year bds curriculum 2020 - Multan Medical & Dental College

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Multan Medical & Dental College

3rd

YEAR BDS CURRICULUM 2020 - 2021

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PATRON:

Mr. Imran Rasool Chief Operating Officer

Multan Medical and Dental College

CURRICULUM COMMIITTEE:

Prof. Dr. Sharina Chairman

(Professor of Operative Dentistry)

Prof. Dr. Ejaz Sahu

(Professor of Community Dentistry) Secretary

MEMBERS:

Prof. Dr. Saleem Shaukat (Professor of Dental Materials)

Dr. M. Awais Khan (Assistant Professor)

Dr. Sakina Joiya (Demonstrator)

EDITED AND COMPILED BY:

Dr. Sakina Muhammad Joiya

ASSISTANCE:

Multan Medical & Dental College

BDS CURRICULUM 2020 - 2021

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Dr. Mirza M. Hassan

Dr. Aman Fatima

Dr. Asad Ali

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Prof. Dr. Shabbir Ahmad Nasir

Chief Executive & Principal Multan Medical

& Dental College

Avicenna once said “The extraordinary faith put in oneself &

in one’s creator, as one takes the very first step for a new

journey, shall mark itself as a milestone to one’s eternal

glory”. This was my vision and that of my team to provide

quality medical education to the students at Multan Medical

& Dental College, when we laid the foundation stone of this

nascent Alma Mata, seven years ago. This college has come

of a small age in terms of years but we feel a genuine pride

to see that it is fledgling with powerful wings to embark towards its destination of eternal glory in the

field of quality medical education. A journey, which apparently seemed to be less promising at the

beginning, has now turned into a story of achievements at every front. It is indeed a matter of immense

pleasure to welcome applications for the Seven batch at Multan Medical & Dental College with a mission

to impart profound quality medical education.

In consonance with the vision of the Government to extend healthcare to all segments of society and

groom the best quality medical professionals, Multan Medical & Dental College has responded positively

well to this national cause. We have taken the pledge to keep serving this noble mission and prove our

credentials as a beacon so that our nation reposes its full confidence in our commitment to excellence.

Besides providing quality education, based on modern teaching techniques, I am sure the college shall

also develop a strong spectrum of research-oriented activities. Owing to a top-class faculty, supported by

a 600-bedded modern hospital, Ibn-e-Siena Hospital & Research Institute, I am confident that its

graduates shall emerge as doctors upholding the highest intellectual, professional & social values.

Institutions are developed through professional acumen and commitment to the cause. My advice to the

students & faculty alike is to leave no stone unturned to keep on bringing laurels to themselves and this

institution as they have done it in their initial trials. In their endeavors, they shall always find me at their

back to provide them a genuine direction and elan to help channel their energies into a glorious outcome.

I wish the best of luck to all those who are associated with this project for the fulfillment of this already

being realized dream.

MESSAGE FROM PRINCIPAL

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Prof. Dr. Muhammad Zulfiqar

A Dentist’s Profession is noble as well as challenging. To be successful and

undaunted, one should be adequately equipped with the knowledge, skill

and attitude to meet the rising expectations of society. Hence, it can hardly

be overemphasized that the objective of Dental Profession is an attainment

of highest level of Dental health. Besides, a Dentist owes an obligation to

fulfil the ethical standards of the profession by showing, at the same time,

an awareness of the statutory regulations of the profession.

It is often criticized that the model of Dental education in our country is

fashioned after the Western model. Hence there is a growing demand on

the dental colleges in the country to develop curriculum appropriate to

indigenous conditions in which they are to function & for this challenge

Multan Dental College is emerging as a foremost beacon of hope, sensitizing dental graduates to the

needs of public at large.

MESSAGE FROM DENTAL PRINCIPAL

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MULTAN MEDICAL & DENTAL COLLEGE

MISSION STATEMENT

To Produce Professionally Competent, Research Oriented Health Care Providers, Through

Modern Medical Education, Meeting the Local And Global Needs And Committed To Serve

Humanity

VISION

Working in Consonance with the vision of UHS, the Federal and provincial Health Authorities to

groom best quality Medical Professionals by providing the best quality Education based on

Modern Teaching Techniques. Also, committed to develop a strong spectrum of research-

oriented activities.

Envisaging an example in eliminating Health disparities faced by the different strata of the

society by finding their solution through research and execution of Public Health Programs.

OUTCOMES

By the end of (MBBS/BDS) program the graduates of MM&DC will be able to:

1. Perform various basic Medical/Surgical and Dental procedures independently.

2. Demonstrate Knowledge and comprehension of common Medical/Surgical and Dental

procedures.

3. Assist in management of Critically ill patient.

4. Manage common non critical conditions Independently.

5. Demonstrate professional, ethical and culturally appropriate behavior.

6. Advocate health promotion and disease prevention.

7. Involve in research programs.

8. Quality Outcomes:

Develop a habit of reflection, critical thinking and applying the knowledge to reach the level of

Creativity.

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Multan Medical and Dental College is grateful to its faculty

for their contribution in the

preparation of the Curriculum.

&

The College is also thankful to

faculty and students for their

feedback and suggestions.

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Contents MESSAGE FROM PRINCIPAL .................................................................................................................. 4

MESSAGE FROM DENTAL PRINCIPAL ................................................................................................. 5

CURRICULUM COMMIITTEE .................................................................................................................. 9

DEFINITIONS AND ABBREVIATIONS ................................................................................................. 11

ASSESSMENT POLICIES ........................................................................................................................ 12

PROMOTION POLICIES .......................................................................................................................... 15

YEARLY DISTRIBUTION OF SUBJECTS ............................................................................................. 16

SUBJECT .................................................................................................................................................... 17

ORGANOGRAM ....................................................................................................................................... 18

INTRODUCTION .................................................................................................................................. 19

TEACHING STRATAGIES ....................................................................................................................... 20

TEACHING ENVIRONMENT .................................................................................................................. 21

SUBJECT OUTCOMES ............................................................................................................................. 22

SYLLABUS ................................................................................................................................................ 23

SCHEME OF STUDIES ............................................................................................................................. 25

TABLE OF SPECIFICATIONS ................................................................................................................. 26

LEARNING OBJECTIVES ........................................................................................................................ 27

TEACHING AND ASSESSMENT STRATAGIES ................................................................................... 27

Basic Principles of Surgery ..................................................................................................................... 27

Skin & Subcutaneous tissue .................................................................................................................... 29

Trauma .................................................................................................................................................... 29

Trauma to Regions .................................................................................................................................. 30

Radiological Investigations and Diagnosis ............................................................................................. 31

Pediatric Surgery ..................................................................................................................................... 32

Anesthesia ............................................................................................................................................... 32

Head & neck ........................................................................................................................................... 33

ANNUAL TIMETABLE ............................................................................................................................ 34

ASSESSMENT SCHEDULE ..................................................................................................................... 34

BATCHES ALLOCATIONS ..................................................................................................................... 34

LEARNING RESOURCESWARD PRE-REQUISITES ........................................................................... 34

PRACTICAL PRE-REQUISITES .............................................................................................................. 34

LEARNING RESOURCES ........................................................................................................................ 34

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The Curriculum Committee for session 2020-21 is hereby notified as under:

Curriculum Committee

Sr. # Name Designation Department

1. Prof. Dr. Sharina

(Professor of Operative Dentistry) Chairman Clinical Sciences

2. Prof Dr. Ejaz Sahu

(Professor) Secretary Community Dentistry

3. Dr. Saleem Shaukat

(Professor of Dental Materials) Member Basic Sciences

4. Dr. M. Awais Khan

(Assistant Professor) Member Medical Education

5. Dr. Sakina Joiya Member Medical Education

6. Dr. Qurratulain

(Assistant Professor) Member Behavioral Sciences

7. Mahnoor Kashif

Member Student Representative

8. Asra Jamshed

Member Student Representative

CURRICULUM COMMIITTEE

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The following faculty members were involved

in the process of documentation of curriculum

at various stages

1. Prof. Dr. Shoukat Ali

2. Dr. Muhammad Mushtaq

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DEFINITIONS Definitions of the following terms used in the Curriculum Document have been

taken from HEC Guidelines.

CREDIT HOURS:

1. A credit hour means teaching a theory course of 50 minutes each week throughout the year

(1 lecture of 50 minutes = 1 credit hour).

2. One credit hour in laboratory or practical work / project would require lab contact of two

hours per

week throughout the year

Credit Hours:

15 MIN OF INFORMATION TRANSFER/ LEARNING=0.25 HRS

30 MIN OF INFORMATION TRANSFER/ LEARNING =0.5 HRS

45 MIN OF INFORMATION TRANSFER/ LEARNING =0.75 HRS

60 MIN OF INFORMATION TRANSFER/ LEARNING =1 HR

ABBREVIATIONS

KEY: SEQ:

SAQ:

MCQ:

SGD:

PBL:

CBL:

SBL:

OSPE:

OSCE:

HEC:

PMC:

DME:

Short Essay Questions

Short Answer Questions

Multiple Choice Questions

Small Group Discussion

Problem Based Learning

Case Based Learning

Scenario Based Learning

Objective structured Practical Evaluation

Objective structured Clinical Evaluation

Higher Education Commission

Pakistan Medical Commission

Department Of Medical Education

DEFINITIONS AND ABBREVIATIONS

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Multan Medical and Dental College Assessment Policy of BDS

Examinations are of two kinds:

Internal Examinations

University Examinations

I) Internal Examinations

Send Up examinations shall be compulsory for students of all classes. Students who do not

appear or fail in the examination will be regarded as students whose courses of instructions are

incomplete and unsatisfactory and will not be allowed to appear in the university professional

examination for promotion to the next higher class and may also loose the scholarship, if any,

granted to them.

Pass percentage for Send up examinations is 50%.

BDS

i) First Year BDS: There will be send up examination in the subjects of Anatomy, Physiology

and Biochemistry and Oral Biology & Tooth Morphology. The students who fail in any of these

subjects in the send up examinations, will not be allowed to sit in the University Examination.

ii) Second Year BDS: There will be send up examination in the subjects of General Pathology,

Pharmacology and Therapeutics, Community and Preventive Dentistry, Science of Dental

Materials and Behavioral Sciences. The students who fail in any of these subjects in the send up

examinations, will not be allowed to sit in the University Examination.

iii) Third Year BDS: There will be send up examination in the subjects of Medicine, General

Surgery, Oral Pathology, Periodontology and Oral Medicine. The students who fail in any of

these subjects in the sendup examinations, will not be allowed to sit in the University

Examination.

iv) Final Year BDS: There will be send up examination in the subjects of Prosthodontics,

Operative and Conservative Dentistry, Oral and Maxillofacial Surgery, Orthodontics and

Radiology. The students who fail in any of these subjects in the send up examinations, will not

be allowed to sit in the University Examination.

NOTE:

1. During the clinical years, the progress of the students will be judged from the remarks of the

respective Professor on the Clinical Record Cards. Those students, whose cards show

unsatisfactory work during any of their clinical assignments, will be detained from appearing in

the final professional examination of the university.

2. A duplicate record of Clinical Card of each student will be kept in the office of the concerned

Professor.

3. Ten percent (10%) of marks of university examinations are based on internal assessment.

4. Remanded students will not be detained from the University Examination if they have fulfilled

the required percentage of attendance and have satisfactory report from the respective Professor

for their work during the terms, in question.

ASSESSMENT POLICIES

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5. Certificate of Honor is awarded by the college to the student who obtains 75% or more marks

in a subject of Send Up examination of the year provided he/she does not get less than 50 percent

marks in other subjects of the same examination.

Regulations for Internal Assessment

(i) The weightage of internal assessment shall be 10% in all subjects. 5% internal assessment

marks shall be added to the aggregate score of Theory and 5% internal assessment marks to

aggregate score of Oral and Practical Examination and not to an individual component like

MCQs, SEQs Paper or Oral /

Practical / Clinical Examination.

(ii) Continuous internal assessment shall consist of evaluation at the end of each assignment, e.g.

stages/sub-stages, class tests etc., attitudinal assessment from educational and or clinical

supervisors, clinical skill assessment from clinical supervisors, and Year’s work books.

(iii) Assessment of Knowledge, Skills and Attitude shall contribute towards internal assessment.

Methods used to assess these domains shall include Multiple Choice Questions, Short essay

questions, Oral/Viva, and Practical Clinical examinations.

(iv) The score of internal assessment shall contribute 10% to final examination and final

university examination of each subject shall contribute 90% to total score, and the candidate

shall pass in aggregate.

(v) Awards of internal assessment in all the subjects of all the candidates shall be submitted to

the Controller of Examinations along with Admission Forms for the annual examination. Internal

assessment received after commencement of the final examination shall not be accepted.

(vi) The marks of internal assessment shall be submitted only once a year prior to annual

examination and the same shall be counted both for annual and supplementary examinations. It is

further emphasized that fresh assessment or a revision of assessment for supplementary

examination shall not be permissible.

(vii) Proper record of continuous internal assessment shall be maintained by respective

departments of the medical/dental college.

(viii) Internal assessment awarded in particular year may not be decreased subsequently

detrimental to the candidate.

II) University Examinations University Examinations are strictly governed by the statutes and regulations of the University

BDS

i) First Professional BDS Examination will be held at the end of first academic year.

NOTE: Any student who fails to clear the 1st Professional B.D.S. examination in four chances,

availed or un-availed, after becoming eligible for each examination and has been expelled on that

account shall not be eligible for continuation of medical and dental studies of BDS in subsequent

professional examinations.

iii) Second Professional BDS Examination will be held at the end of second academic year.

NOTE: Any student who fails to clear the 2nd Professional B.D.S. examination in four chances,

availed or un-availed, after becoming eligible for each examination and has been expelled on that

account shall not be eligible for continuation of medical and dental studies of BDS in subsequent

professional examinations.

iii) Third Professional BDS Examination will be held at the end of third academic year.

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(iv) Final Professional BDS Examination will be held at the end of fourth academic year.

POLICY FOR ATTENDANCE

According to university of health sciences 80% attendance is mandatory for the eligibility to sit

in the UHS annual

examination, the students are informed that the attendance will be marked after five minutes of

lecture/practical time

and the students coming after 10 minutes will be marked late.

Students with 3 consecutive late will be marked absent.

NOTE: In order to be eligible to appear in UHS Examinations it is compulsory for the student to

achieve at least:

75% attendance in each Term

50% marks in each Term and Final Send Up Examinations

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1. Minimum attendance and satisfactory completion of the log book is required for a

student to be eligible for Certifying Examination(s).

2. Formative and Summative Assessment: The same tools may be used for formative or

summative assessment. Formative Assessments will be used only for feedback to

develop the learners, while Summative Assessments will be used to make pass/fail or

progress decisions). Any assessment where the results contribute to a final score,

which leads to a decision of

the progress of the student, must be considered summative.

3. Summative Assessment consists of the sum of the Continuous Assessment score

(Internal assessment based on assessment of student performance during the module

or clerkship) and end of year University Examination.

4. University Examinations will be held at the end of each

academic year

PROMOTION POLICIES

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YEAR WISE DISTRIBUTION OF SUBJECTS:

1ST YEAR 2ND YEAR 3RD YEAR 4TH YEAR

General

Anatomy

Histology and

Embryology

General

Pharmacology

General Medicine Prosthodontics

Physiology General Pathology General Surgery Operative

Dentistry

Bio-Chemistry Science of

Dental Materials

Oral Pathology Oral and

Maxillofacial

Surgery

Oral Biology and

Tooth

Morphology

Community and

Preventive

Dentistry

Periodontology

Orthodontics

Pak Studies and

Islamiyat / Ethics

Behavioral Sciences Oral

Medicine

YEARLY DISTRIBUTION OF SUBJECTS

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General Surgery

SUBJECT

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Head of Department Prof. Dr. Shoukat Ali

Professor Prof. Dr. Manzar Ali

Associate Professor Dr. Muhammad Mushtaq

Assistant Professor Dr. Waqas Arshad

Admin Registrar Dr. Muqadas

Paramedical Staff Zaman Zawar Falmeen Humaira

ORGANOGRAM

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INTRODUCTION

General surgery is the science and art of treating injury, deformity, and disease using operative

procedures. General surgery is frequently performed to alleviate suffering when this is unlikely

through medication alone. Surgical operative procedures may range from minor procedures

performed in a surgeon's office, to more complicated operations requiring a Surgical team in a

hospital setting. The BDS undergraduate students learn General Surgery during third year of the

program and are evaluated in the Third Professional BDS Examination.

Goal:

To develop medical students, in accordance with the best practices; to prepare future doctors

who can provide patient centered medical care with highest standards of professionalism. To

identify and answer fundamental questions in the mechanisms, prevention and treatment of

diseases, in the field of Surgery.

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The educational strategies in this curriculum are multiple and aligned with domain of learning

and according to the desired outcome

Interactive lectures

One-third of the curriculum will be delivered in a traditional didactic format including

PowerPoint presentations and case discussions. Didactic education is considered to be a one-way

transmission of material from teacher to learner, we cannot overlook the possibility of

meaningful interaction between experts and learners during live lectures. This type of interaction,

which allows for immediate clarification of concepts and extension of knowledge, may be

particularly important for novice learners who have relatively little exposure to the subject

matter, such as our study population.

Small Group Discussion

Small group discussion provides a unique environment to achieve high standards in medical

education. Activation of prior knowledge, exchange of ideas, and engagement at a higher

cognitive level are assumed to result in deeper learning and better academic achievements by

students.

Self- directed learning

Students' take responsibilities of their own learning through individual study, sharing and

discussing with peers, seeking information from Learning Resource Center, teachers and

resource persons within and outside the college. Students can utilize the time within the college

scheduled hours or afterwards for self-study.

Power Point Presentations

Power point Presentations on various topics are assigned to the students which will increase their

knowledge and build their confidence.

CBL

Using a case-based approach engages students in discussion of specific scenarios that resemble

or typically are real-world examples. This method is learner-centered with intense interaction

between participants as they build their knowledge and work together as a group to examine the

case.

TEACHING STRATAGIES

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Assignments

Students are given written formative assignments on designated topics. Revision of the topics

already covered by anatomy and physiology departments are given to students as oral

presentations.

Tutorials/Demonstrations

A tutorial, in education, is a method of transferring knowledge and may be used as a part of a

learning process. More interactive and specific than a book or a lecture, a tutorial seeks to teach

by example and supply the information to complete a certain task.

Lecture Hall

Surgical Ward

Outdoor

TEACHING ENVIRONMENT

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Goals At the end of academic year students will be able to:

a. Diagnose common Surgical problems, suggest and interpret appropriate investigation,

rationalize treatment plan and if appropriate, refer patient for specialist opinion/

management.

b. Suggest preventive measure for the common Public Health Problem in the community

c. Perform relevant procedures

d. Convey relevant information and explanations accurately to patients, families, colleagues and

other professionals

e. Understand medical ethics and its application pertaining to surgery and maintain the

confidentiality of the patient.

f. Adapt research findings appropriately to the individual patient situation or relevant patient

population

Outcomes At the end of this curriculum the student should be able to:

KNOWLEDGE:

1) Acquisition of the knowledge and the ability to apply it in approach to the common

complaints and symptoms in surgical diseases

2) Knowledge of generalities of surgical diseases and acquiring the ability to apply it to

primary medical care of the patients within the limits of general practitioner’s duties

3) Acquisition of the knowledge of simple procedures in outpatient setting that the

general practitioner must be able to do

SKILL:

1) Ability to take clinical history and do accurate clinical examination in the surgical

patients

2) Ability to do basic surgical techniques

3) Ability to interpret results of common laboratory tests and imaging techniques in

surgery

Competencies

a) Communication skills

b) Critical thinking

c) Problem solving

d) Clinical skills

e) Examination skills

f) Procedural skills

ATTITUTE:

Demonstrate compassion and care for patients while performing examination

Demonstrate the team work while working in the hospital environment.

Demonstrate good communication skills while history taking or breaking bad news and

examining the patients.

Respect the patient and be professional when it comes to consent.

SUBJECT OUTCOMES

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Surgical Principles

Eliciting a thorough medical history, carrying out a meticulous clinical examination. diagnosis

and treatment planning.

Application of invasive and non-invasive diagnostic modalities in surgical practice

Cross infection control and sterilization

Surgical instruments and their use

Sutures and suturing techniques

Protocols of operation theatre, ward work, patient clerking and out-patient clinics

Introduction to basic surgical skills

Healing and Repair or Wounds

Mechanism of healing and repair in both hard and soft tissues.

Complications of wound healing and their management

Surgical Infections

Clinical presentation, diagnosis and treatment of bacterial, viral, fungal, and protozoal

infections including hospital infections.

Cellulitis, spread of infection through fascial planes, Ludwig's angina, intracranial

complications of dental infection

Osteomyelitis.

Chronic sinuses and fistulae of the Oral & maxillofacial region.

Trauma Care

Principles of pre-hospital, emergency and definitive care of trauma victims with special emphasis

on the management of airway, bleeding and circulation and CPR protocols.

Principles of management of head, chest and abdominal injuries

Principles of nutrition and fluid intake in trauma victims

Presentation. diagnosis and treatment of maxillofacial trauma

Hemorrhage, Shock and Burns

Causes, presentation, diagnosis and management of primary and secondary hemorrhage;

Vasovagal, cardiogenic, septic, anaphylactic, neurogenic hypoglycemic, and hypovolemic shock.

Presentation and management of burns victims.

Oral & Maxillofacial Pathology

Epidemiology, classification, clinical presentation, diagnosis and treatment of benign and

malignant tumors of oral cavity including epithelial, soft tissue, and bone tumors.

SYLLABUS

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Special emphasis should be laid down on the oral squamous cell carcinoma, basal cell carcinoma,

melanoma and osteosarcoma

Epidemiology, classification, clinical presentation, diagnosis and treatment of odontogenic

tumors and cysts with special emphasis on ameloblastoma, Pindborg tumor, dentigerous cyst,

radicular cyst and keratocytes.

Maxillary sinusitis, carcinoma and other pathological lesions of maxillary sinus

Sialadenitis, sialolithiasis, sialosis, Sjogren's syndrome, Mickulikz syndrome.

Cystic lesions like mucocele, ranula of salivary glands.

Epidemiology, classification, clinical presentation, diagnosis and treatment of beniB1 and

Indignant tumors of salivary glands.

Neck pathology

Cervical lymphadenopathy, thyroid gland, thyroglossal cyst, parathyroid gland, branchial cyst,

dermoid cyst, sternomastoid tumor, cervical rib, carotid body tumor, carotid aneurysm, thymic

swellings, cystic hygroma, pharyngeal pouch, spinal abscess etc

Carcinomas a of the esophagus and larynx

Developmental pathology

Developmental defects of oral and para-oral structure with special cleft lip and palate.

Clinical Assignments

General surgical OPD, wards and emergency

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Department of Medical Education

Credit Hours of 3rd

Year BDS (Session 2020-2021)

Subject 3rd

Year BDS PMC Requirement

Total Hours

Achieved by

MM&DC

General Surgery

Lecture-------72 Hours

Ward---------144 Hours

Test-----------28 Hours

200 244

General Medicine


Ward---------144 Hours

Test-----------28 Hours

200 244

Oral Pathology

Lecture------72 Hours

Clinical

Practical ---- 72 Hours

Test-----------28 Hours

150 172

Oral Medicine


Rotation -----50 Hours

Test-----------28 Hours

125 150

Periodontology



Test-----------28 Hours

175 186

Operative Dentistry


Clinical


100 108

Oral Surgery


Clinical



150 158

SCHEME OF STUDIES

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Sr# Course Content

MCQS SAQS

1 Infectious Diseases

3 2

2 Kidney and Urinary Diseases

3 1

3 Cardiovascular Diseases

6 2

4 Respiratory Diseases

10 1

5 Endocrine Diseases

4 1

6 Diabetes Mellitus

2 2

7 Alimentary Tract Diseases

4 1

8 Liver Diseases

4 1

9 Blood Disorders

4 2

10 Neurological Diseases

5 2

TOTAL

45 15

TABLE OF SPECIFICATIONS

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TOPIC LEARNING OBJECTIVES Interactiv

e Lectu

re

SG

D

SD

L

CB

L

Bed

side

Skills L

ab

SE

Qs

MC

Qs

Viv

a/OS

PE

At the end of the topic student will be able to:

Knowledge Skill/Attitude Teaching Strategies Assessment

Basic Principles of Surgery 1 Metabolic

response to

injury

- Normal physiology,

water loss &

intoxication

- Physiology of fluids

and electrolytes

- Pathophysiology of

fluids and electrolytes

derangements

- Acid base balance

- ECF loss & Excess,

Hyponatremia,

Hypernatremia,

Hypermagnesiumemia

,Hypomagnesiumemia

o Clinical diagnosis

o Lab diagnosis

- Management

- Fluid loss reference

to:

- diarrhea and

vomiting

- immobile /

debilitated

- elderly patients with

reduced renal function

- drugs that lower

renal fluid exchange

functions

- low BMI patients

o Describe the major fluid

compartments of the body, the

effect of osmolality

o Explain what may happen in

common conditions (eg acute

blood loss, dehydration,

excessive fluid replacement).

o Recognize the different

types of fluid used for

optimization, especially

Hartmann’s, Normal 0.9%

Saline and Dextrose

-Assess the volume of

body fluid depletion,

-Administer fluids according

to age and comorbid.

-Calculate the correct

volume and rate of

administration

-Monitor the progression

of fluid optimization

* * *

2 Nutrition

- Enteral feeding

(Oral,

gastrostomy,

jejunotomy)

Different modes of

enteral

feeding

Its Advantages and

List the physiological effects

of protein– calorie

malnutrition.

- Identify the different types

of nutritional support – oral,

nasogastric,

gastro/jejunotomy and

parenteral.

- Describe what total

Identify patients in need

of nutritional optimization.

* * *

LEARNING OBJECTIVES

TEACHING AND ASSESSMENT STRATAGIES

28

Complications

- Parenteral nutrition

and its complications

- Malnutrition in

surgical patients

- Definition

- Assessment

- Lab diagnosis

- Correction of

malnutrition especially

pertaining to BMI,

serum albumin, frailty

or triceps skin fold

thickness

parenteral nutrition (TPN)

entails, its associated risks,

and the additional and

parameters of care for

these patients.

3 Perioperative

Care

Pre – operative

optimization of

surgical patients with

systemic diseases

- Types of medical

diseases

- Assessment of

patients

- Rationalize routine

intravenous fluid

replacement in surgical

patients

- Identify the commonly

prescribed

intravenous fluids.

- Optimize management of co

morbid.

- Describe important

complications of

common operations

- Counsel the patient

about the prognosis of

the disease

- Manage post – op

complications

* *

4 Post- operative care

- Daily assessment of

patient

- Day to day patient

care

- Recognition of

potential

complications

- Diagnosis of

complications

- Management of post

– op complications

- Rehabilitation

* *

5 Shock & Blood

Transfusion

Shock/Classification

Hypovolemic Shock

Hemorrhage

Blood transfusion

- Discuss the protocols of

blood transfusion

- Elaborate principles of blood

transfusion

of a surgical patient

- Clinically assess

hypovolemia

- Identify patients in

need of fluid

optimization/blood

transfusion

*

6 Wound, healing

and tissue

repair

- Wound

classification,

Mechanism of healing

- Factors affecting

wound

healing

- Complications of

wound

- Hypertrophic scars,

keloid

- Describe the process and

stages of wound healing.

- State primary, secondary

and tertiary wound healing.

- Justify the reasons for

conducting a wound

assessment.

- Summarize pressure ulcer

classification.

- State the need to assess pain

in wound care.

- Explain extrinsic and

intrinsic factors which impact

on wound healing eg

nutrition.

- State the basic principles of

wound dressing.

- Identify patients at risk of

pressure sore development

- Identify wound bed

tissue types.

- Describe the skin

surrounding the wound

reference to underlying

disease and the effectiveness

of current treatment.

- Measure a wound

* * *

29

7

Surgical

Infections

Bacteremia,

Septicemia, Pyemia,

SIRS, Sepsis, MOFS

Severe Sepsis &

Septic shock.

- Definitions

- Pathophysiology

- Diagnosis

- Investigations

- Management

principles Sepsis 6

(BUFALO)

recommendations

within the first hour to

reduce mortality

- B – blood cultures

- U – urine output

- F – fluid

- A – antibiotics

- L -lactate (and

hemoglobin)

- O – oxygen

- Define the following terms:

systemic inflammatory

response syndrome (SIRS),

sepsis, severe sepsis, septic

shock, MOFS and acute

respiratory distress syndrome

(ARDS).

- Differentiate between SIRS,

sepsis, severe sepsis and

septic shock on the basis of

signs, symptoms, vital signs,

hemodynamic measures and

laboratory tests

- Explain the seriousness of

sepsis

- Describe the microbiological

causes of sepsis.

- Describe the

pathophysiology and

mechanism of sepsis.

- Prioritize for treatment of

sepsis.

- Explain the role of

vasoactive agents in

supporting the physiological

function of a patient with

sepsis.

- Select appropriate agent,

given details of a patient’s

condition.

- Develop an appropriate

monitoring

- Take proper history of

patient with sepsis

- Perform clinical

examination of patient with

sepsis

- Determine appropriate fluid

resuscitation for

sepsis with colloids or

crystalloids.

- Recommend an

appropriate antibiotic

regimen for treatment

of sepsis based on

patient characteristics

and site of primary

infection.

- Carry out Sepsis 6

(BUFALO)

recommendations

within the first hour to

reduce mortality

- Prescribe antibiotic

following local

guidelines/protocols

* * *

Skin & Subcutaneous tissue 8 Skin swellings

and lumps

Cyst, Dermoid,

Papilloma, Fibroma,

Bursae, ganglion,

Neurofibroma,

Schwannoma and

Basal Cell Carcinoma

- Classification

- Clinical features

- Diagnosis

- Management

- Classify lumps in skin &

subcutaneous tissue

- Differentiate between

benign and malignant tumors

- List the principles of

diagnosis and management of

lumps in skin & subcutaneous

tissue.


patient presenting with skin

swelling

- Perform clinical

examination of patient

presenting with skin swelling

* * *

9 Ulcer Classification

And Management

- Definition of ulcers

- Classification of

ulcers

- Pathophysiology of

ulcers

- Definitive diagnosis

- Treatment plan

List the principles of

diagnosis and management of

ulcers on the basis of its

pathophysiology.


patient presenting with ulcer

- Perform clinical


presenting with ulcer

* * *

Trauma 10 Trauma and

tissue response

- Types of trauma

- SIRS

- Pathophysiology

- Immediate

- Describe the physiological

response to injury.

- State the principles of

surgical treatment in a multi-

injured patient.

- Assess priorities during all


patient presenting with

trauma (AMPLE)

- Perform clinical


presenting with trauma

* *

30

management

- Definitive

management

- Complications

- Rapid primary

survey, concurrent

resuscitation,

secondary survey,

continued re-

evaluation and

monitoring,

investigation and

definitive care

phases of management

following ATLS principles.

- Justify the importance of re-

assessment of the patient with

regards to earlier

interventions.

- Emphasize the significance

of a patient with polytrauma.

- Discuss issue of missed

injuries, management and

documentation.


primary and secondary

survey.

- Define triage and its

importance.

- State the importance of

analgesia in the management

of these patients.

- Differentiate between blunt,

penetrating, crush, blast

injuries on the basis of

mechanisms of trauma

- List the interventions that

may be required for head

injury.

- Explain the importance of

nerve or vessel injury in

trauma.

- Elaborate the importance of

a continuum of care for the

injured patient by a

multidisciplinary team

- Explain the importance of

the ATLS strategy and

systematic approach.

- Explain the role of

radiological investigations (eg

CT scanning) and

interventions.

- Identify the role of

investigation and treatment

dependent on the

hemodynamic status of the

patient.

- Provide emergency care

with the patient of poly-

trauma as per ABCDE

protocol

Trauma to Regions 11

Chest Trauma

Broken ribs

Pneumothorax


different types of chest

injuries based on mechanism

of pathophysiology findings,

and management


patient presenting with chest

trauma.

- Perform clinical


presenting with chest trauma

* * *

12

Abdominal Injury

- Elaborate upon abdominal/

genitourinary injuries

reference to causes, signs,

symptoms diagnosis,

management predisposing

factor, complications and

preventions

- Discuss various causes of


patient presenting with

abdominal/ genitourinary

injury

- Perform clinical


presenting with abdominal

injury/ genitourinary

* * *

31

13 Genitourinary

Trauma

abdominal injury/

genitourinary trauma

- Enumerate the most

susceptible visceral organs in

Abdominal Injury/

genitourinary trauma

trauma

Radiological Investigations and Diagnosis 14 X-ray Chest

Normal and different

Pathological

conditions like pleural

effusion,

Pneumothorax,

Bronchitis,

cardiomegaly, Mitral

valve disease, left to

right shunts,

differentiating

pulmonary arterial

from pulmonary

venous hypertension

- Demonstrate knowledge,

clinical and technical skills

and decision-making

capabilities with respect to

diagnostic imaging pertinent

to the practice of General

Surgery

- State the basic principles of

radiation protection and law

in relation to use of ionizing

radiation

- Justify use of relevant

imaging techniques in various

clinical scenarios reference to

advantages and

disadvantages.

Differentiate between

normal and pathological

findings on CXRay

* *

15 X-Ray Abdomen

free air under the

diaphragm.

Intestinal obstruction.

Barium studies:

barium swallow, meal,

follow through,

enema.

Normal gut pattern on

plain film and barium

studies


normal and different

pathological conditions on

X Ray Abdomen

* *

16

Skull X Ray


normal and abnormal

Skull lesions as lytic

and sclerotic Calcifications

- Identify Pituitary fossa

* *

17 Spine X-Ray

Imaging modalities, X

Ray projections of

spine. Plain X Ray

anatomy of spine

Identify X Ray projections

of spine. Plain X Ray

anatomy of spine

* *

17 Bones

Modalities for bone

imaging Projections.

Plain x rays of

bones for pathologies

as rickets, fractures,

neoplastic lesions and

how to describe them.

Lytic and sclerotic

lesions


normal and different

pathological conditions as

rickets, fractures,

neoplastic lesions and

how to describe them.

Lytic and sclerotic lesions

* *

18

CT scan & MRI

- Compare the benefits and

limitations of different

radiologic modalities

including CT and MRI

- List risks associated with

radiation exposure

- Describe the impact of

* *

32

patient age on radiation

sensitivity

- Compare the relative

radiation dose delivered by

different imaging modalities

- Discuss the potential

complications of intravenous

contrast administration for

CT and MR exams and

identify predisposing risk

factors

Pediatric Surgery 19

Congenital

Deformities

- Cleft Lip & palate

-Reconstructive

Surgery

- Relate embryological

formation of face/ lip and

palate to congenital anomalies

- Detail signs, symptoms,

treatment options,

complications and

management of Cleft Lip &

palate

- Take history of a

patient with Cleft Lip

& palate/CTEV

- Perform clinical

examination of a patient with

Cleft Lip & palate/DTEV/

Dysplasia of hip joint

* * *

20

Surgical

Complications of DM

Diabetic foot ulcer in

terms of wound

infection, associated

soft tissue, or bone

involvement, along

with the systemic

features of sepsis

- Elaborate significance of

Baseline glycemic control

required for surgical

procedure

- Discuss the complications of

DM in Surgical Patient

- Identify the Signs and

Symptoms of uncontrolled

DM in patients

- Develop pre-op, and post-op

management plan for a

diabetic patient.

- Counsel a diabetic patient

about foot care

- assess the severity of

Diabetic foot ulcer

- Suggest antibiotic and local

treatment for simple ulcers.

- Suggest newer and

advanced modalities used for

management of

diabetic foot ulcers

* * * * *

21 Gangrene

- Definition

- Types

- Pathophysiology

- Clinical features

- Diagnosis

- Management

principles

- Differentiate between dry

and wet gangrene

- List the principles of

diagnosis and its management

- Take history of a

patient with gangrene

- Perform clinical


gangrene

* * * * *

Anesthesia 22

General Anesthesia


different techniques

of anesthesia and airway

maintenance

- Elaborate the methods of

providing pain relief

- Devise a plan for

management of chronic

pain and pain from malignant

disease

Monitor the patient

under general

anesthesia

* *

23

Regional &

Spinal

Anesthesia

Regional & Spinal

Anesthesia

- Discuss the local and

regional anesthesia

techniques

- List the various techniques

for regional anesthesia

administration

- Choose appropriate type of

anesthesia for various surgical

Monitor the patient

under regional/spinal

anesthesia

* *

33

procedures

- Discuss the pre-anesthesia

workup required for

regional/spinal anesthesia

- list the complications

resulting from regional/spinal

anesthesia 24

Pain Relief

Pain Relief in benign

and malignant diseases

- Relate different types of

pain to its pathophysiology.

- Outline various methods for

pain relief in benign and

malignant diseases

- Discuss the various methods

used for pain relief in

different diseases

- Take history of a patient

with pain

- Perform clinical


pain

- Counsel the patient with

pain

* *

Head & neck 25

Disorders of

salivary glands

Infections,

obstruction, benign

and malignant

neoplasms of

the salivary glands.

- Recognize the clinical

features of infections of the

salivary glands.

- List the relevant information

to be elicited during history

taking from patients with

salivary gland disorders.

- differentiate on clinical

grounds between infection,

obstruction, benign and

malignant neoplasms of the

salivary glands.

- Suggest relevant

investigations to help in

the diagnosis of salivary gland

disorders.

- Evaluate the results of the

investigations done for

disorders of the salivary

glands.

- Describe treatment

procedures and their

indications and potential

complications of

treatment procedures


with swelling on sites of

salivary glands

- Perform clinical


swelling relevant to

salivary gland

* * * * *

26

Mass neck

Evaluation of mass

neck neoplastic,

inflammatory,

congenital

- Devise a systematic plan to

evaluate a patient with a neck

mass

- Classify neck masses,

according to etiology

- Diagnose neck mass based

on history, clinical

examination basic laboratory

tests and radiologic

examinations.

- Suggest special

examinations of the

nasopharynx and larynx

where required

- Develop an appropriate

differential diagnosis and

provisional diagnosis

- Justify the role of surgery

for adult neck mass


with a neck mass

- Perform clinical


a neck mass

* * * *

27 Thyroid swelling - Corelate the clinical - Take history of a patient * * * * *

34

Simple Goitre Toxic

Goitre/ Thyrotoxicosis

presentation of simple

and toxic goiter to anatomical

and physiological basis of

thyroid gland

- Suggest the diagnostic

investigations needed to rule

out other thyroid conditions

- Enumerate the Treatment

options for goiter

- Propose management plan

for goiter and its

complications.

with neck /thyroid swelling

- Perform clinical


neck /thyroid swelling

- Counsel the patient

about the progression of

disease

28

Ca Thyroid

- Diagnose Ca thyroid based

on clinical presentation and

investigations

- Classify Ca Thyroid

- List tumor markers for Ca

Thyroid

- Develop management plan

for Ca Thyroid and its

Complications

* * * * *

29 Parathyroid

glands

Disorders of

Parathyroid glands

- Diagnose disorders of

parathyroid based on clinical

presentation and

investigations

- Develop management plan


- Perform clinical

examination of a patient

* * *

35

w.e.f. 15th

March, 2021 to 4th

December, 2021

Day /

Time

8:30-

09:20

09:20–

10-10

10:10–

11:00

11:00–

11:50

11:5

0–

12:0

5

12:05–

12:55

12:55

–

01:40

01:40–

02:30

Monday Test /

Discussion

Test /

Discuss

ion

G.

Medicine

Lecture

Periodonto

logy

Lecture

Brea

k

Clinical

Work

Clinica

l Work

Oral

Medicine

lecture

Tuesday

G.

Medicine

Lecture

G.

Medicin

e

Clinical

Oral

Pathology

lecture

Clinical

Work Brea

k

Clinical

Work

Oral

Surger

y

Clinica

l

Oral

Surgery

Clinical

Wednes

day

G. Surgery

Lecture

G.

Surgery

Indoor

G. Surgery

Lecture

G. Surgery

Outdoor Brea

k

Oral

Pathology

Practical

G.

Medici

ne

Clinica

l

G.

Medicine

Clinical

Thursda

y Test /

Discussion

Test /

Discuss

ion

Oral

Medicine

lecture

G.

Medicine

Clinical

Brea

k

Clinical

Work

Clinica

l Work

Periodonto

logy

Clinical

Friday

8:30-09:20 09:20–

10-10

10:10–

11:00

11:00–

11:50

11:5

0–

12:4

0

----------

--------

-- ----------

Oral

Pathology

lecture

Oral

Patholo

gy

Practica

l

Prosthodo

ntics

Lecture

Prosthodon

tics

Clinical

Oral

Surge

ry

Lectu

re

---------- --------

-- ----------

Saturda

y

Periodonto

logy

Lecture

Operati

ve

Pre-

Clinical

Lab

G. Surgery

Lecture

G. Surgery

Indoor Brea

k

Prosthodo

ntics

Clinical

Operat

ive

Pre-

Clinica

l Lab

Operative

Pre-

Clinical

Lab

ANNUAL TIMETABLE

36

(May vary due to the Covid-19 Outbreak)

S.no Date Time Topic Assessment

tool

Facilitator

name Venue

1. 29-3-

2021 8:30-10:10 Head Injury

MCQs &

SEQs Dr. Shoaib

Saleem Lecture Hall

2. 15-4-

2021

8:30-10:10 Pharynx, Larynx & Neck

MCQs &

SEQs Dr. Shaukat

Ali Lecture Hall

3. 3-5-2021 8:30-10:10 Cross Infection Control and

Sterilization MCQs &

SEQs Dr. Manzar

Ali Lecture Hall

4. 25-5-

2021

8:30-10:10 Head Injury, Xray CT Scan,

MRI Brain & Spine MCQs &

SEQs Dr. Shoaib

Saleem Lecture Hall

5. 7-6-2021

8:30-10:10

Early Assessment and

Management of

Trauma/chest and Abdomen.

Examination of Ulcer

MCQs &

SEQs Dr. Manzar

Ali Lecture Hall

6. 24-6-

2021

8:30-10:10

Oropharyngeal Cancer,

Trauma Diagnostic Imaging,

Examination of Swelling

MCQs &

SEQs Dr. Shaukat

Ali Lecture Hall

7.

12-7-

2021

8:30-10:10

Death and Spine Injury, X-

Ray CT Scan, MRI Brain

and Spine

MCQs &

SEQs Dr. Shaukat

Ali Lecture Hall

8. 2-8-2021 8:30-10:10 Disorders of Salivary

Glands, Examination of

Thyroid

MCQs &

SEQs Dr. Safdar

Ali Khan Lecture Hall

9.

23-8-

2021

8:30-10:10

Metabolic Response to

Trauma, Shock and Blood

Transfusion, IV, Barnule,

ETT, NG Tube, Foley’s

Catheter

MCQs &

SEQs Dr. Mushtaq Lecture Hall

10. 9-9-2021 8:30-10:10 Surgical Infection, History

and Examination of Head

and Neck Swelling

MCQs &

SEQs Dr. Mushtaq Lecture Hall

11. 27-9-

2021 8:30-10:10 Chronic Sinuses and Fistula

Maxillofacial Trauma MCQs &

SEQs

Dr. Noor Ul

Ain

Dr. Shoaib

Lecture Hall

12. 14-10-

2021

8:30-10:10 Diseases of Thyroid and

Parathyroid Glands,

Examination of Thyroid

MCQs &

SEQs

Dr. Safdar

Ali Khan Lecture Hall

13. 1-11-

2021

8:30-10:10 Wounds, Tissue Repair

Response, Burns and

Reconstructive Surgery

MCQs &

SEQs

Dr. Waqas

Arshad Lecture Hall

14. 18-11-

2021

8:30-10:10 Basal Cell Carcinoma,

Squamous Cell Carcinoma,

Melanoma, Nutrition and

Fluid Therapy

MCQs &

SEQs

Dr. Waqas

Arshad Lecture Hall

ASSESSMENT SCHEDULE

37

BDS 3rd

Year (Session 2020 – 2021) Groups for Clinical Rotations

Group: A Group: B

Roll # Roll #

1-11 12-41

Group: C Group: D

Roll # Roll #

43-62 69-87

Clinical Clinical Rotations

Departments

Clinical Dental Rotations

(May Vary due to COVID-19)

29-03-2021

To

05-06-2021

07-06-2021

To

07-08-2021

09-08-2021

To

16--10-2021

18-10-2021

To

18-12-2021

Oral Medicine A D C B

Oral Surgery B A D C

Periodontology C B A D

Prosthodontics D C B A

BATCHES ALLOCATIONS

38

Rules and Regulations in clinical wards & rotations:

Students must wear white overall in the clinical/ward rotation

Students must wear face masks in the clinical/ward

Students must wear gloves before starting the clinical procedure and remove them after

ending the procedure.

Students must be trained about the usage of any instrument or machine before using it on

a patient.

Students must have their quota books and log books at the start of session and they must

keep them safe and maintain the record timely.

Students must submit their log books and quota books at the end of the session to the

relevant Head of Department.

Student must inform the Demonstrator or the Supervisor before starting and ending any

clinical procedure.

Students should not use mobile phones in the clinical/ward.

Students should never perform any procedure alone. The Demonstrators and the assistant

must be there with the student.

Students must always remove or secure anything that might get caught in moving

machinery. Female students should never work with loose hair and jewelry etc.

Students should wear semi-formal shoes in the clinical/ward.

Always keep your hands at a safe distance from sharp instruments.

Unnecessary talking is not allowed in the wards.

No student is allowed to leave the clinical/ward rotation without the permission of

Supervisor.

No game of any sort is allowed to be played during the clinical/ward.

Any student breaking or damaging any property of the institution shall be required to pay

the cost of repair or replacement.

Riots, strike and boycotts are prohibited in the clinical wards.

Students must demonstrate Professionalism and Medical Ethics.

WARD PRE-REQUISITES

39

BOOKS RECOMMENDED

a. Bailey & Love Short Practice of Surgery

b. Browse Introduction to the Symptoms & Signs of Surgical Disease

c. Apley's Concise System of orthopedics & Fractures

LEARNING RESOURCES

year bds curriculum 2020 - Multan Medical & Dental College

Documents