Orientation on

Curriculum Implementation Support

Programme ( CISP)
Medical Education Unit
Chengalpattu Medical College
 PREAMBLE
• The Graduate Medical Education
Regulations (GMR) 2019 represents the first
major revision to the medical curriculum since
1997 and hence incorporates changes in
science and thought over two decades in
defining the new role of Indian Medical
Graduate (IMG)
• The revised curriculum is to be Implemented
by all medical colleges under the ambit of
Medical Council of India
from August 2019. The roll out will be
progressive over the duration of the MBBS
course.
 Key components of GMR, 2019
• Subject-based outcomes that can be mapped to the
global competencies
• Alignment of Topics with reasonable integration
• Emphasis on skill acquisition and certification
• Early Clinical Exposure
• Longitudinal program on Attitude Ethics and
Communication
• Foundation course
• Shared responsibility and self directed learning
• Electives
• Assessment changes
 Roles of IMG
• Clinician

• Communicator

• Leader and member of the Health Care Team

• Life long Learner

• Professional
 Institutional Curriculum Committee
• Dean: Chairman of Committee
• MEU coordinator of the college
• One Professor/ Associate Professor from Medicine
& allied disciplines
• One Professor/ Associate Professor from Surgery &
allied disciplines
• One Professor/ Associate Professor from
Para-clinical disciplines
• One Professor/ Associate Professor from
Pre-clinical disciplines
• Student/Intern representative
 Institutional Curriculum Subcommittee
• HOD of all departments/ Key faculty from each
specialty in that phase with representation from
other phases

• Example:
First year ( Phase 1)
HODs of Anatomy + Physiology + Biochemistry
PLUS one /more
HODs of Paraclinical ( Phase 2) and Clinical Dept ( Phase 3)
 Alignment & Integration Team ( AIT)
• At least One member from each department
across phases
• Can involve Assistants

• Horizontal & Vertical Integration

• Linker Cases
• Problem Based Learning ( PBL)
 Accountability for the delivery of the
Curriculum

• DEAN
• Vice Principal
• Medical Superintendent
• ALL HODs
 Oversight of the Curriculum
• Curriculum Committee (CC)
• Curriculum Subcommittee ( CSC)
• Alignment and Integration Team ( AIT)
• MEU will Support ,enable and facilitate the
faculty to deliver the curriculum

• Internal Quality Assurance Program for

monitoring
Curricular Governance
Time Distribution & Exam
 Foundation Course
• One month – August 2019
• Chairman : DEAN
• Convener : 1 Preclinical HOD
• Members: MEU Coordinator
Other Preclinical HODs

• Conduct At least TWO MEETINGS with Curriculum

Committee and Foundation Course Committee in
July 2019
 Early Clinical Exposure (ECE)
• Recognize the relevance of basic sciences in
diagnosis, patient care and treatment

• First Year ( Phase 1)

• Anatomy 30 hrs
• Physiology 30 hrs
• Biochemistry 30 hrs
• TOTAL – 90 Hours
• Basic sciences Correlation - 18 hours - 3 hour
session per month for 6 months can take
place in class rooms / hospital labs ( Videos)

• Clinical Skills - 12 hours - one 3 hour session

per month for four months per department-
students in small groups to go with preclinical
faculty to see specified cases being
demonstrated by clinicians
Alignment & Integration in Curriculum
• TOTAL TIME PERIOD : 100%

• Aligned – 80%
Only aligned – 60%
Vertical/Horizontal Integration – 20%

• Non Aligned – 20%

 Alignment & Integration in Curriculum
TOTAL TIME PERIOD : 100%

Aligned (80% ) Non Aligned (20%)

Only aligned Vertical /

(60%) Horizontal
Integration (20%)
 ALIGNMENT
( Can be taught together in different
sessions in the same topic)
MONDAY SUBJECT & CLASS ROOM TOPIC

10-11AM ANATOMY LECTURE HALL ANATOMY OF LIVER

11-12 PM PHYSIOLOGY LECTURE HALL FUNCTIONS OF LIVER

12-1 PM BIOCHEMSITRY LECTURE HALL LIVER FUNCTION TESTS

 Horizontal Integration
( can be taught in the same session in same topic)
MONDAY SUBJECT & CLASS ROOM TOPIC

Anatomy – Central Lecture Hall ANATOMY OF LIVER

9 AM – 1PM

Physiology - Central Lecture Hall FUNCTIONS OF LIVER

Biochemistry- Central Lecture Hall LIVER FUNCTION TESTS

 Vertical Integration
( Can be taught in the same session in
same topic)
MONDAY SUBJECT & CLASS ROOM TOPIC

Anatomy – ANATOMY OF LIVER

9 AM – 1PM Central Lecture Hall
Physiology – FUNCTIONS OF LIVER
Central Lecture Hall
Biochemistry- Central Lecture LIVER FUNCTION
Hall TESTS
PATHOLOGY CIRRHOSIS
Central Lecture Hall ETIOPATHOGENESIS
MEDICINE MANAGEMENT OF
Central Lecture Hall CIRRHOSIS
TOTAL 52 weeks
• On/ Before April 20 ,2019 the
Time Table has to be uploaded in the
Institutional Website and link sent to
Nodal center ( CMC Vellore)
 Electives
• Two months elective rotations after
completion of the exam at end of the third
MBBS Part I examination and before
commencement of third MBBS Part II.

• Compulsory
Time Distribution & Exam
• Two elective blocks of 4 weeks each

• Block 1 : Preclinical or Para-clinical or other

basic sciences laboratory OR under a faculty
researcher in an ongoing research project.

• Block 2 : Clinical department (including

specialties, superspecialties, ICUs, blood bank
and casualty)
 Electives
BLOCK 1 BLOCK 2
• Research Methodology • Cath Lab
• Autonomic function Test • Dialysis Unit
• Neurophysiology Lab • IMCU/Casualty/Blood Bank
• Yoga Research Lab • Plastic Surgery
• Immunohistochemistry • Neonatology
• ELISA/PCR lab • Neurology
• Pharmacovigilance • Toxicology
• Animal research • Medical & Surgical Oncology
• Central Lab ( Karapettai)
• Should not be used to make up for missed
clinical postings/ shortage of attendance

• Regular Postings will continue

Formative & Summative Assessment
• No less than three internal assessment
examinations in each Preclinical / Paraclinical
subject

• No less than two examinations in each

clinical subject in a professional year
• Subjects that are taught at more than one phase,
proportionate weightage must be
given for internal assessment for each Phase.

For example, General Medicine must be

assessed in second Professional, third
Professional Part I and third Professional Part II,
independently.
 INTERNAL ASSESSMENT
• 35% separately in Theory & Practical for
Eligibility to appear for University Exams

• The student must be made aware of the IA

results
 University Examination
Mandatory 50% marks in Theory and Practical

• Practical = Practical + Viva

• Theory
Structured Essay
Short Answer Questions
MCQ ( Not more than 20% of Total Theory Marks)
• A candidate who has not secured 50% in IA may be
provisionally permitted to appear for University Exam

• However, he/she has to successfully complete the

remediation measures prescribed by the
university prior to the declaration of his/her results in
that particular phase.

• Failure to meet prescribed 50% marks in IA after

availing remedial measures will lead to annulment of
the results of the candidate in that particular
subject(s) in the university examination
• In subjects that have two papers, the learner
must secure at least 40% marks in each of the
papers with minimum 50% of marks in
aggregate (both papers together) to pass.
 Key Website Links
• https://www.mciindia.org – MCI website

• www.cmccpt.ac.in – Institutional Website

• https://www.cmch-vellore.edu/ -
Nodal Centre Website