of Indian Medical Graduates (IMGs) according to National Medical Commission guidelines. It defines key terms like goal, role, and competency. The goal of IMGs is to function as basic doctors providing primary care in both urban and rural areas of India. They are expected to fulfill seven domains of competence including clinical skills, professionalism, and systems of healthcare. The document outlines the specific roles of IMGs and competencies expected of them upon graduation to fulfill these roles. It also provides details of topics and learning outcomes covered in various pre-clinical, para-clinical, and clinical subjects in the medical curriculum.

1. RBC WORKSHOP(Under MEU)
Indian Medical Graduate(IMG)
Goals, Roles and Competencies
Prof Dr Sanjev Dave
Dept Community Medicine
SMMH GMC SRE UP

3. Objectives of Session
• Get SENSITIZED- Goals, Roles, Competencies ( NMC
Guidelines)--- Indian Medical Graduate( IMG)
 Define goal, roles and competencies and explain the
relation with each other
 Describe the Goal, Role and Competencies of IMG
 Elaborate the principles of competency based learning

9. Definitions- Goal, Role & Competency

10. GOAL
A projected state of affairs that a person or system plans to achieve
- Where --- doyou want togo?
- What --- doyou want to become?

17.  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

19. Competencies
 Specific, measurable competencies are identified
and guided by the needs of the community
 Learners will work towards them until
theyare achieved
 Core-competencies are identified priorto
the course commencement and the
entire curriculum is built around these
competencies

20. Link between Goal, Roles & Competencies

28. Roles Comparison : India vs US vs Canada

34. Goal of Indian Medical Graduate

37. Goal of Indian medical education?
It aims to provide
--------leadership,
---------promote standards and
----------support all those involved in the academic
discipline of medical education.
The work of medical educators directly contributes to the
improvement of health care, the relief of sickness and the
preservation of good health.

38. Goal of the M.B.B.S. training program
The goal 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.

40. IMG: National Goals
• At the end of undergraduate program, the Indian Medical Graduate should be able to:
• (a) Recognize “health for all” as a national goal and health right of all citizens and by
undergoing training for medical profession to fulfill his/her social obligations towards
realization of this goal.
• (b) Learn every aspect of National policies on health and devote her/him to its
practical implementation.
• (c) Achieve competence in practice of holistic medicine, encompassing promotive,
preventive, curative and rehabilitative aspects of common diseases.
• (d) Develop scientific temper, acquire educational experience for proficiency in
profession and promote healthy living.
• (e) Become exemplary citizen by observance of medical ethics and fulfilling social and
professional obligations, so as to respond to national aspirations.

41. Institutional Goals (IMG)
• (1) In consonance with the national goals each medical institution should evolve institutional goals to define the kind of trained manpower (or professionals)
they intend to produce.
• The Indian Medical Graduates coming out of a medical institute should:
• (a) be competent in diagnosis and management of common health problems of the individual and the
community, commensurate with his/her position as a member of the health team at the primary, secondary or
tertiary levels, using his/her clinical skills based on history, physical examination and relevant investigations.
• (b) be competent to practice preventive, promotive, curative, palliative and rehabilitative medicine in respect
to the commonly encountered health problems.
• (c) appreciate rationale for different therapeutic modalities; be familiar with the administration of “essential
medicines” and their common adverse effects.
• (d) be able to appreciate the socio-psychological, cultural, economic and environmental factors affecting
health and develop humane attitude towards the patients in discharging one’s professional responsibilities.
• (e) possess the attitude for continued self learning and to seek further expertise or to pursue research in any
chosen area of medicine, action research and documentation skills.

42. • f) be familiar with the basic factors which are essential for the implementation of the National Health Programmes
including practical aspects of the following:
• (i) Family Welfare and Maternal and Child Health (MCH)
• (ii) Sanitation and water supply
• (iii) Prevention and control of communicable and non-communicable diseases
• (iv) Immunization
• (v) Health Education
• (vi) Indian Public Health Standards (IPHS), at various levels of service delivery
• (vii) Bio-medical waste disposal
• (viii) Organizational and/or institutional arrangements.
• (g) acquire basic management skills in the area of human resources, materials and resource management
related to health care delivery, hospital management, inventory skills and counseling.
• (h) be able to identify community health problems and learn to work to resolve these by designing, instituting
corrective steps and evaluating outcome of such measures.
• (i) be able to work as a leading partner in health care teams and acquire proficiency in communication skills.
• (j) be competent to work in a variety of health care settings.
• (k) have personal characteristics and attitudes required for professional life such as personal integrity, sense
of responsibility and dependability and ability to relate to or show concern for other individuals.
Institutional Goals (IMG)

43. Functions by Learner
• In order to fulfill the goal of the IMG training program, the medical graduate must be able to function in the following
roles appropriately and effectively:-
• 2.3.1. Clinician who understands and provides preventive, promotive, curative, palliative and holistic care with
compassion.
• 2.3.2. Leader and member of the health care team and system with capabilities to collect analyze, synthesize and
communicate health data appropriately.
• 2.3.3. Communicator with patients, families, colleagues and community.
• 2.3.4. Lifelong learner committed to continuous improvement of skills and knowledge.
• 2.3.5. Professional, who is committed to excellence, is ethical, responsive and accountable to patients, community
and profession.
• Competency based learning would include designing and implementing medical education curriculum that
focuses on the desired and observable ability in real life situations. In order to effectively fulfill the roles as
listed above the Indian Medical Graduate would have obtained the following set of competencies at the time
of graduation:

44. Roles of Indian Medical Graduate

48. Competencies Required by
Indian Medical Graduate

52. Seven domains ofCompetence
1. Clinical skills and patientcare
2. Professionalism
3. Scientific and clinicalInquiry
4. Interpersonal and communicationskills
5. Systems of healthcare
6. Continuous improvement of care through reflective
practice
7. Medical knowledge

54. Topics & outcomes in Pre-clinical & Para-clinical subjects
Sr. No. Subjects Number of topics Number of outcomes
1. Human Anatomy 82 409
2. Physiology 11 137
3. Biochemistry 11 89
4. Pharmacology 05 85
5. Pathology 36 182
6. Microbiology 08 54
7. Forensic Medicine & Toxicology 14 162
Total 167 1118

55. Topics & outcomes in Medicine and Allied subjects
Sr. No. Subjects Number of topics Number of outcomes
1. Community Medicine 20 107
2. General Medicine 26 506
3. Respiratory Medicine 02 47
4. Pediatrics 35 406
5. Psychiatry 19 117
6. Dermatology, Venereology & Leprosy 18 73
7. Physical Medicine & Rehabilitation 09 43
Total 129 1299

56. Topics & outcomes in Surgery and Allied subjects
Sr. No. Subjects Number of topics Number of outcomes
1. General Surgery 30 133
2. Ophthalmology 09 60
3. Otorhinolaryngology 04 76
4. Obstetrics & Gynaecology 38 126
5. Orthopedics 14 39
6. Anesthesiology 10 46
7. Radiodiagnosis 01 13
8. Radiotherapy 05 16
9. Dentistry 05 23
Total 116 532

57. TAKE HOME MESSAGE