Graduate Medical Education Regulations 2019:

Time Distribution of MBBS Program & Examination Schedule

Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec
Foundation
I MBBS
Course
Exam I
I MBBS II MBBS
MBBS
Exam II
II MBBS III MBBS
MBBS
Exam
III Electives
III MBBS Part I
MBBS & Skills
Part I

III MBBS Part II

Exam
III Internship
MBBS

Internship

*One month is provided at the end of every professional year for completion of
Examination and Declaration of Results
 Phase &
Year of University
Subjects & New Teaching Elements Duration
MBBS examination
Training
• Foundation Course ( I month)
• Human Anatomy, Physiology &
First Biochemistry, introduction to
1+13 I
Professional Community Medicine, Humanities
Months Professional
MBBS • Early Clinical Exposure
• Attitude, Ethics, and Comn1uoication
Module AETCOM
• Pathology, Microbiology,
Pharmacology,
Forensic Medicine and Toxicology,
Second • Introduction to clinical subjects
II
Professional including 12 Months
Professional
MBBS Community Medicine
• Clinical postings
• Attitude, Ethics & Communication
Module (AETCOM)
• General Medicine, General Surgery,
Obstetrics & Gynecology, Pediatrics,
Orthopedics,
• Dermatology Psychiatry,
Otorhinolaryngology, Ophthalmology,
Third
Community Medicine, Forensic III
Professional
Medicine and Toxicology, Respiratory 13 Months Professional
MBBS
medicine, (Part I)
Part I
• Radiodiagnosis & Radiotherapy,
Anesthesiology
• Clinical subjects /postings
• Attitude, Ethics & Communication
Module AETCOM
Electives • Electives, Skills and assessment* 2 Months
• General Medicine, Pediatrics, General
Surgery, Orthopedics, Obstetrics and
Third
Gynecology including Family welfare III
Professional
and allied specialties 13 Months Professional
MBBS
• Clinical postings/subjects (Part II)
Part II
• Attitude, Ethics & Communication
Module
*Assessment of electives shall be included in Internal Assessment.
Foundation Course:

Foundation Course (One Month)

Subjects / Contents Self directed

Teaching
learning Total hours
hours
(hours)
Orientation 1 30 0 30
Skills module 2 35 0 35
Field visit to community 8 0 8
health centre
Introduction to - - 10
professional development
& AETCOM module
Sports and extracurricular 22 0 22
activities
Enhancement of language / 50 0 50
Computer skills 3
- - 155

1. Orientation course will be completed as single block in the first

week and will contain elements outlined in 9.1.
2. Skills modules will contain elements outline in 9.1.
3. Based on perceived need of learners, one may choose language enhancement
(English or local spoken or both) and computer skills. This should be provided
longitudinally through the duration of the foundation course.
4. Teaching of foundation course will be organized by preclinical
departments.
First Professional Teaching Hours:

Small group Self

Lecture teaching / tutorials / directed Total
Subjects
hours integrated learning / learning (hours)
practical (hours) (hours)
Human anatomy 220 415 40 675
Physiology * 160 310 25 495
Biochemistry 80 150 20 250
Early clinical exposure 90 - 0 90
Community 20 27 5 52
Medicine **
Attitude, Ethics &
Communication module - 26 8 34
(AETCOM)***
Sports and
- - - 60
extracurricular activities
Formative assessment
- - - 80
and term examinations
Total - - - 1736
*Including Molecular biology
**Early clinical exposure hours to be divided equally in all three subjects
***AETCOM module shall be a longitudinal programme
 Second Professional Teaching Hours

Small Group
Self
Learning(Tutorials/ Clinical
Directed Total
Subjects Hours Seminars) Posting
Learning (Hours)
/Integrated (hours)*
(Hours)
Learning(Hours)
Pathology 80 138 - 12 230
Pharmacology 80 138 - 12 230
Microbiology 70 110 - 10 190
Community Medicine 20 30 - 10 60
Forensic Medicine & 15 30 - 5 50
Toxicology
Clinical Subjects 75** - 540*** 615
Attitude, Ethics, and 29 - 8 37
Communication Module
(AETCOM)
Sports & Extra Curricular - - - 28 28
Activities
Total - 1440

*At least 3 hours of clinical instruction each week must be allotted to training in clinical and
procedural skill laboratories. Hours may be distributed weekly or as a block in each posting
based on institutional logistics.

** 25 hours each for Medicine, Surgery and Gynecology & Obstetrics.

*** The clinical postings in the second professional shall be 15 hours per week (3 hrs per day
from Monday to Friday

540 hours of clinical posting= 180 days of clinical posting 3 hours/day

It means 30 weeks of clinical posting

Third Professional Part I Teaching Hours:

Small Group
Self
Learning(Tutorials/
Directed Total
Subjects Hours Seminars)
Learning (Hours)
/Integrated
(Hours)
Learning(Hours)
General Medicine 25 35 5 65
General Surgery 25 35 5 65
Obstetrics & Gynecology 25 35 5 65
Paediatrics 20 30 5 55
Orthopaedics 15 20 5 40
Forensic Medicine & 25 45 5 75
Toxicology
Community Medicine 40 60 5 105
Dermatology 20 5 5 30
Psychiatry 25 10 5 40
Respiratory Medicine 10 8 2 20
Otorhinolaryngology 25 40 5 70
Ophthalmology 30 60 10 100
Radio-diagnosis & 10 8 2 20
Radiotherapy
Anesthesia 8 10 2 20
Clinical Postings* - - 756
Attitude, Ethics, and 19 6 25
Communication Module
(AETCOM)
Total 303 401 66 1551

*The clinical postings in the third professional part I shall be 18 hours per week (3 hrs per
day from Monday to Friday

756 hours of Clinical teaching= 252 days of clinical posting of 3 hours /day

It means 42 weeks of posting

Third Professional Part II teaching hours

Subjects Lecture Small group Self Total

hours teaching / tutorials directed (hours)
/ integrated learnin
learning / practical g
(hours) (hours)
General Medicine 70 125 15 210
General Surgery 70 125 15 210
OBG 70 125 15 210
Pediatrics 20 35 10 65
Orthopedics 20 25 5 50
Clinical Postings * 792
Attitude, Ethics & 28 16 43
Communication module
Electives 200
Total 250 435 60 1780
*25% of allotted time of third professional shall be utilized for integrated learning with
pre-and para clinical subjects and shall be assessed during the clinical subjects
examination. This allotted time will be utilized as integrated teaching by para clinical
subjects with clinical subjects (as clinical pathology, clinical pharmacology and Clinical
microbiology)

**the clinical postings in the third professional Part II shall be 18 hours per week (3hrs
per day from Monday to Saturday)

***hours from clinical postings can also be used for AETCOM modules
Clinical postings

Subjects Period of training in weeks

II III MBBS III MBBS Part II Total
MBBS part I Weeks
Electives - - 8*(4 regular clinical 4
posting)
General Medicine 1 4 4 8+4 20
General Surgery 4 4 8+4 20
OBG 2 4 4 8+4 20
Pediatrics 2 4 4 10
Community Medicine 4 6 - 10
Orthopedics – Including Trauma3 2 4 2 8
Otorhinolaryngology 4 4 - 8
Ophthalmology 4 4 - 8
Respiratory Medicine 2 - - 2
Psychiatry 2 2 - 4
Radio diagnosis4 2 - - 2
Dermatology, Venereology 2 2 2 6
& Leprosy
Dentistry & Anaesthesia - 2 - 2
Casualty - 2 - 2
36 42 48 126
*in four of the eight weeks of electives, regular clinical postings shall be accommodated.

Clinical postings may be adjusted within the time framework.

1this posting includes laboratory medicine (para-clinical) & infectious diseases (phase III
part I).

2this includes maternity training and family welfare (including family planning).

3this posting includes physical medicine and rehabilitation.

4this posting includes radiotherapy, wherever available.

 Learner – Doctor programme (clinical clerkship)

Year of Focus of learner – doctor program

Year 1 Introduction to hospital environment. Early clinical
exposure. Understanding perspectives of illness

Year 2 History taking, Physical examination.

Assessment of change in clinical status, communication and
patient education

Year 3 All of the above and choice of investigations, basic

procedures and continuity of care

Year 4 All of the above and decision making, management and

outcomes

Calculation of number of teaching hours and days:

1. No. of working days in a year 365

2. No of actual working days 300
(excluding public holidays and Sundays)
3. Examination days 40
(Including one week- 10 days of preparation holidays)
o I Terminal 7 days
o II Terminal 7 days
o III Terminal 15 days
o Preparation holidays and intervening rest days 10 days
4. 15 days of preparation holidays before University Examinations 15
5. Two weeks of Summer Vacation 15
6. Two weeks of Pongal / and Diwali / Dussera vacation 15
7. Total working days left for teaching and training 215
8. Total No. of weeks available 36
9. No. of teaching/ training hours available per day (8.00 - 4.00 pm) 7
10. No. of total hours of teaching 215 X 7 1505
 Proposed Time Table from 2019 onwards:

Time Monday Tuesday Wednesday Thursday Friday Saturday

9.00 – 10.00 am Anatomy Anatomy Anatomy Physiology Physiology ECE
10.00 – 11.00 am Integrated
Anatomy Anatomy Anatomy Physiology ECE
Teaching
11.00 – 12.00 Community
Integrated
noon Anatomy Anatomy Anatomy Physiology Medicine/
Teaching
AETCOM
12.00 – 01.00 pm Community
Integrated
Anatomy Anatomy Anatomy Physiology Medicine/
Teaching
AETCOM
01.00 – 02.00 pm LUNCH
02.00 – 03.00 pm Physiology Physiology Biochemistry Anatomy Biochemistry SDL
03.00 - 04.00 pm Physiology Physiology Biochemistry Anatomy Biochemistry SDL
04.00 – 05.00 pm Physiology Physiology Biochemistry Anatomy Biochemistry SDL
05.00 - onwards Sports and Extracurricular Activities

Anatomy: 15 hours/ wk X 36 weeks = 540 hours

4 hours/ wk X 18 weeks 72 hours

Integrated teaching 40 hours

Self Directed Learning 1 hour/ wk X 36 weeks 36 hours

Total 688 hours

Physiology: 11 hours/ wk X 36 weeks = 396 hours

Integrated Teaching 45 hours

Self Directed Learning 1 hour/ wk X 36 weeks 36 hours

Total 477 hours

Biochemistry: 6 hours/ wk X 36 weeks = 216 hours

Integrated teaching 23 hours

Self Directed Learning 1 hour/ wk X 36 Weeks 36 hours

Total 275 hours

Community
Medicine: 2 hours/ wk X 18 weeks** = 36 hours

AETCOM: 2 hours/ wk X 18 weeks** = 36 hours

ECE: 2 hours/ wk X 36 weeks = 72 hours

Integrated
Teaching*: 3 hours/ wk X 36 weeks = 108 hours

Formative/ Internal assessment examination = 10 days (first term end) 10 days Prelims

Additional 10 days are kept in abeyance for the future need if any.

Sports & Extracurricular Activities = 5.00 pm onwards

*= Integrated teaching is for all the three departments (Anatomy, Physiology &
Biochemistry)

** = These subjects will be taught only in the first semester. The time allotted for these
subjects will be reallocated to Anatomy & Physiology in the second semester

Foundation Course for 2019 Batch One month

Objective:

1. Acclimatize to the campus environment

2. Familarize with teaching programs
3. Adapt to academic challenges
4. Different learning environment
5. Techniques of learning
6. Habit development for self directed learning
7. Non-cognitive abilities AETCOM
8. Foreign language

Theory:

(i) The medical profession and the physician’s role in society

(ii) The MBBS programme
(iii) Alternate health systems in the country and history of medicine
(iv) Medical ethics, attitudes and professionalism
(v) Health care system and its delivery
(vi) National health priorities and policies
(vii) Universal precautions and vaccinations
(viii) Patient safety and biohazard safety
(ix) Principles of primary care (general and community based care)
(x) The academic ambience
Practical/ Group Discussion/ Demonstration:

(i) Language
(ii) Interpersonal relationships
(iii) Communication
(iv) Learning including self-directed learning
(v) Time management
(vi) Stress management
(vii) Use of information technology

Videos/ Simulation exercises:

(i) First-aid
(ii) Basic life support

Elective coaching:

Telugu Language English language Computer Skills

Sports:
4 hours per week

Leisure and Extra curricular Activity:

2 hours per week

Meeting with Parents:

Foundation Course: 1st week

Timings/ Day Monday Tuesday Wednesday Thursday Friday Saturday

09.00 – 10.00 Deans Orientati Orientation 5 Orientatio Document Orientatio

Address on 1 n9 ation n 14

10.00 – 11.00 Introduction Orientati Orientation 6 Orientatio Medical Reflection

of Faculty on 2 n 10 Record on
I MBBS Maintenan Student
ce Expectatio
ns
11.00 – 12.00 Orientati Orientation 7 Orientatio Field Field
on 3 n 11 Visit/ Visit/
Demonstr Demonstr
12.00 – 01.00 Office Staff English Computer Local ation 4 ation 6
Introduction Language Skills Language
01.00 – 02.00 LUNCH

02.00 – 03.00 Parents Meet Orientati Orientation 8 Orientatio Orientatio Reflection

on 4 n 12 n 13 on
Orientatio
n program
03.00 – 04.00 Field Field Visit/ Field Field Field
Visit/ Demonstrati Visit/ Visit/ Visit/
Demonstr on 2 Demonstr Demonstr Demonstr
04.00 – 05.00 ation/ ation 3 ation 5 ation 7
FGD 1
05.00 onwards Library/ Sports

Orientation Lectures:
1. Rules and Regulations of the Institute
2. Facilities available at the institute
3. Curriculum Description and the need for the revision, salient features and self
directed learning
4. Students career pathways and personal growth
5. Role of various levels of health care delivery system
6. What are various skills, how to acquire them and certification of skills, methods
of assessment
7. University Rules regarding Examinations and attendance.
8. How to face examinations in a stress free manner. Examination structure and tips
9. Learning Skills: Pedagogy
 10. Learning Styles and Strategies
11. Self Directed Learning
12. Group Learning & Peer assisted learning
13. Working within a health care team
14. Communication with families and relatives of patients
15. Time Management
16. Stress Management

Practical Discussion/ Demonstrations/ FGD During First Week:

1. Expectations of patients from doctors: Focus Group Discussion with community
members/ patients from the wards/ general urban community members
2. Expectation of the profession from its members: Focus Group Discussion- Meeting
the IMA/ IAP/ FOGSI members. Delphi Method
3. What the student Expect: From the society and Nation. Focus Group Discussion on
violence against doctors and the student expectations from the Institute, From the
society and nation; from the institution; from teachers; from peers and colleagues;
and from patients
4. Facilities available at Library: Live Demonstration of the Useful websites and video
sites
5. Facilities available at the Institute: Field visit Library, hostels, Sports, Common
rooms, Hospital, Emergency
6. Role of various levels of health care delivery system: Field visits to peripheral health
centres
7. Simulation as a method of learning: Simulators
8. Group Dynamics
Foundation Course Second, and Third Week Schedule: In the month of August there are 3
holidays: 12 (Bakrid), 15(Independence Day) and 23(Krishna Jayanti)

Timings/ Monday Tuesday Wednesda Thursday Friday Saturday

Day y

09.00 – Foundation Foundati Foundation Foundatio Foundati Foundation

10.00 1 on 4 8 n 13 on 16 19

10.00 – Foundation Foundati Foundation Foundatio Foundati Foundation

11.00 2 on 5 9 n 14 on 17 20

11.00 – Anti Foundati Foundation Foundatio Commun Biosafety

12.00 Ragging on 6 10 n 15 icating Demonstra
Laws sad news: tion: CSSD
12.00 – Foundation Language Computer Local Role Play
01.00 3 English skills Language
01.00 – LUNCH
02.00

02.00 – Foundation Foundati Foundation Foundatio Foundati Foundation

03.00 3 on 7 11 n 12 on 18 21

03.00 – Gender Interpers Unethical Role Play/ Biosafety Biomedical

04.00 Sensitivity onal Behaviour Demonstr demonstr Waste
Role Play: Commun Focus ation: ation in Common
04.00 – Hospital ication: Group Hand Lab & treatment
05.00 Setting Role Play Discussion washing Operatio facility visit
n theatre
05.00 Library/ Sports
onwards

Theory Lectures/ Discussion:

1. Doctors Role in Society: Expectations of society from doctors
2. Roles and responsibilities of doctors: Theory class
3. Gender sensitivity: Theory class includes legal issues Gender social Security measures
available at College, District and National level.
4. Professionalism
5. Attitude and how to measure it
6. Behaviour and behaviour change
7. Ethics & Unethical Behaviour
8. Value of integrity honesty and respect during interaction with peers, seniors and faculty
other health care workers and patients
9. Needle Prick injuries: Post exposure treatment
10. Immunisation requirements of Health Professionals
11. Biosafety: Concepts and Practice methods
12. Role of handwashing in preventing spread of Diseases: Video
13. Biomedical waste management: Hospital waste segregation methods
14. Biomedical waste management: Hospital waste Disposal methods including incinerator
15. Community Health Centre Staff Pattern and health care delivery system in Urban and
rural areas
16. Communicating the sad news
17. Health care workers role: Anganwadi Worker, ASHA and Medical Officer
18. Introduction to alternate health care systems and their relevance and relationship to the
practice of modern medicine
19. Ayurveda and Yoga: Role in Health
20. Relating Patients Experience to Disease: Myths and Traditions
21. Social Welfare: Health insurance
22. National health priorities and policies
23. Universal precautions and vaccinations
24. Patient safety and biohazard safety
25. Principles of primary care (general and community based care)
26. The academic ambience
27. Use of Information Technology in Health Care delivery and improvement
28. Biohazard safety precautions

Case Discussion? Group Discussion/ Demonstration:

1. Gender Sensitivity: Role Play Hospital Setting; Community Setting
2. Interpersonal Communication: Role Play
3. Unethical Behaviour Focus Group Discussion
4. Role Play/ Demonstration: Hand washing
5. Common biomedical waste treatment facility visit
6. Focus Group Discussion on Academic/ work ambience at the Institution
7. Demonstration of various applications, devices and analytical methods of information
technology in improving health care delivery
8. Visit to DMHO/ NIC Centre to demonstrate Epidemic response Control cell and Disaster
management
9. Demonstration of Biohazard safety at Radiology Department
Foundation Course Third Week: Time Schedule

Timings/ Monday Tuesday Wednesday Thursday Friday Saturday

Day

09.00 – Foundation Foundati

10.00 22 on 26

10.00 – Foundation Foundati

11.00 23 on 27

11.00 – Sports Foundati

12.00 Committee on 28

12.00 – Foundation Written Spoken

01.00 24 English English
01.00 – LUNCH
02.00

02.00 – Foundation
03.00 25

03.00 – Disaster FGD/ Demonstrat

04.00 Manageme Demonstr ion of ICT
nt Control ation in Health
04.00 – Unit Biosafety
05.00

05.00 Library/ Sports

onwards
Foundation Course Fourth week Schedule:

Timings/ Monday Tuesday Wednesda Thursday Friday Saturday

Day y

09.00 – BLS BLS BLS Indoor Outdoor Reflection

10.00 Training/ Training/ Training/ Games Games
First Aid First Aid First Aid Competiti Competit
10.00 – Training Training Training ons ions Assessmen
11.00 t

11.00 –
12.00

12.00 –
01.00
01.00 – LUNCH
02.00

02.00 – BLS BLS BLS Indoor Outdoor Prize

03.00 Training/ Training/ Training/ Games Games Distributio
First Aid First Aid First Aid Competiti Competit n
03.00 – Training Training Training ons ions
04.00

04.00 –
05.00

05.00 Library/ Sports

onwards