CURRICULUM OF MBBS HIG HER EDUC ATION COMMISSION (REVISED 2011) Prepared by: PAKISTAN MEDICAL & DENTAL COUNCIL & HIGHER EDUCATION COMMISSION ISLAMABAD 1 CURRICULUM DIVISION, HEC Dr. Syed Sohail H. Naqvi Executive Director Prof. Dr. Altaf Ali G. Shaikh Member (Acad) Mr. Muhammad Javed Khan Adviser (Academics) Mr. Malik Arshad Mahmood Director (Curri) Dr. M. Tahir Ali Shah Deputy Director (Curri) Mr. Abdul Fatah Bhatti Assistant Director (Curri) Composed by: Mr. Zulfiqar Ali, HEC, Islamabad 2 CONTENTS 1. Introduction 6 2. Competencies of a medical graduate required by PMDC 11 3. Framework of the Curriculum 20 4. Table of Allocation of contact hours to various subjects 24 5. Table of Module Titles with list of disciplines in a module and allocated time in weeks. 27 6. Curricular Contents 6.1 Anatomy 32 6.2. Physiology 41 6.3. Biochemistry 50 6.4. Forensic Medicine 56 6.5. Pharmacology 62 6.6. Pathology 66 6.7. Community Medicine 88 6.8. Surgery 94 6.9. Orthopaedics 104 6.10 Anaesthesia 110 6.11. Medicine 111 6.12. Dermatology 121 6.13. Psychiatry 122 6.14. Behavioural Sciences 124 6.15 Medical Ethics 125 6.16 Radiology 126 6.17 Paediatric Medicine 128 6.18 Gynaecology and Obstetrics 135 6.19 Otolaryngology 146 6.20 Ophthalmology 151 7. Rules of the House Job/Internship 156 8. Annexures – A, B, C, & D. 159 3 PREFACE The Pakistan Medical & Dental Council is a statutory body constituted by the Federal Government under the Pakistan Medical & Dental Council Ordinance, 1962, presently controlled by the Council. One of the main functions of the Council is to lay down the minimum standard of basic and higher qualifications in Medicine & Dentistry. The Council has been empowered to: - Prescribe a uniform minimum standard of courses of training for obtaining graduate and postgraduate dental qualification. - Prescribe minimum requirements for the content and duration of courses of studies for the degree of MBBS. - Prescribe condition for admission to courses of training for the degree of MBBS. - Prescribe the standards of examinations method of conducting the examination. Curriculum Development, Review and Revision at Graduate and Post- graduate level is one of the major on-going activities of Higher Education Commission as provided under Section (10) Sub-Section (V) of its Ordinance No. LIII of 2002 and Ministry of Education, Government of Pakistan Notification No. D.733/76-JEA (Curr) dated December 4, 1976 appointed Higher Education Commission as the Competent Authority to look after the Curriculum Revision Work beyond Class XII at Bachelor level and onwards to all Degrees, Certificates and Diplomas awarded by Degree Colleges, Universities and other Institutions of higher education. For this purpose senior teachers of all specialities in MBBS were invited to review/revise the existing curriculum. A draft curriculum was finalized after due consideration of the comments and suggestions received from the Universities and Colleges where the subject under consideration is taught. The curriculum prepared by the National Curriculum Revision committee (NCRC) of Higher Education commission and Pakistan Medical & Dental Council was approved by PM&DC which is being circulated for implementation by the concerned institutions. This Curriculum is to be followed by all Medical Colleges and Universities in Pakistan to get registration of the Council for Medical practitioners. (Mr. Muhammad Javed Khan) (Maj. Dr. A. Nadeem Akbar) Adviser (Acad.), HEC Registrar, PMDC 4 CURRICULUM DEVELOPMENT STAGE-I STAGE-II STAGE-III STAGE-IV CURRI. UNDER CURRI. IN DRAFT FINAL STAGE FOLLOW UP CONSIDERATION STAGE COLLECTION OF EXP NOMINATION UNI, ST R&D, INDUSTRY & APPRAISAL OF 1 PREP. OF FINAL QUESTIONNAIRE COUNCILS DRAFT BY EXP CURRI. CONS. OF NCRC. FINALIZATION OF COMMENTS DRAFT BY NCRC PRINTING OF CURRI. PREP. OF DRAFT BY REVIEW NCRC IMPLE. OF CURRI. Abbreviations Used: ORIENTATION BACK TO STAGE-I COURSES BY NCRC. National Curriculum Revision Committee EXP. Experts LI, HEC COL. Colleges UNI. Universities PREP. Preparation REC. Recommendations LI Learning Innovation R&D Research & Development Organization HEC Higher Education Commission 5 INTRODUCTION A meeting of National Curriculum Revision Committee for finalization of the Curriculum for MBBS at degree level was held at HEC Regional Centre, Lahore from June 08-10, 2011. List of participants of meeting is as under: Sr. Name 1. Prof. Dr. Muhammad Hafizullah, Vice Chancellor, Khyber Medical University, Peshawar 2. Prof. Dr. Nasir Aziz Kamboh, Principal, Department of Anatomy, Nawaz Sharif Medical College University of Gujrat, Gujrat 3. Prof. Dr. Rukhsana W. Zuberi, Associate Dean Education, FHS Aga Khan University, Karachi 4. Prof. Dr. Salim Khattak, Principal, Kohat University of Science & Technology, Kohat 5. Prof. Dr. Abdul Rasheed Mian, Principal & Professor Department of Forensic Medicine & Technology, Amna Inayat Medical College, Sheikhupura 6. Prof. Syed Muhammad Awais (S.I), Professor & Chairman Orthopaedics Surgery, King Edward Medical University, Lahore 7. Prof. Roshan Shaikh, Department of Anatomy, Liaquat University of Medical & Health Sciences, Jamshoro 6 8. Prof. Dr. Farmanullah Wazir, Department of Physiology, Kohat University of Science & Technology, Kohat 9. Prof. Dr. M. Zahoor-ul-Hassan, Professor, Department of Biochemistry (Medicine), Sargodha Medical College, University of Sargodha, Sarghoda 10. Prof. Dr. Nirmal Das, Department of Pharmacology & Therapeutics, Bolan Medical College, Quetta 11. Prof. Dr. Naveed Iqbal Ansari, Services Institute of Medical Sciences Hospital, Ghaus-ul-Azam Jail Road, Lahore 12. Dr. Saira Afzal, Assistant Professor Community Medicine, King Edward Medical University, Lahore 13. Dr. Abdur Rahman, Professor, Department of Pathology, Sargodha Medical College, University of Sargodha, Sargodha 14. Prof. Dr. Anila Jalil, Associate Professor, Biochemistry Dean, Basic Health Sciences, Ziauddin Medical College, Ziauddin University, 4-B, Shahrah-e-Ghalib, Block 6, Clifton – Karachi 15. Prof. Dr. Nasir Izhar, Professor of Behavioral Sciences, University of Health Sciences, Lahore 7 16. Prof. Dr. Aisha Mehnaz, Professor of Paediatrics, Dow University of Health Sciences, Karachi 17. Prof. Dr. Atif Kazmi, Dean, Faculty of Medicine/Allied, Chairman Department of Dermatology, King Edward Medical University, Lahore 18. Prof. Dr. Abid Hussain, Professor of Dermatology, Khyber Girls Medical College, PDA Building, Block 4, Phase-V, Hayatabad, Peshawar 19. Prof. Dr. Sardar Fakhar Imam, Professor and Head of Department, Allama Iqbal Medical College, 185-A, Phase-II, Govt. Employee Housing Society, Link Road, Model Town, Lahore 20. Prof. Dr. Maaz Ahmad, Head of Community Medicine, King Edward Medical University, Lahore 21. Dr. Rais Ahmed Siddiqui, Professor (OPS), Department of ENT, Liaquat University of Medical & Health Sciences, Jamshoro 22. Prof. Dr. Hamid Mahmood, Professor, Department of Ophthalmology, Fatima Jinnah Medical College/Sir Ganga Ram Hospital, Lahore 23. Prof. Dr. Nargis Soomro, Professor of Obstetrics & Gynecology, Dow University of Health Sciences, Karachi 8 24. Prof. Muhammad Tayyab, Allama Iqbal Medical College, Lahore 25. Prof. Dr. Abdul Rashid, Professor of Surgery University Medical and Dental College, University of Faisalabad, Faisalabad 26. Prof. Dr. Khalid Ahmed Durrani, Professor of Surgery, U.C.M.D, University of Lahore, Lahore 27. Prof. Dr. M. Saeed Quraishy, Professor of Surgery, Dow University of Health Sciences, Karachi 28. Prof. Dr. Abdul Razzak Memon, Professor (OPS), Department of Plastic Surgery, Liaquat University of Medical & Health Sciences, Jamshoro List of the Participants, Core Committee - MBBS 27-28.06.2011 i) Prof. Dr. Rukhsana W. Zuberi, Convener Department of Educational Development, Aga Khan University, Karachi ii) Prof. Dr. Muhammad Hafizullah, Member Vice Chancellor, (nominee of PMDC) Khyber Medical University, Peshawar iii) Prof. Dr. Nasir Aziz Kamboh, Member Principal & Professor, Department of Anatomy, Nawaz Sharif Medical College, University of Gujrat, Gujrat 9 iv) Prof. Dr. Salim Khattak, Member Principal, Kohat University of Science & Technology, Kohat v) Prof. Dr. Idress Anwar, Member Head of Surgery Department, Sheikh Zayed Medical College, Rahim Yar Khan vi) Prof. Dr. Sardar Fakhar Imam, Member Professor and Head of Department, Medical Unit -IV Allama Iqbal Medical College, 37/9 Sarwer Road Lahore Cantt vii) Prof. Dr. M. Saeed Quraishy, Member Professor of Surgery, Dow University of Health Sciences, Karachi viii) Prof. Dr. Syed Muhammad Awais (S.I,), Secretary Prof. & Chairman, Orthopaedics Surgery, King Edward Medical University, Lahore 10 .