Indira Gandhi General Hospital Ichalkaranji Dsit - Kolhapur

CHO Training : March 2021 to Augest 202

Daily Shedule
Time

08.00 AM to 01.00 PM

01.00 to 02.00 PM

02.00 PM to 03.00 PM

03.00 PM to 04.00 PM

04.00 PM to 05.00 PM

05.00 PM to 06.00 PM

06.00 to 08.00 PM

08.00 PM to 08.00 AM
dira Gandhi General Hospital Ichalkaranji Dsit - Kolhapur
CHO Training : March 2021 to Augest 202
Daily Shedule
Activity

IPD Round ,OPD,Labour Room,OT

Lunch Time

Individual one case Presentation

First, Class Room Lecture

Second , Class Room Lecture

Recess

Urban Household Survey Of 30 Families (2 Families per week), Data

entry in family folder and follow up for 13 HWC services

Night duty in rotation.Two trainees each in Gynaec,Paed,Med.

&Surgery./Ortho Daily 8 trainees for Nt.duties from a batch of 60
trainees once in a
eight days each trainee will be due for Nt. duty
 Clinical Case Presentation Shedule
one individual case per day from day 7 to day to day 118

Subject Wise No. of Cases

Sr. Subject No. Of Cases

1 Gynaecology and Obst 18

2 Paediatrics 18
3 Medicine 18
4 Surgery 10
5 Family Planing 7
6 Dentistry 2

7 Psychiatry 4

8 Ortho 8

9 Opth. 4

10 ENT 4
Public Health (From Day
19
11 100 to 118 )
Total 112
 Dept.wise distribution of Weeks

Sr. no Department / Activity Duration

1 Orientation Program 01 week

2 Obstetrics & Gynecology 02 weeks

3 Family welfare 01 week

Paediatrics including immunization
4 04 weeks
program
5 Medicine 04 weeks

6 Psychiatry 01 week

7 Surgery 02 weeks

8 Dentistry 01 week

9 Orthopedics 01 week

10 Opthalmology & ENT 01week

11 Public health classroom training 03 weeks

12 Public health field visits 03 weeks

Total 24 week

Yoga & Ayurved 01week

Abstract of Postings

orientation 01 wk

Clinical Postings 17 wks

Public Health Class room Training 03 wks

Public Health Field Visit ( PHC,SC) 03wks

Total 24wks

Yoga & Ayurved 01wk

 Dept.& Batch wise Distribution
Serial
Batch 1 Batch 2 Batch 3
No. of
20 Trainees 20Trainees 20 Trainees
Week
1 Orientation Orientation Orientation 8 Aug to 18 Aug 2019
2 to 3 Gynaec Paed. Med. 19 Aug to 1 Sept 2019
4 to 5 Surgery Paed. Med. 2 Sept to 15 Sept 2019
6 to 7 Paed. Med. Gynaec 16 Sept to29 Sept 2019
8 to 9 Paed. Med. Surgery 30 Sept to 13 Oct 2019
10 to 11 Med. Gynaec Paed. 14 Oct to 27 Oct 2019
12 to 13 Med. Surgery Paed. 28 Oct to 10 Nov.2019
Batch 1 Batch 2 Batch 3 Batch 4 12 Batch 5
12 Trainees 12 Trainees 12 Trainees Trainees 12 Trainees
0pth 3 days
14 Family welfare Psychiatry Orthoped. Dentistry
& ENT 3
0pth 3 days & ENT 3 days
Family
15 Psychiatry Orthoped. Dentistry
days welfare
0pth 3 days
16 Orthoped. Dentistry Family welfare Psychiatry
& ENT 3 days
0pth 3 days & Family
17 Dentistry Psychiatry Orthoped.
ENT 3 days welfare
0pth 3 days &
18 Family welfare Psychiatry Orthoped. Dentistry
ENT 3 days
19 to 21 Public Health class room lectures
22 to 24 Public Health field visits (PHC,SC)
25 Yoga & Ayurved
 7.666666667

4.6

11 Nov. to 17 Nov 2019

18 Nov to 24 Nov 2019

25 Nov to1 Dec.2019

2 Dec. To 8 Dec 2019

9 Dec to 15Dec 2019

16 Dec to 7 Jan 2020

8 to 25 Jan 2020
26 to 31 Jan 2020
 Gynaec
Sr.No Syllabus Point Hours /leutures
1 Introduction To Problems Of Maternal Health 1

2 Care During Pregnancy- Antenatal Care, Warning Signs 3

3 Intra-Partum Care 3

4 Active Management Of Third Stage Of Labour (Amtsl) 2

5 Plotting And Interpretion Of Partograph 2

6 Instrumental Delivery 1

7 Postpartum Haemorrhage and Shock 2

8 Hypertension In Pregnancy 2

9 Eclampsia 2

10 Post-Partum Care (Normal Puerperium) 2

11 Puerperal Sepsis 2

12 Anaemia 3
Other Problems During Pregnancy:- (Urinary tract infection, Hyperemesis
13 gravidarum, Retention of urine, Premature or prelabour rupture of 3
membrane).
14 Abortion 2

15 Antepartum Haemorrhage-Aph 2
Other Problems During Labour And Delivery (Prolonged and Obstructed
16 3
labour, preterm labour, Foetal distress, Prolapsed cord, Twins)
Other Problems During Postpartum Period:- (Inversion of uterus, Problems
17 3
with breast feeding).
18 Screening For Common Malignancies 2

19 Delivery Of Mch Services Through Hospitals And Health Centres 2

20 Mch Related Records And Reports 2

21 Contraceptive Method And Family Planning 6

Total 50
Name of the Teacher

20
Sr.No Syllabus Point Paed. Hours leutures Name of the Teacher

B Child and Adolescent Health

1 Care At Birth 1
2 SS 1
3 Neonatal Resuscitation 1
4 Management Of Hypothermia 1
5 Identification Of High Risk Newborn And Neonatal 2
Transport
6 Management Of Illnesses In Infant Aged 0 To 2 3
Months
7 Management Of Illnesses Children Aged 02 Months To 1
5 Years
a)Pneumonia 1
b) Dehydration 2
c) Prevention / identification and management of 2
anaemia
d) Deworming for all age groups 2
8 Childhood Nutrition 0
a) Exclusive breast feeding 2
b) weaning 2
9 Anthropometry 2
10 Malnutrition

a) Types e.g. SAM / MAM 2

b) Identification 2
d) Growth chart 3
11 Common Infectious Conditions In Children
A. Approach To Fever
1
B. Fever With Rash
C. Febrile seizures
1
D. Mumps
E. Enteric fever / Typhoid
F. Acute meningoencephalitis 1
G. Tubercular Meningitis

12 National Immunization Schedule 2

a) Adverse events following immunization 2
b) Vitamin A schedule 2
c) Schedule/Doses for Deworming 2
13 Home Based Newborn Care 2
14 Adolescent Health Care 0
a) Information and counselling on sexual reproductive 3
health concerns
b) Promotion of menstrual hygiene amongst 2
adolescent girls
Total Lectures 48
 Medicine
Sr.No Syllabus Point Hours /leutures Name of the Teacher
1 General examination 1

2 ECG 2

3 Chest pain 1

4 Stroke 1

5 Fever of unknown origin 1

Malaria ,Typhoid,T.B. Skin-VD
0
(See in module -3)
6 Pain in abdomen 1

7 Pneumonia 1

8 Anemia 2

9 Pulm. Asthma 1

10 Shock 2

11 COPD 1

12 Headache/ 21 Migraine 1

13 Fatiguability/23.Faintness 1

14 Scorpion bite 1

15 Seizures 1

16 Snake bite 2

17 Acute gastroenteritis 2

18 Viral fever 2

19 ARF Acute Renal Failure 1

20 Nephrotic / Nephritic syndrome 2

21 Organophosphorus Poisioning 1

22 Organophosphorus Poisioning 1

23 Clinical assessment 2

24 Bleeding disorders 1

25 Adult immunization 1

Total 33
 Psychiatry
Name of the
Sr.No Syllabus Point Hours /leutures Teacher
Definition and importance of mental health / 2.
1 1
History taking in psychiatry
Symptomatology / 4 Mental status examination
3 1
(MSE)
5 Schizophrenia/ 6 Major depressive Disorder 2
7 Anxiety disorder / 8 OCD 9.Bipolar mood disorder 1
10 Child psychiatry
a) ADHD b) Intellectual disability / c) Child
1
behavioural issues
11 Substance ause disorder 0
a) Alcoho l/ b) Tobacco c) Cannabis /d) Opioid 1
e) Prescription drugs 1
Dementia and Geriatric psychiatry/ 13 Basic
12 2
knowledge about psychopharmacology
Basic knowledge about mental health care act
14 (MHCA 2017)/ 15. Basic knowledge about DMHP 1
16 Suicide prevention and emergency in psychiatry
TOTAL Lectures 11
 Surgery with Dentistry
Hours
Sr.No Syllabus Point Name of the Teacher
/leutures
1 Abdominal Pain 1
2 Unexplained Lump 1
3 Wounds & Abscess Management 1
4 Head Injury 2
5 Chest Injury 2
6 Abdominal Injury 2
7 Gangrene 1
8 Burns 1
9 Dressings 1
10 Diseases of Breast 1
11 Congenital Anomalies of G.I.T. 1
12 Varicose Veins 1
13 Genito Urinary Disorder 1
14 Ano-Rectal Diseases 1
15 R.T.Insertion Demo in Clinic Session 0

16 Urinary Catheterization Demo in Clinic Session 0

17 Triage 1
18 Dentistry 0
Dental Caries 1
Diseases Of Dental Pulp And Periapical Tissues 1
Periodental Diseases 1

Spread Of Oral Infection 1

Total 22
 Orthopaed.
Hours
Sr.No Syllabus Point Name of the Teacher
/leutures
1 Arthritis (Joint Diseases)
1
2 Ankylosing Spondylitis

3 General Fracture Management 1

Splintage And Transport of Trauma
4 Patient
1

5 Polytrauma 2

6 Fractures Of Upper Limb 1

7 Fractures Of Lower Limb 1

8 Spinal Trauma 1

9 Mangled Extremities (Amputation)

10 Congenital Disorders 1

11 Metabolic Disorders

12 Phases Of Trauma Care Management 2

Total 11
 Opthalmology
Name of
Hours
Sr.No Syllabus Point the
/leutures Teacher
1 Structure of Eye 1
2 History Taking And Vision Assesment 1
3 Basic Infective Eye Conditions 0
Lid
1
Dacryocystitis

Conjunctivitis
1
Pterygium

Corneal Ulcer
1
Ophthalmitis

4 Basic of Cataract 1

5 Refractive Error Demo in Clinic Session 0

6 Ocular Injuries 2

7 Foreign Body in Eye Demo in Clinic Session 0

8 Pediatric Ocular Problems 1

9 Vitamin A. Deficiency
1
10 Eye Banking

11 Amblyopia 1

Total 11
 ENT
Sr.No Syllabus Point Hours /leutures Name of the Teacher
1 ENT Introduction
1
2 Common Ear Problems

a) Ear Wax
1
b) External Ear Canal Infections

c) Otomycosis- 1
d) Acute Suppurative Otitis Media (ASOM) 1
e) Chronic Suppurative Otitis Media (CSOM)
Safe Type
1
f) Chronic Suppurative Otitis Media (CSOM)
Unsafe Type
3 Acute Parotitis -Viral/Bacterial
1
4 Furuncle
Foreign Bodies In Nose Demo in Clinic
5 0
Session
6 Tonsillitis
1
7 Acute Pharyngitis

8 Stridor
1
9 Vertigo

10 Epistaxis 1

11 Premalignant Lesions Of The Oral Cavity 1

12 Deaf Mutism 1

Total 11
 Public Health Posting For Three weeks
No.of
Sr. Syllabus Points Name of the
Lectures /
No With Malaria ,Typhoid,T.B. Skin-VD/RTI-STI Teacher
Hours
1 Health and wellness center
1
2 Universal Health Care - A Concept
3 Organaization / Functions of HWC (Expanded range of services) 1
4 Inputs for Health Wellness Centres
1
5 Essential Outputs of HWC
6 Roles of MMSP
1
7 State / Dist. Health Administrastion
8 Introduction to Public Health and Epidemilogy 1
9 CONCEPTS OF COMMUNITY HEALTH 2
10 HEALTH CARE PLANNING AND ORGANISATION OF HEALTH CARE 2
11 ENVIRONMENTAL HEALTH AND SANITATION 2
12 EPIDEMIC MANAGEMENT 2
13 EPIDEMIC INVESTIGATION 2
14 Epidemiological surveillance and disease control 2
15 Disease Notification and Health Surveillance for Disease 2
16 IDSP 2
17 Health Planning, Epidemiology of Specific Communicable Diseases 2
18 COMMUNICABLE DISEASES AND MANAGEMENT 2
UNDER NATIONAL HEALTH PROGRAMME
19 Communicable Diseases 1 – Vector Borne Diseases 2
20 Malaria 2
21 FILARIASIS,Dengue 2
22 Japanese Encephalitis,Chikungunya 2
23 Communicable Diseases 2 – Infectious Diseases 0
24 Tuberculosis/ RNTCP 2
25 Tuberculosis/ RNTCP 2
26 Leprosy /NLEP, 2
27 Enteric Fever (Typhoid and Para Typhoid), Viral Hepatitis 2
28 Vaccine Preventable Diseases 2
29 HIV/AIDS 2
30 Sexually Transmitted Diseases /STI 2
31 RTI 2
32 Scabies, Pediculosis, KFD 2
33 Communicable Diseases 3 – Zoonotic Diseases 0
34 Rabies 2
35 Scrub Typhus 2
36 Leptospirosis,Soil Transmitted Helminthiasis 2
37 Diarrhoeal Diseases 2
38 Diarrhoeal Diseases 2
39 Respiratory Tract Infections (H1N1) 2
40 Other Nationl Health Programms 0
41 Non Communicable Diseases ( NPCDCS/NCD) 0
42 Overview & PBS, Hypertension 2
43 Diabetes 2
44 Cancers 2
45 NPCB ,NIDDCP 2
46 Introduction to Nutrition 2
47 Nutritional Assessment 2
48 Nutrition During Pregnancy and Lactation 2
49 NUTRITION ACROSS LIFE CYCLE Infant, Child, Adolescent and Elderly 2
50 Nutritional Deficiency Disorders - Part A 2
51 Nutritional Deficiency Disorders - Part B 2
52 Food Borne Diseases and Food Safety 2
53 Occupational Diseases and their Prevention 2
54 NPHCE Elderly Care 2
55 Palliative care 2
56 Disaster preparedness planning 2
57 INFECTION CONTROL - UNIVERSAL PRECAUTIONS 2
58 DISINFECTION AND STERILISATION 2
59 Bio Medical Waste Management (IMEP) Part A 2
60 Bio Medical Waste Management (IMEP) Part B 2
61 COMMUNICATION, MANAGEMENT AND 0
SUPERVISION
62 BCC Behaviour Change Communication Skills and other Soft Skills 2
63 Work Management and Administration 2
64 Leadership, Supervision and Monitoring 2
65 NHM and NUHM Goals, Objectives, and overview 2
66 Schemes Under NHM ( JSY,JSSK, 102, VHSNC, HBNC 2
67 PMSMA, MJPJAY, Ayushman Bharat, 2
68 PMMVY, MEMS 108, 104, HDP 2
69 Nav Sanjeevan Yojana, RBSK, 2
70 Different Health Softwears (TMIS, HMIS, RCH Portal, 2
71 HWC PORTAL, DHIS2, e Aushadhi, Nikshay 2
72 FP-LMIS, VITAL STATISTICS, 2
Total 123
 Public Health Class Room lectures

Daily Schedule
Time No. of Lecturs

8:00 Am
Clinical Case Taking in Hospital
to 10 Am
10:00 Am
2
to 12Pm

12 to 2 Pm 2

2 to 3 Pm Lunch Time

3 to 5 Pm 2
5 to 6 Pm Clinical case Presentation in the class room
 Public Health Field Posting
2 to 3 Trainees should be posted in one PHC for Field Posting
No. Of
Site To be visited
Week

Week 1 PHC

Week 2 Subcentre

Anganvadi Visits 3
days

Grampanchayat
Week 3 Visit 2 Days

School Visit 1 Day

 Public Health Field Posting
2 to 3 Trainees should be posted in one PHC for Field Posting

Activities

Understaning Different Dept.and Functionting of PHC ( OPD, L.R, OT,Pharmacy, SI/

LHV Section Patholab, Cold Chain Maintainance ) BMW Management
OPD Duty With MO PHC for, Common illnesses, ANC Examination in ANC Clinic
Emergency Duty, for Labour, Snake Bite, Injuries , etc.
Observation of NHP Patients and benificiarries Coming to PHC
Trainee Must maintain Daily Logbook for the Activites done ,Summary of
Observations and Key Learning Points

Home Visits With MPW, ANM, ASHA,

Filling of Family Folders (20)
Family Planning Survey R-14 Reg.(20 Couples)
0 to 5 Yrs. MI/RI Survey for Immunisation Status (20 Children)
HBNC VIsits ,(05Neonates )
RI Session Supervision With Chek list ,ANC Examination in ANC Clinic
Data Entry in DHIS 2 Monthly Report ( 1) ,RCH Portal (05Benificiarries )
B.S Collction (10), Sputum Collction (5) leprosy Survey ( 2 Suspects )
IUCD Promotion 1
NCD PBS (05 houses)
Celebration of health Days

Filling of Growth Charts ( Age to Weight , Hight To Weight , MAC (10)

Classification and Examination of SAM MAM (100%)

Helath Education on BF,Suplimentary Diet , Mothers Meeting 1
Observation of Suplimentary Food Given in AW
Obsevaton of Running VCDC if any (Drugs and Diet Schedule, Gain in Wt.
Diagnosis of 4 Ds

knowing Birth and Death registration System

Attending VHNWSC Meeting

Observaton of TCL Stock, Taking Measurement of Water Sources,Calculation of TCL
Dose
Purificaton of Water Sources by self ( 2)
Water Sample 2 and TCL Sample Collection 1

Diagnosis of 4 Ds
Getting information of WIFS, Deworming Campaign,MR Benificiarries reg. MR Mirco
Planinng
 Family Folder Abstract of Six Visits to Families
Name of the CHO
Name of the Training Center
Duration of training From -- to --
5 Families per Month , 30 Families in 6 Months ,One Visit per Month per Family. 30 Visits per month, 18
Sr.No Name of the Head of Family And Add. Mention Services Given in each visit According to 13 Objectives of HW
Visit 1 Visit 2 Visit 3

Family Folder Abstract of Six Visits to Families

Name of the CHO
Name of the Training Center
Duration of training From -- to --
One Visit per Month per Family

Sr.No Name of the Head of Family And Add. Mention Services Given in each visit According to 13 Objectives of HW
Visit 1 Visit 2 Visit 3

3
o Families

mily. 30 Visits per month, 180 Visits in 6 Months

ccording to 13 Objectives of HWC
Visit 4 Visit 5 Visit 6

ccording to 13 Objectives of HWC

Visit 4 Visit 5 Visit 6
5