Syllabus - md ms mds mha - AIIMS

1 Syllabus MD / MS / MDS / MHA. at the AIIMS . All India Institute of Medical Sciences Ansari Nagar, New Delhi-110029. Syllabus MD/MS/MDS/MHA. at the AIIMS . Syllabus MD/MS/MDS/MHA. at the AIIMS . All India Institute of Medical Sciences New Delhi - 110 029. Academic Affairs Concerned Officials Dr. P. Venugopal Director Dr. Kusum Verma Dean (Acad.). Dr. Singh Dean (Exam.). Dr. Nikhil Tandon Sub-Dean (Acad.). Dr. Deepak Professor -in-charge (Exam.). Shri Gupta Registrar All India Institute of Medical Sciences, 2003. First edition 2003. Second edition July 2005. Typset and Printed by : Saurabh Printers Pvt. Ltd. B-280, Okhla Industrial Area, Phase-I, New Delhi-110020. PREAMBLE. The Health Survey and Development Committee, popularly known as the Bhore Committee, in its report published in 1946, recommended very strongly the establishment of a national medical centre at Delhi which will concentrate on training of highly qualified teachers and research workers in order that a steady stream of these could be maintained to meet the needs of the rapidly expanding health activities throughout the country.

2 After the attainment of independence the Union Ministry of Health proceeded to implement this challenging idea and a magnificent grant of one million pounds by the Government of New Zealand through the Colombo Plan helped to translate the idea into reality. An act of Parliament in 1956 established the All India Institute of Medical Sciences as an autonomous institution of National importance and defined its objectives and functions. The prime concern of the Institute is to develop patterns of teaching in undergraduate and postgraduate medical education in all the branches so as to demonstrate a high standard of medical education to all medical colleges and other allied institutions in India. This educational experience is imparted in an atmosphere of research. By virtue of the Act, the Institute grants its own medical degrees and other academic distinctions.

3 The degrees granted by the Institute under the All India Institute of Medical Sciences Act are recognised medical qualifications for the purpose of the Indian Medical Council Act and, notwithstanding anything contained therein, are deemed to be included in the first schedule of that Act, entitling the holders to the same privileges as those attached to the equivalent awards from the recognized Universities of India respectively. The AIIMS imparts postgraduate degrees in major specialities of medical sciences M D (Doctor of Medicine). 1. Anaesthesiology 16. Pharmacology 2. Anatomy 17. Physiology 3. Biochemistry 18. Physical Medicine & Rehabilitation (PMR). 4. Biophysics 19. Psychiatry 5. Community Medicine 20. Radio-Diagnosis 6. Dermatology and Venereology 21. Radiotherapy 7. Forensic Medicine and Toxicology M S (Master of Surgery).

4 8. Laboratory Medicine 22. Surgery 9. Medicine 23. Otorhinolaryngology (ENT). 10. Microbiology 24. Orthopaedics 11. Nuclear Medicine M D S (Master of Dental Surgery). 12. Obstetrics & Gynaecology 25. Prosthodontics 13. Ophthalmology 26 Orthodontics 14. Pathology 27. Conservative Dentistry and Endodontics 15. Pediatrics 28. M H A (Master in Hospital Administration). The Syllabus has been developed in consultation with the faculty of the concerned departments and further scrutinized by the Academic Section under the supervision of the Dean. CONTENTS. S. No. Subject Page No. M D (Doctor of Medicine). 1. Anaesthesiology .. 1. 2. Anatomy .. 33. 3. Biochemistry .. 38. 4. Biophysics .. 43. 5. Community Medicine .. 49. 6. Dermatology and Venereology .. 59. 7. Forensic Medicine and Toxicology.

5 66. 8. Laboratory Medicine .. 76. 9. Medicine .. 100. 10. Microbiology .. 123. 11. Nuclear Medicine .. 132. 12. Obstetrics & Gynaecology .. 139. 13. Ophthalmology .. 153. 14. Pathology .. 181. 15. Pediatrics .. 208. 16. Pharmacology .. 224. 17. Physical Medicine & Rehabilitation (PMR) .. 229. 18. Physiology .. 237. 19. Psychiatry .. 247. 20. Radio-Diagnosis .. 255. 21. Radiotherapy .. 267. M S (Master of Surgery). 22. Orthopaedics .. 281. 23. Otorhinolaryngology (ENT) .. 290. 24. Surgery .. 301. M D S (Master of Dental Surgery). 25 Orthodontics .. 321. 26. Prosthodontics .. 325. 27. Conservative Dentistry and Endodontics .. 332. 28. M H A (Master in Hospital Administration) .. 340. ANAESTHESIOLOGY M D. The course content should include a fund of acquired information and the strategy evolved for acquiring the information.

6 Most useful information should be included taking into account the limits of the time available. The contents should ensure that the candidate acquires basic skills and attitudes in the subject. It should discipline the thinking habit for problem solving and discovery of new knowledge in the field. To this Extent the Course Content should Include Certain Facts a) A thorough knowledge of the pharmacokinetics and pharmacodynamics of anaesthetic drugs and adjuncts. b) Knowledge of cardiovascular, respiratory neurological, hepatobiliary, renal and endocrine homeostasis and related drugs as relevant to patients undergoing anaesthesia. c) Relevant anatomy, physiology and biochemistry. d) A basic idea of the relevant physical principles involved in the construction and functioning of equipment used in anaesthesia and monitoring.

7 E) Knowledge to attain expertise of the commonly used techniques in general, regional and local anaesthesia. f) A clear-cut concept of unconsciousness and its implications. g) Relevant knowledge about chronic intractable pain and its management. h) Relevant knowledge to manage patients in intensive therapy unit. i) Relevant knowledge of medical Statistics j) Knowledge & Expertise in Cardiopulmonary resuscitation. The Course content should also include ways and means of stimulating the thought processes of the candidate and ensure that the candidate can critically acquire new information from books, journals, lectures, seminars and discussions. It should include ways and means of developing reflective thinking and problem solving by critically analysing events during anaesthesia. Interpretation of these data and logical reasoning should lead to application of facts and principles in practice.

8 It is needless to emphasise that the course content should ensure that the candidate acquires the necessary aptitude and motor skills to become a competent anaesthesiologist, learn the art of teaching 2 Syllabus M D / M S / M D S / M H A AIIMS . students,nurses and paramedical staff and carry out a simple research project. 1st Year Theory Should cover the following: a) Anatomy Diaphragm, larynx and upper and lower airway, learn relevant, anatomy for regional anaesthesia and venous cannulations. Some Anatomical areas of interest to the anaesthetist are Orbit of the Eye, Base of skull, Vertebral Column, spinal cord, and meninges, axilla, 1st rib, Intercostal space. b) Principles of physics and use of equipment in anaesthesia i) Anaesthesia machine - checking the machine and assembly of necessary items.

9 Ii) Airway equipment including Equipments for airway management - mask, LMA, fibreoptic laryngoscopes; other devices like Combi tube etc. iii) Breathing systems continuous flow systems, draw over system - Assembly and checking. iv) Monitoring in Anaesthesia with concepts of minimal monitoring. v) Safety in Anaesthesia Equipments. vi) Medical gases - storage and central pipeline system. c) Physiology i) Theories of mechanism of production of Anaesthesia. Respiratory, cardiovascular, hepatobiliary, renal and endocrine system. Pregnancy, Blood Groups, Muscle & N M Junction, ECG, Regulation of temperature & Metabolism, Stress blood flow and ICP. d) Pharmacology i) General pharmacological principles. ii) Concepts of pharmacokinetics and pharmacodynamics. Uptake and distribution of inhaled anaesthesia agents.

10 Drug interaction in Anaesthesiology. Drugs used in Anaesthesia, Drugs used for treatment of diseases and interaction of these . e) Theoretical background of the commonly used anaesthetic techniques of general and regional anaesthesia viz. i) GA - Intravenous, Inhalational, Endotracheal etc. using spontaneous and controlled mode of ventilation. ii) RA - Spinal, epidural and local. f) Biochemistry relevant to fluid balance & Blood Transfusions, Artificial Blood. & Perioperative fluid therapy. Acid base homeostasis in health and diseases. g) Documentation and medico-legal aspects of anaesthesia. Stress the importance of accurate documentation. Course and Curriculum of M D Anaesthesiology 3. h) Theoretical background on disorders of: i) Cardiovascular system. ii) Respiratory system iii) Hepatobiliary system.