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Syllabus - MBBS

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150 <strong>Syllabus</strong> <strong>MBBS</strong> — AIIMS<br />

exam of a swelling or ulcer is complete without checking the draining lymph nodes.<br />

Make a diagrammatic representation of your findings with colour felt pens on your diary/log book.<br />

Go through the following checklist while seeing any lump: number, site, size, shape, margin , surface,<br />

skin over it, structures superficial and deep to it, temperature over it, tenderness, consistency,<br />

transillumination, thrill or bruit and the regional nodes.<br />

Once again revise your diagnostic hypothesis. Generate a diagnostic workup plan (Diagnostic<br />

decisions).<br />

Allocation of Units<br />

Find which unit you are posted with? The first 12 students of the batch go with Surgical<br />

Unit 1 and Unit 3, while the remaining students are posted with Unit 2 and Unit4. Reverse this<br />

order during the 8 th semester posting.<br />

You will get 3 beds allotted to you. You are responsible for seeing all the patients admitted to<br />

these beds during your stay of 6 week with us. Record the history, exam findings and results of<br />

any investigations.<br />

Assessment: OSCE = 12 marks with 3 clinical skills stations. Portfolio= 5 marks. Total=17 marks.<br />

Note these marks are added in the final <strong>MBBS</strong> exam result.<br />

8 th Semester Posting: This is again 6 weeks long posting on surgical wards. The learning objectives of<br />

this final session is to develop the competency in making a diagnosis, generating a diagnostic decision<br />

plan and outlining the therapeutic decision. During this period you have to accompany the patient to<br />

the operation theatre, assist in the operation, write postoperative orders and follow the postoperative<br />

recovery of the case. Write down the daily progress in your case records till the patient is discharged.<br />

Perform dressings, I.V. line insertion, catheter and nasogastric tube insertion on your cases.<br />

Assessment: OSCE= 13 marks with 3 clinical skills stations, diary/log book= 5 marks, Total =18<br />

marks.<br />

Objectives of Clinical Training<br />

At the end of clinical posting in surgery, a student should be able to:<br />

• Elicit a detailed & relevant history<br />

• Carry out a physical examination<br />

• Identify patients’ problems<br />

• Reach a differential diagnosis<br />

• Formulate appropriate investigations<br />

• Interpret the results of investigations<br />

• Plan appropriate management<br />

• Undertake some aspects of management<br />

• Demonstrate adequate communication skills<br />

TEXTBOOKS RECOMMENDED<br />

(1) Short Practice of surgery- Bailey & Love<br />

(2) ASI Text book of surgery Ed.A.K. HAI

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